Kodi inuyo kapena munthu wina amene mumamudziwa adapatsidwa mankhwala otchedwa Brigatinib kuti athetse vuto monga khansa ya m'mapapo? Tiyeni tikambirane pang'ono za mankhwalawa, momwe angagwiritsire ntchito, ndi zomwe muyenera kudziwa. Ndizachibadwa kukhala ndi mafunso ambiri m'maganizo mwanu panthawi ngati iyi. Chifukwa chake, ndikukhulupirira kuti izi zikuthandizani.

Kodi Brigatinib ndi mankhwala amtundu wanji?

Mwachidule, Brigatinib ndi mankhwala apadera omwe amathandiza kuletsa kukula kwa maselo a khansa . Amagwirira ntchito poyang'ana mapuloteni ena mkati mwa maselo a khansa ndikuletsa kugwira ntchito kwawo. Amagwiritsidwa ntchito makamaka pochiza mtundu wa khansa yotchedwa khansa ya m'mapapo ya non-small cell .

Mankhwalawa angagwiritsidwenso ntchito ndi madokotala pa matenda ena, kotero ngati muli ndi mafunso ena okhudza izi, ndi bwino kufunsa dokotala wanu kapena wamankhwala.

Kodi ndiyenera kumuuza chiyani dokotala asanayambe kumwa mankhwalawa?

Musanayambe kugwiritsa ntchito brigatinib, ndikofunikira kwambiri kuuza dokotala wanu za matenda anu onse. Ndikofunikira kwambiri kuuza dokotala wanu ngati muli ndi vuto limodzi kapena angapo mwa awa:

• Ngati muli ndi matenda a shuga (Diabetes Mellitus) .
• Ngati muli ndi matenda aliwonse a maso.
• Ngati muli ndi kuthamanga kwa magazi .
• Ngati kale munali ndi vuto monga pancreatitis .
• Ngati muli ndi matenda aliwonse a impso.
• Ngati muli ndi matenda aliwonse a chiwindi.
• Ngati muli ndi matenda ena a m'mapapo.
• Ngati muli ndi vuto lotchedwa `kugunda kwa mtima pang'onopang'ono`.
• Ngati muli ndi vuto la masomphenya.
• Ngati muli ndi vuto la brigatinib, mankhwala ena, zakudya, mitundu yopangira, kapena zotetezera.
• Ngati mukuyesera kutenga mimba kapena muli ndi pakati pa nthawi ino .
• Ngati ndinu mayi woyamwitsa .

Dokotala akamauza zinthuzi pasadakhale, akhoza kukonza chithandizo chomwe chingakukomereni kwambiri.

Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?

Mankhwalawa amabwera ngati mapiritsi ndipo ayenera kumwedwa pakamwa. Ndikofunikira kumwa mankhwalawa nthawi yomweyo tsiku lililonse , monga momwe dokotala wanu wanenera.

Chofunika: Musaswe, kuphwanya, kapena kutafuna piritsi. Mezani piritsi lonse ndi madzi.

Mankhwalawa angatengedwe musanadye kapena mutatha kudya. Komabe, ngati mukumva kupweteka m'mimba, ndi bwino kumwa pamodzi ndi chakudya. Muyenera kupitiriza kugwiritsa ntchito mankhwalawa mpaka dokotala wanu atakuuzani kuti musiye.

Chinthu china chofunikira:Musamwe madzi a mphesa mukamamwa mankhwalawa. Izi zingakhudze mphamvu ya mankhwalawa.

Muyenera kusamala kwambiri popereka mankhwalawa kwa ana, choncho lankhulani ndi dokotala wanu za vutoli.

Kumwa mankhwala ochulukirapo: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani malo oletsa poizoni kapena chipinda chodzidzimutsa chapafupi nthawi yomweyo.

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

Kodi mumatani ngati mwaphonya nthawi yokumana ndi dokotala?

Ngati mwaphonya mlingo, imwani. Imwani mlingo wotsatira nthawi yanthawi zonse. Musamwe milingo iwiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaphonya.

Ndi zinthu zina ziti zomwe zingagwirizane ndi mankhwalawa?

Mankhwala otchedwa Brigatinib awa akhoza kuyanjana ndi mankhwala ena omwe mukumwa. Ngati izi zitachitika, mphamvu ya mankhwalawa ikhoza kuchepa kapena kuwonjezeka, kapena zotsatira zake zitha kukwera. Chifukwa chake, muyenera kuuza dokotala wanu za zinthu zotsatirazi zomwe mukumwa:

• Maantibayotiki ena ( monga erythromycin, clarithromycin)
• Mankhwala ena oletsa mavairasi omwe amagwiritsidwa ntchito pa HIV kapena Edzi
• Mankhwala ena a matenda a bowa (monga ketoconazole, itraconazole, posaconazole)
• Mankhwala ena omwe amaperekedwa pa matenda ofanana ndi khunyu (monga carbamazepine, phenobarbital, phenytoin)
• Madzi a Mphesa
• Rifampin

Mndandandawu sunathe. Choncho uzani dokotala wanu za mankhwala onse omwe mumamwa (omwe amalembedwa ndi dokotala, omwe amagulitsidwa pamtengo wotsika, mankhwala azitsamba, mavitamini, ndi zakudya zowonjezera). Komanso, uzani dokotala wanu ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo. Zina mwa zinthuzi zingakhudze mankhwala awa.

