Zomwe muyenera kudziwa zokhudza Deferasirox, yomwe imachepetsa kuchuluka kwa chitsulo m'thupi

Ana athu ena, komanso akuluakulu, amafunika kupatsidwa magazi nthawi zonse chifukwa cha matenda monga Thalassemia. Tikamapereka magazi nthawi zonse m'njira imeneyi, thupi lathu limatha kusonkhanitsa chitsulo chomwe silingathe kuchigwira. Timachitcha kuti 'Iron Overload'. Chifukwa chake, mankhwala apadera omwe madokotala amapereka kuti achotse chitsulo chochulukirapo chomwe chimasonkhana m'thupi mwanjira imeneyi amatchedwa Deferasirox. Mutha kudziwa mankhwalawa ndi dzina lodziwika bwino la Jadenu. Chifukwa chake, tiyeni tikambirane za mankhwalawa lero.

Kodi Deferasirox ndi chiyani?

Mwachidule, Deferasirox ndi mankhwala amtundu wa 'iron chelator'. Izi zikutanthauza kuti mankhwalawa amagwira ntchito pogwira tinthu tambirimbiri ta chitsulo m'magazi mwanu, n’kumamatira, n’kuchotsa m’thupi mwanu mu ndowe zanu. Ganizirani ngati maginito, kuchotsa chitsulo chosafunikira. Kuchotsa chitsulo chochuluka mwanjira imeneyi n’kofunika kwambiri. Chifukwa ngati chitsulo chochuluka chikasonkhana m’thupi, chingawononge ziwalo zofunika monga chiwindi ndi mtima.

Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwala

Musanayambe kumwa mankhwalawa, ndikofunikira kwambiri kudziwitsa dokotala wanu za thanzi lanu lonse. Popeza mankhwalawa ayenera kuperekedwa kwa anthu omwe ali ndi matenda enaake, ndikofunikira kwambiri kuwauza ngati muli ndi vuto lililonse mwa awa:

• Ngati muli ndi khansa kapena mukulandira chithandizo cha khansa.
• Ngati muli ndi matenda aliwonse a chiwindi kapena impso .
• Ngati muli ndi vuto la maso kapena matenda a maso (monga cataracts).
• Ngati muli ndi vuto lililonse la kumva .
• Ngati muli ndi mbiri ya matenda a magazi . Mwachitsanzo, vuto lomwe chiwerengero cha maselo oyera a magazi, maselo ofiira a magazi, kapena ma platelet m'magazi chimakhala chochepa.
• Ngati muli ndi vuto la ziwengo ndi mankhwala a Deferasirox awa kapena mankhwala ena aliwonse, chakudya, kapena utoto.
• Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa .

Kuuza dokotala wanu za zinthu izi popanda kuzibisa n'kofunika kwambiri kuti mukhale otetezeka.

Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?

Dokotala wanu adzakufotokozerani momveka bwino momwe mungagwiritsire ntchito mankhwalawa. Ndikofunikira kutsatira malangizo amenewo molondola.

• Nthawi Yogwiritsira Ntchito: Mankhwalawa ayenera kumwedwa nthawi zonse pamimba yopanda kanthu . Izi zikutanthauza kuti osachepera mphindi 30 musanadye kapena maola awiri mutatha kudya . Kumwa mankhwalawa pamodzi ndi chakudya kungachepetse mphamvu ya mankhwalawa. Ndi bwino kukhala ndi chizolowezi chomwa mankhwalawa nthawi yomweyo tsiku lililonse.
• Njira yopezera:Uwu ndi mankhwala omwe amabwera mu mawonekedwe a granule. Nthawi zambiri amaperekedwa powasungunula mu madzi, madzi a apulo, kapena madzi a lalanje ndikumwa. Chitani izi monga momwe dokotala wanu wakuuzani.
• Kusiya: Musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala. Kuchita zimenezi kungayambitse kuti chitsulo chanu chikwerenso mofulumira.
• Ngati aperekedwa kwa ana: Pali nthawi zina pomwe mankhwalawa angaperekedwe kwa ana opitirira zaka ziwiri. Koma ayenera kuperekedwa motsogozedwa ndi dokotala. Onetsetsani kuti mukudziwa mlingo ndi njira yoperekera mankhwalawa kwa mwana.
• Ngati mwaphonya mlingo: Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wanu wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri.

