Kodi mwapatsidwa mapiritsi a Capecitabine (Xeloda)? Tiyeni tikambirane izi mosavuta.

Kodi dokotala wanu wakuuzani kapena wina m'banja mwanu kuti muyambe mankhwala otchedwa Capecitabine chifukwa cha khansa? Ndizachibadwa kumva mantha pang'ono, kufuna kudziwa zambiri, komanso kukhala ndi mafunso ambiri mukamva zimenezo. Tikamva mawu akuti "chemo," nthawi zambiri timachita mantha. Chifukwa chake, lero tikambirana za mankhwala otchedwa Capecitabine, zomwe amachita, momwe angagwiritsire ntchito, ndi zinthu zomwe muyenera kusamala nazo m'njira yosavuta yomwe mungamvetse.

Mwachidule, kodi Capecitabine ndi chiyani?

Capecitabine ndi mankhwala apadera omwe amapha maselo a khansa. Mu zamankhwala, timatcha mankhwala a chemotherapy. Amatengedwa ngati piritsi.

Mankhwalawa amagwiritsidwa ntchito nthawi zambiri:

• Khansa ya m'mawere
• Khansa ya m'matumbo
• ndipo chizani matenda monga khansa ya m'matumbo.

Mwachidule, mankhwalawa amagwira ntchito poletsa maselo a khansa kuti asagawane ndi kukula. Dokotala wanu nthawi zambiri amakulemberani mankhwalawa pogwiritsa ntchito dzina la Xeloda.

Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala

Gawoli ndi lofunika kwambiri . Ndikofunikira kuti dokotala wanu adziwe mbiri yanu yonse ya thanzi kuti atsimikizire kuti chithandizo chanu chapambana komanso kuti akutetezeni ku zotsatirapo zosafunikira.

Musaope kukambirana ndi dokotala wanu funso lililonse ndi chilichonse chomwe chili m'maganizo mwanu. Chidziwitso chomwe mungapereke chidzamuthandiza kukupatsani chithandizo chabwino kwambiri.

Ngati muli ndi zotsatirazi, onetsetsani kuti mwadziwitsa dokotala wanu musanayambe kugwiritsa ntchito mankhwala a Capecitabine:

• Ngati muli ndi pakati kapena mukufuna kutenga mimba: Ichi ndi chinthu chomwe muyenera kunena.
• Ngati mukuyamwitsa mwana.
• Ngati muli ndi matenda a impso kapena chiwindi.
• Ngati muli ndi matenda a mtima.
• Ngati dokotala adakuuzani kale kuti muli ndi vuto la enzyme DPD (dihydropyrimidine dehydrogenase): Izi ndi zovuta pang'ono. Mwachidule, anthu omwe ali ndi vuto la enzyme iyi akhoza kukhala ndi vuto lolekerera mankhwalawa. Chifukwa chake, ndikofunikira kwambiri kudziwitsa dokotala wanu za izi.
• Ngati mwauzidwa kuti maselo anu oyera a magazi kapena ma platelet ndi otsika.
• Ngati mukumwa mankhwala oletsa magazi kuundana kapena kuchepetsa magazi (monga warfarin).
• Ngati muli ndi vuto monga kutaya madzi m'thupi.
• Ngati mwakhalapo ndi vuto la chifuwa chifukwa cha capecitabine, fluorouracil, kapena mankhwala ena aliwonse kapena chakudya.

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Kodi mumagwiritsa ntchito bwanji mankhwalawa molondola?

Kuti mupindule kwambiri ndi mankhwalawa, ndikofunikira kwambiri kumwa monga mwalangizidwira.

• Mezani mapiritsi ndi kapu ya madzi.
• Mapiritsi awa ayenera kumwedwa mkati mwa mphindi 30 kuchokera pamene mwadya . Musamwe muli ndi mimba yopanda kanthu.
• Musamathyole, kuphwanya, kapena kutafuna mapiritsi monga chingamu. Mezani piritsi lonse.
• Pitirizani kumwa mankhwalawo mpaka dokotala wanu atakuuzani kuti musiye.

