I-Chlorambucil, Ithebhulethi Yomlomo

-Delile

• Amaphuzu avelele we-chlorambucil
• Izexwayiso ezibalulekile
• Isexwayiso se-FDA: Isexwayiso semithi yokwelashwa ngamakhemikhali
  
• Ezinye izexwayiso
• Yini i-chlorambucil?
• Kungani kusetshenziswa
• Isebenza kanjani
• Imiphumela emibi yeChlambambil
• Imiphumela emibi ejwayelekile
• Imiphumela emibi kakhulu
• I-Chlorambucil ingaxhumana neminye imithi
• Chlorambucil izexwayiso
• Isexwayiso somzimba
• Xhumana nesixwayiso sezidakamizwa
• Izexwayiso zabantu abanezimo ezithile zempilo
• Izexwayiso kwamanye amaqembu
• Ungayithatha kanjani i-chlorambucil
• Ifomu lezidakamizwa namandla
• Isilinganiso se-leukemia engapheli ye-lymphocytic
• Isilinganiso se-lymphoma ebulalayo (i-lymphosarcoma, i-giant follicular lymphoma, nesifo sika-Hodgkin's)
• Isikali izixwayiso
• Amaseli egazi amhlophe aphansi
  
• Thatha njengoba kuqondisiwe
• Ukucatshangelwa okubalulekile kokuthatha i-chlorambucil
• Jikelele
• Isitoreji
• Ukugcwalisa kabusha
• Ukuvakasha
• Ukuqapha komtholampilo
• Ukutholakala
• Ingabe zikhona ezinye izindlela?

Amaphuzu avelele we-chlorambucil

1. Ithebhulethi yomlomo yeChlorambucil iyatholakala njengesidakamizwa esinegama lomkhiqizo. Ayitholakali njengomuthi ojwayelekile. Igama lomkhiqizo: Leukeran.
2. I-Chlorambucil iza kuphela njengethebhulethi oyiphuzayo.
3. I-Chlorambucil isetshenziselwa ukwelapha izinhlobo ezithile zomdlavuza wegazi kanye nama-lymph node. Lesi sidakamizwa asiwulaphi umdlavuza, kepha siyasiza ukukhulula izimpawu zaso.

Izexwayiso ezibalulekile

Isexwayiso se-FDA: Isexwayiso semithi yokwelashwa ngamakhemikhali

• Lesi sidakamizwa sinesixwayiso sebhokisi elimnyama. Lesi yisexwayiso esibi kakhulu esivela ku-Food and Drug Administration (FDA). Isexwayiso sebhokisi elimnyama sazisa odokotela neziguli ngemiphumela yezidakamizwa engaba yingozi.
• I-Chlorambucil umuthi wokwelapha ngamakhemikhali. Njengeminye imishanguzo yomdlavuza, i-chlorambucil ingakhuphula ubungozi bakho beminye imidlavuza (imikhuhlane emibi yesibini).
• Kwabesifazane, i-chlorambucil nayo ingadala ukungabi nenzalo noma iholele ekukhubazekeni kokuzalwa enganeni uma uyithatha ngesikhathi sokukhulelwa. Emadodeni, lesi sidakamizwa singadala ukulimala kwesidoda sakho futhi sinciphise kakhulu ukubalwa kwesidoda sakho. Lokhu kungenzeka noma kungahlali unomphela.
• Lesi sidakamizwa singacindezela kakhulu ukusebenza komnkantsha wakho wethambo. Umnkantsha wakho wethambo wenza amangqamuzana akho abomvu egazi (aletha umoya-mpilo emzimbeni wakho wonke), amangqamuzana amhlophe egazi (asiza ukulwa nezifo), kanye nama-platelet (asiza igazi lakho ukuba limile). Uma ukubalwa kwamaseli egazi akho kuphansi, udokotela wakho anganciphisa isilinganiso sakho salesi sidakamizwa. Shayela udokotela wakho ngokushesha uma unezimpawu zokubalwa kwamaseli egazi aphansi. Lokhu kufaka ukopha okungalindelekile noma ukulinyazwa, igazi emchameni wakho noma ezihlalweni, ukukhathala okukhulu, umkhuhlane, noma yiziphi izimpawu zokutheleleka.

