Tiyeni tiphunzire za mapiritsi a Imatinib? Kodi angakuthandizeni pakulimbana kwanu ndi khansa!

Kodi inuyo kapena munthu wina amene mumamudziwa anavutikapo ndi khansa? Nthawi ngati zimenezi, madokotala amatilembera mankhwala osiyanasiyana, sichoncho? Imatinib ndi mankhwala apadera omwe amathandiza kuwongolera maselo a khansa otere. Tiyeni tikambirane za mankhwalawa mwatsatanetsatane lero, sichoncho?

Kodi Imatinib ndi mankhwala amtundu wanji?

Mwachidule, Imatinib ndi mankhwala apamwamba omwe amalimbana ndi maselo a khansa ndipo amathandiza kuletsa kukula kwawo. Monga chida chodulira, imalimbana ndi mapuloteni enaake m'maselo a khansa pomwe imateteza maselo athanzi ambiri momwe angathere. Izi zimachedwetsa kugawa ndi kufalikira kwa maselo a khansa.

Dzina lina la mankhwala awa pamsika ndi Gleevec . Dokotala wanu angatchulenso mankhwala awa ndi dzina ili.

Kodi mankhwalawa amagwiritsidwa ntchito pa matenda amtundu wanji?

Mankhwalawa, otchedwa Imatinib, amagwiritsidwa ntchito makamaka pochiza mitundu ina ya khansa ya m'magazi , yomwe ndi khansa yomwe imayamba m'magazi. Kuphatikiza apo, ndi:

• Matenda a Myelodysplastic ndi matenda okhudzana ndi mafupa.
• Kwa mitundu ina ya khansa.
• Amagwiritsidwanso ntchito pa mitundu yapadera ya zotupa zomwe zimapangidwa m'thupi lathu (monga matumbo), zotchedwa GISTs (Gastrointestinal Stromal Tumors) .

Koma kumbukirani kuti madokotala nthawi zina angagwiritse ntchito mankhwalawa pa matenda ena, choncho ngati muli ndi mafunso okhudza chifukwa chake mwapatsidwa mankhwalawa, nthawi zonse ndi bwino kufunsa dokotala wanu kapena wamankhwala.

Kodi ndi zinthu ziti zomwe muyenera kuuza dokotala musanamwe mankhwala?

Musanayambe kumwa Imatinib, pali zinthu zingapo zomwe muyenera kuuza dokotala wanu. Ngati simuwauza, sangakhale oyenera kwa inu, kapena angayambitse mavuto ena. Choncho onetsetsani kuti mwawauza:

• Ngati muli ndi vuto la kutuluka magazi.
• Ngati muli ndi matenda aliwonse - makamaka matenda opatsirana ndi mavairasi monga chickenpox ndi herpes.
• Ngati muli ndi matenda a mtima kapena kulephera kwa mtima.
• Ngati muli ndi matenda a impso.
• Ngati muli ndi matenda a chiwindi.
• Ngati muli ndi matenda a m'mapapo.
• Ngati muli ndi vuto la m'mimba.
• Ngati mudakumanapo ndi vuto la Imatinib kale, kapena mankhwala ena aliwonse, chakudya, utoto, kapena zosungira.
• Ngati muli ndi pakati kapena mukufuna kutenga mimba.
• Ngati ndinu mayi woyamwitsa.

Ndikofunikira kwambiri kuti mukhale otetezeka kupereka chidziwitsochi kwa dokotala!

Kodi mungagwiritse ntchito bwanji mankhwalawa moyenera?

Ndikofunikira kwambiri kudziwa bwino momwe mungamwere mankhwala awa. Muyenera kutsatira zomwe dokotala wanena.

• Piritsi ili liyenera kumwedwa ndi galasi lalikulu la madzi . Musamwe piritsili ndi madzi ochepa.
• Ndi bwino kuitenga pamodzi ndi chakudya. Izi zingathandize kuchepetsa kuvutika m'mimba ndi nseru.
• Musamwe mankhwalawa pamodzi ndi madzi a mphesa pazifukwa zilizonse. Madzi a mphesa angasokoneze kugwira ntchito kwa mankhwalawa.
• Imwani mankhwala monga momwe dokotala wanu wanenera, panthawi yoyenera, komanso muyeso woyenera. Musamwe mankhwala ochulukirapo kuposa momwe dokotala wanenera, kapena kumwa pafupipafupi.
• Musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala.

