Tonsefe tikudziwa kuti chithandizo cha khansa, chomwe ndi chemotherapy, si chinthu chophweka kuchita. Pochiza matendawa, zotsatirapo zake, monga nseru ndi kusanza, zimayambitsa kusasangalala kwakukulu m'thupi ndi m'maganizo. Chifukwa chake, lero tikulankhula za jakisoni wapadera womwe madokotala amagwiritsa ntchito poletsa kusasangalala kumeneku, kutanthauza, kupewa nseru ndi kusanza.
Mwachidule, kodi mankhwala awa ndi chiyani?
Mankhwalawa ali ndi mayina awiri: Fosnetupitant ndi Palonosetron . Ndi jakisoni wophatikiza wa awiriwa. Ntchito yake yayikulu ndikuletsa nseru ndi kusanza komwe kumachitika chifukwa cha chithandizo cha khansa (chemotherapy).
Mwachidule, mankhwala ena m'thupi lathu amatumiza zizindikiro ku ubongo zomwe zimati "Ndikufunika kusanza tsopano." Mankhwalawa amaletsa zizindikirozo kuti zisatumizidwe. Kunena zoona, izi ndi za gulu la mankhwala oletsa kutsekula m'mimba, kapena omwe amadziwika kuti ``mankhwala oletsa kutsekula m'mimba.'' Popeza izi zimaperekedwa chithandizo chisanayambe, mwayi woti munthu achite nseru ndi kusanza umachepa kwambiri.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanakupatseni mankhwala awa, ndikofunikira kwambiri kuti dokotala wanu adziwe za thanzi lanu lonse. Izi zili choncho chifukwa mankhwalawa angakhudze matenda anu ena. Chifukwa chake, ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwadziwitsa dokotala wanu .
| Mkhalidwe wanu | N’chifukwa chiyani ndikofunikira kwa dokotala ? |
|---|---|
| Matenda a impso | Popeza mankhwala amachotsedwa m'thupi kudzera mu impso, ndikofunikira kudziwa momwe impso zimagwirira ntchito. |
| Matenda a chiwindi | Popeza chiwindi chimagwiritsa ntchito mankhwala, ntchito yake ingakhudze mlingo wa mankhwalawo. |
| Matenda a ziwengo | Ngati muli ndi vuto la mankhwala awa kapena mankhwala ena ofanana ndi amenewa (monga ondansetron, granisetron), muyenera kuuza dokotala wanu. Muuzeninso ngati muli ndi vuto lililonse la mankhwala ena, zakudya, kapena utoto. |
| Ngati muli ndi pakati kapena mukuyembekezera mwana | Ndikofunikira kufunsa upangiri kwa dokotala musanagwiritse ntchito mankhwala aliwonse panthawi ya mimba. |
| Ngati mayi akuyamwitsa mwana wake | Dokotala ayenera kudziwa ngati zosakaniza za mankhwalawa zitha kupita kwa mwana kudzera mu mkaka wa m'mawere. |
Kodi mumagwiritsa ntchito bwanji mankhwalawa?
Iyi si mankhwala omwe mungapite nawo kunyumba.
- Izi zimaperekedwa ngati jakisoni mu mtsempha .
- Imaperekedwa kuchipatala kapena ku chipatala kokha motsogozedwa ndi ogwira ntchito zachipatala.
- Ngati mukupereka mankhwalawa kwa ana aang'ono, chisamaliro chapadera chingafunike. Lankhulani ndi dokotala wanu za izi.
Chofunika: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo mwangozi, muyenera kuyimbira foni ku National Poisons Information Centre ku Colombo National Hospital nthawi yomweyo, kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Kodi pangakhale kuyanjana ndi mankhwala ena?
Inde, ndithudi. Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa. Mankhwala ena amatha kusokonezana ndi katemerayu ndikuyambitsa zotsatira zosafunikira. Uzani dokotala wanu za mavitamini, mankhwala azitsamba, kapena zowonjezera zomwe mukumwa. Samalani kwambiri ndi mankhwala otsatirawa:
- Mankhwala ena omwe amagwiritsidwa ntchito pochiza khansa
- Mankhwala a matenda monga kuvutika maganizo ndi nkhawa
- Mankhwala a matenda a bowa (monga ketoconazole, itraconazole)
- Mankhwala ena ogona
- Mankhwala omwe amaletsa magazi kuundana (monga warfarin)
- Mankhwala ochepetsa ululu, mwachitsanzo `(Fentanyl)`, `(Tramadol)`
- Mankhwala monga `Dexamethasone`, `Midazolam`, `Rifampin`
- Mankhwala omwe ali m'gulu la `MAOIs`
- `Methylene blue` (mkati mwa mtsempha)
Mndandanda uwu sunathe, choncho onetsetsani kuti mwauza dokotala wanu za mankhwala onse omwe mukumwa.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, pali zotsatirapo zina zomwe zingachitike. Zina zimafunika chisamaliro chadzidzidzi, pomwe zina nthawi zambiri sizimakhala zoopsa.
| Ngati mukumva zizindikiro izi, uzani dokotala wanu kapena namwino nthawi yomweyo. | |
|---|---|
| Zotsatira zoyipa | Zizindikiro zomwe zingatheke |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi, komanso kuvutika kupuma. |
| Matenda a Serotonin | Nkhawa, chisokonezo, kugunda kwa mtima mofulumira kapena kosasinthasintha, kuuma kwa minofu kapena kugwedezeka, thukuta kwambiri, kutentha thupi kwambiri, kugwedezeka, kusanza, kutsegula m'mimba. (Ili ndi vuto lalikulu kwambiri) |
| Izi nthawi zambiri sizimakhala zoopsa, koma ngati zikupitirira, uzani dokotala wanu. | |
| Kudzimbidwa | Kuvuta kupita kuchimbudzi. |
| Kutopa | Kutopa kwambiri m'thupi. |
| Mutu | Mutu wamba. |
| Mimba yopweteka | Kupsa m'mimba kapena kusapeza bwino. |
Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Ngati muwona china chake chachilendo kuwonjezera pa izi, chonde dziwitsani ogwira ntchito zachipatala.
Uthenga Wopita Nawo Kunyumba
- Fosnetupitant; Palonosetron ndi jakisoni woperekedwa kuti apewe nseru ndi kusanza komwe kumachitika chifukwa cha chithandizo cha khansa (chemotherapy).
- Musanamwe mankhwalawa, ndikofunikira kuuza dokotala wanu za ziwengo zilizonse zomwe muli nazo, matenda ena, ndi mankhwala ena onse omwe mukumwa.
- Uwu ndi mankhwala omwe amaperekedwa kuchipatala kapena ku chipatala, motsogozedwa ndi akatswiri azachipatala.
- Ngati mukukumana ndi zizindikiro zilizonse za ziwengo (zotupa pakhungu, kutupa) kapena zizindikiro zokhudzana ndi serotonin syndrome (malungo akulu, kukwiya) mukamamwa mankhwala kapena mutatha kumwa, dziwitsani ogwira ntchito kuchipatala nthawi yomweyo .
- Ngati muli ndi mafunso okhudza mankhwalawa, musazengereze kufunsa dokotala wanu.
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