Kodi dokotala wanu wakuuzani kapena wina amene mumamudziwa ali ndi khansa yotchedwa neuroendocrine tumor? Ndiye mwina mwamvapo za chithandizo chapadera ichi chotchedwa Lutetium Lu 177 Dotatate. Ndi dzina lovuta, koma mwachidule, ndi mankhwala omwe amagwira ntchito ngati 'kuukira kolunjika' komwe kumapeza ndikuwononga maselo a khansa. Tiyeni tikambirane za izi mwatsatanetsatane.
Kodi kwenikweni mankhwala awa amagwira ntchito yanji?
Mwachidule, chotupa cha neuroendocrine ndi mtundu wa khansa yomwe imayamba m'maselo omwe amapanga mahomoni m'thupi lathu. Mankhwalawa, otchedwa Lutetium Lu 177 Dotatate, amapeza maselo a khansa amenewo, amawagwira, ndikutulutsa mphamvu pang'ono (radiation) kuti aphe maselo a khansa amenewo kapena kuwaletsa kufalikira. Izi zikutanthauza kuti si mankhwala okha, ali ngati chithandizo cha radiation chomwe chimayang'ana maselo a khansa.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kulandira chithandizo
Musanasankhe ngati chithandizochi chili choyenera kwa inu, ndikofunikira kuuza dokotala wanu za mbiri yonse ya thanzi lanu. Onetsetsani kuti mwauza dokotala wanu ngati muli ndi vuto lililonse lomwe latchulidwa pansipa.
| Thanzi lanu | Kodi ndiyenera kudziwitsa dokotala? |
|---|---|
| Matenda a impso | Ziyenera kunenedwa. |
| Matenda a chiwindi | Ziyenera kunenedwa. |
| Maselo otsika m'magazi (maselo oyera amagazi, ma platelet, kapena maselo ofiira amagazi) | Ziyenera kunenedwa. |
| Kusamva bwino kwa mankhwala awa kapena mankhwala ena, zakudya, kapena utoto | Ziyenera kunenedwa. |
| Ngati muli ndi pakati kapena mukufuna kutenga mimba | Chofunika kwambiri. Izi ziyenera kunenedwa musanalandire chithandizo. |
| Ngati ndinu mayi woyamwitsa | Ziyenera kunenedwa. |
Kodi mumapeza bwanji mankhwala awa?
Mankhwalawa si chinthu chomwe mungapite nacho kunyumba. Amaperekedwa ngati njira yothira kudzera m'mitsempha, monga saline, ndi gulu lachipatala kuchipatala kapena kuchipatala.
Ngakhale kwa ana azaka zopitirira 12, chithandizochi chimaperekedwa pazochitika zina zapadera. Komabe, pali njira zapadera zodzitetezera zomwe ziyenera kutsatiridwa.
Popeza izi zimaperekedwa kuchipatala, chiopsezo chogwiritsa ntchito mankhwala mopitirira muyeso n'chochepa kwambiri. Komabe, ngati mukukayikira kuti china chake chachitika, dziwitsani nthawi yomweyo ku Emergency Treatment Unit (ETU) ya chipatalacho kapena ku National Poisons Information Centre ku Colombo National Hospital .
Zinthu zomwe muyenera kusamala nazo makamaka mukalandira chithandizo
Pali zinthu zingapo zomwe muyenera kuganizira kuti mukhale otetezeka komanso otetezeka kwa anthu omwe ali pafupi nanu mukamalandira chithandizochi.
Zotsatirapo zoyipa ndi kusasangalala
Ndi zachilendo kumva kusasangalala pang'ono mukalandira chithandizo cha khansa, chifukwa zingakhudzenso maselo athanzi. Izi zimachitika kawirikawiri ndi mankhwala a khansa. Chifukwa chake, uzani gulu lanu lachipatala za zotsatirapo zilizonse zomwe mumakumana nazo. Koma, musasiye kulandira chithandizo mpaka dokotala wanu atakuuzani.
Samalani ndi radioactivity.
Izi ndizofunikira kwambiri. Mukalandira mankhwalawa, pakhoza kukhala ndi radioactivity mu mkodzo wanu kwa masiku 30 .
Choncho, kuti muwonetsetse kuti omwe muli nawo panyumba, makamaka ana aang'ono ndi amayi apakati, sakhudzidwa ndi kuwala kumeneku, muyenera kutsatira mosamalitsa malangizo omwe gulu lanu lachipatala lapereka. Mwachitsanzo:
- Kugwiritsa ntchito chimbudzi china.
- Kusamba kawiri mutagwiritsa ntchito chimbudzi.
- Kuchepetsa nthawi yocheza ndi ena.
Dokotala adzakupatsani malangizo omveka bwino ngati awa.
