Inaliti yeIfosfamide
Umxholo
- Ngaphambi kokufumana ifosfamide,
- ifosfamide 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 kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela umnxeba kwangoko:
- Iimpawu libanda kungaquka oku kulandelayo:
Ukuba i-ifosfamide inokubangela ukwehla okumandla kwenani leeseli zomongo wethambo lakho. Oku kunokubangela iimpawu ezithile kwaye kunokunyusa umngcipheko wokuba ube nosulelo olomeleleyo okanye olusongela ubomi okanye ukopha. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko: umkhuhlane, ukugodola, umqala obuhlungu, ukukhohlela okuqhubekayo kunye nokudibana, okanye ezinye iimpawu zosulelo; ukopha okungaqhelekanga okanye ukugruzuka; enegazi okanye emnyama, ilindle; ukugabha kwegazi; okanye ukugabha igazi okanye izinto ezimdaka ezifana namabala ekofu.
Ukuba i-ifosfamide inokubangela umonakalo omkhulu okanye osongela ubomi kwinkqubo yeemvakalelo. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, biza ugqirha ngoko nangoko: ukudideka; ukozela; ukungaboni kakuhle; ukubona izinto okanye ukuva amazwi angabikho (ukubona izinto ezingekhoyo); okanye iintlungu, ukutshisa, ukuba ndindisholo, ukubetha ezandleni okanye ezinyaweni; ukuxhuzula; okanye isiqaqa (ukulahleka kwengqondo kangangexesha elithile).
I-Ifosfamide inokubangela iingxaki zezintso ezinzima okanye ezisongela ubomi. Iingxaki zezintso zinokubakho ngexesha lonyango okanye iinyanga okanye iminyaka emva kokuba uyekile ukufumana unyango. Xelela ugqirha wakho ukuba ukhe unesifo sezintso. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba ugqirha ngokukhawuleza: ukuncipha kokuchama; ukudumba kobuso, iingalo, izandla, iinyawo, amaqatha okanye imilenze esezantsi; ukudinwa okungaqhelekanga okanye ubuthathaka.
Ifosfamide inokubangela iziphumo ebezingalindelekanga zomchamo. Tshela ugqirha wakho ukuba unengxaki yokuchama. Ugqirha wakho angakuxelela ukuba ungayifumani ifosfamide okanye ulinde ukuqala unyango de ube nako ukuchama rhoqo. Xelela ugqirha wakho ukuba unentsholongwane yomchamo okanye ukuba unayo okanye wakhe wanayo imitha (x-ray) kunyango lwesinyi. Xelela ugqirha wakho kunye nosokhemesti ukuba uthatha okanye wakha wafumana i-busulfan (Busulfex). Ukuba ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko: igazi kumchamo okanye rhoqo, ngokungxamisekileyo, okanye ekuchameni okubuhlungu. Ugqirha wakho uya kukunika elinye iyeza ukunceda ukuthintela iziphumo ebezingalindelekanga zomchamo ngexesha lonyango lwakho ngeifosfamide. Kuya kufuneka uphinde usele amanzi amaninzi kwaye uchame rhoqo ngexesha lonyango lwakho ukunceda ukunciphisa iziphumo ebezingalindelekanga zomchamo.
Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uya kuyalela iimvavanyo zaselebhu rhoqo ngaphambi kwaye ngexesha lonyango lwakho ukujonga impendulo yomzimba wakho kwi-ifsofamide kunye nokunyanga iziphumo ebezingalindelekanga ngaphambi kokuba zibe nzima.
Ifosfamide isetyenziswa ngokudibeneyo namanye amayeza ukunyanga umhlaza wamatyhalarha ongakhange uphuculwe okanye oye wanda emva konyango ngamanye amayeza okanye ngonyango lwemitha. I-Ifosfamide ikwiklasi yamayeza abizwa ngokuba ziiarhente zealkylating. Isebenza ngokunciphisa okanye ukumisa ukukhula kweeseli zomhlaza emzimbeni wakho.
Ukuba i-ifosfamide iza njengomgubo oxutywe nolwelo ukuze ifakwe kwisitofu imizuzu engama-30 ubuncinci ngaphakathi (emthanjeni) ngugqirha okanye ngumongikazi kwiziko lonyango. Inokujova kanye ngemini kangangeentsuku ezintlanu zilandelelana. Olu nyango lunokuphindwa qho kwiiveki ezi-3. Ubude bonyango buxhomekeke kwindlela ophendula ngayo emzimbeni wakho kunyango lwe-ifosfamide.
Ugqirha wakho unokufuna ukulibazisa unyango lwakho ukuba uneziphumo ebezingalindelekanga ezithile. Kubalulekile ukuba uxelele ugqirha wakho ukuba uziva njani ngexesha lonyango lwakho ngefosfamide.
Ngamanye amaxesha i-ifosfamide isetyenziselwa ukunyanga umhlaza wesinyi, umhlaza wemiphunga, umhlaza kwii-ovari (umhlaza oqala kumalungu okuzala amabhinqa apho kwenziwa khona amaqanda), umhlaza womlomo wesibeleko, kunye neentlobo ezithile zethishu ethambileyo okanye ithambo lesarcomas (umhlaza owenzayo kwiimisipha namathambo). Thetha nogqirha wakho malunga neengozi zokusebenzisa eli yeza kwimeko yakho.
Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.
