Kulimbana ndi khansa ndi vuto lalikulu kwambiri, sichoncho? Pofuna kukuthandizani paulendowu, pali njira zosiyanasiyana zochiritsira zomwe zilipo. Chithandizo chimodzi chotere ndi Carmustine , chomwe mwina mudamvapo kuti chimatchedwanso (BCNU) . Ndizachilendo kumva mantha pang'ono mukamva dzina latsopano la mankhwala, koma tiyeni tikambirane za mankhwalawa mwachidule, ngati kuti ndife abwenzi olankhulana, kuti mumvetse bwino zomwe mungayembekezere.
Kodi Carmustine ndi mankhwala amtundu wanji, ndipo amagwiritsidwa ntchito pa chiyani?
Mwachidule, Carmustine ndi mankhwala omwe amagwiritsidwa ntchito polimbana ndi maselo a khansa . Makamaka, ndi mtundu wa chemotherapy . Maselo ena m'thupi lathu, makamaka maselo a khansa , amagawikana ndikuchulukana mwachangu. Mankhwalawa amagwira ntchito posokoneza kukula kwa maselo omwe amagawikana mwachangu ndikuwathandiza kuti azilamulira.
Tiyeni tiwone matenda oyamba a khansa omwe mankhwalawa amagwiritsidwa ntchito:
- Zotupa za muubongo : Zimagwiritsidwa ntchito pa mitundu yosiyanasiyana ya zotupa zomwe zimachitika muubongo.
- Multiple myeloma: Khansa yomwe imayambira mu fupa la mafupa.
- Matenda a Hodgkin: Khansa yomwe imakhudza dongosolo la lymphatic .
- Ma lymphoma a Non-Hodgkin: Gulu lina la khansa lomwe limakhudza dongosolo la lymphatic.
Kupatula pa izi, dokotala wanu nthawi zina angagwiritse ntchito mankhwalawa pazovuta zina zaumoyo. Chifukwa chake, ngati mwapatsidwa mankhwalawa, ndi bwino kufunsa dokotala wanu kapena wamankhwala kuti akufotokozereni chifukwa chake komanso momwe adzaperekedwere pa vuto lanu.
Kodi muyenera kuuza dokotala wanu chiyani musanayambe kumwa mankhwalawa?
Musanayambe chithandizo cha Carmustine, ndikofunikira kugawana zambiri ndi gulu lanu losamalira odwala. Gulu lanu lachipatala likufunika izi kuti lidziwe ngati chithandizochi chili choyenera kwa inu, kuti liwerengere mlingo woyenera, komanso kuti lizindikire zomwe zikufunika kuyang'aniridwa kwambiri.
Nazi mfundo zofunika kuziulula:
- Ngati muli ndi matenda aliwonse omwe alipo: Makamaka matenda opatsirana ndi mavairasi monga nsabwe kapena herpes, kapena ngati muli ndi chimfine kapena malungo.
- Matenda a impso : Mavuto aliwonse okhudzana ndi impso zanu.
- Matenda a chiwindi : Nkhawa zilizonse zokhudzana ndi momwe chiwindi chimagwira ntchito .
- Kuchuluka kwa maselo a m'magazi otsika: Monga ma platelet otsika, maselo ofiira ochepa (anemia), kapena maselo oyera otsika. Dokotala wanu ayenera kudziwa izi.
- Matenda a m'mapapo: Ngati muli ndi vuto lililonse la kupuma kapena kupuma movutikira.
- Matenda a ziwengo: Muyenera kuulula ngati munakhalapo ndi vuto la ziwengo chifukwa cha Carmustine, BCNU, mankhwala ena a chemotherapy, kapena mankhwala ena aliwonse, zakudya, utoto, kapena zotetezera.
- Ngati muli ndi pakati kapena mukufuna kutenga pakati: Izi ndizofunikira kwambiri.
- Ngati mukuyamwitsa.
Kulankhula momasuka ndi dokotala wanu za zinthu izi ndikofunikira kuti mukhale otetezeka komanso kuti musamalidwe bwino ku Nirogi Lanka.
Kodi Carmustine imaperekedwa bwanji?
Mankhwalawa amaperekedwa ngati njira yothira kapena jakisoni mumtsempha. Mankhwalawa si omwe mumamwa kunyumba; adzaperekedwa ndi katswiri wodziwa bwino ntchito zachipatala kuchipatala kapena kuchipatala.
Chofunika: Ngati mankhwalawa aperekedwa kwa mwana, amachitidwa motsogozedwa ndi dokotala wa ana.
Nanga bwanji ngati mwalandira mankhwala opitirira muyeso?
Ngati mukukayikira kuti mwamwa mankhwala opitirira muyeso, chonde funsani ogwira ntchito zadzidzidzi akumaloko kapena pitani ku chipinda chadzidzidzi chapafupi nthawi yomweyo.
