Inaliti yeVinorelbine

-Delile

• Ngaphambi kokuthola i-vinorelbine,
• IVinorelbine 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 SEXWAYISO, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
• Izimpawu zokudlula ngokweqile zingafaka:

IVinorelbine kufanele inikezwe kuphela ngaphansi kokuqondisa kukadokotela onolwazi ekusetshenzisweni kwemithi yokwelapha ngamakhemikhali.

IVinorelbine ingadala ukwehla okukhulu kwenani lamaseli egazi emnkantsheni wakho. Lokhu kungadala izimpawu ezithile futhi kungakhuphula ubungozi bokuthi uzoba nesifo esibi. Udokotela wakho uzo-oda ukuhlolwa kwelabhoratri ngaphambi nangesikhathi sokwelashwa kwakho ukubheka inani lamaseli amhlophe egazi egazini lakho. Udokotela wakho anganciphisa umthamo wakho, noma abambezele, aphazamise, noma amise ukwelashwa kwakho uma inani lamaseli amhlophe egazi liphansi kakhulu. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha: umkhuhlane, umphimbo obuhlungu, ukukhwehlela okuqhubekayo nokucinana, noma ezinye izimpawu zokutheleleka.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho ku-vinorelbine.

IVinorelbine isetshenziswa yodwa futhi ihlangene neminye imishanguzo yokwelapha umdlavuza wamaphaphu weselula ongeyona emincane (i-NSCLC) osabalalele ezicutshini eziseduze noma kwezinye izingxenye zomzimba. IVinorelbine isekilasini lemithi ebizwa nge-vinca alkaloids. Isebenza ngokunciphisa noma ukumisa ukukhula kwamangqamuzana omdlavuza emzimbeni wakho.

IVinorelbine iza njengesisombululo (uketshezi) ukuze ifakwe ngomjovo (emthanjeni) ngudokotela noma umhlengikazi esikhungweni sezokwelapha. Imvamisa inikezwa kanye ngesonto. Ubude bokwelashwa buncike ekutheni umzimba wakho uphendula kanjani ekwelashweni nge-vinorelbine.

Kufanele wazi ukuthi i-vinorelbine kufanele inikezwe kuphela emthanjeni. Kodwa-ke, ingahle ivuze izicubu eziseduze ezibangele ukucasuka okukhulu noma ukulimala. Udokotela wakho noma umhlengikazi uzoqapha indawo eseduze kwalapho umjovo wafakwa khona. Uma uhlangabezana nalezi zimpawu ezilandelayo, tshela udokotela wakho ngokushesha: ubuhlungu, ukulunywa, ububomvu, ukuvuvukala, amabhamuza, noma izilonda eduze kwendawo lapho umjovo wafakwa khona.

I-Vinorelbine kwesinye isikhathi isetshenziselwa ukwelapha umdlavuza webele, umdlavuza we-esophagus (ithubhu exhuma umlomo nesisu), kanye nezicubu zomzimba ezithambile (umdlavuza owakha imisipha). Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi ngesimo sakho.

