Kodi inuyo kapena wokondedwa wanu mwapatsidwa mankhwala a Dasatinib ngati mankhwala a khansa? N'zachibadwa kumva mantha pang'ono komanso mantha zikachitika. Mungakhale ndi mafunso ambiri okhudza mtundu wa mankhwalawo, momwe mungawagwiritsire ntchito, komanso zomwe muyenera kusamala nazo. Chifukwa chake lero, tiyeni tiphunzire zonse zokhudza mankhwalawa m'njira yosavuta, ngati kuti tikulankhula ndi mnzanu.
Kodi mankhwala awa otchedwa Dasatinib ndi ati?
Mwachidule, dasatinib ndi mankhwala apadera omwe amaletsa maselo a khansa kukula. Amagwira ntchito ngati 'mankhwala owunikira'. Izi zikutanthauza kuti mankhwalawa samangoukira maselo m'thupi. M'malo mwake, amazindikira mapuloteni enaake apadera omwe amathandiza maselo a khansa kugawikana ndikufalikira, komanso amalimbana ndikuletsa ntchito yawo. Amagwira ntchito ngati munthu waluso wofufuza.
Mankhwalawa amagwiritsidwa ntchito makamaka pochiza mitundu iwiri ya khansa ya m'magazi.
- Matenda a Myeloid Leukemia Osatha (CML)
- Khansa ya m'magazi ya Lymphoblastic (YONSE)
Nthawi zina dokotala wanu angakupatseni mankhwala awa pa matenda ena. Chifukwa chake, funsani dokotala wanu chifukwa chenicheni chomwe mwapatsidwa mankhwalawa.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Dokotala wanu ayenera kudziwa bwino thanzi lanu musanayambe kumwa mankhwalawa. Izi ndizofunikira kwambiri kuti mukhale otetezeka. Chifukwa chake, ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwauza dokotala wanu za vutoli.
- Ngati muli ndi vuto la kutuluka magazi kapena muli ndi chizolowezi chotuluka magazi.
- Ngati muli ndi matenda a mtima kapena kugunda kwa mtima kosakhazikika.
- Ngati muli ndi vuto la chitetezo chamthupi.
- Ngati mudauzidwapo kale kuti potassium kapena magnesium m'magazi anu ndi ochepa.
- Ngati muli ndi vuto la ziwengo chifukwa cha mankhwala a dasatinib awa, lactose, kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Izi ndizofunikira kwambiri ngati muli ndi pakati, mukufuna kutenga pakati, kapena ngati mukuyamwitsa .
Kunena zinthu izi popanda kuzibisa kudzakuthandizani kwambiri kuti chithandizocho chipambane komanso kuti mukhale otetezeka.
Kodi mungagwiritse ntchito bwanji mankhwalawa moyenera?
Ichi ndi gawo lofunika kwambiri. Kuti mupindule kwambiri ndi mankhwala, muyenera kuwagwiritsa ntchito moyenera.
- Momwe mungamwere: Mezani piritsi lonse ndi kapu ya madzi. Musaliswe, kuliphwanya, kapena kulitafuna. Kuchita zimenezi kungakhudze momwe mankhwalawa amagwirira ntchito.
- Ndi chakudya: Mutha kumwa mankhwalawa muli ndi chakudya kapena ayi. Palibe vuto pa izi.
- Nthawi Yomwe Mungatenge: Yesani kumwa mankhwala anu nthawi yomweyo tsiku lililonse, monga momwe dokotala wanu wanenera. Ngati mwaphonya mlingo, imwani mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaiwala.
- Malangizo a dokotala: Musasiye kumwa mankhwala anu popanda malangizo a dokotala.
- Chofunika kwambiri: Musamwe madzi a mphesa kapena mphesa mukamagwiritsa ntchito mankhwalawa. mphesa zimatha kusintha momwe thupi lanu limayamwira mankhwalawa, zomwe zingayambitse zotsatirapo zoopsa.
- Mankhwala Oletsa Kuchuluka kwa Asidi: Imwani mankhwala oletsa kuchulukitsa asidi okhala ndi aluminiyamu, calcium, kapena magnesium (monga Digene, Gelusil) maola awiri musanayambe kumwa mankhwalawa kapena maola awiri mutatha kumwa mankhwalawa. Musamwe pamodzi. Komanso, uzani dokotala wanu ngati mukumwa mankhwala ena omwe amachepetsa asidi m'mimba (monga Omeprazole, Famotidine).
Ngati mukupereka mankhwalawa kwa ana, muyenera kulankhula ndi dokotala wanu wa ana za mankhwalawa. Ngakhale kuti nthawi zina amalimbikitsidwa kwa ana opitirira chaka chimodzi, pali zinthu zina zomwe muyenera kusamala nazo.
Kodi mungachite chiyani ngati mwamwa mopitirira muyeso?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa omwe mwapatsidwa, pitani ku Dipatimenti Yoona za Zadzidzidzi ya chipatala chapafupi (ETU) nthawi yomweyo . Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo. Musatenge izi mopepuka.
Mankhwala ena omwe angagwirizane ndi dasatinib (Kuyanjana kwa Mankhwala)
Mukamamwa mankhwalawa, muyeneranso kusamala ndi mankhwala ena omwe mukumwa. Mankhwala ena amatha kusokonezana ndi dasatinib, zomwe zimachepetsa mphamvu yake kapena kuyambitsa zotsatirapo zoopsa.
Nazi zitsanzo zochepa chabe. Uzani dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi mankhwala ochepetsa ululu).
| Mankhwala omwe angagwirizane ndi dasatinib | |
|---|---|
| Gulu la mankhwala | Zitsanzo |
| Musatenge izi ndi chilichonse. | |
| Mankhwala ndi zina zomwe zimakhudza kagayidwe ka mtima | Cisapride, Dronedarone, Pimozide, Thioridazine |
| Mankhwala oletsa bowa | Fluconazole, Posaconazole |
| Izi zingachitike (funani upangiri wa dokotala) | |
| Mankhwala opha ululu | Acetaminophen (Paracetamol), Aspirin, Ibuprofen, ndi Naproxen (NSAIDS) |
| Mankhwala opha tizilombo | Clarithromycin, Erythromycin, Rifampin |
| Mankhwala oletsa bowa | Itraconazole, Ketoconazole |
| Mankhwala a HIV/AIDS | Mankhwala oletsa mavairasi |
| Mankhwala a mutu waching'alang'ala | Carbamazepine, Phenobarbital, ndi Phenytoin |
| Mankhwala Oletsa Kutsekeka kwa Magazi | Warfarin |
| Zogulitsa zitsamba | Wort wa St. John |
Zotsatirapo zoyipa zomwe muyenera kuzidziwa mukamamwa mankhwalawa
Monga mankhwala ena aliwonse, dasatinib ingayambitse zotsatirapo zina. Zina zimakhala zazing'ono, koma zina zimafunika chithandizo chamankhwala mwachangu.
| Zotsatirapo zoyipa zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Kutuluka magazi kosazolowereka | Chimbudzi chakuda chochedwa, kusanza komwe kumaoneka ngati khofi wophikidwa, mkodzo wofiira/wofiirira wakuda, madontho ofiira pakhungu, kutuluka magazi m'mphuno ndi m'kamwa. |
| Zizindikiro za Matenda a Mtima | Kuvuta kupuma, kupweteka/kuuma pachifuwa, pakhosi, msana, kapena m'manja, kutopa kwambiri. |
| Zizindikiro za sitiroko | Kusintha kwa masomphenya, chisokonezo, kuvutika kulankhula, dzanzi mwadzidzidzi kapena kufooka pankhope/mkono/mwendo, kuvutika kuyenda. |
| Zizindikiro za matenda | Malungo, kuzizira, chifuwa, pakhosi. |
| Kutupa kwa thupi/kulemera | Kutupa m'miyendo, m'mapazi, kapena m'ziwalo zina za thupi, kuwonjezeka kwa thupi mwadzidzidzi. |
| Zizindikiro zina zazikulu | Chifuwa chouma, kugunda kwa mtima mofulumira kapena kosasinthasintha, kupweteka kwa mafupa, kugwedezeka kwa minofu, kutupa/kutuluka kwa khungu, kuphatikizapo mkamwa, khunyu. |
| Kawirikawiri sikoopsa (koma uzani dokotala ngati zikupitirira) | |
| Mavuto a m'mimba | Kupweteka m'mimba, nseru, kusanza, kudzimbidwa, kudzimbidwa. |
| Matenda ena ang'onoang'ono | Mutu, kusowa chilakolako cha chakudya, kupweteka kwa minofu. |
Chidziwitso chapadera chokhudza mimba ndi kuyamwitsa
Izi ndizofunikira kwambiri. Pewani kutenga mimba mukumwa mankhwalawa komanso kwa masiku 30 mutasiya kumwa mankhwalawa. Amuna ayeneranso kupewa kubereka mwana mukumwa mankhwalawa komanso kwa masiku 30 mutasiya kumwa mankhwalawa. Izi zitha kuvulaza kwambiri mwana wosabadwayo. Komanso, pewani kuyamwitsa mukumwa mankhwalawa komanso kwa milungu iwiri mutamwa mankhwalawa.
Uthenga Wopita Nawo Kunyumba
- Dasatinib ndi mankhwala amphamvu omwe amalimbana ndi maselo a khansa. Tsatirani malangizo a dokotala wanu mosamala.
- Uzani dokotala wanu za mankhwala onse, mavitamini, ndi matenda aliwonse omwe mukumwa musanayambe kumwa mankhwalawo.
- Mezani piritsi lonse popanda kuswa, kuphwanya, kapena kutafuna.
- Pewani kumwa madzi a mphesa kotheratu mukamamwa mankhwalawa.
- Pewani kumwa mankhwala ochepetsa asidi chifukwa cha kutentha pamtima nthawi yotsala pang'ono kumwa mankhwalawo.
- Ngati mukukumana ndi mavuto aakulu monga kutuluka magazi modabwitsa, kupuma movutikira, kupweteka pachifuwa, kapena kutupa kwa thupi, funsani upangiri wa dokotala nthawi yomweyo.
- Pewani kutenga mimba ndi kuyamwitsa pamene mukumwa mankhwalawa komanso kwa nthawi yomwe mwapatsidwa.
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