Ezinye izexwayiso

• Isixwayiso sokuphendula kwesikhumba okunzima: Lesi sidakamizwa singadala ukusabela okukhulu kwesikhumba. Lokhu kungabulala (kubangele ukufa). Vumela udokotela wakho azi ukuthi unazo yini izimpawu zokuphendula kwesikhumba. Izimpawu zifaka phakathi ukuqubuka okukhulu, izilonda ezibuhlungu, isikhumba esishayayo, noma isikhumba esikhanyayo. Uma uhlakulela noma yikuphi kwalokhu kuphendula, udokotela wakho angamisa okwesikhashana noma unomphela ukwelashwa kwakho ngalo muthi.

Yini i-chlorambucil?

I-Chlorambucil ngumuthi kadokotela. Kuza kuphela njengethebhulethi yomlomo.

I-Chlorambucil ayitholakali njengomuthi ojwayelekile. Kuza kuphela njengesidakamizwa esinegama lomkhiqizo I-Leukeran.

Lesi sidakamizwa singasetshenziswa njengengxenye yokwelashwa okuhlanganayo. Lokhu kusho ukuthi ungadinga ukuyithatha neminye imithi.

Kungani kusetshenziswa

I-Chlorambucil isetshenziselwa ukwelapha izinhlobo ezithile zomdlavuza wegazi kanye nama-lymph node. Lezi zinhlobo zifaka:

• i-leukemia engapheli ye-lymphocytic
• I-lymphosarcoma
• i-lymphoma enkulu kakhulu
• Isifo sikaHodgkin

I-Chlorambucil ayilapheki umdlavuza, kepha iyasiza ukukhulula izimpawu zayo.

Isebenza kanjani

I-chlorambucil ingeyesigaba semithi ebizwa nge-antineoplastic (imishanguzo elwa nomdlavuza), noma ikakhulukazi, ama-alkylating agents. Isigaba semithi siyiqembu lemithi esebenza ngendlela efanayo. Le mithi ivame ukusetshenziselwa ukwelapha izimo ezifanayo.

I-Chlorambucil isebenza ngokuphazamisa ukuphindaphindeka kwe-DNA kumaseli emzimbeni. Amaseli angaba nomdlavuza lapho ukukhiqizwa kwawo kwe-DNA kungalawuleki. Lapho le nqubo iphazamiseka, ibulala amangqamuzana omdlavuza.

Imiphumela emibi yeChlambambil

I-Chlorambucil ayibangeli ukozela, kepha ingadala eminye imiphumela emibi.

Imiphumela emibi ejwayelekile

Imiphumela emibi ejwayelekile engenzeka nge-chlorambucil ifaka:

• Ukucindezelwa komnkantsha wethambo. Lokhu kusho ukuthi uzoba namaseli egazi abomvu namhlophe ambalwa namaplatelets. Izimpawu zingafaka:
• ukopha noma ukulimaza okungalindelekile
• igazi emchameni wakho noma ezihlalweni
• ukukhathala ngokweqile
• imfiva
• noma yiziphi izimpawu zokutheleleka
• Ukucasuka komlomo noma izilonda
• Isicanucanu
• Ukuhlanza
• Uhudo

Uma le miphumela imnene, ingahle ihambe zingakapheli izinsuku ezimbalwa noma amasonto ambalwa. Uma zinzima kakhulu noma zingahambi, khuluma nodokotela wakho noma usokhemisi.

Imiphumela emibi kakhulu

Shayela udokotela wakho ngokushesha uma unemiphumela emibi kakhulu. Shayela u-911 uma izimpawu zakho zizizwa zisongela impilo noma uma ucabanga ukuthi unezimo eziphuthumayo zezokwelapha. Imiphumela emibi kanye nezimpawu zayo zingafaka okulandelayo:

• Imfiva
• Ukuquleka. Izimpawu zingafaka:
• ukudlikizela
• ukuwa phansi noma ukulahleka okungazelelwe kwetoni yemisipha
• ukulahlekelwa okungazelelwe komchamo noma ukulawulwa kwamathumbu
• ukudlula emhlabeni bese evuka ezizwa edidekile
• Ukulimala kwesibindi. Izimpawu zingafaka:
• ukuphuzi kwesikhumba sakho noma okumhlophe kwamehlo akho
• ubuhlungu engxenyeni engenhla yangakwesokudla yesisu sakho
• isicanucanu noma ukuhlanza
• umchamo onombala omnyama
• ukukhathala
• Ukubalwa kweplatelet ephansi. Izimpawu zingafaka:
• ukopha okungayeki
• ukulimaza kalula kunokujwayelekile
• Inani eliphansi lamaseli egazi amhlophe. Lokhu kungaholela engcupheni yokwanda kwezifo. Izimpawu zingafaka:
• imfiva
• izimpawu ezibandayo, ezifana nekhala eligobayo noma umphimbo obuhlungu ongapheli
• izimpawu zomkhuhlane, njengokukhwehlela, ukukhathala, nobuhlungu bomzimba
• indlebe noma ikhanda
• ubuhlungu ngesikhathi uchama
• amabala amhlophe emlonyeni noma emphinjeni
• I-anemia (ukubalwa kwamaseli abomvu abomvu). Izimpawu zingafaka:
• isikhumba esiphaphathekile
• ukukhathala ngokweqile
• ubumhlophe
• ukushaya kwenhliziyo okusheshayo
• Ukuvuvukala kolwelwesi lwamafinyila (njengolwelwesi lwekhala lakho noma lomlomo). Izimpawu zingafaka:
• ukuvuvukala
• ububomvu
• izilonda ezibuhlungu noma izilonda emlonyeni wakho
• Izinkinga zesisu. Izimpawu zingafaka:
• isicanucanu esinzima nokuhlanza
• Ukuqhuma okukhulu kwesikhumba. Lokhu kungafaka i-epidermal necrolysis enobuthi noma i-Stevens-Johnson syndrome. Izimpawu zingafaka:
• ububomvu nokusabalala kwesikhumba sakho
• ukuxebuka kwesikhumba
• amabhamuza
• izilonda ezibuhlungu
• imfiva
• I-peripheral neuropathy (ubuhlungu bezinzwa). Izimpawu zingafaka okulandelayo emilenzeni noma ezandleni zakho:
• ukuba ndikindiki
• ukuncinza
• imizwa evuthayo
• ukuzwela ngokweqile ukuthinta
• ubuhlungu
• ubuthakathaka ezinyaweni zakho, emilenzeni, noma ezandleni
• Ukulimala kwamaphaphu. Izimpawu zingafaka:
• ukukhwehlela
• ukuphelelwa umoya
• Ukungabi nenzalo
• Eminye imidlavuza

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zisebenzisana ngokwehlukile kumuntu ngamunye, asikwazi ukuqinisekisa ukuthi lolu lwazi lubandakanya konke ukuxhumana okungenzeka. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala ukhuluma nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nokuhlangana okungenzeka ngayo yonke imishanguzo kadokotela, amavithamini, amakhambi nezithako, kanye nemithi oyithenga uphuza yona.

I-Chlorambucil ingaxhumana neminye imithi

Ukusebenzisana kulapho into iguqula indlela umuthi osebenza ngayo. Lokhu kungaba yingozi noma kuvimbele umuthi ukuthi usebenze kahle. Ukusiza ukuvimbela ukuxhumana, udokotela wakho kufanele aphathe yonke imithi yakho ngokucophelela. Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi, amavithamini, noma amakhambi owathathayo.

Ukuze uthole ukuthi i-chlorambucil tablet tablet ingaxhumana kanjani nenye into oyithathayo, khuluma nodokotela wakho noma usokhemisi.

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zisebenzisana ngokwehlukile kumuntu ngamunye, asikwazi ukuqinisekisa ukuthi lolu lwazi lubandakanya konke ukuxhumana okungenzeka. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala ukhuluma nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nokuhlangana okungenzeka ngayo yonke imishanguzo kadokotela, amavithamini, amakhambi nezithako, kanye nemithi oyithenga uphuza yona.

Chlorambucil izexwayiso

Lesi sidakamizwa siza nezixwayiso eziningana.