Zinthu zoti muzisamala nazo mukamamwa mankhwala

Mukamamwa mankhwalawa, dokotala wanu nthawi zonse amafufuza magazi anu, maso anu, ndi kumva kwanu. Musazengereze mayesowa. Komanso, dziwani zizindikiro izi.

• Matenda a pakhungu kwambiri: Anthu ena akhoza kukhala ndi matenda a pakhungu kwambiri milungu ingapo mutayamba kumwa mankhwalawa. Ngati muli ndi malungo, kupweteka kwa thupi, ndi mawanga ofiira kapena ofiirira pakhungu lanu omwe pambuyo pake amatuluka matuza ndi kutsekeka, muyenera kuuza dokotala nthawi yomweyo. Komanso, ngati muli ndi ziphuphu zofiira pakhungu lanu komanso kutupa kwa ma lymph nodes pankhope panu, milomo, kapena khosi/khwapa, chimenechonso ndi chizindikiro choopsa.
• Kutuluka magazi m'mimba: Ngati ndowe zanu zili zakuda kwambiri kapena mukusanza chinthu chomwe chikuwoneka ngati khofi wophikidwa , chikhoza kukhala kutuluka magazi kuchokera ku chilonda m'mimba kapena m'matumbo. Izi ndi zadzidzidzi, choncho pitani kwa dokotala nthawi yomweyo.
• Chizungulire: Mankhwalawa angayambitse chizungulire mwa anthu ena. Choncho, pewani kuchita zinthu zoopsa monga kuyendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Makamaka ngati ndinu okalamba, musadzuke mwadzidzidzi mutakhala pansi.
• Kusowa madzi m'thupi mwa ana: Ngati mwana wanu akutsegula m'mimba kwambiri, kusanza, kapena kutuluka thukuta kwambiri, akhoza kutaya madzi ambiri m'thupi mwake. Izi zitha kukhala zoopsa akamamwa mankhwalawa. Choncho uzani dokotala wanu za izi ngati zili choncho.

Kodi zotsatira zake ndi ziti?

Monga mankhwala ena aliwonse, Deferasirox ingayambitse zotsatirapo zake. Si aliyense amene amalandira, koma ndikofunikira kudziwa za izo.

Kodi izi zingagwirizane ndi mankhwala ena?

Inde, izi ndizofunikira kwambiri. Deferasirox ingayambitse mavuto ikamwedwa ndi mankhwala ena. Choncho uzani dokotala wanu za mankhwala aliwonse, mavitamini, mankhwala azitsamba, kapena zowonjezera zomwe mukumwa.

Muyenera kusamala kwambiri mukamagwiritsa ntchito Deferasirox pamodzi ndi mankhwala awa:

• Mapiritsi ena kapena zowonjezera zomwe zili ndi chitsulo: Mankhwalawa amatengedwa kuti achotse chitsulo chochuluka, kotero kumwa mapiritsi a chitsulo sikungathandize.
• Mankhwala Oletsa Kutupa: Mankhwala Oletsa Kutupa okhala ndi aluminiyamu omwe amagwiritsidwa ntchito pochiza mpweya ndi kutentha pamtima amatha kuchepetsa kuyamwa kwa Deferasirox.
• Mankhwala ena a cholesterol: Mankhwala monga Cholestyramine ndi Colestipol.
• Mankhwala ena ochepetsa ululu: Mankhwala ochepetsa ululu a mtundu wa NSAID (monga Ibuprofen, Naproxen).
• Mapiritsi oletsa kubereka.
• Mankhwala oletsa magazi kuundana, monga Warfarin .
• Mankhwala a steroid monga Prednisone .

Mndandandawu sunathe, kotero ndibwino kuuza dokotala wanu za mankhwala onse omwe mumamwa .