Yankho la kugwiritsa ntchito chitsulo mopitirira muyeso: Zimene muyenera kudziwa zokhudza mapiritsi a Deferasirox!

Kuchuluka kwa chitsulo m'thupi lanu nthawi zina kumatha kukhala kochulukirapo kuposa kuchuluka komwe kukufunika. Timatcha izi kukhala kuchuluka kwa chitsulo. Izi zikachitika, mavuto osiyanasiyana azaumoyo amatha kuchitika. Chifukwa chake, imodzi mwa mankhwala ofunikira omwe madokotala amapereka pazochitika zotere ndi `Deferasirox`. Lero, tikambirana za mankhwalawa, momwe angagwiritsire ntchito, zotsatira zake, ndi zinthu zomwe muyenera kusamala nazo.

Kodi mankhwala awa otchedwa Deferasirox ndi chiyani?

Mwachidule, Deferasirox ndi mankhwala omwe amathandiza kuchotsa chitsulo chochuluka m'magazi mwanu. Ganizirani ngati maginito, koma amangokopa chitsulo chokha. Dzina lodziwika bwino la mankhwalawa ndi Exjade. Muthanso kulipeza pansi pa mayina ena.

Ndi zinthu ziti zomwe ndiyenera kuuza dokotala ndisanayambe kugwiritsa ntchito mankhwalawa?

Musanayambe kumwa Deferasirox, muyenera kuuza dokotala wanu ngati muli ndi vuto lililonse mwa izi:

• Ngati muli ndi khansa.
• Ngati muli ndi matenda a maso kapena vuto la maso.
• Ngati muli ndi vuto lililonse la kumva.
• Ngati munakhalapo ndi matenda a magazi m'mbuyomu.
• Ngati muli ndi matenda a impso.
• Ngati muli ndi matenda a chiwindi.
• Ngati mayeso apeza kuti muli ndi maselo oyera a m'magazi, ma platelet, kapena maselo ofiira ochepa m'magazi anu (kuchuluka kwa magazi komwe kumachepa).
• Ngati mwakhalapo ndi vuto la ziwengo ndi mankhwala otchedwa `Deferasirox`, mankhwala ena aliwonse, chakudya, utoto, kapena zosungira.
• Ngati muli ndi pakati, ndi "pakati", ngati mukuyembekezera mwana, ndi "kuyesera kutenga pakati".
• Ngati ndinu mayi woyamwitsa.

Mukauza dokotala wanu zinthu izi, iye akhoza kudziwa ngati mankhwala awa ndi oyenera kwa inu kapena ayi, komanso njira zodzitetezera zomwe muyenera kutsatira.

Kodi mumagwiritsa ntchito bwanji mankhwalawa?

Ndikofunikira kwambiri kugwiritsa ntchito mankhwalawa moyenera.

• Imeneyi ndi piritsi lomwe mumamwa. Imwani monga momwe mwalangizidwira pa chizindikiro cha mankhwala chomwe dokotala wanu adakupatsani.
• Chofunika kwambiri ndikumwa mankhwalawa m'mimba yopanda kanthu. Izi zikutanthauza kuti muyenera kumwa mphindi 30 musanadye, kapena maola awiri mutatha kudya. Musamwe mankhwalawa pamodzi ndi chakudya.
• Yesani kumwa mankhwala nthawi yofanana tsiku lililonse. Mwanjira imeneyi, mutha kukhalabe ndi mphamvu yofanana ya mankhwalawo.
• Musamwe mowa wochuluka kapena wochepa kuposa womwe dokotala wanu wakuuzani.
• Musasiye kumwa mankhwalawa mwadzidzidzi, ngakhale mutamva bwino, mpaka dokotala wanu atakuuzani kuti musiye.

Kodi mankhwalawa ayenera kuperekedwa kwa ana aang'ono?

Mankhwalawa angaperekedwe kwa ana azaka ziwiri pa matenda enaake. Komabe, ayenera kukambidwa ndi dokotala wa ana ndipo ayenera kutsatiridwa mosamala. Pali zinthu zina zapadera zomwe ziyenera kuganiziridwa popereka mankhwalawa kwa ana.

Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?

Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo molakwika, imbani chipinda chapafupi chadzidzidzi kapena malo owongolera poizoni nthawi yomweyo. Kapena pitani kuchipatala nthawi yomweyo.

Chofunika: Mankhwalawa aperekedwa kwa inu nokha. Musagawire wina aliyense mankhwalawa, ngakhale zizindikiro zake zili zofanana ndi zanu.

Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?

