Ndizachilendo kumva mantha pang'ono komanso mantha pamene inu kapena wokondedwa wanu mukufuna kuyamba kulandira chithandizo cha khansa. Makamaka mukamva za mankhwala otchedwa 'chemotherapy', zinthu zambiri zimakubwererani m'maganizo. Lero tikambirana za jakisoni wapadera wogwiritsidwa ntchito pochiza khansa. Mankhwala otchedwa Asparaginase Erwinia Chrysanthemi (Recombinant) omwe amabwera pansi pa dzina la Rylaze. Popeza dzinali ndi lovuta pang'ono, tingolitcha kuti Rylaze. Nkhaniyi idzayesa kuyankha mafunso anu okhudza mankhwalawa m'njira yosavuta.
Kodi Asparaginase (Rylaze) ndi chiyani?
Mwachidule, iyi ndi mankhwala a chemotherapy omwe amaperekedwa kuti aphe maselo a khansa. Sigwiritsidwa ntchito pa khansa zonse, koma amagwiritsidwa ntchito makamaka pa mitundu iwiri ya khansa yokhudzana ndi magazi. Izi ndi izi:
- Khansa ya m'magazi ya Lymphoblastic (YONSE)
- Lymphoma ya Lymphoma
Mankhwalawa amagwira ntchito mwanjira yachilendo kwambiri. Maselo a khansa amafunika amino acid yotchedwa asparagine kuti akule. Maselo abwinobwino m'thupi lathu amatha kupanga asparagine iyi okha. Koma maselo a khansa a leukemia ndi lymphoma awa alibe luso limenelo. Choncho mankhwala a Rylaze awa amawonongeka ndikuwononga asparagine iyi m'magazi. Kenako maselo a khansa amataya zakudya zomwe amafunikira ndipo amafa. Maselo athanzi amatha kupanga asparagine yomwe amafunikira, kotero savulazidwa kwambiri.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Musanayambe chithandizochi, ndikofunikira kwambiri kudziwitsa dokotala wanu za mbiri yonse ya thanzi lanu. Onetsetsani kuti mwamuuza ngati muli ndi vuto lililonse mwa izi:
| Matenda anu | N’chifukwa chiyani kuli kofunika kudziwa zambiri za nkhaniyi? |
|---|---|
| Matenda otuluka magazi kapena mavuto okhudza magazi | Mankhwalawa angakhudze momwe magazi amaundana. |
| Matenda a shuga | Mankhwalawa angayambitse kuchuluka kwa shuga m'magazi. |
| Ngati muli ndi kapamba | Mankhwalawa nthawi zambiri sangayambitse matenda a kapamba. |
| Matenda a chiwindi | Mankhwalawa angakhudze ntchito ya chiwindi. |
| Matenda a chifuwa chifukwa cha mankhwala, chakudya, kapena utoto | Kuwunika chiopsezo cha ziwengo ndi mankhwala. |
| Ngati muli ndi pakati kapena mukufuna kutenga mimba | Izi ndizofunikira kwambiri . Mankhwalawa amatha kuvulaza mwana wosabadwa. |
| Ngati mwana akuyamwitsa | Mankhwalawa amatha kupita kwa mwana kudzera mu mkaka wa m'mawere. |
Ndingakupatseni bwanji mankhwala awa?
Mankhwala awa si omwe mungapite nawo kunyumba. Amaperekedwa kwa inu ndi ogwira ntchito zachipatala ophunzitsidwa bwino kuchipatala kapena ku chipatala . Nthawi zambiri amaperekedwa ngati jakisoni mu minofu .
Ndikofunikira kwambiri kuti mumwe mankhwala anu pa masiku omwe mwakonzekera. Musadumphe masiku awa pazifukwa zilizonse. Ngati pazifukwa zina simungathe kumwa mankhwala anu pa tsiku lomwe mwakonzekera, imbani dokotala wanu nthawi yomweyo ndipo muwadziwitse.
Popeza mankhwalawa amaperekedwa moyang'aniridwa ndi dokotala, palibe mwayi woti munthu adwale kwambiri. Komabe, ngati mukumva kusasangalala kwambiri mutamwa mankhwalawo, dziwitsani ogwira ntchito zachipatala nthawi yomweyo. Pakagwa mwadzidzidzi, mutha kuyimbiranso National Poison Information Centre ku Colombo National Hospital .
Zinthu zoti muziganizire panthawi ya chithandizo
Kuyang'aniridwa nthawi zonse ndi dokotala
Madokotala adzayang'anira thanzi lanu mosamala kwambiri nthawi yonse yomwe mukumwa mankhwalawa. Adzayitanitsa kuyezetsa magazi nthawi zonse. Adzayang'ana ngati mankhwalawo akugwira ntchito, ngati akhudza chiwindi chanu, komanso momwe shuga m'magazi mwanu alili.
