Umfundi wabhala ngokuthi i-oncologist yakhe yancoma "iholidi lezidakamizwa" emithinini ayeyithatha umdlavuza wamaphaphu. Wabuza ukuthi lokhu kusho ukuthini, ukuthi yini okufanele akhathazeke ngayo, futhi yiziphi imibuzo okufanele azibuze udokotela wakhe.
Iholidini lezidakamizwa alizwanga njengento okuthiwa udokotela angayichaza, kodwa ngezinye izikhathi kungaba yilokho okushiwo udokotela.
Eyaziwa nangokuthi "amaholide okuphumula," amaholide ezidakamizwa anqunyelwe cishe yonke imithi nesimo sezokwelapha. Yiziphi ezinye izizathu udokotela wakho angase azwakalise iholidi lomuthi, futhi yiziphi izingozi nezinzuzo?
Sibutsetelo
Iholidini lesidakamizwa lichazwa ngokuthi isinqumo esinqunyiwe sokuyeka ukusebenzisa imithi ejwayelekile njalo isikhathi. Ukukhohlwa ukusebenzisa imithi, ukuphuma kwamaphilisi, noma ukumisa imithi ngaphandle kokuxoxisana noshintsho nodokotela wakho akusho ukuthi uhlezi njengeholide lomuthi. Isinqumo sihlangene kokubili wena nodokotela wakho ukuyeka imithi isikhathi, amahora noma izinyanga ngesizathu esithile. Ekulweni kwezokwelapha, iholidi lomuthi libizwa ngokuthi "ukuphazamiseka kokwelashwa okuhleliwe."
Izizathu Udokotela Wakho Ungabhala
Kunezizathu eziningi zokuthi udokotela wakho angancoma, noma ukuthi ungaphakamisa, ukusetshenziswa okuphazanyisiwe kwemithi enqunyiwe.
Ezinye zazo zihlanganisa:
- Ukunciphisa imiphumela emibi yemithi - Imithi eminingi ihamba nemiphumela emibi embalwa. Ukuyeka okwesikhashana imithi kungakunikeza ikhefu kulezi zemihelo, kanti kwezinye izimo, ababuyi lapho imithi iphinda ibuyele. Eminye yemiphumela emibi engase ibe nesifiso sakho sokuphumula imithi kufaka ukukhathala, ukulahlekelwa kwesidakamizwa socansi noma i-potency, i- nausea , ukuphazanyiswa kokulala, noma ukulahlekelwa kwesidlo semithi yakho.
- Ukuvumela ukusetshenziswa komunye umuthi - Kuyaziwa ukuthi imithi eyodwa ingakwazi ukuxhumana nomunye, futhi imishanguzo eningi oyithathayo, cishe lokhu kuzokwenzeka. Isibonelo salokhu kungaba ukuthi uma udokotela wakho uncoma ukuyeka okwesikhashana imithi oyisebenzisayo njalo ngenkathi ushiywa omunye umuthi, njenge-antibiotic yokutheleleka.
- Ukuze ubone ukuthi usadinga yini imithi - Uma wena nodokotela wakho ningaqiniseki ukuthi usadinga yini imithi, iholidi lomuthi linganconywa njengendlela yokuhlolwa.
- Ukwehlisa ukubekezelelana komuthi - Ukubekezelela imithi kungathuthukisa imishanguzo eminingana, okudinga amazinga aphezulu ukufeza umphumela ofanayo oyifunayo. Ngokumisa imithi okwesikhathi esithile, umzimba wakho ungaphinda uzwele imiphumela yawo (ungase usebenze futhi), noma ungadinga umthamo ophansi. Ngezinye izikhathi, kunconywa iholidi lezidakamizwa ngaphambi kokubekezelelana kuyaqhubeka nokugcina ukuzwela kulo muthi.
- Ukuvumela imithi iphinde iphumelele futhi - Kwamanye amacala, uma izidakamizwa zingasasebenzi isimo, ukuyeka isikhashana kungavumela ukuthi iphinde iphumelele. Uhlobo olulodwa lwemithi esetshenziselwa umdlavuza wamaphaphu, isibonelo, lulahlekelwa ukusebenza ngokuhamba kwesikhathi njengoba i-tumor iba namandla. Esifundweni esisodwa esincane, kwafunyanwa ukuthi lesi sifo sasiphinde sizwela imithi ngemuva kokumiswa isikhathi esithile.
- Izimpelasonto kanye nokuphumula kwehlobo - Ezinye imithi, njenge-ADHD imithi esetshenziselwa ukusiza abafundi ukuba bagxilise, ingase ingadingeki lapho isikole singekho esimisweni. Ukuyeka imithi ngesikhathi sokuphumula ehlobo futhi ngezimpelasonto kubizwa ngokuthi i-ADHD Drug Holiday.
