Katemera wa Atezolizumab wochizira khansa: Zimene muyenera kudziwa!

Dokotala akakuuzani kapena munthu amene mumamudziwa kuti ali ndi matenda monga khansa, mumakhala ndi mafunso ambiri komanso mantha okhudza mankhwala omwe mudzapatsidwa. Ndizachilendo kuganiza zinthu monga, "Kodi mankhwalawa ndi chiyani? Adzakhudza bwanji thupi? Kodi padzakhala zotsatirapo zoyipa?" Lero tikambirana za katemera wotchedwa `(Atezolizumab)` yemwe amagwiritsidwa ntchito pochiza mitundu ingapo ya khansa. Mwina munamvapo dzina lake la `(Tecentriq)`. Tiyeni tikambirane za mankhwalawa m'njira yosavuta yomwe mungamvetse.

Kodi mankhwala a mtundu wanji ``(Atezolizumab)'' ndi ati? Ndi matenda ati omwe amagwiritsidwa ntchito?

Mwachidule, `(Atezolizumab)` ndi katemera wa gulu lapadera la mankhwala otchedwa `(monoclonal antibody)`. Tsopano mwina mukudabwa kuti `(monoclonal antibody)` ndi chiyani. Tangoganizani kuti thupi lathu lili ndi chitetezo chamthupi chotchedwa `(immune system). Zili ngati gulu lankhondo lomwe limateteza dziko lathu. Gulu lankhondoli limalimbana ndi adani monga majeremusi ndi maselo a khansa omwe amayambitsa matenda. Koma nthawi zina maselo a khansa awa ndi achinyengo kwambiri. Amagwiritsa ntchito njira zosiyanasiyana zobisalira gulu lathu lankhondo.

Apa ndi pomwe mankhwala monga `(Atezolizumab)` amabwera. Chomwe mankhwalawa amachita ndikuthandiza "asilikali" a chitetezo chamthupi chathu (monga ma T-cell) kuzindikira maselo a khansa ovuta awa ndikuwukira. Izi zikutanthauza kuti mankhwalawa amatseka njira yoti chitetezo chamthupi chathu chizilimbana ndi khansa.

Tsopano tiyeni tiwone mitundu ya khansa yomwe mankhwalawa amagwiritsidwa ntchito kwambiri:

• Khansa ya m'mimba: Iyi ndi khansa yomwe imayamba m'njira ya mkodzo.
• Khansa ya chiwindi (hepatocellular carcinoma): Khansa yomwe imayamba m'maselo a chiwindi.
• Khansa ya m'mapapo: Iyi imagwiritsidwa ntchito pa mitundu yosiyanasiyana ya khansa ya m'mapapo.
• Khansa ya pakhungu (melanoma): Iyi ndi khansa yoopsa yomwe imayamba m'maselo opanga utoto pakhungu.

Kuwonjezera pa mitundu ya khansa yomwe yatchulidwa pamwambapa, dokotala wanu nthawi zina angakupatseni mankhwala awa pa matenda ena. Chifukwa chake, ngati mukupatsidwa mankhwalawa, ndikofunikira kwambiri kufunsa dokotala wanu momveka bwino chifukwa chake komanso momwe angathandizire vuto lanu.

Kodi ndi zinthu ziti zofunika zomwe muyenera kuuza dokotala wanu musanamwe mankhwala?

Musanayambe kulandira mankhwala a `(Atezolizumab)`, ndikofunikira kudziwitsa dokotala wanu za thanzi lanu lonse. Izi zili choncho chifukwa muyenera kusamala kwambiri popereka mankhwalawa kwa anthu omwe ali ndi matenda enaake. Nazi zina mwa zinthu izi:

• Matenda a autoimmune:Ngati muli ndi matenda omwe chitetezo cha mthupi lanu chimaukira thupi lanu, monga matenda a Crohn (kutupa kwa matumbo), ulcerative colitis (kutupa kwa matumbo akulu), kapena lupus (matenda omwe amakhudza khungu, mafupa, ndi impso), onetsetsani kuti mwauza dokotala wanu. Popeza Atezolizumab imakhudza chitetezo cha mthupi, madokotala amasamala kwambiri akamapatsa munthu amene ali ndi matendawa.
• Ngati mwakhalapo kapena mukukonzekera kuikidwa maselo oyamba a allogeneic: Izi zikutanthauza ngati mwaikidwa maselo oyamba kuchokera kwa munthu wina, kapena ngati mukukonzekera kutero mtsogolo, tiuzeni za izi.
• Mbiri ya kusamutsidwa kwa chiwalo: Ngati mudasamutsidwapo chiwalo (monga impso kapena chiwindi) kale.
• Ngati mudalandira chithandizo cha radiation pachifuwa: Ndikofunikanso ngati mudalandira chithandizo cha radiation pachifuwa kale.
• Mavuto a mitsempha: Ngati muli ndi matenda a mitsempha, monga myasthenia gravis (matenda omwe amafooketsa minofu) kapena Guillain-Barre syndrome (matenda omwe amakhudza mitsempha).
• Ziwengo: Ngati muli ndi vuto la ziwengo (allergy) ku Atezolizumab, mankhwala ena aliwonse, chakudya, utoto, kapena mankhwala osungira, muyenera kutiuza.
• Ngati muli ndi pakati kapena mukufuna kutenga mimba: Iyi ndi mfundo yofunika kwambiri. Tidzakambirana za izi mwatsatanetsatane mtsogolo.
• Ngati ndinu mayi woyamwitsa: Ichi ndi chinthu chomwe muyenera kusamala nacho kwambiri.

Ndi bwino kuuza dokotala wanu za mavuto aliwonse azaumoyo omwe muli nawo kapena mankhwala ena aliwonse omwe mukumwa, ngakhale atakhala kuti sali pamndandandawu.

Kodi mumagwiritsa ntchito bwanji mankhwalawa?

Mankhwalawa `(Atezolizumab)` amaperekedwa ngati jakisoni mumtsempha (kulowetsedwa m'mitsempha) . Mwachidule, ndi mankhwala omwe amalowa m'thupi lanu kudzera m'mitsempha, monga momwe mungapangire yankho la saline. Izi nthawi zambiri zimatenga pafupifupi theka la ola, koma nthawi zina zimatha kukhala zochepa kapena zochepa.

Chofunika ndichakuti mankhwalawa si mankhwala omwe mungawapatse kunyumba. Mankhwalawa amachitikira kuchipatala, kuchipatala chapadera cha odwala khansa, komwe kuli dokotala kapena anamwino ophunzitsidwa bwino.

Musanayambe chithandizo chilichonse, dokotala kapena namwino wanu adzakupatsani kabuku kapadera kotchedwa ``MedGuide'' . Kali ndi mfundo zofunika kwambiri zokhudza mankhwalawa, zotsatirapo zake, ndi zinthu zomwe muyenera kudziwa. Chifukwa chake, ndikofunikira kuwerenga ndikumvetsa mosamala nthawi iliyonse. Musachite manyazi kufunsa ngati pali chilichonse chomwe simukumvetsa.

Kwa ana aang'onoNgati mukupereka mankhwalawa, muyenera kulankhula ndi dokotala wa ana za mankhwalawa ndikutsatira malangizo awo, chifukwa angafunike chisamaliro chapadera ndipo mlingo wake ungasiyane.

Nanga bwanji ngati ndamwa mankhwala ochulukirapo? Nanga bwanji ngati ndaphonya mlingo?

Popeza mankhwalawa amaperekedwa moyang'aniridwa ndi dokotala, chiopsezo chomwa mopitirira muyeso ndi chochepa kwambiri. Komabe, ngati mukuganiza kuti mwamwa mopitirira muyeso, kapena ngati mukumva kudwala kosazolowereka, muyenera kupita ku chipinda chadzidzidzi chapafupi kapena kuyimbira foni malo owongolera poizoni nthawi yomweyo.

Ndikofunikira kwambiri kumwa mankhwala awa pa masiku omwe akonzedwa komanso nthawi zomwe zakonzedwa. Ngati simungathe kumwa mankhwala anu pa tsiku lomwe lakonzedwa, kapena ngati mwaphonya mlingo, imbani dokotala wanu kapena chipatala nthawi yomweyo ndikuwadziwitsa. Adzakuuzani choti muchite kenako. Musasinthe nthawi yanu yolandira chithandizo nthawi iliyonse yomwe mukufuna.