Mimba ndi kuyamwitsa
Nkhani imeneyi ndi yofunika kwambiri.
Musatenge mimba mukumwa mankhwalawa. Pewani kutenga mimba kwa miyezi itatu mutasiya kumwa mankhwalawa.
Mapiritsi oletsa kubereka omwe amagwiritsidwa ntchito ndi mahomoni sangagwire bwino ntchito ndi mankhwalawa. Chifukwa chake, onetsetsani kuti mwalankhula ndi dokotala wanu za njira ina yotetezeka yolerera yomwe ili yoyenera kwa inu. Mankhwalawa angayambitse mavuto aakulu kwa mwana wosabadwa.
Komanso, pewani kuyamwitsa mwana wanu mukumwa mankhwalawo komanso kwa sabata imodzi mutasiya kumwa.
Kudziwa mankhwala ena
Uzani dokotala wanu za mankhwala onse omwe mukumwa. Izi zikuphatikizapo mankhwala a matenda ena, mavitamini, mankhwala ochepetsa ululu, mankhwala azitsamba, mankhwala a Ayurvedic, ndi zowonjezera. Mankhwala ena angagwirizane ndi Rylaze. Mwachitsanzo:
- Corticosteroids (monga Prednisolone)
- Methotrexate
- Vincristine
- Zonisamide
- Cytarabine
- Mahomoni a chithokomiro
Mndandanda uwu sunathe, choncho ndikofunikira kwambiri kuuza dokotala wanu zonse zomwe mukumwa.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse, izi zingayambitse zotsatirapo zake. Si aliyense amene amalandira. Komabe, ndikofunikira kudziwa izi kuti muchitepo kanthu mwachangu ngati zizindikiro zilizonse zachitika.
| Zotsatira zoyipa | Zizindikiro zomwe mukukumana nazo |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala kapena ogwira ntchito kuchipatala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, komanso kuvutika kupuma. |
| Kutuluka magazi kosazolowereka | Chimbudzi chakuda kapena chamagazi, mkodzo wakuda wofiira/wofiirira, masanzi omwe amaoneka ngati khofi, kutuluka magazi m'mphuno/mkamwa, mawanga ofiira pakhungu. |
| Magazi oundana | Kupweteka pachifuwa, kupuma movutikira, kupweteka kwa miyendo, kutupa, kapena kutentha. |
| Pancreatitis | Kupweteka kwambiri m'mimba chapamwamba, komwe kumafika kumbuyo, kutentha thupi, nseru, ndi kusanza. |
| Kuvulala kwa chiwindi | Kuoneka kwachikasu m'maso ndi pakhungu (jaundice), mkodzo wakuda wachikasu/bulauni, kupweteka kumtunda kwa kumanja kwa m'mimba, kutopa kwambiri. |
| Shuga wambiri m'magazi | Kuwonjezeka kwa njala, ludzu lochuluka, kukodza pafupipafupi, kusawona bwino, kutopa kwambiri. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Mutu | Mutu waukulu. |
| Chilakolako cha chakudya | Kusowa chilakolako. |
| Kupweteka kwa minofu | Kupweteka kwa thupi. |
| Zilonda pakamwa | Zilonda zazing'ono mkati mwa pakamwa. |
Ngati mukukumana ndi zizindikiro zina zachilendo zomwe sizili pamndandandawu, chonde dziwitsani dokotala wanu za zizindikirozo.
Uthenga Wopita Nawo Kunyumba
- Rylaze (Asparaginase) ndi jakisoni wa chemotherapy womwe umagwiritsidwa ntchito pochiza khansa ya m'magazi yotchedwa leukemia ndi lymphoma.
- Mankhwalawa amaperekedwa kuchipatala kapena ku chipatala motsogozedwa ndi dokotala.
- Uzani dokotala wanu za matenda anu onse ndi mankhwala ena onse omwe mumamwa.
- Ngati mukukumana ndi mavuto ena aakulu monga zizindikiro za ziwengo, kutuluka magazi kosazolowereka, kapena kupweteka kwambiri m'mimba, funsani dokotala nthawi yomweyo.
- Pewani kutenga mimba konse panthawi ya chithandizo ndipo kwa miyezi itatu pambuyo pake.
- Ngati muli ndi mafunso kapena nkhawa, musaope kulankhula ndi dokotala wanu. Iwo alipo kuti akuthandizeni.
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