Isexwayiso somzimba

I-Chlorambucil ingadala ukusabela okweqile komzimba. Izimpawu zingafaka:

• ububomvu nokusabalala kwesikhumba sakho
• ukuxebuka kwesikhumba
• amabhamuza
• izilonda ezibuhlungu
• ukulunywa
• isifuba noma isikhumba semilenze
• imfiva
• ukuvuvukala kolimi noma umphimbo
• inkinga yokuphefumula

Uma uthuthukisa lezi zimpawu, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze.

Ungaphinde uwuthathe lo muthi uma ngabe uke waba nokungezwani komzimba nawo. Ukuyithatha futhi kungaba yingozi (kungadala ukufa).

Xhumana nesixwayiso sezidakamizwa

I-Chlorambucil ingalimaza abanye uma beyithinta. Buza udokotela wakho noma usokhemisi ukuthi ungaphatha kanjani lesi sidakamizwa ngokuphepha.

Izexwayiso zabantu abanezimo ezithile zempilo

Kubantu abanezinkinga zesibindi: Uma unezinkinga zesibindi noma umlando wesifo sesibindi, ungahle ungakwazi ukusula lesi sidakamizwa emzimbeni wakho kahle. Lokhu kungakhuphula amazinga e-chlorambucil emzimbeni wakho futhi kudale imiphumela emibi eminingi. Udokotela wakho angakuqala ngomthamo ophansi futhi akubuke eduze kakhulu ngemiphumela emibi. Lesi sidakamizwa singadala ukulimala kwesibindi. Lokhu kusho ukuthi kungenza isifo sakho sesibindi sibe sibi kakhulu.

Izexwayiso kwamanye amaqembu

Kwabesifazane abakhulelwe: I-Chlorambucil yisigaba D somuthi wokukhulelwa. Lokho kusho izinto ezimbili:

1. Ukucwaninga kubantu kukhombise imiphumela emibi embungwini lapho umama ethatha umuthi.
2. Lesi sidakamizwa kufanele sisetshenziswe kuphela ngesikhathi sokukhulelwa ezimweni ezibucayi lapho kudingeka khona ukwelapha isimo esiyingozi kumama.

Khuluma nodokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Buza udokotela wakho ukuthi akutshele ngengozi ethile engenziwa ekukhulelweni kwakho. Lesi sidakamizwa kufanele sisetshenziswe kuphela uma ingozi engaba khona yamukeleka ngokunikezwa inzuzo engaba khona yomuthi.

Shayela udokotela wakho ngokushesha uma ukhulelwa ngenkathi uthatha lo muthi.

Uma ungowesilisa, lo muthi ungadala ukulimala kwesidoda sakho futhi wehlise kakhulu ukubalwa kwesidoda sakho. Lo mphumela ungahlala unomphela noma ungahlali unomphela.

Kwabesifazane abancelisayo: Akwaziwa ukuthi i-chlorambucil idlulela ebisini lwebele. Uma kunjalo, kungadala imiphumela emibi enganeni enceliswa ibele. Khuluma nodokotela wakho uma uncelisa ingane yakho ibele. Ungadinga ukunquma ukuthi uyeka ukuncelisa noma uyeke ukuthatha le mithi.

Okwabadala: Isibindi sabantu asebekhulile kungenzeka singasebenzi ngendlela esasisebenza ngayo. Lokhu kungadala ukuthi umzimba wakho ukwazi ukucubungula izidakamizwa kancane. Ngenxa yalokhu, inani eliphakeme lomuthi lihlala emzimbeni wakho isikhathi eside. Lokhu kuphakamisa ubungozi bakho bemiphumela emibi.

Okwezingane: Lesi sidakamizwa asizange sifundwe ezinganeni. Akufanele isetshenziswe kubantu abangaphansi kweminyaka engu-18.

Ungayithatha kanjani i-chlorambucil

Yonke imithamo engenzeka kanye namafomu ezidakamizwa kungenzeka angafakwa lapha. Umthamo wakho, ifomu lesidakamizwa, nokuthi uwuthatha kangaki umuthi kuzoya ngokuthi:

• iminyaka yakho
• isimo esilashwa
• sinzima kangakanani isimo sakho
• ezinye izimo zezokwelapha onazo
• ukuthi usabela kanjani esilinganisweni sokuqala

