I-Chlorambucil, iThebhulethi yomlomo

Umxholo

• Amagqabantshintshi e-chlorambucil
• Izilumkiso ezibalulekileyo
• Isilumkiso se-FDA: Isilumkiso se-Chemotherapy
  
• Ezinye izilumkiso
• Yintoni i-chlorambucil?
• Kutheni isetyenziswa
• Ingaba isebenza kanjani
• Iziphumo ebezingalindelekanga zeChlorambucil
• Iziphumo eziqhelekileyo ezichaphazelekayo
• Iziphumo ebezingalindelekanga ezimandundu
• I-Chlorambucil inokusebenzisana namanye amayeza
• Izilumkiso zeChlambambucil
• Isilumkiso somzimba
• Ukuqhagamshelana nesilumkiso seziyobisi
• Izilumkiso zabantu abaneemeko ezithile zempilo
• Izilumkiso kwamanye amaqela
• Ungayithatha njani i-chlorambucil
• Ifom yeziyobisi kunye namandla
• Idosi yesifo se-lymphocytic leukemia
• Isisombululo se-lymphoma enobungozi (i-lymphosarcoma, i-giant follicular lymphoma, kunye nesifo sikaHodgkin)
• Isilumkiso somthamo
• Amaseli egazi amhlophe asezantsi
  
• Thatha njengoko kuyalelwe
• Ukuqwalaselwa okubalulekileyo kokuthatha i-chlorambucil
• Ngokubanzi
• Ukugcina
• Ukuzalisa kwakhona
• Ukuhamba
• Ukubeka iliso kwezonyango
• Ukufumaneka
• Ngaba zikhona ezinye iindlela?

Amagqabantshintshi e-chlorambucil

1. I-Chlorambucil ithebhulethi yomlomo iyafumaneka njengechiza elinegama lophawu. Ayifumaneki njengechiza eliqhelekileyo. Igama lebrand: Leukeran.
2. I-Chlorambucil iza kuphela njengecwecwe olithathayo ngomlomo.
3. I-Chlorambucil isetyenziselwa ukunyanga iintlobo ezithile zomhlaza wegazi kunye ne-lymph node. Eli chiza alinyangi umhlaza, kodwa liyanceda ukukhulula iimpawu zalo.

Izilumkiso ezibalulekileyo

Isilumkiso se-FDA: Isilumkiso se-Chemotherapy

• Eli chiza linesilumkiso sebhokisi emnyama. Esi sisilumkiso esibi kakhulu esivela kuLawulo lokutya kunye noLawulo lweziyobisi (FDA). Isilumkiso sebhokisi emnyama silumkisa oogqirha kunye nezigulana malunga neziphumo zeziyobisi ezinokuba yingozi.
• I-Chlorambucil lunyango lwe-chemotherapy. Njengezinye iziyobisi zomhlaza, i-chlorambucil inokunyusa umngcipheko wezinye iintlobo zomhlaza (izilonda ezisesekondari).
• Kwabasetyhini, i-chlorambucil inokubangela ukungachumi okanye ikhokelele kwiziphene zokuzalwa kosana ukuba uthatha ngexesha lokukhulelwa. Emadodeni, eli chiza linokubangela ukonakala kwidlozi lakho kwaye linciphise kakhulu ukubala kwesidoda. Oku kunokuba okanye kungabi sisigxina.
• Eli chiza linokuwucinezela ngokuqatha umsebenzi wakho womongo wethambo. Umongo wakho wethambo wenza iiseli zakho ezibomvu zegazi (ezihambisa ioksijini kuwo wonke umzimba wakho), iiseli ezimhlophe zegazi (ezikunceda ukulwa usulelo), kunye neeplatelets (ezinceda igazi lakho ukuba lijiye). Ukuba ukubalwa kweeseli zegazi lakho kusezantsi, ugqirha wakho unokunciphisa umyinge weli chiza. Biza ugqirha wakho kwangoko ukuba unayo nayiphi na impawu yeeseli eziphantsi zeeseli zegazi. Oku kubandakanya ukopha okungalindelekanga okanye ukugruzuka, igazi kumchamo wakho okanye ilindle, ukudinwa kakhulu, umkhuhlane, okanye naziphi na iimpawu zosulelo.

