Ukufakwa kweGoserelin

-Delile

• Ngaphambi kokuthola ukufakelwa kwegoserelin,
• Ukufakwa kwe-Goserelin kungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha:

Ukufakwa kwe-Goserelin kusetshenziswa kuhlanganiswe nokwelashwa ngemisebe neminye imishanguzo yokwelapha umdlavuza we-prostate wasendaweni futhi isetshenziswa yodwa ukwelapha izimpawu ezihambisana nomdlavuza we-Prostate. Ibuye isetshenziselwe ukwelapha umdlavuza webele osezingeni eliphezulu kwabesifazane abathile. Ibuye isetshenziselwe ukuphatha i-endometriosis (isimo lapho uhlobo lwethishu olugqamisa isibeletho [isibeletho] lukhula kwezinye izindawo zomzimba futhi lubangele ubuhlungu, ukuya esikhathini okunzima noma okungahambanga kahle, kanye nezinye izimpawu) nokusiza ukwelashwa kokopha okungavamile kwesibeletho. Ukufakwa kweGoserelin kusekilasini lemithi ebizwa nge-gonadotropin-releasing hormone (GnRH) agonists. Isebenza ngokunciphisa inani lamahomoni athile emzimbeni.

IGoserelin iza njengesimila esizofakwa ngomjovo ngaphansi kwesikhumba endaweni yesisu sakho ngudokotela noma umhlengikazi ehhovisi lezokwelapha noma emtholampilo. Ukufakwa okune-3.6 mg ye-goserelin kuvame ukufakwa njalo emavikini amane. Ukufakwa okune-10.8 mg ye-goserelin kuvame ukufakwa njalo emavikini ayi-12. Ubude bokwelashwa kwakho buncike esimweni esiphethwe kanye nempendulo yakho emithini. Udokotela wakho uzonquma ukuthi kufanele usebenzise isikhathi esingakanani ukufaka i-goserelin.

IGoserelin ingadala ukwanda kwamahomoni athile emasontweni ambalwa okuqala ngemuva kokufakwa kokufakwa. Udokotela wakho uzokuqapha ngokucophelela nganoma yiziphi izimpawu ezintsha noma eziba nzima ngalesi sikhathi.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthola ukufakelwa kwegoserelin,

• Tshela udokotela kanye nosokhemisi wakho uma uxabana ne-goserelin, i-histrelin (i-Supprelin LA, i-Vantas), i-leuprolide (i-Eligard, i-Lupron), i-nafarelin (i-Synarel), i-triptorelin (i-Trelstar), noma imuphi omunye umuthi, noma iziphi izithako ezifakelwa i-goserelin. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma yikuphi okulandelayo: imishanguzo yokuquleka noma i-oral steroids efana ne-dexamethasone (i-Decadron, i-Dexpak), i-methylprednisolone (i-Medrol) ne-prednisone (i-Sterapred). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma unomlando wokuphuza utshwala noma wokusebenzisa imikhiqizo kagwayi isikhathi eside, noma uma wena noma omunye emndenini wakho enesifo samathambo (isimo lapho amathambo eba mncane futhi abe buthakathaka futhi aphuke kalula ), noma uma uke waba nengcindezi yomgogodla ocindezelweyo, isifo sikashukela, ukopha okungavamile kwesitho sangasese sowesifazane, ukuvinjelwa komchamo emadodeni (ukuvinjelwa okubangela ubunzima bokuchama), noma isifo senhliziyo noma sesibindi.
• utshele udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Ukufakwa kweGoserelin akufanele kusetshenziswe kwabesifazane abakhulelwe, ngaphandle kokwelashwa komdlavuza webele osezingeni eliphezulu. Shayela udokotela wakho ngokushesha uma ucabanga ukuthi ukhulelwe ngesikhathi sokwelashwa kwakho. Ukufakwa kwe-Goserelin kungalimaza umbungu.Kungafanele uhlele ukukhulelwa ngenkathi usebenzisa ukufakelwa kwe-goserelin noma amasonto ayi-12 ngemuva kokwelashwa kwakho. Udokotela wakho angenza isivivinyo sokukhulelwa noma akutshele ukuthi uqale ukwelashwa kwakho ngesikhathi sokuya esikhathini ukuze uqiniseke ukuthi awukhulelwe lapho uqala ukusebenzisa ukufakelwa kwe-goserelin. Uzodinga ukusebenzisa indlela ethembekile yokulawula ukubeletha engeyona eye-hormone ukuvimbela ukukhulelwa ngenkathi usebenzisa ukufakelwa kwe-goserelin kanye namasonto ayi-12 ngemuva kokwelashwa kwakho. Khuluma nodokotela wakho ngezinhlobo zokulawulwa kokubeletha ezikulungele, bese uqhubeka nokulawula ukubeletha noma ngabe akufanele ube nokuya esikhathini njalo lapho welashwa. Utshele udokotela wakho uma uncelisa. Akufanele uncelise ibele ngesikhathi sokwelashwa kwakho ngokufakwa kwe-goserelin.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.