Ifomu lezidakamizwa namandla

Umkhiqizo: I-Leukeran

• Ifomu: ithebhulethi yomlomo
• Amandla: 2 mg

Isilinganiso se-leukemia engapheli ye-lymphocytic

Isilinganiso sabantu abadala (abaneminyaka engu-18 kuye kwengu-64)

• Isilinganiso esivamile: Uzophuza lo muthi kanye ngosuku amasonto ama-3-6. Udokotela wakho uzonquma isilinganiso sakho ngqo ngokuya ngesisindo somzimba wakho nesimo sakho. Kubantu abaningi, umthamo uzoba phakathi kuka-4-10 mg ngosuku.
• Ukulungiswa kwesilinganiso: Udokotela wakho uzokuqapha ngesikhathi sokwelashwa futhi alungise isilinganiso sakho njengoba kudingeka.
• Amanye amashejuli okwelashwa: Udokotela wakho angakunika umuthi ohlukile noma uhlelo. Qinisekisa ukuthatha umthamo wakho njengoba nje uqondiswe udokotela wakho.

Isilinganiso sengane (iminyaka engu-0 kuye kwengu-17)

Akuqinisekisiwe ukuthi lo muthi uphephile futhi uyasebenza ukuze usetshenziswe kubantu abangaphansi kweminyaka engu-18.

Umthamo omkhulu (oneminyaka engama-65 nangaphezulu)

Isibindi sabantu asebekhulile kungenzeka singasebenzi ngendlela esasisebenza ngayo. Lokhu kungadala ukuthi umzimba wakho ukwazi ukucubungula izidakamizwa kancane. Ngenxa yalokhu, inani eliphakeme lomuthi lihlala emzimbeni wakho isikhathi eside. Lokhu kuphakamisa ubungozi bakho bemiphumela emibi.

Udokotela wakho angakuqala ekugcineni okuphansi kwebanga lokulinganisa. Bazocubungula ezinye izimo onazo lapho benquma isilinganiso sakho.

Isilinganiso se-lymphoma ebulalayo (i-lymphosarcoma, i-giant follicular lymphoma, nesifo sika-Hodgkin's)

Isilinganiso sabantu abadala (abaneminyaka engu-18 kuye kwengu-64)

• Isilinganiso esivamile: Uzophuza lo muthi kanye ngosuku amasonto ama-3-6. Udokotela wakho uzonquma isilinganiso sakho ngqo ngokuya ngesisindo somzimba wakho nesimo sakho. Kubantu abaningi, umthamo uzoba phakathi kuka-4-10 mg ngosuku.
• Ukulungiswa kwesilinganiso: Udokotela wakho uzokuqapha ngesikhathi sokwelashwa futhi alungise isilinganiso sakho njengoba kudingeka.
• Amanye amashejuli okwelashwa: Udokotela wakho angakunika umuthi ohlukile noma uhlelo. Qinisekisa ukuthatha umthamo wakho njengoba nje uqondiswe udokotela wakho.

Isilinganiso sengane (iminyaka engu-0 kuye kwengu-17)

Akuqinisekisiwe ukuthi lo muthi uphephile futhi uyasebenza ukuze usetshenziswe kubantu abangaphansi kweminyaka engu-18.

Umthamo omkhulu (oneminyaka engama-65 nangaphezulu)

Isibindi sabantu asebekhulile kungenzeka singasebenzi ngendlela esasisebenza ngayo. Lokhu kungadala ukuthi umzimba wakho ukwazi ukucubungula izidakamizwa kancane. Ngenxa yalokhu, inani eliphakeme lomuthi lihlala emzimbeni wakho isikhathi eside. Lokhu kuphakamisa ubungozi bakho bemiphumela emibi.

Udokotela wakho angakuqala ekugcineni okuphansi kwebanga lokulinganisa. Bazocubungula ezinye izimo onazo lapho benquma isilinganiso sakho.

Isikali izixwayiso

Udokotela wakho uzohlola amazinga wamangqamuzana akho amhlophe nabomvu namaplatelets ngesikhathi sokwelashwa kwakho. Uma amazinga akho ephansi kakhulu, udokotela wakho uzokwehlisa umthamo wakho.

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zithinta umuntu ngamunye ngokuhlukile, asikwazi ukuqinisekisa ukuthi lolu hlu lubandakanya yonke imithamo engenzeka. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala ukhuluma nodokotela wakho noma usokhemisi ngemithamo ekufanele.