Anthu ena amavutika kumeza mapiritsi, sichoncho? Ngati muli ndi vuto limenelo, lankhulani ndi dokotala wanu, wamankhwala, kapena katswiri wa zaumoyo. Angakuthandizeni pa vutoli. Pakhoza kukhala njira zosungunula mapiritsi m'madzi ndikumwa, koma zimenezo ziyenera kuchitika motsatira malangizo a dokotala.

Nanga bwanji ngati mankhwalawa aperekedwa kwa ana...?

Inde, nthawi zina zapadera, Imatinib ingaperekedwe kwa ana aang'ono ngati chaka chimodzi. Koma zimenezo zimasankhidwa ndi dokotala wa ana. Pali zinthu zingapo zomwe muyenera kusamala nazo kwambiri mukamapatsa ana. Chifukwa chake, ngati mukupereka mankhwalawa kwa mwana, ndikofunikira kulankhula ndi dokotala za izi ndikufotokozera zonse.

Kodi mumatani ngati mwamwa mankhwala ochulukirapo mwangozi?

Ngati zimenezo zitachitika, ndiye kuti, ngati mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa momwe munaganizira, muyenera kuyimbira foni nthawi yomweyo ku malo owongolera poizoni kapena ku chipinda chodzidzimutsa cha chipatala chapafupi. Musataye nthawi. Uwu ndi mankhwala omwe adakulemberani, musagawane ndi wina aliyense.

Kodi mumatani ngati mwaphonya nthawi yokumana ndi dokotala?

Ngati mwangozi mwayiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yoti mutenge mlingo wotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri kuti mubwezeretse mlingo womwe mwaiwala. Kuchita izi kungawonjezere kuchuluka kwa mankhwala omwe mwamwa.

Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa?

Izi ndizofunikira kwambiri . Imatinib imatha kuyanjana ndi mankhwala ena omwe mukumwa. Izi zikutanthauza kuti ikamwedwa limodzi ndi mankhwala amenewo, zotsatira za Imatinib zimatha kusintha, kapena zotsatira za mankhwala ena zimatha kusintha, kapena zotsatira zake zitha kuchuluka.

Choncho, mukamamwa Imatinib, muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa (omwe dokotala wanu wakupatsani, omwe mumagula ku pharmacy, mankhwala achikhalidwe, mankhwala azitsamba, mavitamini). Muyeneranso kuuza dokotala wanu ngati mumasuta fodya, kumwa mowa, kapena kugwiritsa ntchito mankhwala ena.

Imatinib ingagwirizane ndi mankhwala otsatirawa:

• Mankhwala ena oletsa mavairasi a HIV kapena Edzi
• Bosentan
• Cisapride
• Clarithromycin
• Cyclosporine
• Dexamethasone
• Diltiazem
• Ma alkaloid a Ergot (monga dihydroergotamine, ergonovine, ergotamine, methylergonovine)
• Erythromycin
• Madzi a mphesa kapena mphesa - Monga tanenera kale, izi ziyenera kupewedwa.
• Mankhwala ochepetsa cholesterol (monga atorvastatin, lovastatin, simvastatin)
• Mankhwala ochizira kuvutika maganizo, nkhawa, kapena matenda amisala
• Mankhwala oletsa bowa (monga ketoconazole, itraconazole)
• Mankhwala a kugunda kwa mtima kosakhazikika (monga amiodarone, bepridil, dofetilide, encainide, flecainide, propafenone, quinidine)
• Mankhwala a khunyu (monga carbamazepine, phenobarbital, phenytoin)
• Mapiritsi ogonetsa
• NSAIDs (monga ibuprofen, naproxen)
• Pimozide
• Rifabutin
• Rifampin
• Sildenafil
• Sirolimus
• Chitsamba cha St. John's wort
• Tacrolimus
• Katemera
• Verapamil
• Warfarin - mankhwala omwe amaletsa magazi kuundana

Mndandandawu si wokwanira. Chifukwa chake , ndi bwino kuuza dokotala wanu za mankhwala onse omwe mukumwa. Makamaka lankhulani ndi dokotala wanu musanamwe mankhwala monga paracetamol, aspirin, ibuprofen, ketoprofen, ndi naproxen.

Ndi zinthu ziti zomwe muyenera kusamala nazo mukamamwa mankhwala?

