Dokotala wanu akakuuzani kuti mukufunika chithandizo cha chemotherapy cha khansa, ndi zachilendo kumva mantha pang'ono komanso nkhawa. Muli ndi mafunso ambiri okhudza chithandizochi ndi mankhwala omwe amagwiritsidwa ntchito pa izi. Lero tikambirana za mankhwala amphamvu kwambiri otchedwa Mechlorethamine, omwe amagwiritsidwa ntchito kuwononga maselo a khansa. Tikambirana zonse zomwe muyenera kudziwa za izi m'njira yosavuta kumva.
Kodi mankhwala awa otchedwa Mechlorethamine ndi ati?
Mwachidule, Mechlorethamine, yomwe nthawi zina imatchedwa Nitrogen Mustard, ndi mankhwala ochizira khansa, kapena mankhwala a chemotherapy. Ntchito yake yayikulu ndikupeza ndikuwononga maselo a khansa omwe amagawanitsa mwachangu m'thupi.
Mankhwalawa amagwiritsidwa ntchito pochiza mitundu yosiyanasiyana ya khansa. Mwachitsanzo:
- Matenda a Hodgkin
- Matenda a lymphoma omwe si a Hodgkin
- Mycosis fungoides, matenda a khansa ya pakhungu
- Khansa zina za m'magazi ndi khansa ya m'mapapo
Dokotala wanu angakupatseninso mankhwala awa pa matenda ena omwe si omwe ali pamndandandawu. Ngati muli ndi mafunso okhudza mankhwalawa, funsani dokotala wanu.
Zinthu zoti muuze dokotala wanu musanayambe kulandira chithandizo
Mechlorethamine ndi mankhwala amphamvu kwambiri, choncho ndikofunikira kwambiri kudziwitsa dokotala wanu mbiri yonse ya thanzi lanu musanayambe kulandira chithandizo. Onetsetsani kuti mwauza dokotala wanu ngati muli ndi vuto lililonse mwa izi:
- Matenda okhudzana ndi magazi: Ngati muli ndi matenda okhudzana ndi magazi (monga mavuto okhudza magazi kuundana, kuchepa kwa magazi m'thupi).
- Gout: Ngati muli ndi gout.
- Matenda: Ndikofunikira kwambiri kuuza dokotala wanu ngati muli ndi matenda aliwonse, makamaka matenda opatsirana ndi mavairasi monga chickenpox kapena herpes.
- Chithandizo cha radiation: Ngati mwangolandira chithandizo cha radiation posachedwapa kapena mukuchita chithandizochi panopa.
- Matenda a ziwengo: Ngati muli ndi vuto la ziwengo ndi mankhwala a Mechlorethamine awa, mankhwala ena a chemo, mankhwala ena aliwonse, chakudya, utoto, kapena mankhwala osungira.
- Mimba: Ngati muli ndi pakati, mukufuna kutenga mimba, kapena mukukayikira ngakhale pang'ono kuti muli ndi pakati, ndikofunikira kuuza dokotala wanu.
- Ngati ndinu mayi woyamwitsa: Onetsetsani kuti mwatchula izi ngati mukuyamwitsa mwana.
Kodi mumagwiritsa ntchito bwanji mankhwalawa?
Mankhwala awa si omwe mungapite nawo kunyumba. Mechlorethamine imaperekedwa kuchipatala kapena ku chipatala kokha ndi dokotala kapena namwino amene waphunzitsidwa mwapadera pa izi .
Kawirikawiri izi zimaperekedwa ngati jakisoni mumtsempha. Nthawi zina, zimathanso kuperekedwa m'bowo la thupi.
Kwa ana: Ngati mukupereka mankhwala awa kwa mwana wanu, lankhulani ndi dokotala wanu wa ana za mankhwalawa. Ana angafunike chisamaliro chapadera popereka mankhwala awa.
Ngati mwamwa mankhwala mopitirira muyeso: Izi sizingachitike chifukwa zimaperekedwa kuchipatala. Komabe, ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, nthawi yomweyo dziwitsani ku National Poisons Information Centre ku Colombo National Hospital kapena ku Emergency Treatment Unit (ETU) yapafupi .
