Inu kapena munthu wina m'banja mwanu mukayamba kulandira chithandizo cha khansa, ndi zachilendo kukhala ndi mantha pang'ono komanso chidwi chofuna kudziwa mankhwala omwe dokotala wanu wakupatsani. Ndikofunikira kudziwa bwino mukayamba kumwa mankhwala atsopano. Lero tikambirana za mankhwala enaake oletsa khansa, Lorlatinib. Tiyeni tikambirane mwachidule, ngati kuti mnzanu akukufotokozerani.
Kodi Lorlatinib ndi chiyani?
Mwachidule, lorlatinib si mankhwala a chemotherapy wamba. Imagwira ntchito ngati "mankhwala owunikira." Izi zikutanthauza kuti imayang'ana mwachindunji mapuloteni enaake omwe amathandiza maselo a khansa kukula. Mwa kuchita izi, imaletsa maselo a khansa kukula.
Kawirikawiri amagwiritsidwa ntchito pochiza matenda otchedwa "khansa ya m'mapapo yopanda maselo ang'onoang'ono." Dokotala wanu angakupatseninso mankhwalawa pa matenda ena. Ngati muli ndi mafunso okhudza mankhwalawa, funsani dokotala wanu.
Zinthu zoti muuze dokotala wanu musanayambe kumwa mankhwala
Dokotala wanu asanakupatseni mankhwala awa, ndikofunikira kudziwa bwino matenda ena aliwonse omwe mungakhale nawo. Mankhwalawa akhoza kusokonezana ndi matenda amenewo. Chifukwa chake, ngati muli ndi vuto lililonse mwa awa, onetsetsani kuti mwadziwitsa dokotala wanu.
- Matenda a shuga (shuga wambiri m'magazi)
- Kuthamanga kwa magazi
- Cholesterol yambiri
- Kusakhazikika kwa kayendedwe ka mtima kapena matenda a mtima
- Matenda a impso
- Matenda a m'mapapo kapena zipsera za m'mapapo
- Matenda aliwonse amisala
- Matenda monga khunyu
- Maganizo odzivulaza, maganizo odzipha, kuyesa kutero, kapena kukhala ndi wachibale amene akuchita zimenezo
- Kuyesa kutenga mimba kapena pakali pano kukhala ndi pakati
- Kuyamwitsa mwana
- Wakhalapo ndi vuto la lorlatinib kapena mankhwala ena aliwonse, chakudya, kapena utoto
Kodi mumagwiritsa ntchito bwanji mankhwalawa molondola?
Kutsatira malangizo enieni ogwiritsira ntchito mankhwalawa ndikofunikira kwambiri kuti mupeze zotsatira zabwino.
- Imwani piritsi ili monga momwe dokotala wanu wanenera, nthawi yomweyo tsiku lililonse .
- Musaphwanye, kuphwanya, kapena kutafuna piritsi. Mezani lonse ndi madzi.
- Mungathe kumwa musanadye kapena mutadya, koma ngati mukumva kupweteka m'mimba, ndi bwino kumwa limodzi ndi chakudya.
- Pitirizani kugwiritsa ntchito mankhwalawa mpaka dokotala wanu atakuuzani kuti musiye.
- Chofunika kwambiri:Pewani kumwa madzi a mphesa kotheratu pamene mukumwa mankhwalawa.
Nanga bwanji ngati mlingo uli wokwera kwambiri? (Kupitirira muyeso)
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo . Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati patatha maola osakwana 4 kuti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya. Ingomwani mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri .
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Lorlatinib ndi mankhwala omwe ali ndi kuthekera kwakukulu kogwirizana ndi mankhwala ena. Chifukwa chake, muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi tiyi wazitsamba). Ikhoza kuyanjana ndi mankhwala otsatirawa:
| Musamwe izi ndi lorlatinib. | |
|---|---|
| apalutamide, enzalutamide, mitotane, ranolazine | Mankhwala operekedwa pa matenda osiyanasiyana a khansa ndi mtima |
| Mankhwala oletsa khunyu monga carbamazepine, phenytoin, ndi phenobarbital | Mankhwala a khunyu |
| rifampin, rifapentine | Maantibayotiki a matenda opatsirana ndi mabakiteriya monga chifuwa chachikulu |
| Wort wa St. John | Chowonjezera cha zitsamba cha kuvutika maganizo |
| lumacaftor; ivacaftor | Mankhwala a Cystic Fibrosis |
| Mungayankhe ndi izi - funsani dokotala wanu. | |
| Mankhwala opha tizilombo | Mwachitsanzo: clarithromycin |
| Mankhwala oletsa bowa | Mwachitsanzo: ketoconazole, itraconazole, fluconazole |
| Mankhwala a HIV ndi chiwindi | Mwachitsanzo: ritonavir, boceprevir |
| Mahomoni ndi njira zolerera | Zinthu monga mapiritsi oletsa kubereka, ma patches, jakisoni, ndi zina zotero. |
| Mankhwala ena | bosentan, modafinil, midazolam |
Zinthu zofunika kukumbukira mukamamwa mankhwala
Ndi zachilendo kumva kusasangalala mukalandira chithandizo cha khansa, chifukwa zimakhudza maselo a khansa komanso maselo athanzi. Koma musasiye kulandira chithandizo mpaka dokotala atakuuzani. Uzani dokotala wanu za zotsatirapo zilizonse.
