Inu kapena munthu wina m'banja mwanu akapezeka ndi khansa, n'zachibadwa kukhala ndi chidwi ndi mantha pang'ono za chithandizocho. Makamaka mukamva za mankhwala atsopano, mafunso monga "Kodi izi zidzachitika ndi chiyani?" ndi "Kodi izi zindigwira ntchito?" amabwerera m'maganizo. Lero tikambirana za mankhwala atsopano komanso ofunikira kwambiri omwe amagwiritsidwa ntchito pochiza khansa yotereyi. Dzina lake ndi Durvalumab. Tiyeni tikambirane mwachidule, m'njira yomwe mungamvetse.
Kodi Durvalumab ndi chiyani?
Mwachidule, Durvalumab ndi antibody . Koma iyi si antibody yachibadwa. Iyi ndi antibody yomwe imapangidwa mwapadera mu labotale. Ndicho chifukwa chake timaitcha kuti Monoclonal Antibody . Ntchito yake yayikulu ndikuthandiza chitetezo cha mthupi lathu, kuchiphunzitsa kupeza ndi kuukira maselo a khansa.
Tangoganizani, tili ndi gulu lankhondo la chitetezo m'thupi lathu (ndiko kuti chitetezo chamthupi). Koma maselo a khansa ndi mdani wochenjera kwambiri. Amabisala ku magulu ankhondo awa ndikufalikira m'thupi mwa kuwanyenga. Mankhwalawa otchedwa Durvalumab amachita izi powonetsa maselo a khansa obisika kwa magulu athu ankhondo. Zili ngati kuwauza kuti, "Apa ndi pomwe mdani ali, pitani mukaukire." Chifukwa chake, njira iyi yochiritsira ndi ya gulu la immunotherapy .
Mankhwalawa amagwiritsidwa ntchito makamaka pa khansa ya m'mapapo . Nthawi zina angagwiritsidwe ntchito pa mitundu ina ya khansa. Izi zimatsimikiziridwa ndi dokotala wanu kutengera vuto lanu. Mutha kupeza mankhwalawa pansi pa dzina la IMFINZI.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kulandira chithandizo
Musanayambe kumwa mankhwalawa, ndikofunikira kwambiri kufotokozera dokotala wanu momveka bwino zinthu izi, chifukwa izi zidzatsimikizira ngati mankhwalawa ndi oyenera kwa inu kapena ngati mukufuna chisamaliro chapadera.
- Ngati muli ndi matenda odziteteza ku matenda a autoimmune: Mwachitsanzo, matenda monga matenda a Crohn, ulcerative colitis, kapena lupus. Izi ndi matenda omwe chitetezo cha mthupi lanu chimaukira thupi lanu.
- Ngati mwakhalapo kapena mukukonzekera kuikidwa maselo oyambira: makamaka ngati mukuikidwa maselo oyambira a allogeneic.
- Ngati mudasamutsidwapo chiwalo kale: chiwalo chilichonse monga impso kapena chiwindi.
- Ngati mwalandira chithandizo cha radiation pachifuwa.
- Ngati muli ndi matenda okhudzana ndi dongosolo lamanjenje: Mwachitsanzo, matenda monga Myasthenia Gravis kapena Guillain-Barre syndrome.
- Ngati muli ndi vuto la chifuwa cha Durvalumab kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena kuyamwitsa, izi ndizofunikira kwambiri .
Musabise chilichonse mwa izi. Ndikofunikira kuti dokotala adziwe zonsezi kuti mukhale otetezeka.
Kodi mumapereka bwanji mankhwala awa?
Durvalumab si mankhwala omwe mungapite nawo kunyumba. Ndi mankhwala omwe amaperekedwa m'thupi kudzera mu mtsempha (kulowetsedwa mu mtsempha) . Zili ngati kupereka saline, koma amaperekedwa kuchipatala kapena kuchipatala chokha, moyang'aniridwa ndi katswiri wazachipatala wophunzitsidwa bwino.
Musanayambe chithandizo chilichonse, mudzapatsidwa kabuku kapadera (MedGuide) komwe kali ndi zambiri zokhudza mankhwalawa. Nthawi zonse muwerenge mosamala, chifukwa kali ndi zambiri zofunika zomwe muyenera kudziwa.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Izi sizingachitike chifukwa zimaperekedwa kuchipatala. Komabe, ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, funsani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi.
Nanga bwanji ngati nditaphonya nthawi yokumana ndi dokotala?