Ezinye izilumkiso

• Isilumkiso sokuphendula kwesikhumba: Eli chiza linokubangela ulusu. Ezi zinokubulala (zibangele ukufa). Yazisa ugqirha wakho ukuba unayo nayiphi na imiqondiso yokuphendula kwesikhumba. Iimpawu zibandakanya ukukhawuleza okukhulu, izilonda ezibuhlungu, isikhumba esikhanyayo, okanye isikhumba esikhanyayo. Ukuba uphuhlisa nayiphi na kwezi mpendulo, ugqirha wakho unokumisa okwethutyana okanye ngokusisigxina unyango lwakho ngeli chiza.

Yintoni i-chlorambucil?

I-Chlorambucil sisiyobisi esigqirha. Kuza kuphela njengecwecwe lomlomo.

I-Chlorambucil ayifumaneki njengeziyobisi eziqhelekileyo. Kuza kuphela njengesiyobisi segama lophawu Leukeran.

Eli chiza linokusetyenziswa njengenxalenye yonyango oludibeneyo. Oku kuthetha ukuba unokufuna ukuyithatha kunye namanye amayeza.

Kutheni isetyenziswa

I-Chlorambucil isetyenziselwa ukunyanga iintlobo ezithile zomhlaza wegazi kunye ne-lymph node. Ezi ntlobo zibandakanya:

• Leukemia engapheliyo ye-lymphocytic
• lymphosarcoma
• i-lymphoma enkulu
• Isifo sikaHodgkin

I-Chlorambucil ayinyangi umhlaza, kodwa iyanceda ukukhulula iimpawu zayo.

Ingaba isebenza kanjani

I-Chlorambucil ikudidi lweziyobisi ezibizwa ngokuba yi-antineoplastic (iziyobisi ezichasene nomhlaza), okanye ngakumbi, iiarhente zealkylating. Iklasi leziyobisi liqela lamayeza asebenza ngendlela efanayo. La machiza ahlala esetyenziselwa ukunyanga iimeko ezifanayo.

I-Chlorambucil isebenza ngokuphazamisa ukuphindaphinda kwe-DNA kwiiseli zomzimba. Iiseli zinokuba ngumhlaza xa ukuveliswa kwazo kwe-DNA kungalawuleki. Xa le nkqubo iphazamiseka, ibulala iiseli zomhlaza.

Iziphumo ebezingalindelekanga zeChlorambucil

I-Chlorambucil ayibangeli ukozela, kodwa inokubangela ezinye iziphumo ebezingalindelekanga.

Iziphumo eziqhelekileyo ezichaphazelekayo

Iziphumo eziqhelekileyo eziqhelekileyo ezinokuthi zenzeke nge-chlorambucil ziquka:

• Ukucinezelwa komongo wethambo. Oku kuthetha ukuba uya kuba neeseli ezibomvu nezimhlophe zegazi kunye neeplatelets. Iimpawu zingabandakanya:
• ukopha okungalindelekanga okanye ukugruzuka
• igazi kumchamo wakho okanye ilindle
• ukudinwa kakhulu
• ifiva
• nayiphi na imiqondiso yosulelo
• Ukucaphuka komlomo okanye izilonda
• Isicaphucaphu
• Ukuhlanza
• Urhudo

Ukuba ezi ziphumo zincinci, zinokuhamba zingaphelanga iintsuku okanye iiveki ezimbalwa. Ukuba zinzima kakhulu okanye azihambi, thetha nogqirha wakho okanye usokhemesti.

