Tikamalankhula za chithandizo cha khansa, nthawi zina mayina a mankhwala omwe timamva amakhala ovuta pang'ono, sichoncho? Dzina limodzi lotere ndi Lutetium Lu 177 dotatate. Koma ngakhale dzinalo ndi lovuta, ngati tingomvetsa momwe limagwirira ntchito, mantha ndi kukayikira kwanu zidzatha kwambiri. Lero, tiyeni tikambirane za njira yapaderayi yochizira, ngati kuti tikulankhula ndi mnzanu.
Kodi Lutetium Lu 177 dotatate iyi ndi chiyani?
Mwachidule, iyi ndi mankhwala enieni omwe amaperekedwa kuti aphe maselo a khansa. Izi sizili ngati mankhwala a chemotherapy wamba. Izi zimatchedwa 'targeted therapy'. Ganizirani mankhwalawa ngati 'smart bomb' yomwe imapita kukapeza maselo a khansa ndikuwaukira.
Mankhwalawa amagwiritsidwa ntchito makamaka pochiza mtundu wa khansa wotchedwa neuroendocrine tumors. Mankhwalawa ali ndi gawo la radioactive. Izi zimamatira ku mapuloteni enaake (ma receptor) pamwamba pa maselo a khansa. Zili ngati kiyi yomwe imayikidwa mu keyboo. Ikalumikizidwa, kuwala kochokera ku mankhwalawa kumawononga selo la khansa kuchokera mkati. Njirayi imabweretsa kuwonongeka pang'ono kwa maselo athanzi.
Kodi ndiyenera kumuuza chiyani dokotala asanayambe kulandira chithandizo?
Dokotala wanu asanakupatseni chithandizochi, ayenera kudziwa mbiri yonse ya thanzi lanu. Chifukwa chake, ndikofunikira kwambiri kuti mupereke izi molondola komanso osabisa chilichonse .
- Matenda a impso kapena chiwindi: Onetsetsani kuti mwauza dokotala wanu ngati muli ndi matenda aliwonse a impso kapena chiwindi.
- Matenda a magazi: Ngati muli ndi maselo ofiira ochepa m'magazi, maselo oyera m'magazi, kapena ma platelet, muyenera kuuza dokotala wanu chifukwa chithandizochi chingapangitse kuti matendawa aipireipire.
- Ziwengo: Chonde tidziwitseni ngati muli ndi ziwengo zilizonse zokhudzana ndi mankhwalawa, Lutetium Lu 177 dotatate, kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Mimba ndi kuyamwitsa: Izi ndizofunikira kwambiri ngati muli ndi pakati, mukufuna kutenga pakati, kapena kuyamwitsa. Kambiranani momasuka ndi dokotala wanu za izi.
Momwe mungapatsire mankhwalawa m'thupi ndi zinthu zina zofunika kuziganizira
Mankhwalawa amaperekedwa ngati njira yothira (madzi amchere) mumtsempha. Izi zimachitika kuchipatala kapena ku chipatala ndi ogwira ntchito zachipatala ophunzitsidwa bwino. Chifukwa chake, si chinthu chomwe mungachite kunyumba.
Pamafunika chisamaliro chapadera popereka mankhwalawa kwa ana aang'ono. Chifukwa chake, ngati mwana wanu wapatsidwa chithandizochi, kambiranani mosamala ndi dokotala wanu wa ana.
Nanga bwanji ngati ndaphonya mlingo?
Ngati simungathe kupita kuchipatala pa tsiku lomwe mwakonza, chonde dziwitsani dokotala wanu kapena chipatala nthawi yomweyo. Ndikofunikira kwambiri kumwa mankhwalawa monga momwe mwakonzera komanso osadumpha mlingo.
Nanga bwanji ngati mlingo ukuwonjezeka?
Popeza izi zimaperekedwa kuchipatala, mwayi woti munthu agwiritse ntchito mankhwala mopitirira muyeso ndi wochepa kwambiri. Komabe, ngati mukuganiza kuti izi zachitika, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatalacho.
Zinthu zomwe tiyenera kusamala nazo makamaka panthawi ya chithandizo
Muyenera kusamalira thanzi lanu pang'ono mukamamwa mankhwalawa.
Mimba, kuyamwitsa ndi kubereka
Iyi ndi nkhani yofunika kwambiri.
- Azimayi: Pewani kutenga pakati mukamamwa mankhwalawa komanso kwa miyezi 7 mutasiya kumwa mankhwalawa. Izi zitha kuvulaza kwambiri mwana wosabadwa. Lankhulani ndi dokotala wanu ngati mukukonzekera kutenga pakati.
- Amuna: Ngati mukumwa mankhwalawa, pewani kubereka mwana panthawi ya chithandizo komanso kwa miyezi inayi mutasiya.
- Kuyamwitsa: Pewani kuyamwitsa mwana wanu kwa miyezi 2.5 mutatenga mlingo womaliza.
- Mankhwalawa angakhudze kubereka. Ngati muli ndi nkhawa iliyonse pankhaniyi, lankhulani ndi dokotala wanu.
