Topotecan

Umxholo

• Ngaphambi kokuba uthathe i-topotecan,
• I-Topotecan inokubangela 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 zidweliswe kumacandelo esiXwayiso ESIBALULEKILEYO okanye AMANYATHELO AQHELEKILEYO, tsalela umnxeba kwangoko:
• Iimpawu zokudlula ngaphezulu zinokubandakanya:

I-Topotecan inokubangela ukwehla kwenani leeseli zegazi ezenziwe ngumongo wethambo lakho. Oku kwandisa umngcipheko wokuba uya kuba nosulelo olubi. Akufanele uthathe i-topotecan ukuba sele unenani eliphantsi leeseli zegazi. Ugqirha wakho uya kuyalela iimvavanyo zaselebhu rhoqo ngaphambi kwaye ngexesha lonyango lwakho ukujonga ukuba umzimba wakho unazo na iiseli zegazi ezaneleyo. Ukuba uhlangabezana naziphi na kwezi mpawu zilandelayo, biza ugqirha ngoko nangoko: umqala obuhlungu, ukugodola, umkhuhlane, ukukhohlela, ukutshisa okanye ukuqaqanjelwa ngumchamo obuhlungu, okanye ezinye iimpawu zosulelo; isisu esibuhlungu; ukugruzuka okanye ukopha okungaqhelekanga; ukudinwa okugqithisileyo; intloko ebuhlungu; isiyezi; ukudideka; ulusu oluthuthu; ukubetha kwentliziyo ngokukhawuleza; okanye ukuphefumla okufutshane.

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uya kuyalela iimvavanyo ezithile ukujonga impendulo yomzimba wakho kwi-topotecan.

Thetha nogqirha wakho malunga nemingcipheko yokuthatha i-topotecan.

I-Topotecan isetyenziselwa ukunyanga umhlaza omncinci wesifo somhlaza (uhlobo lomhlaza oqala emiphungeni) oluye lwaphathwa ngempumelelo ngamayeza ahlukeneyo e-chemotherapy kodwa labuya kungekudala emva kweentsuku ezingama-45 emva kokuba kuthathwe idosi yokugqibela yonyango lokuqala lwe-chemotherapy. I-Topotecan ikudidi lwamayeza abizwa ngokuba yi-topoisomerase I inhibitors. Isebenza ngokubulala iiseli zomhlaza.

I-Topotecan iza njenge-capsule yokuthatha ngomlomo. Inokuthathwa kunye okanye ngaphandle kokutya. Ihlala ithathwa kanye ngemini iintsuku ezintlanu zilandelelana rhoqo emva kweentsuku ezingama-21. Ugqirha wakho uya kuthatha isigqibo sokuba mangaphi amaxesha ekufuneka uphinde umjikelo. Thatha i-topotecan malunga nexesha elifanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-topotecan ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Ginya zonke iicapsule ngamanzi; sukuwavula, uwahlafune, okanye uwaqhekeze.

Iifomsile zeTopotecan ziza ngamandla amabini ahlukeneyo. Ugqirha wakho unokufuna ukuba uthathe indibaniselwano yamandla omabini eehipsile ukwenza idosi yakho epheleleyo. Qiniseka ukuba uyazi ukuba uhlobo ngalunye lwecapsule lukhangeleka njani kwaye uza kuthatha kangaphi nganye. Buza ugqirha wakho okanye usokhemesti ukuba unayo nayiphi na imibuzo.

Ukuba naziphi na iifomsile zaphukile okanye ziyavuza, ungazichukumisi ngezandla zakho. Zilumkele ngononophelo iifomsile ezaphukileyo ungaziphathanga ngokuthe ngqo kwaye uhlambe izandla zakho kakuhle ngesepha namanzi. Ukuba iziqulatho zecapsule ziyachukumisa ulusu lwakho, hlamba loo ndawo kakuhle ngesepha namanzi kwangoko. Ukuba kukho naziphi na iziqulatho zecapsule ezingene emehlweni akho, hlamba amehlo akho kwangoko ngamanzi ahamba kancinci ubuncinci imizuzu eyi-15. Biza ugqirha wakho ukuba unayo nayiphi na impendulo yolusu okanye ukuba amayeza angena emehlweni akho.

