Ngati inu kapena munthu amene muli naye pafupi akulandira chithandizo cha khansa, mwina mukudziwa bwino mawu oti 'chemotherapy'. Limodzi mwa mankhwala apadera omwe amagwiritsidwa ntchito pochiza matendawa ndi Liposomal Doxorubicin. Mukamva za mankhwalawa, mungamve mantha pang'ono komanso mantha. Koma mukaphunzira zambiri za mankhwalawa, mudzazindikira kuti mantha amenewo ndi osafunikira. Lero, tikambirana mwachidule za mankhwalawa, zomwe amachita, ndi zonse zomwe muyenera kudziwa.
Kodi mankhwala awa ndi amtundu wanji?
Mwachidule, iyi ndi mankhwala a chemotherapy omwe amapha maselo a khansa. Amagwiritsidwa ntchito pochiza mitundu yosiyanasiyana ya khansa, makamaka Kaposi's sarcoma , multiple myeloma , ndi khansa ya ovarian .
Amatchedwa 'Liposomal' pachifukwa china. Mankhwalawa amapangidwa poika mankhwala otchedwa doxorubicin mkati mwa thovu laling'ono la mafuta (liposomes). Zili ngati kukulunga mankhwalawa mu phukusi laling'ono. Njirayi imathandiza kuti mankhwalawa apite mwachindunji komwe kuli maselo a khansa ndikugwira ntchito, pomwe akuchepetsa kuwonongeka kwa maselo athanzi. Mankhwalawa amapezeka pansi pa mayina a Doxil kapena Lipodox.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwala
Musanasankhe kukupatsani mankhwala awa, dokotala wanu ayenera kudziwa mbiri yonse ya thanzi lanu. Choncho onetsetsani kuti mwauza dokotala wanu ngati muli ndi chimodzi mwa izi:
- Za matenda ena a magazi omwe muli nawo.
- Ngati muli ndi matenda a mtima .
- Matenda omwe alipo kale, makamaka matenda opatsirana ndi mavairasi monga nsabwe ndi herpes.
- Ngati muli ndi matenda a chiwindi .
- Ngati mwalandira chithandizo cha radiation posachedwapa kapena mukulandira chithandizo cha radiation .
- Ngati muli ndi vuto la chifuwa cha doxorubicin, mankhwala ena a chemotherapy, soya, mankhwala ena, zakudya, kapena zosungira.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba .
- Ngati ndinu mayi woyamwitsa .
Kupereka chidziwitsochi molondola kudzathandiza gulu lachipatala kukuthandizani bwino komanso mosamala.
Kodi mankhwalawa amaperekedwa bwanji m'thupi?
Mankhwalawa si chinthu chomwe mungapite nacho kunyumba. Amaperekedwa kwa inu kuchipatala kapena ku chipatala ndi dokotala kapena namwino amene waphunzitsidwa bwino pa izi.
Nthawi zambiri iziImaperekedwa ngati njira yothira, monga saline, m'thupi kudzera mu mitsempha . Ngati mukumva kupweteka kulikonse, kutupa, kufiira, kapena kumva zachilendo pamalo omwe mwalandira jakisoni pamene mankhwalawa akuperekedwa, uzani dokotala wanu kapena namwino nthawi yomweyo .
Kodi mungachite chiyani ngati mlingo wa mankhwala ukuwonjezeka?
Popeza izi zimaperekedwa kuchipatala moyang'aniridwa, palibe chiopsezo chachikulu cha kumwa mankhwala mopitirira muyeso. Komabe, ngati mukukayikira kuti china chake chachitika, dziwitsani dokotala wanu nthawi yomweyo. Pakagwa mwadzidzidzi, mutha kuyimbira National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) yapafupi.
Nanga bwanji ngati nditaphonya tsiku limodzi kuti ndimwe mankhwalawo?
Ndikofunikira kwambiri kumwa mlingo tsiku lomwe mwakonzekera kulandira chithandizochi. Ngati pazifukwa zina simungathe kubwera tsiku lomwe mwakonzekera, dziwitsani dokotala wanu kapena chipatala chanu pasadakhale ndipo pemphani upangiri tsiku lotsatira.
Zinthu zoti muziganizire panthawi ya chithandizo
Muyenera kusamalira thupi lanu bwino mukamamwa mankhwalawa.
Mkhalidwe wa thanzi ndi mayeso onse
Pa nthawi ya chithandizo, dokotala wanu adzalamula kuti magazi ayesedwe nthawi zonse (kuyezetsa magazi) . Izi zingathandize kudziwa kuchuluka kwa maselo a m'magazi anu komanso momwe thupi lanu limagwirira ntchito.
Popeza chemotherapy imakhudzanso maselo athanzi, mungamve ngati simuli bwino kapena mukutopa. Izi ndi zachilendo. Koma uzani dokotala wanu za zotsatirapo zilizonse zomwe mumakumana nazo. Musasiye chithandizo chanu chifukwa simuli bwino pokhapokha ngati dokotala wanu akukuuzani.