Dokotala wanu adzayang'anira thanzi lanu nthawi zonse mukamamwa Imatinib. Izi zikuphatikizapo kuyezetsa magazi nthawi zonse kuti aone momwe mankhwalawo akukhudzira thupi lanu komanso ngati pali zotsatirapo zina. Ngati mukupeza zizindikiro zatsopano, muyenera kuuza dokotala wanu nthawi yomweyo.

Dziwani ngati pangakhale zotsatirapo zoopsa pakhungu.

Mankhwalawa angayambitse mavuto aakulu pakhungu mwa anthu ena. Izi zitha kuchitika milungu kapena miyezi mutayamba kumwa mankhwala. Ngati mukumva kutupa pakhungu chifukwa cha malungo kapena matenda ngati chimfine, uzani dokotala nthawi yomweyo.Ziphuphuzo zimatha kukhala zofiira kapena zofiirira, kenako zotupa ndi zotupa. Kapena, ziphuphuzo zofiira zimatha kukhala ndi ma lymph nodes otupa pankhope, pamilomo, pakhosi, kapena m'khwapa.

Dzitetezeni ku matenda

Ngati muli ndi zizindikiro monga malungo, kuzizira, pakhosi, kapena chimfine, musadzipatse mankhwala. Imbani dokotala wanu nthawi yomweyo kuti akupatseni malangizo. Mankhwalawa angathandize kuchepetsa mphamvu ya thupi lanu yolimbana ndi matenda. Choncho yesetsani kupewa anthu odwala momwe mungathere.

Kuopsa kwa kutuluka magazi

Mankhwalawa angakulitse chiopsezo chanu chotuluka magazi kapena kuvulala. Uzani dokotala wanu ngati mumamva mabala pafupipafupi, kutuluka magazi m'mphuno, kutuluka magazi m'kamwa mukamatsuka mano anu, kapena kutuluka magazi kwina kulikonse kosazolowereka.

Kugona ndi chizungulire

Mankhwalawa angakupangitseni kugona kapena kuzunguzika mutu. Choncho, mpaka mutadziwa bwino momwe mankhwalawa amakukhudzirani, pewani kuyendetsa galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafuna kusamala.

Kodi mankhwalawa ndi otani kwa amayi apakati ndi oyamwitsa?

Iyi ndi nkhani yofunika kwambiri .

• Musatenge mimba mukumwa mankhwalawa komanso kwa masiku 14 mutasiya kumwa mankhwalawa.
• Ngati mayi akukonzekera kutenga pakati, kapena akuganiza kuti ali ndi pakati, ayenera kuuza dokotala wake. Mankhwalawa angayambitse mavuto aakulu kwa mwana wosabadwa. Funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
• Musayamwitse mwana wanu pamene mukumwa mankhwalawa komanso kwa mwezi umodzi mutasiya kumwa mankhwalawa.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena aliwonse, Imatinib ingayambitse mavuto ena mwa anthu ena. Si aliyense amene amalandira mankhwalawa, koma ena amalandira. Zina mwa izi ndi zinthu zomwe muyenera kuuza dokotala wanu nthawi yomweyo , pomwe zina sizili zoopsa kwambiri ndipo zimatha pakatha masiku ochepa. Koma ngati zikupitirira kapena zikukuvutitsani, muyenera kuuza dokotala wanu .

Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo:

• Zizindikiro za ziwengo: ziphuphu pakhungu, kuyabwa kapena ziphuphu, kutupa kwa nkhope, milomo, lilime.
• Mavuto opuma.
• Kusintha kwa masomphenya.
• Mkodzo wakuda.
• Kumva kudwala kapena zizindikiro zofanana ndi chimfine.
• Zopondapo zowala.
• Kusowa chilakolako.
• Kuchepa kwa kuchuluka kwa magazi: Mankhwalawa angayambitse kuchepa kwa kuchuluka kwa maselo oyera a magazi, maselo ofiira a magazi, ndi ma platelet. Izi zitha kuwonjezera chiopsezo chanu chotenga matenda ndi kutuluka magazi.
• Zilonda pakamwa.
• Ziphuphu, malungo, ndi kutupa kwa ma lymph nodes.
• Kufiira, kutupa, kutsekeka kapena kumasuka kwa khungu kungachitikenso mkamwa.
• Kupweteka kwa m'mimba chapamwamba chakumanja.
• Zizindikiro za ma platelet otsika kapena kutuluka magazi: kuvulala, madontho ofiira pakhungu, zakuda, ndowe zochedwa, magazi mu mkodzo, kutuluka magazi m'mphuno.
• Zizindikiro za maselo ofiira ochepa m'magazi: kufooka kosazolowereka, kutopa, kukomoka, ndi mutu wopepuka.
• Zizindikiro za matenda: malungo kapena kuzizira, chifuwa, kupweteka pakhosi, kupweteka kapena kuvutika kukodza.
• Kutupa kwa miyendo kapena akakolo.
• Kuvutika kutulutsa mkodzo kapena kusintha kuchuluka kwa mkodzo.
• Kusanza.
• Kuoneka kwachikasu kwa maso kapena khungu.

