Chlorambucil
Umxholo
- Ngaphambi kokuba uthathe i-chlorambucil,
- I-Chlorambucil inokubangela 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:
I-Chlorambucil inokubangela ukwehla kwenani leeseli zomongo wethambo lakho. Ugqirha wakho uya kuyalela iimvavanyo zaselebhu ngaphambi, ngexesha, nasemva konyango lwakho ukuze ubone ukuba iiseli zakho zegazi ziyachaphazeleka kweli chiza. Gcina lonke ixesha lokuqeshwa elabhoratri.
I-Chlorambucil inokunyusa umngcipheko wokuba uphuhlise eminye imihlaza. Thetha nogqirha wakho malunga nale ngozi.
I-Chlorambucil inokuphazamisa ukuhamba kwexesha okuqhelekileyo (ixesha) kwabasetyhini kwaye inokuyeka ukuveliswa kwesidoda emadodeni. I-Chlorambucil inokubangela ukungachumi okusisigxina (ubunzima bokukhulelwa); Nangona kunjalo, awunakucinga ukuba awunakukhulelwa, okanye awungekhe umithise omnye umntu. Abasetyhini abakhulelweyo kufuneka baxelele oogqirha babo ngaphambi kokuba baqale ukusebenzisa eli chiza. Akufanele ucwangcise ukuba nabantwana ngelixa ufumana i-chemotherapy okanye okwethutyana emva konyango. (Thetha nogqirha wakho ukuze ufumane iinkcukacha ezithe vetshe.) Sebenzisa indlela ethembekileyo yolawulo lokuzalwa ukuthintela ukukhulelwa. Ukuba ukhulelwa ngelixa uthatha i-chlorambucil, biza ugqirha ngokukhawuleza. I-Chlorambucil inokulimaza umbungu.
I-Chlorambucil isetyenziselwa ukunyanga uhlobo oluthile lwe-lymphocytic leukemia (CLL; uhlobo lomhlaza weeseli ezimhlophe zegazi). I-Chlorambucil ikwasetyenziselwa ukunyanga i-non-Hodgkin's lymphoma (NHL) kunye nesifo sikaHodgkin (iintlobo zomhlaza eziqala kwiiseli ezithile ezimhlophe zegazi eziqhele ukulwa nosulelo). I-Chlorambucil ikudidi lwamayeza abizwa ngokuba ziiarhente ze-alkylating. Isebenza ngokunciphisa okanye ukumisa ukukhula kweeseli zomhlaza emzimbeni wakho.
I-Chlorambucil iza njengecwecwe lokuthatha ngomlomo. Ihlala ithathwa kanye ngemini kangangeeveki ezi-3 ukuya kwezi-6, kodwa ngamanye amaxesha inokuthathwa ngokuthe chu, njengedosi enye kube kanye kwiiveki ezi-2, okanye idosi enye ngenyanga. Ubude bonyango buxhomekeke kwiintlobo zamachiza owathathayo, ukuba umzimba wakho uphendula njani kuwo, kunye nohlobo lomhlaza onawo. Thatha i-chlorambucil ngexesha elifanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-chlorambucil kanye njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.
Ugqirha wakho unokuhlengahlengisa idosi yakho ye-chlorambucil ngokuxhomekeke kwimpendulo yakho kunyango kunye naziphi na iziphumo ebezingalindelekanga ohlangabezana nazo. Thetha nogqirha wakho malunga nendlela oziva ngayo ngexesha lonyango lwakho. Sukuyeka ukuthatha i-chlorambucil ungakhange uthethe nogqirha wakho.
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-chlorambucil,
- xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana ne-chlorambucil, ezinye ii-alkylating agents ezifana ne-bendamustine (Treanda), busulfan (Myleran, Busulfex), carmustine (BiCNU, Gliadel Wafer), cyclophosphamide (Cytoxan), ifosfamide (Ifex), lomustine (CeeNU ), melphalan (Alkeran), procarbazine (Mutalane), okanye temozolomide (Temodar), nawaphi na amanye amayeza, okanye naziphi na izithako zeklorambucil. 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.
- xelela ugqirha wakho ukuba uthathe i-chlorambucil ngaphambili, kodwa umhlaza wakho awuphendulanga kunyango. Ugqirha wakho uya kukuxelela ukuba ungathathi i-chlorambucil.
- xelela ugqirha wakho ukuba ufumene unyango ngemitha okanye enye ichemotherapy kwiiveki ezi-4 ezidlulileyo.
- xelela ugqirha wakho ukuba ukhe waxhuzula okanye wenzakala entloko.
- xelela ugqirha wakho ukuba uncelisa.
- awunalo ugonyo ngaphandle kokuthetha nogqirha wakho.
Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.
Thatha idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.
I-Chlorambucil inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
- isicaphucaphu
- ukugabha
- izilonda emlonyeni nasemqaleni
- ukudinwa
- ukuphoswa lixesha lokuya exesheni (kumantombazana nabasetyhini)
Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana nayiphi na le mpawu, biza ugqirha wakho ngokukhawuleza:
- irhashalala
- ukugruzuka okanye ukopha okungaqhelekanga
- mnyama, ilindle
- umchamo obomvu
- ukukhohlela
- umqala obuhkungu
- ukuxinana
- ifiva
- ubunzima bokuphefumla
- ukuxhuzula
- mthubi ulusu okanye amehlo
- iintlungu kwinxalenye ephezulu yesisu
- umchamo omnyama ngombala
- ukuchama rhoqo
- amaqhuma angaqhelekanga okanye ubunzima
I-Chlorambucil 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.
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
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.
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.
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.
- Leukeran®