Iziphumo ebezingalindelekanga ezimandundu

Shayela ugqirha wakho ngokukhawuleza ukuba unemiphumo emibi. Tsalela umnxeba ku-911 ukuba iimpawu zakho ziziva zisongela ubomi okanye ukuba ucinga ukuba unempilo kaxakeka. Iziphumo ebezingalindelekanga ezimandundu kunye neempawu zazo zinokubandakanya oku kulandelayo:

• Ifiva
• Ukuxhuzula. Iimpawu zingabandakanya:
• ukuxhuzula
• ukuwa phantsi okanye ukulahleka ngesiquphe kwethoni yezihlunu
• ukulahleka ngesiquphe komchamo okanye ukulawula amathumbu
• ukudlula emva koko uvuke uziva udidekile
• Umonakalo wesibindi. Iimpawu zingabandakanya:
• ubumthubi besikhumba sakho okanye ezimhlophe zamehlo akho
• iintlungu kwinxalenye ephezulu yesisu sakho
• isicaphucaphu okanye ukugabha
• umchamo omnyama-mnyama
• ukudinwa
• Ubalo lweplatelet ephantsi. Iimpawu zingabandakanya:
• ukopha okungayi kuyeka
• ukutyumka ngokulula kunesiqhelo
• Inani leeseli ezimhlophe ezisezantsi. Oku kunokukhokelela kumngcipheko wokwanda kosulelo. Iimpawu zingabandakanya:
• ifiva
• iimpawu ezibandayo, ezinjengeempumlo ezivuzayo okanye umqala obuhlungu ongapheliyo
• Iimpawu zomkhuhlane, ezinjengokukhohlela, ukudinwa, kunye neentlungu zomzimba
• indlebe okanye intloko
• iintlungu ngexesha lokuchama
• amabala amhlophe emlonyeni okanye emqaleni
• I-anemia (ubalo lweeseli ezibomvu ezisezantsi). Iimpawu zingabandakanya:
• ulusu oluthuthu
• ukudinwa kakhulu
• intloko elula
• ukubetha kwentliziyo ngokukhawuleza
• Ukudumba kwenwebu yangaphakathi (njengokufaka impumlo okanye umlomo). Iimpawu zingabandakanya:
• ukudumba
• bomvu
• izilonda ezibuhlungu okanye izilonda emlonyeni wakho
• Iingxaki zesisu. Iimpawu zingabandakanya:
• isicaphucaphu kakhulu nokugabha
• Irhashalala elomeleleyo lolusu. Oku kunokubandakanya ityhefu ye-epidermal necrolysis okanye isifo sikaStevens-Johnson. Iimpawu zingabandakanya:
• ububomvu kunye nokukhawuleza kwesikhumba sakho
• ukuxobuka kolusu
• amadyungudyungu
• izilonda ezibuhlungu
• ifiva
• I-peripheral neuropathy (iintlungu zentliziyo). Iimpawu zingabandakanya oku kulandelayo kwimilenze okanye kwiingalo zakho:
• ukuba ndindisholo
• ukurhawuzelela
• Ukutshisa iimvakalelo
• ubuntununtunu obugqithisileyo bokubamba
• intlungu
• ubuthathaka kwiinyawo zakho, imilenze, okanye izandla
• Umonakalo wemiphunga. Iimpawu zingabandakanya:
• ukukhohlela
• ukuqhawukelwa ngumphefumlo
• Ukungachumi
• Eminye imihlaza

Iphepha elichazayo ukuba awusenanto oyifunayo: Injongo yethu kukukunika olona lwazi lufanelekileyo nolukhoyo ngoku. Nangona kunjalo, ngenxa yokuba iziyobisi zinxibelelana ngokwahlukileyo kumntu ngamnye, asinakuqinisekisa ukuba olu lwazi lubandakanya lonke unxibelelwano olunokwenzeka. Olu lwazi aluthathi ndawo yengcebiso yezonyango. Soloko uthetha nomboneleli wakho wezempilo malunga nokunxibelelana okunokubakho nawo onke amayeza amiselweyo, iivithamini, amayeza kunye nezongezo, kunye namayeza owathethayo.