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

Ngaphambi kokuthola i-vinorelbine,

• Tshela udokotela kanye nosokhemisi wakho uma uxabana ne-vinorelbine, noma imiphi eminye imithi, noma iziphi izithako zomjovo we-vinorelbine. 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: ama-antifungal athile afana ne-itraconazole (Onmel, Sporanox, Tolsura) ne-ketoconazole; i-clarithromycin; I-HIV protease inhibitors efaka i-indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, eKaletra, Technivie, Viekira), kanye ne-saquinavir (Invirase); noma nefazodone. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho uma uke waba nesifo sesibindi noma wake waba naso.
• Tshela udokotela wakho uma ukhulelwe, uhlele ukukhulelwa ,, noma uhlele ukuba nobaba wengane. Wena noma umlingani wakho akufanele ukhulelwe ngenkathi uthola umjovo we-vinorelbine. Kufanele uvivinye ukukhulelwa ngaphambi kokuba uqale ukwelashwa ukuze uqiniseke ukuthi awukhulelwe. Uma ungowesifazane, sebenzisa ukulawulwa kokubeletha okusebenzayo ngesikhathi sokwelashwa kwakho nezinyanga eziyisithupha ngemuva komthamo wakho wokugcina. Uma ungowesilisa, sebenzisa ukulawulwa kokubeletha okusebenzayo ngesikhathi sokwelashwa kwakho nezinyanga ezi-3 ngemuva komthamo wakho wokugcina. Uma wena noma umlingani wakho ukhulelwa ngenkathi uthola umjovo we-vinorelbine, shayela udokotela wakho. IVinorelbine ingalimaza umbungu.
• tshela udokotela wakho uma uncelisa. Udokotela wakho uzokutshela ukuthi ungancelisi ngesikhathi sokwelashwa kwakho nezinsuku eziyi-9 ngemuva komthamo wakho wokugcina.
• kufanele wazi ukuthi i-vinorelbine ingadala ukuqunjelwa. Khuluma nodokotela wakho ngokushintsha indlela odla ngayo nokusebenzisa eminye imithi ukuvimbela noma ukwelapha ukuqunjelwa ngenkathi uthatha i-vinorelbine.

Udokotela wakho angakutshela ukuthi uqiniseke ukuthi uphuza amanzi anele, futhi udle ukudla okuphezulu okune-fiber okunjenge-ulethisi, isipinashi, i-broccoli, izigaxa, ubhontshisi, amantongomane, imbewu, izithelo, isinkwa sikakolweni, ipasta kakolweni noma irayisi elinsundu. Qiniseka ukuthi ulandela imiyalo ngokucophelela.

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

• isicanucanu
• ukuhlanza
• isifo sohudo
• ukulahlekelwa isifiso sokudla
• ukuncipha komzimba
• shintsha emandleni okunambitha ukudla
• izilonda emlonyeni nasemphinjeni
• ukulahlekelwa ukuzwa
• imisipha, noma ubuhlungu bamalunga
• ukulahleka kwezinwele
• ukungabi namandla, ukungazizwa kahle, ukukhathala

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SEXWAYISO, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

• ukuphefumula kanzima noma ukuphefumula kanzima, ukukhwehlela
• ukuqunjelwa, ubuhlungu besisu, isicanucanu, ukuhlanza
• ukopha okungajwayelekile noma ukulinyazwa
• isifuba, ukulunywa, ukuqubuka, ukuphefumula kanzima noma ukugwinya
• ukuvuvukala kobuso, umphimbo, ulimi, izindebe namehlo
• isikhumba esishayayo noma esikhanyayo
• ukuphuzi kwesikhumba noma kwamehlo, umchamo onombala omnyama, isitulo esinombala okhanyayo
• ukuba ndikindiki, ukuzwa ukuzwa esikhunjeni, isikhumba esibucayi, ukuncipha kokuthinta, noma ubuthakathaka bemisipha
• umkhuhlane, amakhaza, umphimbo obuhlungu noma ezinye izimpawu zokutheleleka
• ubuhlungu besifuba, ukuphefumula okuncane, ukukhwehlela igazi
• okubomvu, ukuvuvukala, ithenda, noma ingalo efudumele noma umlenze

Khuluma nodokotela wakho ngezingozi zokuthola umjovo we-vinorelbine.

IVinorelbine 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:

• izilonda emlonyeni nasemphinjeni
• ubuhlungu besisu
• ukuqunjelwa
• umkhuhlane, umphimbo obuhlungu, amakhaza, noma ezinye izimpawu zokutheleleka
• ukulahleka kwekhono lokuhambisa imisipha nokuzwa ingxenye yomzimba

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.

• Inkaba^®¶

• I-Didehydrodeoxynorvincaleukoblastine

^¶ Lo mkhiqizo onophawu alusekho emakethe. Ezinye izindlela ezijwayelekile zingatholakala.