Inaliti yeLevoleucovorin
Umxholo
- Ngaphambi kokufumana inaliti ye-levoleucovorin,
- Inaliti yeLevoleucovorin kunye namayeza enikwa wona anokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
- Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu okanye ezo zikwiCandelo LOKUQINISEKISA OKHETHEKILEYO, tsalela umnxeba kwangoko okanye ufumane unyango olungxamisekileyo:
Inaliti yeLevoleucovorin isetyenziswa kubantu abadala nakubantwana ukuthintela iziphumo eziyingozi ze-methotrexate (Trexall) xa i-methotrexate isetyenziselwa ukunyanga i-osteosarcoma (umhlaza owenza amathambo). Inaliti yeLevoleucovorin ikwasetyenziselwa ukunyanga abantu abadala kunye nabantwana abafumene ngengozi i-methotrexate okanye amayeza afanayo okanye abangakwaziyo ukuwaphelisa ngokufanelekileyo la mayeza emizimbeni yabo. Inaliti yeLevoleucovorin ikwasetyenziswa kunye ne-fluorouracil (5-FU, iyeza le-chemotherapy) ukunyanga abantu abadala abanomhlaza obomvu (umhlaza oqala emathunjini amakhulu) osasazeke kwamanye amalungu omzimba. Inaliti yeLevoleucovorin ikwiklasi yamayeza abizwa ngokuba yi-folic acid analogs. Isebenza ukukhusela iziphumo ezinobungozi ze-methotrexate ngokukhusela iiseli ezisempilweni, ngelixa ivumela i-methotrexate ukuba ingene kwaye ibulale iiseli zomhlaza.Isebenza ukunyanga umhlaza wecolorectal ngokwandisa iziphumo ze-fluorouracil.
Inaliti yeLevoleucovorin iza njengesisombululo (ulwelo) nanjengomgubo oxutywe nolwelo kwaye ufakwe ngaphakathi ngaphakathi (emthanjeni) ngugqirha okanye ngumongikazi esibhedlele okanye kwiofisi yezonyango. Xa i-levoleucovorin isetyenziselwa ukuthintela iziphumo eziyingozi ze-methotrexate okanye ukunyanga i-methotrexate egqithisileyo, ihlala inikwa rhoqo emva kweeyure ezingama-6, ukuqala kweeyure ezingama-24 emva kwethamo le-methotrexate okanye ngokukhawuleza emva kokudlula nokuqhubeka de kube kuvavanywa elebhu. akusafuneki. Xa inaliti ye-levoleucovorin isetyenziselwa ukunyanga umhlaza we-colorectal cancer, ihlala inikwa kube kanye ngemini kangangeentsuku ezintlanu zilandelelana njengenxalenye yomjikelo wedosi onokuphindwa rhoqo kwiiveki ezi-4 ukuya kwezi-5.
Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.
Ngaphambi kokufumana inaliti ye-levoleucovorin,
- xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa inaliti ye-levoleucovorin, i-leucovorin, i-folic acid (i-Folicet, kwii-multivitamini), i-folinic acid, okanye nawaphi na amanye amayeza.
- 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: phenobarbital, phenytoin (Dilantin), primidone (Mysoline), okanye trimethoprim-sulfamethoxazole (Bactrim, Septra). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
- ugqirha wakho unokukunika inaliti ye-levoleucovorin nge-fluorouracil. Ukuba ufumana olu nyango lwamayeza, uya kujongwa ngononophelo kuba i-levoleucovorin inokunyusa zombini izibonelelo kunye neziphumo eziyingozi ze-fluorouracil. Ukuba unazo naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko: urhudo oluqatha, iintlungu zesisu okanye ukucofa, ukoma okunxaniweyo, ukunciphisa ukuchama, okanye ubuthathaka obukhulu,
- xelela ugqirha wakho ukuba unomlomo owomileyo, umchamo omnyama, ukubila okunciphileyo, isikhumba esomileyo, kunye neminye imiqondiso yokuphelelwa ngamanzi emzimbeni kwaye ukuba ukhe wakha ulwelo kwisifuba okanye kwisisu okanye isifo sezintso.
- xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa ufumana inaliti ye-levoleucovorin, tsalela ugqirha wakho.
Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.
Inaliti yeLevoleucovorin kunye namayeza enikwa wona anokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
- izilonda zomlomo
- isicaphucaphu
- ukugabha
- Ukuphelelwa ngumdla wokutya
- isisu esibuhlungu
- urhudo
- isilungulela
- ukudideka
- ukuba ndindisholo, ukutshisa, okanye ukubetha ezandleni okanye ezinyaweni
- utshintsho kubuchule bokungcamla ukutya
- ukulahleka kweenwele
- ukurhawuzelela okanye ukoma kwesikhumba
- ukudinwa
Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu okanye ezo zikwiCandelo LOKUQINISEKISA OKHETHEKILEYO, tsalela umnxeba kwangoko okanye ufumane unyango olungxamisekileyo:
- ubunzima bokuphefumla
- ukurhawuzelela
- irhashalala
- ifiva
- Ukugodola
Inaliti yeLevoleucovorin inokubangela 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).
Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.
Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uya kuyalela iimvavanyo ezithile zelebhu ukujonga impendulo yomzimba wakho kwisitofu se-levoleucovorin.
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.
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