Uma udokotela wakho ekutshela ukuthi wena noma othile oseduze nawe unomdlavuza weseli lezinso, kuvamile ukuba nelukuluku futhi wesabe kancane ngokwelashwa okulandelayo. Enye yalezi zindlela zokwelapha umuthi wokugomela obizwa ngokuthi i-temsirolimus. Ngakho-ke namuhla, ake sixoxe ngalo muthi, njengoba nje ubungakhuluma nomngane, bese uzama ukuphendula noma yimiphi imibuzo ongase ube nayo.
Iyini ngempela i-Temsirolimus?
Kalula nje, i-temsirolimus umuthi okhethekile onikezwa ukulwa nezinhlobo ezithile zamangqamuzana omdlavuza akhula ezinso. Kungenzeka ukuthi uke wezwa ngawo ngaphansi kwegama lomkhiqizo elithi ``Torisel.'' Umsebenzi wawo oyinhloko ukulawula ukukhula kwamangqamuzana omdlavuza ngokushintsha indlela amasosha omzimba wethu asebenza ngayo. Lokhu kufana nokuvimba izindlela ezisiza amangqamuzana omdlavuza ukuba akhule futhi achume. Lokhu kuhlukaniswa njengohlobo lwe-chemotherapy.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala ukwelashwa
Ngaphambi kokuqala lokhu kwelashwa, kubaluleke kakhulu ukunikeza udokotela wakho isithombe esiphelele sempilo yakho. Ungafihli lutho, ucabanga ukuthi kuyinto encane. Ngoba ngisho nalolo lwazi oluncane lungathinta impumelelo yokwelashwa kwakho. Uma unanoma yikuphi kwalokhu okulandelayo, qiniseka ukuthi utshela udokotela wakho.
| Isimo sempilo/umkhuba | Kungani kufanele wazise? |
|---|---|
| Isifo sikashukela | Lo muthi ungathinta amazinga kashukela egazini. |
| Isifo senhliziyo | Ngoba kungathinta ukusebenza kwenhliziyo. |
| Ukuba namazinga aphezulu e-cholesterol egazini | Umuthi ungashintsha amazinga e-cholesterol. |
| Ubuthakathaka besistimu somzimba | Ngenxa yokuthi umuthi uthinta amasosha omzimba, kubalulekile ukuqaphela ubuthakathaka obukhona. |
| Izifo ezikhona (ikakhulukazi ezibangelwa amagciwane njenge-chickenpox kanye ne-herpes) | Njengoba amasosha omzimba encipha, izifo ezikhona zingase zibe zimbi kakhulu. |
| Isifo Sesibindi | Ngoba isibindi sisiza ekususeni umuthi emzimbeni. |
| Ukwehla kwenani lamaseli egazi (amaseli amhlophe egazi, amaseli abomvu egazi, ama-platelet) | Lo muthi ungathinta ukukhiqizwa kwamaseli egazi. |
| Isifo samaphaphu noma sokuphefumula (njenge-asthma) | Kukhona ingozi yokuba nobunzima bokuphefumula. |
| Ukuthatha imithi yokuvimbela noma yokwelapha amahlule egazi | Ngoba ingozi yokopha inganda. |
| Ukuzama ukukhulelwa, ukukhulelwa, noma ukuncelisa | Lokhu kubaluleke kakhulu . Umuthi ungaba yingozi enganeni engakazalwa. |
| Ukungezwani neminye imithi, ukudla, noma udayi | Ukuvimbela ukungezwani komzimba nomuthi noma izithako zawo. |
Ngingakunika kanjani lo muthi?
Lona akuwona umuthi ongawuthatha ekhaya. Lona umjovo (i-infusion) onikezwa emthanjeni, njenge-saline, nguchwepheshe wezokwelapha oqeqeshiwe esibhedlela noma emtholampilo. Lokhu ngokuvamile kuyinqubo ethatha cishe imizuzu engama-30 kuya kwengama-60.
