Ngakhale tikamva mawu oti "khansa," nthawi zambiri timachita mantha komanso kuda nkhawa. Koma chifukwa cha kupita patsogolo kwa zamankhwala masiku ano, pali mankhwala apadera omwe amatha kuchiza ndi kuchiza maselo a khansa okha. Lero, tikambirana za mankhwala otchedwa "Lenvatinib," omwe amaletsa kukula kwa maselo a khansa otere ndipo abweretsa chiyembekezo kwa anthu ambiri.
Kodi Lenvatinib ndi chiyani?
Mwachidule, lenvatinib ndi mankhwala omwe amalimbana ndi mapuloteni enaake m'maselo a khansa, kulamulira kukula ndi kufalikira kwawo. Izi zimatchedwa "njira yothandiza." Madokotala nthawi zambiri amapereka mankhwalawa pochiza mitundu yosiyanasiyana ya khansa.
- Khansa ya endometrial
- Khansa ya impso
- Khansa ya chiwindi
- Khansa ya chithokomiro
Kupatula izi, dokotala wanu angakulimbikitseninso mankhwalawa pa matenda ena.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanayambe kulandira lenvatinib, ndikofunikira kwambiri kuuza dokotala wanu mbiri yonse ya thanzi lanu. Makamaka ngati muli ndi vuto lililonse mwa izi:
- Matenda a mano kapena chiseyeye.
- Matenda a shuga (shuga wambiri m'magazi).
- Kuthamanga kwa magazi.
- Matenda a mtima kapena mavuto okhudza magazi kuundana.
- Kugunda kwa mtima kosakhazikika.
- Kuchepa kwa calcium, magnesium, kapena potaziyamu m'magazi.
- Matenda otupa m'matumbo.
- Matenda a impso kapena chiwindi.
- Kupezeka kwa mapuloteni mu mkodzo.
- Ngati mwachitidwa opaleshoni posachedwapa kapena mukukonzekera kuchitidwa opaleshoni mtsogolo.
- Matenda ena a chithokomiro.
- Ngati muli ndi vuto la ziwengo ndi mankhwala awa (Lenvatinib) kapena mankhwala ena aliwonse, chakudya, utoto, kapena chosungira.
- Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa.
Kodi ndingagwiritse ntchito bwanji mankhwalawa molondola?
Ndikofunikira kwambiri kumwa mankhwalawa monga momwe dokotala wanu wanenera, mu mlingo woyenera, komanso panthawi yoyenera.
- Mezani makapisozi onsewa ndi galasi la madzi.
- Musamathyole, kuphwanya, kapena kutafuna makapisozi. Mezani onse.
- Yesani kumwa mankhwala nthawi yomweyo tsiku lililonse.
- Musasiye kumwa mankhwala anu popanda upangiri wa dokotala.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati patatha maola osakwana 12 kuti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo umodzi nthawi imodzi kuti mubwezeretse mlingo womwe mwaphonya.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe muyenera kukhalira, funsani National Poisons Information Centre ku Colombo National Hospital nthawi yomweyo, kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi. Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi ena.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Lenvatinib ndi mankhwala omwe angagwirizane ndi mankhwala ena. Choncho uzani dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera. Samalani kwambiri ndi mankhwala omwe ali patebulo pansipa.
| Mankhwala omwe angagwirizane ndi Lenvatinib | |
|---|---|
| Musamwe mankhwala awa ndi lenvatinib: | |
| Cisapride | Dronedarone |
| Pimozide | Thioridazine |
| Onetsetsani kuti mwauza dokotala wanu ngati mukumwa mankhwala awa: | |
| Mankhwala ena omwe amagwiritsidwa ntchito pochiza kugunda kwa mtima kosakhazikika (monga Amiodarone, Quinidine) | Maantibayotiki ena (monga Azithromycin, Clarithromycin) |
| Mankhwala ena a matenda amisala ndi kuvutika maganizo | Mankhwala oletsa bowa (monga Ketoconazole, Fluconazole) |
| Mankhwala ena omwe amawonjezera nthawi ya QT | Mankhwala ena ambiri (iyi si mndandanda wathunthu) |
Zinthu zomwe muyenera kusamala nazo kwambiri mukamamwa mankhwala
Muyenera kusamala kwambiri za thanzi lanu panthawi yonse ya chithandizochi.
Mayeso azachipatala
Pitani kwa dokotala wanu pa masiku omwe mwakonza ndipo muyeze magazi ndi mayeso ena, chifukwa izi ndizofunikira kuti muwone momwe mankhwalawa amakhudzira thupi.
