Ndizachibadwa kumva kutopa kwambiri komanso mantha pamene inu kapena wokondedwa wanu mwapezeka ndi khansa. Pa nthawi yotereyi, mungakhale ndi mafunso ambiri okhudza chithandizo chomwe dokotala wanu akukupatsani, makamaka chemotherapy. Kudziwa bwino chithandizo chomwe mukulandira kudzakupatsani mphamvu zambiri kuti muthane ndi ulendo wovutawu. Lero tikulankhula za mankhwala ofunikira kwambiri, katemera wa Irinotecan Liposomal (dzina lodziwika bwino: Onivyde).
Kodi mankhwala awa ndi amtundu wanji?
Mwachidule, Irinotecan Liposomal ndi mtundu wa mankhwala a chemotherapy omwe amapha maselo a khansa. Makamaka, amagwiritsidwa ntchito kwambiri pochiza khansa ya kapamba . Dokotala wanu angakulimbikitseninso mitundu ina ya khansa.
Mungasokonezeke pang'ono ndi mawu oti "liposomal." Tanthauzo lake ndilakuti molekyu ya mankhwalayo imakutidwa ndi utoto wapadera, ngati thovu laling'ono la mafuta. Ukadaulo uwu umathandiza kuti mankhwalawa afike ku maselo a khansa mwapadera komanso moyenera.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kulandira chithandizo
Kuti chithandizochi chikhale chotetezeka komanso chothandiza kwambiri kwa inu, ndikofunikira kuti dokotala wanu adziwe mbiri yanu yonse ya thanzi. Ngati muli ndi vuto lililonse lomwe latchulidwa pansipa, onetsetsani kuti mwawauza musanayambe kulandira chithandizo.
| Mkhalidwe wanu | N’chifukwa chiyani muyenera kudziwitsa? |
|---|---|
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa | Mankhwalawa angavulaze mwana wosabadwa ndipo angapatsidwe kwa mwana kudzera mu mkaka wa m'mawere. |
| Matenda aliwonse a chiwindi | Popeza chiwindi chimathandiza kuchotsa mankhwala m'thupi, ndikofunikira kudziwa ntchito yake. |
| Kuchepa kwa maselo oyera a magazi, maselo ofiira a magazi, kapena ma platelet m'magazi | Mankhwalawa amatha kuchepetsa kuchuluka kwa maselo m'magazi, choncho ndikofunikira kudziwa momwe zinthu zilili panopa. |
| Matenda opatsirana (makamaka matenda opatsirana ndi mavairasi monga nkhuku ndi herpes) | Mankhwalawa, omwe amaletsa chitetezo chamthupi, angapangitse kuti matenda omwe alipo achuluke. |
| Matenda a m'mapapo kapena kupuma (monga mphumu) | Izi ndizofunikira pothana ndi mavuto opuma omwe angayambitsidwe ndi mankhwala. |
| Ngati mwalandira chithandizo cha radiation posachedwapa kapena mukulandira chithandizo cha radiation | Kuphatikiza chithandizo cha radiation ndi chemotherapy kungapangitse zotsatirapo zoyipa. |
| Ngati muli ndi vuto la ziwengo chifukwa cha mankhwala ena, zakudya kapena zinthu zina | Izi zimathandizanso kuwunika chiopsezo chokhala ndi ziwengo ndi mankhwalawa. |
Kodi mankhwalawa amaperekedwa bwanji?
Mankhwalawa si chinthu chomwe mungamwe kunyumba. Ndi mankhwala opangidwa ndi saline (mtundu wa saline solution) omwe amaperekedwa kudzera mu mtsempha. Amaperekedwa kuchipatala kapena ku chipatala ndi dokotala kapena namwino yemwe waphunzitsidwa mwapadera pa izi.
Chofunika: Mankhwalawa ndi a inu nokha. Musagawire mankhwala awa ndi wina aliyense pazifukwa zilizonse.
Nanga bwanji ngati nditaphonya nthawi yokumana ndi dokotala?
Ngati simungathe kufika pa nthawi yomwe mwakonza, musadandaule. Imbani dokotala wanu kapena chipatala chomwe mukulandira chithandizo mwamsanga kuti muwadziwitse ndikupeza upangiri wa zomwe mungachite kenako.
Nanga bwanji ngati mlingo ukuwonjezeka?
Popeza izi zimaperekedwa kuchipatala ndi ogwira ntchito ophunzitsidwa bwino, mwayi wolandira mlingo woposa womwe waperekedwa ndi wochepa kwambiri. Komabe, ngati mukukayikira kuti izi zachitika mwanjira ina iliyonse, dziwitsani ogwira ntchito zachipatala nthawi yomweyo. Kapenanso, dziwitsani National Poisons Information Centre ku Colombo National Hospital kapena Emergency Treatment Unit (ETU) yapafupi.
Zinthu zoti muziganizire panthawi ya chithandizo
Thupi lanu limakhala lolimba kwambiri mukalandira mankhwala a chemotherapy, choncho ndikofunikira kusamala kwambiri ndi zinthu izi.