Kuthiwani uma uphuthelwa umthamo othile womuthi?
Kubaluleke kakhulu ukuphuza imithi yakho ngesikhathi kanye nangosuku oluhleliwe lokwelashwa. Uma ngesizathu esithile ungakwazi ukuya ngosuku oluhleliwe,Shayela udokotela wakho noma ikliniki ngokushesha bese ubazisa.
Kuthiwani uma umthamo womuthi ukhushuliwe (ukudlula umthamo)?
Lokhu kunikezwa esibhedlela, ngakho-ke amathuba okuba lokhu kwenzeke mancane kakhulu. Kodwa-ke, uma usola ukuthi lokhu kwenzeke nganoma iyiphi indlela, yazisa ngokushesha i-Emergency Treatment Unit (ETU) yesibhedlela. Ungashayela ne-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko, uma kudingeka.
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana Kwezidakamizwa)
Eminye imithi, amavithamini, noma imikhiqizo yamakhambi ongase uyithathe ingase ihlangane ne-temsirolimus. Ngakho-ke tshela udokotela wakho ngakho konke okuthathayo. Qaphela kakhulu okulandelayo:
- Imithi yokulwa namagciwane ethathwe ngenxa ye-HIV noma i-AIDS
- Eminye imithi esetshenziswa ukwelapha izifo zesikhunta (isib. i-ketoconazole, i-itraconazole)
- Eminye imithi esetshenziselwa umfutho wegazi ophakeme (isib. i-amlodipine, i-nifedipine)
- Imithi yokwelapha ukuxhuzula (isib. i-carbamazepine, i-phenytoin)
- Amanye ama-antibiotic (isib. i-clarithromycin, i-rifampicin)
- I-Dexamethasone, uhlobo lwe-steroid
- Eminye imithi yokulwa nomdlavuza efana ne-'sunitinib'
- Ijusi le-Grapefruit
- Imigomo
Into ebaluleke kakhulu ukuthi, ungaqali noma yimuphi umuthi omusha, amavithamini, noma umkhiqizo wezitshalo ngaphandle kokubuza udokotela wakho.
Izinto okufanele uzinake kakhulu ngesikhathi sokwelashwa
Lesi sikhathi singaba yinselele kancane, kodwa ngokuqwashisa nokunakekela okufanele , lesi sikhathi singadluliswa kalula.
Ukuhlolwa njalo kwezokwelapha kanye nokuhlolwa kwegazi
Udokotela wakho uvame ukukucela ukuthi uhlolwe igazi. Lokhu kwenzelwa ukuhlola ukuthi umuthi uwuthinta kanjani umzimba wakho nokubona ukuthi isibindi sakho, izinso, kanye namaseli egazi asebenza kahle yini. Kubaluleke kakhulu ukungaweqi lawa mavivinyo.
Ukungakhululeki kanye nezifo
Ngenxa yokuthi lo muthi uthinta amangqamuzana omdlavuza kanye namaseli anempilo, kuyinto evamile ukuthi uzizwe ubuthakathaka futhi ungakhululekile. Kodwa qhubeka uwuthatha kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke. Futhi, lo muthi wehlisa amandla omzimba wakho okulwa nezifo (amasosha omzimba) . Ngakho-ke, gwema abantu abanomkhuhlane kanye nomkhuhlane ngangokunokwenzeka.
Uma ubona izimpawu ezifana nomkhuhlane, ukubanda, umphimbo obuhlungu, noma ukukhwehlela, ungalokothi uzenzele imithi . Shayela udokotela wakho ngokushesha.
Ingozi yokopha kanye nempilo yamazinyo
Lomuthi ungase ubangele ukopha okukhulu okuvela emiphumeleni emincane nemihuzuko, futhi ungase uvuvuke kalula. Uma uxubha amazinyo akho, sebenzisa ibhulashi elithambile . Uma uzobona udokotela wamazinyo, mtshele ukuthi uthatha lomuthi.