Mimba, kuyamwitsa ndi kubereka
- Mankhwalawa angayambitse zilema zazikulu zobadwa nazo.N'zotheka kukhala ndi mwana. Chifukwa chake, mayeso amachitidwa kuti atsimikizire kuti mulibe pakati musanayambe kulandira chithandizo.
- Ngati ndinu mkazi amene ali ndi mwayi wobereka, muyenera kugwiritsa ntchito njira yodalirika kwambiri yolerera panthawi ya chithandizo komanso kwa miyezi 7 mutasiya kulandira chithandizo.
- Ngati mnzanu ali ndi mwayi wobereka, ayenera kugwiritsa ntchito njira zolerera zodalirika panthawi ya chithandizo komanso kwa miyezi inayi atasiya kulandira chithandizo.
- Musayamwitse mwana wanu panthawi ya chithandizo ndipo kwa miyezi 2.5 mutalandira mlingo womaliza.
- Mankhwalawa angakhudze kubereka. Ngati muli ndi nkhawa iliyonse pankhaniyi, lankhulani ndi dokotala wanu.
Dzitetezeni ku matenda
Mankhwalawa angathandize thupi kuchepetsa mphamvu yolimbana ndi matenda. Chifukwa chake,
- Ngati mukumva zizindikiro monga malungo, chimfine, kapena kupweteka pakhosi, musadzipatse mankhwala ndipo muuzeni dokotala wanu.
- Yesetsani kupewa anthu odwala.
- Musamwe mankhwala ochepetsa ululu monga aspirin, acetaminophen, ndi ibuprofen popanda upangiri wa dokotala, chifukwa izi zitha kuchepetsa kutentha thupi ndikupangitsa kuti zikhale zovuta kuzindikira matenda.
- Mukatsuka mano ndi floss, chitani pang'onopang'ono, chifukwa m'kamwa mwanu mumatha kutuluka magazi ambiri. Ngati mukulandira chithandizo chilichonse cha mano, uzani dokotala wanu wa mano kuti mukumwa mankhwalawa.
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Ena ndi oopsa, ena ndi ofala.
| Mtundu wa zotsatira zoyipa | Zizindikiro |
|---|---|
| Ngati mukukumana ndi zizindikiro izi, uzani dokotala wanu nthawi yomweyo. | |
| Zotsatira za ziwengo / Angioedema | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, maso, milomo, lilime, manja kapena mapazi, kuvutika kumeza kapena kupuma. |
| Kuvulala kwa impso | Kuchepa kwa mkodzo wotuluka, kutupa kwa akakolo, manja, kapena mapazi. |
| Kuvulala kwa chiwindi | Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wakuda wachikasu kapena bulauni, maso kapena khungu kukhala lachikasu, kutopa kosazolowereka. |
| Kuwonjezeka kwa shuga m'magazi (hyperglycemia) | Kuwonjezeka kwa ludzu, kukodza pafupipafupi, kutopa kosazolowereka, kusawona bwino. |
| Matenda | Malungo, kuzizira, chifuwa, pakhosi. |
| Kuchepa kwa maselo ofiira a m'magazi | Kutopa kosazolowereka, chizungulire, mutu, komanso kupuma movutikira. |
| Kutuluka magazi kosazolowereka kapena kuvulala | Kutupa ndi kutuluka magazi kosamveka bwino komwe sikungasiye. |
| Izi nthawi zambiri sizimakhala zoopsa, koma ngati zikupitirira, uzani dokotala wanu. | |
| Mavuto a m'mimba | Kutsegula m'mimba, nseru, kupweteka m'mimba, kusanza. |
Uthenga Wopita Nawo Kunyumba
- Lutetium Lu 177 Dotatate ndi mankhwala ochizira khansa ya m'mitsempha omwe amaperekedwa kwa odwala ena omwe ali ndi khansa ya m'mitsempha.
- Musanayambe chithandizo, uzani dokotala wanu za matenda anu onse, mankhwala omwe mukumwa, ndi ziwengo.
- Mukalandira chithandizo, mkodzo wanu udzakhala ndi mphamvu ya radioactive, choncho tsatirani malangizo a dokotala wanu mosamala kuti muteteze ena.
- Mankhwalawa ndi owopsa kwambiri panthawi ya mimba. Choncho, gwiritsani ntchito njira zolerera zodalirika panthawi ya chithandizo komanso kwa nthawi inayake pambuyo pake. Pewani kuyamwitsa.
- Ngati mukukumana ndi zizindikiro zilizonse monga ziwengo, kutentha thupi, kapena zizindikiro za kuwonongeka kwa chiwindi kapena impso, dziwitsani dokotala wanu nthawi yomweyo.
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu