Dokotala wanu akakupatsani mankhwala otchedwa Larotrectinib kwa inu kapena munthu amene mumamudziwa, ndi zachilendo kukhala ndi mafunso ambiri okhudza mankhwalawa. Kodi mankhwalawa ndi amtundu wanji? Nanga chidzachitike ndi chiyani? Kodi pali zotsatirapo zina? Mwina mukudabwa. Musadandaule. Tiyeni tikambirane za mankhwalawa mosavuta, m'njira yomwe mungamvetse.
Kodi Larotrectinib ndi chiyani?
Mwachidule, larotrectinib ndi mtundu wapadera wa mankhwala omwe amaletsa kukula kwa maselo a khansa. Izi zimatchedwa 'targeted therapy'. Izi zikutanthauza kuti mankhwalawa amapita mwachindunji ku puloteni inayake m'maselo a khansa, zomwe zimaletsa maselowo kukula.
Koma iyi si mankhwala omwe amaperekedwa ku mitundu yonse ya khansa. Maselo anu a khansa amayesedwa kuti awone ngati ali ndi kusintha kwapadera mu jini yotchedwa NTRK (neurotrophic receptor tyrosine kinase gene fusion) . Anthu okhawo omwe ali ndi kusintha kwa majini ndi omwe angapindule ndi mankhwalawa. Chifukwa chake ngati dokotala wanu wakupatsani mankhwalawa, zikutanthauza kuti mtundu wa khansa yanu ukhoza kuyankha bwino.
Zinthu zoti muuze dokotala wanu musanayambe kumwa mankhwala
Musanayambe kumwa mankhwalawa, ndikofunikira kwambiri kudziwitsa dokotala wanu za thanzi lanu lonse. Onetsetsani kuti mwawauza izi makamaka:
| Udindo | Zomwe muyenera kudziwa |
|---|---|
| Matenda a chiwindi | Ngati muli ndi matenda aliwonse a chiwindi. |
| Matenda a mitsempha | Ngati miyendo yanu ikupweteka kapena muli ndi mavuto ena a mitsempha. |
| Matenda a ziwengo | Ngati muli ndi vuto la ziwengo ndi mankhwalawa, mankhwala ena, zakudya, kapena utoto. |
| Mimba | Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukukayikira chilichonse. |
| Kuyamwitsa | Ngati mukuyamwitsa mwana wanu. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Chofunika kwambiri ndikumwa mankhwala monga momwe dokotala wanenera.
- Mezani kapisozi yonseyi ndi galasi la madzi .
- Musaswe, kuphwanya, kapena kutafuna kapisozi.
- Mungathe kumwa izi musanadye kapena mutadya. Koma yesani kumwa nthawi yomweyo tsiku lililonse .
- Chofunika kwambiri: Musamwe mankhwalawa pamodzi ndi madzi a mphesa.
- Musasiye kumwa mankhwala anu popanda upangiri wa dokotala.
Ngati aperekedwa kwa ana: Mankhwalawa nthawi zina amatha kuperekedwa ngakhale kwa ana aang'ono. Komabe, amafunika njira zapadera zodzitetezera. Lankhulani ndi dokotala wanu za izi.
Kodi mungachite chiyani ngati mlingo ukuwonjezeka (kupitirira muyeso)?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, musachite mantha. Imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Nanga bwanji ngati nditaiwala kumwa mankhwala anga?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati patatha maola osakwana 6 kuti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa (Kuyanjana)
Mankhwalawa angagwirizane ndi mankhwala ena ndi zakudya zina. Chifukwa chake, uzani dokotala wanu zonse zomwe mukumwa. Izi zikuphatikizapo mankhwala olembedwa ndi dokotala, mankhwala ogulitsidwa kunja kwa chipatala, mankhwala azitsamba, mavitamini, ndi zowonjezera. Komanso, uzani dokotala wanu ngati mumasuta kapena kumwa mowa.
