Zomwe muyenera kudziwa zokhudza katemera wa Doxorubicin wogwiritsidwa ntchito pochiza khansa

Ndizachibadwa kumva mantha pang'ono komanso mantha tikamva mawu oti "chemotherapy". Koma ngati tikudziwa bwino za chithandizochi ndi mankhwala omwe amaperekedwa, tikhoza kuthana ndi mantha amenewo ndikukumana ndi chithandizochi molimba mtima. Lero tikambirana za Doxorubicin, mankhwala amphamvu kwambiri komanso ofunikira kwambiri omwe amawononga maselo a khansa.

Kodi kwenikweni Doxorubicin ndi chiyani?

Mwachidule, Doxorubicin ndi mankhwala a chemotherapy omwe amathandiza kuletsa kukula kwa maselo a khansa ndikuwononga. Ndi madzi ofiira, kotero anthu ena amatcha "Red Devil." Koma musachite mantha ndi dzina limenelo, chifukwa ndi mankhwala ofunikira kwambiri omwe amalimbana ndi mitundu yambiri ya khansa.

Makamaka, imagwiritsidwa ntchito pochiza matenda a khansa monga khansa ya m'magazi, khansa ya m'magazi, khansa ya m'magazi, khansa ya m'magazi, khansa ya sarcoma, ndi khansa ya Wilms. Kuphatikiza apo, mankhwalawa amagwiritsidwanso ntchito pa khansa ya chikhodzodzo, khansa ya m'mawere, khansa ya m'mapapo, khansa ya mazira, khansa ya m'mimba, ndi khansa ya chithokomiro.

Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kulandira chithandizo

Izi ndizofunikira kwambiri. Kuti mukhale otetezeka komanso kuti chithandizo chanu chikhale chopambana, ndikofunikira kumasuka kwathunthu ndi dokotala wanu. Musanayambe chithandizo, ngati muli ndi vuto lililonse mwa izi, uzani dokotala wanu popanda kubisa chilichonse .

• Ngati muli ndi matenda a mtima kapena ngati wina aliyense m'banja mwanu adadwalapo.
• Ngati muli ndi maselo oyera a m'magazi, maselo ofiira a m'magazi, kapena ma platelet ochepa chifukwa cha mankhwala omwe mudamwa kale.
• Ngati muli ndi matenda a chiwindi .
• Ngati mwalandira chithandizo cha radiation posachedwapa kapena mukulandira chithandizo cha radiation .
• Ngati mwakhalapo ndi vuto la doxorubicin kapena mankhwala ena aliwonse a chemotherapy, mankhwala ena aliwonse, chakudya, kapena utoto.
• Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena kuyamwitsa, izi ndizofunikira kwambiri.

Kodi mankhwalawa amaperekedwa bwanji m'thupi?

Doxorubicin si mankhwala omwe mungamwe kunyumba. Amaperekedwa kuchipatala kapena kuchipatala ndi dokotala kapena namwino amene waphunzitsidwa bwino pa izi. Makamaka, amaperekedwa m'thupi pang'onopang'ono kudzera mu infusion mu mitsempha, monga saline.

Mlingo wa mankhwalawa umatsimikiziridwa mosamala kwambiri ndi madokotala. Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku ETU (Emergency Treatment Unit) ya chipatala chapafupi.

Kodi ndi zinthu ziti zomwe muyenera kuziganizira mukamalandira chithandizo?

Mukamamwa mankhwalawa, mungakumane ndi kusintha kwina m'thupi lanu. Ndikofunikira kwambiri kudziwa zimenezi.

Kusasangalala ndi zotsatirapo zoyipa zofala

Ndizachilendo kumva kusasangalala pang'ono kapena kutopa panthawi ya chemotherapy. Izi zili choncho chifukwa mankhwalawa samakhudza maselo a khansa okha, komanso maselo athanzi omwe amagawikana mwachangu. Ngakhale mutakhala osasangalala, musasiye chithandizo mpaka dokotala wanu atakuuzani. Uzani dokotala wanu za zotsatirapo zilizonse zoyipa.

Malire a moyo wonse

Izi ndi zapadera pang'ono. Pali malire a kuchuluka kwa Doxorubicin komwe munthu angalandire pa moyo wake wonse. Dokotala adzasankha kuchuluka kwake kutengera thanzi lanu ndikulemba zomwe zili mkati mwake. Ngati mudamwapo mankhwala awa kale, muyeneranso kuuza dokotalayo .

Kusintha kwa mtundu wa mkodzo

Ichi ndi chinthu chomwe anthu ambiri amachiopa, koma sichinthu choopa. Mkodzo wanu ukhoza kufiira kwa tsiku limodzi kapena awiri mutamwa mankhwala. Izi si magazi, ndi mtundu wa mankhwala. Izi ndi zachilendo. Komabe, ngati mkodzo wanu ukhala wakuda, uzani dokotala wanu za izi.

Kuopsa kwa matenda ndi kutuluka magazi

Doxorubicin imatha kuchepetsa kuchuluka kwa maselo oyera a magazi, maselo ofiira a magazi, ndi ma platelet m'magazi anu.

• Maselo oyera a m'magazi akachepa, mphamvu ya thupi yolimbana ndi matenda (chitetezo cha mthupi) imachepa. Chifukwa chake, yesetsani kupewa anthu odwala panthawiyi. Chepetsani kupita kumalo odzaza anthu. Ngati mukumva zizindikiro monga malungo, chimfine, kapena kupweteka pakhosi, musadzipatse mankhwala ndipo imbani dokotala nthawi yomweyo .
• Ma platelet akakhala ochepa, mphamvu ya magazi yoti amange magazi imachepa. Chifukwa chake, ngakhale kudula pang'ono kumatha kuvulala kapena kutuluka magazi mosavuta. Ngati m'kamwa mwanu mukutuluka magazi mukatsuka mano anu, ngati muli ndi madontho ofiira pakhungu lanu, kapena ngati mukutuluka magazi mwanjira yachilendo, uzani dokotala wanu .

Mimba ndi Kubereka

Iyi ndi nkhani yofunika kwambiri.

Komanso, mankhwalawa angayambitse kulephera kwa mazira m'mimba mwa akazi ena komanso kuchepa kwa umuna mwa amuna. Izi zingakhudze kuthekera kwanu kobereka ana mtsogolo. Ngati muli ndi mafunso okhudza izi kapena mukuyembekeza kukhala ndi ana, lankhulani ndi dokotala wanu za izi musanayambe kulandira chithandizo .

Kodi zotsatirapo zake zingakhale zotani?

Monga mankhwala ena aliwonse, Doxorubicin imatha kukhala ndi zotsatirapo zake. Si aliyense amene amalandira. Koma ndikofunikira kudziwa za izo. Tiyeni tizigawe m'magulu awiri.

Kodi pangakhale mavuto ndi mankhwala ena?

Inde. Doxorubicin ndi mankhwala omwe amatha kuyanjana ndi mankhwala ena. Mwachitsanzo, angayambitse mavuto ndi mankhwala monga `(6-mercaptopurine)`, `(paclitaxel)`, `(phenytoin)`, `(St. John's Wort)`, `(trastuzumab)` ndi `(verapamil)`.

Mndandandawu sunathe. Chifukwa chake , onetsetsani kuti mwauza dokotala wanu za mankhwala onse omwe mukumwa , osati omwe dokotala wanu wakupatsani okha, komanso mavitamini, mankhwala azitsamba, mankhwala achikhalidwe, ndi zowonjezera zomwe mukumwa. Komanso, muuzeni dokotala wanu ngati mumasuta kapena kumwa mowa.