Amaseli egazi amhlophe aphansi

1. Ama-lymphocyte nama-neutrophils amangqamuzana amhlophe egazi, okusiza ukukuvikela ezifweni. Kubantu abaningi, i-chlorambucil tablet tablet ibangela i-lymphopenia eqhubekayo (amazinga aphansi ama-lymphocyte). Lokhu kuyaphela ngemuva nje kokumisa umuthi. Ngaphezu kwalokho, iningi labantu lizoba ne-neutropenia (amazinga aphansi ama-neutrophils) ngemuva kwesonto lesithathu lokwelashwa ngalo muthi. Lokhu kungahlala izinsuku ezingafika kwezingu-10 ngemuva komthamo wakho wokugcina. Zombili lezi zinkinga zandisa ubungozi bokuthola ukutheleleka. Tshela udokotela wakho uma unezimpawu zokutheleleka, njengomkhuhlane, ukukhwehlela, noma ubuhlungu bemisipha.

Thatha njengoba kuqondisiwe

Ithebhulethi yomlomo yeChlorambucil isetshenziselwa ukwelashwa kwesikhashana. Kuza nezingozi ezinkulu uma ungayithathi njengokuyalelwe.

Uma uyeka ukuthatha umuthi ngokungazelelwe noma ungawuthathi nhlobo: Lesi sidakamizwa ngeke sisebenze ukukhulula izimpawu zakho zomdlavuza.

Uma uphuthelwa imithamo noma ungaphuzi umuthi ngesikhathi: Imithi yakho kungenzeka ingasebenzi kahle. Ukuze lo muthi usebenze kahle, inani elithile lidinga ukuba semzimbeni wakho ngaso sonke isikhathi.

Uma uthatha kakhulu: Ungaba namazinga ayingozi alo muthi emzimbeni wakho. Izimpawu zokweqisa izidakamizwa zalesi sidakamizwa zingafaka:

• ukwehla okukhulu ekubaleni kweseli lakho legazi. Lokhu kungaholela ekungeneni kwegazi, ukutheleleka nokopha.
• ukuyaluza
• izinkinga ngokuxhumanisa noma ukulawula imisipha
• isithuthwane

Uma ucabanga ukuthi uthathe kakhulu lo muthi, shayela udokotela wakho noma isikhungo sendawo sokulawula ubuthi. Uma izimpawu zakho zinzima, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze ngokushesha.

Okufanele ukwenze uma uphuthelwa umthamo: Thatha umthamo wakho ngokushesha nje lapho ukhumbula. Kepha uma ukhumbula amahora ambalwa ngaphambi komthamo wakho olandelayo ohleliwe, thatha umthamo owodwa kuphela. Ungalokothi uzame ukuthola ngokuthatha amanani amabili ngasikhathi sinye. Lokhu kungaholela emiphumeleni emibi eyingozi.

Ungasho kanjani ukuthi umuthi uyasebenza: Izimpawu zakho zomdlavuza kufanele zithuthuke. Udokotela wakho uzokwenza izivivinyo ukubheka ukuthi lo muthi uyasebenza yini. Bazobheka isibalo samangqamuzana akho amhlophe egazi emavikini amathathu okuqala yokwelashwa.

Ukucatshangelwa okubalulekile kokuthatha i-chlorambucil

Gcina lokhu kubheka engqondweni uma udokotela wakho ekunika i-chlorambucil.

Jikelele

• Ungathathi lo muthi ngokudla. Kufanele uyithathe ngesisu esingenalutho.
• Thatha lo muthi ngesikhathi (izi) esinconywe ngudokotela wakho.
• Ungasika noma uqede ithebhulethi. Kodwa-ke, lo muthi ungalimaza abanye uma bewuthinta. Buza udokotela wakho noma usokhemisi ukuthi uwuphatha kanjani lo muthi ngokuphepha.

Isitoreji

• Gcina i-chlorambucil esiqandisini. Yigcine ezingeni lokushisa eliphakathi kuka-36 ° F no-46 ° F (2 ° C no-8 ° C).
• Ungawugcini lo muthi ezindaweni ezinomswakama noma ezinomswakama, njengezindlu zangasese.