Nazi zina mwa zinthu zomwe zingagwirizane ndi mankhwalawa.
- Mankhwala a HIV kapena Edzi
- Maantibayotiki ena (monga clarithromycin)
- Mankhwala a matenda a bowa (monga ketoconazole)
- Mankhwala a khunyu (monga carbamazepine, phenytoin)
- Mankhwala ena a matenda a mtima
- Mankhwala oletsa chitetezo chamthupi (monga cyclosporine, tacrolimus)
- Mankhwala ena oletsa khansa (chemotherapy)
- Chitsamba cha St. John's Wort
- Madzi a mphesa
Mndandandawu sunathe, choncho ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa.
Zinthu zofunika kuziganizira mukamamwa mankhwala
- Kuyezetsa magazi: Dokotala wanu akamamwa mankhwalawa, nthawi ndi nthawi amalamula kuti ayese magazi kuti awone ngati chiwindi chanu chikugwira ntchito bwino.
- Ntchito Zofunika Kusamala: Mankhwalawa angakupangitseni kumva chizungulire, kugona, kapena kusokonezeka. Choncho, pewani ntchito zomwe zimafuna chisamaliro, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina, mpaka mutadziwa bwino momwe izi zimakhudzira thupi lanu.
- Mimba ndi kuyamwitsa (zofunika kwambiri):
- Akazi: Pewani kutenga pakati mukamamwa mankhwalawa komanso kwa sabata imodzi mutasiya kumwa mankhwalawa. Ngati mukukonzekera kutenga pakati kapena mukuganiza kuti muli ndi pakati, uzani dokotala wanu nthawi yomweyo.
- Amuna: Pewani kubereka mwana pamene mukumwa mankhwalawa komanso kwa sabata imodzi mutasiya kumwa mankhwalawa.
- Pewani kuyamwitsa mwana wanu mukumwa mankhwalawa komanso kwa sabata imodzi mutasiya kumwa.
- Kubereka: Mankhwalawa angakhudze kuthekera kwanu kubereka ana. Ngati muli ndi mafunso okhudza izi, lankhulani ndi dokotala wanu.
Zotsatirapo zoyipa za mankhwalawa
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Zina zimakhala zazing'ono, pomwe zina zimafunika chithandizo chadzidzidzi.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Zizindikiro za kuvulala kwa chiwindi | Mkodzo wakuda wachikasu/bulauni, maso kapena khungu kukhala lachikasu, kupweteka kumtunda kwa kumanja kwa m'mimba, nseru, kusowa chilakolako cha chakudya, ndowe zotumbululuka. |
| Mavuto a mitsempha | Chizungulire, chisokonezo, kulephera kukhazikika bwino, kupweteka kapena dzanzi m'miyendo, kuvutika kulankhula. |
| Zotsatira zoyipa zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kusanza | Kutsegula m'mimba |
| Kudzimbidwa | Chifuwa |
| Kutopa | |
Ngati mukukumana ndi zizindikiro zina zachilendo zomwe sizinatchulidwe pamndandandawu, lankhulani ndi dokotala wanu za zizindikirozo.
Uthenga Wopita Nawo Kunyumba
- Larotrectinib ndi mankhwala ochizira khansa omwe ali ndi gene fusion ya NTRK.
- Ndikofunikira kuuza dokotala wanu za mankhwala ena onse, mankhwala azitsamba, ndi zowonjezera zomwe mukumwa.
- Pewani kumwa madzi a mphesa kotheratu mukamamwa mankhwalawa.
- Tsatirani mosamala kwambiri pankhani ya mimba, kuyamwitsa, ndi kubereka pamene mukumwa mankhwalawo komanso kwa sabata imodzi mutasiya kumwa.
- Fufuzani thandizo lachipatala mwamsanga ngati zizindikiro monga kuwonongeka kwa chiwindi kapena mavuto aakulu a mitsempha zikupezeka.
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