Kuchiza khansa kungakhale nkhani yovuta, mwina yoopsa kwa anthu ambiri. Nthawi zambiri kumakhala ndi mafunso ambiri, makamaka dokotala akakupatsani mankhwala monga 'Gefitinib' kwa inu kapena wokondedwa wanu. Lero, tiyeni tikambirane za mankhwala otchedwa Gefitinib, momwe amagwirira ntchito, ndi zinthu zomwe muyenera kusamala nazo mukamazigwiritsa ntchito, m'njira yosavuta yomwe mungamvetse.
Kodi Gefitinib ndi mankhwala amtundu wanji?
Mwachidule, Gefitinib ndi mankhwala omwe ali m'gulu la mankhwala ochizira matenda. Izi zikutanthauza kuti mankhwalawa amakhudza mwachindunji mapuloteni enaake m'maselo a khansa ndipo amawaletsa kukula. Si mankhwala omwe amaperekedwa kwa khansa zonse.
Mankhwalawa nthawi zambiri amagwiritsidwa ntchito pochiza matenda omwe ali ndi khansa ya m'mapapo yotchedwa non-small cell lung cancer . Mutha kudziwa mankhwalawa ndi dzina loti `Iressa`. Madokotala angakupatseninso mankhwalawa pa matenda ena. Choncho onetsetsani kuti mwafunsa dokotala wanu za matenda anu enieni.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Musanayambe kulandira chithandizo cha Gefitinib, ndikofunikira kwambiri kuuza dokotala wanu mbiri yanu yachipatala. Makamaka ngati muli ndi vuto lililonse mwa izi:
- Matenda a maso kapena mavuto a maso: Ngati muli ndi matenda aliwonse a maso kapena vuto la maso.
- Matenda a chiwindi: Mtundu uliwonse wa matenda a chiwindi.
- Matenda a m'mapapo kapena kupuma: Matenda monga mphumu.
- Kutupa kwa Mapapo kapena Kukhuthala kwa Mapapo: Ngati mudapezekapo kale ndi zipsera kapena makulidwe a mapapo.
- Chithandizo cha Radiation: Ngati mwalandira chithandizo cha radiation posachedwapa kapena mukulandira chithandizo cha radiation.
- Matenda a ziwengo: Ngati muli ndi vuto la ziwengo ku Gefitinib kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Mimba: Ngati muli ndi pakati, mukufuna kutenga mimba, kapena mukukayikira kuti muli ndi pakati.
- Kuyamwitsa: Ngati ndinu mayi amene akuyamwitsa mwana.
Kutengera ndi izi, dokotala wanu adzasankha ngati mankhwalawa ndi oyenera kwa inu komanso momwe ayenera kuperekedwera.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Ndikofunikira kwambiri kutsatira malangizo a dokotala wanu momwe mungagwiritsire ntchito mankhwalawa.
- Mezani piritsi lonseli ndi kapu ya madzi.
- Mungathe kutenga izi ndi chakudya kapena ayi.
- Yesani kumwa mankhwala anu nthawi yofanana tsiku lililonse. Izi zithandiza kuti kuchuluka kwa mankhwala m'magazi anu kukhale kofanana.
- Musamwe mankhwala opitirira mlingo womwe mwapatsidwa kapena kusiya kumwa popanda upangiri wa dokotala.
- Ngati mukuvutika kumeza mapiritsi, lankhulani ndi dokotala wanu. Iye adzakuthandizani kusankha njira zina zochiritsira.
Chofunika kudziwa: Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi wina aliyense pazifukwa zilizonse.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati patatha maola osakwana 12 kuti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya. Imwani mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaphonya.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo. Komanso, ngati n'kotheka, imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana)
Gefitinib ndi mankhwala omwe angagwirizane ndi mankhwala ena, choncho muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa (olembedwa ndi dokotala, osagula mankhwala, mankhwala azitsamba, mavitamini).
| Kuyanjana kwa Mankhwala | |
|---|---|
| Musamwe mankhwalawa pamodzi ndi mankhwala ena aliwonse. | |
| Thioridazine | Mankhwala a matenda amisala. |
| Mankhwala ena omwe angagwirizane (dziwitsani dokotala) | |
| Mankhwala oletsa asidi m'mimba ndi ochepetsa asidi m'mimba | (monga Cimetidine, Famotidine, Omeprazole, Lansoprazole) |
| Mankhwala oletsa kachilombo ka HIV kapena Edzi | |
| Mankhwala ena a matenda a bowa | (monga Ketoconazole, Itraconazole) |
| Mankhwala ena a khunyu | (monga Carbamazepine, Phenobarbital, Phenytoin) |
| Mankhwala oletsa magazi kuundana | (monga Warfarin) |
| Rifampin | Mankhwala opha tizilombo toyambitsa matenda omwe amaperekedwa pa chifuwa chachikulu. |
Zotsatirapo zoyipa zomwe muyenera kuzidziwa mukamamwa mankhwala
Zotsatirapo zina zingachitike mukatenga gefitinib. Zina mwa izo zingakhale zoopsa, choncho ndikofunikira kuzidziwa.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
| Ziwengo zoopsa | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Kuvuta kupuma | Kuvuta kupuma, chifuwa chatsopano, kapena malungo. Ichi chikhoza kukhala chizindikiro cha matenda a m'mapapo. |
| Mavuto a maso | Kusintha kwa masomphenya, kupweteka kwa maso. |
| Matenda aakulu a khungu | Kufiira kwa khungu, kutupa, kutuluka kwa khungu (ngakhale mkati mwa mkamwa), mawanga ofiira pakhungu. |
| Zizindikiro za kuwonongeka kwa chiwindi | Mkodzo wakuda wachikasu kapena bulauni, maso kapena khungu kukhala lachikasu, kupweteka kumtunda kwa kumanja kwa m'mimba, ndowe zoyera, kusowa chilakolako cha chakudya, nseru, kutopa kosazolowereka. |
| Kupweteka kwambiri m'mimba | Kupweteka kwambiri m'mimba mwadzidzidzi. |
| Zomwe muyenera kuuza dokotala wanu ngati zikupitirira kapena zikukuvutitsani | |
| Kutsegula m'mimba | Samalani chifukwa kutsegula m'mimba kwambiri, nseru, ndi kusanza kungayambitse kutaya madzi m'thupi. |
| Ziphuphu | Matuza ooneka ngati ziphuphu pakhungu. |
| Kutaya chilakolako cha chakudya ndi kuchepetsa thupi | |
| Khungu louma | |
Chisamaliro chapadera panthawi ya mimba ndi kuyamwitsa
Izi ndizofunikira kwambiri: Pewani kutenga mimba pamtengo uliwonse mukamamwa mankhwalawa kapena kwa milungu iwiri mutasiya kumwa mankhwalawa.Mankhwalawa akhoza kuvulaza kwambiri mwana wosabadwa. Azimayi ayenera kuyezetsa mimba kuti atsimikizire kuti alibe pakati asanayambe kulandira chithandizo. Komanso, pewani kuyamwitsa kwathunthu pamene mukumwa mankhwalawa.
Uthenga Wopita Nawo Kunyumba
- Gefitinib ndi mankhwala omwe ayenera kumwedwa pokhapokha ngati dokotala wakupatsani malangizo, pa mlingo womwe mwapatsidwa. Musasinthe kapena kusiya mlingo nokha.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi matenda omwe mukumwa.
- Fufuzani thandizo lachipatala mwamsanga ngati mukukumana ndi mavuto aakulu monga kupuma movutikira, khungu loipa, kupweteka kwa maso, kapena zizindikiro za kuwonongeka kwa chiwindi.
- Pewani kutenga mimba kwathunthu mukumwa mankhwalawa komanso kwa milungu iwiri mutasiya.
- Sungani mankhwalawa kutentha kwa chipinda (pakati pa 20-25 Celsius), pamalo omwe ana sangafikire.
- Musagawire mankhwala anu ndi ena. Akhoza kukhala oopsa kwa iwo.
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