Ukufakwa kweMbali

Umxholo

• Ngaphambi kokufumana ukufakelwa kwe-histrelin,
• Ukufakwa kwe-Histrelin 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-Histrelin (Vantas) kusetyenziselwa ukunyanga iimpawu ezinxulunyaniswa nomhlaza wedlala lobudoda. Ukufakwa kwe-Histrelin (i-Supprelin LA) isetyenziselwa ukunyanga ukufikisa (i-CPP; imeko ebangela ukuba abantwana bangene ebusheni kwakamsinya, okukhokelela ekukhuleni kwethambo eliqhelekileyo kunye nokukhula kweempawu zesondo) kumantombazana aqhelekileyo aphakathi kweminyaka emi-2 neli-8 ubudala kunye kubafana bahlala phakathi kweminyaka emi-2 ukuya kweli-9 ubudala. Ukufakwa kwe-Histrelin kukwiklasi yamayeza abizwa ngokuba yi-gonadotropin-releasing hormone (GnRH) agonists. Isebenza ngokunciphisa inani lamahomoni athile emzimbeni.

I-Histrelin iza njengokufakwa (ityhubhu encinci, ebhityileyo, eguqukayo enamayeza) efakwa ngugqirha ngaphakathi kwengalo ephezulu. Ugqirha uya kusebenzisa iyeza ukwenza ingalo ukuba ibe lukhuni, asike kancinci eluswini, emva koko afakele ukufakelwa (ngaphantsi nje kwesikhumba). Ukusikwa kuya kuvalwa ngemithungo okanye ngemitya yokuqhaqha kwaye igqunywe ngebhandeji. Ukufakwa kungafakwa rhoqo kwiinyanga ezili-12. Emva kweenyanga ezili-12, ukufakelwa kwangoku kufuneka kususwe kwaye kunokutshintshwa okunye ukufakelwa ukuqhubeka nonyango. Ukufakwa kwe-Histrelin (i-Supprelin LA) xa isetyenziswa ebantwaneni abanokufikisa ngaphambi kwexesha, iya kumiswa ngugqirha womntwana wakho ngaphambi kweminyaka eli-11 ubudala kumantombazana kunye neminyaka eli-12 kumakhwenkwe.

Gcina indawo ejikeleze ukufakelwa icocekile kwaye yomile kangangeeyure ezingama-24 emva kokufakwa. Musa ukuqubha okanye uhlambe ngeli xesha. Shiya i-bandage endaweni okungenani iiyure ezingama-24. Ukuba kusetyenziswa imitya yotyando, bayeke de bayokuwa ngokwabo. Kunqande ukuphakamisa okunzima kunye nokwenza imisebenzi yomzimba (kubandakanya ukudlala nzima okanye ukuzilolonga abantwana) ngengalo ephathwayo kangangeentsuku ezisi-7 emva kokufumana ukufakelwa. Kunqande ukungqubana kwendawo ejikeleze ukufakelwa iintsuku ezimbalwa emva kokufakwa.

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

Ngamanye amaxesha ukufakelwa kwe-histrelin kunzima ukuziva phantsi kolusu ukuze ugqirha kufuneke asebenzise iimvavanyo ezithile, ezinje nge-ultrasound okanye i-MRI scans (iindlela ze-radiology eziyilelwe ukubonisa imifanekiso yezakhiwo zomzimba) ukufumana ukufakelwa xa ilixesha lokususa. Ngamaxesha athile, ukufakelwa kwe-histrelin kunokuvela kwindawo yoqobo yokufaka yodwa. Unokwazi okanye ungayiqapheli le nto eyenzekayo. Biza ugqirha wakho ngoko nangoko ukuba ucinga ukuba oku kungenzeka kuwe.

Buza usokhemesti okanye ugqirha wakho ngekopi yolwazi lomenzi wesigulana.

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

Ngaphambi kokufumana ukufakelwa kwe-histrelin,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-histrelin, goserelin (Zoladex), leuprolide (Eligard, Lupaneta Pack, Lupron), nafarelin (Synarel), triptorelin (Trelstar, Triptodur Kit), iintlungu ezinje nge lidocaine (Xylocaine), nayiphi na enye amayeza, okanye nasiphi na isithako sokufakelwa kwe-histrelin. 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 zilandelayo: amiodarone (Nexterone, Pacerone), anagrelide (Agrylin), bupropion (Aplenzin, Forfivo, Wellbutrin, Zyban, Contrave), chloroquine, chlorpromazine, cilostazol, ciprofloxacin (Cipro), citalopram (Celexa) , Clarithromycin, disopyramide (Norpace), dofetilide (Tikosyn), donepezil (Aricept), dronedarone (Multaq), escitalopram (Lexapro), flecainide (Tambocor), fluconazole (Diflucan), fluoxetine (Prozac, Sarafemya, Selfemra, fluvoxamine (Luvox), haloperidol (Haldol), ibutilide (Corvert), levofloxacin, methadone (Dolophine, Methadose), moxifloxacin (Avelox), ondansetron (Zuplenz, Zofran), paroxetine (Brisdelle, Paxil, Pexevaine) pimozide (Orap), procainamide, quinidine (eNuedexta), sertraline (Zoloft), sotalol (Betapace, Sorine, Sotylize), thioridazine, vilazodone (Viibryd), kunye ne-vortioxetine (Trintellix). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga. Uninzi lwamanye amayeza anokusebenzisana ne-histrelin, ke qiniseka ukuxelela ugqirha wakho ngawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu.
• xelela ugqirha wakho ukuba unezinga eliphantsi le-potassium okanye i-magnesium egazini lakho. okanye ukuba unesifo seswekile, uxinzelelo lwegazi oluphezulu, icholesterol ephezulu, ixesha elide le-QT (ingxaki yentliziyo enqabileyo enokubangela ukubetha kwentliziyo ngokungaqhelekanga, ukuphelelwa ngamandla, okanye ukufa ngesiquphe), umhlaza osasazeke emqolo (umqolo), Ukuthintela umchamo (ukuvaleka okubangela ubunzima bokuchama), ukuxhuzula, ingqondo okanye ingxaki yegazi okanye amathumba, ukugula ngengqondo, okanye isifo sentliziyo.
• Kuya kufuneka uyazi ukuba i-histrelin ayizukusetyenziswa kwabasetyhini abakhulelweyo okanye abanokukhulelwa. Tshela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncelise. Ukuba ucinga ukuba ukhulelwe ngelixa ufumana ukufakwa kwe-histrelin, biza ugqirha ngokukhawuleza. Ukufakwa kwe-Histrelin kunokulimaza usana olungekazalwa.

