Mwina dokotala wanu anakupatsani mankhwala otchedwa `Bexarotene`. Mankhwalawa nthawi zambiri amaperekedwa kuti achepetse zizindikiro za khansa ya pakhungu yotchedwa `cutaneous T-cell lymphoma`. Mungakhale ndi mafunso ambiri okhudza mankhwalawa. Tiyeni tikambirane mwatsatanetsatane, mwachidule.
Ndi zinthu ziti zomwe ndiyenera kuuza dokotala ndisanayambe kumwa mankhwalawa?
Musanayambe kumwa Bexarotene, pali zinthu zingapo zomwe muyenera
kuuza dokotala wanu. Chifukwa anthu omwe ali ndi matenda enaake ayenera kusamala kwambiri akamapereka mankhwalawa. Taganizirani izi, ngati muli ndi matenda aliwonse omwe ali pansipa, kodi ndi bwino kuwauza popanda kuwabisa?
| Kodi muli ndi mikhalidwe iyi? | Kufotokozera |
|---|
| Matenda a Cataract | Kusawona bwino kapena mavuto ena. |
| Matenda a shuga | Mavuto oletsa kuchuluka kwa shuga m'magazi. |
| Matenda a ndulu | Miyala ya m'mimba kapena matenda ena ofanana nawo. |
| Cholesterol yambiri kapena triglycerides | Mafuta ambiri m'magazi. |
| Mbiri ya matenda a kapamba | Ngati mudadwalapo matenda enaake kapena matenda otupa a kapamba. |
| Kugwiritsa ntchito mowa pafupipafupi | Ngati mumakonda kumwa mowa pafupipafupi. |
| Matenda a chiwindi | Kulephera kwina kwa ntchito ya chiwindi. |
| Matenda a chithokomiro | Kusalingana kwa kuchuluka kwa mahomoni a chithokomiro. |
| Kutupa kwa mankhwala, vitamini A, kapena zinthu zina | Ngati kale munakhalapo ndi vuto lachilendo kapena la ziwengo chifukwa cha bexarotene, vitamini A, mankhwala ena omwe ali mgulu la vitamini A (monga retinoids), mankhwala ena, zakudya, utoto kapena zotetezera. |
| Ngati muli ndi pakati kapena mukufuna kutenga mimba | Iyi ndi mfundo yofunika kwambiri. Tiyeni tikambirane mwatsatanetsatane za izi. |
| Ngati mukuyamwitsa | Kuyamwitsa sikuvomerezeka pamene mukumwa mankhwalawa. |
Mukauza dokotala zonsezi, akhoza kusankha ngati mankhwala awa ndi oyenera kwa inu kapena ngati mukufunikira kuchita china chake.
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
Chabwino, tsopano tiyeni tiwone momwe tingamwere makapisozi a `Bexarotene` awa.
- Mankhwalawa ayenera kumwedwa pakamwa, ndi kapu ya madzi.
- Tsatirani malangizo omwe ali pa chizindikiro cha mankhwala chomwe dokotala wanu wakupatsani.
- Musaswe, kuphwanya, kapena kutafuna makapisozi awa. Mezani kapisozi yonse nthawi imodzi.
- Mankhwalawa ayenera kumwedwa nthawi yomweyo chakudya chikatha kapena nthawi yomweyo mutadya .
- Imwani mankhwala anu panthawi yoyenera, monga momwe dokotala wanu wanenera. Musamwe mankhwala opitirira muyeso womwe mwapatsidwa.
- Musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala.
Ngati mukupereka mankhwalawa kwa ana, muyenera kulankhula ndi dokotala wa ana za mankhwalawa. Chisamaliro chapadera chingafunike.
Nanga bwanji ngati mwaphonya mankhwala anu?
Ngati mwadzidzidzi mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza.
Musamwe mlingo umodzi nthawi imodzi. Kuchita zimenezi kungapangitse kuti muwonjezere kuchuluka kwa mankhwala omwe mumamwa.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, imbani dipatimenti yapafupi yadzidzidzi ya chipatala kapena malo owongolera poizoni
nthawi yomweyo .
Kumbukirani kuti mankhwalawa ndi a inu nokha. Musagawane mankhwala anu ndi ena, ngakhale atakhala ndi zizindikiro zomwezo monga inu.
Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa?
Mukatenga `Bexarotene`,
sikoyenera kugwiritsa ntchito mankhwala ena pamodzi. Komanso, pali mankhwala ena omwe angagwirizane ndi `Bexarotene`. Izi zikutanthauza kuti akatengedwa pamodzi, `Bexarotene` ingasinthe momwe imagwirira ntchito kapena kuwonjezera zotsatira zake.