I-Chlorambucil inokusebenzisana namanye amayeza

Unxibelelwano kuxa into isitshintsha indlela esebenza ngayo iyeza. Oku kunokuba yingozi okanye kuthintele ichiza ekusebenzeni kakuhle. Ukukunceda ukukhusela ukusebenzisana, ugqirha wakho kufuneka aphathe onke amayeza akho ngononophelo. Qiniseka ukuba uxelela ugqirha wakho ngawo onke amayeza, iivithamini, okanye imifuno oyithathayo.

Ukufumanisa ukuba ithebhulethi yomlomo ye-chlorambucil inokusebenzisana njani nenye into oyithathayo, thetha nogqirha wakho okanye usokhemesti.

Iphepha elichazayo ukuba awusenanto oyifunayo: Injongo yethu kukukunika olona lwazi lufanelekileyo nolukhoyo ngoku. Nangona kunjalo, ngenxa yokuba iziyobisi zinxibelelana ngokwahlukileyo kumntu ngamnye, asinakuqinisekisa ukuba olu lwazi lubandakanya lonke unxibelelwano olunokwenzeka. Olu lwazi aluthathi ndawo yengcebiso yezonyango. Soloko uthetha nomboneleli wakho wezempilo malunga nokunxibelelana okunokubakho nawo onke amayeza amiselweyo, iivithamini, amayeza kunye nezongezo, kunye namayeza owathethayo.

Izilumkiso zeChlambambucil

Eli chiza liza nezilumkiso ezininzi.

Isilumkiso somzimba

I-Chlorambucil inokubangela ukusabela okugwenxa. Iimpawu zingabandakanya:

• ububomvu kunye nokukhawuleza kwesikhumba sakho
• ukuxobuka kolusu
• amadyungudyungu
• izilonda ezibuhlungu
• ukurhawuzelela
• urticaria
• ifiva
• ukudumba kolwimi lwakho okanye umqala
• ingxaki yokuphefumla

Ukuba uvelisa ezi mpawu, tsalela umnxeba ku-911 okanye uye kwigumbi lexakeka elikufutshane.

Sukuphinda ulithathe eli chiza ukuba ukhe waba negazi kulo. Ukuyithatha kwakhona kunokuba yingozi (kubangele ukufa).

Ukuqhagamshelana nesilumkiso seziyobisi

I-Chlorambucil inokubenzakalisa abanye ukuba bayayichukumisa. Buza ugqirha wakho okanye usokhemesti ngendlela yokuphatha eli chiza ngokukhuselekileyo.

Izilumkiso zabantu abaneemeko ezithile zempilo

Kubantu abaneengxaki zesibindi: Ukuba unengxaki yesibindi okanye imbali yesifo sesibindi, ngekhe ukwazi ukucacisa eli chiza emzimbeni wakho kakuhle. Oku kunokunyusa amanqanaba e-chlorambucil emzimbeni wakho kwaye kubangele iziphumo ebezingalindelekanga ezingaphezulu. Ugqirha wakho unokukuqala kumthamo osezantsi kwaye akujonge ngakumbi kwiziphumo ebezingalindelekanga. Eli chiza linokubangela nokonakala kwesibindi. Oku kuthetha ukuba kunokubangela ukuba isifo sakho sesibindi sibe nzima.

Izilumkiso kwamanye amaqela

Abafazi abakhulelweyo: I-Chlorambucil ludidi D lokukhulelwa iziyobisi. Oko kuthetha izinto ezimbini:

1. Uphando ebantwini lubonakalise iziphumo ezingalunganga kwimveku xa umama ethatha iyeza.
2. Eli chiza kufuneka lisetyenziswe kuphela ngexesha lokukhulelwa kwiimeko ezinzima apho kufuneka khona ukunyanga imeko eyingozi kumama.

