Umuthi wokugomela i-Temozolomide: Ake sixoxe ngalolu hlobo lokwelashwa komdlavuza wobuchopho!

Kuvamile ukuzizwa ukhungathekile lapho wena noma umuntu oseduze nawe etholakala enesifo esifana nomdlavuza wobuchopho. Kodwa uma uzama ukuthola ukuthi yiziphi izindlela zokwelapha ezitholakalayo, udokotela wakho angakutshela ngemithi ehlukene. Isibonelo, i-Temozolomide iwumjovo okhethekile osetshenziselwa ukwelapha izinhlobo ezithile zomdlavuza wobuchopho. Empeleni lo umuthi we-chemotherapy. Ake sixoxe ngawo ngokuningiliziwe namuhla, kulungile?

Uhlobo luni lomuthi i-Temozolomide?

Kalula nje, i-Temozolomide iwumjovo ofakwa emthanjeni osiza ukubulala amangqamuzana omdlavuza. Iyingxenye ye-chemotherapy. Ungase futhi uwuthole lo muthi ngaphansi kwegama lomkhiqizo elithi `TEMODAR`. Lo muthi usebenza ngokuvimbela ukukhula kwamangqamuzana omdlavuza nokuwabulala. Kodwa-ke, awusebenzi kuzo zonke izinhlobo zomdlavuza wobuchopho. Udokotela wakho uzonquma ukuthi lokhu kulungile yini kuwe.

Lo muthi ungase usetshenziswe nakwezinye izimo zezokwelapha, ngakho-ke uma uneminye imibuzo mayelana nalokhu, kungcono ukubuza udokotela wakho noma usokhemisi.

Yini okufanele ngiyitshele udokotela wami ngaphambi kokusebenzisa lo muthi?

Ngaphambi kokuthi uqale ukwelashwa nge-Temozolomide, kubaluleke kakhulu ukutshela ithimba lakho lokunakekela ngezinto ezithile, ngoba yileyo ndlela abazohlela ukukunikeza ngayo lokhu kwelashwa ngokuphephile.

Ungakhohlwa ukubatshela ngalezi zinto:

• Uma unesifo sezinso .
• Uma unesifo sesibindi .
• Uma uke waba nokusabela kokungezwani komzimba noma ukusabela okungavamile ku-Temozolomide, i-Dacarbazine (DTIC), eminye imithi, ukudla, amadayi noma izithasiselo.
• Kulungile uma ukhulelwe noma unethemba lokukhulelwa .
• Uma uncelisa .

Uma ubatshela lolu lwazi, bangacabangela izingozi ezingaba khona bese benza izinguquko ohlelweni lwakho lokwelashwa uma kudingeka.

Ngingakunika kanjani lo muthi?

I-Temozolomide inikezwa njengomjovo emthanjeni. Ngokuvamile inikezwa uchwepheshe wezempilo esibhedlela noma emtholampilo.

Kodwa-ke, kwezinye izimo, odokotela bangase bakwazi ukuhlela ukuthi uthathe lo muthi ekhaya. Uma kunjalo, uzonikezwa ukuqeqeshwa okuhle kokuthi ungawulungiselela kanjani futhi uwuthathe kanjani lo muthi ngendlela efanele. Kubalulekile ukuwuthatha njengoba nje kuyalelwe . Kubalulekile futhi ukuthatha umuthi ngesikhathi esifanele nangenani elifanele. Ungalokothi uthathe okungaphezu kwenani elibekiwe.

Okubalulekile:Kufanele ufake izinaliti ezisetshenzisiwe kanye namasirinji esitsheni esikhethekile se-sharping. Ungazilahli emgqonyeni kadoti. Uma ungenayo, cela ikhemisi lakho noma umhlinzeki wezempilo akunike yona.

Uma unikeza izingane lo muthi, kufanele ukhulume nodokotela wezingane ngakho, ngoba kungadinga ukunakekelwa okukhethekile.

Ukweqisa umthamo: Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela isikhungo sokulawula ubuthi noma igumbi lezimo eziphuthumayo ngokushesha.

Sicela uqaphele: Lo muthi ungowakho kuphela. Ungawuniki omunye umuntu.

Yini okufanele uyenze uma uphuthelwa umthamo wemithi?

Kubaluleke kakhulu ukuthatha imithi yakho ngesikhathi phakathi nalokhu kwelashwa. Uma ungakwazi ukuthatha imithi yakho ngosuku oluhleliwe, shayela udokotela wakho noma uchwepheshe wezempilo ngokushesha bese ubazisa.