Uma uphuthelwa i-aphoyintimenti yokwamukela ukufakwa kwe-goserelin, kufanele ushayele umhlinzeki wakho wezokunakekelwa kwezempilo ngokushesha ukuze ubeke kabusha isikhathi sakho. Umthamo ongabanjwanga kufanele unikezwe ezinsukwini ezimbalwa.

Ukufakwa kwe-Goserelin kungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ikhanda
• ukushisa okushisayo (ukuqhuma okungazelelwe kokushisa komzimba okuncane noma okukhulu)
• ukujuluka
• ukubomvu ngokungazelelwe kobuso, intamo, noma isifuba esingenhla
• ukungabi namandla
• ukulahlekelwa isifiso sokudla
• ubuhlungu besifuba noma ushintsho ngosayizi webele kwabesifazane
• kwehle isifiso sobulili noma ikhono
• ucansi olubuhlungu
• ukukhishwa kwesitho sangasese sowesifazane, ukoma, noma ukulunywa
• ukuya esikhathini (izikhathi)
• ukuvuvukala kwezandla, izinyawo, amaqakala, noma imilenze engezansi
• ukudana
• uvalo
• ayikwazi ukulawula imizwelo nokushintsha kwemizwelo njalo
• ubunzima bokulala noma ukulala
• ubuhlungu, ukulunywa, ukuvuvukala, noma ubomvu endaweni lapho kufakwe khona ukufakwa

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha:

• isifuba
• ukuqubuka
• ukulunywa
• ukuphefumula kanzima noma ukugwinya
• ubuhlungu besifuba
• ubuhlungu ezingalweni, emhlane, entanyeni, noma emhlathini
• ukuzuza kwesisindo okungavamile
• inkulumo ehamba kancane noma enzima
• isiyezi noma ukuquleka
• ubuthakathaka noma ukuba ndikindiki kwengalo noma komlenze
• ubuhlungu bamathambo
• ayikwazi ukuhambisa imilenze
• ukuchama kabuhlungu noma okunzima
• ukuchama kaningi
• ukoma ngokweqile
• ubuthakathaka
• ukungaboni kahle
• umlomo owomile
• isicanucanu
• ukuhlanza
• umoya onuka izithelo
• kwehle ukwazi

Ukufakwa kwe-Goserelin kungadala ukwehla kobuningi bamathambo akho okungakhuphula amathuba okuphuka kwamathambo nokuqhekeka. Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi nokuthi uthole ukuthi yini ongayenza ukunciphisa lezi zingozi.

Ukufakwa kwe-Goserelin kungadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi usebenzisa lo muthi.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Gcina wonke ama-aphoyintimenti nodokotela wakho.

Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokufakwa kwe-goserelin.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• Zoladex^®

• I-decapeptide I