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

Ukuba uphoswa idinga lokufumana ukufakelwa kwe-histrelin okanye ukususwa kwe-histrelin, kuya kufuneka ubize umnikezeli wakho wezempilo kwangoko ukuba abuye kwakhona. Ukuba unyango oluqhubekayo, ukufakelwa kwe-histrelin entsha kufuneka kufakwe kwiiveki ezimbalwa.

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

• ukutyumka, ukukhathazeka, ukurhawuzelela, okanye ukurhawuzelela kwindawo ekufakwe kuyo
• amabala kwindawo apho kufakwe khona ukufakelwa
• ukutshisa okutshisayo (ukutshitshiswa ngokukhawuleza kobushushu obushushu okanye obukhulu bomzimba)
• ukudinwa
• ukuphuma kwegazi kwilungu lobufazi emantombazaneni
• amabele andisiweyo
• ukwehla ngokobungakanani bamatyhalarha
• ukunciphisa amandla esini okanye umdla
• ukuqhina
• ukutyeba kwakho
• ubunzima bokulala okanye ukulala
• intloko ebuhlungu
• ukukhala, ukuba nochuku, ukungabi namonde, umsindo, isimilo esiqatha

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

• iintlungu, ukopha, ukudumba, okanye ubomvu kwindawo apho kufakwe khona ukufakwa
• urhwebo
• irhashalala
• ukurhawuzelela
• ubunzima bokuphefumla okanye ukugwinya
• iintlungu zethambo
• ubuthathaka okanye ukuba ndindisholo emilenzeni
• intlungu, ukutshisa, okanye ukubetha engalweni okanye emlenzeni
• intetho ecothayo okanye enzima
• isiyezi okanye isiqaqa
• iintlungu zesifuba
• iintlungu ezingalweni, emqolo, entanyeni, okanye emhlathini
• ukulahleka kokukwazi ukuhamba
• ukuchama okunzima okanye ukungabinako ukuchama
• igazi kumchamo
• ukuncipha kokuchama
• ukopha okungaqhelekanga okanye ukugruzuka
• ukudinwa kakhulu
• Ukuphelelwa ngumdla wokutya
• iintlungu kwinxalenye ephezulu yesisu
• mthubi ulusu okanye amehlo
• Iimpawu ezinjengomkhuhlane
• ukudakumba, ukucinga ngokuzibulala okanye ukucwangcisa okanye ukuzama ukwenza njalo
• ukuxhuzula

Ukufakwa kwe-Histrelin kunokubangela utshintsho emathanjeni akho elinokonyusa ithuba lokophuka kwamathambo xa lisetyenziswe ixesha elide. Thetha nogqirha wakho malunga neengozi zokufumana eli yeza.

Kubantwana abafumana ukufakelwa kwe-histrelin (i-Supprelin LA) yokufikisa ngaphambi kwexesha, iimpawu ezintsha okanye eziba mandundu zokukhula ngokwesondo zinokwenzeka kwiiveki zokuqala ezimbalwa emva kofakelo. Kumantombazana afumana ukufakelwa kwe-histrelin (i-Supprelin LA) yokufikisa ngaphambi kwexesha, ukuphuma kwegazi kwilungu lobufazi okanye ukwanda kwebele kunokwenzeka kwinyanga yokuqala yonyango.

Ukufakwa kwe-Histrelin kunokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unayo nayiphi na ingxaki engaqhelekanga ngelixa ufumana eliyeza.

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 kunye nelabhoratri. Ugqirha wakho uya kuyalela iimvavanyo ezithile zebhu kwaye athathe imilinganiselo ethile ukujonga impendulo yomzimba wakho kufakelo lwe-histrelin. Iswekile yegazi kunye nehemoglobin yeglycosylated (HbA1c) kufuneka ihlolwe rhoqo.

Ngaphambi kokuba uvavanywe elebhu, xelela ugqirha wakho kunye nabasebenzi baselebhu ukuba une-histrelin implant.

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

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.

• I-Supprelin LA^®
• Vantas^®