Inaliti ye-Etoposide

-Delile

• Ngaphambi kokuthola umjovo we-etoposide,
• Umjovo we-Etoposide ungadala 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:

Umjovo we-Etoposide kufanele unikezwe kuphela ngaphansi kweso lodokotela onolwazi ekusetshenzisweni kwemithi yokwelapha ngamakhemikhali.

I-Etoposide ingadala ukwehla okukhulu kwenani lamaseli egazi emnkantsheni wakho wethambo. Udokotela wakho uzo-oda izivivinyo zaselebhu njalo ngaphambi nangesikhathi sokwelashwa kwakho. 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; ezinegazi noma ezimnyama, izitulo zokulinda; ukuhlanza kwegazi; noma ukugabha igazi noma okokusundu okufana nezindawo zekhofi.

Umjovo we-Etoposide usetshenziswa ngokuhlangana neminye imithi yokwelapha umdlavuza wamasende ongakathuthuki noma osuke waba muncu ngemuva kokwelashwa ngeminye imishanguzo noma ngemisebe. Umjovo we-Etoposide uyasetshenziswa uhlanganiswe neminye imithi yokwelapha uhlobo oluthile lomdlavuza wamaphaphu (umdlavuza omncane wamaphaphu wamangqamuzana; i-SCLC). I-Etoposide isekilasini lemithi eyaziwa ngokuthi i-podophyllotoxin derivatives. Isebenza ngokunciphisa noma ukumisa ukukhula kwamangqamuzana omdlavuza emzimbeni wakho.

Umjovo we-Etoposide uza njengokuza kwesisombululo (uketshezi) noma njengempuphu ezohlanganiswa noketshezi oluzofakwa kancane ngomjovo (emthanjeni) ngudokotela noma umhlengikazi esikhungweni sezokwelapha. Ubude bokwelashwa buxhomeke ezinhlotsheni zemithi oyiphuzayo, ukuthi umzimba wakho uphendula kahle kangakanani kuyo, nohlobo lomdlavuza onawo.

Umjovo we-Etoposide kwesinye isikhathi usetshenziselwa ukwelapha iHodgkin's lymphoma (isifo sikaHodgkin), i-non-Hodgkin's lymphoma (izinhlobo zomdlavuza eziqala ngohlobo lwamaseli amhlophe egazi alwa nokutheleleka), nezinhlobo ezithile ze-leukemia (umdlavuza wamaseli amhlophe egazi ), kufaka phakathi i-acute myeloid leukemia (AML, ANLL) kanye ne-acute lymphoblastic leukemia (ALL) ezinganeni. Kwesinye isikhathi kuyasetshenziswa ukwelapha isimila sikaWilms (uhlobo lomdlavuza wezinso olwenzeka ezinganeni), i-neuroblastoma (umdlavuza oqala kumaseli ezinzwa futhi uvele ikakhulukazi ezinganeni), umdlavuza wesibeletho (umdlavuza oqala ezithweni zokuzala zabesifazane lapho amaqanda zenziwa), olunye uhlobo lomdlavuza wamaphaphu (non-small cancer lung cancer; NSCLC), kanye neKaposi's sarcoma ehlobene ne-immunodeficiency syndrome (i-AIDS). Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi ngesimo sakho.

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

Ngaphambi kokuthola umjovo we-etoposide,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-etoposide, etoposide phosphate (Etopophos), noma imuphi omunye umuthi, noma iziphi izithako zomjovo we-etoposide noma i-etoposide phosphate. 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 yikuphi okulandelayo: i-cisplatin (Platinol), i-cyclosporine (Gengraf, Neoral, Sandimmune). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imishanguzo eminingi ingaxhumana ne-etoposide, 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 wake waba naso.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Akufanele ukhulelwe noma uncelise ibele ngenkathi uthola umjovo we-etoposide. Uma ukhulelwa ngenkathi uthola umjovo we-etoposide, shayela udokotela wakho. I-Etoposide ingalimaza umbungu.

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

Umjovo we-Etoposide ungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ukuvuvukala, ubuhlungu, ubomvu, noma ukushisa endaweni yomjovo
• isicanucanu
• ukuhlanza
• izilonda emlonyeni nasemphinjeni
• ubuhlungu besisu
• isifo sohudo
• ukuqunjelwa
• ukulahlekelwa isifiso sokudla noma isisindo
• ukukhathala okungajwayelekile noma ubuthakathaka
• isikhumba esiphaphathekile
• ukuquleka
• isiyezi
• ukulahleka kwezinwele
• ubuhlungu, ukushisa, noma ukuncinza ezandleni noma ezinyaweni
• ubuhlungu beso

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

• ukuqubuka
• isifuba
• ukulunywa
• ukuphefumula kanzima noma ukugwinya
• ukushaya kwenhliziyo okusheshayo, okungajwayelekile, noma okushaya ngamandla
• isithuthwane
• ukuphuzi kwesikhumba noma kwamehlo

I-Etoposide ingakhuphula ubungozi bokuthi uzoba neminye imidlavuza. Khuluma nodokotela wakho ngezingozi zokuthatha lo muthi.

I-Etoposide 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.

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

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.

• Ama-Etopophos^®
• I-Toposar^®¶
• Vepesid^®¶

• I-VP-16

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