Kulandira chithandizo cha khansa nthawi zina kungakhale koopsa komanso kosangalatsa. Dokotala wanu akakuuzani kuti muyamba mankhwala atsopano, ndi zachilendo kuti mukhale ndi mafunso ambiri okhudza mankhwalawa. Chifukwa chake, ngati mwapatsidwa mankhwala otchedwa Fludarabine, tiyeni tikambirane za mankhwalawa m'njira yosavuta komanso yochezeka lero. Ndikukhulupirira kuti izi zikuyankha mafunso anu ambiri.
Kodi Fludarabine ndi chiyani?
Mwachidule, fludarabine ndi mtundu wa mankhwala a chemotherapy . Ndiko kuti, mankhwala omwe amathandiza kuwononga maselo a khansa mwa kusokoneza kukula kwawo. Amagwiritsidwa ntchito makamaka pochiza mtundu wa khansa ya m'magazi yotchedwa chronic lymphocytic leukemia (CLL). Ndiko kuti, mankhwalawa amalimbana ndi maselo a khansa ndipo amawaletsa kugawikana ndi kukula.
Nthawi zina madokotala angagwiritse ntchito mankhwalawa pa mitundu ina ya khansa, choncho ngati muli ndi mafunso okhudza izi, funsani dokotala wanu. Mankhwalawa amapezekanso pamsika wotchedwa Fludara.
Zinthu zoti muuze dokotala wanu musanayambe kulandira chithandizo
Musanayambe kulandira chithandizo cha fludarabine, ndikofunikira kwambiri kudziwitsa dokotala wanu zonse zokhudza thanzi lanu. Onetsetsani kuti mwamuuza ngati muli ndi vuto lililonse mwa zotsatirazi.
- Momwe matendawa alili panopa: Makamaka ngati muli ndi matenda opatsirana ndi mavairasi monga nsabwe kapena herpes.
- Matenda a impso: Ngati muli ndi vuto lililonse la impso.
- Matenda a magazi: Ngati munapezekapo kale ndi maselo ofiira a magazi, maselo oyera a magazi, kapena ma platelet ochepa.
- Matenda a ziwengo: Ngati muli ndi vuto la ziwengo chifukwa cha fludarabine, mankhwala ena a chemotherapy, mankhwala ena, zakudya, kapena zotetezera.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba: Izi ndizofunikira kwambiri.
- Ngati ndinu mayi woyamwitsa.
Mukapereka chidziwitsochi kwa dokotala wanu, iye adzatha kukuthandizani bwino komanso mosamala.
Kodi mumagwiritsa ntchito bwanji mankhwalawa?
Mankhwalawa si chinthu chomwe mungagwiritse ntchito kunyumba. Fludarabine ndi mankhwala omwe amaperekedwa ngati kulowetsedwa (monga saline) mumtsempha . Amaperekedwa kuchipatala kapena ku chipatala ndi katswiri wazachipatala yemwe waphunzitsidwa mwapadera pa izi. Chifukwa chake mulibe chodetsa nkhawa nacho.
Ngati mukupereka mankhwalawa kwa ana, chisamaliro chapadera chikufunika. Muyenera kulankhula ndi dokotala wanu wa ana za vutoli.
Chenjezo: Ngati pazifukwa zilizonse mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poison Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi wina aliyense. Ngati mwaphonya mlingo pa tsiku lomwe mwakonza, imbani dokotala wanu nthawi yomweyo.
Kuyanjana ndi mankhwala ena
Mukamamwa fludarabine, muyeneranso kusamala ndi mankhwala ena omwe mukumwa. Mankhwala ena angakhudzenso mankhwalawa.
| Mtundu wa mankhwala | Kufotokozera |
|---|---|
| Musamwe mankhwala awa ndi | |
| Pentostatin | Iyi ndi mankhwala ena a chemotherapy. Kumwa mankhwalawa pamodzi kungayambitse mavuto aakulu. |
| Uzani dokotala wanu ngati mukumwa izi. | |
| Mankhwala owonjezera maselo a m'magazi | Zitsanzo: filgrastim, pegfilgrastim, sargramostim |
| Katemera | Sikoyenera kulandira mitundu ina ya katemera panthawi ya chithandizo. |
| Mankhwala opha ululu ofala kwambiri | Mankhwala monga acetaminophen (paracetamol), aspirin, ibuprofen, ndi naproxen. |
Mndandanda uwu sunathe. Choncho mumatengaUzani dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera). Komanso, uzani dokotala wanu ngati mumasuta kapena kumwa mowa.
Zinthu zoti muziganizire panthawi ya chithandizo
Ndi zachilendo kumva kusasangalala komanso kutopa mukalandira mankhwala a chemotherapy. Izi zili choncho chifukwa mankhwalawa amakhudza maselo a khansa komanso maselo athanzi pamlingo winawake. Komabe, pitirizani kulandira chithandizo mpaka dokotala atakuuzani kuti musiye.
Dzitetezeni ku matenda
Mankhwalawa amatha kuchepetsa chitetezo cha mthupi lanu , zomwe zikutanthauza kuti mungatenge matenda mosavuta.
- Ngati mukumva zizindikiro monga malungo, kuzizira, kupweteka pakhosi, kapena chifuwa, imbani dokotala nthawi yomweyo.
- Pewani malo odzaza anthu komanso malo omwe anthu odwala ali ambiri momwe angathere.
- Ngati mukumva mabala osadziŵika bwino, madontho ang'onoang'ono ofiira pakhungu lanu , mkamwa mukutuluka magazi , kapena ndowe zakuda, uzani dokotala wanu nthawi yomweyo.
- Samalani kwambiri mukamatsuka mano anu komanso mukatsuka pakati pa mano anu. Ngati mukaonana ndi dokotala wa mano, muuzeni kuti mukumwa mankhwalawa.
- Akazi: Musatenge mimba mukumwa mankhwalawa. Mankhwalawa angayambitse mavuto aakulu kwa mwana wosabadwa. Komanso, musayamwitse mwana wanu panthawi ya chithandizo.
- Amuna: Mankhwalawa angathandize kuchepetsa kuchuluka kwa umuna. Choncho ngati mukuyembekeza kukhala ndi mwana, kambiranani ndi dokotala wanu za izi musanayambe kulandira chithandizo.
- Fludarabine ndi mankhwala amphamvu a chemotherapy omwe amalamulira kukula kwa maselo a khansa.
- Musanayambe kulandira chithandizo, uzani dokotala wanu za matenda anu onse ndi mankhwala onse omwe mukumwa.
- Mukamalandira chithandizo, samalani ndi zizindikiro za matenda monga malungo, kuzizira, ndi kutuluka magazi kosazolowereka. Ngati muwona chilichonse mwa izi, funsani upangiri wa dokotala nthawi yomweyo.
- Pewani kutenga mimba mukumwa mankhwalawa. Amuna ayeneranso kulankhula ndi dokotala wawo za kubereka.
- Musaope kulankhula ndi dokotala wanu za kusapeza bwino, mavuto, kapena zotsatirapo zina zomwe mungakumane nazo. Simuli nokha.
Musamwe mankhwala monga paracetamol nokha, chifukwa mankhwalawa amatha kuchepetsa kutentha thupi ndipo sangazindikire matenda.
Samalani ndi kutuluka magazi.
Fludarabine ingayambitse kuchepa kwa ma platelet m'magazi, zomwe zimathandiza kuti magazi aziundana mukamatuluka magazi.
Mimba ndi kubereka
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena onse, fludarabine ingayambitse zotsatirapo zoyipa, ngakhale kuti si aliyense amene amalandira.
| Zotsatira zoyipa | Kufotokozera / Zoyenera kuchita |
|---|---|
| Zinthu zoti muuze dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime. |
| Zizindikiro za matenda | Malungo, kuzizira, kupweteka pakhosi, chifuwa, matenda a mkodzo. |
| Zizindikiro za kutuluka magazi | Mabala, mawanga ofiira pakhungu, kutuluka magazi m'mphuno, ndowe zakuda. |
| Zizindikiro za kuchepa kwa magazi m'thupi | Kutopa kosazolowereka, kuyera, kufooka, maso abuluu. |
| Zizindikiro zina zazikulu | Kuvuta kupuma, kusintha kwa masomphenya kapena kumva, kusokonezeka maganizo, zilonda pakamwa, dzanzi kapena kupweteka kwa miyendo, kutupa kwa akakolo, manja ndi mapazi, maso kapena khungu kukhala lachikasu. |
| Zinthu zoti muuze dokotala wanu ngati nthawi zambiri sizili zoopsa, koma zikupitirira | |
| Mavuto a m'mimba | Kudzimbidwa, kutsegula m'mimba, nseru, kusanza, kusowa chilakolako cha chakudya. |
| Matenda ena ang'onoang'ono | Kutaya tsitsi, kusowa tulo. |
Lankhulani ndi dokotala wanu za zizindikiro zilizonse zachilendo zomwe sizinatchulidwe pamndandandawu.
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