Kodi ndi njira ziti zapadera zodzitetezera zomwe muyenera kutsatira mukamagwiritsa ntchito mankhwalawa?

Madokotala adzayang'anira thanzi lanu mosamala pamene mukumwa Atezolizumab.

• Mayeso okhazikika: Muyenera kuyesedwa magazi nthawi zonse ndi mayeso ena kuti muwone momwe mulili, kuwona momwe mankhwalawo akukhudzira thupi lanu, ndikuwona ngati pali zotsatirapo zilizonse pa ziwalo monga chiwindi ndi impso.
• Mimba ndi kuyamwitsa (izi ndizofunikira kwambiri!):
• Ngati ndinu mkazi, muyenera kupewa kutenga mimba mukamagwiritsa ntchito mankhwalawa (Atezolizumab) komanso kwa miyezi isanu kapena kuposerapo mutasiya kumwa mankhwalawa. Izi ndizofunikira kwambiri, chifukwa mankhwalawa amatha kuvulaza kwambiri mwana wosabadwa.
• Ngati mukuyembekezera mwana, kapena ngati mukuganiza kuti muli ndi pakati, uzani dokotala wanu nthawi yomweyo, mwamsanga. Lankhulani ndi dokotala wanu za njira zoyenera zolerera.
• Komanso, muyenera kupewa kuyamwitsa mwana wanu mukumwa mankhwalawa, komanso kwa miyezi isanu kuchokera pamene mwamwa mankhwalawa. Chenjezo limeneli ndi lofunika kwambiri chifukwa mankhwalawa amatha kupita kwa mwana kudzera mu mkaka wa m'mawere.

Ngati mukufuna kudziwa zambiri za izi, musaope kufunsa dokotala wanu kapena wamankhwala.

Kumbukirani: Mankhwalawa ndi a inu nokha. Musagawire wina aliyense mankhwalawa, ngakhale atakhala ndi matenda ofanana ndi anu.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa? (`Zotsatirapo`)

Monga mankhwala ena aliwonse, `(Atezolizumab)` ingayambitse zotsatirapo zoyipa mwa anthu ena. Si aliyense amene amalandira, ndipo kuopsa kwake kumatha kusiyana malinga ndi munthu. Chofunika kwambiri ndikudziwa za zotsatirapo zoyipazi ndikuuza dokotala wanu ngati muli ndi nkhawa.

Zotsatirapo zoyipa zomwe muyenera kuuza dokotala wanu nthawi yomweyo:

Ngati mukukumana ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo.Chabwino, tifunika kudziwitsa chipinda chadzidzidzi:

• Matenda a ziwengo: Ziphuphu pakhungu, ziphuphu, kuyabwa thupi lonse, kutupa kwa zikope, milomo, lilime kapena nkhope, kupuma movutikira, kulimba pachifuwa.
• Mavuto a m'mimba:
• Chimbudzi chakuda, chokhazikika (ichi chingakhale chizindikiro cha kutuluka magazi m'matumbo).
• Kutsegula m'mimba kotuluka magazi kapena madzi , kupweteka kwambiri m'mimba.
• Mavuto opuma: Kupuma movutikira, chifuwa chowonjezeka, kupweteka pachifuwa.
• Kusintha kwa masomphenya: Kusawona bwino mwadzidzidzi, kuona zinthu ziwiri.
• Kupweteka pachifuwa kapena kulimba pachifuwa .
• Kuzizira, malungo .
• Kutsuka nkhope .
• Mutu waukulu .
• Zizindikiro za shuga wambiri m'magazi: Ludzu lochuluka, pakamwa pouma, kukodza pafupipafupi, njala yochuluka, chizungulire, khungu louma, mpweya wonunkhira ngati zipatso, nseru, kupweteka m'mimba.
• Zizindikiro za kuvulala kwa chiwindi: maso kapena khungu kukhala lachikasu, mkodzo wakuda wachikasu kapena bulauni, ndowe zowala, kusowa chilakolako cha chakudya, nseru, kupweteka kumtunda kwa kumanja kwa m'mimba, kutopa kwambiri, komanso kumva kusasangalala monga kutentha thupi.
• Kupweteka kwambiri m'mimba .
• Kuvuta kukodza: ​​kuchepa kwa kukodza, magazi mu mkodzo, kupweteka pokodza.
• Zizindikiro zina zazikulu: kupweteka kwambiri kwa mafupa, kufooka kwakukulu kwa minofu, matuza a pakhungu kapena zilonda, chisokonezo, ndi kutaya chidziwitso.

Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira:

Zotsatirapo zoyipa izi nthawi zambiri sizimakhala zoopsa, koma ngati zikupitirira kapena kukuvutitsani, uzani dokotala wanu :

• Kupweteka kwa mafupa
• Chifuwa
• Kutsegula m'mimba kwachibadwa (kopanda magazi)
• Kupweteka kwa mafupa
• Kupweteka kwa minofu kapena kufooka
• Kutupa kwa manja kapena miyendo
• Kutopa
• Kuchepetsa thupi

Mndandandawu suli ndi zotsatirapo zonse zoyipa. Ngati mukukumana ndi zizindikiro zina zachilendo, lankhulani ndi dokotala wanu za izo.

Kodi mankhwalawa amagwirizana ndi mankhwala ena? ('Kuyanjana kwa Mankhwala')

Mankhwalawa otchedwa ``(Atezolizumab)`` sanaphunziridwe mokwanira momwe amagwirizanirana ndi mankhwala ena. Ndiko kuti,Izi zikutanthauza kuti pali kuthekera kuti izi zitha kukhudzana ndi mankhwala ena omwe mukumwa, kapena kuti zitha kusintha momwe mankhwalawo amagwirira ntchito.

Choncho, musanayambe chithandizochi, muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa panopa - osati omwe dokotala wanu wakupatsani okha, komanso omwe mumagula ku pharmacy (monga mankhwala ochepetsa ululu, mankhwala ozizira), mankhwala achikhalidwe, zitsamba, mavitamini, zowonjezera zakudya, ndi zina zotero. Ndikofunikiranso kudziwitsa dokotala wanu ngati mukusuta fodya, kumwa mowa, kapena kugwiritsa ntchito mankhwala ena osaloledwa. Izi zili choncho chifukwa zinthu zina zingakhudze kugwira ntchito kwa mankhwalawa. Kenako dokotalayo angachitepo kanthu moyenerera.

Kodi mankhwalawo mumasunga kuti?

Simuyenera kuda nkhawa ndi izi. Chifukwa, `(Atezolizumab)` si mankhwala omwe mungapite nawo kunyumba. Amasungidwa kuchipatala kapena ku chipatala chochiza khansa m'njira zapadera ndipo amaperekedwa kwa inu mukawafuna. Choncho simuyenera kuda nkhawa kuti muwasunge kunyumba.

Pomaliza, kumbukirani izi (Uthenga Wopita Nawo Kunyumba)

Chabwino, ndikuganiza kuti mwaphunzira mfundo zofunika kuchokera pa zomwe takambirana ndi katemera wa `(Atezolizumab)`. Kumbukirani, ichi ndi chinthu chofunikira kwambiri chomwe chapezeka mu mankhwala apamwamba chomwe chingakuthandizeni kulimbana ndi khansa. Komabe, ndikofunikira kwambiri kudziwa zinthu zomwe tiyenera kusamala nazo pogwiritsa ntchito mankhwala amphamvu ngati amenewa, komanso zotsatira zake.

Ngati muli ndi mafunso kapena kukayikira pang'ono za mankhwalawa, chithandizo chake, kapena zotsatira zake zoyipa, musachite mantha kapena kuchita manyazi kufunsa dokotala wanu, namwino, kapena wamankhwala. Iwo alipo kuti akuthandizeni ndikuyankha mafunso anu.

Tsatirani malangizo a dokotala nthawi yonse ya chithandizo chanu. Pitani ku chipatala pa masiku omwe mwakonza, kayezetseni. Mukatero mudzatha kupeza bwino chithandizochi ndikuchira mwachangu. Ndikukufunirani kuchira mwachangu!

Atezolizumab , mankhwala a khansa, monoclonal antibody, Tecentriq, chithandizo cha khansa, zotsatira zake zoyipa, khansa ya urothelial