Ndizachilendo kumva mantha pang'ono komanso mantha mukayamba kulandira chithandizo cha khansa. Koma ngati mukudziwa bwino za mankhwala omwe mudzapatsidwe, kutanthauza chemotherapy, mantha amenewo akhoza kuchepetsedwa kwambiri. Lero tikulankhula za jakisoni wapadera womwe umaperekedwa pochiza khansa yotereyi. Imeneyo ndi Irinotecan.
Kodi Irinotecan ndi chiyani?
Mwachidule, Irinotecan ndi mankhwala a chemotherapy omwe amapha maselo a khansa. Amagwiritsidwa ntchito kwambiri pochiza khansa ya m'matumbo ndi khansa ya m'matumbo. Nthawi zina dokotala wanu angakulembereni mitundu ina ya khansa. Mankhwalawa amapezekanso pamsika wotchedwa `(Camptosar)`.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kulandira chithandizo
Ndikofunikira kuti dokotala wanu adziwe zonse zokhudza thanzi lanu kuti adziwe ngati chithandizochi chili choyenera kwa inu komanso kuti akupatseni chithandizocho mosamala. Chifukwa chake, ngati muli ndi vuto lililonse mwa zotsatirazi, uzani dokotala wanu popanda kubisa chilichonse .
| Thanzi lanu | N’chifukwa chiyani muyenera kusamala? |
|---|---|
| Ngati mwataya madzi m'thupi kapena mukutsegula m'mimba. | Mankhwalawa angayambitse kutsegula m'mimba, zomwe ndi zoopsa ngati muli kale ndi vutoli. |
| Ngati muli ndi matenda a chiwindi. | Chifukwa chiwindi ndi chofunikira pakuchotsa mankhwala m'thupi. |
| Kuchuluka kwa magazi m'magazi (maselo oyera otsika, maselo ofiira a magazi, kapena ma platelet). | Mankhwalawa amatha kuchepetsa kwambiri kuchuluka kwa maselo a magazi. |
| Ngati mwalandira chithandizo cha radiation posachedwapa kapena mukulandira chithandizo cha radiation. | Chifukwa mphamvu ya thupi ikhoza kuwonjezeka. |
| Ngati muli ndi matenda, makamaka matenda opatsirana ndi mavairasi monga nsabwe kapena herpes. | Matenda amatha kukhala oopsa chifukwa cha chitetezo chochepa cha mthupi. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa. | Izi zitha kukhala zoopsa kwambiri kwa mwana wosabadwayo komanso mwana woyamwa. |
| Ngati muli ndi vuto la Irinotecan kapena mankhwala ena aliwonse, zakudya, kapena utoto. | Kupewa ziwengo zoopsa. |
Kodi mankhwala awa adzaperekedwa bwanji kwa inu?
Mankhwala awa si omwe mungapite nawo kunyumba. Amaperekedwa ngati mankhwala olowetsedwa (monga saline) kudzera mu mitsempha. Amaperekedwa kuchipatala kapena ku chipatala ndi dokotala kapena namwino yemwe waphunzitsidwa mwapadera pa izi.
Ngati mukupereka mankhwalawa kwa ana, muyenera kulankhula ndi dokotala wa ana za mankhwalawa ndikuwasamalira mwapadera.
Nanga bwanji ngati mlingo wa mankhwala wawonjezeka kapena watha?
Popeza mankhwalawa amaperekedwa kuchipatala, chiopsezo chogwiritsa ntchito mankhwala mopitirira muyeso n'chochepa. Komabe, ngati mukukayikira kuti izi zachitika mwanjira ina iliyonse, dziwitsani ogwira ntchito zachipatala nthawi yomweyo. Kapenanso, mutha kuyimbira National Poisons Information Centre ku Colombo National Hospital .
Musaphonye tsiku lomwe mwakonza kuti mudzalandire chithandizo. Ngati pazifukwa zina simungathe kupita kuchipatala, imbani dokotala wanu nthawi yomweyo ndipo muwadziwitse.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Muyenera kuuza dokotala wanu za mankhwala onse omwe mumamwa, osati okhawo omwe dokotala wanu wakupatsani, komanso mankhwala ochepetsa ululu omwe amagulitsidwa mumsika, mavitamini, mankhwala achikhalidwe, zitsamba, ndi zowonjezera. Komanso, muuzeni dokotala wanu ngati mumasuta kapena kumwa mowa.
| Musatenge izi ndi Irinotecan! | |
|---|---|
| Cobicistat | Itraconazole |
| Mankhwalawa angayambitse mavuto (uzani dokotala wanu). | |
| Mankhwala ena a HIV kapena Edzi | Maantibayotiki ena monga Clarithromycin ndi Rifampin |
| Mankhwala oletsa bowa monga Ketoconazole, Voriconazole | Mankhwala oletsa khunyu monga Carbamazepine ndi Phenytoin |
| Gemfibrozil | Wort wa St. John (mankhwala ochokera ku zitsamba) |
Zinthu zomwe muyenera kudziwa mukalandira chithandizo
Muyenera kusamalira thupi lanu bwino panthawiyi.
