Limodzi mwa mavuto akulu komanso kusasangalala komwe anthu ambiri amakhala nako akamalandira chithandizo cha khansa, kutanthauza chemotherapy, ndi nseru ndi kusanza. Ichi ndi chinthu chomwe chimaika nkhawa kwambiri m'thupi ndi m'maganizo. Lero tikambirana za mtundu wapadera wa mankhwala omwe amaperekedwa kuti athetse kusasangalala kumeneku. Dzina la mankhwalawa ndi Aprepitant.
Kodi Aprepitant ndi chiyani?
Mwachidule, Aprepitant ndi mankhwala omwe amaletsa zizindikiro zina m'thupi lanu zomwe zimakupangitsani kumva kudwala komanso kusanza. Timatcha mankhwala oletsa kutsekula m'mimba. Amagwiritsidwa ntchito makamaka popewa nseru ndi kusanza zomwe zimachitika panthawi ya chithandizo cha khansa (chemotherapy). Uwu ndi mankhwala omwe amakulepheretsani kusanza, osati mankhwala omwe amakulepheretsani kusanza kale. Ku Sri Lanka, mutha kuwapeza pansi pa dzina la Emend.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Ndikofunikira kwambiri kuti dokotala wanu adziwe izi asanakupatseni mankhwala awa, chifukwa zimakhudza kwambiri chitetezo chanu.
| Mkhalidwe woti unenedwe | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Ngati muli ndi matenda a chiwindi | Mankhwalawa amachotsedwa m'thupi kudzera m'chiwindi, kotero ngati muli ndi vuto la chiwindi, mungafunike kusintha mlingo kapena kusamala kwambiri. |
| Ngati muli ndi vuto la Aprepitant, Fosaprepitant kapena mankhwala ena aliwonse kapena chakudya | Izi ndizofunikira kwambiri kuti tipewe ziwengo zazikulu. |
| Ngati muli ndi pakati, kapena mukufuna kutenga mimba | Palibe chidziwitso chokwanira chokhudza chitetezo cha mankhwalawa panthawi ya mimba, kotero ndikofunikira kukambirana izi ndi dokotala wanu. |
| Ngati ndinu mayi woyamwitsa | Ndikofunikira kutsimikizira ngati mankhwalawa apita kwa mwana kudzera mu mkaka wa m'mawere kapena ayi. Chifukwa chake, ndikofunikira kufunafuna upangiri wa dokotala. |
Kodi mumagwiritsa ntchito bwanji mankhwalawa molondola?
Njira yogwiritsira ntchito mankhwalawa ndi yosavuta kwambiri, koma ndikofunikira kwambiri kuitsatira bwino.
- Imabwera ngati kapisozi. Mezani yonse ndi kapu imodzi ya madzi.
- Mlingo wanu woyamba nthawi zambiri umatengedwa pafupifupi ola limodzi musanayambe chithandizo cha chemotherapy.
- Kenako, kwa masiku awiri otsatira mutalandira chithandizo cha chemotherapy, mudzalangizidwa kuti mumwe mlingo umodzi tsiku lililonse m'mawa .
- Mankhwalawa angatengedwe ndi chakudya kapena ayi. Si vuto limenelo.
- Chofunika kwambiri ndikutenga mankhwalawa monga momwe dokotala wanu wanenera, kwa nthawi yokwanira. Musamwe mankhwala ochulukirapo kuposa pamenepo.
Kodi mankhwalawa angaperekedwe kwa ana aang'ono?
Ana azaka zopitilira 12 akhoza kupatsidwa mankhwalawa nthawi zina zapadera. Komabe, dokotala wanu yekha ndi amene angasankhe izi. Chifukwa chake, ngati mukupereka mankhwalawa kwa mwana, muyenera kutsatira malangizo a dokotalayo ndendende.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poison Information Centre ku Colombo National Hospital, kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi. Chitani izi ngati zadzidzidzi.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yoti mutenge mlingo wotsatira yafika nthawi yomwe mwakumbukira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yokhazikika. Musamwe mlingo wowirikiza kawiri pazifukwa zilizonse.
Mankhwala omwe sayenera kugwiritsidwa ntchito pamodzi ndi mankhwalawa ndipo omwe muyenera kusamala nawo
Aprepitant ndi mankhwala omwe angagwirizane ndi mankhwala ena ambiri. Chifukwa chake, muyenera kudziwitsa dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mankhwala olembedwa ndi dokotala komanso omwe amagulitsidwa kunja kwa ofesi ya dokotala, mankhwala azitsamba, mavitamini, ndi mankhwala azitsamba.
