N'zovuta kufotokoza momwe zimakhalira munthu akapezeka ndi khansa. Komabe, chifukwa cha kupita patsogolo kwa sayansi ya zamankhwala, pali njira zambiri zamakono zochiritsira khansa masiku ano. Lero tikambirana za njira imodzi yatsopano komanso yapadera yochiritsira khansa. Iyi ndi njira yabwino kwambiri yomwe imagwiritsa ntchito maselo anu kuwononga maselo a khansa.
Kodi Brexucabtagene Autoleucel iyi ndi chiyani?
Dzinali lingamveke ngati lovuta pang'ono, koma mwachidule, ili ndi mankhwala apadera omwe amagwiritsidwa ntchito pochiza mitundu ya khansa monga khansa ya m'magazi ndi lymphoma . Koma iyi si piritsi lomwe nthawi zambiri timamwa kapena jakisoni yomwe timalandira. Izi ndi zosiyana kwambiri ndi zimenezo.
Tangoganizani, tili ndi gulu lankhondo loteteza m'thupi lathu. Timalitcha kuti chitetezo chamthupi . Asilikali (maselo oteteza m'thupi) m'gululi ndi omwe amalimbana ndi majeremusi omwe amayambitsa matenda. Mu chithandizochi, mumatenga ena mwa asilikali oteteza awa (maselo) m'thupi lanu, kuwaphunzitsa mwapadera, kuwaphunzitsa kuzindikira ndi kuukira maselo a khansa, kenako nkuwabwezeretsa m'thupi lanu. Mu zamankhwala, izi zimatchedwa chithandizo cha maselo a CAR T. Ndiko kuti, chithandizochi chimagwiritsa ntchito chitetezo chamthupi chanu kuti chithandize kuletsa kapena kuchepetsa kufalikira kwa maselo a khansa.
Zinthu zoti muuze dokotala wanu musanayambe kulandira chithandizo
Popeza iyi ndi njira yeniyeni yothandizira, ndikofunikira kuti dokotala wanu adziwe za thanzi lanu lonse musanayambe. Chifukwa chake, ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwauza dokotala wanu za vutoli.
- Matenda a mtima: Ngati muli ndi matenda a mtima.
- Matenda: Matenda aliwonse opatsirana omwe alipo.
- Matenda otupa: Zokhudza matenda otupa m'thupi.
- Matenda a impso kapena chiwindi: Ngati pali vuto lililonse ndi impso kapena chiwindi.
- Matenda a m'mapapo kapena kupuma: Mavuto opuma monga mphumu kapena COPD.
- Mavuto a mitsempha: Ngati mudadwalapo khunyu kale, ngati mudadwalapo sitiroko, kapena ngati muli ndi vuto la kukumbukira zinthu.
- Katemera: Ngati mwalandira katemera posachedwapa, kapena mukukonzekera kulandira katemerayu mtsogolo.
- Matenda a ziwengo: Ngati muli ndi vuto la ziwengo chifukwa cha mankhwala awa kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Mimba: Ngati muli ndi pakati, kapena mukufuna kutenga mimba.
- Ngati ndinu mayi woyamwitsa: Ngati mukuyamwitsa mwana wanu.
Chidziwitsochi chithandiza kwambiri dokotala wanu kusankha momwe chithandizocho chilili choyenera komanso chotetezeka kwa inu.
Kodi chithandizochi chimaperekedwa bwanji?
Izi sizinthu zomwe zingachitike kunyumba. Zonsezi zimachitika kuchipatala kapena ku chipatala, motsogozedwa ndi gulu lachipatala.
Mwachidule, izi zimachitika m'njira zingapo:
1. Kusonkhanitsa maselo: Choyamba, magazi amatengedwa kuchokera mumtsempha womwe uli m'dzanja lanu, wolumikizidwa ku makina apadera, ndipo maselo oteteza thupi (ma T-cell) amalekanitsidwa ndi magazi anu. Izi zingatenge milungu ingapo.
2. Kusintha kwa maselo: Kenako, maselo anu odziteteza okha amatumizidwa ku labu yapadera, komwe amasinthidwa majini ndi "kuphunzitsidwa" kuzindikira ndi kuukira maselo a khansa.
3. Kukonzekera: Masiku angapo maselo ophunzitsidwawa asanabwezeretsedwe m'thupi lanu, mudzapatsidwa mankhwala a chemotherapy ochepa. Musadandaule, izi zithandiza kuchepetsa kuchuluka kwa maselo ena oteteza thupi m'thupi lanu ndikupanga malo oti maselo atsopano ophunzitsidwawo azigwira ntchito bwino.
4. Kubwezeretsanso maselo: Pomaliza, maselo omwe adaphunzitsidwa mu labu amalowetsedwanso m'thupi lanu kudzera mu mtsempha (kulowetsedwa) ngati saline.
Musanalandire chithandizo, mudzapatsidwa kabuku kapadera kodziwitsa odwala (`MedGuide`). Ndikofunikira kwambiri kuwerenga ndi kumvetsetsa mosamala.
Chofunika kwambiri ndichakuti, chithandizochi ndi cha inu nokha. Sichingagawidwe ndi wina aliyense. Chifukwa chapangidwa kuchokera ku maselo anu.
Zinthu zofunika kuziganizira panthawi ya chithandizo komanso pambuyo pake
Pambuyo pa chithandizo, thanzi lanu lidzayang'aniridwa mosamala kwambiri ndi gulu lachipatala.
