Dokotala wanu atazindikira kuti muli ndi khansa ya prostate, mwina anakupatsani mankhwala otchedwa Enzalutamide. Panthawi ngati iyi, ndi zachilendo kuti mukhale ndi mafunso ambiri okhudza mankhwalawa. Mwina mumadzifunsa mafunso monga, "Kodi mankhwalawa amagwira ntchito yanji kwenikweni?", "Ndiyenera kudziwa chiyani ndikamagwiritsa ntchito?", "Ndi zotsatirapo ziti zomwe zingachitike?" Musadandaule. Munkhaniyi lero, tidzayankha mafunso anu onse ndikulankhula za mankhwalawa mosavuta komanso momveka bwino.
Kodi Enzalutamide ndi mankhwala amtundu wanji?
Mwachidule, Enzalutamide ndi mankhwala omwe amaletsa ntchito ya mahomoni otchedwa testosterone, omwe amapangidwa m'thupi la mwamuna. Homoni iyi imathandiza maselo a khansa ya prostate kukula. Chifukwa chake, mankhwalawa amaletsa mphamvu ya mahomoni amenewo ndikulamulira kukula kwa maselo a khansa. Mankhwalawa amapezeka kwambiri pansi pa dzina la XTANDI.
Iyi ndi mankhwala ofunikira kwambiri omwe amagwiritsidwa ntchito pochiza mitundu ina ya khansa ya prostate. Komanso, dokotala wanu nthawi zina angakupatseni mankhwala awa pa matenda ena. Choncho ngati muli ndi mafunso aliwonse, musaope kulankhula ndi dokotala wanu za vutoli.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Musanayambe kulandira Enzalutamide, ndikofunikira kwambiri kudziwitsa dokotala wanu za thanzi lanu lonse. Onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi vuto lililonse mwa izi:
| Uzani dokotala wanu ngati muli ndi matenda awa: |
|---|
| • Ngati muli ndi chotupa cha muubongo kapena kuvulala mutu |
| • Ngati muli ndi matenda a mtima kapena kuthamanga kwa magazi |
| • Ngati muli ndi cholesterol yambiri m'magazi mwanu. |
| • Ngati munadwalapo sitiroko kapena khunyu kale |
| • Ngati muli ndi vuto la mafupa |
| • Ngati munakhalapo ndi vuto la Enzalutamide kapena mankhwala ena aliwonse, chakudya, kapena utoto. |
| • Mankhwalawa ndi a amuna ndipo akazi sayenera kuwagwiritsa ntchito. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa molondola?
Kuti mupindule kwambiri ndi mankhwala, ndikofunikira kuwagwiritsa ntchito moyenera.
- Imwani pa nthawi yake: Khalani ndi chizolowezi chomwa mankhwala anu nthawi yomweyo tsiku lililonse. Izi zidzakuthandizani kuti milingo ya mankhwala m'thupi lanu ikhale yofanana.
- Mezani piritsi lonse: Musaswe, kuphwanya, kapena kutafuna mapiritsi awa. Mezani piritsi lonse ndi kapu ya madzi.
- Ndi chakudya kapena ayi: Mankhwalawa angatengedwe musanadye kapena mutadya. Komabe, ngati mukumva kupweteka m'mimba, ndi bwino kumwa mankhwalawa pamodzi ndi chakudya.
- Musasiye: Musasiye kumwa mankhwala anu mpaka dokotala wanu atakuuzani kuti muchite zimenezo. Ndikofunikira kumaliza chithandizo, ngakhale mutaganiza kuti zizindikiro zanu zachepa.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira panthawi yomwe mwakonza.
Musamwe mankhwala awiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaiwala.
Kuchuluka kwa mankhwala
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa omwe mwapatsidwa, imbani nthawi yomweyo ku National Poisons Information Centre ku National Hospital, Colombo, kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi. Chitani izi ngati zadzidzidzi.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)
Enzalutamide ndi mankhwala omwe amatha kuyanjana ndi mankhwala ena. Chifukwa chake, muyenera kudziwitsa dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mankhwala olembedwa ndi dokotala, mankhwala ogulitsidwa kunja kwa chipatala, mankhwala azitsamba, komanso mavitamini.
