UMitotane

-Delile

• Ngaphambi kokuthatha i-mitotane,
• IMitotane 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:

IMitotane ingadala isimo esibi, esisongela impilo esingenzeka lapho i-hormone enganele (i-cortisol) ikhiqizwa yizindlala ze-adrenal emzimbeni wakho. IMitotane kumele ithathwe ngaphansi kweso lodokotela onolwazi lokusebenzisa imithi yokwelapha umdlavuza. Uma uba nokutheleleka okunzima, ukugula, noma ukulimala kufanele uyeke ukuthatha imitotane bese ufonela udokotela wakho ngokushesha.

IMitotane isetshenziselwa ukwelapha umdlavuza wendlala ye-adrenal engalashwa ngokuhlinzwa. UMitotane usesigabeni semithi ebizwa ngama-antineoplastic agents. Isebenza ngokunciphisa ukukhula noma ukunciphisa ubukhulu besimila.

UMitotane uza njengethebhulethi azoyithatha ngomlomo. Kuvame ukuthathwa kathathu noma kane ngosuku. Thatha i-mitotane ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-mitotane njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Cishe uzolaliswa esibhedlela lapho uqala ukwelashwa kwakho ngemitotane. Udokotela wakho uzokuqala ngomthamo ophansi wemitotane futhi akhuphule kancane umthamo wakho.

Qhubeka uthathe i-mitotane noma ngabe uzizwa uphilile. Ungayeki ukuthatha imitotane ngaphandle kokukhuluma nodokotela wakho.

IMitotane kwesinye isikhathi isetshenziselwa ukwelapha iCushing’s Syndrome (isimo lapho umzimba ukhiqiza kakhulu i-hormone cortisol). Khuluma nodokotela wakho ngezingozi zokusebenzisa lesi sidakamizwa esimeni sakho.

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

Ngaphambi kokuthatha i-mitotane,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane kwi-mitotane, noma eminye imithi.
• 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 ikuphi kokulandelayo: ama-anticoagulants (’ama-thinner egazi’) njenge-warfarin (i-Coumadin); imishanguzo yokulwa nengcindezi (’mood elevators’); imithi yokukhathazeka, ukugula kwengqondo, noma ukuquleka; isidambisi, amaphilisi okulala, noma okokuqeda ukuthula; kanye ne-spironolactone (Aldactone). Udokotela wakho angadinga ukushintsha umthamo wemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imishanguzo eminingi ingaxhumana ne-mitotane, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu.
• utshele udokotela wakho uma uke waba nesifo sesibindi noma wake waba naso.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-mitotane, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-mitotane.
• kufanele wazi ukuthi imitotane ingakwenza ube nesiyezi noma ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.

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.

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

• ukulahlekelwa isifiso sokudla
• isicanucanu
• ukuhlanza
• isifo sohudo
• ukudana
• ukungabi namandla
• ukozela okungavamile
• ukuzwa ukuthi igumbi liyajikeleza
• izinguquko embonweni
• ukuqubuka noma izinguquko kumbala wesikhumba

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

• ubuhlungu besisu noma ohlangothini
• ukudideka
• ukushaya kwenhliziyo okusheshayo
• umkhuhlane omkhulu noma ukugodola okubandayo
• ukujuluka okweqile

IMitotane ingadala ukulimala kobuchopho noma kwesistimu yezinzwa lapho ithathwa ngemithamo ephezulu isikhathi esingaphezu kweminyaka emi-2. Khuluma nodokotela wakho ngezingozi zokuthatha lo muthi.

IMitotane 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 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 zelebhu ukuze ahlole impendulo yomzimba wakho ku-mitotane.

Ngaphambi kokwenza noma yiluphi uvivinyo lwelabhoratri, tshela udokotela wakho kanye nabasebenzi belebhuthi ukuthi uthatha i-mitotane.

Gqoka noma uphathe umazisi wezokwelapha osho ukuthi uthatha imitotane ukuze uqiniseke ukuthi uthola ukwelashwa okufanele esimeni esiphuthumayo.

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-Lysodren^®