Umjovo we-Fulvestrant

-Delile

• Ngaphambi kokuthola i-fulvestrant,
• I-Fulvestrant 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:

Umjovo we-Fulvestrant usetshenziswa wedwa noma uhlanganiswe ne-ribociclib (Kisqali^®) ukwelapha uhlobo oluthile lwe-hormone receptor positive, umdlavuza webele othuthukile (umdlavuza webele oncike kumahomoni afana ne-estrogen ukukhula) noma umdlavuza webele ususabalele kwezinye izingxenye zomzimba kwabesifazane abaye babhekana nokunqamuka kokuya esikhathini (ushintsho lwempilo; ukuphela wezinyanga zokuya esikhathini njalo ngenyanga) futhi awukaze welashwe ngemithi elwa ne-estrogen efana ne-tamoxifen (Nolvadex). Umjovo we-Fulvestrant nawo usetshenziswa wedwa noma uhlanganiswe ne-ribociclib (Kisqali^®) ukwelapha umdlavuza webele we-hormone receptor omuhle, womdlavuza webele noma womdlavuza webele osusabalele kwezinye izingxenye zomzimba kwabesifazane asebeke babhekana nokunqamuka kokuya esikhathini nokuthi umdlavuza webele wabo uye waba mubi ngemuva kokuphathwa ngemithi elwa ne-estrogen efana ne-tamoxifen. Umjovo we-Fulvestrant usetshenziswa futhi ngokuhlangana ne-palbociclib (Ibrance^®) noma i-abemaciclib (Verzenio^®) ukwelapha umdlavuza webele we-hormone receptor omuhle, othuthukile kwabesifazane abanomdlavuza webele osabalalele kwezinye izingxenye zomzimba futhi uye waba muncu ngemuva kokuphathwa ngemithi elwa ne-estrogen efana ne-tamoxifen. UFulvestrant usesigabeni semithi ebizwa ngama-estrogen receptor antagonists. Isebenza ngokuvimba isenzo se-estrogen kumaseli womdlavuza. Lokhu kunganciphisa noma kumise ukukhula kwezinye izicubu zesifuba ezidinga i-estrogen ukuze zikhule.

I-Fulvestrant iza njengesisombululo (uketshezi) ukuze ijovwe kancane ngaphezulu kwemizuzu engu-1 kuya kwemibili emisipheni ezinqeni. I-Fulvestrant ilawulwa udokotela noma umhlengikazi ehhovisi lezokwelapha. Imvamisa inikezwa kanye njalo emavikini amabili ngemithamo yokuqala emi-3 (izinsuku 1, 15, no-29) bese kuthi kanye ngenyanga emva kwalokho. Uzothola umthamo wakho wemithi njengemijovo emibili ehlukene (eyodwa ezinqeni ngakunye).

Buza udokotela wakho noma usokhemisi ikhophi lemininingwane yomkhiqizi yesiguli.

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

Ngaphambi kokuthola i-fulvestrant,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-fulvestrant, noma imuphi omunye umuthi, noma iziphi izithako zomjovo we-fulvestrant. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho ama-anticoagulants (ama-thinner egazi) njenge-warfarin (i-Coumadin, i-Jantoven). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma ngabe uke waba nezinkinga zokopha noma isifo sesibindi.
• Tshela udokotela wakho uma ukhulelwe, noma uhlela ukukhulelwa Akufanele ukhulelwe ngenkathi uthola i-fulvestrant futhi okungenani unyaka owodwa ngemuva kokuthola umthamo wokugcina. Khuluma nodokotela wakho ngezindlela zokulawula ukubeletha ongazisebenzisa ngesikhathi sokwelashwa kwakho. Udokotela wakho futhi angahlola ukuthi ngabe ukhulelwe kungakapheli izinsuku eziyi-7 ngaphambi kokuqala ukwelashwa. Tshela udokotela wakho uma ukhulelwa ngesikhathi sokwelashwa kwakho nge-fulvestrant. I-Fulvestrant ingalimaza umbungu.
• tshela udokotela wakho uma uncelisa. Akufanele uncelise ibele ngesikhathi sokwelashwa kwakho nge-fulvestrant nangonyaka owodwa ngemuva kokuthola umthamo wokugcina.
• kufanele wazi ukuthi lo muthi unganciphisa ukuzala kwabesilisa nabesifazane. Khuluma nodokotela wakho ngezingozi zokuthola umgcini wezimali.

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

Uma uphuthelwa isikhathi sokuqokwa ukuze uthole umthamo we-fulvestrant, shayela udokotela wakho ngokushesha okukhulu.

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

• isicanucanu
• ukuhlanza
• ukuqunjelwa
• isifo sohudo
• ubuhlungu besisu
• ukulahlekelwa isifiso sokudla
• Umphimbo obuhlungu
• izilonda zomlomo
• ubuthakathaka
• ukushisa noma ukushisa
• ikhanda
• ubuhlungu emathanjeni, emalungeni, noma emhlane
• ubuhlungu, ububomvu, noma ukuvuvukala endaweni lapho kwajova khona umuthi wakho
• ukuvuvukala kwezandla, izinyawo, amaqakala, noma imilenze engezansi
• isiyezi
• ubunzima bokulala noma ukulala
• ukudana
• ukukhathazeka
• uvalo
• imizwa yokuba ndikindiki, ukuluma, ukubhoboza, noma ukushisa esikhunjeni
• ukujuluka
• ukopha okungavamile kwesitho sangasese sowesifazane

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

• ukuphelelwa umoya
• ubuhlungu besifuba
• isifuba
• ukuqubuka
• ukulunywa
• ukuphefumula kanzima noma ukugwinya
• ukuvuvukala kobuso, umphimbo, ulimi, izindebe, noma amehlo
• ubuhlungu emhlane wakho ophansi noma emilenzeni
• ukuba ndikindiki, ukuncinza noma ubuthakathaka emilenzeni yakho
• ubuhlungu engxenyeni engenhla kwesokudla yesisu
• ukuphuzi kwesikhumba noma kwamehlo
• ubuhlungu noma ukushisa ngenkathi uchama

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

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.

Ngaphambi kokwenza noma yiluphi uvivinyo lwelabhoratri, tshela udokotela wakho kanye nabasebenzi baselebhu ukuthi uthola i-fulvestrant.

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.

• Faslodex^®