Thetha nogqirha wakho ukuba ukhulelwe okanye uceba ukukhulelwa. Buza ugqirha wakho ukuba akuxelele ngomonzakalo othile onokwenziwa ekukhulelweni kwakho. Eli chiza kufuneka lisetyenziswe kuphela ukuba umngcipheko onokubakho wamkelekile xa unikwa ichiza elinokubakho.

Biza ugqirha wakho ngoko nangoko ukuba ukhulelwe ngelixa uthatha eli chiza.

Ukuba uyindoda, eli chiza linokubangela ukonakala kwimbewu yakho kwaye kunciphise kakhulu ukubala kwesidoda. Esi siphumo sinokuthi okanye singabi sisigxina.

Kubafazi abancancisayo: Ayaziwa ukuba i-chlorambucil idlula ubisi lwebele. Ukuba kunjalo, kunokubangela iziphumo ebezingalindelekanga emntwaneni oncanciswa. Thetha nogqirha wakho xa uncelisa umntwana wakho. Kuya kufuneka uthathe isigqibo sokuba uyeke ukuncancisa okanye uyeke ukuthatha eli yeza.

Kubantu abadala: Isibindi sabantu abadala sinokungasebenzi njengokuba besikade sisebenza. Oku kunokubangela ukuba umzimba wakho uqhubekeke neziyobisi ngokuthe chu. Ngenxa yoko, inani eliphezulu leziyobisi lihlala emzimbeni wakho ixesha elide. Oku kuphakamisa umngcipheko weziphumo ebezingalindelekanga.

Kubantwana: Eli chiza alifundiswanga ebantwaneni. Akufanele isetyenziswe kubantu abangaphantsi kweminyaka eyi-18.

Ungayithatha njani i-chlorambucil

Zonke iidosi ezinokwenzeka kunye neefom zamachiza azinakufakwa apha. Umthamo wakho, ifom yeziyobisi, kunye nokuba ulithatha kangaphi iziyobisi kuya kuxhomekeka:

• iminyaka yakho
• imeko inyangwa
• imbi kangakanani imeko yakho
• ezinye iimeko zonyango onazo
• usabela njani kwidosi yokuqala

Ifom yeziyobisi kunye namandla

Igama lebrand: Leukeran

• Ifom: ithebhulethi yomlomo
• Ukomelela: 2 mg

Idosi yesifo se-lymphocytic leukemia

Umthamo wabantu abadala (abaneminyaka eli-18 ukuya kwengama-64)

• Umyinge oqhelekileyo: Uya kulithatha eli chiza kube kanye ngosuku iiveki ezi-3-6. Ugqirha wakho uya kuthatha isigqibo malunga ngqo nomthamo wakho ngokusekwe kubunzima bomzimba wakho kunye nemeko. Kubantu abaninzi, idosi iya kuba phakathi kwe-4-10 mg ngosuku.
• Uhlengahlengiso lwesilinganiselo: Ugqirha wakho uya kukujonga ngexesha lonyango kwaye ahlengahlengise idosi yakho njengoko kufuneka.
• Ezinye iishedyuli zonyango: Ugqirha wakho unokukunika irejimeni yerejimeni okanye ishedyuli eyahlukileyo. Qiniseka ukuba uthatha idosi yakho ngokuchanekileyo njengoko kuyalelwe ngugqirha wakho.

Idosi yomntwana (iminyaka eyi-0 ukuya kwi-17 iminyaka)

Akuqinisekiswanga ukuba eli chiza likhuselekile kwaye liyasebenza ukuba lisetyenziswe kubantu abangaphantsi kweminyaka eli-18.

Umthamo omkhulu (iminyaka eyi-65 nangaphezulu)

Isibindi sabantu abadala sinokungasebenzi njengokuba besikade sisebenza. Oku kunokubangela ukuba umzimba wakho uqhubekeke neziyobisi ngokuthe chu. Ngenxa yoko, inani eliphezulu leziyobisi lihlala emzimbeni wakho ixesha elide. Oku kuphakamisa umngcipheko weziphumo ebezingalindelekanga.

