Capecitabine (indlela yokumathisa ngomlomo)
Imikhiqizo etholakalayo
Xeloda
Mayelana naleli khambi
I-Capecitabine isetshenziswa yodwa noma ngokuhlanganiswa nezinye izindlela zokwelapha umdlavuza kubantu abane-kansa yomlomo omkhulu esakazeke (Isigaba III) ukusiza ukuvimbela ukubuyela kwe-kansa yomlomo omkhulu ngemuva kokuhlinzwa. Isetshenziswa futhi kanye nezinye izindlela zokwelapha umdlavuza kanye nokuphathwa kweradieysheni, ngesikhathi sokuhlinzwa, ukwelapha i-kansa yerectal esakazeke. Lolu lwemi isetshenziswa futhi yodwa noma ngokuhlanganiswa nezinye izindlela zokwelapha umdlavuza ukwelapha i-kansa ye-colorectal esakazeke noma engenakususwa ngokuhlinzwa. I-Capecitabine isetshenziswa futhi kanye ne-docetaxel ukwelapha i-kansa yesifuba esakazeke emzimbeni wonke kubantu abamukele eminye imithi (eg, imithi ye-anthracycline) engasebenzisanga kahle. Lolu lwemi isetshenziswa futhi yodwa ukwelapha i-kansa yesifuba kubantu abangenakwamukela imithi ye-anthracycline noma imithi ye-taxane. I-Capecitabine isetshenziswa futhi ngokuhlanganiswa nezinye izindlela zokwelapha umdlavuza ukwelapha i-esophageal, i-gastric (isisu), noma i-gastroesophageal junction kubantu abane-kansa esakazeke noma engenakususwa ngokuhlinzwa. Isetshenziswa futhi ukwelapha i-esophagus, isisu, noma i-gastroesophageal junction adenocarcinoma esakazeke emzimbeni wonke kubantu abane-kansa enejini le-HER2 elingavamile futhi abangazange bamukele ezinye izindlela zokwelapha umdlavuza. I-Capecitabine isetshenziswa futhi ngokuhlanganiswa nezinye izindlela zokwelapha umdlavuza ukuvimbela ukubuyela kwe-kansa yepancreatic ngemuva kokuhlinzwa. I-Capecitabine iyingxenye yeqembu lemithi ebizwa ngokuthi yi-antineoplastics (imithi ye-kansa). Iphazamisa ukukhula kwamaselula e-kansa, aqothulwa ekugcineni umzimba. Njengoba ukukhula kwamaselula avamile kungase kuthonyeke futhi yimithi, ezinye izingozi zingase zenzeke. Ezinye zalezi zingaba nzima futhi kufanele zibikwe kudokotela wakho. Lolu lwemi lutholakala kuphela ngesikripthi sodokotela wakho. Lo mkhiqizo utholakala ngezindlela zokulinganisa ezilandelayo:
Ngaphambi kokusebenzisa leli khambi
Uma ukuthatha isinqumo sokusebenzisa imithi, kufanele kuqhathaniswe ingozi yokusebenzisa imithi nezinzuzo ezizoletha. Lo ngumqondo owenzayo wena nodokotela wakho. Kule mithi, kufanele kucabangelwe okulandelayo: Tshela udokotela wakho uma uke waba nanoma yiluphi uhlobo oluhlukile noma ukusabela okungokwe-alerji kule mithi noma kunoma iyiphi enye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo zokungezwani, njengokudla, izidakamizwa, izigcini, noma izilwane. Ngomkhiqizo ongenayo iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele azikwenzelwanga ubudlelwano bobudala nemiphumela ye-capecitabine kubantu abancane. Ukuphepha nokuphumelela akukaqiniswa. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zabantu abadala ezingalinda ukusetshenziswa kwe-capecitabine kubantu abadala. Noma kunjalo, abantu abadala banesibopho esikhulu sokuba nemiphumela emibi engathandeki (isib. izinkinga zesisu, ukweluka okukhulu, isicanucanu noma ukugabha, okungadinga ukuqapha nokulungiswa komthamo kubantu abamukela i-capecitabine. Ayikho izifundo ezifanele kubesifazane zokunquma ingozi yengane uma usebenzisa le mithi ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokuthatha le mithi ngesikhathi sokuncelisa. Nakuba ezinye izidakamizwa kufanele zingasetshenziswa ndawonye, kwezinye izimo imithi emibili ehlukene ingasetshenziswa ndawonye ngisho noma kungenzeka ukuthi kube khona ukusebenzisana. Kulezi zimo, udokotela wakho angafuna ukushintsha umthamo, noma ezinye izinyathelo zokuphepha zingadingeka. Uma uthatha le mithi, kubalulekile kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma iyiphi imithi ehlaliswe ngezansi. Ukusebenzisana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ayikhuthazwa. Udokotela wakho anganquma ukungakwelaphi ngale mithi noma ashintshe ezinye izidakamizwa ozithathayo. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ngokuvamile ayikhuthazwa, kodwa kungadingeka kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyayisebenzisa kangakanani enye noma zombili izidakamizwa. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo kungabangela ukwanda kengozi yemiphumela emibi ethile, kodwa ukusebenzisa kokubili izidakamizwa kungaba ukwelashwa okuhle kuwe. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyayisebenzisa kangakanani enye noma zombili izidakamizwa. Ezinye izidakamizwa akufanele zisetshenziswe ngesikhathi noma eduze kwesikhathi sokudla ukudla noma ukudla izinhlobo ezithile zokudla njengoba kungenzeka kube khona ukusebenzisana. Ukusebenzisa utshwala noma utshaba nezinye izidakamizwa kungabangela ukusebenzisana. Xoxa nochwepheshe bakho bezempilo ngokusetshenziswa kwemithi yakho ngokudla, utshwala, noma utshaba. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kwale mithi. Qiniseka ukuthi utshela udokotela wakho uma unezinye izinkinga zezokwelapha, ikakhulukazi:
Indlela yokusebenzisa leli khambi
Imithi esetshenziswa ekwelapheni umdlavuza inamandla kakhulu futhi ingaba nemiphumela eminingi emibi. Ngaphambi kokusebenzisa le mithi, qiniseka ukuthi uyayiqonda yonke imingcipheko nezinzuzo. Kubalulekile ukuthi usebenzisane eduze nodokotela wakho phakathi nokuphathwa kwakho. Thatha le mithi ngokuqondile njengoba uqondiswe udokotela wakho. Ungayithathi ngaphezulu, ungayithathi kaningi, futhi ungayithathi isikhathi eside kunalokho oqondiswe udokotela wakho. Ukwenza kanjalo kungandisa amathuba emiphumela emibi. Le mithi kufanele ifike nepheshana lolwazi lwabaguli. Funda futhi ulandele lezi zinkomba ngokucophelela. Buza udokotela wakho uma unemibuzo. Thatha le mithi ngokudla imizuzu engama-30 ngemuva kokudla. Thatha le mithi ngesikhathi esifanayo nsuku zonke. Gwinya ithebulethi yonke ngamanzi. Ungayihlwesi, ungayicwili, noma ungayikhononde. Uma ithebulethi kufanele ihlwesiwe noma iciwe, kufanele kwenziwe yi-pharmacist. Inani lemithi elizothathwa lizohluka kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esemthethweni. Ulwazi olulandelayo luhlanganisa kuphela amanani aphakathi ale mithi. Uma inani lakho lihlukile, ungalishintshi ngaphandle kokuthi udokotela wakho akuqondise ukuba wenze njalo. Inani lemithi oyithathayo lixhomeke emandleni emithi. Futhi, inani lemithi oyithathayo nsuku zonke, isikhathi esivunyelwe phakathi kwamadosi, nobude besikhathi othatha imithi kuya ngesimo sezempilo osetshenziswa ngaso imithi. Uma uphuthelwa yidosi yale mithi, tshela idosi oyiphuthelwe futhi ubuyele esimisweni sakho sokuthola imithi. Ungawandisi ama-doses. Uma uhlanza ngemuva kokuthatha idosi, ungayithathi idosi eyengeziwe. Thatha idosi elandelayo ngesikhathi esivamile. Gcina imithi esitsheni esivaliwe ekamelweni lokushisa, kude nokushisa, ukufuma, nokukhanya okulungile. Gcina ungayiganduki. Gcina ingafinyeleleki kubantwana. Ungagcini imithi esidala noma imithi engasasetshenziswa. Buza ochwepheshe bakho bezempilo ukuthi kufanele uyilahla kanjani noma iyiphi imithi ongayisebenzisi.