Dokotala akamapatsa munthu mankhwala atsopano kwa wodwala khansa, ndi zachilendo kumva mantha pang'ono komanso chidwi. "Chidzachitika ndi chiyani ndi izi?", "Ndingagwiritse ntchito bwanji izi?", "Kodi pali zotsatirapo zina?" Mwina muli ndi mafunso ambiri m'maganizo mwanu. Ndicho chifukwa chake tili pano kuti tikambirane za mankhwala omwe mwapatsidwa, Crizotinib, m'njira yosavuta kumva. Taganizirani izi ngati mnzanu kapena wachibale wanu akukuuzani za izi.
Mwachidule, kodi Crizotinib ndi chiyani?
Crizotinib ndi mankhwala enieni omwe amagwiritsidwa ntchito pochiza mitundu ina ya khansa. M'dziko lathu, mankhwalawa amapezeka kwambiri pansi pa dzina la XALKORI . Ichi ndi mankhwala omwe amagwira ntchito ngati chida chomwe chimagunda cholinga chake.
Ganizirani maselo a khansa ngati zomera zoipa zomwe zimakula mosalamulirika. Pali puloteni yapadera yomwe imathandiza zomera zoipa izi kukula ndi kufalikira. Ili ngati chitoliro chomwe chimapatsa madzi chomera choipacho. Mankhwala otchedwa Crizotinib amatseka chitolirocho, puloteni yapaderayo. Kenako mphamvu ya maselo a khansa kukula ndi kufalikira m'thupi lonse imachepa, kapena imasiya kwathunthu. Umu ndi momwe mankhwalawa amathandizira kulamulira khansa.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Crizotinib ndi mankhwala amphamvu kwambiri, choncho ndikofunikira kuti dokotala wanu adziwe bwino za thanzi lanu musanayambe chithandizochi. Musabise chilichonse, ngakhale mfundo zazing'ono. Chidziwitso chilichonse chomwe mungagawane chingathandize dokotala wanu kukuthandizani bwino.
Chitetezo chanu chimabwera poyamba, choncho onetsetsani kuti mwakambirana nkhaniyi momveka bwino ndi dokotala wanu.
Yang'anani tebulo ili m'munsimu. Ngati chilichonse mwa izi chikukukhudzani, onetsetsani kuti mwatchula.
| Mtundu wa chidziwitso | Zoti muuze dokotala wanu |
|---|---|
| Matenda omwe alipo panopa |
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| Matenda a ziwengo | Ngati muli ndi vuto la Crizotinib kapena mankhwala ena aliwonse, chakudya, kapena zotetezera. |
| Mimba ndi kuyamwitsa |
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Kodi mungagwiritse ntchito bwanji mankhwalawa moyenera?
Kuti mupindule kwambiri ndi mankhwalawa, ndikofunikira kwambiri kuwagwiritsa ntchito moyenera.
- Mezani kokha: Mankhwalawa amabwera ngati kapisozi. Musawaswe, kuwaphwanya, kapena kuwatafuna. Mezani onse ndi kapu ya madzi.
- Pa nthawi yake: Khalani ndi chizolowezi chomwa mankhwala anu nthawi yomweyo tsiku lililonse. Imwani mlingo woyenera, monga momwe dokotala wanu wakuuzani.
- Ndi chakudya kapena ayi: Mankhwalawa angatengedwe musanadye kapena mutadya. Komabe, anthu ena amatha kuvutika pang'ono m'mimba kapena nseru akamamwa popanda chakudya. Ngati izi zitachitika, imwani mankhwalawa pamodzi ndi chakudya.
- Musamwe ndi madzi a mphesa: Izi ndizofunikira kwambiri. Pewani kumwa mankhwalawa ndi madzi a mphesa kapena madzi a mphesa. Izi zili choncho chifukwa zosakaniza zomwe zili mu madzi a mphesa zimatha kusintha momwe mankhwalawo amayamwidwira ndi thupi ndikuwonjezera zotsatirapo zake.
- Ngati mukusanza: Ngati mukusanza mutamwa mankhwala, musamwenso mlingo wina. Dumphani nthawi imeneyo ndi kumwa mlingo wanu wotsatira panthawi yomwe mwakonza.
