Inu kapena wokondedwa wanu mukakhala ndi khansa, n'zachibadwa kukhala ndi mafunso akuluakulu komanso mantha okhudza mankhwala omwe amaperekedwa kuti athetse khansa. Lero tikambirana za Erlotinib, mankhwala apadera omwe amagwiritsidwa ntchito pochiza khansa yotereyi. Mwina mumadziwa ndi dzina loti Tarceva. Tiyeni tiwone mwachangu kuti mankhwalawa ndi chiyani komanso zomwe muyenera kusamala nazo mukamamugwiritsa ntchito.
Mwachidule, kodi Erlotinib ndi chiyani?
Erlotinib ndi mtundu wa mankhwala otchedwa 'targeted therapy'. Ndi wapadera kwambiri. Mosiyana ndi mankhwala wamba, imagwiritsa ntchito mapuloteni enaake omwe amapezeka m'maselo a khansa okha, kuwaletsa kukula ndi kufalikira. Zili ngati kudziwa mdani ndikuwaukira okha.
Mankhwalawa amagwiritsidwa ntchito makamaka pochiza matenda otchedwa khansa ya m'mapapo yopanda maselo ang'onoang'ono komanso khansa ya m'mapapo . Komabe, nthawi zina dokotala wanu angakulembereni mitundu ina ya khansa.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Musanapereke mankhwala awa, ndikofunikira kwambiri kudziwitsa dokotala wanu mbiri yonse ya thanzi lanu. Chifukwa chidziwitso chimenecho chidzatsimikizira ngati mankhwalawa ndi oyenera kwa inu komanso mlingo wake. Onetsetsani kuti mwauza dokotala wanu za matenda otsatirawa makamaka.
| Mkhalidwe wanu | N’chifukwa chiyani chidziwitso chili chofunika? |
|---|---|
| Matenda a chiwindi | Popeza mankhwalawa amachotsedwa m'thupi kudzera m'chiwindi, ngati muli ndi matenda a chiwindi, mlingo wake ungafunike kusinthidwa kapena mungafunike kuyesedwa pafupipafupi. |
| Matenda a impso | Ngati impso sizikugwira ntchito bwino, mphamvu ya mankhwala ingasinthe. |
| Matenda a maso kapena mavuto a maso | Erlotinib ikhoza kukhudza maso, choncho ndikofunikira kudziwa zomwe zingakuvutitseni. |
| Mavuto a m'mimba kapena m'matumbo (monga zilonda zam'mimba) | Popeza mankhwalawa nthawi zina angayambitse mavuto aakulu m'mimba, ndikofunikira kudziwa mbiri yakale. |
| Kuyesa kutenga mimba kapena kukhala ndi pakati | Mankhwalawa akhoza kuvulaza kwambiri mwana wosabadwa, choncho ndikofunikira kulankhula ndi dokotala wanu za izi. |
| Kuyamwitsa | Mankhwalawa amatha kupita kwa mwana kudzera mu mkaka wa m'mawere. Choncho ngati mukuyamwitsa, dziwitsani dokotala wanu. |
| Matenda a chifuwa cha mankhwala ena, zakudya, kapena utoto | Izi ndizofunikira kudziwa ngati muli ndi vuto la Erlotinib kapena chilichonse mwa zinthu zomwe zili mmenemo. |
Njira yolondola yogwiritsira ntchito mankhwala
Kuti mupindule kwambiri ndi mankhwala ngati awa, ndikofunikira kwambiri kuwamwa moyenera.
- Imwani ndi kapu ya madzi: Mezani piritsi lonse ndi kapu ya madzi.
- Ndikofunikira kumwa mankhwalawa m'mimba yopanda kanthu: Ichi ndiye chinthu chofunikira kwambiri. Mankhwalawa ayenera kumwedwa m'mimba yopanda kanthu . Ndiko kuti, ola limodzi (1) musanadye, kapena maola awiri (2) mutadya. Musamwe mankhwalawa pamodzi ndi chakudya.
- Musamwe madzi a mphesa: Pewani kumwa madzi a mphesa kapena mphesa mukamamwa mankhwalawa. Zingakhudze momwe mankhwalawa amagwirira ntchito.
- Imwani mankhwala anu panthawi yoyenera: Yesetsani kumwa mankhwala anu nthawi yomweyo tsiku lililonse. Musamwe mankhwala ochulukirapo kuposa momwe dokotala wanu wanenera, ndipo musasiye kumwa pokhapokha ngati dokotala wanu wakuuzani kuti musamwe.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono kuti mutenge mlingo wotsatira (mwachitsanzo, uli pafupi maola ochepa), dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi. Ngati mukukayika, funsani dokotala wanu.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, musachite mantha ndipo nthawi yomweyo funsani National Poisons Information Centre ku Colombo National Hospital.Imbani. Kapena pitani ku Dipatimenti Yoona za Zadzidzidzi ya Chipatala chapafupi (ETU) .
Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi wina aliyense.
Mankhwala ena omwe angagwirizane ndi Erlotinib
Mankhwala ena omwe mukumwa angakhudze momwe Erlotinib imagwirira ntchito. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera) . Samalani kwambiri ndi mankhwala otsatirawa.
| Gulu la mankhwala | Zitsanzo |
|---|---|
| Mankhwala ochizira kutupa m'mimba/gastritis | Omeprazole, Lansoprazole, Famotidine, Cimetidine |
| Mankhwala a matenda a bowa | Ketoconazole, Itraconazole, Voriconazole |
| Maantibayotiki ena | Clarithromycin, Erythromycin, Ciprofloxacin |
| Mankhwala a khunyu/ khunyu | Carbamazepine, Phenytoin, Phenobarbital |
| Mankhwala a chifuwa chachikulu | Rifampin, Rifabutin |
| Mankhwala oletsa magazi kuundana | Warfarin |
| Mankhwala a HIV/AIDS | Mankhwala oletsa mavairasi |
| Zogulitsa zitsamba | Wort wa St. John |
Zinthu zoti muzisamala nazo mukamamwa mankhwala
Dziwani ngati pangakhale zotsatirapo zoopsa pakhungu.
Anthu ena akhoza kukhala ndi vuto lalikulu pakhungu akamagwiritsa ntchito mankhwalawa. Izi zitha kuchitika ngakhale milungu ingapo mutayamba kumwa mankhwalawa. Ngati mukuyamba kutupa ndi zizindikiro monga malungo kapena chimfine , uzani dokotala nthawi yomweyo. Matendawa amatha kukhala ofiira kapena ofiirira, kenako matuza ndipo khungu likhoza kuyamba kutseguka. Komanso, musanyalanyaze kutupa kwa ma lymph nodes pankhope panu, pamilomo, pakhosi, kapena m'khwapa.
Ngati mukusuta, siyani tsopano.
Izi ndizofunikira kwambiri. Kusuta fodya kumachepetsa kwambiri mphamvu ya Erlotinib. Izi zikutanthauza kuti ngati musuta, simudzapindula mokwanira ndi mankhwalawa. Ngati mwasiya kusuta pamene mukumwa mankhwala, onetsetsani kuti mwauza dokotala wanu za izi.
Mimba ndi kuyamwitsa
Pewani kutenga pakati mukumwa mankhwalawa komanso kwa mwezi umodzi mutasiya kumwa mankhwalawa. Zingayambitse mavuto aakulu kwa mwana wosabadwa. Komanso, musayamwitse mwana mukumwa mankhwalawa komanso kwa milungu iwiri mutasiya kumwa mankhwalawa. Funsani dokotala wanu kuti akuuzeni zambiri za izi.
Mfundo zina
- Uzani dokotala wanu ngati zizindikiro zanu sizikusintha kapena ngati zikuipiraipira.
- Kaonaneni ndi dokotala panthawi yomwe mwakonza ndipo muyeze magazi oyenera.
- Ngati mukuwona kusintha kulikonse (monga kusawona bwino, kupweteka), dziwitsani nthawi yomweyo.
- Uzani dokotala wanu ngati mukutsegula m'mimba kwambiri, nseru, kusanza, kapena thukuta kwambiri, chifukwa kutaya madzi m'thupi kungakhale koopsa mukamamwa mankhwalawa.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse, Erlotinib ingayambitse zotsatirapo zoyipa. Komabe, si aliyense amene amalandira. Chofunika kwambiri ndikudziwa izi ndikudziwitsa dokotala wanu nthawi yomweyo ngati muwona chilichonse choopsa.
| Zotsatira zoyipa | Kufotokozera / Kodi muyenera kuchita chiyani? |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, komanso kuvutika kupuma. |
| Zizindikiro za kutuluka magazi | Chimbudzi chodzaza ndi magazi kapena chakuda, kusanza komwe kumaoneka ngati khofi wophikidwa, mkodzo wofiira/wofiirira wakuda, madontho ofiira pakhungu, kutuluka magazi kosadziwika bwino m'mphuno/m'kamwa. |
| Zizindikiro za kuwonongeka kwa chiwindi | Maso kapena khungu kukhala lachikasu, mkodzo wakuda wachikasu/bulauni, kupweteka kumtunda kwa kumanja kwa m'mimba, ndowe zoyera, kutopa kwambiri, nseru. |
| Zizindikiro za Stroke | Kusanza/kuzizira mwadzidzidzi pankhope, mkono, kapena mwendo, kuvutika kulankhula/kumvetsa, mutu waukulu, kuvutika kuyenda, kukomoka. |
| Kuvuta kupuma, chifuwa | Kupuma movutikira kapena kutsokomola mwadzidzidzi kapena kuwonjezeka. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kutsegula m'mimba | Izi zimachitika kawirikawiri. Ngati zakula kwambiri kapena zikupitirira, uzani dokotala wanu . |
| Khungu louma, ziphuphu ngati ziphuphu, kuyabwa | Izi zitha kuchitika pafupipafupi. Funsani dokotala wanu za mafuta oyenera. |
| Kutaya chilakolako cha chakudya, kuchepetsa thupi | Lankhulani ndi dokotala wanu za zakudya zomwe mumadya. |
| Zilonda pakamwa, nseru, kusanza | Funsani dokotala wanu momwe mungathanirane ndi izi. |
Kodi mungasunge bwanji mankhwala?
Sungani mankhwalawa pamalo omwe ana sangafikire . Sungani pamalo otentha (pakati pa 15-30 Celsius). Tayani mankhwala otha ntchito.
Uthenga Wopita Nawo Kunyumba
- Nthawi zonse imwani mapiritsi a Erlotinib pamimba yopanda kanthu , ola limodzi musanadye kapena maola awiri mutadya.
- Pewani kudya mphesa kapena kumwa madzi a mphesa mukamamwa mankhwalawa.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa.
- Kusuta fodya kumachepetsa mphamvu ya mankhwala, choncho siyani kwathunthu.
- Fufuzani thandizo lachipatala mwamsanga ngati mukukumana ndi mavuto aakulu monga zilonda za pakhungu, kupuma movutikira, kapena kusintha kwa masomphenya.
- Pewani kutenga mimba mukumwa mapiritsi komanso kwa mwezi umodzi mutasiya kumwa mapiritsi.
- Mankhwalawa ndi a inu nokha. Musagawane ndi wina aliyense.
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