Nthawi zina mungaphonye mlingo wa mankhwala. Ngati ndi choncho:

• Imwani mlingo womwe mwaphonya mwamsanga mukangokumbukira.
• Komabe, ngati nthawi yatsala pang'ono kuti mutenge mlingo wotsatira (mwachitsanzo, mkati mwa maola ochepa), dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza.
• Musamwe mankhwala awiri nthawi imodzi pazifukwa zilizonse. Kuchita zimenezi kungayambitse zotsatirapo zina.

Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)

Deferasirox imatha kuyanjana ndi mankhwala ena. Chifukwa chake, ndikofunikira kwambiri kuuza dokotala wanu ngati mukumwa mankhwala ena aliwonse.

Musagwiritse ntchito Deferasirox pamodzi ndi mankhwala awa:

• `dasabuvir; ombitasvir, paritaprevir; ritonavir` (izi ndi mankhwala osakanikirana omwe nthawi zambiri amaperekedwa pa matenda a chiwindi monga Hepatitis C)
• Zakudya zowonjezera za iron (ganizirani izi: Deferasirox imachotsa iron yochulukirapo m'thupi. Kotero ngati mutenganso mapiritsi a iron, sizigwira ntchito, eti?)
• `ombitasvir; paritaprevir; ritonavir` (izi ndi zomwe zili pamwambapa)

Deferasirox ingathenso kuyanjana ndi mankhwala otsatirawa:

Ngati mukugwiritsa ntchito mankhwala aliwonse omwe ali pansipa, uzani dokotala wanu za mankhwalawo :

• Mankhwala oletsa asidi m'mimba ndi gastritis
• Mapiritsi oletsa kubereka
• Mankhwala ena ochepetsa mafuta m'thupi (monga `cholestyramine`, `colesevelam`, `colestipol`, `simvastatin`)
• Mankhwala ena a osteoporosis (monga alendronate, risedronate)
• Mankhwala ena omwe amagwiritsidwa ntchito pochiza khunyu /kulephera kugwira ntchito (monga phenobarbital, phenytoin)
• Mankhwala omwe amachepetsa kutsekeka kwa magazi (monga `warfarin`)
• `conivaptan`
• `cyclosporine` (cyclosporine)
• NSAIDs ndi gulu la mankhwala ochepetsa ululu ndi oletsa kutupa (monga ibuprofen, naproxen)
• Paclitaxel (mankhwala ogwiritsidwa ntchito pochiza khansa)
• `repaglinide` (mankhwala a matenda a shuga)
• `rifampin` (mankhwala operekedwa pa matenda monga chifuwa chachikulu)
• `ritonavir` (ritonavir - mankhwala ogwiritsidwa ntchito pochiza matenda a HIV)
• Mankhwala okhala ndi steroid (monga prednisone, cortisone)
• `theophylline` (mankhwala ogwiritsidwa ntchito pochiza matenda opumira monga mphumu)

Uzani dokotala wanu za mankhwala ena aliwonse, zitsamba, mavitamini, mankhwala azitsamba, kapena zowonjezera zakudya zomwe mukumwa, ngakhale sizili pano. Komanso, uzani dokotala wanu ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena. Izi zingakhudze Deferasirox.

Mfundo zapadera zomwe muyenera kuzidziwa mukamamwa mankhwala

Muyenera kusamala kwambiri ndi zotsatirazi mukamamwa mankhwalawa:

• Ngati zizindikiro zanu sizikusintha, kapena ngati zikuoneka kuti zikuipiraipira, uzani dokotala wanu nthawi yomweyo.
• Matenda aakulu pakhungu: Mankhwalawa angayambitse matenda aakulu pakhungu mwa anthu ena. Izi zitha kuchitika milungu ingapo kapena miyezi mutayamba kumwa mankhwala. Fufuzani thandizo lachipatala mwamsanga ngati muli ndi zizindikiro monga malungo, kuzizira, ziphuphu (makamaka zofiira kapena zofiirira) zomwe pambuyo pake zimasanduka matuza ndi ziphuphu, kapena ziphuphu zofiira ndi kutupa kwa nkhope, milomo, kapena kutupa kwa ma lymph nodes m'khosi kapena m'khwapa .
• Mayeso: Dokotala wanu nthawi zonse amafufuza kuchuluka kwa maso anu, kumva kwanu, ndi chitsulo m'magazi, komanso mayeso ena a magazi, musanayambe komanso panthawi yomwa mankhwalawa.
• Zizindikiro za kutuluka magazi mkati: Ngati muli ndi ndowe zakuda, zotuluka m'mimba, kapena kusanza komwe kumaoneka ngati khofi, kungakhale chilonda chotuluka magazi m'mimba kapena m'matumbo. Ngati izi zitachitika, uzani dokotala wanu nthawi yomweyo.
• Chizungulire: Mankhwalawa angakupangitseni kumva chizungulire kapena kugona. Chifukwa chake, muyenera kupewa kuyendetsa galimoto, kugwiritsa ntchito makina olemera, kapena kuchita chilichonse chomwe chimafuna kukhala tcheru mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Pewani kudzuka mwadzidzidzi kuchokera pamalo omwe mudakhala kapena kuyimirira, makamaka ngati ndinu okalamba. Izi zitha kuchepetsa chiopsezo cha chizungulire.
• Kusowa madzi m'thupi mwa ana: Ngati mwana wanu akumwa mankhwalawa ndipo akutsegula m'mimba nthawi zonse, kusanza, nseru, kapena thukuta kwambiri, uzani dokotala wanu. Izi zili choncho chifukwa kumwa mankhwalawa kungakhale koopsa ngati madzi ndi mchere wambiri watayika m'thupi (kusowa madzi m'thupi).

