Inaliti yePemetrexed

-Delile

• Ngaphambi kokuthola umjovo we-pemetrexed,
• Umjovo we-Pemetrexed ungadala 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 noma uthole ukwelashwa okuphuthumayo:

Umjovo we-Pemetrexed usetshenziswa ngokuhlangana neminye imishanguzo yokwelashwa ngamakhemikhali njengokwelashwa kokuqala kohlobo oluthile lomdlavuza wamaphaphu wamangqamuzana ongewona omncane osakazekele ezicutshini eziseduze noma kwezinye izingxenye zomzimba. Umjovo wePemetrexed nawo usetshenziswa wedwa ukwelapha i-NSCLC njengokwelashwa okuqhubekayo kubantu asebethole imishanguzo ethile yamakhemikhali futhi umdlavuza wabo ongakabi bucayi nakubantu abangakwelashwa ngempumelelo ngeminye imishanguzo ye-chemotherapy. Umjovo wePemetrexed ubuye uhlanganiswe nomunye umuthi wokwelashwa ngamakhemikhali njengokwelashwa kokuqala kwe-malignant pleural mesothelioma (uhlobo lomdlavuza oluthinta ulwelwesi lwangaphakathi lwesifuba) kubantu abangakwazi ukwelashwa ngokuhlinzwa. I-Pemetrexed isekilasini lemithi ebizwa ngama-antifolate antineoplastic agents. Isebenza ngokuvimba ukusebenza kwento ethile emzimbeni engasiza amangqamuzana omdlavuza ukuthi ande.

Umjovo wePemetrexed uza njengesisombululo (uketshezi) ukuze ujovwe emthanjeni ngaphezu kwemizuzu eyi-10. Umjovo wePemetrexed ulawulwa ngudokotela noma umhlengikazi ehhovisi lezokwelapha noma esikhungweni sokumnika. Imvamisa inikezwa kanye ezinsukwini ezingama-21.

Udokotela wakho mhlawumbe uzokutshela ukuthi uthathe eminye imithi, njenge-folic acid (uvithamini), uvithamini B₁₂, kanye ne-corticosteroid efana ne-dexamethasone ukunciphisa eminye yemiphumela emibi yalo muthi. Udokotela wakho uzokunikeza izinkomba zokuthatha le mithi. Landela izinkomba zikadokotela wakho ngokucophelela. Buza udokotela wakho noma usokhemisi ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Uma uphuthelwa umthamo owodwa wale mithi, shayela udokotela wakho.

Udokotela wakho uzokutshela ukuthi uhlolwe njalo igazi ngaphambi nangesikhathi sokwelashwa ngomjovo we-pemetrexed. Udokotela wakho angashintsha isilinganiso sakho somjovo we-pemetrexed, abambezele ukwelashwa, noma ayeke unomphela ukwelashwa kwakho ngokuya ngemiphumela yokuhlolwa kwegazi.

Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.

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

Ngaphambi kokuthola umjovo we-pemetrexed,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-pemetrexed, mannitol (Osmitrol), noma imuphi omunye umuthi, noma yiziphi izithako zomjovo we-pemetrexed. Buza usokhemisi wakho noma hlola imininingwane yesiguli somkhiqizi 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 ibuprofen (Advil, Motrin). Akufanele uthathe ibuprofen ezinsukwini ezimbili ngaphambi, usuku lwe, noma izinsuku ezimbili ngemuva kokuthola umjovo we-pemetrexed. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho ukuthi ngabe uke welashwa ngemisebe noma wake waba nesifo sezinso noma wake waba naso.
• tshela udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa, noma uma uhlela ukuba nobaba wengane. Uma ungowesifazane, kufanele usebenzise indlela ethembekile yokulawula ukubeletha ngenkathi uthola umjovo we-pemetrexed futhi okungenani izinyanga eziyisithupha ngemuva komthamo wokugcina. Uma ungowesilisa, wena nomlingani wakho wesifazane kufanele nisebenzise ukulawulwa kokubeletha okusebenzayo ngenkathi nithola umjovo we-pemetrexed futhi izinyanga ezintathu ngemuva komthamo wokugcina. Uma wena noma umlingani wakho ukhulelwa ngenkathi usebenzisa lo muthi, shayela udokotela wakho. Umjovo we-Pemetrexed ungalimaza umbungu.
• tshela udokotela wakho uma uncelisa. Akufanele uncelise ngesikhathi sokwelashwa kwakho ngomjovo we-pemetrexed nangesonto eli-1 ngemuva komthamo wokugcina.
• kufanele wazi ukuthi umjovo we-pemetrexed ungadala izinkinga zokuzala kwabesilisa okungathinta amandla akho okuzala ingane. Akwaziwa ukuthi ngabe le miphumela iyabuyiselwa emuva. Khuluma nodokotela wakho ngezingozi zokuthola umjovo we-pemetrexed.

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

Uma uphuthelwa i-aphoyintimenti yokuthola isilinganiso somjovo we-pemetrexed, shayela udokotela wakho ngokushesha okukhulu.

Umjovo we-Pemetrexed ungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• isicanucanu
• ukuhlanza
• isifo sohudo
• ukuqunjelwa
• ukulahlekelwa isifiso sokudla
• ukuncipha komzimba
• ukukhathala
• ubunzima bokulala noma ukulala
• ubuhlungu obuhlangene

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

• amabhamuza, izilonda zesikhumba, ukuxebuka kwesikhumba, noma izilonda ezibuhlungu emlonyeni wakho, izindebe, impumulo, umphimbo, noma isitho sangasese
• ukuvuvukala, ukushwabana, noma ukuqubuka okubukeka njengokushiswa yilanga endaweni eyake yaphathwa ngemisebe ngaphambilini
• ukopha okungajwayelekile noma ukulinyazwa
• umphimbo obuhlungu, umkhuhlane, amakhaza, ukukhwehlela noma ezinye izimpawu zokutheleleka
• ubuhlungu besifuba
• ukushaya kwenhliziyo okusheshayo
• ukuphefumula kanzima noma ukugwinya
• inkulumo ehamba kancane noma enzima
• ukukhathala ngokweqile noma ubuthakathaka
• isiyezi noma ukuquleka
• ubuthakathaka noma ukuba ndikindiki kwengalo noma komlenze
• ubuhlungu, ukuvutha, ukuba ndikindiki, noma ukuncinza ezandleni noma ezinyaweni
• isikhumba esiphaphathekile
• ikhanda
• isifuba
• ukulunywa
• ukuncipha kokuchama

Umjovo we-Pemetrexed ungadala 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 kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho kumjovo we-pemetrexed.

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-Alimta^®