Ukufakwa kweGoserelin

Umxholo

• Ngaphambi kokufumana ukufakelwa kwegoserelin,
• Ukufakwa kweGoserelin kunokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana nayiphi na le mpawu, biza ugqirha wakho ngokukhawuleza:

Ukufakwa kwe-Goserelin kusetyenziswa ngokudibanisa nonyango lwe-radiation kunye namanye amayeza ukunyanga umhlaza webala lendlala kwaye isetyenziswa yodwa ukunyanga iimpawu ezinxulunyaniswa nomhlaza weprostate. Isetyenziselwa ukunyanga umhlaza webele osele uhambele phambili kwabasetyhini abathile. Ikwasetyenziswa ekulawuleni i-endometriosis (imeko apho uhlobo lwethishu ebeka imibele esibelekweni [isibeleko] ikhula kwezinye iindawo zomzimba kwaye ibangele iintlungu, ukuba sexesheni okunzima okanye okungaqhelekanga [amaxesha], kunye nezinye iimpawu) kunye nokunceda unyango lokopha ngokungaqhelekanga kwesibeleko. Ukufakwa kweGoserelin kudidi lwamayeza abizwa ngokuba yi-gonadotropin-releasing hormone (GnRH) agonists. Isebenza ngokunciphisa inani lamahomoni athile emzimbeni.

IGoserelin iza njengesixhobo sokufakelwa isirinji ngaphantsi (kwesikhumba) kwindawo yakho yesisu ngugqirha okanye ngumongikazi kwiofisi yezonyango okanye eklinikhi. Ukufakwa kwe-3.6 mg ye-goserelin kuhlala kufakwa rhoqo kwiiveki ezi-4. Ukufakwa kwe-10.8 mg ye-goserelin kuhlala kufakwa rhoqo kwiiveki ezili-12. Ubude bonyango lwakho buxhomekeke kwimeko yokuphathwa kunye nempendulo yakho kunyango. Ugqirha wakho uya kugqiba ukuba usebenzise i-goserelin ixesha elingakanani.

IGoserelin inokubangela ukwanda kwamahomoni athile kwiiveki ezimbalwa zokuqala emva kokufakwa kokufakelwa. Ugqirha wakho uya kukujonga ngononophelo kuyo nayiphi na impawu ezintsha okanye eziya zisiba mbi ngeli xesha.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokufumana ukufakelwa kwegoserelin,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-goserelin, i-histrelin (i-Supprelin LA, i-Vantas), i-leuprolide (i-Eligard, i-Lupron), i-nafarelin (i-Synarel), i-triptorelin (i-Trelstar), nawaphi na amanye amayeza, okanye naziphi na izithako ezifakwe kwi-goserelin. Buza usokhemesti wakho uluhlu lwezithako.
• xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo kunye nalawo angabhalwanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: amayeza okuxhuzula okanye ii-steroids zomlomo ezinje nge-dexamethasone (i-Decadron, i-Dexpak), i-methylprednisolone (Medrol), kunye ne-prednisone (Sterapred). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba ngaba unembali yokusela utywala okanye ukusebenzisa iimveliso zecuba ixesha elide, okanye ukuba wena okanye nabani na kusapho lwakho une-osteoporosis (imeko apho amathambo esiba buthathaka kwaye abuthathaka kwaye aphule lula ), okanye ukuba unayo okanye wakha wanomqolo ocinezelweyo, isifo seswekile, ukopha okungaqhelekanga kwilungu lobufazi, ukuthintela umchamo emadodeni (ukuvaleka okubangela ubunzima bokuchama), okanye isifo sentliziyo okanye sesibindi.
• xelela ugqirha wakho ukuba ukhulelwe okanye ucwangcise ukukhulelwa. Ukufakwa kwe-Goserelin akufuneki kusetyenziswe kwabasetyhini abakhulelweyo, ngaphandle konyango lomhlaza webele ophambili. Biza ugqirha wakho ngoko nangoko ukuba ucinga ukuba ukhulelwe ngexesha lonyango lwakho. Akufuneki ucwangcise ukukhulelwa ngelixa usebenzisa ukufakelwa kwegoserelin okanye iiveki ezili-12 emva konyango lwakho. Ugqirha wakho angenza uvavanyo lokukhulelwa okanye akuxelele ukuba uqale unyango lwakho ngexesha lokuya exesheni ukuze uqiniseke ukuba awukhulelwe xa uqala ukusebenzisa ukufakelwa kwegoserelin. Kuya kufuneka usebenzise indlela ethembekileyo yolawulo lokuzalwa ukukhusela ukukhulelwa ngelixa usebenzisa i-goserelin implant kunye neeveki ezili-12 emva konyango lwakho. Thetha nogqirha wakho malunga neentlobo zolawulo lokuzalwa ezilungele wena, kwaye uqhubeke nokusebenzisa ulawulo lokuzalwa nangona ungafaneleki ukuba sexesheni rhoqo ngexesha lonyango. Xelela ugqirha wakho ukuba uyancancisa Akufanele uncancise ibele ngexesha lonyango lwakho ngokufakwa kwegoserelin.

Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.

Ukuba uphoswa idinga lokufumana ukufakelwa kwe-goserelin, kuya kufuneka ubize umnikezeli wakho wezempilo kwangoko ukuze umisele kwakhona idinga lakho. Idosi ephosiweyo kufuneka inikwe kwiintsuku nje ezimbalwa.

Ukufakwa kweGoserelin kunokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• intloko ebuhlungu
• ukutshisa okutshisayo (ukutshitshiswa ngokukhawuleza kobushushu obushushu okanye obukhulu bomzimba)
• ukubila
• ukubomvu ngokukhawuleza ngequbuliso kobuso, intamo, okanye isifuba esingaphezulu
• ukunqongophala kwamandla
• Ukuphelelwa ngumdla wokutya
• iintlungu zesifuba okanye utshintsho kubungakanani besifu kubafazi
• ukunciphisa umnqweno wesini okanye amandla
• Ukwabelana ngesondo okubuhlungu
• ukukhutshwa kwilungu lobufazi, ukoma, okanye ukurhawuzelela
• ukuba sexesheni (ukuya exesheni)
• ukudumba kwezandla, iinyawo, amaqatha okanye imilenze esezantsi
• ukudakumba
• uvalo
• ukungakwazi ukulawula iimvakalelo kunye notshintsho lweemvakalelo rhoqo
• ubunzima bokulala okanye ukulala
• iintlungu, ukurhawuzelela, ukudumba, okanye ubomvu kwindawo apho kufakwe khona ukufakelwa

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana nayiphi na le mpawu, biza ugqirha wakho ngokukhawuleza:

• urhwebo
• irhashalala
• ukurhawuzelela
• ubunzima bokuphefumla okanye ukugwinya
• iintlungu zesifuba
• iintlungu ezingalweni, emqolo, entanyeni, okanye emhlathini
• ubunzima obungaqhelekanga
• intetho ecothayo okanye enzima
• isiyezi okanye isiqaqa
• ubuthathaka okanye ukuba ndindisholo kwengalo okanye umlenze
• iintlungu zethambo
• Ayikwazi ukuhambisa imilenze
• ukuchama kabuhlungu okanye kunzima
• ukuchama rhoqo
• ukunxanwa okugqithisileyo
• ubuthathaka
• ukungaboni kakuhle
• umlomo owomileyo
• isicaphucaphu
• ukugabha
• umphefumlo onuka iziqhamo
• ukuncipha kwengqondo

Ukufakwa kwe-Goserelin kunokubangela ukwehla koxinano lwamathambo akho elinokonyusa amathuba okuphuka kwamathambo kunye nokwaphuka. Thetha nogqirha wakho malunga nemingcipheko yokusebenzisa eli yeza kunye nokufumanisa ukuba ungenza ntoni ukunciphisa le mngcipheko.

Ukufakwa kweGoserelin kunokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unayo nayiphi na ingxaki engaqhelekanga ngelixa usebenzisa eli yeza.

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Gcina lonke ixesha lokudibana nogqirha wakho.

Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokufakwa kwe-goserelin.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

• Zoladex^®

• Unyango olunqunqumayo I