Kuopsa kwa matenda ndi kutuluka magazi
Mankhwalawa angachepetse mphamvu ya thupi lanu yolimbana ndi matenda (chitetezo cha mthupi).
- Choncho yesetsani kupewa anthu omwe ali ndi matenda monga chimfine kapena chimfine .
- Ngati mukumva zizindikiro monga kutentha thupi, kuzizira, kapena kupweteka pakhosi, musadzipatse mankhwala ndipo muuzeni dokotala wanu nthawi yomweyo.
- Samalani mukamatsuka mano anu komanso pogwiritsa ntchito zotsukira mano, chifukwa zingayambitse kutuluka magazi m'kamwa. Gwiritsani ntchito burashi ya mano yokhala ndi tsitsi lofewa .
- Ngati mukufuna kulandira chithandizo cha mano, uzani dokotala wa mano kuti mukumwa mankhwala awa.
- Ngati mukumva mabala kapena kutuluka magazi kosazolowereka, dziwitsani dokotala wanu.
Thanzi lathunthu ndi mankhwala ena
- Musagwiritse ntchito mankhwala ochepetsa ululu (monga aspirin, ibuprofen) kapena ochepetsa malungo (monga acetaminophen) popanda upangiri wa dokotala, chifukwa izi zimatha kuchepetsa malungo omwe amabwera chifukwa cha matenda.
- Muyenera kuyezetsa magazi nthawi zonse (magazi) pamene mukumwa mankhwalawa. Musawasiye.
- Ndizachilendo kuti thupi limve kusasangalala pang'ono komanso kutopa chifukwa cha chithandizo cha khansa. Izi zili choncho chifukwa maselo a khansa akawonongeka, maselo athanzi amakhudzidwanso. Pitirizani kulandira chithandizo ngakhale mutamva kusasangalala mpaka dokotala wanu atakuuzani kuti musiye.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatirapo zoyipa. Koma si aliyense amene amalandira mankhwalawa. Ena ndi oopsa, ena ndi ofatsa.
| Mtundu wa zotsatira zoyipa | Kufotokozera ndi zizindikiro |
|---|---|
| Zizindikiro zazikulu zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Zotsatirapo pa maselo a magazi | - Zizindikiro za matenda: malungo, kuzizira, kupweteka pakhosi, chifuwa - Zizindikiro za kutuluka magazi: kuvulala kosavuta, madontho ofiira ang'onoang'ono pakhungu, magazi mu mkodzo - Zizindikiro za maselo ofiira otsika m'magazi: kutopa kwambiri, kufiira, kukomoka |
| Kusintha kwa kugunda kwa mtima | Kupweteka pachifuwa, chizungulire, kugunda kwa mtima mofulumira kapena kosakhazikika, kupuma movutikira. |
| Zotsatirapo pa chiwindi kapena impso | - Chiwindi: mkodzo wakuda wachikasu/bulauni, maso kapena khungu kukhala lachikasu, kupweteka kumtunda kwa kumanja kwa m'mimba, nseru - Impso: Kusintha kwa mkodzo, kuvutika kukodza |
| Kusintha kwa shuga m'magazi | - Shuga wochepa m'magazi: thukuta kwambiri, kunjenjemera, njala yambiri, kusokonezeka, kutaya chidziwitso - Shuga wambiri m'magazi: ludzu lochuluka, pakamwa pouma, kukodza pafupipafupi |
| Zizindikiro zina zazikulu | Kuvuta kupuma, kutuluka magazi m'thupi, kutsegula m'mimba, dzanzi m'miyendo, kupweteka kwa minofu kapena kuuma kwa minofu. |
| Zizindikiro zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Dongosolo la m'mimba | Kusanza, kusanza, kupweteka m'mimba, kusowa chilakolako cha chakudya, kusasangalala m'mimba |
| Makhalidwe ena onse | Chifuwa, kutayika tsitsi, kutupa manja, mapazi, kapena akakolo. |
Uthenga Wopita Nawo Kunyumba
- Lutetium Lu 177 dotatate ndi mankhwala enieni omwe amalimbana ndi kuwononga maselo a khansa.
- Musanayambe kulandira chithandizo, uzani dokotala wanu za thanzi lanu lonse komanso mankhwala ena onse omwe mukumwa.
- Tsatirani mosamala malangizo operekedwa kuti mupewe kutenga mimba, kubereka ana, komanso kuyamwitsa panthawi komanso kwa nthawi yayitali mutatha kulandira chithandizo.
- Dziwani za chiopsezo cha matenda ndi kutuluka magazi. Ngati muwona zizindikiro monga kutentha thupi kapena mabala osazolowereka, dziwitsani dokotala wanu nthawi yomweyo.
- Funsani upangiri wa dokotala nthawi yomweyo ngati muwona zotsatirapo zoyipa zilizonse. Nenaninso za zotsatirapo zoyipa zomwe zimapitirira.
- Kambiranani momasuka ndi dokotala wanu za mafunso, mantha, kapena kukayikira kulikonse komwe mungakhale nako. Iwo alipo kuti akuthandizeni.
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