Ngaphambi kokufumana ifosfamide,
- xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana ne-ifosfamide, cyclophosphamide (Cytoxan), nawaphi na amanye amayeza, okanye naziphi na izithako kwiinaliti ye-ifosfamide. Buza usokhemesti wakho uluhlu lwezithako.
- xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo nolungabhaliswanga, iivithamini kunye nezongezelelo zesondlo ozifumanayo okanye oceba ukuzithatha. Qiniseka ukuba uyalikhankanya iyeza elidweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO kunye nezinye ezi zinto zilandelayo: Aprepitant (Emend); izinto ezithile zokubulala ukungunda ezifana ne-fluconazole (Diflucan), itraconazole (Sporanox), kunye ne-ketoconazole (Nizoral); amayeza athile okubanjwa afana ne-carbamazepine (Tegretrol), phenobarbital (Luminal), kunye ne-phenytoin (Dilantin); amayeza e-allergies okanye i-hay fever; amayeza isicaphucaphu; opioid (narcotic) amayeza entlungu; irifampin (Rifadin, Rimactane); ukuthomalalisa; iipilisi zokulala; okanye sorafenib (Nexavar). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga. Amanye amayeza anokusebenzisana ne-ifosfamide, ke qiniseka ukuxelela ugqirha wakho ngawo onke amayeza owafumanayo, nkqu nalawo angaveli kolu luhlu.
- xelela ugqirha wakho ukuba zeziphi iimveliso zamayeza owafumanayo, ngakumbi iwort yaseSt.
- xelela ugqirha wakho ukuba ubukhe wafumana unyango ngamanye amayeza e-chemotherapy okanye ukuba ukhe wafumana unyango ngemitha. Xelela ugqirha wakho ukuba ukhe unesifo sentliziyo, sezintso okanye sesibindi.
- Kuya kufuneka uyazi ukuba ifosfamide inokucothisa ukuphola kwamanxeba.
- Kuya kufuneka uyazi ukuba i-ifosfamide inokuphazamisa umjikelo oqhelekileyo wokuya exesheni (exesheni) kubafazi kwaye inokuyekisa imveliso yesidoda emadodeni. Ukuba i-ifosfamide inokubangela ukungachumi okusisigxina (ubunzima bokukhulelwa); Nangona kunjalo, akufuneki ucinge ukuba awungekhe ukhulelwe okanye awungekhe umithise omnye umntu. Abasetyhini abakhulelweyo okanye abancancisayo kufuneka baxelele oogqirha babo ngaphambi kokuba baqale ukufumana eli chiza. Akufanele ukhulelwe okanye uncancise ngelixa ufumana ifosfamide. Sebenzisa indlela ethembekileyo yolawulo lokuzalwa ukukhusela ukukhulelwa ngelixa ufumana ifosfamide kunye neenyanga ezi-6 emva konyango. Ukuba uyindoda, wena neqabane lakho labasetyhini kufuneka niqhubeke nokusebenzisa ulawulo lokuzalwa kangangeenyanga ezi-6 emva kokuba uyekile ukufumana inaliti ye-ifosfamide. Ukuba ukhulelwa ngelixa ufumana ifsofamide, tsalela ugqirha ngokukhawuleza. Ifosfamide inokwenzakalisa umntwana ongekazalwa.
Musa ukutya isixa esikhulu segrapefruit okanye usele ijusi yeziqhamo xa usamkela eliyeza.
ifosfamide inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
- isicaphucaphu
- ukugabha
- Ukuphelelwa ngumdla wokutya
- urhudo
- izilonda emlonyeni nasemqaleni
- ukulahleka kweenwele
- imvakalelo ngokubanzi yeentlungu nokudinwa
Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu okanye ezo zidweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela umnxeba kwangoko:
- ukudumba, ukuba bomvu, kunye neentlungu kwindawo apho lalifakwe khona iyeza
- irhashalala
- ukurhawuzelela
- ubunzima bokuphefumla okanye ukugwinya
- ukuqhawukelwa ngumphefumlo
- ukuvutha
- ukubetha kwentliziyo ngokungaqhelekanga
- iintlungu zesifuba
- ukudinwa
- mthubi ulusu okanye amehlo
Ukuba i-ifosfamide inokuwonyusa umngcipheko wokuba uza kuphuhlisa eminye imihlaza. Thetha nogqirha wakho malunga nemingcipheko yokufumana inaliti ye-ifosfamide.
Ifosfamide 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.
Iimpawu libanda kungaquka oku kulandelayo:
- ukungaboni kakuhle
- ukubona izinto okanye ukuva amazwi angekhoyo (hallucinating)
- umkhuhlane, umqala obuhlungu, ingqele, okanye ezinye iimpawu zosulelo
- ukopha okungaqhelekanga okanye ukugruzuka
- izitulo ezimnyama kunye nokulinda
- Igazi elibomvu ilindle
- ukugabha okunegazi
- Izinto ezigabileyo ezibonakala ngathi ziindawo zekofu
- ukuncipha kokuchama
- ukudumba kobuso, umqala, ulwimi, imilebe, amehlo, izandla, iinyawo, amaqatha okanye imilenze esezantsi
- izilonda emlonyeni nasemqaleni
- ukuxhuzula
- ukudideka
- isiqaqa (ukulahleka kwengqondo ixesha elithile)
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.
- Ukuba®
- Isophosphamide