I-Tamoxifen, Ukuzaliswa, kunye noKhulelwa komngcipheko
Ngaba ikhuselekile ukusebenzisa iTamoxifen ngexesha lokukhulelwa okanye ingaba yingozi? Ngaba i-Tamoxifen ichaphazela ukuzala?
Iingozi zeTamoxifen ekukhulelweni
Ukuba ufunda la magama mhlawumbi wena, okanye umntu omkhathalelayo uthatha iTamoxifen. Ndiyakuvuyela ngokusinda! Oko kwathiwa, kukho izinto ezininzi omele wazi ukuba ucinga ngokukhulelwa ngenkathi uthatha iTamoxifen.
Musa ukuxuba iTamoxifen kunye nokukhulelwa
I-Tamoxifen inokulimaza amaqanda afunyiweyo (imibungu) ungayithathi ukuba usukhulelwe kakade. Ngenxa yobukhulu becala bentsholongwane yokuzalwa, uTamoxifen akufanele kuthathwe ngexesha lokukhulelwa.
Ukuba ucinga ukuba ukhulelwe, thintela ukuthatha iTamoxifen uze uqhagamshelane nodokotela wakho ngokukhawuleza. Kwiingcali zeebhabhi kwizilwanyana ezikhulelweyo, i-Tamoxifen ibangele iziphoso zokuzalwa, ukukhulelwa kwesisu, kwaye ithintela amaqanda azaliswe ngokubambisa eludongeni lwesisu.
Tamoxifen kunye noNzala
Xa ufunda ukuba iTamoxifen kwaye ukukhulelwa akuxubeki, mhlawumbi uyazibuza ngekamva. Xa usugqibile ukuthatha iTamoxifen, ngaba ukukhulelwa kuya kulungile? Ngombulelo, emva kokuhlamba kweenyanga ezimbalwa ngaphandle kweTamoxifen, umngcipheko weziphene zokuzalwa ezivela eTamoxifen uyahamba. Ukongeza, iifundo zisitshela ukuba iTamoxifen ayinxulumene nobudala bokuqala. Ngamanye amagama, i-Tamoxifen ayinakwenzeka ukukhawulezisa inkqubo "yesiqhelo" yokunciphisa ukuzala okuza ngokukhula.
Tamoxifen kunye noNyango
Kubaluleke kakhulu ukusebenzisa iindlela ezintle ezingekho-hormonal zokukhulelwa kwexesha xa uthatha iTamoxifen. Izindlela zokukhulelwa kwezilwanyana ezinjengeipilisi zokulawula ukuzalwa, ziqukethe i-estrogen kunye neprogesterone enokunyusa ukukhula komhlaza wesifuba, okwenyusa umngcipheko wokuphindaphinda.
Oogqirha abaninzi bancomela ukudibanisa iindlela ezimbini zokukhulelwa kokukhusela ukuze zikhusele ngoxa zithatha iTamoxifen. Thetha ugqirha wakho malunga neendlela ezahlukeneyo zokukhulelwa . Zama ikhondom, i-spermicide, i- diaphragm , okanye i-IUD ukukhusela ukukhulelwa. Kungaba yinto elungileyo yokuziqonda ngeendlela zokukhulelwa ngokukhawuleza - iindlela ezikhoyo ukuba, umzekelo, ikhondom iphule, ukukhusela ukukhulelwa. Ekubeni oku, njengemithi yokukhulelwa komlomo, iqulethe amahomoni amabhinqa, kubaluleke kakhulu ukuba uthethe kwi-oncologist yakho ngaphambi kokusebenzisa le.
Tamoxifen kunye neNkqubo Yakho Yokuzala
Nangona i-chemotherapy iyakwenza okwesikhashana "i-menopausal," akuqhelekanga ukuba kubuyiselwe ukubuyela kwiminyaka emva kwonyango. Awuyi kuba yinto engummangaliso kwi-Tamoxifen, ngaphandle kokuba sele usondele kufuphi nelo xesha xa uqale unyango. Ngokuchasene noko, iingcali zengqondo zengqondo zangezinye iinkqubo zinika imilinganiselo ephezulu yeTamoxifen ekwandiseni umveliso weqanda. Emva kokuba ii-ovari ziphezulu, i-Tamoxifen igqityiwe kwaye emva koko ukukhulelwa komzimba kungalingeka.
Yenza Ikhuselekile Yonyaka
Ukusebenzisa i-Tamoxifen emva kokuba unyango lomhlaza wesifuba linciphisa umngcipheko wokuphindaphinda ufike kuma-50% , kwaye kwandisa amathuba okuba uya kubakho kwixesha elizayo ukuze ujabule intsapho yakho.
Kungaba nzima ukubeka abantwana ngexesha eli xesha, kodwa ngoku, kubalulekile ukugxila kwimpilo yakho kunye nenhlalakahle. Ukuba usebenzisa i-Tamoxifen, kubalulekile ukuba uqaphele ukuba kukho imishanguzo enokusebenzisana nayo imetabolism-ngokuyinqobo ukwenza oko kungathi ungathathi nkunkuma. Funda ngokusemandleni akho ukuze ufumane izibonelelo ozibingelelayo. Xa ufuna ngokwenene ukuceba ukukhulelwa kufuneka ube kude neTamoxifen ubuncinane kwiinyanga ezimbini. Oku kuvumela ixesha lokuba isicatshulwa sidlule kwinkqubo yakho.
Kutheni Ukuba Ufuna Ngempela Ingane Ngoku?
Ukuba ufuna ukukhulelwa kwaye uzive ukuba ixesha liphela ngenxa yokuzala kwakho, xubusha izinto ozikhethayo kunye nodokotela wakho.
Kungenzeka ukuba uthathe iTamoxifen iminyaka engaphantsi kweminyaka emihlanu kwaye ufumane inzuzo kwesi sigulo. Ugqirha wakho unokuyihlolisisa kwakho ukuxilongwa kunye nawe, kwaye unokukunceda ukuba ufumane inani elincinci lexesha ofuna ukuyithatha. Uphando luye lwabonisa ukuba ukukhulelwa emva kokuba unyango lwebele lomhlaza alukhulanga kakhulu amathuba akho okuphindaphinda. Zichitha ixesha kunye nomzamo wokubuyisela impilo yakho kwaye ucinge ngezinto eziza kuqala. Kukho iindlela ezininzi zokuba ngumzali, kwaye omnye unokulungele.
Ukuba uqala nje unyango
Ukuba usanda kufumanisa ukuba, kwaye ngaphambi kokuba unyango, ufunde indlela unyango lomhlaza luchaphazela ngayo ukuzala , kunye nento ongayenza ukucwangcisa phambili.
Imithombo:
Amant, F., Loibl, S., Neven, P., no K. Van Calsteren. Umhlaza wesifuba ekukhulelwe. Lancet . 2012. 379 (9815): 570-9.
Ubhontshisi, G., Denys, H., De Wever, O., uCocquyt, V, noR. Broecke. Ukusetyenziswa kwe-tamoxifen ngaphambi nangemva kokukhulelwa. Oncologist . 2011. 16 (11): 1547-51.