- Imicimbi ekhethekile - Ukuhlangana kwakho esikoleni esiphakeme kuphakama, futhi ufuna ngempela ukuba nengilazi yewayini emkhosini, kodwa imithi yakho idinga ukuthi ugweme utshwala. Kunezinhlobo eziningi zokusebenzisa imithi yotshwala. Kwezinye izimo, udokotela wakho uzokweluleka iholidi lomuthi ukuze ukwazi ukujabulela isikhathi esithile ngaphambi kokuba ubuyele esimisweni sakho somuthi ojwayelekile.
- Ukuhlinzwa - Uma uthatha igazi elincane, udokotela wakho ohlinzayo angase ancoma ukumisa imithi yakho isikhathi esithile ngaphambi nangemva kokuhlinzwa.
Izinzuzo ezingenzeka
Izinzuzo zeholidini yezidakamizwa zizoxhomeka esizathu seholide, kodwa zingabandakanya:
- Ukusebenza kahle kwemithi.
- Ukwehlisa ukubekezelelana kwemithi.
- Imiphumela emibi yemithi.
- "Iholidi" emiphumeleni emibi yesidakamizwa.
- Ikhono lokuyeka imithi uma kutholakala kungadingekile.
- Isikhuthazo esivuselelwe uma iholide lizobona ukuthi imithi iyadingeka ngempela.
Izingozi ezingenzeka
Njengoba nje kungase kube nezinzuzo, zihlale zikhona izingozi zokucabangela uma uyeka okwesikhashana imithi. Ezinye zazo zihlanganisa:
- Ukulahlekelwa ukusebenza kwemithi. Kwezinye izimo, uma imithi ivaliwe bese iqala futhi, ukusebenza kulahlekile.
- Ukuwohloka kwezimpawu zesimo umuthi ukwelapha. Lokhu kungaba yingozi, isibonelo, uma imithi ithola ukucindezeleka noma isimo senhliziyo esibi.
- Ingozi yokubuyela emuva. Ukumisa imithi elawula isimo kungabangela isimo ukuba siphinde siphinde siphume, futhi ukuphindaphinda kungase kungenakwenzeka.
- Ukuvuselelwa kwezimpawu. Kwezinye izimo, ngemuva kokuyeka imithi, ungadinga ukuphuza imithi ephakeme ukuze uthole futhi izimpawu ezilawulwayo.
- Imithelela edakayo yezidakamizwa lapho umuthi uphinde uqaliswe.
- Ukwandisa ingozi yokuphuza imithi empofu. Ukuqala bese umisa imithi kungenza kube nzima kakhulu ukunamathela kumkhuba.
Imibuzo Yokubuza
- Ingabe lesi yisikhathi esifanele sokuzama iholidi lomuthi?
- Ziyini izingozi nezinzuzo?
- Imiphi imiphumela emibi engingayithola?
- Ingabe kukhona ithuba lokuthi imishanguzo ngeke isasebenza uma ngimisa isikhashana?
- Ubani okufanele ngibize uma ngithola imiphumela emibi ngobusuku noma ngeveki?
- Ngaphansi kwaziphi izimo kufanele ngiqale kabusha imithi?
- Kuze kube nini ngizoyeka imithi?
- Kufanele ngihlele nini ukuvakasha kokulandela?
Ngaphansi
Kunezinzuzo eziningi ezingase zivele ngokuthatha iholidini lesidakamizwa, kodwa kunezingozi kanye. Uma ucabangela ukuthatha iholidini lesidakamizwa, xoxani zonke lezi zinzuzo kanye nokuqapha ngokucophelela nodokotela wakho, futhi wenze njalo ngokuqondisa kwakhe.
> Imithombo:
> Becker, A. et al. Ukuphindwa kabusha nge-erlotinib: Ukuphinde uthole ukuzwela kwe-TKI kulandela iholidini lesidakamizwa iziguli ezine-NSCLC ezaqala ukuphendula ukwelashwa kwe-EGFR-TKI. I-European Journal of Cancer . 2011. 47 (17): 2603-6.
> Howland, R. Izinsuku zokubambisana. I-Journal of Nursing Psychosocial and Health Health Services . 2009. 47 (9): 15-8.
> UMnyango we-US of Veteran Affairs. VA Iwebhusayithi kazwelonke ye-HIV / AIDS. Ingabe kufanele uthathe 'iholidi' ezidakamizweni. Kubuyekezwe ngo-10/03/11. http://www.hiv.va.gov/patient/treat/drug-holidays.asp