Inu kapena wokondedwa wanu mukapatsidwa mankhwala a Daratumumab ndi Hyaluronidase ngati mankhwala a khansa, mungamve mantha pang'ono ndi mayinawo. Ndizachilendo kukhala ndi mafunso ambiri monga mtundu wa mankhwala awa, chomwe chidzachitikire thupi, komanso kodi pali zotsatirapo zina. Lero, tiyeni tikambirane za mankhwalawa, ngati kuti mnzanu, dokotala, akukufotokozerani zinthuzi mosavuta.
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Kodi Daratumumab ndi Hyaluronidase ndi chiyani?
Mwachidule, uwu ndi mankhwala enieni omwe amapha maselo a khansa. Apa, mitundu iwiri ya mankhwala imagwira ntchito limodzi. Tiyeni timvetse padera.
- Daratumumab: Iyi ndi mankhwala anzeru kwambiri. Malinga ndi sayansi, ndi (Monoclonal Antibody). Tangoganizirani, kodi asilikali athu alibe mphamvu zapadera zomwe zimatha kuzindikira adani ndikuwaukira okha? Mofananamo, mankhwala awa otchedwa Daratumumab amazindikira puloteni inayake pamwamba pa maselo a khansa m'thupi lathu, amamatira ku maselo amenewo okha, ndipo amathandiza kuwawononga. Chifukwa cha izi, kuwonongeka kwa maselo athanzi kumakhala kochepa kwambiri. Uwu ndiye mwayi wapadera wa chithandizochi.
- Hyaluronidase: Iyi ndi "wothandizira" wa mankhwala akuluakulu. Mankhwala Daratumumab amaperekedwa ngati jakisoni pansi pa khungu. Chifukwa chake, mankhwalawa Hyaluronidase amathandiza kuti mankhwalawa alowe m'maselo omwe ali pansi pa khungu. Amachita ntchito ngati kumasula dothi pang'ono asanalithirire. Izi zimathandiza kuti mankhwala akuluakulu alowe m'thupi bwino.
Mankhwalawa amagwiritsidwa ntchito makamaka pa matenda a khansa monga Multiple Myeloma'' ndi Light-chain Amyloidosis''.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kulandira chithandizo
Ndikofunikira kwambiri kuti dokotala wanu adziwe mbiri yanu yonse ya thanzi kuti adziwe ngati chithandizochi chili choyenera kwa inu komanso momwe mungachiperekere mosamala. Chifukwa chake, onetsetsani kuti mwauza dokotala wanu ngati muli ndi zotsatirazi:
- Matenda a mtima: Ngati muli ndi matenda a mtima, mankhwalawa angakhudze mtima wanu.
- Matenda omwe alipo: Ngati muli ndi matenda aliwonse m'thupi lanu, makamaka matenda opatsirana ndi mavairasi monga nsabwe, herpes, kapena hepatitis B, matendawa amatha kubwereranso chifukwa mankhwalawa amaletsa chitetezo chamthupi chanu.
- Matenda a m'mapapo kapena kupuma: Ndikofunikira kunena za mavuto aliwonse opuma monga mphumu.
- Ngati mukufuna kutenga mimba kapena muli ndi pakati: Izi ndizofunikira kwambiri. Muyenera kupewa kutenga mimba mukamamwa mankhwalawa komanso kwa miyezi itatu mutasiya kumwa mankhwalawa. Izi zitha kuvulaza kwambiri mwana wosabadwayo.
- Ngati ndinu mayi woyamwitsa: Sikoyenera kuyamwitsa mwana wanu mukumwa mankhwalawa.
- Matenda a ziwengo ku mankhwala ena kapena zakudya: Ngati munakhalapo ndi vuto la ziwengo ku mankhwala ena m'mbuyomu, tiuzeni za vutoli.
Ndi chitetezo chanu kulankhula ndi dokotala popanda kubisa izi.
Kodi mankhwalawa amaperekedwa bwanji?
Mankhwala awa si omwe mungapite nawo kunyumba. Amabayidwa pansi pa khungu lanu (pansi pa khungu) ndi katswiri wodziwa bwino ntchito zachipatala kuchipatala kapena ku chipatala. Choncho simuyenera kuda nkhawa ndi mlingo kapena momwe amaperekedwera.
Komabe, ndikofunikira kwambiri kubwera kudzalandira chithandizo pa masiku ndi nthawi zomwe dokotala wapereka. Ndikofunikira kwambiri kusunga nthawi yolandira chithandizo popanda kusokoneza nthawi yolandira chithandizo cha khansa. Ngati simungathe kubwera tsiku lomwe mwakonza, imbani dokotala wanu nthawi yomweyo ndikumudziwitsa.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Izi zimaperekedwa kuchipatala, kotero mwayi woti izi zichitike ndi wochepa kwambiri. Komabe, ngati mukukayikira kuti china chake chachitika, dziwitsani ogwira ntchito nthawi yomweyo. Ngati muli ndi nkhawa iliyonse yokhudza mankhwala aliwonse, mutha kuyimbiranso National Poisons Information Centre ku Colombo National Hospital . Ngati pachitika ngozi, ndikofunikira kupita ku Emergency Treatment Unit (ETU) yapafupi.
Zinthu zofunika kusamala kwambiri panthawi ya chithandizo
1. Kufananiza Magazi
Ichi ndi chinthu chofunikira komanso chapadera kwambiri chodziwa za mankhwalawa. Mankhwalawa otchedwa Daratumumab amatha kusintha zotsatira za mayeso ena omwe amayesa mtundu wa magazi anu. Tangoganizirani, mtundu wa magazi anu ndi B+. Kuyesedwa kochitidwa mukumwa mankhwalawa kungawonetse mosiyana. Vutoli likhoza kukhalapo kwa miyezi pafupifupi 6 mutatenga mlingo womaliza wa mankhwala.
Ndiye kodi tanthauzo la izi ndi lotani? Ngati mukufuna kuikidwa magazi, izi zitha kukhala cholepheretsa kupeza magazi oyenera.
Kotero:
- Dokotala wanu adzayang'ana mtundu wa magazi anu ndi momwe magazi anu akuyenderana ndi zomwe mukufuna ndipo adzasunga zolemba musanayambe chithandizochi.
- Muyenera kuuza dokotala aliyense kapena chipatala kuti mukumwa mankhwalawa, ndipo kwa miyezi 6 mutamwa, makamaka musanapereke magazi.
2. Matenda a ziwengo
Anthu ena akhoza kukhala ndi vuto lalikulu la ziwengo ndi mankhwalawa. Pofuna kuchepetsa chiopsezochi, dokotala wanu angakupatseni mankhwala ena (monga Piriton) asanakupatseni katemerayu. Choncho tsatirani malangizowo molondola.
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Koma si aliyense amene amawapeza. Ena ndi oopsa, ena ndi abwinobwino. Chofunika kwambiri ndikudziwa izi ndikudziwitsa dokotala nthawi yomweyo ngati muwona chilichonse choopsa.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa gulu lanu lachipatala nthawi yomweyo | |
|---|---|
| Zotsatira zoyipa | Kufotokozera |
| Ziwengo zoopsa | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Kuundana kwa magazi | Kupweteka pachifuwa, kuvutika kupuma, kupweteka, kutupa, kapena kutentha kwa mwendo. |
| Zotsatira za katemera | Chizungulire, kugunda kwa mtima mofulumira, kukomoka, mutu, kuthamanga kwa magazi, nseru, kusanza, kupuma movutikira. |
| Zizindikiro za matenda | Malungo, kuzizira, chifuwa, pakhosi. |
| Kuchepa kwa maselo ofiira a magazi | Kuvuta kupuma, kukomoka, kutopa kwambiri, kufooka. |
| Zizindikiro zina zazikulu | Kusawona bwino, kugunda kwa mtima kosakhazikika, kutuluka magazi kosazolowereka kapena kuvulala. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa (koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira) | |
|---|---|
| Kupweteka kwa msana | Kudzimbidwa kapena kutsegula m'mimba |
| Kusanza kapena kupweteka m'miyendo | Kufiira ndi kupweteka pamalo omwe adabayidwa jakisoni |
| Kupweteka kwa minofu | Kutupa kwa akakolo, mapazi, manja |
| Kutopa kwambiri | Kusowa tulo |
Uthenga Wopita Nawo Kunyumba
- Daratumumab ndi mankhwala ochizira omwe amalimbana ndi maselo a khansa. Hyaluronidase ndi mankhwala othandizira omwe amathandiza pa izi.
- Musanayambe kulandira chithandizo, uzani dokotala wanu za matenda anu onse komanso mankhwala omwe mukumwa. Musabise chilichonse.
- Chofunika kwambiri: Ngati mungafunike kupereka magazi, uzani dokotala aliyense kapena chipatala kuti mukumwa mankhwala awa. Izi zingapulumutse moyo wanu.
- Pewani kutenga mimba konse panthawi ya chithandizo komanso kwa miyezi itatu mutasiya.
- Funani upangiri wa dokotala nthawi yomweyo ngati mukukumana ndi mavuto ena aakulu monga ziwengo, kupweteka pachifuwa, kapena kupuma movutikira.
- Ngati muli ndi nkhawa zina zokhudzana ndi mankhwalawa, musazengereze kulankhula ndi dokotala wanu kuti muwathetse.
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