Sonke siyazi ukuthi ukuthola ukwelashwa komdlavuza akulula. Phakathi nalolo hambo, kufanele usebenzise izinhlobo ezahlukene zemithi. I-Trabectedin iwumjovo onamandla onikezwa ikakhulukazi uhlobo lomdlavuza olubizwa ngokuthi 'i-Sarcoma'. Ungase ube nemibuzo eminingi engqondweni yakho ngalo muthi. Lokho kuvamile. Ngakho-ke namuhla, kulesi sihloko, sizoxoxa ngalo muthi, ukuthi kwenzekani ngawo, nokuthi yini okufanele siyiqaphele.
Uhlobo luni lomuthi iTrabectedin?
Kalula nje, i-trabectin umuthi obulala amangqamuzana omdlavuza . Uma sikhuluma iqiniso, uyingxenye yohlelo lwe-chemotherapy. Umsebenzi wayo oyinhloko ukuvimba ukukhula kwamangqamuzana omdlavuza ahlukana ngokushesha emzimbeni nokuwabhubhisa. Lo muthi uvame ukutholakala ngaphansi kwegama lomkhiqizo i-Yondelis.
Lo muthi unikezwa njengomuthi ofakwa emthanjeni. Lokhu akuyona into ongayenza ekhaya. Unikezwa uchwepheshe wezokwelapha oqeqeshiwe esibhedlela noma emtholampilo . Futhi, ngaphambi kokwelashwa ngakunye, uzonikezwa incwajana yolwazi ekhethekile (i-MedGuide) ngalo muthi. Kubaluleke kakhulu ukuwufunda nokuwuqonda ngokucophelela isikhathi ngasinye.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala ukwelashwa
Ngaphambi kokuqala lo muthi, kubalulekile ukunikeza udokotela wakho incazelo ephelele yesimo sakho sempilo. Qiniseka ukuthi umtshela nganoma yiziphi izimo ezilandelayo, ikakhulukazi uma unazo:
| Isimo sakho | Kungani udinga ukutshela udokotela? |
|---|---|
| Isifo senhliziyo | Lo muthi ngezinye izikhathi ungathinta ukusebenza kwenhliziyo. |
| Isifo sezinso | Izinso ziyindlela yomzimba yokuhlunga imfucuza. Uma unezinkinga zezinso, imiphumela emibi yomuthi inganda. |
| Isifo sesibindi | Isibindi sidlala indima enkulu ekususeni lo muthi emzimbeni. Uma kunenkinga ngesibindi, imiphumela yomuthi inganda ngokungadingekile. |
| Izibalo zegazi eziphansi | Uma amangqamuzana akho abomvu egazi, amangqamuzana amhlophe egazi, noma ama-platelet esephansi kakade, lo muthi ungenza isimo sibe sibi kakhulu. |
| Ubuhlungu noma ubuthakathaka bemisipha | Njengoba lo muthi ungathinta imisipha, udokotela kufanele aqaphele noma yiziphi izinkinga ezikhona. |
| Ukuzama ukukhulelwa noma ukukhulelwa | Lo muthi ungaba yingozi kakhulu enganeni engakazalwa, ngakho qiniseka ukuthi uyabatshela ngawo. |
| Ukuncelisa | Izithako ezikulesi sidakamizwa zingadlulela enganeni ngobisi lwebele. Lokhu kuyingozi enganeni. |
| Ukungezwani neminye imithi noma ukudla | Tshela udokotela wakho nganoma yikuphi ukungezwani komzimba onakho. |
Amaphuzu akhethekile okufanele acatshangelwe lapho usebenzisa umuthi
Ukukhulelwa kanye nokulawula ukubeletha
Lolu udaba olubaluleke kakhulu.
- Kwabesifazane: Gwema ukukhulelwa ngenkathi uthatha lo muthi kanye nezinyanga ezimbili ngemuva kokuyeka ukwelashwa.
- Kwabesilisa: Sebenzisa uhlobo lokuvimbela inzalo oluthembeke kakhulu ngesikhathi sokwelashwa kanye nezinyanga ezi-5 ngemuva komthamo wokugcina.
Lo muthi ungalimaza kakhulu ingane engakazalwa. Futhi, gwema ukuncelisa ngokuphelele ngenkathi uthatha lo muthi.
Ukuvikelwa ezifweni
Lo muthi unciphisa amasosha omzimba wakho, okusho ukuthi usengozini enkulu yokugula.
- Hlala kude nabantu abanomkhuhlane kanye ne-flu.
- Umkhuhlane, ukubanda, umphimbo obuhlunguUma uhlangabezana nezimpawu ezinjengalezi, ungaphuzi umuthi onjenge-paracetamol wedwa. Shayela udokotela wakho ngokushesha.