Kusintha kwa mtundu wa mkodzo
Mkodzo wanu ukhoza kukhala wofiira ngati lalanje kwa masiku angapo mutamwa mankhwalawo. Izi si magazi, koma zotsatira zake zoyipa. Musadandaule nazo. Komabe, ngati mkodzo wanu uli wa bulauni wakuda kapena ngati khofi, uzani dokotala wanu.
Mfundo zofunika kwambiri zokhudza mimba ndi kubereka
Iyi ndi gawo lofunika kwambiri.
- Kwa akazi: Pewani kutenga mimba yonse mukamamwa mankhwalawa komanso kwa miyezi 6 mutasiya kumwa mankhwalawa. Ngati mutenga mimba panthawiyi, zingawononge kwambiri mwana wosabadwayo.
- Kwa amuna: Pewani kubereka mwana pamene mukumwa mankhwalawa komanso kwa miyezi 6 mutasiya kumwa mankhwalawa.
- Zotsatira pa kubereka: 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 nkhawa iliyonse pankhaniyi, lankhulani ndi dokotala wanu musanayambe chithandizo .
Zokhudza Co-Enzyme Q-10
Mankhwalawa amawonjezera Co-Enzyme Q-10 m'thupiMlingo ungachepe. Chifukwa chake, kambiranani ndi dokotala wanu za kudya zakudya zomwe zili ndi Co-Enzyme Q-10, ndipo ngati pakufunika, mavitamini panthawiyi.
Zotsatirapo zomwe zingatheke komanso kuyanjana
Monga mankhwala ena aliwonse, ingayambitse zotsatirapo zake. Ikhozanso kuyanjana ndi mankhwala ena omwe mukumwa.
| Zoyenera kulabadira | Kufotokozera |
|---|---|
| Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa; kutupa kwa nkhope, milomo, lilime; kuvutika kupuma. |
| Zizindikiro za kuchepa kwa maselo m'magazi | Zizindikiro za matenda: malungo, kuzizira, chifuwa, pakhosi. Zizindikiro za kutuluka magazi: madontho a magazi, mabala osadziwika, magazi mu mkodzo, ndi ndowe zakuda. Maselo ofiira ochepa m'magazi: kutopa kwambiri, kufiira, kukomoka. |
| Matenda a manja ndi mapazi | Kuzizira, kutentha, kufiira, kutupa, khungu lotuluka, kapena matuza ang'onoang'ono m'manja ndi m'mapazi. |
| Zizindikiro zina zazikulu | Kupweteka pachifuwa; kugunda kwa mtima mofulumira kapena kosasinthasintha; zilonda pakamwa; kupweteka kwambiri, kutupa pamalo obayira jakisoni; kutupa kwa akakolo, mapazi, kapena manja; kusanza kwambiri. |
| Ngati zikupitirira kapena zikukuvutitsani, uzani dokotala wanu. | |
| Zotsatira zoyipa zofala | Kutsegula m'mimba, nseru, kusowa chilakolako cha chakudya, kuvutika m'mimba, kutayika kwa tsitsi (nthawi zambiri izi zimabwerera mwakale pambuyo pa chithandizo), komanso kusintha kwa mtundu wa misomali. |
| Mankhwala ena omwe sayenera kumwedwa ndi mankhwalawa ndipo omwe angagwirizane nawo | |
| Mankhwala omwe sayenera kumwedwa | Zidovudine |
| Mankhwala omwe angayambitse mikangano | Mankhwala owonjezera kuchuluka kwa maselo amagazi (monga filgrastim, pegfilgrastim), katemera. |
| Funsani dokotala musanamwe. | Mankhwala ochepetsa ululu monga acetaminophen, aspirin, ndi ibuprofen (izi zitha kuwonjezera chiopsezo cha kutuluka magazi). |
Mndandandawu suli ndi zonse. Choncho, uzani dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini ndi mankhwala achikhalidwe), ngati mumamwa mowa, komanso ngati mumasuta.
Uthenga Wopita Nawo Kunyumba
- Liposomal Doxorubicin ndi mankhwala amphamvu oletsa khansa omwe amaperekedwa kuchipatala ndi akatswiri ophunzitsidwa bwino.
- Ndikofunikira kudziwitsa dokotala wanu za mankhwala ena onse omwe mukumwa komanso matenda anu onse musanayambe kulandira chithandizo.
- Ndizachibadwa kumva kusasangalala pang'ono panthawi ya chithandizo, koma pewani kusiya chithandizo popanda upangiri wa dokotala.
- Ngati mukukumana ndi zotsatirapo zoyipa monga kupuma movutikira, kupweteka pachifuwa, kutupa kwambiri, kapena kusagwirizana kwambiri ndi mankhwala, dziwitsani dokotala wanu kapena chipinda chothandizira odwala nthawi yomweyo.
- Pewani kutenga pakati panthawi ya chithandizo komanso kwa miyezi 6 pambuyo pake. Izi zikugwira ntchito kwa akazi ndi amuna.
- Ngati muli ndi nkhawa iliyonse yokhudza kubereka kwanu (kuthekera kwanu kukhala ndi ana), kambiranani momasuka ndi dokotala wanu za nkhaniyi.











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