`Bexarotene` sayenera kumwedwa pamodzi ndi mankhwala otsatirawa:- `dasabuvir; ombitasvir; paritaprevir; ritonavir
Mankhwala otsatirawa angagwirizanenso ndi Bexarotene. Chifukwa chake, ngati mukumwa chilichonse mwa izi, muyenera kuuza dokotala wanu:- Atorvastatin (mankhwala ochepetsa mafuta m'thupi)
- `Carboplatin` (mankhwala oletsa khansa)
- Mahomoni achikazi, mwachitsanzo mapiritsi oletsa kubereka, ma patch, mphete, kapena jakisoni omwe ali ndi ma estrogens kapena progestins
- Paclitaxel (mankhwala oletsa khansa)
- Gemfibrozil (mankhwala omwe amachepetsa cholesterol ndi triglycerides)
- Mankhwala a matenda a shuga, monga insulin, glipizide, kapena glyburide
- Tamoxifen (mankhwala oletsa khansa)
- Vitamini A ndi zina zowonjezera zomwe zili ndi vitamini A
Mndandandawu sukuphatikizapo mankhwala onse omwe angagwiritsidwe ntchito. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mukumwa (omwe amalembedwa ndi dokotala, omwe amagulitsidwa pamtengo wotsika, mankhwala azitsamba, mavitamini, ndi zowonjezera zakudya). Komanso, uzani dokotala wanu ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena. Zina mwa izi zimatha kusokonezana ndi mankhwala anu.
Zinthu zomwe muyenera kusamala kwambiri mukamamwa mankhwalawa:
Pali
zinthu zingapo zomwe muyenera kusamala nazo mukamamwa mankhwala awa "Bexarotene." Izi ndi zinthu zomwe muyenera kukumbukira.
Mimba ndi njira zolerera
Ichi ndiye
chinthu chofunikira kwambiri .
- Kwa akazi: Musatenge mimba mukumwa mankhwalawa.Ngati mukukonzekera kutenga pakati, kapena mukuganiza kuti muli ndi pakati, uzani dokotala wanu nthawi yomweyo , chifukwa mankhwalawa amatha kuvulaza kwambiri mwana wosabadwa.
- Ngati muli ndi mwayi wobereka, muyenera kuyezetsa mimba sabata imodzi musanayambe kumwa mapiritsi kuti muwonetsetse kuti mulibe pakati. Muyeneranso kuyezetsa mimba mwezi uliwonse mukumwa mapiritsi.
- Muyenera kugwiritsa ntchito njira zolerera zogwira mtima kwa mwezi umodzi musanayambe kumwa mapiritsi komanso kwa mwezi umodzi mutasiya kumwa mapiritsi. Madokotala amalimbikitsa kugwiritsa ntchito njira ziwiri zodalirika zolerera pamodzi . Mankhwalawa angapangitse njira zolerera zogwiritsa ntchito mahomoni (monga mapiritsi olerera) kukhala zosagwira ntchito, choncho imodzi mwa njira ziwiri zolerera zomwe mumagwiritsa ntchito iyenera kukhala njira yopanda mahomoni (monga kondomu kapena IUD ). Funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri za izi.
- Musayamwitse mwana wanu pamene mukumwa mankhwalawa.
- Kwa amuna: Ngati mnzanu ali ndi pakati kapena angatenge pakati, muyenera kugwiritsa ntchito kondomu panthawi yogonana mukumwa mankhwalawa komanso kwa mwezi umodzi mutasiya kumwa mankhwalawa.
Malangizo oletsa kubereka awa ndi ofunikira kwambiri chifukwa tiyenera kuchita zonse zomwe tingathe kuti tipewe kuvulaza mwana wosabadwa.
Mayeso a Magazi
Mukamwa mankhwalawa, dokotala wanu adzakufunsani kuti muyeze magazi nthawi zonse. Izi zidzayang'ana momwe mankhwalawa akukhudzira thupi lanu, ngati ziwalo zanu monga chiwindi chanu ndi chithokomiro zikugwira ntchito bwino, komanso momwe mafuta m'thupi lanu alili. Chifukwa chake, ndikofunikira kwambiri kuti muyeze magaziwa monga momwe dokotala wanu wanenera.
Kuzindikira kuwala kwa dzuwa
Mankhwalawa
angapangitse khungu lanu kukhala losavuta kukhudzidwa ndi kuwala kwa dzuwa. Izi zikutanthauza kuti ngakhale mutakhala padzuwa kwa kanthawi kochepa, khungu lanu likhoza kupsa, kufiira, kapena kutupa.
- Choncho, pewani kuwala kwa dzuwa momwe mungathere.
- Ngati mukufuna kukhala padzuwa, valani zovala zophimba thupi lanu bwino, valani chipewa, ndipo gwiritsani ntchito mafuta oteteza ku dzuwa (osachepera SPF 30).
- Musagwiritse ntchito nyali za dzuwa kapena mabedi/mahema opaka utoto.
Ndi zotsatirapo ziti zomwe mungakumane nazo?
Monga mankhwala ena aliwonse, Bexarotene ingayambitse zotsatira zina zoyipa. Zina zimakhala zoopsa, ndipo muyenera kuwona dokotala nthawi yomweyo. Zina sizili zoopsa kwambiri, koma ngati zikupitirira kapena zikukuvutitsani, muyenera kuuza
dokotala wanu .