Unokugabha emva kokuba uthathe amayeza. Ukuba oku kuyenzeka, yazisa ugqirha wakho ngoko nangoko. Musa ukuthatha elinye idosi ye-topotecan kwangolo suku lunye.

Ugqirha wakho unokufuna ukulibazisa unyango lwakho okanye uhlengahlengise idosi yakho ukuba uneziphumo ebezingalindelekanga ezithile. Qiniseka ukuba uxelela ugqirha wakho ukuba uziva njani ngexesha lonyango lwakho kunye ne-topotecan.

Buza usokhemesti okanye ugqirha wakho ngekopi yolwazi lomenzi wesigulana.

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

Ngaphambi kokuba uthathe i-topotecan,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-topotecan, nawaphi na amanye amayeza, okanye naziphi na izithako kwiifomsile ze-topotecan. Buza usokhemesti wakho uluhlu lwezithako.
• xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhaliswanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: cyclosporine (Gengraf, Neoral, Sandimmune); ketoconazole (Nizoral); i-ritonavir (iNorvir, eKaletra); okanye i-saquinavir (Fortovase, Invirase). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba ukhe unesifo sezintso.
• xelela ugqirha wakho ukuba ukhulelwe okanye ucwangcise ukukhulelwa. Akufanele ukhulelwe ngelixa uthatha i-topotecan. Thetha nogqirha wakho ngeendlela zolawulo lokuzalwa onokuzisebenzisa ngexesha lonyango lwakho. Ukuba ukhulelwe ngelixa uthatha i-topotecan, biza ugqirha wakho ngokukhawuleza. I-Topotecan inokulimaza umbungu.
• xelela ugqirha wakho ukuba uncelisa. Akufanelanga ukuncancisa ngelixa uthatha i-topotecan.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-topotecan.
• Kuya kufuneka uyazi ukuba i-topotecan inokukwenza wozele, udinwe, okanye ubuthathaka. Musa ukuqhuba imoto, sebenzisa izixhobo ezinzima, okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
• Kuya kufuneka uyazi ukuba i-topotecan inokubangela urhudo olunzima olunokufuna ukunyangwa esibhedlele. Thetha nogqirha wakho malunga nendlela yokuthintela nokunyanga isifo sohudo. Biza ugqirha wakho ngoko nangoko ukuba unayo nayiphi na le miba ilandelayo: urhudo ngomkhuhlane, urhudo kathathu okanye nangaphezulu ngemini, okanye urhudo ngeentlungu zesisu okanye iicramps.

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

Tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yesiqhelo yokulinganisa Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo. Yazisa ugqirha wakho ukuba uphosa idosi.

I-Topotecan inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• isicaphucaphu
• ukugabha
• urhudo
• Ukuphelelwa ngumdla wokutya
• ukulahleka kweenwele

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu okanye ezo zidweliswe kumacandelo esiXwayiso ESIBALULEKILEYO okanye AMANYATHELO AQHELEKILEYO, tsalela umnxeba kwangoko:

• urhwebo
• irhashalala
• ukurhawuzelela
• ukudinwa
• ubunzima bokuphefumla okanye ukugwinya

I-Topotecan inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa uthatha 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 eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Gcina kwifriji kwaye uyikhusele ekukhanyeni.

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

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.

Iimpawu zokudlula ngaphezulu zinokubandakanya:

• umqala obuhlungu, ingqele, umkhuhlane, ukukhohlela, ukutshisa okanye ukuvuthisa kabuhlungu, okanye ezinye iimpawu zosulelo
• ukugruzuka okanye ukopha okungaqhelekanga
• ukudinwa kakhulu
• intloko ebuhlungu
• isiyezi
• ukudideka
• ulusu oluthuthu
• ukubetha kwentliziyo ngokukhawuleza
• ukuqhawukelwa ngumphefumlo

Musa ukuvumela nabani na ukuba athathe amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.

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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