Ingabe udokotela wakho ukunike iphilisi elibizwa ngokuthi i-Toremifene njengokwelashwa komdlavuza webele? Uma uzwa ngalo muthi, cishe unemibuzo eminingi engqondweni yakho. Izinto ezinjengokuthi, 'Kwenzani lokhu?', 'Yimiphi imiphumela emibi?', 'Yini okufanele ngikhathazeke ngayo?' Ungakhathazeki. Ake sixoxe ngakho konke lokhu kalula nangokucacile.
Uhlobo luni lomuthi iToremifene?
Kalula nje, lo umuthi ovimba ukusebenza kwehomoni ebizwa ngokuthi i-estrogen emzimbeni wakho. Lo muthi i-estrogen uthinta ukukhula kwezinye izinhlobo zomdlavuza webele. Ngakho-ke lokho okwenziwa yilo muthi ukuvimba ukukhuthazwa okukhula ngamaseli omdlavuza. Yingakho usetshenziselwa ukwelapha ezinye izinhlobo zomdlavuza webele.
Udokotela wakho angase akunike lo muthi nakwezinye izimo, ngakho-ke uma unemibuzo, buza udokotela wakho.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokuqala lo muthi, kubaluleke kakhulu ukwazisa udokotela wakho ngomlando wakho wezempilo ophelele. Qiniseka ukuthi uyamtshela uma unezinye zezimo ezibalwe ngezansi.
- Noma yiluphi uhlobo lwesifo senhliziyo.
- Amazinga aphezulu e-calcium egazini.
- Umlando wamahlule egazi.
- Ukushaya kwenhliziyo okungajwayelekile.
- Isifo sesibindi.
- Izimo ezinjengokwehla kwenani lamaseli amhlophe egazi, ama-platelet, noma amaseli abomvu egazi egazini.
- Amazinga aphansi e-magnesium noma i-potassium egazini.
- Uma une-allergy ku-toremifene, thatha eminye imithi, ukudla, amadayi, noma izithasiselo.
- Uma ukhulelwe noma uzama ukukhulelwa.
- Uma ungumama oncelisayo.
Ngingawusebenzisa kanjani lo muthi?
Phuza leli philisi nengilazi yamanzi. Liphuze njengoba nje udokotela wakho ekutshelile, ngesikhathi esifanele. Ungaliphuza ngaphambi noma ngemva kokudla. Ungathathi okungaphezu noma okungaphansi kwalokho udokotela wakho akutshelile. Ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela.
Izingane zingadinga ukunakekelwa okukhethekile lapho zinikeza lo muthi. Ngakho-ke uma unikeza ingane yakho lo muthi, khuluma nodokotela wezingane ngakho.
Kuthiwani uma ngisebenzisa ngokweqile?
Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital , noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Lo muthi unikezwe wena kuphela. Ungalokothi uwuhlanganyele nanoma ubani onezimpawu ezifana nezakho.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
Ezinye izinto ezingase zihlangane nalo muthi (Ukusebenzisana)
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, amakhambi, kanye nezithasiselo). Eminye imithi ingasebenzisana ne-Toremifene futhi ibangele imiphumela emibi. Ithebula elingezansi libala eminye yale mithi.
| Isigaba sezidakamizwa | Izibonelo |
|---|---|
| Ungalokothi uthathe i-Toremifene kanye nalomuthi. | |
| Imithi ehlukahlukene | i-cisapride, i-dronedarone, i-fluconazole, i-pimozide, i-posaconazole, i-saquinavir, i-thioridazine, i-ziprasidone |
| Lezi zinto zingase zihlangane ne-Toremifene - yazisa udokotela wakho | |
| Eminye imithi ethathwayo ye-HIV noma i-AIDS | (Imithi yokulwa negciwane lengculazi noma ingculazi) |
| Amanye ama-antibiotic | i-clarithromycin, i-telithromycin |
| Amanye ama-diuretics | i-hydrochlorothiazide |
| Imithi yokulwa nesikhunta | i-itraconazole, i-ketoconazole, i-voriconazole |
| Imithi yokwelapha ukuxhuzula | i-carbamazepine, i-phenobarbital, i-phenytoin |
| Ama-anticoagulant | i-warfarin |
| Eminye imithi kanye nezithasiselo | i-dexamethasone, i-rifabutin, i-rifampin, i-St. John's Wort, i-tolbutamide |
| Ama-hormone abesifazane | Ama-estrogen, amaphilisi okulawula ukuzalwa |
| Ukudla neziphuzo | Ijusi le-Grapefruit |
Lolu hlu aluphelele. Kufanele futhi utshele udokotela wakho ngayo yonke imithi oyithathayo, nokuthi uyabhema, uyaphuza utshwala, noma uphuza ezinye izidakamizwa.