Uphungu wa mimba, kuyamwitsa ndi amuna
Gawo ili ndi lofunika kwambiri. Chonde mvetserani mosamala.
- Kwa akazi: Pewani kutenga mimba yonse mukumwa mankhwalawa. Komanso, pewani kutenga mimba kwa miyezi 6 mutasiya kumwa mankhwalawa. Gwiritsani ntchito njira yolerera yosakhala ya mahomoni (monga makondomu, copper T). Uzani dokotala wanu nthawi yomweyo ngati mukukayikira kuti muli ndi pakati. Pewani kuyamwitsa mukumwa mankhwalawa komanso kwa masiku 7 mutasiya kumwa mankhwalawa.
- Kwa amuna:Amuna omwe akumwa mankhwalawa ayenera kugwiritsa ntchito kondomu akamagonana ndi mkazi amene angatenge mimba. Njira yolerera iyi iyenera kupitilizidwa kwa miyezi itatu mutasiya kumwa mankhwalawa. Ngati mukukayikira kuti mnzanuyo ali ndi pakati, dziwitsani dokotala wanu nthawi yomweyo.
Matenda ndi malungo
Mankhwalawa angafooketse chitetezo cha mthupi lanu ndikuwonjezera chiopsezo chanu chotenga matenda. Chifukwa chake, ngati mukumva zizindikiro monga malungo, chimfine, kupweteka pakhosi, kapena chifuwa, musadzipatse mankhwala ndipo nthawi yomweyo imbani dokotala wanu kuti akupatseni upangiri. Yesetsani kupewa anthu odwala.
Kuchuluka kwa cholesterol ndi shuga
Lorlatinib imatha kuonjezera cholesterol m'magazi (makamaka triglycerides) ndi shuga m'magazi. Ingathenso kuchepetsa cholesterol yabwino (HDL). Dokotala wanu adzayang'ana izi nthawi zonse. Ngati pakufunika kutero, angakulangizeni kusintha zakudya kapena mankhwala atsopano.
Kusintha kwa thanzi la maganizo
Mankhwalawa angakhudze anthu ena m'maganizo. Uzani dokotala wanu nthawi yomweyo ngati inu kapena wachibale wanu awona kusintha kulikonse mwa izi:
- Kuvutika maganizo kwatsopano kapena koipiraipira
- Maganizo odzivulaza
- Nkhawa
- Kutaya kukumbukira
- Makhalidwe kapena maganizo osazolowereka, osokoneza
Ndi zotsatirapo ziti zomwe zingawonekere?
Monga mankhwala ena aliwonse, lorlatinib ikhoza kukhala ndi zotsatirapo zake. Zina mwa izi zitha kukhala zoopsa ndipo ziyenera kunenedwa nthawi yomweyo.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, kapena lilime |
| Kupweteka pachifuwa kapena kulimba | Zingakhale zizindikiro za matenda a mtima |
| Chifuwa, kupuma movutikira, kutupa thupi (edema) | Kulemera mwadzidzidzi, kutupa kwa akakolo, manja ndi mapazi |
| Zizindikiro za kuwonongeka kwa chiwindi | Mkodzo wakuda wachikasu kapena bulauni, maso/khungu limasintha chikasu, kupweteka kumtunda kwa kumanja kwa m'mimba |
| Zizindikiro za matenda | Malungo, kuzizira, pakhosi |
| Zizindikiro za kuchepa kwa maselo m'magazi | Kuvuta kupuma, kutopa kwambiri, kukomoka, mutu wopepuka |
| Kusintha kwa maganizo kapena khunyu | Zizindikiro zamaganizo zomwe zili pamwambapa, chisokonezo, khunyu |
| Uzani dokotala wanu ngati zikupitirira kapena zikukuvutitsani. | |
| Kusanza, kusanza | Kuthamanga kwa magazi kowonjezeka |
| Kusintha kwa masomphenya, kusawona bwino | Kuwonjezeka kwa cholesterol m'magazi |
| Kusowa tulo kapena kuchepa kwa tulo | Kutaya kukumbukira, kukwiya |
Uthenga Wopita Nawo Kunyumba
- Imwani mankhwala monga momwe dokotala wanu wanenera, panthawi yoyenera, komanso mu mlingo woyenera. Musamaswe kapena kuphwanya piritsi.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa. Makamaka pewani kumwa madzi a mphesa.
- Pewani kutenga mimba mukamamwa mankhwalawa komanso nthawi yonse yomwe dokotala wanu akulangiza. Azimayi ndi amuna onse ayenera kudziwa izi.
- Ngati mukukumana ndi mavuto aakulu monga kupuma movutikira, kupweteka pachifuwa, kutupa kwambiri, kapena kusintha kwakukulu kwa malingaliro, funsani upangiri wa dokotala nthawi yomweyo.
- Mankhwalawa ndi a inu nokha. Musagawane ndi ena pazifukwa zilizonse.
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