Zotsatirapo zomwe zingachitike chifukwa cha mankhwalawa

Monga mankhwala ena aliwonse, Deferasirox ingayambitse zotsatirapo zina.

Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo:

• Matenda a ziwengo: Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, kuvutika kupuma.
• Kusintha kwa masomphenya (monga kuwona molakwika).
• Kutaya kumva kapena kulira m'makutu.
• Malungo, kuzizira, ndi kupweteka pakhosi.
• Matuza pakhungu, malungo, ndi kutupa kwa ma lymph nodes.
• Kufiira kwa khungu, kutupa, ndi kutsekeka kwa khungu (kungachitike ngakhale mkamwa).
• Zizindikiro za kutuluka magazi: Chimbudzi chakuda kapena chamagazi; kusanza chinthu chofiirira chomwe chimaoneka ngati khofi wophikidwa.
• Zizindikiro za kuvulala kwa chiwindi: Mkodzo wakuda wachikasu kapena bulauni; malungo kapena kutentha thupi; ndowe zotumbululuka; kusowa chilakolako; nseru; kupweteka kumtunda kwa mimba; kufooka kapena kutopa kosazolowereka; chikasu cha maso kapena khungu.
• Kuvuta kukodza kapena kusintha kwa kuchuluka kwa mkodzo.
• Kutuluka magazi kapena mabala osazolowereka.

Zizindikiro zomwe nthawi zambiri sizifuna upangiri wa dokotala (koma uzani dokotala ngati zikupitirira kapena zikukuvutitsani):

• Kutsegula m'mimba
• Kusanza, kusanza
• Kupweteka m'mimba
• Kuvutika kugona

Ngati mukukumana ndi zizindikiro zina zachilendo zomwe sizinatchulidwe pamndandandawu, funsani dokotala wanu za zizindikirozo.

Kodi mumasunga bwanji mankhwalawo?

• Sungani mankhwalawa pamalo okwera omwe ana sangawafikire .
• Sungani kutentha kwa chipinda (pakati pa madigiri 15 ndi 30 Celsius; pakati pa madigiri 59 ndi 86 Fahrenheit). Musayiike pamalo otentha kwambiri kapena chinyezi.
• Musagwiritse ntchito mankhwala omwe atha ntchito tsiku lomwe lalembedwa pa phukusi la mankhwala. Tayani bwino.

Pomaliza, uthenga wopita nawo kunyumba

Kotero, `Deferasirox` ndi mankhwala ofunikira kwambiri omwe amathandiza kuchepetsa chitsulo chochuluka m'thupi lanu.

Koma kumbukirani zinthu izi:

* Ndikofunikira kumwa mankhwala monga momwe dokotala wanenera, muyeso woyenera, komanso panthawi yoyenera.

* Musaiwale kuuza dokotala wanu za mankhwala ena aliwonse omwe mukumwa komanso matenda ena aliwonse omwe muli nawo.

* Nthawi zonse dziwani zotsatirapo zake. Ngati muwona china chake chachilendo, pitani kwa dokotala nthawi yomweyo.

* Nkhaniyi ingakupatseni lingaliro la mankhwala awa, koma si kufotokozera kwathunthu. Ngati muli ndi mafunso ena, chonde funsani dokotala wanu, wamankhwala, kapena wothandizira zaumoyo wina.

Ndikukufunirani thanzi labwino!

` Deferasirox, deferasirox, kuchuluka kwa chitsulo, zotsatira zake zoyipa, Exjade, kuchuluka kwa chitsulo, zotsatira zake zoyipa, mankhwala