Izinto okufanele uzikhumbule lapho uthatha imithi
- Ukuhlolwa njalo kwezokwelapha: Bona udokotela wakho njalo ukuze uhlolwe impilo yakho. Kuzodingeka ukuthi uhlolwe njalo amabele, uhlolwe ama-mammogram, kanye nokuhlolwa kwe-pelvic.
- Ama-Bone Tumors: Uma unezimila ezinomdlavuza emathanjeni akho, lo muthi ungabangela ubuhlungu emathanjeni noma amazinga aphezulu e-calcium egazini. Buza udokotela wakho ngalezi zimpawu nokuthi yini okufanele uyenze uma zivela.
- Ukukhulelwa nokuncelisa:
Ungakhulelwa nganoma yisiphi isizathu ngenkathi uthatha lo muthi. Kungabangela umonakalo omkhulu enganeni engakazalwa. Uma uhlela ukukhulelwa noma ucabanga ukuthi ukhulelwe, tshela udokotela wakho ngokushesha. Futhi, ungancelisi ubisi lwebele ngenkathi uthatha lo muthi.
Yimiphi imiphumela emibi engingayithola?
Njenganoma yimuphi umuthi, i-Toremifene ingabangela imiphumela emibi. Eminye iyingozi kakhulu, kanti eminye ivamile.
| Uma kuvela lezi zimpawu, yazisa udokotela wakho ngokushesha. | |
|---|---|
| Izimpawu zokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| Izimpawu zokopha | Indle emnyama, ephuzi; umchamo obomvu noma onsundu omnyama; ukuhlanza izinto ezibukeka njengezinhlayiya zekhofi; amabala abomvu esikhumbeni; ukuphuma kwegazi okungajwayelekile emehlweni, ezinsinini, noma ekhaleni. |
| Izimpawu zokuqhekeka kwegazi | Ubunzima bokuphefumula; Ukushintsha kombono; Ubuhlungu besifuba; Ikhanda elibuhlungu ngokuzumayo, elibi; Ubuhlungu bomlenze, ukuvuvukala, ukufudumala; Ubunzima bokukhuluma; Ukungazweli noma ubuthakathaka obungazelelwe ebusweni, engalweni, noma emlenzeni. |
| Izinguquko ekushayeni kwenhliziyo | Ubuhlungu besifuba; isiyezi; ukushaya kwenhliziyo okusheshayo noma okungajwayelekile; ukuquleka, isiyezi; ubunzima bokuphefumula. |
| Izimpawu zokulimala kwesibindi | Umchamo ophuzi omnyama noma onsundu; ukuphuzi kwamehlo noma isikhumba; umkhuhlane; ukuphelelwa yisifiso sokudla; isicanucanu; ubuhlungu ohlangothini lwesokudla lwesisu; ukukhathala okungavamile. |
| Ezinye izimpawu ezinkulu | Ukushintsha kombono; ubuhlungu bamathambo; ukuphuma kwegazi okungavamile esithweni sangasese sowesifazane noma ukopha. |
| Uma le miphumela emibi iqhubeka noma iba yinkinga, tshela udokotela wakho. | |
| Imiphumela emibi evamile | Isiyezi; ukushisa okukhulu; ukuphelelwa yisifiso sokudla; isicanucanu, ukuhlanza; ukujuluka; ukukhathala okungavamile. |
Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Uma uhlangabezana nanoma yini engavamile ngaphandle kwalena, khuluma nodokotela wakho ngayo.
Kufanele uwugcine kanjani umuthi?
- Gcina kude nezingane .
- Gcina ekamelweni lokushisa (phakathi kuka-15-30 Celsius).
- Gcina kude nokukhanya kwelanga okunamandla nokushisa okukhulu.
- Gcina isivalo sebhodlela sivaliwe kahle.
- Lahla umuthi ophelelwe yisikhathi.
Umlayezo Wokuya Nawe Ekhaya
- I-Toremifene umuthi owelapha ezinye izinhlobo zomdlavuza webele ngokuvimbela i-hormone i-estrogen emzimbeni.
- Ngaphambi kokuqala umuthi, tshela udokotela wakho ngomlando wakho wezempilo ophelele kanye nayo yonke eminye imithi oyithathayo.
- Ungakhulelwa nganoma yisiphi isizathu ngenkathi uthatha lo muthi. Futhi, gwema ukuncelisa.
- Qaphela imiphumela emibi engathi sína njengezimpawu zokuqhekeka kwegazi, ukopha okungavamile, kanye nokushintsha kombono. Uma ubona noma yikuphi kwalokhu, funa iseluleko sezokwelapha ngokushesha.
- Thatha umuthi njengoba uyalelwe, ngesikhathi esifanele. Ungalokothi uwuhlanganyele nabanye.
- Uma unemibuzo noma ukukhathazeka ngalo muthi, khuluma nodokotela wakho.
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