Musamwe Aprepitant pamodzi ndi mankhwala awa:
- Cisapride
- Flibanserin
- Lomitapide
- Pimozide
Muyenera kusamala kwambiri ngati mutenga Aprepitant pamodzi ndi mankhwala awa:
- Mankhwala a matenda a mtima ndi kuthamanga kwa magazi: Mwachitsanzo, Diltiazem, Ranolazine.
- Mahomoni achikazi: Izi zikuphatikizapo mapiritsi oletsa kubereka, ma hormone patches, kapena mankhwala ena a mahomoni.
- Mankhwala ochizira matenda a bowa: Ketoconazole, Itraconazole.
- Mankhwala ochizira matenda a HIV.
- Mankhwala a khunyu kapena khunyu: monga Carbamazepine ndi Phenytoin.
- Mankhwala otonthoza maganizo kapena opangitsa munthu kugona: monga Alprazolam, Diazepam, Midazolam.
- Maantibayotiki ena: monga Clarithromycin ndi Erythromycin.
- Mitundu ya ma steroid: Dexamethasone, Methylprednisolone.
- Mankhwala ochepetsa magazi: Warfarin.
- Mankhwala ena oletsa khansa: Etoposide, Vinblastine, Vincristine.
Mndandandawu sunathe, choncho ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
Chofunika Kwambiri: Ngati mukugwiritsa ntchito mapiritsi oletsa kubereka kapena njira zina zolerera kubereka monga mahomoni (monga patch, IUD), sizingagwire ntchito bwino mukamagwiritsa ntchito Aprepitant komanso kwa mwezi umodzi mutasiya kumwa. Chifukwa chake, ndikofunikira kugwiritsa ntchito njira yowonjezera yolerera kubereka (monga makondomu) panthawiyi. Lankhulani ndi dokotala wanu za izi.
- Musamwe mankhwalawa ngati muli kale ndi nseru ndi kusanza. Funsani dokotala wanu zomwe mungachite panthawiyi.
- Mankhwalawa saperekedwa kuti agwiritsidwe ntchito nthawi yayitali.
- Pitirizani kukaonana ndi dokotala wanu monga momwe dokotala wanu wanenera. Mankhwalawa angasinthe zotsatira za mayeso a chiwindi chanu.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena onse, Aprepitant ingayambitse mavuto ena mwa anthu ena, ngakhale kuti si aliyense amene amalandira.
| Kugawa zotsatira zoyipa | |
|---|---|
| Zinthu zoti muuze dokotala kapena ETU nthawi yomweyo | |
Matenda a ziwengo: Matuza pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, kapena pakhosi. Izi zitha kukhala zoopsa kwambiri. | |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
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Ngati mukukumana ndi zizindikiro zina zachilendo zomwe sizili pamndandandawu, lankhulani ndi dokotala wanu za zizindikirozo.
Kodi mumasunga bwanji mankhwala kukhala otetezeka?
- Sungani pamalo omwe ana sangafikire. Izi ndizofunikira kwambiri.
- Sungani pamalo otentha (pakati pa 20-25 Celsius). Tetezani ku kutentha kwambiri ndi chinyezi.
- Tayani mankhwala otha ntchito.
Uthenga Wopita Nawo Kunyumba
- Aprepitant ndi mankhwala omwe amagwiritsidwa ntchito poletsa nseru ndi kusanza komwe kumachitika chifukwa cha chithandizo cha khansa (chemotherapy).
- Musanamwe mankhwalawa, uzani dokotala wanu za mankhwala ena onse omwe mukumwa, mavuto anu a chiwindi, ndi ziwengo zilizonse zomwe muli nazo.
- Imwani mankhwalawo monga momwe dokotala wanenera. Nthawi zambiri, muyenera kumwa ola limodzi musanalandire mankhwala a chemotherapy komanso kwa masiku awiri pambuyo pake.
- Chofunika kwambiri: Mapiritsi oletsa kubereka sagwira ntchito bwino mukamagwiritsa ntchito mankhwalawa. Choncho siyani kumwa mankhwalawa ndikugwiritsa ntchito njira ina yolerera kubereka kwa mwezi umodzi.
- Ngati mwamwa mankhwala ochulukirapo, pitani ku National Poison Information Center kapena ETU nthawi yomweyo.
- Nkhaniyi ndi chidule chabe. Chonde kambiranani mafunso aliwonse omwe mungakhale nawo ndi dokotala wanu.
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