Inu kapena munthu wina m'banja mwanu akapezeka ndi khansa ndipo dokotala wanu akukuuzani kuti muyenera kuyamba kulandira chithandizo cha chemotherapy ngati chithandizo, ndikwachibadwa kukhala ndi mantha ambiri komanso nkhawa. Koma mukadziwitsidwa bwino za chithandizochi, mantha amenewo amatha kuchepa kwambiri. Lero tikulankhula za mankhwala otchedwa Azacitidine, omwe amaperekedwa ku mitundu yosiyanasiyana ya khansa. Tiyeni tikambirane za izi mosavuta, m'njira yomwe mungamvetse.
Kodi Azacitidine ndi mankhwala amtundu wanji?
Mwachidule, Azacitidine ndi mankhwala a chemotherapy. Amagwiritsidwa ntchito makamaka pochiza mitundu iwiri ya khansa ya m'magazi.
1. Matenda a Myelodysplastic (MDS): Uwu ndi matenda okhudzana ndi mafupa.
2. Mitundu ina ya khansa ya m'magazi: Ndiko kuti, mitundu ingapo ya khansa ya m'magazi.
Chinthu chachikulu chomwe mankhwalawa amachita ndikuchepetsa kukula kwa maselo a khansa ndikuwapha . Mankhwalawa amawongoleranso magwiridwe antchito a chitetezo cha mthupi lathu pamlingo wina. Ichi ndichifukwa chake tiyenera kusamala kwambiri tikamamwa mankhwalawa.
Ndingakupatseni bwanji mankhwala awa?
Mankhwala awa si omwe mungapite nawo kunyumba. Azacitidine ndi jakisoni wopangidwa pansi pa khungu . Nthawi zonse amaperekedwa kwa inu kuchipatala kapena kuchipatala ndi dokotala kapena namwino wophunzitsidwa bwino pa izi. Chifukwa chake simuyenera kuda nkhawa ndi momwe mankhwalawa amaperekedwera.
Nthawi zina zapadera, mankhwalawa angaperekedwenso kwa ana. Komabe, chisankhochi chimapangidwa ndi dokotala wa ana. Chifukwa chake, funsani dokotala wanu kuti akuuzeni zambiri za mankhwalawa.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kulandira chithandizo
Musanayambe kulandira chithandizo ndi azacitidine, ndikofunikira kwambiri kudziwitsa dokotala wanu zonse zokhudza thanzi lanu. Onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi zotsatirazi:
| Mkhalidwe wa thanzi | Zoti muuze dokotala |
|---|---|
| Matenda a impso | Ngati muli ndi matenda aliwonse a impso. |
| Matenda a chiwindi | Ngati muli ndi matenda a chiwindi kapena zotupa za chiwindi. |
| Matenda a ziwengo | Ngati muli ndi vuto la azacitidine, mannitol, mankhwala ena, zakudya, utoto kapena zotetezera. |
| Mimba | Ngati muli ndi pakati, mukufuna kutenga mimba, kapena mukukayikira kuti muli ndi pakati. |
| Kuyamwitsa | Ngati mukuyamwitsa mwana wanu. |
Zinthu zomwe tiyenera kusamala nazo makamaka tikamamwa mankhwala
Thupi lanu lidzasintha pamene mukumwa mankhwala awa, choncho samalani kwambiri ndi zinthu izi.
Kuwonjezeka kwa chiopsezo cha matenda
Popeza mankhwalawa amachepetsa chitetezo chamthupi chanu , mumakhala ndi mwayi wodwala, makamaka matenda opatsirana. Chifukwa chake, pewani anthu omwe ali ndi zizindikiro monga malungo, chimfine, chifuwa, ndi zilonda za pakhosi momwe mungathere. Ngati mukuyamba kutentha thupi, kuzizira, chifuwa, kapena kupweteka pakhosi, musadzipatse mankhwala ndipo lankhulani ndi dokotala nthawi yomweyo.
Kuwonjezeka kwa chiopsezo cha kutuluka magazi
Mankhwalawa amatha kuchepetsa kuchuluka kwa ma platelet omwe amathandiza magazi kuundana. Chifukwa chake, ngakhale kuvulala pang'ono kungayambitse kutuluka magazi kwambiri komanso kumayambitsa mabala osafunikira. Ngati muwona mabala abuluu mthupi lanu lonse, mawanga ang'onoang'ono ofiira pakhungu lanu, ndowe zakuda, kapena magazi mumkodzo wanu , uzani dokotala wanu nthawi yomweyo.