- Ngati mwaphonya mlingo:
- Ngati patatha maola opitilira 6 kuti mutenge mlingo wotsatira, imwani mlingo womwe mwaphonya mwamsanga mukangokumbukira.
- Komabe, ngati patatha maola osakwana 6 kuti mutenge mlingo wotsatira, dumphani mlingo womwe mwaphonya. Imwani mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo umodzi nthawi imodzi.
- Musasiye kumwa mankhwala: Ngakhale mutakumana ndi zotsatirapo zoyipa kapena pazifukwa zina zilizonse, musasiye kumwa mankhwalawo kapena kusintha mlingo wake popanda upangiri wa dokotala.
Kuchuluka kwa mankhwala osokoneza bongo
Ngati mukukayikira kuti mwamwa mankhwala ambiri mwangozi 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.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa (Kuyanjana)
Mankhwala ena omwe mukumwa angagwirizane ndi Crizotinib ndipo angayambitse zotsatira zosafunikira. Chifukwa chake, ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa (mankhwala a matenda ena, mavitamini, zakudya zowonjezera, mankhwala a Sinhala, mankhwala a Ayurvedic).
Samalani kwambiri chifukwa Crizotinib ingagwirizane ndi mankhwala otsatirawa.
| Mankhwala omwe sayenera kumwedwa ndi Crizotinib | |
|---|---|
| Mankhwala ena a matenda a bowa | Mwachitsanzo: Ketoconazole, Itraconazole, Fluconazole, Posaconazole |
| Mankhwala ena enieni | Mankhwala monga Dronedarone, Pimozide, Thioridazine, Saquinavir, Flibanserin, Levoketoconazole, Lomitapide, Lonafarnib, Pacritinib. |
| Mankhwala ena ndi zinthu zina zomwe zingayambitse mikangano | |
| Madzi a Mphesa | Izi zitha kusintha momwe mankhwala amagwirira ntchito. |
| Mankhwala ochepetsa kugunda kwa mtima | Mwachitsanzo: Digoxin, Metoprolol, Propranolol, Diltiazem, Clonidine |
| Mankhwala ena omwe amakhudza kayendedwe ka mtima | Funsani dokotala wanu za izi. |
Zinthu zomwe muyenera kusamala nazo mukamamwa mankhwala
Ndikofunikira kwambiri kusamalira thupi lanu nthawi yonse ya chithandizo chanu.
Kupimidwa kuchipatala nthawi zonse
Dokotala wanu adzakuyang'anirani nthawi zonse ndikukonza nthawi yoyezetsa magazi. Onetsetsani kuti mukupita ku mayesowa nthawi zonse. Mayesowa athandiza dokotala wanu kuona momwe mankhwalawo akukhudzira thupi lanu komanso momwe chiwindi chanu chikugwirira ntchito.
Samalani maso anu.
Anthu ena omwe akumwa mankhwalawa angasinthe masomphenya awo. Mwachitsanzo, kuona zinthu mopanda kuona bwino, kuona kuwala kozungulira magetsi, komanso kumva kuti magetsi akuwonekera ndikuzimiririka mwadzidzidzi. Ngati muwona kusintha kulikonse mwa izi, uzani dokotala wanu nthawi yomweyo.
Dzitetezeni ku matenda
Mankhwala a khansa monga Crizotinib amatha kufooketsa chitetezo cha mthupi lanu pang'ono, zomwe zikutanthauza kuti mumatha kudwala kwambiri, makamaka matenda opatsirana.
- Ngati mukumva zizindikiro monga malungo, kuzizira, kupweteka pakhosi, kapena chifuwa , musadzipatse mankhwala. Imbani dokotala wanu nthawi yomweyo.
- Pewani malo odzaza anthu komanso malo omwe anthu odwala ali ambiri momwe angathere.
- Sambani m'manja nthawi zambiri ndi sopo.
- Mukakhala ndi malungo, musamwe mankhwala monga Aspirin, Ibuprofen, kapena Panadol (Acetaminophen) popanda kufunsa dokotala kuti achepetse malungowo. Mankhwalawa amatha kuchepetsa malungowo ndikuletsa thupi kuti lisazindikire matenda.
Dzitetezeni ku dzuwa.
Khungu lanu likhoza kukhala losavuta kumva dzuwa mukamamwa mankhwalawa. Chifukwa chake,
- Pewani kutuluka padzuwa momwe mungathere.
- Ngati mutuluka panja, valani zovala zophimba thupi lanu bwino ndipo valani chipewa.
- Funsani dokotala wanu ndipo gwiritsani ntchito mafuta abwino oteteza ku dzuwa.
Mimba, kuyamwitsa ndi kubereka
Mfundo iyi ndi yofunika kwambiri.
- Pa nthawi ya mimba: Muyenera kupewa kutenga mimba yonse mukamamwa mankhwalawa kapena kwa masiku 45 mutasiya kumwa mankhwalawa. Mankhwalawa angayambitse mavuto aakulu obadwa nawo mwa mwana wosabadwa. Muyenera kuyesedwa mimba musanayambe kumwa mankhwalawa kuti muwonetsetse kuti simuli ndi pakati.
- Kwa amuna: Ngati mukumwa Crizotinib ndipo mnzanu ali ndi mwayi wobereka, onetsetsani kuti mwagwiritsa ntchito kondomu panthawi yogonana panthawi ya chithandizo komanso kwa masiku 90 mutasiya kulandira chithandizo.
- Kuyamwitsa: Pewani kuyamwitsa mwana wanu panthawi ya chithandizo komanso kwa masiku 45 mutasiya kumwa mankhwala.
- Kubereka:Mankhwalawa angakhudze kubereka (kuthekera kobereka ana) mwa akazi ndi amuna. Ngati muli ndi nkhawa iliyonse pankhaniyi, lankhulani ndi dokotala wanu za izi musanayambe kulandira chithandizo.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwalawa
Monga mankhwala ena aliwonse, Crizotinib ingayambitse zotsatirapo zoyipa. Komabe, si aliyense amene amalandira. Zina ndi zazing'ono. Koma pali zinthu zina zomwe muyenera kudziwa nthawi yomweyo.
| Zotsatirapo zoyipa zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kusintha kwa kugunda kwa mtima | Kumva ngati mtima wanu ukugunda mofulumira kapena mosinthasintha, chizungulire, kukomoka, kupweteka pachifuwa, komanso kupuma movutikira. |
| Kuchepa kwa kugunda kwa mtima | Kuzunguzika mutu, kukomoka, kusokonezeka maganizo, kupuma movutikira, komanso kumva kutopa kwambiri. |
| Zizindikiro za kuwonongeka kwa chiwindi | Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wakuda wachikasu kapena bulauni, khungu kapena maso achikasu, kutopa kosazolowereka. |
| Mavuto okhudzana ndi mapapo | Chifuwa chouma chosamveka bwino, kupuma movutikira, kupuma movutikira. |
| Zizindikiro za matenda | Malungo, kuzizira, chifuwa, pakhosi, mabala osachiritsa, kupweteka pokodza. |
| Zizindikiro zina zazikulu | Kusintha kwa masomphenya, zilonda pakamwa kapena pakhosi, kutsegula m'mimba kwambiri kapena kosalekeza, kukhudzidwa ndi kuwala. |
| Zotsatirapo zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa | |
| Zotsatira zoyipa zofala |
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Uthenga Wopita Nawo Kunyumba
- Crizotinib ndi mankhwala ochizira khansa omwe cholinga chake ndi kuchiza khansa. Iyenera kumwedwa monga momwe dokotala wanu wanenera.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa (kuphatikizapo mankhwala omwe amagulitsidwa kunja kwa chipatala). Musamwe mankhwalawa pamodzi ndi madzi a mphesa.
- Ngati mukukumana ndi mavuto aakulu monga kusintha kwa masomphenya, kuvutika kupuma, kusintha kwa kugunda kwa mtima, kapena kutentha thupi , dziwitsani dokotala wanu nthawi yomweyo.
- Musasiye kumwa mankhwala kapena kusintha mlingo popanda upangiri wa dokotala.
- Pewani kutenga mimba kotheratu mukumwa mankhwalawa komanso kwa nthawi yomwe mwapatsidwa. Lankhulani ndi dokotala wanu za njira zodzitetezera zolerera.
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