Katemera wa Brentuximab Vedotin: Zimene Muyenera Kudziwa

Kodi madokotala anu asankha kukupatsani inu kapena munthu amene mumamudziwa jakisoni wotchedwa Brentuximab Vedotin kuti muchiritse matenda a khansa monga lymphoma? Ngati ndi choncho, lero tikambirana za mankhwalawa, momwe amagwirira ntchito, zotsatira zake zoyipa, ndi zinthu zomwe muyenera kudziwa. Popeza mankhwalawa ndi ovuta pang'ono, ndikofunikira kuti mumvetse bwino zinthuzi.

Kodi Brentuximab Vedotin ndi mankhwala amtundu wanji?

Mwachidule, Brentuximab Vedotin ndi katemera wapadera wogwiritsidwa ntchito pochiza mtundu wa khansa wotchedwa Lymphoma. Izi zili choncho chifukwa pali puloteni yapadera yomwe imathandiza maselo a khansa kukula, kugawa, ndi kuchulukana. Mwa kuletsa puloteniyo, mankhwalawa amathandiza kuletsa kufalikira kwa maselo a khansa, kapena kuchepetsa liwiro lake. Kunena zoona, iyi ndi mankhwala omwe amaperekedwa ku maselo a khansa (mankhwala ofunikira). Dzina lake lodziwika bwino ndi ADCETRIS . Nthawi zina, dokotala wanu angagwiritsenso ntchito mankhwalawa pa matenda ena. Chifukwa chake ngati muli ndi mafunso aliwonse, ndi bwino kufunsa dokotala wanu kapena wamankhwala.

Kodi ndi zinthu ziti zomwe muyenera kuuza gulu lanu lachipatala musanamwe mankhwalawa?

Musanayambe kumwa mankhwalawa, muyenera kuuza gulu lanu la chisamaliro momveka bwino. Chifukwa chidziwitso chimenecho chidzawathandiza kusankha ngati mankhwalawa ndi oyenera kwa inu komanso momwe angawaperekere. Musabise chilichonse, ngakhale chinthu chaching'ono. Ngati muli ndi vuto lililonse mwa izi, onetsetsani kuti mwawauza:

• Matenda a shuga : Ngati muli ndi matenda a shuga.
• Matenda a impso : Ngati pali vuto kapena matenda mu impso .
• Matenda a chiwindi : Ngati muli ndi vuto lililonse la chiwindi kapena matenda enaake.
• Kuchuluka kwa maselo oyera m'magazi : Ngati mudapezekapo kale ndi maselo oyera ochepa m'magazi mwanu, awa ndi maselo omwe amalimbana ndi matenda m'thupi lathu.
• Matenda a m'mapapo : Ngati muli ndi matenda aliwonse a m'mapapo , mwachitsanzo , kupuma movutikira .
• Mavuto a mitsempha : Ngati muli ndi dzanzi m'miyendo yanu, kumva kunjenjemera, kapena mavuto ena a mitsempha (monga matenda a mitsempha ya m'mitsempha).
• Matenda a ziwengo: Ngati mwakhalapo ndi vuto la ziwengo ndi mankhwala awa, Brentuximab Vedotin, mankhwala ena aliwonse omwe mudagwiritsa ntchito kale, chakudya chilichonse, utoto uliwonse, kapena zotetezera zilizonse.
• Mimba kapena kuyesera kutenga mimba: Ngati muli ndi pakati kapena mukukonzekera kukhala ndi mwana posachedwa.
• Kuyamwitsa: Ngati mukuyamwitsa mwana wanu.

Zinthu izi zikanenedwa bwino, gulu lachipatala likhoza kukuthandizani mosamala.

Ndingakupatseni bwanji mankhwala awa?

Mankhwalawa amaperekedwa kwa inu ngati jakisoni mumtsempha (wolowetsedwa m'mitsempha kapena m'mitsempha). Mankhwalawa nthawi zambiri amaperekedwa kwa inu ndi ogwira ntchito zachipatala ophunzitsidwa bwino kuchipatala kapena ku chipatala cha khansa. Izi zikutanthauza kuti simungathe kupita nawo kunyumba kukagwiritsa ntchito.

Kodi mankhwalawa angaperekedwe kwa ana aang'ono?

Inde, nthawi zina zapadera, mankhwalawa angaperekedwe kwa ana azaka ziwiri . Komabe, njira zapadera zodzitetezera ziyenera kutsatiridwa. Ngati mwana wanu wapatsidwa mankhwala awa, lankhulani ndi dokotala wanu mosamala ndipo dziwani zambiri.

Nanga chimachitika ndi chiyani ngati mwamwa mankhwala ochulukirapo?

Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo molakwika, imbani malo owongolera poizoni kapena chipinda chodzidzimutsa nthawi yomweyo.

Chofunika: Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi wina aliyense pazifukwa zilizonse.