- Qaphela lapho uxubha amazinyo akho futhi usebenzisa amazinyo okuxubha. Izinsini eziphuma igazi kanye nezifo kungenzeka kakhulu. Uma uphathwa noma yikuphi ukwelashwa kwamazinyo, tshela udokotela wamazinyo ukuthi uthatha lo muthi.
Ukusebenzisana nezinye izidakamizwa nokudla
I-Trabectin ingase ihlangane neminye imithi oyithathayo. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi) . Qaphela kakhulu ngalokhu okulandelayo:
- Iziqeda-zinhlungu: Ungathathi imithi efana ne-aspirin ne-ibuprofen ngaphandle kweseluleko sikadokotela wakho. Lokhu kunganciphisa umkhuhlane futhi kwenze kube nzima ukuthola ukutheleleka.
- Imithi ye-HIV noma i-AIDS
- Amanye ama-antibiotic: Isibonelo, i-clarithromycin, i-telithromycin.
- Imithi yokulwa nesikhunta: Imithi efana ne-ketoconazole ne-itraconazole.
- Imithi yokwelapha isifo sokuwa: njenge-carbamazepine ne-phenytoin.
- I-St. John's Wort iwumkhiqizo wezitshalo.
- Ijusi le-Grapefruit: Gwema ukuphuza ijusi le-grapefruit ngenkathi uthatha lo muthi, ngoba kungashintsha imiphumela yomuthi.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi wokulwa nomdlavuza, i-Trabectedin ingabangela imiphumela emibi. Lokhu kungenxa yokuthi lo muthi uthinta amangqamuzana omdlavuza kanye namaseli anempilo ngezinga elithile. Into ebaluleke kakhulu ukuqaphela lezi zimpawu nokwazisa udokotela wakho uma kudingeka.
| Umphumela/izimpawu ezingemuhle | Yini okufanele uyenze? |
|---|---|
| Lokhu kungaba yinto engathi sína: tshela udokotela wakho ngokushesha. | |
| Ukusabela kokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso/izindebe. | Funa iseluleko sezokwelapha ngokushesha. |
| Izimpawu zokulimala kwesibindi: ukuphuzi kwamehlo noma isikhumba, umchamo ophuzi/onsundu omnyama, ubuhlungu ohlangothini lwesokudla lwesisu, ukuphelelwa yisifiso sokudla. | Lezi izimpawu ezinkulu. Tshela udokotela wakho ngokushesha. |
| Izimpawu zokulimala kwemisipha: umchamo omnyama, ubunzima bokuchama, ubuhlungu obukhulu bemisipha. | Tshela udokotela ngokushesha. |
| Izimpawu zokopha: amabala amancane abomvu ngaphansi kwesikhumba, ukuklwebheka, indle emnyama, kanye negazi emchameni. | Tshela udokotela ngokushesha. |
| Izimpawu zokutheleleka: umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu. | Tshela udokotela ngokushesha. |
| Ubunzima bokuphefumula, ubuhlungu besifuba, ukuvuvukala kwemilenze/izandla/amaqakala. | Tshela udokotela ngokushesha. |
| Izinto okufanele uzitshele udokotela wakho uma zivamile kodwa ziqhubeka | |
| Isicanucanu, ukuhlanza | Ungacela udokotela wakho ukuthi akunike imithi yokulawula lokhu. |
| Ukuqunjelwa, ikhanda elibuhlungu, ukulahlekelwa yisifiso sokudla | Uma lokhu kuqhubeka, tshela udokotela wakho. |
| Ukukhathala ngokweqile, ukungakwazi ukulala | Lokhu kungaba yingxenye yokwelashwa, kodwa uma kunzima kakhulu ukukuthwala, khuluma nodokotela wakho. |
Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Kuvamile ukuzizwa ugula noma ungakhululekile ngesikhathi sokwelashwa. Kodwa ungayeki ukwelashwa ngaphandle kokuthi udokotela wakho akutshele ukuthi uyeke. Khuluma naye ngokukhululekile nganoma yiziphi izinkinga ongase ube nazo.
Umlayezo Wokuya Nawe Ekhaya
- I-Trabectedin umuthi onamandla osetshenziselwa ukwelapha uhlobo lomdlavuza olubizwa ngokuthi i-sarcoma. Unikezwa esibhedlela ngaphansi kokuqashwa kwezokwelapha.
- Ngaphambi kokuqala ukwelashwa, qiniseka ukuthi utshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke imithi oyiphuzayo.
- Gwema ukukhulelwa nokuncelisa ngokuphelele ngenkathi uthatha lo muthi. Sebenzisa izindlela zokuvimbela inzalo ezithembekile.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nomkhuhlane, ukuklwebheka, noma ukuphuzi kwesikhumba, yazisa udokotela wakho ngokushesha.
- Kuvamile ukuzizwa ungakhululekile ngesikhathi sokwelashwa. Kodwa ungalokothi unqume ukuyeka ukwelashwa wedwa. Khuluma nodokotela wakho njalo.
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