Mimba ndi kubereka
- Kwa akazi: Musatenge mimba pazifukwa zilizonse mukamamwa mankhwalawa komanso kwa mwezi umodzi mutatenga mlingo wanu womaliza. Mankhwalawa akhoza kuvulaza kwambiri mwana wosabadwa. Chifukwa chake, lankhulani ndi dokotala wanu za njira yodalirika yolerera.
- Kwa amuna: Ngati mukulandira chithandizochi, ndikofunikira kuti mnzanu agwiritse ntchito makondomu kuti apewe kutenga mimba panthawi ya chithandizo komanso kwa miyezi inayi mutalandira mlingo womaliza.
- Kuyamwitsa: Pewani kuyamwitsa mwana wanu panthawi ya chithandizo komanso kwa mwezi umodzi mutatenga mlingo womaliza.
Chitetezo ku matenda
Mankhwala a chemotherapy amatha kuchepetsa kuchuluka kwa maselo oyera m'magazi omwe amalimbana ndi matenda. Izi zikutanthauza kuti mutha kutenga matenda mosavuta.
- Ngati mukumva zizindikiro monga malungo, chimfine, kupweteka pakhosi, kapena chifuwa , musadzipatse mankhwala ndipo dziwitsani dokotala wanu nthawi yomweyo.
- Chepetsani kukhudzana ndi malo odzaza anthu komanso anthu odwala momwe mungathere.
- Sambani m'manja nthawi zambiri ndi sopo.
Kuopsa kwa kutuluka magazi
Mankhwalawa angachepetsenso kuchuluka kwa ma platelet, omwe amathandiza magazi kuundana.
- Samalani kwambiri mukamatsuka mano anu ndi floss. Mkamwa mwanu mumatha kutuluka magazi.
- Ngati mukufuna chithandizo chadzidzidzi cha mano, uzani dokotala wa mano kuti mukuchita chemotherapy.
- Uzani dokotala wanu ngati muwona mabala osazolowereka, mawanga ofiira pansi pa khungu, kapena kutuluka magazi kosazolowereka kuchokera m'mphuno kapena kwina kulikonse.
Kutsegula m'mimba ndi kutaya madzi m'thupi
Kutsegula m'mimba kwambiri ndi kusanza ndi zotsatirapo zoyipa zomwe zimachitika kawirikawiri chifukwa cha mankhwalawa. Izi zingayambitse kutaya madzi m'thupi, zomwe zingakhale zoopsa, choncho funsani upangiri wa dokotala nthawi yomweyo ngati mutsegula m'mimba kwambiri kapena kusanza.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse a chemotherapy, mankhwalawa angayambitse zotsatirapo zoyipa. Koma si aliyense amene amalandira zonse. Zina zimakhala zazing'ono, pomwe zina zimafunika chithandizo chamankhwala mwachangu.
| Kugawa zotsatira zoyipa | |
|---|---|
| Zotsatirapo zoyipa zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
| Zizindikiro za ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Zizindikiro za matenda | Malungo, kuzizira, kupweteka pakhosi, chifuwa, matenda a mkodzo. |
| Zizindikiro za kutuluka magazi | Zakuda, ndowe zochedwa, mkodzo wofiira/wofiirira wakuda, masanzi omwe amaoneka ngati khofi wophikidwa, madontho ofiira pakhungu, mabala osazolowereka. |
| Zizindikiro zina zazikulu | Kutsegula m'mimba kwambiri, kusanza, kupuma movutikira, kupweteka kwambiri m'mimba, maso kapena khungu kukhala lachikasu, kutopa kwambiri, kukomoka. |
| Zotsatirapo zomwe nthawi zambiri sizifuna thandizo lachipatala (koma ziyenera kunenedwa ngati zikupitirira) | |
| Kutaya tsitsi | Tsitsi lidzameranso chithandizo chitatha. |
| Zilonda pakamwa | Ikhoza kulamuliridwa mwa kusamalira bwino ukhondo wa pakamwa ndi kugwiritsa ntchito mafuta odzola omwe dokotala wakupatsani. |
| Kusowa kwa chakudya chokwanira | Yesetsani kudya pang'ono, nthawi zambiri. |
Uthenga Wopita Nawo Kunyumba
- Irinotecan Liposomal (Onivyde) ndi jakisoni wa chemotherapy wa khansa ya kapamba. Imaperekedwa kudzera m'mitsempha kuchipatala.
- Uzani dokotala wanu za matenda onse omwe muli nawo komanso mankhwala onse omwe mukumwa musanayambe kulandira chithandizo.
- Pewani kutenga mimba konse panthawi ya chithandizo komanso nthawi yomwe mwapatsidwa. Gwiritsani ntchito njira zolerera zodalirika.
- Samalani ndi zizindikiro zochenjeza monga kutentha thupi, kutuluka magazi, ndi kutsegula m'mimba kwambiri. Ngati muwona chilichonse mwa izi, funsani upangiri wa dokotala nthawi yomweyo.
- Kambiranani momasuka ndi dokotala wanu za nkhawa kapena mantha aliwonse omwe mungakhale nawo. Simuli nokha pankhondoyi.
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