Inaliti yeGemcitabine

Umxholo

• Ngaphambi kokufumana i-gemcitabine,
• I-Gemcitabine 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:
• Iimpawu libanda kungaquka oku kulandelayo:

I-Gemcitabine isetyenziswa ngokudibeneyo ne-carboplatin ukunyanga umhlaza we-ovari (umhlaza oqala kumalungu okuzala amabhinqa apho kwenziwa khona amaqanda) abuye ubuncinci kwiinyanga ezi-6 emva kokugqiba unyango lwangaphambili. Ikwasetyenziswa ngokudibeneyo ne-paclitaxel (i-Abraxane, iTaxol) ukunyanga umhlaza wamabele ongaphucukanga okanye oye wanda emva konyango ngamanye amayeza. I-Gemcitabine isetyenziswa ngokudibeneyo ne-cisplatin ukunyanga uhlobo lomhlaza wemiphunga (umhlaza wamaphaphu ongesosincinci, i-NSCLC) ethe yanwenwela kwamanye amalungu omzimba kwaye ayinakunyangwa ngoqhaqho I-Gemcitabine ikwasetyenziselwa ukunyanga umhlaza wepancreatic osasazeke kwamanye amalungu omzimba kwaye awuzange uphucule okanye ube mandundu emva konyango ngamanye amayeza. I-Gemcitabine ikwiklasi yamayeza abizwa ngokuba zii-antimetabolites. Isebenza ngokunciphisa okanye ukumisa ukukhula kweeseli zomhlaza emzimbeni wakho.

I-Gemcitabine iza njengomgubo wokuxutywa nolwelo ukuze itofwe ngaphezulu kwemizuzu engama-30 efakwa ngaphakathi (emthanjeni) ngugqirha okanye ngumongikazi kwiziko lonyango. Xa i-gemcitabine isetyenziselwa ukunyanga i-ovari okanye umhlaza webele, ihlala inikwa kwiintsuku ezithile rhoqo kwiiveki ezintathu. Xa i-gemcitabine isetyenziselwa ukunyanga umhlaza wemiphunga, ihlala inikwa ngeentsuku ezithile rhoqo kwiiveki ezi-3 okanye ezi-4. Xa i-gemcitabine isetyenziselwa ukunyanga umhlaza wepancreatic, inokujova kanye ngeveki. Ubude bonyango buxhomekeke kwiintlobo zamachiza owathathayo, ukuba umzimba wakho uphendula njani kuwo, kunye nohlobo lomhlaza okanye imeko onayo.Ugqirha wakho unokufuna ukuyeka okanye ukulibazisa unyango lwakho ukuba uneziphumo ebezingalindelekanga ezithile.

Buza usokhemesti okanye ugqirha wakho ngekopi yolwazi lomenzi wesigulana.

I-Gemcitabine ngamanye amaxesha isetyenziselwa ukunyanga umhlaza wesinyi kunye nomhlaza wendlela ye-biliary (umhlaza kumalungu kunye nemibhobho eyenza kwaye igcine inyongo, ulwelo olwenziwe sisibindi). 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 i-gemcitabine,

• xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa i-gemcitabine, nawaphi na amanye amayeza, okanye naziphi na izithako kwi-gemcitabine. 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 uyasela okanye wakha wasela utywala kakhulu okanye ukuba unesifo sesibindi, okanye isifo sesibindi, okanye isifo sezintso.
• xelela ugqirha wakho ukuba ubukhe wafumana ngaphambili okanye ngoku ufumana unyango ngemitha.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye ukuba ucwangcisa ukuba notata umntwana. Ukuba ungowasetyhini, kuyakufuneka uthathe uvavanyo lokukhulelwa ngaphambi kokuqala unyango kwaye usebenzise ulawulo lokuzalwa olusebenzayo ukuthintela ukukhulelwa ngexesha lonyango lwakho kwaye ubuncinci iinyanga ezi-6 emva kwethamo lakho lokugqibela. Ukuba uyindoda, wena neqabane lakho labasetyhini kufuneka nisebenzise ulawulo lokuzalwa olusebenzayo ngelixa nifumana i-gemcitabine kunye neenyanga ezi-3 emva kwedosi yokugqibela. Thetha nogqirha wakho malunga nolawulo lokuzalwa ukuthintela ukukhulelwa ngexesha lonyango lwakho ngegemcitabine. Ukuba wena okanye iqabane lakho ukhulelwe ngelixa ufumana i-gemcitabine, biza ugqirha wakho. I-Gemcitabine inokwenzakalisa umntwana ongekazalwa.
• xelela ugqirha wakho ukuba uncelisa. Akufanele uncancise ngelixa ufumana inaliti ye-gemcitabine kunye neveki e-1 emva kwedosi yakho yokugqibela.
• Kuya kufuneka uyazi ukuba eli yeza linciphisa ukuzala emadodeni. Thetha nogqirha wakho malunga nomngcipheko wokufumana i-gemcitabine.

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

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

• isicaphucaphu
• ukugabha
• urhudo
• ukuqhina
• Ukuphelelwa ngumdla wokutya
• izilonda emlonyeni nasemqaleni
• ukulahleka kweenwele
• intloko ebuhlungu
• izihlunu ezibuhlungu okanye ezibuhlungu
• intlungu, ukutshisa, okanye ukubetha ezandleni nasezinyaweni
• ukudumba, iintlungu, ukuba bomvu, okanye ukutshisa kwindawo yenaliti

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

• irhashalala, ukurhawuzelela, imihlathi, umqala okanye ulwimi ukudumba, ukuphefumla kancinci, ubunzima bokuphefumla, ukugabha, intloko ebushushwini, okanye isiqaqa
• ukopha okungaqhelekanga okanye ukugruzuka, izitulo ezilubomvu okanye ezimnyama zokuma, okanye ukukhohlela okanye ukugabha igazi okanye into ebonakala ngathi yindawo yekofu
• utshintsho kumthamo womchamo
• umkhuhlane, umqala obuhlungu, ukukhohlela nokuxinana okuqhubekayo, okanye ezinye iimpawu zosulelo
• ukudinwa okungaqhelekanga okanye ubuthathaka, ukuphefumla kancinci, okanye ukuvutha
• ubumthubi besikhumba okanye amehlo, umchamo omnyama, ukuphelelwa ngumdla, ukudinwa, okanye iintlungu okanye ukungonwabi kwindawo elungileyo yesisu
• ukudumba kweenyawo, amaqatha, okanye imilenze esezantsi; isisu esibuhlungu; ilindle lamanzi; okanye ukudinwa
• ngokukhawuleza, ngokungaqhelekanga, okanye ukubetha kwentliziyo
• intloko, ukuxhuzula, ukudinwa, ukudideka, okanye utshintsho lombono

I-Gemcitabine 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:

• Irhashalala elibi
• intlungu, ukutshisa, okanye ukubetha ezandleni nasezinyaweni
• ukopha okungaqhelekanga okanye ukugruzuka
• obomvu okanye omnyama, izitulo zokulinda
• umchamo opinki, obomvu, okanye omnyama
• ukukhohlela okanye ukugabha igazi okanye into ebonakala ngathi yindawo yekhofi
• umkhuhlane, umqala obuhlungu, ukukhohlela nokuxinana okuqhubekayo, okanye ezinye iimpawu zosulelo
• ukudinwa kakhulu

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uya kuyalela iimvavanyo ezithile zebhu ngaphambi nangexesha lonyango lwakho ukujonga impendulo yomzimba wakho kwi-gemcitabine.

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.

• Gemzar^®