Ndi zinthu ziti zomwe muyenera kusamala nazo mukamamwa mankhwalawa?

Mungamve ngati simuli bwino kapena mukudwala mukamagwiritsa ntchito mankhwalawa. Izi ndi zachilendo, chifukwa chemotherapy imakhudzanso maselo athanzi. Uzani dokotala wanu za zotsatirapo zilizonse zomwe mumakumana nazo. Pitirizani kumwa mankhwalawo ngakhale atakupangitsani kumva ngati akukuipiraipirani, mpaka dokotala wanu atakuuzani kuti musiye.

Mimba, kuyamwitsa ndi kubereka

• Pewani kutenga mimba: Muyenera kupewa kutenga mimba mukamamwa mankhwalawa komanso kwa miyezi inayi mutasiya kumwa mankhwalawa. Azimayi ayenera kuuza dokotala wawo nthawi yomweyo ngati akukonzekera kutenga mimba kapena akuganiza kuti mwina ali ndi pakati.
• Kwa amuna:Amuna ayenera kupewa kubereka mwana akamamwa mankhwalawa komanso kwa miyezi itatu atasiya kumwa mankhwalawa, chifukwa angayambitse mavuto aakulu kwa mwana wosabadwayo. Funsani dokotala wanu kuti mudziwe zambiri za izi.
• Kuyamwitsa: Pewani kuyamwitsa mwana wanu mukumwa mankhwalawa komanso kwa sabata imodzi mutasiya kumwa mankhwalawa.
• Zotsatira pa kubereka: Mankhwalawa angakhudze kuthekera kwanu kutenga pakati. Ngati muli ndi nkhawa iliyonse yokhudza kubereka kwanu, lankhulani ndi dokotala wanu.

Mfundo zina zofunika

• Kuopsa kwa matenda: Mankhwalawa angachepetse mphamvu ya thupi lanu yolimbana ndi matenda. Chifukwa chake, ngati mukumva zizindikiro monga malungo, kuzizira, kupweteka pakhosi, kapena mphuno yotuluka madzi, imbani dokotala nthawi yomweyo kuti akupatseni malangizo. Musadzipatse mankhwala. Yesetsani kupewa anthu odwala.
• Samalani ndi mankhwala ochepetsa ululu: Pokhapokha ngati dokotala wanu akulangizani kutero, musagwiritse ntchito mankhwala ochepetsa ululu ndi ochepetsa malungo monga aspirin, acetaminophen, ibuprofen, naproxen, ndi ketoprofen. Izi zimatha kuchepetsa malungo.
• Kusintha kwa masomphenya: Ngati mukuwona kusintha kulikonse (monga kusawona bwino, kuwona kawiri), uzani dokotala wanu nthawi yomweyo.
• Kumva ku dzuwa: Mankhwalawa angapangitse khungu lanu kukhala losavuta kumva ku dzuwa. Choncho pewani kukhudzana ndi dzuwa momwe mungathere. Ngati mutuluka panja, valani zovala zophimba khungu lanu ndipo gwiritsani ntchito mafuta oteteza ku dzuwa. Musagwiritse ntchito nyali za dzuwa kapena mabedi/mahema opaka utoto.
• Mavuto a minofu: Ngati mukumva kupweteka kwa minofu kapena kufooka, dokotala wanu angakuuzeni kuti musiye kumwa mankhwalawa. Ngati mavuto a minofu apitirira mutasiya kumwa mankhwalawa, uzani dokotala wanu.
• Shuga wambiri m'magazi: Mankhwalawa angayambitse shuga wambiri m'magazi. Ngati muli ndi matenda a shuga, funsani dokotala wanu ngati mukufuna kusintha zakudya zanu kapena mankhwala anu.
• Acidosis: Mankhwalawa nthawi zina angayambitse kuchuluka kwa asidi m'magazi . Ngati mukumva zizindikiro monga nseru, kusanza, kupweteka m'mimba, kutopa kosazolowereka, kapena kupuma movutikira, siyani kumwa mankhwalawa nthawi yomweyo ndipo imbani dokotala wanu. Ngati n'kotheka, yang'anani mkodzo wanu ngati muli ndi ma ketone pogwiritsa ntchito dipstick ya ketone.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena onse, brigatinib ingayambitse zotsatirapo zina. Zina zimakhala zoopsa ndipo ziyenera kunenedwa kwa dokotala nthawi yomweyo. Zina sizili zoopsa kwenikweni, koma ngati zikupitirira kapena kukhala zovuta, muyenera kuuza dokotala wanu.

Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo:

• Matenda a ziwengo: kutupa pakhungu, kuyabwa, kapena ziphuphu; kutupa kwa nkhope, milomo, kapena lilime.
• Kusintha kwa masomphenya
• Chifuwa
• Mpweya wokoma (izi zitha kukhala chizindikiro cha kuchuluka kwa shuga m'magazi)
• Shuga wambiri m'magazi: Kuwonjezeka kwa njala, ludzu, kapena kukodza; kufooka kapena kutopa kosazolowereka; kusawona bwino.
• Kuwonjezeka kwa kuthamanga kwa magazi
• Matenda: Malungo, kuzizira, chifuwa, kupweteka pakhosi, kupweteka kapena kuvutika kukodza.
• Kuvulala kwa chiwindi: Mkodzo wakuda wachikasu kapena bulauni; zizindikiro zofanana ndi chimfine chofala cha kachilombo; kusowa chilakolako cha chakudya; kupweteka m'mimba yakumanja; kufooka kapena kutopa kosazolowereka; chikasu cha maso ndi khungu (monga jaundice).
• Kuvulala kwa minofu: Mkodzo wakuda; kuvutika kukodza kapena kusintha kwa kuchuluka kwa mkodzo; kufooka kapena kutopa kosazolowereka; kupweteka kwa minofu; kupweteka kwa msana.
• Pancreatitis: Kupweteka m'mimba (izi zimatha kufika kumbuyo, ndipo zimatha kukulirakulira mutadya kapena mutakhudza), malungo, nseru, kusanza, ndi kugunda kwa mtima mofulumira.
• Kugunda pang'onopang'ono: Kupuma movutikira; kupweteka pachifuwa; chizungulire; kukomoka, chizungulire; kumva kufooka kwambiri kapena kutopa.
• Kuvuta kupuma

Zotsatirapo zomwe nthawi zambiri sizifuna upangiri wa dokotala (koma ziyenera kunenedwa ngati zikupitirira kapena zikuvutitsa):

• Kutsegula m'mimba
• Mutu
• Kusanza
• Kusanza

Mndandanda uwu si zotsatirapo zonse zomwe zingatheke. Ngati muwona china chake chachilendo, uzani dokotala wanu.

Kodi ndiyenera kusunga bwanji mankhwalawo? Ndingatani ngati pali ena otsala?

Mapiritsi awa ayenera kusungidwa pamalo omwe ana ndi ziweto sangafikire .

Sungani kutentha kwa chipinda (pakati pa madigiri 20 ndi 25 Celsius, pakati pa madigiri 68 ndi 77 Fahrenheit). Musagwiritse ntchito mankhwala otha ntchito, atayeni.

Momwe mungatayire mankhwala osagwiritsidwa ntchito kapena omwe atha ntchito:

Njira yabwino yochotsera izi ndikupita nazo kumalo komwe kuli pulogalamu yobweretsera mankhwala. Mutha kufunsa ku pharmacy yanu kapena apolisi za malo otere.

Ngati palibe njira yobweza mankhwalawo, yang'anani phukusi la mankhwala kapena chizindikiro chake kuti muwone ngati ayenera kutayidwa m'zinyalala kapena kutayidwa m'chimbudzi. Ngati simukudziwa, funsani dokotala wanu kapena wamankhwala. Ngati kuli kotetezeka kuwataya m'zinyalala, chitani izi:

1. Tulutsani mankhwalawo m'chidebecho.

2. Sakanizani ndi zinthu monga zinyalala za amphaka, dothi, ndi khofi.

3. Ikani chisakanizochi m'thumba kapena m'chidebe ndipo chitsekereni bwino.

4. Kenako ikani mu chidebe cha zinyalala.

Pomaliza, uthenga wofunika

Munkhaniyi, takambirana mfundo zina zokhudza mankhwala a Brigatinib. Safotokoza chilichonse. Ngati muli ndi mafunso okhudza mankhwalawa, onetsetsani kuti mwalankhula ndi dokotala wanu, wamankhwala, kapena wopereka chithandizo chamankhwala. Angakupatseni upangiri wabwino kwambiri pa vuto lanu. Kumbukirani kuti dokotala wanu ndiye mlangizi wanu wabwino kwambiri.

Brigatinib , mankhwala a khansa, khansa ya m'mapapo, Khansa ya m'mapapo yosakhala ya maselo ang'onoang'ono, zotsatira zake zoyipa, mankhwala, chithandizo cha khansa