I-Exemestane

-Delile

• Ngaphambi kokuthatha i-exemestane,
• I-Exemestane ingadala 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:

I-Exemestane isetshenziselwa ukwelapha umdlavuza webele kusenesikhathi kwabesifazane asebeke babhekana nokunqamuka kokuya esikhathini ('ushintsho lwempilo'; ukuphela kwezikhathi zokuya esikhathini njalo ngenyanga) futhi asebelashwe ngomuthi obizwa nge-tamoxifen (Nolvadex) iminyaka emi-2 kuya kwemi-3. Lo muthi ubuye usetshenziselwe ukwelapha umdlavuza webele kwabesifazane asebeke babhekana nokunqamuka kokuya esikhathini abanomdlavuza webele uye waba mubi ngenkathi bethatha i-tamoxifen. I-Exemestane isekilasini lemithi ebizwa nge-aromatase inhibitors. Isebenza ngokunciphisa inani le-estrogen ekhiqizwa ngumzimba. Lokhu kunganciphisa noma kumise ukukhula kwezinye izicubu zesifuba ezidinga i-estrogen ukuze zikhule.

I-Exemestane iza njengethebhulethi ezothathwa ngomlomo. Kuvame ukuthathwa kanye ngosuku ngemuva kokudla. Thatha i-exemestane ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-exemestane njengoba nje uqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Ungadinga ukuthatha i-exemestane iminyaka eminingana noma ngaphezulu. Qhubeka nokuthatha i-exemestane noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-exemestane ngaphandle kokukhuluma nodokotela wakho.

I-Exemestane kwesinye isikhathi isetshenziselwa ukwelapha uhlobo oluthile lomdlavuza webele kwabesifazane abangakabi nakho ukuya esikhathini. Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi ngesimo sakho.

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

Ngaphambi kokuthatha i-exemestane,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-exemestane noma eminye imithi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, kanye nezithako zokudla okunomsoco ozithathayo noma ohlela ukuzithatha. Qiniseka ukuthi usho noma yikuphi okulandelayo: carbamazepine (Carbatrol, Epitol, Tegretol); imishanguzo equkethe i-estrogen efana ne-hormone replacement therapy kanye nezindlela zokuvimbela inzalo zamahomoni (amaphilisi okulawula inzalo, amabala, izindandatho nemijovo); i-phenobarbital; i-phenytoin (iDilantin); ne-rifampin (iRifadin, eRifater, eRifamate). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho ukuthi yimiphi imikhiqizo yamakhambi oyithathayo, ikakhulukazi iSt John's wort.
• Tshela udokotela wakho uma uke waba ne-osteoporosis (isimo lapho amathambo abuthaka khona futhi aphuka kalula), isifo sesibindi noma sezinso.
• utshele udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Uzodinga ukuba nokuhlolwa kokukhulelwa okungekuhle kungakapheli izinsuku eziyi-7 ngaphambi kokuqala ukuthatha i-exemestane. Kufanele usebenzise ukulawulwa kokuzalwa ukugwema ukukhulelwa ngesikhathi sokwelashwa kwakho nge-exemestane nangenyanga e-1 ngemuva komthamo wakho wokugcina. Uma ukhulelwa ngenkathi uthatha i-exemestane, shayela udokotela wakho ngokushesha. I-Exemestane ingalimaza umbungu.
• tshela udokotela wakho uma uncelisa. Akufanele uncelise ngesikhathi sokwelashwa kwakho nge-exemestane nangenyanga e-1 ngemuva komthamo wakho wokugcina.

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

Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

I-Exemestane ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ukushisa okushisayo
• ukujuluka
• ubuhlungu bemisipha noma bamalunga
• ukukhathala
• ikhanda
• isiyezi
• ukuzizwa ukhathazekile noma ukhathazekile
• ukudana
• ubunzima bokulala noma ukulala
• isicanucanu
• ukuhlanza
• ukwanda kwesifiso sokudla
• isifo sohudo
• ukulahleka kwezinwele
• isikhumba esibomvu, esilumayo
• izinguquko embonweni
• ukuvuvukala kwezingalo, izandla, izinyawo, amaqakala, noma imilenze engezansi

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

• ukuphelelwa umoya
• ubuhlungu besifuba

Ubuningi bamathambo akho (i-BMD; isilinganiso samandla amathambo) angancipha ngenkathi uthatha i-exemestane. Lokhu kungakhuphula amathuba okuthi ube ne-osteoporosis (isimo lapho amathambo abuthaka khona futhi aphuka kalula). Khuluma nodokotela wakho ngezingozi zokuthatha i-exemestane.

I-Exemestane ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese).

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho angalawula izivivinyo ezithile zebhu ukuze ahlole impendulo yomzimba wakho ku-exemestane.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

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.

• I-Aromasin^®