Zotsatirapo zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo: Zotsatirapo zomwe nthawi zambiri sizifuna upangiri wa dokotala (koma uzani dokotala wanu ngati zikupitirira kapena zikukuvutitsani): | Mtundu wa zotsatira zoyipa | Makhalidwe |
|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa kapena ziphuphu, kutupa kwa nkhope, milomo kapena lilime. |
| Kusintha kwa masomphenya | Kusintha kwa masomphenya kapena masomphenya ena. |
| Kuchepa kwa maselo amagazi | Mankhwalawa angayambitse kuchepa kwa maselo oyera a magazi, maselo ofiira a magazi, ndi ma platelet. Izi zitha kuwonjezera chiopsezo chanu chotenga matenda ndi kutuluka magazi. (Mwachitsanzo, kutentha thupi pafupipafupi, kuzizira, kupweteka pakhosi, kuchira pang'onopang'ono kwa mabala, kuvulala mosavuta). |
| Kusanza, kusanza | Kusanza kapena kusanza pafupipafupi. |
| Zizindikiro za hypothyroidism | Khungu lozizira, kudzimbidwa, khungu louma, kutopa, kutopa, kuiwala zinthu. |
| Zizindikiro za matenda | Malungo kapena kuzizira, chifuwa, kupweteka pakhosi, kupweteka kapena kuvutika kukodza. |
| Zizindikiro za kuwonongeka kwa chiwindi | Mkodzo wakuda wachikasu kapena bulauni; Zizindikiro zofanana ndi chimfine (monga malungo, kupweteka kwa thupi); Chimbudzi choyera; Kusowa chilakolako; Kusafuna kudya; Kuseweretsa nseru; Kupweteka m'mimba yakumtunda kumanja; Kutopa kosazolowereka; Kusawoneka bwino kwa maso kapena khungu. |
| Kupweteka kwambiri msana kapena m'mimba | Zingayambitsidwe, makamaka, ndi kutupa kwa kapamba (pancreatitis). |
| Kutsegula m'mimba | Kutupa m'mimba. |
| Mutu | Mutu. |
| Chilakolako cha chakudya | Kusowa chilakolako. |
| Kutupa kwa akakolo, mapazi, manja | Chifukwa cha kuchulukana kwa madzi m'thupi. |
| Kusowa tulo | Kuvuta kugona. |
Mndandandawu sukuphatikizapo zotsatirapo zonse zomwe zingachitike. Ngati mukukumana ndi zizindikiro zina zachilendo, lankhulani ndi dokotala wanu za izo.
Kodi mumasunga bwanji mankhwalawo?
Ndikofunikanso kusunga mankhwala awa moyenera.
- Sungani pamalo omwe ana sangafikire.
- Sungani pamalo otentha pakati pa madigiri 2 ndi 25 Celsius (36 ndi madigiri 77 Fahrenheit). Izi zikutanthauza kuti kutentha kwabwinobwino kwa chipinda ndikwabwino.
- Musasunge m'malo otentha kwambiri kapena onyowa (monga mabafa).
- Tetezani ku dzuwa lachindunji.
- Musagwiritse ntchito mankhwala omwe atha ntchito (omwe atha ntchito). Tayani bwino.
Ichi ndi chidule cha Bexarotene. Ngati muli ndi mafunso ena, musaope kufunsa dokotala wanu, wamankhwala, kapena wothandizira zaumoyo wina. Adzakuthandizani.
Uthenga Wopita Nawo Kunyumba
- Bexarotene ndi mankhwala omwe amagwiritsidwa ntchito poletsa zizindikiro za matenda a pakhungu otchedwa cutaneous T-cell lymphoma.
- Musanayambe kumwa mankhwalawa, uzani dokotala wanu za matenda ena aliwonse omwe mungakhale nawo (makamaka chiwindi , chithokomiro, cholesterol,Muyenera kuuza dokotala wanu za mankhwala aliwonse omwe mukumwa ( monga matenda a shuga ) kapena mankhwala ena omwe mukumwa.
- Musamwe mankhwalawa ngati muli ndi pakati, mukufuna kutenga pakati, kapena mukuyamwitsa. Gwiritsani ntchito njira ziwiri zodalirika zolerera pamene mukumwa mankhwalawa komanso kwa mwezi umodzi mutasiya kumwa.
- Imwani mankhwalawa mukamadya kapena mutadya. Musaswe kapena kuphwanya kapisozi.
- Pamene kuwala kwa dzuwa kukuchulukirachulukira, samalani padzuwa ndipo gwiritsani ntchito mafuta oteteza ku dzuwa.
- Musaphonye mayeso anu a magazi omwe mwakonza.
- Ngati mukukumana ndi zotsatirapo zoyipa (zifukwa za ziwengo, kusintha kwa masomphenya, zizindikiro za kuwonongeka kwa chiwindi, zizindikiro za matenda), pitani kuchipatala nthawi yomweyo.
- Musazengereze kufunsa dokotala wanu mafunso aliwonse omwe muli nawo.
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