Ukukhulelwa nokuncelisa (kubaluleke kakhulu!)
- Abesifazane: Gwema ukukhulelwa ngenkathi uthatha lo muthi kanye nezinyanga ezi-3 ngemuva kokuyeka ukwelashwa.
- Amadoda: Gwema ukuba nguyise wengane ngenkathi uthatha lo muthi futhi izinyanga ezi-3 ngemuva kokuyeka ukwelashwa.
- Lo muthi ungalimaza kakhulu ingane engakazalwa.
- Gwema ukuncelisa ngesikhathi sokwelashwa kanye namasonto ama-3 ngemuva komthamo wokugcina.
Imiphumela emibi ongase ube nayo
Njenganoma yimuphi umuthi, i-temsirolimus ingaba nemiphumela emibi. Eminye iyingozi kakhulu, kanti eminye imnene. Into ebalulekile ukuqaphela lokhu bese ukubika kudokotela wakho ngokushesha okukhulu.
| Uhlobo lomphumela ongemuhle | Izimpawu |
|---|---|
| Imiphumela emibi okufanele ibikwe kudokotela wakho ngokushesha | |
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, nobunzima bokuphefumula. |
| Izimpawu zokutheleleka | Umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu, ukutheleleka komgudu womchamo. |
| Izimpawu zokopha | Ukuphuka okulula kwesikhumba, obomvu, amabala amancane esikhumbeni, indle emnyama noma enegazi, kanye negazi emchameni. |
| Izimpawu zoshukela ophezulu egazini | Ukuzizwa ukoma ngokweqile, indlala eyanda, ukuchama njalo, ukukhathala okukhulu, ukubona okufiphele. |
| Izimpawu Zegazi Eliqhekekile | Ukuphefumula okungazelelwe, ubuhlungu besifuba, ubuhlungu emilenzeni, ukuvuvukala nokufudumala, ubunzima bokukhuluma, ukungakhululeki ebusweni noma engalweni. |
| Izimpawu zokulimala kwesibindi/izinso | Umchamo ophuzi/onsundu omnyama, ukuphuzi kwamehlo/isikhumba, ubuhlungu ohlangothini lwesokudla lwesisu, ukwehla kokukhishwa komchamo. |
| Izinto okufanele uzitshele udokotela wakho uma ziqhubeka noma zikhathaza | |
| Izinkinga zesistimu yokugaya ukudla | Ukuqunjelwa, uhudo, ukuhlanza, isicanucanu, ukulahlekelwa yisifiso sokudla. |
| Ezinye izinkinga | Izilonda zomlomo, ubuhlungu bamalunga, ubuhlungu bemisipha, ukungakwazi ukulala, ukuvuvukala kwamaqakala/izandla/izinyawo. |
Umlayezo Wokuya Nawe Ekhaya
- I-Temsirolimus iwumuthi onamandla womdlavuza wezinso. Inikezwa ngemithambo yegazi esibhedlela.
- Qiniseka ukuthi utshela udokotela wakho ngazo zonke izimo zakho zempilo kanye nayo yonke imithi oyiphuzayo ngaphambi kokuqala ukwelashwa.
- Zivikele ezifweni ngesikhathi sokwelashwa. Uma ubona noma yiziphi izimpawu zomkhuhlane noma ukukhwehlela, yazisa udokotela wakho ngokushesha.
- Qaphela ukuphuma kwegazi kanye nokuphuka. Ungaphuzi imithi yokubulala izinhlungu ngaphandle kokubonisana nodokotela wakho.
- Gwema ukuba nguyise wezingane ngokuphelele (kwabesifazane nabesilisa) ngesikhathi sokwelashwa kanye nezinyanga ezi-3 ngemuva kokuyeka.
- Khuluma nethimba lakho lezokwelapha nganoma yimiphi imiphumela emibi, noma ngabe ibonakala incane. Khumbula ukuthi awuwedwa.
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