Ndikofunikira kwambiri kumwa mankhwala anu pa nthawi yake kuti mupeze chithandizochi. Ngati pazifukwa zina simungathe kufika pa nthawi yake, imbani dokotala wanu nthawi yomweyo ndipo muwadziwitse.
Zinthu zoti muziganizire panthawi ya chithandizo
- Kusasangalala komwe kumachitika nthawi zambiri: Mungamve mutu pang'ono kapena chizungulire mukamagwiritsa ntchito mankhwalawa. Izi ndi zachilendo. Komabe, pokhapokha ngati dokotala wanu atakuuzani kuti musiye, pitirizani ndi chithandizo chanu.
- Kuyezetsa magazi: Pa nthawi yonse ya chithandizo chanu, muyenera kuyezetsa magazi nthawi zonse kuti muwone momwe thupi lanu likuyankhira mankhwalawo.
- Mimba ndi kuyamwitsa (zofunika kwambiri): Muyenera kupewa kutenga pakati mukamamwa mankhwalawa komanso kwa miyezi itatu mutasiya kumwa mankhwalawa. Mankhwalawa akhoza kuvulaza kwambiri mwana wosabadwa. Ngati mukukonzekera kutenga pakati, lankhulani ndi dokotala wanu musanayambe kumwa mankhwalawa. Muyeneranso kupewa kuyamwitsa panthawiyi.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena onse, Durvalumab ingayambitse zotsatirapo zoyipa. Ngakhale kuti si aliyense amene amalandira mankhwalawa, ena mwa iwo akhoza kukhala oopsa, choncho ndikofunikira kuwadziwa bwino.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kupweteka m'mimba ndi kutsegula m'mimba | Kutsegula m'mimba kotuluka magazi kapena madzi, kupweteka kwambiri m'mimba. |
| Kuvuta kupuma | Chifuwa chouma, kupuma movutikira, kupuma movutikira. |
| Kuvulala kwa chiwindi | Kupweteka m'mimba yakumanja, kusowa chilakolako cha chakudya, nseru, khungu kapena maso kukhala achikasu, mkodzo wakuda wachikasu/bulauni. |
| Mavuto ndi mahomoni | Hyperthyroidism: Kugunda kwa mtima mwachangu, kuchepa thupi, thukuta kwambiri, kunjenjemera, kusakhazikika. Hypothyroidism: Kutopa kwambiri, kulephera kupirira chimfine, kudzimbidwa, kunenepa kwambiri, khungu louma. Kuchepa kwa ntchito ya adrenal: nseru, kusanza, kusowa chilakolako, chizungulire. |
| Pancreatitis | Kupweteka kwambiri m'mimba kumafalikira kumsana, kupweteka komwe kumawonjezeka mukadya, kutentha thupi, nseru, ndi kusanza. |
| Zizindikiro zina zazikulu | Malungo, kuzizira, kupweteka pakhosi (zizindikiro za matenda), kufiira kwa khungu, kuphatikizapo pakamwa, matuza, khungu lotupa, ndi ma lymph nodes otupa. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa (koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira) | |
| Kutopa | Kumva kutopa popanda chifukwa chenicheni. |
| Kutaya tsitsi | Tsitsi limachepa kapena kutayika panthawi ya chithandizo. |
Mndandanda uwu suli ndi zotsatirapo zonse zoyipa. Ngati mukukumana ndi chinthu chachilendo chomwe sichili pamndandandawu, lankhulani ndi dokotala wanu za icho.
Uthenga Wopita Nawo Kunyumba
- Durvalumab ndi mankhwala apadera omwe amalimbikitsa chitetezo cha mthupi kuti chiukire maselo a khansa.
- Uzani dokotala wanu za matenda anu onse ndi ziwengo musanayambe kulandira chithandizo.
- Mankhwalawa amaperekedwa m'mitsempha kuchipatala kokha. Si mankhwala omwe angatengedwe kunyumba.
- Ndikofunikira kwambiri kupewa kutenga mimba ndi kuyamwitsa panthawi ya chithandizo komanso kwa miyezi itatu mutasiya.
- Ngati mukukumana ndi mavuto aakulu monga kupuma movutikira, kutsegula m'mimba kwambiri, khungu kukhala lachikasu, kapena mavuto aakulu a pakhungu, funsani upangiri wa dokotala nthawi yomweyo.
- Lankhulani momasuka ndi dokotala amene akukuthandizani pa mafunso kapena nkhawa zilizonse zomwe muli nazo.
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu