Inu kapena munthu amene muli naye pafupi akauzidwa kuti muli ndi khansa ya prostate, n'zachibadwa kukhala ndi mafunso ambiri okhudza mankhwala omwe mumapatsidwa. Estramustine ndi mankhwala apadera omwe madokotala amagwiritsa ntchito pazochitika zotere. Mwachidule, ndi mankhwala omwe ali m'gulu la chemotherapy. Amagwira ntchito polamulira kukula kwa maselo a khansa. Mankhwalawa angapezekenso pamsika pansi pa dzina lakuti Emcyt. Koma dzina lomwe dokotala wanu wakupatsani ndi lofunika. M'nkhaniyi, tikambirana mwatsatanetsatane za mankhwalawa, kutanthauza, zomwe amachita, momwe angagwiritsire ntchito, komanso zomwe muyenera kusamala nazo.
Musanayambe kumwa mankhwalawa, muyenera kuuza dokotala wanu za izi, sichoncho?
Inde, musanayambe kugwiritsa ntchito Estramustine, ndikofunikira kwambiri kudziwitsa dokotala wanu za thanzi lanu lonse. Chifukwa anthu omwe ali ndi matenda ena amafunika chisamaliro chapadera akamapereka mankhwalawa. Chifukwa chake ngati muli ndi chilichonse mwa izi, muyenera kuwauza kuti:
- Ngati muli ndi vuto lililonse la magazi.
- Ngati muli ndi matenda a shuga (`(Diabetes Mellitus)`).
- Ngati muli ndi matenda a mtima.
- Ngati muli ndi matenda, makamaka matenda opatsirana ndi mavairasi monga nkhupakupa, zilonda zozizira, kapena herpes.
- Ngati muli ndi matenda a impso.
- Ngati muli ndi mutu waching'alang'ala.
- Ngati muli ndi khunyu (kugwedezeka) monga khunyu.
- Ngati munakhalapo ndi vuto la estramustine, estrogens, mankhwala ena a chemotherapy, mankhwala ena, zakudya, mitundu yopangira, kapena zotetezera.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba.
- Ngati ndinu mayi woyamwitsa.
Ngati mukunena zinthu izi molondola, dokotala wanu akhoza kukonza chithandizo chomwe chingakukomereni.
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
Ndikofunikira kwambiri kumwa mankhwalawa monga momwe dokotala wanu wanenera, chifukwa ndi momwe mungapindulire kwambiri ndi mankhwalawa komanso kuchepetsa zotsatirapo zake.
Izi zimabwera mu mawonekedwe a makapisozi. Muyenera kumwa ndi kapu ya madzi. Chofunika kwambiri ndikumwa mankhwalawa pamimba yopanda kanthu. Izi zikutanthauza kuti, muyenera kumwa ola limodzi musanadye kapena maola awiri mutadya. Musamwe ndi chakudya. Makamaka musamwe ndi zakudya zomwe zili ndi calcium yambiri, monga mkaka, tchizi, ndi yogurt. Chifukwa calcium ingachepetse kuyamwa kwa mankhwalawa m'thupi.
Imwani mankhwala monga momwe dokotala wanu wanenera pa chizindikiro cha mankhwala, panthawi yoyenera, komanso muyeso woyenera. Musamwe mankhwala ochulukirapo kuposa momwe dokotala wanu wanenera, kapena kumwa pafupipafupi. Pitirizani kumwa mankhwalawa mpaka dokotala wanu atakuuzani kuti musiye.
Ngati mukupereka mankhwalawa kwa ana, muyenera kulankhula ndi dokotala wanu wa ana za mankhwalawa. Angafunike chisamaliro chapadera.
Ngati mwamwa mankhwala ochulukirapo mwangozi: Ngati izi zitachitika, ndipo mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa momwe mumaganizira, musachite mantha ndipo nthawi yomweyo imbani chipinda chapafupi chadzidzidzi kapena malo owongolera poizoni kuti akupatseni upangiri.
Kumbukirani izi: Mankhwalawa ndi a inu nokha. Musagawire mankhwala anu ndi ena, ngakhale atakhala ndi matenda ofanana ndi anu. Si mankhwala onse omwe amagwira ntchito kwa aliyense.
Kodi mumatani ngati mwaphonya nthawi yokumana ndi dokotala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono kuti mutenge mlingo wotsatira, pasanathe maola angapo, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri. Kuchita zimenezi kungapangitse kuti muwonjezere kuchuluka kwa mankhwala omwe mukumwa ndi kuyambitsa zotsatirapo zoyipa. Ngati simukudziwa, funsani dokotala wanu kapena wamankhwala.
Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa?
Inde, pali mankhwala ena omwe angayambitse mavuto akamwedwa ndi estramustine. Chifukwa chake, ngati mukumwa mankhwala ena aliwonse, kaya olembedwa ndi dokotala kapena ogulidwa ku pharmacy, ndikofunikira kuuza dokotala wanu za onsewa.
Musamwe Estramustine pamodzi ndi mankhwala otsatirawa:
- Asidi ya Nalidixic (`(asidi ya nalidixic)`)
Komanso, Estramustine ingagwirizane ndi mankhwala otsatirawa. Choncho lankhulani ndi dokotala musanamwe:
- Zakudya zowonjezera calcium (monga tanenera kale, kumbukirani kuti musamwe mkaka pamodzi ndi zakudya zokhala ndi calcium yambiri.)
- Mankhwala omwe amawonjezera kuchuluka kwa maselo amagazi, mwachitsanzo, filgrastim, pegfilgrastim, sargramostim
- Mitundu ya katemera (katemera wina sagwirizana ndi mankhwalawa, chifukwa chitetezo cha mthupi chimakhala chochepa)
Chinanso, ngati mukumwa mankhwala ochepetsa ululu awa, uzani dokotala wanu za izi:
- Acetaminophen (yomwe nthawi zambiri imatchedwa paracetamol)
- Aspirin (`(aspirin)`)
- Ibuprofen (`(ibuprofen)`)
- Ketoprofen (`(ketoprofen)`)
- Naproxen (`(naproxen)`)
Mndandandawu sungakhale ndi zinthu zonse zomwe mumagwiritsa ntchito. Choncho uzani dokotala wanu za mankhwala onse omwe mumamwa, kuphatikizapo mankhwala azitsamba, mavitamini, mankhwala osaperekedwa ndi dokotala, ndi zowonjezera zakudya, komanso ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena. Zina mwa zinthuzi zingakhudze mankhwala anu.
Ndiyenera kusamala kwambiri ndi chiyani ndikamamwa mankhwalawa?
Mukumwa mankhwalawa, dokotala wanu adzafunika kukuonani nthawi zonse (`(kuyezetsa)`) kuti aone momwe zinthu zikuyendera. Mankhwala a chemotherapy samakhudza maselo a khansa okha, komanso nthawi zina maselo athanzi m'thupi lathu. Chifukwa chake ndikwachibadwa kuti mumve kusasangalala, kudwala, kapena kutopa kuposa masiku onse. Koma ngati muli ndi zotsatirapo zina, uzani dokotala wanu. Pitirizani kumwa mankhwala monga mwalangizidwira, ngakhale mutadwala, mpaka dokotala wanu atakuuzani kuti musiye.
Nthawi zina, mungapatsidwe mankhwala ena kuti muchepetse zotsatirapo zake. Onetsetsani kuti mwagwiritsa ntchito mankhwala awa monga momwe mwalangizidwira.
Chofunika: Ngati muli ndi malungo, kuzizira, pakhosi, kapena zizindikiro za chimfine kapena fuluwenza, imbani dokotala nthawi yomweyo. Musadzipatse mankhwala. Mankhwalawa angachepetse mphamvu ya thupi lanu yolimbana ndi matenda. Chifukwa chake, yesetsani kupewa anthu odwala momwe mungathere. Komanso, samalani mukapita kumalo odzaza anthu.
Mankhwalawa angakulitse chiopsezo chanu chotuluka magazi kapena kuvulala. Ngati muwona kutuluka magazi kwachilendo, monga kutuluka magazi m'mphuno, kutuluka magazi m'kamwa, kuoneka mawanga ofiira pansi pa khungu, wakuda, ndowe zotuluka m'thupi, kapena magazi m'mkodzo, uzani dokotala wanu nthawi yomweyo.
Samalani mukamatsuka mano anu, kutsuka mano, kapena kugwiritsa ntchito zotsukira mano. Gwiritsani ntchito burashi yofewa. Izi zili choncho chifukwa mutha kutenga matenda oyambitsidwa ndi mabakiteriya ndipo mkamwa mwanu mumatha kutuluka magazi panthawiyi. Ngati mukuchita ntchito iliyonse ya mano, uzani dokotala wanu wa mano kuti mukumwa mankhwalawa.
Pokhapokha ngati dokotala wanu atakuuzani kuti musamwe mankhwala okhala ndi aspirin, acetaminophen, ibuprofen, naproxen, kapena ketoprofen. Mankhwalawa amatha kuchepetsa kutentha thupi kwanu, zomwe zimapangitsa kuti zikhale zovuta kudziwa ngati muli ndi matenda.
Ndikofunikira kwambiri kuti mukamamwa mankhwalawaAmuna ndi akazi onse ayenera kugwiritsa ntchito njira zolerera zogwira mtima kuti apewe kutenga mimba. Musatenge mimba mukamagwiritsa ntchito mankhwalawa. Izi zili choncho chifukwa pali zotsatirapo zoyipa kwa mwana wosabadwa. Funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri. Azimayi ayenera kupewa kuyamwitsa akamamwa mankhwalawa.
Kodi ndi zotsatirapo zotani zomwe ndingapeze kuchokera ku mankhwalawa?
Monga mankhwala ena aliwonse, estramustine ingayambitse zotsatira zina zoyipa. Si aliyense amene amalandira mankhwalawa, koma ndi bwino kudziwa zomwe zingatheke. Zina mwa izo ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo, pomwe zina ziyenera kufotokozedwa pokhapokha ngati zikupitirira kapena zikuvutitsa.
Zotsatirapo zomwe zimafuna chithandizo chamankhwala mwachangu:
Ngati mukukumana ndi zizindikiro izi, uzani dokotala wanu kapena wothandizira zaumoyo mwamsanga:
- Matenda a ziwengo - kutupa pakhungu, kuyabwa kapena ming'oma, kutupa kwa nkhope, milomo, kapena lilime
- Zizindikiro za matenda - malungo kapena kuzizira, chifuwa, kupweteka pakhosi, kupweteka kapena kuvutika kukodza
- Zizindikiro za kuchepa kwa ma platelet kapena kutuluka magazi - kuvulala, mawanga ofiira pakhungu, zakuda, ndowe zochedwa, magazi mu mkodzo
- Mavuto opuma
- Kusintha kwa masomphenya (`(kusintha kwa masomphenya)`) - masomphenya osawoneka bwino mwadzidzidzi
- Kupweteka pachifuwa (`(kupweteka pachifuwa)`) - Ichi chingakhale chizindikiro cha matenda a mtima
- Kuthamanga kwa magazi (`(kuthamanga kwa magazi)`)
- Ululu, kutupa, kutentha kwa mwendo - Izi zitha kukhala magazi kuundana.
- Kutupa kwa akakolo, mapazi, manja (`(kutupa kwa akakolo, mapazi, manja)`)
- Mavuto ndi kulinganiza bwino, kulankhula, kuyenda (`(vuto ndi kulinganiza bwino, kulankhula, kuyenda)`) - mwadzidzidzi kulankhula kumawoneka ngati kusokonezeka, kuyenda kumawoneka ngati kuyenda
- Kusanza pafupipafupi (`(kusanza)`)
- Kulemera kwadzidzidzi
- Kuoneka kwachikasu kwa maso kapena khungu - Izi zitha kukhala vuto la chiwindi.
Zotsatirapo zomwe ziyenera kufunidwa kwa dokotala ngati zikupitirira kapena zikuvutitsa:
Zotsatirapozi nthawi zambiri sizifuna thandizo la dokotala. Komabe, ngati zikupitirira kapena kukuvutitsani, uzani dokotala wanu:
- Kukula kwa bere kapena kupweteka kwa amuna ndi akazi (`(kukula kwa bere mwa amuna ndi akazi)`)
- Kusintha kwa chilakolako kapena magwiridwe antchito (`(kusintha kwa chilakolako kapena magwiridwe antchito)`)
- Kutsegula m'mimba
- Khungu louma
- Kutaya chilakolako
- Kumva ngati kusanza (kumva ngati kusanza)
- Kusokonezeka m'mimba, kudzaza m'mimba (`(kusokonezeka m'mimba)`)
- Kuvutika kugona
Mndandandawu sungakhale ndi zotsatirapo zonse zoyipa. Lankhulani ndi dokotala wanu kuti akupatseni upangiri wa zamankhwala wokhudza zotsatirapo zoyipa. Muthanso kunena za zotsatirapo zoyipa ku FDA (Food and Drug Administration) pa 1-800-FDA-1088.
Kodi ndiyenera kusunga bwanji mankhwala anga?
Sungani mankhwalawa pamalo otetezeka, pamwamba, pamalo omwe ana sangafikire.
Izi ziyenera kusungidwa mufiriji kutentha kwa madigiri 2 mpaka 8 Celsius (36 ndi 46 Fahrenheit). Musasunge mankhwala aliwonse osagwiritsidwa ntchito omwe atha ntchito, ndipo muwataye bwino. Mutha kufunsa wamankhwala wanu za izi.
Chinthu china choyenera kukumbukira: Ichi ndi chidule cha zomwe takambirana. Sizingakhale ndi tsatanetsatane uliwonse. Ngati muli ndi mafunso ena okhudza mankhwalawa, lankhulani ndi dokotala wanu, wamankhwala, kapena wothandizira zaumoyo wina. Angakuuzeni chilichonse.
Ndiye, ndi zinthu ziti zomwe tiyenera kukumbukira kuchokera pa zomwe takambiranazi?
Estramustine ndi mankhwala a chemotherapy omwe amagwiritsidwa ntchito pochiza khansa ya prostate. Amalamulira kukula kwa maselo a khansa.
- Mankhwalawa ayenera kumwedwa pamimba yopanda kanthu, ndi madzi. Imwani ola limodzi musanadye kapena maola awiri mutadya. Musamwe pamodzi ndi mkaka kapena zakudya zokhala ndi calcium yambiri.
- Onetsetsani kuti mwauza dokotala wanu za mankhwala ena aliwonse omwe mukumwa kale, matenda ena aliwonse omwe muli nawo, komanso ziwengo zilizonse zomwe muli nazo.
- Samalani ndi matenda opatsirana komanso kutuluka magazi mukamwa mankhwala. Ngati muwona chilichonse monga malungo, mabala aakulu, kapena kutuluka magazi kosazolowereka, uzani dokotala wanu nthawi yomweyo.
- Amuna ndi akazi onse ayenera kugwiritsa ntchito njira zolerera zogwira mtima kuti apewe kutenga mimba. Musatenge mimba kapena kuyamwitsa pamene mukumwa mankhwalawa.
- Zotsatirapo zake zingachitike. Ngati mukukumana ndi zotsatirapo zoyipa monga kupuma movutikira, kupweteka pachifuwa, kapena kutupa kwa miyendo, funsani upangiri wa dokotala nthawi yomweyo.
- Sungani mankhwalawo mufiriji, kutali ndi ana. Tayani mankhwala otha ntchito.
Ngati muli ndi mafunso okhudza mankhwalawa, musaope kufunsa dokotala wanu. Adzakuthandizani. Umoyo wanu ndiye chinthu chofunikira kwambiri kwa iwo.
Estramustine , mankhwala oletsa khansa, khansa ya prostate, chemotherapy, Emcyt, mankhwala a khansa, zotsatirapo zake

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