Katemera wa Levoleucovorin wochizira khansa: Tiyeni tikambirane za izi!

Tonsefe tikudziwa kuti chithandizo cha khansa ndi chovuta kwambiri komanso chovuta. Mankhwala ena omwe amaperekedwa panthawi ya chithandizochi (chemotherapy) amawononga maselo a khansa m'thupi lathu, koma amathanso kukhala ndi zotsatirapo zina pa maselo athanzi. Chifukwa chake, pali mankhwala apadera omwe amaperekedwa kuti achepetse zotsatirapo zoyipazo, kapena kuti chithandizo cha khansa chikhale chopambana. Lero tikulankhula za katemera wofunika kwambiri, wotchedwa Levoleucovorin.

Kodi mankhwalawa amagwiritsidwa ntchito pa chiyani?

Mwachidule, katemera wa Levoleucovorin uyu amagwiritsidwa ntchito pazifukwa ziwiri zazikulu.

1. Kuchepetsa zotsatira zoyipa za mankhwala oletsa khansa:

Tangoganizirani, mukapereka mankhwala amphamvu oletsa khansa monga methotrexate, sangawononge maselo a khansa okha, komanso maselo athu abwino. Chifukwa chake mankhwalawa otchedwa levoleucovorin cholinga chake ndi kuteteza maselo abwinowo. Ali ngati "ntchito yopulumutsa" maselo abwino omwe atsala pang'ono kuwonongeka. Izi zitha kuchepetsa kwambiri zotsatira zoyipa za chithandizo cha khansa.

2. Kupititsa patsogolo kupambana kwa mankhwala a khansa:

Ntchito ina yaikulu ndi kuchiza khansa ya m'matumbo pamodzi ndi mankhwala otchedwa 5- fluorouracil (5-FU). Pano, mankhwala otchedwa levoleucovorin amawonjezera mphamvu ya 5-FU yopha khansa. Mwa kuyankhula kwina, mankhwala awiriwa amagwira ntchito limodzi ngati gulu lolimbana ndi khansa bwino kwambiri.

Kodi ndiyenera kumuuza chiyani dokotala ndisanayambe kumwa mankhwalawa?

Musanayambe chithandizochi, ndikofunikira kwambiri kudziwitsa gulu lachipatala za zinthu zina zokhudza thanzi lanu.

• Matenda a ziwengo: Onetsetsani kuti mwauza dokotala wanu ngati muli ndi vuto lililonse la ziwengo ku levoleucovorin, leucovorin, folic acid, kapena mankhwala ena aliwonse, chakudya, kapena utoto .
• Kuchepa kwa magazi m'thupi chifukwa cha kusowa kwa vitamini B-12: Ngati muli ndi vuto la kuchepa kwa magazi m'thupi, uzani dokotala wanu, chifukwa mankhwalawa angapangitse kuti zikhale zovuta kuzindikira vutoli.
• Mimba ndi kuyamwitsa: Muuzeni dokotala wanu ngati muli ndi pakati, mukufuna kutenga pakati, kapena kuyamwitsa . Zisankho za chithandizo panthawiyi zimapangidwa poganizira za chitetezo chanu ndi cha mwana wanu.

Kodi mumagwiritsa ntchito bwanji mankhwalawa?

Mankhwala awa si omwe mungapite nawo kunyumba. Awa ndi jakisoni mumtsempha . Amaperekedwa ndi katswiri wazachipatala wodziwa bwino ntchito yake kuchipatala kapena kuchipatala. Choncho palibe chodetsa nkhawa.

Kodi mumapereka mankhwala awa kwa ana?

Inde, nthawi zina, mankhwalawa amatha kuperekedwa kwa ana azaka zopitilira 6. Koma amachitidwa mosamala kwambiri. Chifukwa chake, ngati mukupereka mankhwalawa kwa mwana wanu, lankhulani ndi dokotala wa ana mosamala za izi ndipo fufuzani tsatanetsatane.

Kodi mumatani ngati mlingo uli wokwera kwambiri?

Popeza izi zimaperekedwa motsogozedwa ndi dokotala kuchipatala, chiopsezo chogwiritsa ntchito mopitirira muyeso chimakhala chochepa kwambiri. Komabe, ngati mukukayikira kuti china chake chachitika, imbani nthawi yomweyo National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) yapafupi.

Nanga bwanji ngati ndaphonya mlingo?

Ndikofunikira kwambiri kumwa mlingo wanu pa nthawi yake panthawi ya chithandizochi. Ngati simungathe kufika ku chithandizo chanu tsiku lomwe mwakonza, onetsetsani kuti mwayimbira foni dokotala wanu kapena chipatala chanu ndikuwadziwitsa.

Zinthu zina zomwe zingagwirizane ndi mankhwalawa

Levoleucovorin imatha kuyanjana ndi mankhwala ena omwe mukumwa, zomwe zingasinthe zotsatira za chithandizo chanu kapena kuwonjezera zotsatirapo zake.

Mndandanda uwu sunathe. Chifukwa chake, perekani dokotala wanu mndandanda wathunthu wa mankhwala onse omwe mumagwiritsa ntchito (omwe amalembedwa ndi dokotala komanso omwe amagulitsidwa pamtengo wotsika), zitsamba, ndi zowonjezera zakudya zomwe mumamwa . Komanso, musaiwale kuuza dokotala wanu ngati mumasuta kapena kumwa mowa, chifukwa zinthuzi zingakhudze chithandizo chanu.

Kodi zotsatirapo zake zingakhale zotani?

Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatira zina zoyipa, ngakhale kuti si aliyense amene amalandira.

Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Ngati muwona china chake chachilendo, chonde funsani dokotala wanu kuti akupatseni upangiri.