ICapecitabine
Umxholo
- Ngaphambi kokuba uthathe i-capecitabine,
- ICapecitabine 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 zokudlula ngaphezulu zinokubandakanya:
I-Capecitabine inokubangela ukopha okunobuzaza okanye okusongela ubomi xa kuthathwe kunye nee-anticoagulants ('igazi elincinci') njenge-warfarin (Coumadin®). Tshela ugqirha wakho ukuba uthatha i-warfarin. Ugqirha wakho uya kuyalela iimvavanyo zaselebhu ukujonga ukuba igazi lakho likhawuleze kangakanani kwaye unokufuna ukutshintsha idosi yakho yewarfarin. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, biza ugqirha ngoko nangoko: ukopha okungaqhelekanga; ukugabha okanye ukuphalaza igazi okanye izinto ezimdaka ezifana namabala ekofu; enegazi okanye emnyama, ilindle; igazi kumchamo; umchamo obomvu okanye mnyama-mdaka; okanye ukugruzuka ngokulula.
ICapecitabine isetyenziswa ngokudibanisa namanye amayeza ukunyanga umhlaza wamabele obuyileyo emva konyango namanye amayeza. Isetyenziswa sodwa ukunyanga umhlaza wamabele ongakhange uphuculwe emva konyango ngamanye amayeza. ICapecitabine ikwasetyenziselwa ukunyanga umhlaza wekolon okanye umhlaza (umhlaza oqala emathunjini amakhulu) othe wanda okanye usasazeka kwamanye amalungu omzimba. Isetyenziselwa ukuthintela umhlaza wekolon ekusasazekeni kwabantu abaye benza utyando ukususa ithumba. ICapecitabine ikudidi lwamayeza abizwa ngokuba ziiantimetabolites. Isebenza ngokumisa okanye ukunciphisa ukukhula kweeseli zomhlaza.
ICapecitabine iza njengecwecwe lokuthatha ngomlomo. Ihlala ithathwa kabini ngemini (kusasa nangokuhlwa) iiveki ezi-2, zilandelwa likhefu leveki e-1 ngaphambi kokuphinda umjikelo wedosi olandelayo. Ihlala ithathwa emva kwesidlo (kwisithuba semizuzu engama-30 yesidlo sakusasa kunye nesidlo sangokuhlwa) kunye neglasi yamanzi. Ugqirha wakho uya kuthatha isigqibo sokuba mangaphi amaxesha ekufuneka uphinde umjikelo. Thatha i-capecitabine 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-capecitabine ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho. Ugqirha wakho unokuhlengahlengisa idosi yakho ye capecitabine okanye uyeke unyango lwakho kangangexesha elithile kuxhomekeke kwimpendulo yakho kunyango kunye naziphi na iziphumo ebezingalindelekanga ohlangabezana nazo. Thetha nogqirha wakho malunga nendlela oziva ngayo ngexesha lonyango lwakho.
Ginya iipilisi ngokupheleleyo; ungahluleli, ungahlaleli, okanye uzityumze.
Buza usokhemesti okanye ugqirha wakho ngekopi yolwazi lomenzi wesigulana.
I-Capecitabine ngamanye amaxesha isetyenziselwa ukunyanga umhlaza wesisu esiswini (umhlaza wesisu). Thetha nogqirha wakho malunga neengozi zokusebenzisa eli yeza kwimeko yakho.
Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.
Ngaphambi kokuba uthathe i-capecitabine,
- xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa i-capecitabine, i-fluorouracil (i-Adrucil, i-5-FU), nawaphi na amanye amayeza, okanye naziphi na izithako ezikwiipilisi ze-capecitabine. 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. Qinisekisa ukukhankanya amayeza adweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO kunye nayo nayiphi na kwezi zinto zilandelayo: phenytoin (Dilantin), leucovorin, kunye ne-folic acid (kwii-multivitamini). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga. Amanye amayeza anokusebenzisana ne-capecitabine, ke qiniseka ukuxelela ugqirha wakho ngawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu.
- xelela ugqirha wakho ukuba uxelelwe ukuba unayo okanye wakha wanayo i-dihydropyrimidine dehydrogenase (DPD) yokusilela kwe-enzyme (ukungabikho kwe-enzyme eyenzeka ngokwemvelo emzimbeni wakho). Ugqirha wakho usenokukuxelela ukuba ungathathi i-capecitabine.
- xelela ugqirha wakho ukuba ukhe waba nezintso, isibindi, okanye isifo sentliziyo.
- xelela ugqirha wakho ukuba ukhulelwe okanye ucwangcise ukukhulelwa. Akufanele ucwangcise ukuba nabantwana ngelixa uthatha i-capecitabine. Kuya kufuneka usebenzise indlela ethembekileyo yolawulo lokuzalwa ukuthintela ukukhulelwa kuwe okanye kwiqabane lakho ngexesha lonyango lwakho kunye ne-capecitabine. ICapecitabine inokulimaza umbungu. Xelela ugqirha wakho ukuba ngaba uncancisa. Akufanele uncancise ibele ngexesha lonyango lwakho nge-capecitabine.
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.
ICapecitabine inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
- isisu esibuhlungu okanye isisu esibuhlungu
- ukuqhina
- Ukuphelelwa ngumdla wokutya
- utshintsho kwisakhono sokungcamla ukutya
- ukwanda kokoma
- ukudinwa okungaqhelekanga okanye ubuthathaka
- isiyezi
- intloko ebuhlungu
- ukulahleka kweenwele
- irhashalala
- umqolo, ukujoyina, okanye iintlungu zemisipha
- bomvu, ukudumba, ukurhawuzelela, okanye amehlo aneenyembezi
- ingxaki yokulala okanye ukulala
Ezinye iziphumo ebezingalindelekanga zinokuba nzulu.Ukuba ufumana naziphi na kwezi mpawu okanye ezo zidweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela umnxeba kwangoko:
- urhudo
- isicaphucaphu
- ukugabha
- izilonda emlonyeni
- ukudumba, iintlungu, ukuba bomvu, okanye ukuxobuka kolusu ezintendeni zeenyawo
- umkhuhlane, ukugodola, umqala obuhlungu, okanye ezinye iimpawu zosulelo
- ukudumba kwezandla, iinyawo, amaqatha okanye imilenze esezantsi
- iintlungu esifubeni okanye uxinzelelo
- ukubetha kwentliziyo ngokukhawuleza
- umchamo omnyama
- mthubi ulusu okanye amehlo
ICapecitabine 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. Yigcine kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela).
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.
Iimpawu zokudlula ngaphezulu zinokubandakanya:
- urhudo
- isicaphucaphu
- ukugabha
- isisu esibuhlungu
- umkhuhlane, ukugodola, umqala obuhlungu, okanye ezinye iimpawu zosulelo
- mnyama, ilindle
- umchamo obomvu
- ukugruzuka okanye ukopha okungaqhelekanga
- ukudinwa okungaqhelekanga okanye ubuthathaka
Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uya kuyalela iimvavanyo ezithile zebhu ukujonga impendulo yomzimba wakho kwi-capecitabine.
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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