- Kuyang'aniridwa ndi chipatala: Maselo akalowa m'thupi lanu, mudzayang'aniridwa ndi madokotala a chipatala kwa masiku osachepera 7 .
- Pewani kuyendetsa galimoto: Mankhwalawa angakhudze kuganizira kwanu, luso lanu lopanga zisankho, komanso kulinganiza bwino zinthu. Chifukwa chake, pewani kuyendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa bwino momwe mankhwalawa amakukhudzirani. Imirirani ndikukhala pansi pafupipafupi kuti muchepetse chizungulire ndi kufooka mutu.
- Khadi la Chikwama cha Odwala: Mudzapatsidwa khadi lapadera. Ndikofunikira kusunga khadi ili nthawi zonse. Onetsani khadi ili mukapita kwa dokotala aliyense. Lili ndi tsatanetsatane wokhudza zizindikiro za zotsatirapo zoyipa zomwe zingachitike chifukwa cha chithandizochi.
- Dzitetezeni ku matenda:Mankhwalawa angafooketse chitetezo cha mthupi lanu, zomwe zimawonjezera chiopsezo chanu chotenga matenda. Ngati mukumva zizindikiro monga malungo, kuzizira, kupweteka pakhosi, kapena mphuno yotuluka madzi, musadzipatse mankhwala ndipo imbani gulu lanu lazaumoyo nthawi yomweyo kuti akupatseni malangizo. Chepetsani kukhudzana ndi anthu odwala.
- Pewani kupereka magazi ndi ziwalo: Izi ndizofunikira kwambiri. Mukalandira chithandizochi, simuyenera kupereka magazi, ziwalo, minofu, kapena maselo kwa moyo wanu wonse.
- Kuopsa kwa khansa zina: Kutenga mankhwalawa kungawonjezere pang'ono chiopsezo chanu chotenga mitundu ina ya khansa mtsogolo. Lankhulani ndi dokotala wanu za izi.
Kodi zotsatirapo zake zingakhale zotani?
Monga momwe zimakhalira ndi chithandizo chilichonse, pali zotsatirapo zina zomwe zingachitike. Zina mwa izo zingakhale zoopsa, choncho ndikofunikira kuzidziwa.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa gulu lanu lachipatala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Matenda Otulutsa Cytokine | Izi ndi zotsatira zoopsa za chitetezo chamthupi. Zizindikiro zake ndi monga kutentha thupi, kuzizira, kutopa kwambiri, kusowa chilakolako cha chakudya, nseru, mutu, chizungulire, kukomoka, kupuma movutikira, komanso kugunda kwa mtima mofulumira kapena kosasinthasintha. |
| Mavuto a mitsempha | Malungo, kutupa kwa ma lymph nodes, chisokonezo, kuvutika kuyenda, kulephera kulinganiza bwino, khunyu, kuvutika kulankhula. |
| Zizindikiro za matenda | Malungo, kuzizira, chifuwa, kupweteka pakhosi, mabala osachiritsa, kupweteka pokodza, komanso kusasangalala m'thupi. |
| Kuchepa kwa maselo amagazi | Kuchepa kwa maselo ofiira a magazi kungayambitse kutopa kosazolowereka, chizungulire, mutu, komanso kupuma movutikira. |
| Kutuluka magazi kosazolowereka | Mabala m'thupi lonse kapena kutuluka magazi komwe sikutha ngakhale kuvulala pang'ono. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Zotsatirapo zazing'ono | Kutsegula m'mimba, kutopa, mutu, kusowa chilakolako cha chakudya, kupweteka kwa minofu, nseru, kutupa kwa akakolo, manja kapena mapazi. |
Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Ngati muwona china chake chachilendo, musazengereze kufunsa dokotala wanu za icho.
Kodi pangakhale mavuto ndi mankhwala ena?
Inde. Makamaka, musalandire chithandizochi ndi katemera wa kachilombo kamoyo . Komanso, perekani dokotala wanu mndandanda wathunthu wa mankhwala onse omwe mumagwiritsa ntchito (kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera) . Uzaninso dokotala wanu ngati mumasuta kapena kumwa mowa.
Popeza chithandizochi ndi cha kuchipatala, palibe mwayi woti munthu agwiritse ntchito mankhwala mopitirira muyeso. Komabe, ngati mukukumana ndi zizindikiro zachilendo kapena zoopsa, pitani ku Emergency Treatment Unit (ETU) nthawi yomweyo. Ngati kuli kofunikira, mutha kuyimbiranso National Poisons Information Centre ku Colombo National Hospital .
Uthenga Wopita Nawo Kunyumba
- Brexecabtagene Autolucell ndi mankhwala apamwamba kwambiri komanso opangidwa mwapadera omwe amagwiritsa ntchito maselo anu oteteza thupi polimbana ndi khansa.
- Musanayambe kulandira chithandizo, uzani dokotala wanu za matenda anu onse ndi mankhwala omwe mukumwa.
- Chithandizochi chimaperekedwa kuchipatala, ndipo mudzayang'aniridwa ndi dokotala kwa masiku angapo pambuyo pake.
- Nthawi zonse sungani khadi lapadera (Patient Wallet Card) lomwe mwapatsidwa.
- Samalani ndi zizindikiro zoopsa monga kutentha thupi kwambiri, kusokonezeka maganizo, komanso kupuma movutikira. Ngati muli ndi nkhawa iliyonse, uzani dokotala wanu nthawi yomweyo.
- Mukalandira chithandizochi, mudzalangizidwa kuti mupewe kupereka magazi, ziwalo, kapena minofu kwa moyo wanu wonse.
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