I-Lomustine
-Delile
- Ngaphambi kokuthatha i-lomustine,
- I-Lomustine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, yeka ukuthatha i-lomustine bese ushayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
- Izimpawu zokudlula ngokweqile zingafaka okulandelayo:
I-Lomustine ingadala ukwehla okukhulu kwenani lamaseli egazi emnkantsheni wakho wethambo. Ukwehla kwenani lamaseli egazi emzimbeni wakho kungadala izimpawu ezithile futhi kungakhuphula ubungozi bokuthi uzoba nokutheleleka okunzima noma ukopha. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha: umkhuhlane, umphimbo obuhlungu, ukukhwehlela okuqhubekayo nokuminyana, noma ezinye izimpawu zokutheleleka; ukopha okungavamile noma ukulimaza, izihlalo ezinegazi noma ezimnyama; ukuhlanza kwegazi; noma ukugabha igazi noma okokusundu okufana nezindawo zekhofi.
Ukuthatha i-lomustine eningi kakhulu noma ukuyithatha kaningi kakhulu kungadala izinkinga ezinkulu, ezisongela impilo. Thatha umthamo owodwa kuphela we-lomustine njalo emavikini ayisithupha.
Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzo-oda ukuhlolwa kwelabhorethri ngaphambi, ngesikhathi, nangemva kokwelashwa kwakho ukuze ahlole impendulo yomzimba wakho ku-lomustine ukuze abone ukuthi amaseli akho egazi, isibindi, izinso namaphaphu kuyathinteka yini kulo muthi.
I-Lomustine isetshenziselwa ukwelapha izinhlobo ezithile zezimila zobuchopho. I-Lomustine iyasetshenziswa neminye imithi yokwelapha i-Hodgkin's lymphoma (isifo sikaHodgkin) esingakathuthuki noma esesibe sibi kakhulu ngemuva kokwelashwa ngeminye imithi. ILomustine isekilasini lemithi ebizwa ngama-alkylating agents. Isebenza ngokunciphisa noma ukumisa ukukhula kwamangqamuzana omdlavuza emzimbeni wakho.
ILomustine iza njengephilisi elizothathwa ngomlomo. Imvamisa kuthathwa kanye njalo emavikini ayisithupha esiswini esingenalutho. Umthamo wakho ogcwele ungaqukatha izinhlobo ezimbili noma ngaphezulu ezahlukene nemibala yamaphilisi. Uzothola kuphela amaphilisi anele ngomthamo owodwa. Thatha wonke amaphilisi owanikwe wona ebhodleleni lokuyaleza ngasikhathi sinye. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-lomustine njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.
Kufanele ugqoke amagilavu wenjoloba noma we-latex lapho uphatha amaphilisi ukuze isikhumba sakho singathintani nama-capsule. Uma okuqukethwe okuyi-capsule kuthinta isikhumba sakho, geza indawo kahle ngensipho namanzi ngaso leso sikhathi.
Gwinya wonke amaphilisi; ungawahlukanisi, ungawahlafune noma uwagxoze.
Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.
Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.
Ngaphambi kokuthatha i-lomustine,
- Tshela udokotela kanye nosokhemisi wakho uma une-allergies ku-lomustine, noma imuphi omunye umuthi, noma iziphi izithako ezikuma-capsule we-lomustine. Buza usokhemisi wakho ukuthola uhlu lwezithako.
- Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha.
- kufanele wazi ukuthi i-lomustine inganciphisa ukuzala kwabesilisa nabesifazane. Kodwa-ke, akufanele ucabange ukuthi wena noma umlingani wakho anikwazi ukukhulelwa. Tshela udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Uma ungowesifazane, kufanele usebenzise ukulawulwa kokuzalwa ukuvimbela ukukhulelwa ngesikhathi sokwelashwa kwakho nge-lomustine futhi okungenani amasonto ama-2 ngemuva komthamo wakho wokugcina. Uma ungowesilisa, wena nophathina wakho wesifazane kufanele nisebenzise ukulawulwa kokubeletha ngesikhathi sokwelashwa nge-lomustine futhi niqhubeke izinyanga ezine ngemuva komthamo wakho wokugcina. Uma wena noma umlingani wakho ukhulelwa ngenkathi uthatha i-lomustine, shayela udokotela wakho. I-Lomustine ingalimaza umbungu.
- tshela udokotela wakho uma uncelisa noma uhlela ukuncelisa. Akufanele uncelise ibele ngenkathi uthatha i-lomustine namasonto ama-2 ngemuva komthamo wakho wokugcina.
Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.
Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Tshela udokotela wakho uma uthatha umthamo wakho ngosuku oluhlukile kunalokho obekuhleliwe.
I-Lomustine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- isicanucanu
- ukuhlanza
- ukulahlekelwa isifiso sokudla
- izilonda emlonyeni nasemphinjeni
- ukukhathala okungajwayelekile noma ubuthakathaka
- isikhumba esiphaphathekile
- ukuquleka
- ukulahleka kwezinwele
- ukuhamba okungazinzile
- inkulumo engahambi kahle
Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, yeka ukuthatha i-lomustine bese ushayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
- ukuphefumula kanzima
- ukuphelelwa umoya
- ukukhwehlela okomile
- ubuhlungu besifuba
- isifuba
- ukuncipha kokuchama;
- ukuvuvukala kobuso, izingalo, izandla, izinyawo, amaqakala noma imilenze engezansi.
- ukuphuzi noma amehlo nesikhumba
- ukudideka
- ushintsho olungazelelwe noma ukulahleka kombono
I-Lomustine ingakhuphula ubungozi bokuthi uzoba neminye imidlavuza. Khuluma nodokotela wakho ngezingozi zokuthatha i-lomustine.
I-Lomustine 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.
Izimpawu zokudlula ngokweqile zingafaka okulandelayo:
- emnyama, izitulo zokubambezeleka
- umchamo obomvu
- ukulimaza noma ukopha okungavamile
- ukukhathala okungajwayelekile noma ubuthakathaka
- umphimbo obuhlungu, ukukhwehlela, umkhuhlane, noma ezinye izimpawu zokutheleleka
- isiyezi
- ukuphelelwa umoya
- isifo sohudo
- ukuhlanza
- ubuhlungu besisu
- izilonda emlonyeni nasemphinjeni
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.
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- CCNU