Kusamva bwino konse ndi kuyezetsa magazi
Popeza mankhwala a chemotherapy amakhudza maselo a khansa komanso maselo athanzi, ndi zachilendo kumva kusasangalala komanso kusasangalala panthawi ya chithandizo. Komabe , musasiye chithandizo popanda upangiri wa dokotala pazifukwa zilizonse. Uzani dokotala wanu za zotsatirapo zilizonse zomwe mumakumana nazo. Muyenera kuyezetsa magazi nthawi zonse (magazi) kuti muwone kuchuluka kwa magazi anu panthawi ya chithandizo.
Kugona ndi chizungulire
Mankhwalawa angakupangitseni kumva tulo kapena chizungulire. Choncho musayendetse galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafuna kukhala maso mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Samalani mukadzuka kuchokera pamalo oyimirira kapena kukhala pansi, makamaka ngati ndinu okalamba. Dzukani pang'onopang'ono. Kupanda kutero, mungagwe mphwayi ndi kugwa.
Dzitetezeni ku matenda!
Izi ndizofunikira kwambiri. Chithandizo cha Irinotecan chimachepetsa mphamvu ya thupi lanu yolimbana ndi matenda, kutanthauza chitetezo chanu cha mthupi.
Chifukwa chake, ngati mukumva zizindikiro monga malungo, chimfine, kapena kupweteka pakhosi,Lankhulani ndi dokotala wanu nthawi yomweyo. Musamwe mankhwala aliwonse nokha. Makamaka musamwe mankhwala monga Aspirin ndi Ibuprofen popanda upangiri wa dokotala wanu. Chifukwa izi zimatha kuchepetsa kutentha thupi ndikuyambitsa matenda amkati popanda kuzindikira. Komanso, pewani malo omwe anthu odwala ali ndi mwayi wochuluka panthawiyi.
Samalani ndi kutuluka magazi ndi mabala.
Mankhwalawa angakupangitseni kutuluka magazi kapena kuvulala mosavuta. Choncho samalani mukamatsuka mano anu kapena kugwiritsa ntchito zotsukira mano. Mkamwa mwanu mungatuluke magazi. Ngati mukumva mabala osazolowereka, madontho ang'onoang'ono ofiira pakhungu lanu, magazi m'chimbudzi chanu kapena ndowe zakuda, kapena magazi m'mkodzo wanu, uzani dokotala wanu nthawi yomweyo.
Chidziwitso chapadera chokhudza mimba, kuyamwitsa ndi kubereka
- Mimba: Ngati ndinu mkazi, pewani kutenga mimba mukumwa mankhwalawa komanso kwa miyezi 6 mutasiya kumwa mankhwalawa. Ngati ndinu mwamuna, pewani kubereka mwana mukumwa mankhwalawa komanso kwa miyezi itatu mutasiya kumwa mankhwalawa. Mankhwalawa akhoza kuvulaza kwambiri mwana wosabadwa.
- Kuyamwitsa: Musayamwitse mwana wanu panthawi ya chithandizo komanso kwa masiku 7 mutasiya kumwa mankhwala.
- Kubereka: Mankhwalawa angayambitse kulephera kwa mazira m'mimba mwa akazi ena komanso kuchepa kwa umuna mwa amuna. Izi zingakhudze kuthekera kwanu kobereka ana. Ngati muli ndi nkhawa iliyonse pankhaniyi, lankhulani ndi dokotala wanu musanayambe kulandira chithandizo.
Zotsatirapo zomwe mungakumane nazo
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Zina mwa izo ndi zazikulu, zina mwa izo ndi zofala.
| Ngati zizindikirozi zichitika, dziwitsani dokotala kapena chipatala nthawi yomweyo! | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Zizindikiro za matenda | Malungo kapena kuzizira, chifuwa, kupweteka pakhosi, kupweteka pokodza. |
| Kutsegula m'mimba | Kutsegula m'mimba kwambiri kapena kosalekeza. |
| Zizindikiro za kutuluka magazi | Mabala pakhungu, mawanga ofiira, ndowe zakuda, magazi mu mkodzo. |
| Zizindikiro za maselo ofiira otsika m'magazi | Kutopa kwambiri, chizungulire, maso abuluu. |
| Zizindikiro zina zazikulu | Kupweteka pachifuwa, nseru ndi kusanza, kupweteka kwa mwendo, kutupa. |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kutaya tsitsi | Chilakolako cha chakudya |
| Zilonda pakamwa | Mutu |
| Kudzimbidwa | Kupweteka m'mimba |
Uthenga Wopita Nawo Kunyumba
- Irinotecan ndi mankhwala amphamvu a khansa. Nthawi zonse tsatirani malangizo a dokotala wanu.
- Musanayambe kulandira chithandizo, uzani dokotala wanu za mankhwala onse, mavitamini, ndi matenda aliwonse omwe mukumwa.
- Ngati mukupeza zizindikiro za matenda monga malungo, kuzizira, kapena kuvulala kosazolowereka kapena kutuluka magazi panthawi ya chithandizo, dziwitsani dokotala wanu nthawi yomweyo.
- Kutsegula m'mimba ndi zotsatira zoyipa zomwe zimachitika kawirikawiri komanso zomwe zingakhale zoopsa chifukwa cha mankhwalawa. Choncho uzani dokotala wanu nthawi yomweyo ngati mutsegula m'mimba.
- Pewani kutenga pakati kapena kubereka mwana panthawi ya chithandizo komanso kwa nthawi yonse yomwe dokotala wanu akulangiza. Lankhulani ndi dokotala wanu ngati muli ndi mafunso okhudza kubereka.
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