Yiziphi izinto ezingasebenzisana nalo muthi?

Eminye imithi ingasebenzisana ne-Temozolomide. Lokhu kusho ukuthi uma ithathwa ndawonye, ​​ukusebenza kwayo kungashintshwa noma imiphumela emibi inganda.

• Eminye imigomo
• I-Valproic acid (lo umuthi ovame ukunikezwa isifo sokuwa)

Lolu hlu aluphelele. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe udokotela noma ethengwa ngaphandle kwemithi kadokotela), amakhambi owasebenzisayo, amavithamini (izithasiselo zokudla), kanye nokuthi uma ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni. Ezinye zalezi zingase zihlangane nalo muthi.

Qaphela kakhulu lezi zinto uma uthatha lo muthi!

Ungase uzizwe ungakhululekile futhi unamahloni kancane ngenkathi uthatha lo muthi. Lokhu kuvamile. Lokhu kungenxa yokuthi i-chemotherapy ingathinta hhayi amangqamuzana omdlavuza kuphela kodwa namaseli anempilo. Uma uhlangabezana nanoma yimiphi imiphumela emibi, tshela udokotela wakho. Qhubeka nokwelashwa, noma ngabe kungakhululekile, kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.

Ukusabela okukhulu kwesikhumba okungenzeka

Lomuthi ngezinye izikhathi ungabangela ukusabela okukhulu kwesikhumba . Lokhu kungenzeka emavikini noma ezinyangeni ngemuva kokuqala ukuthatha umuthi. Uma uba nokuqubuka okunomkhuhlane noma izimpawu ezifana nomkhuhlane, bona udokotela wakho ngokushesha. Lokhu kuqubuka kungaba bomvu noma kube nsomi, futhi kamuva kungaphenduka amabhamuza kanye nesikhumba. Noma, uma uba nokuqubuka okubomvu okunama-lymph node avuvukele ebusweni bakho, ezindebeni, entanyeni, noma emakhwapheni, kufanele futhi utshele udokotela wakho.

Ukuhlolwa kwegazi kanye nokutheleleka

Igazi lisebenza ngenkathi uthatha lo muthiKuzodingeka wenze lokhu. Lokhu kuhlola ukuthi inani lamaseli egazi lakho lilungile yini.

Uma uba nezimpawu ezifana nomkhuhlane, ukubanda, umphimbo obuhlungu, ikhala eligobhozayo, noma isifo sohudo, shayela udokotela wakho ukuze akunike iseluleko. Ungaziniki imithi. Lo muthi wehlisa amandla omzimba wakho okulwa nezifo (amasosha omzimba). Ngakho-ke, zama ukuhlala kude nabantu abagulayo.

Ukopha kanye nokudumba

Lomuthi ungakwenza ube nemihuzuko noma uphume igazi kalula . Tshela udokotela wakho uma ubona noma yikuphi ukuphuma kwegazi okungajwayelekile (isibonelo, ukuphuma kwegazi ekhaleni, ukuphuma kwegazi ezinsinini lapho uxubha amazinyo akho, noma amabala amancane abomvu ngaphansi kwesikhumba).

Enye ingozi yomdlavuza

Kungase kube nengozi yokuthola izinhlobo ezithile zomdlavuza ngenkathi uthatha lo muthi. Khuluma nodokotela wakho ngalokhu.

Ukukhulelwa, ukuncelisa kanye nokuzala

Lokhu kuyindaba ekhathazayo kakhulu .

• Kwabesifazane:
• Kufanele ugweme ukukhulelwa ngenkathi uthatha lo muthi futhi okungenani izinyanga eziyisithupha ngemva kokuyeka umuthi, ngoba ungabangela imiphumela emibi kakhulu enganeni engakazalwa.
• Uma unethemba lokukhulelwa, noma uma ucabanga ukuthi ukhulelwe, tshela udokotela wakho ngokushesha.
• Ungamncelisi umntwana wakho okungenani isonto elilodwa ngemuva kokuyeka lo muthi.
• Kwabesilisa:
• Njengoba nje wawusebenzisa lo muthi, ungacabangi ngokuba nomntwana okungenani izinyanga ezintathu ngemva kokuyeka ukuwusebenzisa.
• Uma umlingani wakho ekhulelwa phakathi nalesi sikhathi, tshela udokotela wakho ngokushesha.
• Gwema ukunikela ngesidoda ngenkathi uthatha lo muthi futhi okungenani izinyanga ezintathu ngemva kokuyeka.