Ugqirha wakho unokukuqala kwisiphelo esisezantsi soluhlu lweedosi. Baza kujonga ezinye iimeko onazo xa begqiba isigqibo sakho.

Isisombululo se-lymphoma enobungozi (i-lymphosarcoma, i-giant follicular lymphoma, kunye nesifo sikaHodgkin)

Umthamo wabantu abadala (abaneminyaka eli-18 ukuya kwengama-64)

• Umyinge oqhelekileyo: Uya kulithatha eli chiza kube kanye ngosuku iiveki ezi-3-6. Ugqirha wakho uya kuthatha isigqibo malunga ngqo nomthamo wakho ngokusekwe kubunzima bomzimba wakho kunye nemeko. Kubantu abaninzi, idosi iya kuba phakathi kwe-4-10 mg ngosuku.
• Uhlengahlengiso lwesilinganiselo: Ugqirha wakho uya kukujonga ngexesha lonyango kwaye ahlengahlengise idosi yakho njengoko kufuneka.
• Ezinye iishedyuli zonyango: Ugqirha wakho unokukunika irejimeni yerejimeni okanye ishedyuli eyahlukileyo. Qiniseka ukuba uthatha idosi yakho ngokuchanekileyo njengoko kuyalelwe ngugqirha wakho.

Idosi yomntwana (iminyaka eyi-0 ukuya kwi-17 iminyaka)

Akuqinisekiswanga ukuba eli chiza likhuselekile kwaye liyasebenza ukuba lisetyenziswe kubantu abangaphantsi kweminyaka eli-18.

Umthamo omkhulu (iminyaka eyi-65 nangaphezulu)

Isibindi sabantu abadala sinokungasebenzi njengokuba besikade sisebenza. Oku kunokubangela ukuba umzimba wakho uqhubekeke neziyobisi ngokuthe chu. Ngenxa yoko, inani eliphezulu leziyobisi lihlala emzimbeni wakho ixesha elide. Oku kuphakamisa umngcipheko weziphumo ebezingalindelekanga.

Ugqirha wakho unokukuqala kwisiphelo esisezantsi soluhlu lweedosi. Baza kujonga ezinye iimeko onazo xa begqiba isigqibo sakho.

Isilumkiso somthamo

Ugqirha wakho uya kujonga amanqanaba eeseli zakho ezimhlophe ezibomvu kunye neeplatelets ngexesha lonyango lwakho. Ukuba amanqanaba akho asezantsi kakhulu, ugqirha wakho uya kunciphisa idosi yakho.

Iphepha elichazayo ukuba awusenanto oyifunayo: Injongo yethu kukukunika olona lwazi lufanelekileyo nolukhoyo ngoku. Nangona kunjalo, ngenxa yokuba iziyobisi zichaphazela umntu ngamnye ngokwahlukileyo, asinakuqinisekisa ukuba olu luhlu lubandakanya zonke iidosi ezinokubakho. Olu lwazi aluthathi ndawo yengcebiso yezonyango. Soloko uthetha nogqirha wakho okanye usokhemesti malunga needosi ezikulungeleyo.

Amaseli egazi amhlophe asezantsi

1. Ii-lymphocyte kunye nee-neutrophils ziiseli ezimhlophe zegazi, ezikunceda ukukhusela kwizifo. Uninzi lwabantu, ithebhulethi yomlomo we-chlorambucil ibangela i-lymphopenia eqhubekayo (amanqanaba asezantsi e-lymphocyte). Oku kuhamba kungekudala emva kokuyeka iyeza. Ukongeza, uninzi lwabantu luya kuba ne-neutropenia (amanqanaba asezantsi ee-neutrophils) emva kweveki yesithathu yonyango ngeli chiza. Oku kunokuhlala kwiintsuku ezili-10 emva kwedosi yakho yokugqibela. Yomibini le micimbi inyusa umngcipheko wokuba nosulelo. Tshela ugqirha wakho ukuba unempawu zosulelo, ezinje ngomkhuhlane, ukukhwehlela, okanye iintlungu zemisipha.