Kumbukirani: Mankhwalawa ndi anu okha. Musagawane ndi wina aliyense.
Nanga bwanji ngati mwaphonya mlingo?
Ndikofunikira kutsatira ndondomeko yanu ya chithandizo yomwe mwakonza. Ngati simungathe kukonza nthawi yanu yokumana ndi dokotala, chonde imbani dokotala wanu kapena katswiri wa zaumoyo nthawi yomweyo kuti muwadziwitse. Adzakutsogolerani panjira zotsatirazi.
Kodi pali mankhwala ena omwe angagwirizane ndi mankhwalawa? (Kuyanjana kwa Mankhwala)
Inde, mankhwala ena amatha kuyanjana ndi Carmustine, zomwe zingasinthe mphamvu yake kapena kuwonjezera chiopsezo cha zotsatirapo zake.
Zitsanzo zikuphatikizapo:
- Cimetidine (yogwiritsidwa ntchito pa matenda monga gastritis)
- Phenobarbital (yogwiritsidwa ntchito pa matenda ena a khunyu)
- Phenytoin ndi Fosphenytoin (zomwe zimagwiritsidwanso ntchito pa khunyu)
Mndandandawu si wokwanira. Chifukwa chake, muyenera kudziwitsa dokotala wanu za mankhwala aliwonse omwe mumamwa—kuphatikizapo mankhwala ena olembedwa ndi dokotala, mavitamini, zowonjezera ku zitsamba, mankhwala ogulitsidwa kunja kwa chipatala, ndi zowonjezera zakudya. Kuphatikiza apo, chonde dziwitsani dokotala wanu ngati mumasuta kapena kumwa mowa, chifukwa izi zingakhudzenso chithandizo chanu.
Kodi muyenera kusamala ndi chiyani mukalandira chithandizo?
Pa nthawi ya chithandizo chanu cha Carmustine, dokotala wanu adzakuyang'anirani nthawi zonse kuti aone momwe zinthu zikuyendera komanso thanzi lanu lonse.
- Kumva kudwala nthawi zambiri: Ndizachilendo kumva kutopa mukamagwiritsa ntchito mankhwalawa. Chifukwa chemotherapy imakhudza maselo omwe amagawanitsa maselo mwachangu, imatha kukhudza maselo athanzi pamodzi ndi maselo a khansa. Izi zikuyembekezeredwa. Chonde uzani dokotala wanu za zotsatirapo zilizonse zoyipa. Ngakhale mutakhala kuti simukumva bwino, pitirizani kulandira chithandizo monga momwe mwalangizidwira mpaka dokotala wanu atakuuzani zina.
- Mankhwala othandizira: Nthawi zina, dokotala wanu angakupatseni mankhwala ena kuti athandize kuchepetsa zotsatirapo zake. Chonde onetsetsani kuti mwatsatira malangizo a mankhwala owonjezerawa monga momwe alembedwera.
- Kuteteza ku matenda: Ngati mukuyamba kutentha thupi, kuzizira, kupweteka pakhosi, chifuwa, kapena zizindikiro za chimfine , funsani dokotala wanu kapena wothandizira zaumoyo nthawi yomweyo kuti akupatseni malangizo. Musayese kudzipatsa mankhwala. Mankhwalawa akhoza kufooketsa chitetezo cha mthupi lanu, zomwe zingakupangitseni kukhala pachiwopsezo cha matenda. Yesetsani kupewa kukhudzana kwambiri ndi anthu odwala.
- Kuwunika ngati mukutuluka magazi ndi mabala: Mankhwalawa angakuwonjezereni chiopsezo chanu chotuluka magazi kapena mabala mosavuta. Ngati muwona kutuluka magazi kosazolowereka (monga kutuluka magazi m'mphuno, kutuluka magazi m'kamwa, kutuluka magazi m'chimbudzi chanu) kapena mabala osadziwika bwino, dziwitsani dokotala wanu nthawi yomweyo.
- Kuopsa kwa khansa yachiwiri: Kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kungakhale ndi chiopsezo chochepa chotenga mitundu ina ya khansa. Kambiranani ndi dokotala wanu za nkhawa zilizonse zomwe muli nazo.
- Zotsatira za kubereka: Mankhwalawa angakhudze kubereka kwa amuna (kuthekera kobereka mwana). Ngati muli ndi nkhawa iliyonse yokhudza izi, chonde lankhulani ndi dokotala wanu kapena katswiri wa zaumoyo.
- Mimba ndi kuyamwitsa:
- Musatenge pakati pa nthawi ya chithandizo ndipo kwa miyezi 6 mutasiya kumwa mankhwalawa. Ngati mukukonzekera kutenga pakati kapena mukuganiza kuti muli ndi pakati, dziwitsani dokotala wanu nthawi yomweyo.
- Amuna sayenera kuyesa kubereka mwana pamene akumwa mankhwalawa komanso kwa miyezi itatu atasiya kumwa mankhwalawa.