Kupereka mankhwala mu 'maulendo'

Dokotala wanu angakuuzeni kuti simukuyenera kumwa mankhwalawa nthawi zonse. Amaperekedwa mu "cycles." Izi zikutanthauza kuti mumwa kwa masiku angapo (monga masabata awiri), kenako siyani kumwa kwa masiku angapo (monga sabata imodzi), kenako yambaninso. Dokotala wanu adzasankha nthawi imeneyi kutengera vuto lanu. Ndikofunikira kwambiri kutsatira nthawi imeneyi molondola. Kumwa mankhwala ochulukirapo kuposa omwe mwapatsidwa kungayambitse zotsatirapo zoyipa kwambiri.

Samalani mukamagwiritsa ntchito mankhwala.

Ndi bwino kusamala mukamagwiritsa ntchito mankhwalawa. Ngati n'kotheka, gwiritsani ntchito magolovesi oyera mukamagwiritsa ntchito mapiritsi. Funsani dokotala wanu kuti akuuzeni zambiri za izi.

Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?

Ngati mwaiwala kumwa mlingo, siyirani konse. Imwani mlingo wotsatira nthawi yanthawi zonse. Musamwe mlingo umodzi nthawi imodzi kuti mubwezeretse mlingo womwe munaphonya.

Zinthu zofunika kusamala nazo mukamamwa mankhwala

Muyenera kusamala pang'ono ndi thupi lanu mukamamwa mankhwalawa.

Dzitetezeni ku matenda.

Mankhwalawa angafooketse chitetezo cha mthupi lanu, zomwe zikutanthauza kuti mungakhale ndi mwayi wodwala kwambiri.

• Ngati mukumva zizindikiro monga malungo, kuzizira, kupweteka pakhosi, kapena chifuwa , musadzipatse mankhwala ndipo imbani dokotala nthawi yomweyo.
• Pewani anthu omwe ali ndi matenda monga chimfine ndi fuluwenza panthawiyi.

Kutuluka magazi ndi kuvulala

Mungamve kutuluka magazi kapena kuvulala mosavuta.

• Musamatsuke mano anu mwamphamvu kwambiri. Gwiritsani ntchito burashi yofewa ya mano .
• Ngati mukumva mabala kapena mawanga osazolowereka m'thupi lanu, kapena ngati mukutuluka magazi m'mphuno kapena m'kamwa, dziwitsani dokotala wanu.

Mimba ndi kuyamwitsa

Iyi ndi mfundo yofunika kwambiri .

• Akazi: Pewani kutenga mimba kwathunthu mukumwa mankhwalawa komanso kwa miyezi 6 mutasiya kumwa mankhwalawa.
• Amuna:Pewani kutenga mimba pamene mukumwa mankhwalawa komanso kwa miyezi itatu mutasiya kumwa mankhwalawa.
• Pewani kuyamwitsa pamene mukumwa mankhwalawa komanso kwa milungu iwiri mutasiya kuyamwitsa.

Kutsegula m'mimba kwambiri, kusanza, ndi zotsatira za khungu

• Ngati mukumva kupweteka m'mimba kwambiri, kusanza kosalekeza , kapena thukuta kwambiri, mungakhale pachiwopsezo chotaya madzi m'thupi. Choncho uzani dokotala wanu nthawi yomweyo.
• Nthawi zina mankhwalawa angayambitse mavuto aakulu pakhungu. Pitani kuchipatala mwamsanga ngati mukumva zizindikiro monga ziphuphu zofiira, malungo kapena kutentha thupi , kutupa kapena kutsekeka kwa khungu , zilonda mkamwa mwanu , kapena kutupa kwa nkhope kapena milomo yanu .

Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?

Monga mankhwala ena aliwonse, Capecitabine ingayambitse zotsatirapo zake. Komabe, si aliyense amene amalandira. Chofunika kwambiri ndi kuzindikira vuto lililonse mwachangu ndikuuza dokotala wanu.

Nanga bwanji ngati nditamwa mankhwala ochulukirapo?

Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.