I-Estramustine

-Delile

• Ngaphambi kokuthatha i-estramustine,
• I-Estramustine 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-Estramustine isetshenziselwa ukwelapha umdlavuza we-Prostate osuqhubekele phambili noma osabalalele kwezinye izingxenye zomzimba. I-Estramustine isekilasini lemithi ebizwa ngama-antimicrotubule agents. Isebenza ngokumisa ukukhula nokusabalala kwamangqamuzana omdlavuza.

I-Estramustine iza njengephilisi elizothathwa ngomlomo. Imvamisa iphuzwa ngamanzi izikhathi ezintathu kuye kwezi-4 ngosuku okungenani ihora elilodwa ngaphambi noma ngemuva kwamahora amabili kudliwe. Ungathathi i-estramustine enobisi, imikhiqizo yobisi, noma ukudla okuqukethe inani elikhulu le-calcium. Thatha i-estramustine ngezikhathi ezifanayo nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-estramustine njengoba nje iyalelwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

I-Estramustine ingalawula ukusabalala komdlavuza wakho kepha ayiyelaphi. Kungathatha izinyanga ezi-3 ngaphambi kokuba udokotela wakho akutshele ukuthi lo muthi ulusizo esimeni sakho. Qiniseka ukuthi utshela udokotela wakho ukuthi uzizwa kanjani ngesikhathi sokwelashwa kwakho nge-estramustine. Qhubeka nokuthatha i-estramustine noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-estramustine ngaphandle kokukhuluma nodokotela wakho.

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

Ngaphambi kokuthatha i-estramustine,

• Tshela udokotela wakho kanye nosokhemisi uma une-allergen ku-estramustine, i-estradiol, i-nitrogen mustard, noma omunye umuthi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha.
• uma uthatha izithasiselo ze-calcium noma ama-antacids aqukethe i-calcium efana ne-Alka-Mints, Tums, noma i-Titralac, thatha okungenani amahora amabili ngaphambi noma amahora amabili ngemuva kwe-estramustine.
• Tshela udokotela wakho uma uke waba negazi, unesifo sikashukela, umfutho wegazi ophakeme, isifo sohlangothi, isifo senhliziyo esibuhlungu, i-migraines, ukuqubuka, noma yiziphi izimo ezithinta ibhalansi ye-calcium ne-phosphorus emzimbeni wakho njenge-parathyroid disorder, noma isifo sesibindi noma sezinso.
• kufanele wazi ukuthi i-estramustine isetshenziselwa amadoda kuphela. I-Estramustine ingadala ukulimala kwengane. Kufanele usebenzise ukulawulwa kokubeletha okusebenzayo uma kungenzeka ukuthi umlingani wakho angakhulelwa ngenkathi uthatha i-estramustine. Abesifazane abakhulelwe noma abangakhulelwa akufanele bathathe i-estramustine. Uma uthatha i-estramustine ngenkathi ukhulelwe, shayela udokotela wakho ngokushesha.

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

• isicanucanu
• isifo sohudo
• ubumnene besifuba nokukhulisa
• amajaqamba omlenze
• ukukhathala
• ubunzima bokulala noma ukulala
• ukungabi namandla (ukungakwazi ukuthola noma ukugcina ukwakhiwa)

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

• ukuvuvukala kobuso, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukushaqeka
• ubunzima bokugwinya noma ukuphefumula
• ukuphelelwa umoya
• ubuhlungu besifuba
• isiyezi noma ukuquleka
• izinkinga zokukhuluma
• ngokuzumayo, ikhanda elibi kakhulu
• ukulahleka kombono okuncane ngokungazelelwe noma okuphelele
• ubuthakathaka noma ukuba ndikindiki kwengalo noma komlenze
• ubuhlungu, ububomvu noma ukuvuvukala kwengalo noma umlenze

I-Estramustine ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha 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 le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina amaphilisi e-estramustine esiqandisini.

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 uzo-oda izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho ku-estramustine.

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.

• Emcyt^®