Inaliti ye-Teniposide
-Delile
- Ngaphambi kokuthola i-teniposide,
- I-Teniposide 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, shayela udokotela wakho ngokushesha:
- Izimpawu zokudlula ngokweqile zingafaka:
Umjovo we-Teniposide kufanele unikezwe esibhedlela noma esikhungweni sezokwelapha ngaphansi kweso likadokotela onolwazi lokunikeza imishanguzo yokwelashwa ngamakhemikhali yomdlavuza.
I-Teniposide ingadala ukwehla okukhulu kwenani lamaseli egazi emnkantsheni wakho wethambo. Lokhu kwandisa ubungozi bokuthi uzoba nokutheleleka okungathi sína noma ukopha. Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha: umkhuhlane, umphimbo obuhlungu, amakhaza, ukukhwehlela okuqhubekayo nokucinana, noma ezinye izimpawu zokutheleleka; ukopha okungavamile noma ukulimaza; indle emnyama neyokulinda; igazi elibomvu endle; ukuhlanza kwegazi; okokuhlanza okubukeka njengezizathu zekhofi.
I-Teniposide ingadala ukusabela okweqile noma okusongela impilo. Uma uhlangabezana nokungezwani komzimba nomjovo we-teniposide, kungaqala ngesikhathi noma ngemuva kokuphela kokumnika kwakho, futhi ungathola izimpawu ezilandelayo: isifuba; ukuqubuka; ukulunywa; ukuvuvukala kwamehlo, ubuso, umphimbo, izindebe, ulimi, izandla, izingalo, izinyawo noma amaqakala; ubunzima bokuphefumula noma ukugwinya; ukuqhuma; isiyezi; ukuquleka; noma ukushaya kwenhliziyo okusheshayo. Udokotela wakho noma umhlengikazi uzokubuka ngokucophelela ngenkathi uthola umthamo ngamunye we-teniposide futhi isikhathi esithile ngemuva kwalokho. Tshela udokotela wakho ngokushesha uma uhlangabezana nalezi zimpawu. Uzothola imishanguzo ethile yokusiza ukuvimbela ukusabela okweqile ngaphambi kokuthola umthamo ngamunye we-teniposide uma uhlangabezane nokusabela okweqile ku-teniposide.
I-Teniposide isetshenziswa nezinye izidakamizwa ze-chemotherapy ukwelapha i-acute lymphocytic leukemia (KONKE; uhlobo lomdlavuza wamaseli amhlophe egazi) ezinganeni ezingakathuthuki noma esezimbi kakhulu ngemuva kokwelashwa ngeminye imithi. I-Teniposide isekilasini lemithi eyaziwa ngokuthi i-podophyllotoxin derivatives. Isebenza ngokunciphisa noma ukumisa ukukhula kwamangqamuzana omdlavuza emzimbeni wakho.
I-Teniposide iza njengesisombululo (uketshezi) ukujova okungenani imizuzu engama-30 kuye kwengama-60 ngemithambo (emthanjeni) ngudokotela noma umhlengikazi esikhungweni sezokwelapha. Udokotela wakho uzokutshela ukuthi uzothola i-teniposide kangaki. Isheduli incike ekutheni umzimba wakho uphendula kanjani emithini.
Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.
Ngaphambi kokuthola i-teniposide,
- Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-teniposide, noma imuphi omunye umuthi, i-polyoxyethylated castor oil (Cremophor EL), noma ezinye izithako zomjovo we-teniposide. 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. Qiniseka ukuthi usho noma ikuphi kokulandelayo: imithi yokwenziwa isicanucanu nokuhlanza, i-methotrexate (i-Abitrexate, i-Folex, i-Rheumatrex, i-Trexall), noma i-tolbutamide (i-Orinase). Eminye imishanguzo ingaxhumana ne-teniposide, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu.
- Tshela udokotela wakho uma uke waba nesifo sezinso noma sesibindi noma une-Down syndrome (isimo esizuzwe njengefa esidala izinkinga eziningi zokukhula nezingokomzimba).
- tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, uma uncelisa, noma uma uhlela ukuba nobaba wengane. Kufanele wazi ukuthi i-teniposide ingamisa ukukhiqizwa kwesidoda emadodeni. Akufanele ukhulelwe noma uncelise ibele ngenkathi uthola umjovo we-teniposide. Uma wena noma umlingani wakho ukhulelwa ngenkathi uthola umjovo we-teniposide, shayela udokotela wakho. I-Teniposide ingalimaza umbungu.
Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.
I-Teniposide ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- isicanucanu
- ukuhlanza
- izilonda emlonyeni noma olimini
- isifo sohudo
- ukulahleka kwezinwele
Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:
- ukungaboni kahle
- isikhumba esiphaphathekile
- ukukhathala ngokweqile
- ikhanda
- ukudideka
- ubuhlungu, ukuba ndikindiki, ukushiswa, noma ukuhayiza ezandleni noma ezinyaweni
- ukushaya kwenhliziyo okuhamba kancane noma okungajwayelekile
I-Teniposide ingakhuphula ubungozi bokuthi uzoba neminye imidlavuza. Khuluma nodokotela wakho ngezingozi zokuthola umjovo we-teniposide.
I-Teniposide 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).
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:
- ukuphefumula kancane
- ukukhathala ngokweqile
- ukushaya kwenhliziyo okuhamba kancane noma okungajwayelekile
- ukudideka
- ukuquleka
- isiyezi
- ukungaboni kahle
- umkhuhlane, umphimbo obuhlungu, amakhaza, ukukhwehlela okuqhubekayo nokucinana, noma ezinye izimpawu zokutheleleka
- ukopha okungajwayelekile noma ukulinyazwa
Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho angalawula izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho ku-teniposide.
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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