Nanga bwanji ngati ndaphonya mlingo wa mankhwala?

Mudzapatsidwa tsiku ndi nthawi yeniyeni yoti mulandire katemerayu. Ndikofunikira kwambiri kupita kukatenga katemerayu pa masiku amenewo. Ngati pazifukwa zina simungathe kupita pa tsiku lomwe mwakonza, imbani gulu lanu lazaumoyo nthawi yomweyo ndikuwadziwitsa.

Ndi zinthu zina ziti zomwe zingagwirizane ndi mankhwalawa?

Pali mankhwala ena omwe angayambitse mavuto akamwedwa ndi Brentuximab Vedotin. Chifukwa chake, muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera zakudya. Mankhwala ena omwe sayenera kumwedwa ndi mankhwalawa ndi awa:

• Bleomycin

Komanso, pali zinthu zina zomwe zingagwirizane ndi mankhwalawa:

• Ketoconazole
• Rifampin
• Wort wa St. John - Ichi ndi chomera chachikhalidwe chomwe anthu ena amagwiritsa ntchito.

Mndandandawu sunathe. Choncho, uzani dokotala wanu za mankhwala onse omwe mumamwa, komanso ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena. Zinthu zina zingakhudze momwe mankhwalawa amagwirira ntchito.

Kodi muyenera kusamala ndi chiyani mukamamwa mankhwalawa?

Madokotala anu adzakuyang'anirani bwino pamene mukumwa mankhwala awa. Komanso, muyenera kusamala ndi zinthu zina.

• Kuyezetsa magazi: Muyenera kuyezetsa magazi nthawi zonse (magazi) mukamamwa mankhwalawa. Izi ndi zowona momwe mankhwalawo akukhudzira thupi lanu komanso ngati pali zotsatirapo zina.
• Kuopsa kwa matenda: Mungakhale pachiwopsezo chachikulu chotenga matenda, makamaka matenda, mukamagwiritsa ntchito mankhwalawa. Chifukwa chake, ngati mukuwona zizindikiro zilizonse za chimfine, monga kutentha thupi, kuzizira, kupweteka pakhosi, kapena zizindikiro zina zofanana ndi chimfine , musadzipatse mankhwala ndipo funsani upangiri wa dokotala nthawi yomweyo. Yesetsani kupewa malo omwe anthu amadwala momwe mungathere.
• Matenda a Progressive Multifocal Leukoencephalopathy (PML): Izi zitha kumveka zoopsa, koma ndikofunikira kudziwa. Kwa anthu ena, mankhwalawa angayambitse matenda oopsa muubongo (Progressive Multifocal Leukoencephalopathy - PML). Izi sizichitika kawirikawiri, koma zimatha kupha. Chifukwa chake ngati muli ndi zizindikiro zilizonse, monga kusintha kwa masomphenya, kuganiza molakwika, kulankhula movutikira, kapena kuyenda movutikira kapena kuyimirira , uzani gulu lanu lachipatala nthawi yomweyo. Ngati simungathe kuwapeza, pezani thandizo lina lachipatala nthawi yomweyo.
• Shuga wambiri m'magazi: Mankhwalawa angayambitse shuga m'magazi mwanu. Chiwopsezochi chimakhala chachikulu mwa anthu omwe ali kale ndi matenda a shuga. Chifukwa chake, funsani gulu lanu lachipatala za njira zowongolera kuchuluka kwa shuga m'magazi mwanu.
• Mimba ndi kuyamwitsa:
• Musatenge mimba mukatenga mankhwalawa komanso kwa miyezi 6 mutasiya kumwa mankhwalawa. Izi ndizofunikira kwambiri, chifukwa mankhwalawa amatha kuvulaza kwambiri mwana yemwe ali m'mimba.
• Choncho, ndikofunikira kugwiritsa ntchito njira zoyenera zolerera panthawiyi. Lankhulani ndi dokotala wanu za njira zolerera zomwe zili zoyenera kwa inu ndi mnzanu.
• Ngati mukuganiza kuti inuyo kapena mnzanuyo muli ndi pakati, uzani dokotala wanu nthawi yomweyo.
• Musayamwitse mwana pamene mukumwa mankhwalawa.
• Kubereka: Mankhwalawa angakhudze kubereka, kutanthauza kusabereka. Ngati muli ndi nkhawa iliyonse pankhaniyi, lankhulani ndi gulu lanu lachipatala.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena aliwonse, Brentuximab Vedotin ingayambitse zotsatirapo zina. Zina zimakhala zoopsa, zina sizili zoopsa kwambiri. Chofunika kwambiri ndi kuuza dokotala wanu nthawi yomweyo ngati muwona china chake chachilendo.

Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo:

Ngati mukukumana ndi zizindikiro izi, imbani gulu lanu lachipatala mwamsanga:

• Matenda a ziwengo: Ziphuphu pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, ndi pakhosi.
• Chizungulire ndi mavuto ogwirizana:Chizungulire, kulephera kulinganiza bwino zinthu kapena kugwirizana bwino, kusokonezeka, komanso kuvutika kulankhula.
• Kuchuluka kwa shuga m'magazi (Hyperglycemia): Kumva ludzu kwambiri, kufuna kukodza pafupipafupi, kumva kutopa kwambiri, kuona zinthu mosasamala.
• Zizindikiro za matenda: malungo, kuzizira, chifuwa, kupweteka pakhosi, mabala osachira, kupweteka kapena kuvutika kukodza, komanso kusasangalala konse.
• Zizindikiro za kuvulala kwa chiwindi: Kupweteka kumtunda kwa mimba, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wakuda wachikasu kapena bulauni, khungu ndi maso achikasu (jaundice), ndi kutopa kosazolowereka.
• Zizindikiro za maselo ofiira ochepa m'magazi: kumva kutopa kwambiri, chizungulire, mutu, komanso kupuma movutikira.
• Zizindikiro za kuvulala m'mapapo: kupuma movutikira, chifuwa, magazi m'mphuno, kupweteka pachifuwa, malungo.
• Ululu, kumva kuwawa, kapena dzanzi m'manja kapena m'mapazi: Ichi chikhoza kukhala chizindikiro cha matenda a mitsempha ya m'mitsempha.
• Pancreatitis: Ululu waukulu m'mimba (izi zimatha kufika kumbuyo, ndipo ululuwo ukhoza kukulirakulira mutatha kudya kapena mukamasuntha), malungo, nseru, ndi kusanza.
• Zochitika pakhungu: Kufiira, kutupa, kutuluka kwa khungu, ndi zina zotero zimatha kuchitika mkamwa.
• Zizindikiro za kutuluka magazi m'mimba: kutuluka magazi kapena ndowe zochedwa, ndi kusanza magazi omwe amaoneka ngati khofi wophikidwa kapena wofiirira.
• Kupweteka kwambiri m'mimba mwadzidzidzi: Kupweteka kwambiri m'mimba mwadzidzidzi, kutsegula m'mimba ndi magazi, kutentha thupi, nseru, ndi kusanza.
• Matenda a Tumor Lysis (TLS): Izi zimachitika pamene maselo a khansa amawonongeka mofulumira kwambiri. Zizindikiro zake ndi izi: nseru, kusanza, kutsegula m'mimba, kuchepa kwa kukodza, mkodzo wakuda, kutopa kosazolowereka, kusokonezeka, kugwedezeka kwa minofu kapena kupweteka, kugunda kwa mtima mofulumira kapena kosakhazikika, ndi kupweteka kwa mafupa.
• Kutupa kapena kutuluka magazi kosazolowereka: Kutupa mosavuta, kuvutika kuletsa kutuluka magazi.

Zotsatirapo zomwe nthawi zambiri sizifuna chithandizo chamankhwala (koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa):

Zotsatirapo zoyipa izi nthawi zambiri sizimakhala zoopsa. Komabe, ngati zikupitirira kapena zikukuvutitsani kwambiri, uzani gulu lanu lachipatala.

• Chifuwa
• Kutsegula m'mimba
• Kutopa
• Kupweteka kwa mafupa
• Kusanza
• Kupweteka m'mimba
• Kusanza

Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Ngati muwona china chake chachilendo, funsani dokotala wanu za izi. Muthanso kunena za zotsatirapo zake ku FDA (Food and Drug Administration) poyimbira 1-800-FDA-1088.

Kodi ndiyenera kusunga bwanji mankhwalawa?

Popeza mankhwala awa amaperekedwa kwa inu kuchipatala kapena ku chipatala, simuyenera kupita nawo kunyumba kukawasunga. Choncho simuyenera kuda nkhawa nawo.

Pomaliza, zinthu zofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, takambirana zambiri za Brentuximab Vedotin. Pomaliza, nazi zinthu zofunika kwambiri zomwe muyenera kukumbukira:

• Uwu ndi mankhwala apadera omwe amalamulira kukula kwa maselo a khansa.
• Onetsetsani kuti mwauza dokotala wanu za matenda ena omwe mukumwa komanso mankhwala omwe mukumwa.
• Dzitetezeni ku matenda pamene mukumwa mankhwala ndipo dziwani zizindikiro zilizonse zachilendo.
• Tsatirani malangizo okhudza mimba ndi kuyamwitsa mosamala.
• Ngati muli ndi mafunso kapena kukayikira kulikonse, musaope kufunsa gulu lachipatala. Iwo alipo kuti akuthandizeni.

Chithandizochi chingakhale chovuta, koma simuli nokha. Tikukufunirani mphamvu! Brentuximab Vedotin, Lymphoma, Chithandizo cha Khansa, Mankhwala a Khansa, Zotsatirapo Zake, ADCETRIS