Zotsatirapo zomwe nthawi zambiri sizifuna chithandizo chamankhwala (koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa):

• Kuchepa kwa chilakolako.
• Kutsegula m'mimba.
• Kusowa tulo (kuvutika kugona).
• Mutu.
• Kutentha pamtima.
• Kupweteka kwa mafupa.
• Kupweteka kwa minofu kapena kupweteka.
• Kusanza.
• Kupweteka m'mimba.

Mndandandawu sungakhale ndi zotsatirapo zonse zomwe zingachitike. Ngati muwona china chake chachilendo, funsani dokotala wanu za izi. Muthanso kunena za zotsatirapo zake ku FDA (Food and Drug Administration) pa 1-800-FDA-1088 (ku Sri Lanka, mutha kuzinena kwa akuluakulu oyang'anira mankhwala kudzera mwa dokotala wanu).

Kodi ndiyenera kusunga bwanji mankhwalawa?

Mankhwalawa ayenera kusungidwa pamalo omwe ana sangawafikire . Izi ndizofunikira kwambiri.

• Sungani mapiritsiwa kutentha kwa chipinda, pakati pa madigiri 15 ndi 30 Celsius (59 ndi 86 Fahrenheit).
• Tetezani ku chinyezi. Izi zikutanthauza kuti musasunge m'malo onyowa monga m'bafa.
• Tsekani botolo mwamphamvu.
• Musagwiritse ntchito mankhwala otha ntchito. Tayani.

Kabuku aka ndi chidule chokha. Sikangakhale ndi mfundo zonse. Ngati muli ndi mafunso ena okhudza mankhwalawa, lankhulani ndi dokotala wanu, wamankhwala, kapena katswiri wa zaumoyo.

Uthenga Wopita Nawo Kunyumba:

Chabwino, kuchokera pa zomwe takambirana za Imatinib, pali zinthu zingapo zomwe muyenera kukumbukira :

• Imatinib ndi mankhwala apadera omwe amathandiza kuletsa kukula kwa maselo a khansa. Imwani monga momwe dokotala wanu wakuuzani, panthawi yoyenera, komanso muyeso woyenera.
• Imwani ndi chakudya ndi madzi ambiri. Osamwa ndi madzi a mapeyala.
• Uzani dokotala wanu za mankhwala ena onse omwe mumamwa komanso matenda anu onse . Izi ndizofunikira makamaka ngati muli ndi pakati, mukufuna kutenga pakati, kapena mukuyamwitsa.
• Muyenera kuyezetsa magazi nthawi zonse. Dziwani kusintha kwa khungu, zizindikiro za matenda, komanso kutuluka magazi kosazolowereka. Ngati muwona chilichonse chonga ichi , uzani dokotala wanu nthawi yomweyo.
• Tinakambirananso za zomwe mungachite ngati mwamwa mankhwala ochulukirapo kapena simunadye, eti? Kumbukirani zinthu zimenezo.
• Sungani mankhwalawa pamalo ozizira komanso ouma omwe ana sangawafikire.

Nkhondo yolimbana ndi khansa si yophweka. Koma ndi mankhwala apamwamba ngati awa, komanso kutsatira malangizo a dokotala mosamala, mudzapeza mphamvu zambiri kuti mupambane nkhondoyi. Kaya muli ndi vuto lotani, musaope kulankhula ndi dokotala. Ndikukufunirani kuti muchire mwachangu!

imatinib , gleevec, khansa, khansa ya m'magazi, GIST, mankhwala, zotsatirapo zake