IValrubicin Intravesical

-Delile

• Ngaphambi kokuthola isixazululo se-valrubicin,
• I-Valrubicin ingadala imiphumela emibi. Umchamo wakho ungaguqula ubomvu; lo mphumela uvamile futhi awunangozi uma kwenzeka emahoreni angama-24 okuqala ngemuva kokwelashwa. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha:

Isixazululo seValrubicin sisetshenziselwa ukwelapha uhlobo lomdlavuza wesinye (i-carcinoma in; I-CIS) engazange iphathwe ngempumelelo ngomunye umuthi (i-Bacillus Calmette-Guerin; ukwelashwa kwe-BCG) ezigulini ezingakwazi ukuhlinzwa khona manjalo ukususa konke noma ingxenye yesinye. Kodwa-ke, isiguli esisodwa kuphela kwezi-5 esiphendula ekwelashweni nge-valrubicin futhi ukubambezela ukuhlinzwa kwesinye kungaholela ekusakazekeni komdlavuza wesinye okungaba yingozi empilweni. I-Valrubicin iyi-antibiotic ye-anthracycline esetshenziswa kuphela ekhemotherapy yomdlavuza. Kubambezela noma kumise ukukhula kwamangqamuzana omdlavuza emzimbeni wakho.

I-Valrubicin iza njengesisombululo (uketshezi) esizofakwa (sijojowe kancane) nge-catheter (ipulasitiki encane eguquguqukayo) esinyeni sakho ngenkathi ulele. Isixazululo seValrubicin sinikezwa udokotela noma umhlinzeki wezempilo ehhovisi lezokwelapha, esibhedlela, noma emtholampilo. Imvamisa inikezwa kanye ngesonto amasonto ayisithupha. Kufanele ugcine umuthi esinyeni sakho amahora ama-2 noma isikhathi eside ngangokunokwenzeka. Ekupheleni kwamahora ama-2 uzothulula isinye sakho.

Ungaba nezimpawu zesinye esinyanyekayo ngesikhathi noma ngemuva nje kokwelashwa ngesisombululo se-valrubicin njengesidingo esingazelelwe sokuchama noma ukuvuza komchamo, Uma noma yisiphi isisombululo se-valrubicin siphume esinyeni bese singena esikhunjeni sakho, indawo kufanele ihlanzwe ngensipho namanzi. Ukuchitheka phansi kufanele kuhlanzwe nge-bleach engaxutshiwe.

Phuza uketshezi oluningi ngemuva kokuthola ukwelashwa kwakho nge-valrubicin.

Udokotela wakho uzokubuka ngokucophelela ukuze abone ukuthi ukwelashwa nge-valrubicin kukusebenzela kanjani. Uma ungaphenduli ngokuphelele ekwelashweni ngemuva kwezinyanga ezintathu noma uma umdlavuza wakho ubuya, udokotela wakho mhlawumbe uzoncoma ukwelashwa ngokuhlinzwa.

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

Ngaphambi kokuthola isixazululo se-valrubicin,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-valrubicin, i-daunorubicin, i-doxorubicin, i-epirubicin, noma i-idarubicin; noma imiphi eminye imithi; noma yiziphi izithako zesisombululo se-valrubicin. Buza udokotela wakho uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha.
• utshele udokotela wakho uma unesifo somgudu womchamo, noma uma uchama njalo ngoba unesinye esincane. Udokotela wakho ngeke afune ukuthi uthole isixazululo se-valrubicin.
• udokotela wakho uzobheka isinye ngaphambi kokunikeza isisombululo se-valrubicin ukuze abone ukuthi unembobo yini esinyeni sakho noma odongeni lwesinye olubuthakathaka. Uma unalezi zinkinga, ukwelashwa kwakho kuzodinga ukulinda kuze kube yilapho isinye selulame.
• tshela udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa, noma uma uhlela ukuba nobaba wengane. Wena noma umlingani wakho akufanele ukhulelwe ngenkathi usebenzisa i-valrubicin. Kufanele usebenzise ukulawulwa kokubeletha ukuvimbela ukukhulelwa kuwe noma kumlingani wakho ngesikhathi sokwelashwa kwakho nge-valrubicin. Khuluma nodokotela wakho ngezindlela zokulawula ukubeletha ezizokusebenzela. Uma wena noma umlingani wakho ukhulelwa ngenkathi usebenzisa i-valrubicin, shayela udokotela wakho.
• ungancelisi ibele ngenkathi usebenzisa i-valrubicin.

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

Uma uphuthelwa isikhathi sokuqokwa ukuze uthole umthamo we-valrubicin, shayela udokotela wakho khona manjalo.

I-Valrubicin ingadala imiphumela emibi. Umchamo wakho ungaguqula ubomvu; lo mphumela uvamile futhi awunangozi uma kwenzeka emahoreni angama-24 okuqala ngemuva kokwelashwa. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ukuchama kaningi, okuphuthumayo noma okubuhlungu
• ubunzima bokuchama
• ubuhlungu besisu
• isicanucanu
• ikhanda
• ubuthakathaka
• ukukhathala

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

• umchamo obomvu obomvu kwenzeka ngaphezu kwamahora angama-24 ngemuva kokwelashwa
• ukuchama kabuhlungu kwenzeka ngaphezu kwamahora angama-24 ngemuva kokwelashwa
• igazi emchameni

I-Valrubicin 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).

Le mithi izogcinwa ehhovisi likadokotela wakho noma emtholampilo.

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.

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-Valstar^®