- Mankhwalawa angayambitse mavuto aakulu kwa mwana wosabadwa. Kambiranani izi ndi dokotala wanu kapena wamankhwala.
- Musayamwitse mwana pamene mukulandira chithandizo ndi mankhwalawa.
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?
Monga mankhwala ena aliwonse, Carmustine ingayambitse zotsatirapo zina. Komabe, si aliyense amene amakumana nazo. Zina zimafunika thandizo la dokotala nthawi yomweyo, pomwe zina sizimavuta kwambiri ndipo nthawi zambiri zimatha pakapita nthawi.
Zotsatirapo zomwe zimafuna thandizo lachipatala mwachangu:
Ngati mukukumana ndi zotsatirazi, funsani dokotala wanu kapena wothandizira zaumoyo mwamsanga:
- Matenda a ziwengo: Kutupa pakhungu, kuyabwa, ziphuphu, kapena kutupa kwa nkhope, milomo, kapena lilime.
- Kuvuta kupuma.
- Kupweteka kwa mafupa.
- Kuchuluka kwa magazi m'magazi: Mankhwalawa angachepetse kuchuluka kwa maselo oyera m'magazi, maselo ofiira amagazi, ndi ma platelet, zomwe zingakulitse chiopsezo chanu chotenga matenda ndi kutuluka magazi.
- Kupweteka kwa minofu.
- Kugwidwa ndi khunyu.
- Zizindikiro za matenda: Malungo, kuzizira, chifuwa, kupweteka pakhosi, kapena kupweteka/kuvutika kukodza.
- Zizindikiro za ma platelet otsika kapena kutuluka magazi: Kutupa kosamveka bwino, madontho ofiira pakhungu, ndowe zakuda kapena zotuluka m'thupi, kapena magazi mu mkodzo.
- Zizindikiro za kuvulala kwa impso: Kuvutika kukodza kapena kusintha kwa mkodzo.
- Kuchepetsa thupi kosamveka bwino.
Zotsatirapo zomwe nthawi zambiri sizili zoopsa kwambiri koma ziyenera kunenedwabe ngati zikupitirira:
Zotsatirapo zotsatirazi nthawi zambiri sizimaika moyo pachiswe koma ziyenera kunenedwa ngati zikuvutitsa kapena zikupitirira:
- Mutu.
- Kusowa chilakolako.
- Kusanza kapena kusanza.
- Kupweteka, kufiira, kapena kuyabwa pamalo omwe jakisoni amaperekedwa.
Mndandandawu sukuphatikizapo zotsatirapo zonse zomwe zingachitike. Ngati mukukumana ndi vuto lililonse lachilendo, chonde funsani gulu lanu lazachipatala.
Kodi mankhwalawa amasungidwa bwanji?
Popeza mankhwalawa amaperekedwa kuchipatala kapena kuchipatala, simukuyenera kuwasunga kunyumba. Ogwira ntchito kuchipatala ndi omwe ali ndi udindo wosamalira ndi kusunga bwino mankhwalawa.
Uthenga Wopita Nawo Kunyumba
Takambirana zinthu zambiri zokhudza chithandizo cha Carmustine. Kumbukirani:
Chofunika kwambiri ndi kukambirana momasuka mafunso, kukayikira, kapena nkhawa zilizonse zomwe mungakhale nazo ndi dokotala wanu, namwino, kapena wamankhwala. Ali pano kuti akuthandizeni.
- Carmustine ndi mankhwala a chemotherapy omwe amapangidwa kuti azitha kuwongolera kukula kwa maselo a khansa.
- Musanayambe chithandizo, dziwitsani dokotala wanu za mbiri yanu yonse ya thanzi komanso mankhwala ena onse omwe mukumwa.
- Pitani ku misonkhano yanu ya chithandizo monga momwe mwakonzera. Ngati mwaphonya nthawi yokumana ndi dokotala, dziwitsani dokotala wanu nthawi yomweyo.
- Khalani tcheru ndi zotsatirapo zake. Uzani dokotala wanu za zizindikiro zazikulu mwamsanga.
- Chitani ukhondo wabwino kuti mupewe matenda ndipo khalani maso ngati pali zizindikiro za kutuluka magazi.
- Tsatirani malangizo a dokotala okhudza mimba ndi kuyamwitsa.
Kumbukirani, simuli nokha paulendowu. Muli ndi gulu lachipatala lodzipereka ku Nirogi Lanka kuti likusamaleni. Khalani olimba mtima, tsatirani dongosolo lanu la chithandizo, ndipo tikukufunirani kuti muchire mwachangu!
Mawu Ofunika: Carmustine, BCNU, chithandizo cha khansa, chemotherapy, khansa ya muubongo, multiple myeloma, lymphoma, mankhwala a khansa, zotsatirapo zake
