I-Chlorambucil

-Delile

• Ngaphambi kokuthatha i-chlorambucil,
• I-Chlorambucil 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-chlorambucil ingadala ukwehla kwenani lamaseli egazi emnkantsheni wakho wethambo. Udokotela wakho uzo-oda ukuhlolwa kwelabhorethri ngaphambi, ngesikhathi nangemva kokwelashwa kwakho ukubona ukuthi amaseli akho egazi ayathinteka yini yilo muthi. Gcina onke ama-aphoyintimenti elabhorethri.

I-chlorambucil ingakhuphula ubungozi bokuthi uzoba neminye imidlavuza. Khuluma nodokotela wakho ngale ngozi.

I-Chlorambucil ingaphazamisa umjikelezo ojwayelekile wokuya esikhathini (isikhathi) kwabesifazane futhi ingamisa ukukhiqizwa kwesidoda emadodeni. I-Chlorambucil ingadala ukungabi nenzalo unomphela (ubunzima bokukhulelwa); noma kunjalo, akufanele ucabange ukuthi awukwazi ukukhulelwa, noma ukuthi awukwazi ukukhulelisa omunye umuntu. Abesifazane abakhulelwe kufanele batshele odokotela babo ngaphambi kokuba baqale ukusebenzisa lo muthi. Akufanele uhlele ukuba nezingane ngenkathi uthola i-chemotherapy noma isikhashana ngemuva kokwelashwa. (Khuluma nodokotela wakho ukuthola eminye imininingwane.) Sebenzisa indlela ethembekile yokulawula inzalo ukuvimbela ukukhulelwa. Uma ukhulelwa ngenkathi uthatha i-chlorambucil, shayela udokotela wakho ngokushesha. I-chlorambucil ingalimaza umbungu.

I-chlorambucil isetshenziselwa ukwelapha uhlobo oluthile lwe-leukemia engamahlalakhona (i-CLL; uhlobo lomdlavuza wamaseli amhlophe egazi). I-Chlorambucil isetshenziselwa ukwelapha i-non-Hodgkin's lymphoma (NHL) ne-Hodgkin's disease (izinhlobo zomdlavuza eziqala kumaseli athile amhlophe egazi ngokuvamile alwa nokutheleleka). I-chlorambucil isekilasini lemithi ebizwa ngama-alkylating agents. Isebenza ngokunciphisa noma ukumisa ukukhula kwamangqamuzana omdlavuza emzimbeni wakho.

I-Chlorambucil iza njengethebhulethi ukuthatha ngomlomo. Imvamisa kuthathwa kanye ngosuku amasonto amathathu kuya kwayisithupha, kepha kwesinye isikhathi kungathathwa ngezikhathi ezithile, njengomthamo owodwa kanye emavikini amabili, noma njengomthamo owodwa kanye ngenyanga. Ubude bokwelashwa buxhomeke ezinhlotsheni zemithi oyiphuzayo, ukuthi umzimba wakho uphendula kahle kangakanani kuyo, nohlobo lomdlavuza onawo. Thatha i-chlorambucil ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-chlorambucil njengoba iqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Udokotela wakho angalungisa umthamo wakho we-chlorambucil ngokuya ngempendulo yakho ekwelashweni nanoma yimiphi imiphumela emibi oyitholayo. Khuluma nodokotela wakho mayelana nokuthi uzizwa kanjani ngesikhathi sokwelashwa kwakho. Ungayeki ukuthatha i-chlorambucil ngaphandle kokukhuluma nodokotela wakho.

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-chlorambucil,

• Tshela udokotela wakho kanye nosokhemisi uma ungenwe i-chlorambucil, amanye ama-alkylating agents afana ne-bendamustine (Treanda), busulfan (Myleran, Busulfex), carmustine (BiCNU, Gliadel Wafer), cyclophosphamide (Cytoxan), ifosfamide (Ifex), lomustine (CeeNU ), i-melphalan (i-Alkeran), i-procarbazine (i-Mutalane), noma i-temozolomide (i-Temodar), noma imuphi omunye umuthi, noma iziphi izithako ze-chlorambucil. 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.
• Tshela udokotela wakho uma uke waphuza i-chlorambucil phambilini, kepha umdlavuza wakho awuphendulanga emithini. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-chlorambucil.
• Tshela udokotela wakho uma uthole ukwelashwa ngemisebe noma enye i-chemotherapy emasontweni amane edlule.
• tshela udokotela wakho uma uke waquleka noma walimala ekhanda.
• tshela udokotela wakho uma uncelisa.
• ungenayo imigomo ngaphandle kokukhuluma nodokotela wakho.

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

• isicanucanu
• ukuhlanza
• izilonda emlonyeni nasemphinjeni
• ukukhathala
• isikhathi sokuya esikhathini (emantombazaneni nakwabesifazane)

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

• ukuqubuka kwesikhumba
• ukulimaza noma ukopha okungavamile
• emnyama, izitulo zokubambezeleka
• umchamo obomvu
• ukukhwehlela
• Umphimbo obuhlungu
• isiminyaminya
• imfiva
• ukuphefumula kanzima
• isithuthwane
• ukuphuzi kwesikhumba noma kwamehlo
• ubuhlungu engxenyeni engenhla kwesokudla yesisu
• umchamo onombala omnyama
• ukuchama kaningi
• izigaxa noma uquqaba olungavamile

I-Chlorambucil 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. Yigcine esiqandisini.

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

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.

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.

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-Leukeran^®