Lo muthi ungathinta ukuzala (ikhono lokuba nabantwana) kwamanye amadoda. Uma unenkinga ngalokhu, khuluma nodokotela wakho.

Yimiphi imiphumela emibi engaba khona?

Njengayo yonke imithi, i-Temozolomide ingabangela imiphumela emibi. Eminye yayo kufanele ibikwe kudokotela wakho ngokushesha, kanti eminye ayibi kakhulu, kodwa uma iqhubeka noma iba yinkinga, kufanele utshele udokotela wakho.

Imiphumela emibi okufanele ibikwe kudokotela noma kuchwepheshe wezempilo ngokushesha okukhulu:

• Ukusabela kokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa noma ukuqubuka, ukuvuvukala kobuso, izindebe noma ulimi.
• Izinkinga zokuphefumula.
• Ukubalwa kwegazi okuphansi: Lo muthi ungabangela ukwehla kwenani lamaseli amhlophe egazi, amaseli abomvu egazi, nama-platelet. Lokhu kungandisa ingozi yakho yokutheleleka nokopha.
• Ukusabela kwesikhumba:Ukubomvu, ukuqhekeka, ukuxebuka noma ukuxega kwesikhumba, ngisho nangaphakathi emlonyeni.
• Izimpawu zokutheleleka: umkhuhlane noma ukubanda, ukukhwehlela, umphimbo obuhlungu, ubuhlungu noma ubunzima bokuchama.
• Izimpawu zokwehla kwama-platelet noma ukopha: ukuklwebheka, ukukhomba amabala abomvu esikhumbeni, umnyama, indle ephuzi, igazi emchameni.
• Izimpawu zokuncipha kwamaseli abomvu egazi: Ukuzizwa ubuthakathaka noma ukhathele ngendlela engavamile, ukuquleka, ukuzizwa unekhanda elibuhlungu.
• Izimpawu zokulimala kwesibindi: umchamo ophuzi noma onsundu omnyama; umkhuhlane noma indle ekhanyayo; ukuphelelwa yisifiso sokudla; ​​isicanucanu; ubuhlungu esiswini esingaphezulu kwesokudla; ​​ubuthakathaka noma ukukhathala okungavamile; ukuphuzi kwamehlo noma isikhumba (i-jaundice).
• Izimo zesifo sokuwa/ukuquleka.

Imiphumela emibi evame ukungadingi ukunakekelwa kwezokwelapha (bika lokhu kudokotela wakho noma kuchwepheshe wezempilo uma iqhubeka noma ikhathaza):

• Ukuqunjelwa
• Uhudo
• Ukulahlekelwa izinwele
• Ikhanda elibuhlungu
• Ubuhlungu, ukubomvu, noma ukucasuka endaweni yokujova
• Ukuhlanza

Lolu hlu aluyona yonke imiphumela emibi engaba khona. Uma ubona noma yini engavamile ngaphezu kwalokhu, funa iseluleko sezokwelapha. Ungabika imiphumela emibi kudokotela wakho noma iziphathimandla zezempilo.

Uwugcina kanjani lo muthi?

Lomuthi kufanele ugcinwe kude nezingane .

Uma usebenzisa lo muthi ekhaya, uzonikezwa imiyalelo yokuthi uwugcine kanjani ngendlela efanele. Lahla noma yimuphi umuthi ongasetshenziswanga ngemva kosuku lokuphelelwa yisikhathi oluselebula.

Okokugcina, izinto ezimbalwa (Umyalezo Wokuya Ekhaya)

I-Temozolomide umuthi obalulekile osiza ekulweni nomdlavuza wobuchopho. Kodwa-ke, njengazo zonke izidakamizwa, inezingozi zayo kanye nemiphumela emibi. Into ebaluleke kakhulu ukukhuluma nodokotela wakho ngokushesha okukhulu uma unemibuzo, ukukhathazeka, noma ukukhathazeka. Yibo abangakusiza kangcono.

Uma uthatha lolu hlobo lokwelashwa, ukwesekwa komndeni wakho nabangani nakho kubaluleke kakhulu. Hlala uqinile, landela imiyalelo kadokotela wakho, futhi ubhekane nale nselele. Sonke sikufisela ukululama okusheshayo!

I- Temozolomide, Ukwelashwa ngamakhemikhali, Umdlavuza wobuchopho, Imithi yomdlavuza, Imiphumela emibi, i-TEMODAR