Mimba ndi kukhala ndi ana
Iyi ndi mfundo yofunika kwambiri.
- Akazi: Musatenge mimba mukumwa mankhwalawa komanso kwa miyezi 6 mutatenga mlingo womaliza .
- Amuna: Musayese kutenga pakati pamene mukumwa mankhwalawa komanso kwa miyezi itatu mutamwa mankhwala omaliza .
- Mankhwalawa akhoza kuvulaza kwambiri mwana wosabadwayo.Mungathe. Komanso, musayamwitse mwana wanu panthawi ya chithandizo komanso kwa sabata imodzi mutalandira mlingo womaliza.
Mankhwala ena
Uzani dokotala wanu za mankhwala onse omwe mukumwa (mankhwala a matenda ena, mavitamini, mankhwala achikhalidwe, ndi zowonjezera). Komanso, uzani dokotala wanu ngati mumasuta kapena kumwa mowa. Zinthu zina zingakhudze mankhwala awa.
Musaphonye chithandizo.
Ndikofunikira kwambiri kupita ku chipatala tsiku lomwe mwakonza kuti mumwe mankhwala anu. Ngati pazifukwa zina simungathe kupita, dziwitsani dokotala kapena chipatala.
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawo?
Monga momwe zimakhalira ndi mankhwala ena aliwonse a chemotherapy, zotsatirapo zina zingachitike mukamwa mankhwalawa. Zina zimakhala zoopsa, pomwe zina zimakhala zofala.
| Ngati mukukumana ndi zizindikiro zimenezi, pitani kwa dokotala kapena ku ETU (Emergency Treatment Unit) ya chipatala nthawi yomweyo. | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, komanso kuvutika kupuma. |
| Zizindikiro za matenda | Malungo, kuzizira, chifuwa, kupweteka pakhosi, kupweteka pokodza. |
| Zizindikiro za kutuluka magazi | Mabala pathupi, mawanga ofiira pakhungu, ndowe zakuda, magazi mu mkodzo. |
| Zizindikiro za maselo ofiira otsika m'magazi | Kutopa kosazolowereka, kufooka pafupipafupi, chizungulire, maso abuluu. |
| Zizindikiro za kuwonongeka kwa chiwindi | Maso kapena khungu kukhala lachikasu, mkodzo wakuda wachikasu/bulauni, kupweteka kumtunda kwa kumanja kwa m'mimba, nseru. |
| Zizindikiro za kuwonongeka kwa impso | Kuchepa kwa mkodzo kapena kuvutika kukodza. |
| Ngati zinthu izi zikupitirira kapena zikukuvutitsani, uzani dokotala wanu. | |
| Mavuto a dongosolo la chakudya | Kudzimbidwa, kutsegula m'mimba, nseru, kusanza. |
| Malo operekera katemera | Kupweteka kapena kufiira pamalo omwe jakisoni amaperekedwa. |
| Zovuta zomwe zimachitika kawirikawiri | Thupi lopanda moyo, kutopa kosazolowereka. |
Chofunika kwambiri ndikulankhula ndi dokotala wanu za chilichonse chomwe chikuwoneka chachilendo kwa inu. Musapange zisankho nokha. Ngati mukukayikira kuti mwamwa mankhwala opitirira muyeso, nthawi yomweyo dziwitsani ku National Poisonings Information Centre ku Colombo National Hospital kapena ku ETU yapafupi.
Uthenga Wopita Nawo Kunyumba
- Azacitidine ndi katemera wapadera woletsa khansa woperekedwa kuchipatala.
- Musanayambe kulandira chithandizo, uzani dokotala wanu za matenda anu onse ndi mankhwala onse omwe mukumwa.
- Pali chiopsezo chachikulu cha matenda ndi kutuluka magazi mukamwa mankhwalawa. Choncho dziwani zinthu monga malungo ndi mabala. Ngati zoterezi zitachitika, uzani dokotala wanu nthawi yomweyo.
- Pewani kutenga mimba kwathunthu (akazi ndi amuna) panthawi ya chithandizo komanso malinga ngati dokotala wanu akulangizani.
- Musaphonye kupita kuzipatala ndi kukayezetsa magazi nthawi yake.
- Lankhulani momasuka ndi dokotala wanu za mafunso, mantha, kapena kukayikira kulikonse komwe kumabwera m'maganizo mwanu.
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