Ukugcwalisa kabusha

Imibhalo kadokotela yalomuthi iyagcwaliseka. Akudingeki ukuthi unikezwe umuthi omusha kadokotela ukuze ugcwaliswe futhi lo muthi. Udokotela wakho uzobhala inani lama-refill eligunyazwe kudokotela wakho.

Ukuvakasha

Lapho uhamba nemithi yakho:

• Ngaso sonke isikhathi phatha imithi yakho. Lapho undiza, ungalokothi uwufake esikhwameni esihloliwe. Yigcine esikhwameni sakho sokuthwala.
• Ungakhathazeki ngemishini ye-X-ray yesikhumulo sezindiza. Abakwazi ukulimaza umuthi wakho.
• Ungadinga ukukhombisa abasebenzi bezindiza ilebula lekhemisi lemithi yakho. Ngaso sonke isikhathi phatha isitsha sokuqala esinelebula kadokotela.
• Lo muthi udinga ukufakwa esiqandisini. Lapho usohambweni, kungadingeka ukuthi usebenzise isikhwama esifakwe insila esinepakethe elibandayo ukugcina izinga lokushisa lomuthi.
• Ungafaki lo muthi egumbini legilavu ​​lemoto yakho noma uwushiye emotweni. Qinisekisa ukugwema ukwenza lokhu lapho isimo sezulu sishisa kakhulu noma sibanda kakhulu.

Ukuqapha komtholampilo

Wena nodokotela wakho kufanele niqaphele izinkinga ezithile zezempilo. Lokhu kungasiza ukuthi uqiniseke ukuthi uhlala uphephile ngenkathi usebenzisa lo muthi. Lezi zinkinga zifaka:

• Ukubalwa kwamangqamuzana egazi. Isonto ngalinye, udokotela wakho uzoqapha inani lamaseli amhlophe egazi emzimbeni wakho. Lokhu kuzosiza ukuqinisekisa ukuthi amazinga akho awehli kakhulu. Ngesikhathi sokuqala kokwelashwa kwakho, udokotela wakho angaphinda ahlole ukubalwa kwamaseli wakho amhlophe egazi izinsuku ezi-3 noma ezi-4 ngemuva kokubalwa kwesonto ngalinye kwawo wonke amaseli akho egazi.
• Umsebenzi wesibindi. Udokotela wakho angenza ukuhlolwa kwegazi ukuze abheke ukuthi isibindi sakho sisebenza kahle kangakanani. Uma isibindi sakho singasebenzi kahle, udokotela wakho anganciphisa umthamo wakho noma ayeke ukwelashwa ngalo muthi.

Ukutholakala

Akuwona wonke amakhemisi agcina lo muthi. Lapho ugcwalisa incwadi kadokotela, qiniseka ukuthi ushayela phambili ukuze uqiniseke ukuthi ikhemisi lakho liyawuphatha.

Ingabe zikhona ezinye izindlela?

Kuneminye imithi etholakalayo yokwelapha isimo sakho. Ezinye zingakulungela kangcono kunabanye. Khuluma nodokotela wakho ngezinye izinketho zezidakamizwa ezingakusebenzela.

Ukuzikhulula: I-Healthline yenze yonke imizamo yokuqinisekisa ukuthi lonke ulwazi luyiqiniso, luphelele futhi lusesikhathini. Kodwa-ke, le ndatshana akufanele isetshenziswe njengokungena esikhundleni solwazi nobungoti bochwepheshe bezokunakekelwa kwezempilo onelayisense. Kufanele uhlale uthintana nodokotela wakho noma omunye uchwepheshe wezokunakekelwa kwempilo ngaphambi kokuthatha noma imuphi umuthi. Imininingwane yezidakamizwa equkethwe lapha ingashintsha futhi ayihloselwe ukumboza konke ukusetshenziswa okungaba khona, izinkomba, izixwayiso, izexwayiso, ukuxhumana kwezidakamizwa, ukungezwani komzimba, noma imiphumela emibi. Ukungabikho kwezixwayiso noma olunye ulwazi lomuthi othile awukhombisi ukuthi inhlanganisela yezidakamizwa noma yezidakamizwa iphephile, iyasebenza, noma ilungele zonke iziguli noma konke ukusetshenziswa okuthile.