Ngati inu kapena wina m'banja mwanu ali ndi matenda monga Multiple Sclerosis (MS), ndi zachilendo kumva mantha pang'ono komanso chidwi mukayamba mankhwala atsopano. Makamaka mukaphunzira za mankhwala monga Cladribine, mungafune kudziwa momwe amagwirira ntchito komanso zomwe muyenera kudziwa. Chifukwa chake lero, tiyeni tikambirane za mankhwalawa, monga momwe mungalankhulire ndi mnzanu.
Kodi Cladribine ndi chiyani?
Mwachidule, Cladribine ndi mankhwala omwe amagwiritsidwa ntchito pochiza anthu omwe ali ndi matenda otchedwa Multiple Sclerosis (MS) . Amapezeka mu mawonekedwe a mapiritsi. Mwina mumadziwa ndi dzina lodziwika bwino la `MAVENCLAD`.
Tsopano tiyeni tiwone zomwe zimachitika. MS ndi matenda a nthawi yayitali omwe amakhudza mitsempha yathu. Nthawi zina, zizindikiro zimatha kukulirakulira mwadzidzidzi. Timatcha izi kuti kubwereranso. Chifukwa chake chomwe mankhwala a Cladribine awa amachita ndikuteteza matendawa kuti asabwererenso.
Koma ndikofunikira kukumbukira izi. Cladribine si mankhwala a MS. Koma ingakuthandizeni kuwongolera matendawa ndikukhala moyo wabwinobwino.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Dokotala wanu asanakupatseni mankhwala awa, ayenera kukhala ndi chithunzi chonse cha thanzi lanu. Mankhwalawa si oyenera aliyense. Chifukwa chake, ngati muli ndi vuto lililonse mwa awa, onetsetsani kuti mwadziwitsa dokotala wanu za mankhwalawa.
- Matenda a khansa: Ngati muli ndi khansa panopa kapena munakhala nayo kale.
- HIV kapena Edzi: Matenda omwe amachepetsa chitetezo chamthupi.
- Mavuto ena a chitetezo chamthupi: Matenda aliwonse omwe amachepetsa mphamvu ya thupi lanu yolimbana ndi matenda (chitetezo chamthupi).
- Matenda omwe alipo: Matenda aliwonse, makamaka matenda opatsirana ndi mavairasi monga nsabwe kapena herpes.
- Matenda a impso kapena chiwindi: Ziwalo zimenezi ndi zomwe zimayambitsa kusefa ndi kuchotsa mankhwala m'thupi, choncho ndikofunikira kudziwa ngati pali vuto ndi ntchito yawo.
- Kuchuluka kwa maselo a m'magazi: Kuchuluka kochepa kwa maselo oyera a m'magazi, maselo ofiira a m'magazi, kapena ma platelet.
- Ngati mwalandira katemera posachedwapa kapena mukukonzekera kulandira katemera wina mtsogolo.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba.
- Ngati ndinu mayi amene akuyamwitsa.
- Ngati muli ndi vuto la ziwengo chifukwa cha cladribine kapena mankhwala ena aliwonse, chakudya, kapena utoto.
Ndikofunikira kwambiri kuti mukhale otetezeka kuuza dokotala popanda kubisa zinthu izi.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Njira yogwiritsira ntchito izi ndi yosavuta kwambiri.
- Mezani piritsi ili ndi galasi la madzi.
- Ikhoza kumwedwa musanadye kapena mutadya. Ngati mukumva kupweteka m'mimba, ndi bwino kuimwa pamodzi ndi chakudya.
- Imwani mlingo wolondola monga momwe dokotala wanu wanenera. Musamwe mankhwala ochulukirapo kuposa mlingo womwe waperekedwa.
- Musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala.
Dokotala wanu adzakupatsani kabuku kapadera kodziwitsa za mankhwalawa (MedGuide). Chonde werengani mosamala mukalandira.
Kodi mungachite chiyani ngati mlingo ukuwonjezeka?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku Emergency Unit (ETU) ya chipatala nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Si bwino kusiya kumwa mankhwala amenewa. Ngati mukumwa, lankhulani ndi dokotala wanu kuti akupatseni malangizo a zomwe mungachite.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana)
Cladribine ndi mankhwala omwe angagwirizane ndi mankhwala ena, choncho muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa (omwe amalembedwa ndi dokotala, omwe amagulitsidwa pamtengo wotsika, mankhwala azitsamba, mavitamini).