| Mankhwala omwe sayenera kumwedwa ndi Enzalutamide | |
|---|---|
| Mankhwala ena oletsa mavairasi a HIV kapena Hepatitis | Mankhwala monga Atazanavir, Daclatasvir, Doravirine, Ritonavir |
| Mankhwala ena a matenda a bowa | Isavuconazonium, Voriconazole |
| Mankhwala ena | Artemether, Lonafarnib, Lorlatinib, Lurasidone, Praziquantel, Ranolazine |
| Mankhwala ena omwe angayambitse mavuto ndi Enzalutamide (upangiri wa dokotala ukufunika) | |
| Mankhwala a khunyu | Carbamazepine, Phenobarbital, ndi Phenytoin |
| Mankhwala opha tizilombo ndi mankhwala ena | Rifampin, Clopidogrel, Warfarin, Omeprazole, Gemfibrozil |
| Zogulitsa zitsamba | Wort wa St. John |
| Zina | Fentanyl, Midazolam, Tacrolimus, Sirolimus, Cyclosporine |
Mndandandawu sunathe, choncho ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa.
Zinthu zofunika kuziganizira mukamamwa mankhwala
- Kupimidwa nthawi zonse kwa dokotala:Dokotala wanu adzafunika kukuonani nthawi zonse kuti aone momwe chithandizo chanu chikuyendera. Choncho musaphonye masiku omwe mwakhala kuchipatala. Ngati zizindikiro zanu sizikusintha kapena zikuipiraipira, uzani dokotala wanu za vutoli.
- Chofunika kwambiri: Amuna omwe akumwa mankhwalawa ayenera kupewa kubereka mwana. Pewani kubereka mwana pamene akumwa mankhwalawa komanso kwa miyezi itatu mutasiya kumwa mankhwalawa. Mankhwalawa akhoza kuvulaza kwambiri mwana wosabadwa. Lankhulani ndi dokotala wanu za njira izi ndi zina zotetezeka.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena onse, Enzalutamide ingayambitse zotsatirapo zoyipa, ngakhale kuti si aliyense amene amazilandira.
| Ngati mukukumana ndi zizindikiro izi, pitani kwa dokotala kapena pitani kuchipatala mwamsanga. | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Zizindikiro za sitiroko | Kusintha kwa masomphenya, kuvutika kulankhula, dzanzi mwadzidzidzi kapena kufooka pankhope, mkono kapena mwendo, kuvutika kuyenda. |
| Zizindikiro zina zazikulu | Kukomoka, kusokonezeka maganizo, kuiwala zinthu, kupweteka kapena kutsekeka pachifuwa, pakhosi, kapena m'manja. |
| Zizindikiro zomwe nthawi zambiri siziyenera kuda nkhawa nazo, koma ngati zikupitirira, muyenera kuuza dokotala wanu. | |
| Kusintha kwa thupi | Kutopa kwambiri, mutu, kutentha thupi, kusowa chilakolako cha chakudya. |
| Ululu ndi kusasangalala | Kupweteka kwa mafupa, dzanzi m'miyendo, kutsegula m'mimba, ndi magazi pang'ono mu mkodzo. |
| Kutupa (Edema) | Kulemera mwadzidzidzi; kutupa akakolo, mapazi, kapena manja. |
Ngati mukukumana ndi zizindikiro zina zachilendo zomwe sizinatchulidwe pamndandandawu, lankhulani ndi dokotala wanu za zizindikirozo.
Kodi ndiyenera kusunga bwanji mankhwalawo? Kodi ndiyenera kutaya bwanji?
- Kusungira: Sungani pamalo omwe ana ndi ziweto sangafikire. Sungani pamalo otentha (20-25 digiri Celsius) kutali ndi chinyezi ndipo sungani botololo litatsekedwa bwino.
- Kutaya mankhwala: Funsani dokotala wanu za njira yotetezeka yotayira mankhwala omwe atha ntchito kapena osafunikira. Musamasuke mankhwala kuchimbudzi pazifukwa zilizonse.
Uthenga Wopita Nawo Kunyumba
- Enzalutamide ndi mankhwala ofunikira kwambiri pochiza khansa ya prostate. Nthawi zonse imwani monga momwe dokotala wanu wanenera, panthawi yoyenera.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa komanso matenda ena aliwonse omwe muli nawo.
- Pewani kukhala ndi ana pamene mukumwa mankhwalawa komanso kwa miyezi itatu mutasiya kumwa. Izi ndizofunikira kwambiri.
- Fufuzani thandizo lachipatala mwamsanga ngati mukukumana ndi mavuto ena aakulu, monga zizindikiro za ziwengo, zizindikiro za sitiroko, kapena kukomoka.
- Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi mankhwalawa, kambiranani ndi dokotala wanu.
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