Ingabe udokotela wakho ukunike umuthi obizwa ngokuthi iVandetanib? Noma ingabe othile oseduze nawe unikwe lo muthi? Lo muthi uvame ukunikezwa ukwelapha izinhlobo ezithile zomdlavuza ezenzeka endlaleni ye-thyroid (umdlavuza we-thyroid we-medullary). Kunezinto ezimbalwa okudingeka siziqaphele kakhulu lapho sisebenzisa lo muthi. Ngakho ungakhathazeki, ake sixoxe ngakho konke kalula nangokucacile.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokuqala lo muthi, kubaluleke kakhulu ukutshela udokotela wakho ngomlando wakho wezempilo ophelele. Lokhu kungenxa yokuthi ezinye izimo zezokwelapha zingenza kube yingozi ukusebenzisa lo muthi. Uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi utshela udokotela wakho.
- Isifo senhliziyo: Ingabe unesifo senhliziyo, ukushaya kwenhliziyo okungajwayelekile, noma umlando wesikhathi eside se-QT?
- Umfutho wegazi: Ingabe unomfutho wegazi ophezulu?
- Izinkinga zokopha: Ingabe unenkinga yokopha noma izinkinga zokujiya kwegazi?
- Isifo sesibindi noma sezinso: Ingabe unesifo sesibindi noma sezinso?
- Izifo zamaphaphu: Ingabe unenkinga yokuphefumula noma ezinye izifo zamaphaphu ezifana ne-asthma?
- Amazinga amaminerali egazini: Wake watshelwa ukuthi amazinga akho e-calcium, i-magnesium, noma i-potassium egazini aphansi?
- Amazinga e-hormone ye-thyroid: Ingabe izinga le-hormone evuselela i-thyroid (TSH) egazini liphakeme?
- Ezinye izimo: Ingabe unesifo sohudo, ukuxhuzula, izifo zesikhumba noma ukuzwela kwesikhumba?
- Ukuhlinzwa: Ingabe uzohlinzwa maduze? Noma uke wahlinzwa muva nje?
- Ukungezwani komzimba: Ingabe une-allergy kulo muthi we-Vandetanib, eminye imithi, ukudla, noma udayi?
- Ukukhulelwa nokuncelisa: Ingabe ukhulelwe? Uzama ukukhulelwa? Noma ungumama oncelisayo?
Ungafihli noma yiluphi lolu lwazi. Kubaluleke kakhulu ukuze uphephe ukuthi udokotela azi konke lokhu.
Ngiyisebenzisa kanjani ngempela le mithi?
Indlela yokusebenzisa lo muthi ilula kakhulu, kodwa kubalulekile ukulandela imiyalelo ngqo.
- Gwinya leli philisi lonke ngengilazi yamanzi .
- Ungaliphuli, ulichoboze, noma ulihlafune iphilisi.
- Thatha umuthi njengoba nje udokotela wakho ewuyalile, ngesikhathi osibekiwe. Ungawuthathi ngaphezu kwenani elibekiwe lezikhathi ngosuku.
- Ungayeki ukuthatha umuthi ngaphandle kweseluleko sikadokotela wakho . Ukwenza kanjalo kungase kube kubi kakhulu isimo sakho.
- Uma unikezwe lo muthi, uzothola incwajana yolwazi ekhethekile (i-MedGuide) ngawo. Uhambisana nayo yonke imithi kadokotela. Yifunde ngokucophelela njalo.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma kungaphansi kwamahora ayi-12 ngaphambi komthamo wakho olandelayo, yeqa umthamo ongawutholanga. Vele uthathe umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo ongawutholanga.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kunalokho ocabanga ukuthi ungakwenza, iya esibhedlela esiseduze i-Emergency Treatment Unit (ETU) ngokushesha . Noma shayela i-National Poisons Information Centre e-Colombo National Hospital.
Eminye imithi okungafanele isetshenziswe nalo muthi futhi engase ihlangane nawo
I-Vandetanib umuthi ongasebenzisana neminye imithi, ngakho-ke kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi).
| Isigaba sezidakamizwa | Izibonelo |
|---|---|
| Imithi okungafanele ithathwe neVandetanib | |
| Imithi ehlukahlukene | I-Cisapride, i-Dronedarone, i-Pimozide, i-Thioridazine, i-Ziprasidone |
| Eminye imithi engasebenzisana ne-Vandetanib | |
| Imithi yokushaya kwenhliziyo okungajwayelekile | Imithi efana ne-Amiodarone, i-Sotalol, i-Quinidine, ne-Procainamide |
| Imithi yokwelapha ukuxhuzula | I-Carbamazepine, i-Phenobarbital, i-Phenytoin |
| Eminye imithi namakhambi | I-Digoxin, i-Metformin, i-Rifampin, i-St. John's Wort (i-Hypericum perforatum) |
| Imithi enweba isikhathi se-QT senhliziyo | Imithi efana ne-Dofetilide, i-Ziprasidone |
Lolu hlu aluphelele. Ngakho-ke tshela udokotela wakho nganoma yimuphi umuthi owuthathayo, kungakhathaliseki ukuthi unikezwe udokotela, uthengwe ekhemisi, noma umkhiqizo wezitshalo.
Izinto okufanele uziqaphele lapho uthatha umuthi
Ukukhulelwa nokuncelisa
Lokhu kubaluleke kakhulu . Ungakhulelwa ngenkathi uthatha lo muthi. Abesifazane kufanele basebenzise izindlela zokuvimbela inzalo ezisebenzayo ngenkathi bethatha lo muthi kanye nezinyanga ezine ngemuva kokuwuyeka. Kungabangela umonakalo omkhulu enganeni esibelethweni. Futhi, ungamncelisi umntwana wakho ngenkathi uthatha lo muthi kanye nezinyanga ezine ngemuva kokuwuyeka.
Ngaphambi kokuhlinzwa
Uma uzohlinzwa, kufanele utshele udokotela wakho ngakho. Lo muthi ungase ubambezele ukuphulukiswa kwamanxeba okuhlinzwa. Ngakho-ke, kufanele uyeke ukuthatha lo muthi inyanga eyodwa ngaphambi kokuhlinzwa. Ngemva kokuhlinzwa, kufanele ulinde okungenani amasonto amabili ngaphambi kokuqala umuthi futhi. Umuthi kufanele uqalwe kuphela ngemva kokuba inxeba selipholile ngokuphelele. Khuluma nodokotela wakho ngalokhu.
Ukuvikelwa kwelanga
Lo muthi ungenza isikhumba sakho sizwele kakhulu elangeni (photosensitivity). Ngakho-ke, gwema ukukhanya kwelanga okuqondile ngangokunokwenzeka ngenkathi uthatha umuthi futhi izinyanga ezine ngemuva kokuma. Uma uphuma ngaphandle, gqoka izingubo ezimboza umzimba wakho kahle bese usebenzisa isivikelo selanga esihle. Ungasebenzisi izibani zelanga noma imibhede yokushiswa kwelanga.
Amanye amaphuzu
- Ungase uzizwe ulele noma udidekile ngenkathi uthatha lo muthi. Ngakho-ke, gwema imisebenzi edinga ukuqapha, njengokushayela noma ukusebenzisa imishini, uze wazi ukuthi lo muthi uthinta kanjani wena.
- Udokotela wakho uzohlola njalo umsebenzi wegazi lakho kanye nokusebenza kwenhliziyo yakho (njenge-ECG). Qiniseka ukuthi uyaya kulezo zivivinyo kanye nemitholampilo.
Yimiphi imiphumela emibi engingayithola?
Njengayo yonke imithi, lena ingaba nemiphumela emibi. Eminye iyingozi, eminye ivamile.
| Uma uhlangabezana nalezi zimpawu, iya kudokotela noma ku-ETU ngokushesha. | |
|---|---|
| Ukungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi. |
| Inhliziyo nemithambo yegazi | Ubuhlungu besifuba, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, ukuquleka, isiyezi. |
| Ukopha | Igazi esitulweni noma esitulweni esimnyama, ukuhlanza okusanhlamvu kwekhofi, ukushaqeka okungavamile, kanye nomchamo obomvu/onsundu omnyama. |
| Okuhlobene nesikhumba | Ukubomvu, ukuqubuka, ukuxebuka kwesikhumba (ngisho nangaphakathi emlonyeni). |
| Uhlelo lwezinzwa | Ikhanda elibuhlungu kakhulu, ukuxhuzula, ukushintsha kombono, ukudideka, ubunzima bokukhuluma, ukungazweli noma ubuthakathaka bobuso, ingalo, noma umlenze. |
| Ezinye izimpawu ezinkulu | Ubunzima bokuphefumula, umkhuhlane, indle ekhanyayo, ukuphuzi kwamehlo noma isikhumba (i-jaundice), ukuvuvukala kwemilenze noma amaqakala. |
| Imiphumela emibi evame ukungadingi ukunakekelwa kwezokwelapha (kodwa tshela udokotela wakho uma iqhubeka) | |
| |
Umlayezo Wokuya Nawe Ekhaya
- I-Vandetanib umuthi okhethekile womdlavuza we-thyroid. Sebenzisa njengoba nje udokotela wakho ekucebisile .
- Qiniseka ukuthi utshela udokotela wakho ngayo yonke eminye imithi oyiphuzayo kanye nanoma yiziphi izimo zezokwelapha onazo.
- Gwema ukukhulelwa nokuncelisa ngenkathi uthatha umuthi kanye nezinyanga ezine ngemuva kokuyeka.
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nezimpawu ezifana nekhanda elibuhlungu kakhulu, ubuhlungu besifuba, ukopha okungavamile, noma ukusabela okukhulu kwesikhumba.
- Ungase ube nomuzwa wokukhanya kwelanga, ngakho-ke thatha izinyathelo ezidingekayo ukuze uzivikele elangeni.
- Lo muthi ungowakho wedwa. Ungawubelani nabanye. Gcina kude nezingane.
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