| Kuyanjana ndi Cladribine | |
|---|---|
| Musatenge ndi izi konse: | |
| Katemera wa kachilombo ka moyo | Mwachitsanzo: Chikuku, mumps, rubella (MMR), katemera wa chickenpox. |
| Zingachitikenso ndi izi (funsani upangiri wa dokotala): | |
| Mapiritsi oletsa kubereka | Mankhwala ena oletsa mavairasi omwe amaperekedwa chifukwa cha HIV kapena chiwindi |
| Mankhwala ena omwe amaletsa chitetezo chamthupi | Mitundu ya ma steroid (Prednisone, Cortisone) |
| Rifampicin (mankhwala a chifuwa chachikulu) | Wort wa St. John (mankhwala ochokera ku zitsamba) |
| Cyclosporine, Curcumin | Ndi mankhwala ena ambiri... |
Chofunika: Iyi si mndandanda wathunthu, choncho ndikofunikira kuuza dokotala wanu zonse zomwe mukumwa.
Zinthu zofunika kusamala kwambiri mukamamwa mankhwala
Muyenera kusamala kwambiri za thanzi lanu mukamamwa mankhwalawa.
Kuopsa kotenga matenda
Cladribine ikhoza kufooketsa chitetezo chamthupi chanu pang'ono. Izi zikutanthauza kuti mumatha kutenga matenda mosavuta. Chifukwa chake ngati muli ndi zizindikiro monga malungo, kuzizira, kupweteka pakhosi, kapena chifuwa , musadzipatse mankhwala ndipo lankhulani ndi dokotala wanu. Yesetsani kupewa anthu odwala.
Kuopsa kwa matenda aakulu kukhudza ubongo
Kawirikawiri, odwala ena amatha kudwala matenda oopsa a ubongo (PML - Progressive Multifocal Leukoencephalopathy) chifukwa cha mankhwalawa. Izi zitha kukhala zoopsa pa moyo. Chifukwa chake, ngati mukukumana ndi zizindikiro monga kusintha kwa masomphenya, kuganiza movutikira, kulankhula movutikira, kuyenda movutikira kapena kuyima, kapena kulephera kukhazikika bwino, uzani dokotala wanu nthawi yomweyo. Ngati simungathe kumufikira, funani thandizo lina lachipatala nthawi yomweyo.
Samalani ndi katemera.
Mankhwalawa angapangitse thupi lanu kusalandira katemera. Ngati mukufuna kulandira katemera, uzani dokotala wanu kuti mukumwa cladribine.
Malangizo apadera okhudza mimba ndi kukhala ndi ana
Izi ndizofunikira kwambiri.
- Akazi: Pewani kutenga pakati mukumwa mankhwalawa komanso kwa miyezi 6 mutasiya kumwa mankhwalawa.
- Amuna: Ngati mukumwa mankhwalawa, pewani kubereka mwana pamene mukumwa mankhwalawa komanso kwa miyezi 6 mutasiya kumwa.
Izi zili choncho chifukwa mankhwalawa angayambitse mavuto aakulu kwa mwana wosabadwa. Funsani dokotala wanu kuti akuuzeni zambiri za izi.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, cladribine ingayambitse zotsatirapo zina. Zina zimakhala zoopsa, pomwe zina zimakhala zofala.
| Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime. |
| Makhalidwe a dongosolo lamanjenje | Kusintha kwa masomphenya, chisokonezo, kuiwala zinthu, kulephera kulinganiza bwino zinthu. |
| Zizindikiro za matenda | Malungo kapena kuzizira, chifuwa, kupweteka pakhosi, kupweteka pokodza. |
| Zizindikiro za kuwonongeka kwa chiwindi | Mkodzo wakuda wachikasu kapena bulauni, maso kapena khungu kukhala lachikasu, kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, nseru. |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Mutu | Kupweteka kwa msana |
| Kusanza | Kupweteka kwa mafupa |
| Kutaya tsitsi | Kusowa tulo |
Uthenga Wopita Nawo Kunyumba
- Cladribine ndi mankhwala omwe amaletsa kuwonjezereka kwa MS, koma si mankhwala.
- Uzani dokotala wanu za thanzi lanu lonse ndi mankhwala ena onse omwe mukumwa.
- Mukamamwa mankhwalawa, samalani kwambiri ndi zizindikiro za matenda monga malungo ndi chifuwa. Ngati muli ndi zizindikiro zilizonse, funsani upangiri wa dokotala nthawi yomweyo.
- Pewani kutenga mimba mukumwa mankhwalawo komanso kwa miyezi 6 mutasiya kumwa. Malangizo awa amagwira ntchito kwa akazi ndi amuna.
- Musasiye kumwa mankhwala anu kapena kusintha mlingo popanda upangiri wa dokotala wanu. Ngati muli ndi mafunso, lankhulani ndi dokotala wanu.
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