Gefitinib (indlela yokumathisa ngomlomo)
Imikhiqizo etholakalayo
Iressa
Mayelana naleli khambi
I-gefitinib isetshenziswa ekwelapheni umdlavuza wekhanda elingamaseli amaningi ongaphazanyiswanga (umdlavuza osekuqalile ukuya kwamanye amalunga) kubantu abanezinye izinhlobo ze-epidermal growth factor (EGFR) ezingavamile, futhi abazange bathole imithi yomdlavuza ngaphambili. Udokotela wakho uzokwenza ivivi ngaphambi kokuba uthathe le mithi. I-Gefitinib iyingxenye yeqembu lemithi ebizwa ngokuthi yi-antineoplastics (imithi yomdlavuza). Isebenza ngokuphazamisa ukukhula kwamaseli omdlavuza, aqothulwa ekugcineni. Le mithi itholakala kuphela ngomyalo wodokotela. Lo mkhiqizo utholakala ngezindlela zokulinganisela ezilandelayo:
Ngaphambi kokusebenzisa leli khambi
Uma ukukhetha ukusebenzisa 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 oluqondile noma oluhambelanayo lwe-allergic kule mithi noma kunoma iyiphi enye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo ze-allergies, njengokudla, izidakamizwa, izigcini, noma izilwane. Ngomkhiqizo ongaphandle kwesikripthi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele azikwenzelwanga ubudlelwano bobudala nemiphumela ye-gefitinib kubantu abancane. Ukuphepha nokuphumelela akukaqiniswa. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zabantu abadala ezingakhawulela ukusetshenziswa kwe-gefitinib kubantu abadala. Ayikho izifundo ezifanele kubesifazane zokunquma ingozi yengane uma usebenzisa le mithi ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokusebenzisa 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 angase afune ukushintsha umthamo, noma ezinye izinyathelo zokuphepha kungadingeka. Uma uthatha le mithi, kubalulekile kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma iyiphi imithi ehlwini elingezansi. Ukusebenzisana okulandelayo kukhethwe ngokusekelwe ekuqondeni kwabo okukhulu futhi akuyona yonke into. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ngokuvamile akusikholisiwe, kodwa kungadingeka kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani enye noma kokubili imithi. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo kungabangela ukwanda kengozi yezinye izingozi ezibekiwe, kodwa ukusebenzisa kokubili imithi kungaba ukwelashwa okuhle kuwe. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani enye noma kokubili imithi. Ezinye izidakamizwa akufanele zisetshenziswe ngesikhathi sokudla noma ngesikhathi sokudla izinhlobo ezithile zokudla ngoba ukusebenzisana kungase kwenzeke. Ukusebenzisa utshwala noma utshaba ngezinye 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 nokwelashwa kwakho. Le mithi kufanele ifike nephepha lokwazisa iziguli. Funda bese ulandela lezi zinkomba ngokucophelela. Buza udokotela wakho uma unemibuzo. Ungayithatha le mithi ngokudla noma ngaphandle kokudla. Uma unezinkinga zokugwinya amathebulethi: Uma uthatha imithi yesisu ye-heartburn noma i-ulcers (njenge-cimetidine, famotidine, Pepcid®, Tagamet®), thatha imithi ye-heartburn okungenani amahora angu-6 ngaphambi noma amahora angu-6 ngemuva kokuthatha le mithi. Uma uthatha imithi yesisu (njenge-dexlansoprazole, lansoprazole, omeprazole, pantoprazole, Aciphex®, Dexilant®, Nexium®, Prevacid®, Prilosec®), thatha le mithi okungenani amahora angu-12 ngaphambi noma amahora angu-12 ngemuva kokuthatha le mithi. Kungcono ukugwema le mithi ngaphandle uma udokotela wakho ekutshela ngenye indlela. Inani le mithi elizothathwa lizohluka kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esembolekweni. Ulwazi olulandelayo luhlanganisa kuphela amanani aphakathi ale mithi. Uma inani lakho lihlukile, ungalishintshi ngaphandle uma udokotela wakho ekutshela ukuba wenze njalo. Inani lemithi oyithatha lixhomeke emandleni emithi. Futhi, inani lemithi oyithatha nsuku zonke, isikhathi esivunyelwe phakathi kwamadosi, nobude besikhathi othatha imithi kuya ngesimo sezokwelapha osethula imithi. Uma uphuthelwa yidosi yale mithi, yithathe ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi sedosi yakho elandelayo, susa idosi ophuthelwe yona bese ubuyela esimweni sakho sokuthola imithi. Ungawandisi ama-doses. Ungayithathi le mithi uma sekwedlule amahora angu-12 kusukela uphuthelwe yidosi yakho yokugcina. Gcina imithi embizeni evaliwe emazingeni okushisa kwegumbi, kude nokushisa, ukufuma, nokukhanya okulungile. Gcina ungayivumeli ukuba iqhwaze. Gcina ingafinyeleleki kubantwana. Ungagcini imithi esele iphelile noma imithi engasasetshenziswa. Buza ochwepheshe bezempilo ukuthi kufanele uyilahla kanjani noma iyiphi imithi ongayisebenzisi.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.