Mimba ndi kuyamwitsa
Izi ndizofunikira kwambiri: Musatenge mimba pamene mukumwa mankhwalawa komanso kwa masiku 30 mutasiya kumwa mankhwalawa. Zingayambitse mavuto aakulu kwa mwana wanu. Komanso, musayamwitse pamene mukumwa mankhwalawa komanso kwa sabata imodzi mutasiya kumwa mankhwalawa. Ngati mukukonzekera kukhala ndi ana, lankhulani ndi dokotala wanu za izi.
Opaleshoni ndi kuvulala
Ngati mukufuna kuchitidwa opaleshoni, uzani dokotala wanu. Mankhwalawa angachedwetse kuchira kwa bala. Chifukwa chake, nthawi zambiri amalangizidwa kuti asiye kumwa mankhwalawa sabata imodzi opaleshoni isanachitike ndipo musayambenso mpaka milungu iwiri mutachita opaleshoni. Mankhwalawa ayenera kuyambiranso kokha bala litachira kwathunthu.
Thanzi la mano ndi chingamu
Mankhwalawa angayambitse kutuluka magazi. Choncho samalani kwambiri mukamatsuka mano anu ndi floss. Ngati mukufuna chithandizo chilichonse cha mano, onetsetsani kuti mwauza dokotala wanu wa mano kuti mukumwa mankhwalawa.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, lenvatinib ingayambitse zotsatirapo zina. Zina zimakhala zoopsa, pomwe zina zimakhala zochepa. Ndikofunikira kuuza dokotala wanu zizindikiro zilizonse zachilendo.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Kutuluka magazi kosazolowereka | Chimbudzi chakuda kapena chokhazikika; kusanza komwe kumaoneka ngati khofi; kutuluka magazi m'mphuno kapena m'kamwa; mawanga ofiira pakhungu. |
| Kusintha kwa kugunda kwa mtima | Kuvuta kupuma, kupweteka pachifuwa, chizungulire, kugunda kwa mtima mofulumira kapena kosakhazikika. |
| Kuwonongeka kwa chiwindi kapena impso | Maso kapena khungu kukhala lachikasu, mkodzo wakuda wachikasu/bulauni, kupweteka kumtunda kwa mimba, kuchepa kwa mkodzo. |
| Zizindikiro za Stroke | Kufooka kwadzidzidzi kwa nkhope, mkono, kapena mwendo; kuvutika kulankhula; mutu waukulu; kuvutika kuyenda. |
| Zizindikiro zina zazikulu | Mutu waukulu, kuthamanga kwa magazi, khunyu, kupweteka kwa dzino, kutupa kwa akakolo. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kutsegula m'mimba | Chilakolako cha chakudya |
| Kupweteka kwa mafupa ndi minofu | Zilonda pakamwa |
| Kusanza ndi kusanza | Kuchepetsa thupi |
Ndizachibadwa kumva kusasangalala ndi kutopa mukalandira chithandizo cha khansa. Izi zili choncho chifukwa mankhwala amenewa amakhudza maselo a khansa komanso maselo athanzi pamlingo winawake. Komabe, ngakhale kuti mankhwalawa ndi osasangalatsa, zotsatira zabwino kwambiri zitha kupezeka mwa kupitiriza kulandira chithandizo monga momwe dokotala wanu wanenera.
Uthenga Wopita Nawo Kunyumba
- Lenvatinib ndi mankhwala omwe amalimbana ndi maselo a khansa. Imwani monga momwe dokotala wanu wanenera, komanso panthawi yake.
- Musanayambe kulandira chithandizo, uzani dokotala wanu za mankhwala onse omwe mukumwa komanso matenda onse omwe muli nawo.
- Ngati muwona zotsatirapo zoyipa (kutuluka magazi kosazolowereka, kusintha kwa kugunda kwa mtima, zizindikiro za sitiroko), dziwitsani dokotala wanu kapena chipatala nthawi yomweyo.
- Pewani kutenga pakati mukumwa mankhwalawa komanso kwa masiku 30 mutasiya kuyamwitsa. Pewani kuyamwitsa.
- Mankhwala awa ndi operekedwa kwa inu nokha. Musagawane ndi ena.
- Kambiranani momasuka ndi dokotala wanu za mafunso kapena nkhawa zilizonse zomwe mungakhale nazo. Kumbukirani kuti simuli nokha.
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