Kodi inuyo kapena munthu wina amene mumamudziwa ali ndi matenda a sickle cell? Ndiye mwina mukudziwa bwino mavuto opweteka a sickle cell omwe nthawi zambiri amatsagana ndi matendawa. Mwina mukudziwa kuchokera ku zomwe mwakumana nazo momwe zimakhalira zovuta kuchita ntchito za tsiku ndi tsiku chifukwa cha ululu wosapiririkawu. Chifukwa chake, lero tikulankhula za mankhwala atsopano omwe angathandize kuchepetsa kuchuluka kwa matendawa. Ndi katemera wotchedwa Crizanlizumab.
Kodi mankhwala awa ndi amtundu wanji?
Mwachidule, Crizanlizumab ndi mankhwala omwe ali m'gulu la mankhwala otchedwa 'selectin blockers.' Chabwino, kodi zimenezo zikumveka zovuta pang'ono? Tiyeni tifotokoze motere.
Taganizirani za mitsempha yathu yamagazi ngati msewu waukulu womwe magazi amadutsamo. Mu matenda a sickle cell, maselo ofiira amagazi amasintha mawonekedwe (ngati sickle), amamatirana, amalumikizana, ndikupanga traffic yambiri pamsewu waukuluwu. Pamene kuyenda kwa magazi kutsekedwa mwanjira iyi, ululu woopsawo umachitika.
Puloteni yotchedwa selectin imathandizanso kuti maselowa azigwirana pamodzi. Kunena zoona, puloteniyi imagwira ntchito ngati guluu ndipo imathandiza maselo kugwirana pamodzi. Crizanlizumab imatseka selectin, yomwe imagwira ntchito ngati 'guluu' uja. Kenako, maselowo amagwirana pang'ono, ndipo kutsekeka kwa magazi kumachepa. Zotsatira zake, kuchuluka kwa 'sickle cell crisis' zopwetekazi kumatha kuchepetsedwa kwambiri.
Mankhwalawa amapezeka kwambiri pamsika pansi pa dzina lakuti ADAKVEO .
Kodi ndiyenera kumuuza chiyani dokotala ndisanayambe kumwa mankhwalawa?
Musanayambe kumwa mankhwalawa, pali zinthu zingapo zomwe muyenera kuuza dokotala wanu. Ndikofunikira kwambiri kuti mukhale otetezeka kuti mukhale oona mtima pazinthu izi.
- Kodi munayamba mwakhalapo ndi vuto la Crizanlizumab, mankhwala ena aliwonse, chakudya, kapena utoto?
- Kodi muli ndi pakati, kapena mukuyembekeza kutenga pakati posachedwa ?
- Kodi ndinu mayi woyamwitsa ?
Kutengera ndi izi, zidzakhala zosavuta kwa dokotala kusankha ngati mankhwalawa ndi oyenera kwa inu kapena ayi.
Kodi mumagwiritsa ntchito bwanji mankhwalawa?
Mankhwala awa si omwe mungamwe kunyumba. Awa ndi mankhwala olowetsedwa m'mitsempha. Izi zikutanthauza kuti mankhwalawa amaperekedwa m'mitsempha yanu m'botolo, mofanana ndi saline, kwa mphindi pafupifupi 30. Njira yonseyi imachitika kuchipatala kapena kuchipatala motsogozedwa ndi katswiri wa zaumoyo.
Nthawi zina, dokotala angaperekenso mankhwalawa kwa ana aang'ono azaka zopitirira 16. Komabe, chisamaliro chapadera chiyenera kutengedwa, kotero ngati mukupereka mankhwalawa kwa mwana wanu, lankhulani ndi dokotala wa ana kuti mudziwe zambiri.
Kumbukirani, ngati mukukayikira kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poison Information Centre ku National Hospital ku Colombo, kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi wina aliyense. Zingathe kuyika miyoyo yawo pachiwopsezo.
Kodi mumatani ngati mwaphonya mlingo wa mankhwala?
Ndikofunikira kwambiri kumwa mankhwalawa pa masiku omwe mwakonza komanso nthawi zomwe mwakonza. Choncho musaphonye nthawi yanu yokumana ndi dokotala. Ngati simungathe kupita ku nthawi yanu yokumana ndi dokotala, imbani dokotala wanu nthawi yomweyo ndikumudziwitsa. Iye adzakuuzani choti muchite kenako.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, Crizanlizumab ingayambitse zotsatira zina zoyipa. Zina mwa izi zitha kukhala zoopsa, choncho ndikofunikira kuzidziwa.
| Mtundu wa zotsatira zoyipa | Kufotokozera ndi zizindikiro |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala kapena kuchipatala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa kapena ziphuphu; kutupa kwa nkhope, milomo kapena lilime. |
| Kuyankha kwa Kulowetsedwa | Malungo, kuzizira, nseru kapena kusanza, kutopa kwambiri, chizungulire, thukuta, kupuma movutikira, kapena phokoso la 'tchizi' kuchokera pachifuwa. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kupweteka kwa thupi | Kupweteka kwa msana, kupweteka kwa mafupa, kupweteka m'mimba |
| Zina | Kutsegula m'mimba |
Chofunika: Mndandanda uwu suli ndi zotsatirapo zonse zomwe zingachitike. Ngati mukukumana ndi zizindikiro zachilendo, chonde kambiranani ndi dokotala wanu.
Kodi pali zinthu zina zomwe zingagwirizane ndi mankhwalawa?
Mankhwalawa sanapezeke kuti amagwira ntchito bwino ndi mankhwala ena , koma sizikutanthauza kuti sangayambitse mavuto.
Choncho, kuti mukhale otetezeka, fotokozerani dokotala wanu zonse zokhudza mankhwala onse omwe mumagwiritsa ntchito (kuphatikizapo mankhwala a matenda ena, mavitamini, mankhwala achikhalidwe, zowonjezera zakudya, ndi zina zotero), kaya mumasuta fodya, kapena mumamwa mowa.
Uthenga Wopita Nawo Kunyumba
- Crizanlizumab ndi jakisoni woperekedwa kudzera m'mitsempha womwe umachepetsa kuchuluka kwa mavuto opweteka omwe amayamba chifukwa cha matenda a sickle cell.
- Mankhwalawa amaperekedwa kuchipatala kapena ku chipatala, moyang'aniridwa ndi dokotala.
- Musanamwe mankhwala, uzani dokotala wanu za ziwengo zanu zonse, mimba, ndi mankhwala ena onse omwe mukumwa.
- Musaphonye nthawi yanu yokumana ndi dokotala. Ngati simungathe kupita, dziwitsani dokotala pasadakhale.
- Ngati mukukumana ndi ziwengo (kutupa pakhungu, ziphuphu) kapena zina zoopsa (malungo, kupuma movutikira) mukamamwa mankhwala kapena mutatha kumwa, funsani upangiri wa dokotala nthawi yomweyo.
- Musaope kulankhula momasuka ndi dokotala wanu za mavuto aliwonse omwe mungakhale nawo.
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