Thatha njengoko kuyalelwe

Ithebhulethi yomlomo yeChlorambucil isetyenziselwa unyango lwexesha elifutshane. Kuza nomngcipheko omkhulu ukuba awuyithathi njengoko kumiselwe.

Ukuba uyeka ukuthatha iyeza ngesiquphe okanye ungathathi kwaphela: Eli chiza alizukusebenza ukukhulula iimpawu zakho zomhlaza.

Ukuba uphosa idosi okanye awuthathi ichiza kwishedyuli: Amayeza akho anokungasebenzi kakuhle. Ukuze eli chiza lisebenze kakuhle, isixa esithile kufuneka sibe semzimbeni wakho ngalo lonke ixesha.

Ukuba uthatha kakhulu: Unokuba namanqanaba ayingozi eli chiza emzimbeni wakho. Iimpawu libanda, eli chiza kungabandakanya:

• Ukuncipha okukhulu kubalo lweeseli zegazi. Oku kunokukhokelela kwi-anemia, izifo kunye nokuphuma kwegazi.
• ukuphazamiseka
• iingxaki ngokulungelelanisa okanye ukulawula izihlunu
• ukuxhuzula

Ukuba ucinga ukuba uthathe eli chiza kakhulu, tsalela ugqirha okanye indawo yolawulo lwetyhefu yendawo. Ukuba iimpawu zakho zinzima, tsalela umnxeba ku-911 okanye uye kwigumbi likaxakeka elikufutshane ngoko nangoko.

Yintoni omele uyenze xa uphosa idosi: Thatha idosi yakho ngokukhawuleza ukuba ukhumbule. Kodwa ukuba ukhumbula iiyure ezimbalwa ngaphambi kwethamo lakho elilandelayo, thabatha idosi enye kuphela. Ungaze uzame ukubamba ngokuthatha iidosi ezimbini ngaxeshanye. Oku kunokubangela iziphumo ebezingalindelekanga eziyingozi.

Ungaxela njani ukuba ichiza liyasebenza: Iimpawu zakho zomhlaza kufuneka ziphuculwe. Ugqirha wakho uya kwenza iimvavanyo ukukhangela ukuba ngaba eli chiza liyasebenza na. Baza kujonga ubalo lweeseli ezimhlophe zegazi ngexesha leeveki zokuqala ezintathu ukuya kwezi-3 zonyango.

Ukuqwalaselwa okubalulekileyo kokuthatha i-chlorambucil

Gcina ezi ngqwalaselo engqondweni ukuba ugqirha wakho ukumisela i-chlorambucil.

Ngokubanzi

• Musa ukuthatha eli chiza ngokutya. Kuya kufuneka uyithathe kwisisu esingenanto.
• Thatha eli chiza ngexesha (ama) elinconyelwe ngugqirha wakho.
• Unokuyisika okanye uyityumze ithebhulethi. Nangona kunjalo, eli chiza linokubenzakalisa abanye ukuba bayalichukumisa. Buza ugqirha wakho okanye usokhemesti ngendlela yokuphatha la mayeza ngokukhuselekileyo.

Ukugcina

• Gcina i-chlorambucil kwifriji. Yigcine kubushushu obuphakathi ko-36 ° F no-46 ° F (2 ° C no-8 ° C).
• Sukugcina eli yeza kwiindawo ezifumileyo okanye ezimanzi, ezinjengezindlu zangasese.

Ukuzalisa kwakhona

Imigqaliselo yolu nyango iyahlaziywa. Akunyanzelekanga ukuba ufune iyeza elitsha ukuze eli gciwane lizaliswe kwakhona. Ugqirha wakho uza kubhala inani lezinto ezigcwalisiweyo kugunyaziswe ngugqirha wakho.

Ukuhamba

Xa uhamba namayeza akho:

• Soloko uphatha amayeza akho kunye nawe. Xa ubhabha, ungaze uyibeke kwingxowa ekhangelwe. Yigcine kwibhegi yakho yokuqhubela phambili.
• Musa ukuzikhathaza ngoomatshini beX-ray kwisikhululo seenqwelo-moya. Abakwazi ukulimaza amayeza akho.
• Kusenokufuneka ubonise abasebenzi besikhululo seenqwelomoya ilebhile yekhemesti yakho. Soloko uphatha ikhonteyina eneleta emiselweyo yentsusa.
• Eli yeza kufuneka lifrijiwe. Xa useluhambeni, unokufuna ukusebenzisa ibhegi efakiweyo enepakethe ebandayo ukugcina iqondo lobushushu leziyobisi.
• Musa ukubeka eli yeza kwigumbi leglavu lemoto yakho okanye ulishiye emotweni. Qiniseka ukuthintela ukwenza oku xa imozulu ishushu kakhulu okanye ibanda kakhulu.

Ukubeka iliso kwezonyango

Wena nogqirha kufuneka ujonge imicimbi ethile yempilo. Oku kunokukunceda uqiniseke ukuba uhlala ukhuselekile ngelixa uthatha eli chiza. Le micimbi ibandakanya:

• Iseli yegazi iyabala. Kwiveki nganye, ugqirha wakho uya kubeka esweni inani leeseli ezimhlophe emzimbeni wakho. Oku kuya kunceda uqinisekise ukuba amanqanaba akho awawi kakhulu. Ngethuba lokuqala kwonyango lwakho, ugqirha wakho unokuphinda ahlole iseli yakho emhlophe yegazi ukubala iintsuku ezi-3 okanye ezi-4 emva kokubala kweveki nganye kuzo zonke iiseli zakho zegazi.
• Umsebenzi wesibindi. Ugqirha wakho angenza uvavanyo lwegazi ukujonga ukuba isibindi sakho sisebenza njani. Ukuba isibindi sakho asisebenzi kakuhle, ugqirha wakho unokuhlisa idosi okanye ayeke unyango ngeli chiza.

Ukufumaneka

Ayizizo zonke iikhemesti ezigcina eli chiza. Xa ugcwalisa amayeza akho, qiniseka ukutsalela umnxeba phambili ukuze uqiniseke ukuba ikhemesti yakho iyayiphatha.

Ngaba zikhona ezinye iindlela?

Kukho ezinye iziyobisi ezikhoyo ukunyanga imeko yakho. Abanye banokukulungela ngcono kunabanye. Thetha nogqirha wakho ngezinye iindlela zamachiza ezinokusebenzela wena.

Iphepha elichazayo ukuba awusenanto oyifunayo: I-Healthline yenze yonke imizamo yokuqinisekisa ukuba lonke ulwazi luchanekile, lubanzi kwaye luhlaziyiwe. Nangona kunjalo, eli nqaku akufuneki lisetyenziswe endaweni yolwazi kunye nobuchule bengcali yezempilo enelayisensi. Kuya kufuneka usoloko uqhagamshelana nogqirha wakho okanye nolunye uqeqesho kwezonyango ngaphambi kokuba uthathe nawaphi na amayeza. Ulwazi lweziyobisi oluqulethwe apha luyakwazi ukutshintsha kwaye alujoliswanga ekusetyenzisweni konke okunokwenzeka, imikhombandlela, izilumkiso, izilumkiso, ukuhlangana kweziyobisi, ukungahambelani komzimba, okanye iziphumo ezibi. Ukungabikho kwezilumkiso okanye olunye ulwazi ngesiyobisi esinikiweyo akubonisi ukuba indibaniselwano yeziyobisi ikhuselekile, iyasebenza, okanye ifanelekile kuzo zonke izigulana okanye konke ukusetyenziswa okuthile.