Mankhwalawa ndi a inu nokha. Musagawane mankhwalawa ndi wina aliyense pazifukwa zilizonse.
Kodi mumatani ngati mwaphonya nthawi yokumana ndi dokotala?
Ndikofunikira kwambiri kumwa mankhwalawo pa tsiku ndi nthawi yoikidwiratu ya chithandizochi. Ngati simungathe kubwera kuchipatala pa tsiku loikidwiratu, imbani dokotala wanu kapena chipatala nthawi yomweyo ndipo muwadziwitse.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Mankhwala ena omwe mukumwa angagwirizane ndi Mechlorethamine. Chifukwa chake, muyenera kudziwitsa dokotala wanu za mankhwala onse omwe mukumwa. Izi zikuphatikizapo mankhwala ogulitsidwa kunja kwa chipatala, mavitamini, mankhwala azitsamba, ndi mankhwala a Ayurvedic.
| Mtundu wa mankhwala | Zinthu zoti muganizire |
|---|---|
| Mankhwala omwe sayenera kumwedwa | Nalidixic acid |
| Mankhwala ena omwe angagwirizane |
|
| Mankhwala omwe muyenera kufunsa dokotala musanamwe |
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Chofunika: Mndandanda uwu sunathe. Uzani dokotala wanu ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito zinthu zina zosaloledwa.
Zinthu zoti muziganizire panthawi ya chithandizo
Dokotala wanu adzayang'anira momwe mukumvera panthawi yonse ya chithandizo chanu. Popeza chemotherapy imakhudzanso maselo athanzi, ndikwachibadwa kuti musamamve bwino komanso mudwale. Pitirizani kulandira chithandizo ngakhale zitakhala zovuta kwa inu mpaka dokotala wanu atakuuzani kuti musiye . Uzani dokotala wanu ngati muli ndi zotsatirapo zilizonse.
Dzitetezeni ku matenda! Mankhwalawa amachepetsa mphamvu ya thupi lanu yolimbana ndi matenda. Chifukwa chake, yesetsani kupewa anthu omwe ali ndi zizindikiro monga malungo, chimfine, chifuwa, ndi kupweteka pakhosi. Ngati mukumva zizindikiro monga malungo, kuzizira, ndi kupweteka pakhosi, musadzipatse mankhwala ndipo imbani dokotala nthawi yomweyo.
Samalani ndi kutuluka magazi: Mankhwalawa angakuwonjezereni chiopsezo chanu chotuluka magazi kapena kuvulala. Uzani dokotala wanu ngati muwona kutuluka magazi kwina kulikonse kwachilendo (monga kutuluka magazi m'kamwa mukamatsuka mano anu, kutuluka magazi m'mphuno).
Mimba ndi kubereka:
- Kwa akazi: Musatenge mimba mukumwa mankhwalawa. Mankhwalawa akhoza kuvulaza kwambiri mwana wosabadwa. Uzani dokotala wanu nthawi yomweyo ngati mukukonzekera kutenga pakati kapena mukuganiza kuti muli ndi pakati. Musayamwitse pamene mukumwa mankhwalawa.
- Kwa amuna: Mankhwalawa angathandize kuchepetsa kuchuluka kwa umuna. Ngati mukukonzekera kukhala ndi ana, kambiranani ndi dokotala wanu za izi musanayambe kulandira chithandizo.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, Mechlorethamine ingayambitse zotsatirapo zina. Zina zimakhala zoopsa, pomwe zina zimakhala zofala.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime. |
| Zizindikiro za kuchepa kwa maselo m'magazi | Zizindikiro za matenda: malungo, kuzizira, chifuwa, kupweteka pakhosi, kupweteka pokodza. Zizindikiro za kutuluka magazi: khungu labuluu, madontho ang'onoang'ono ofiira pakhungu, ndowe zakuda kapena zamagazi, magazi mu mkodzo. Zizindikiro za maselo ofiira a m'magazi otsika: kutopa kwambiri, kufooka, kukomoka, chizungulire. |
| Zizindikiro zina zazikulu | Kuvuta kupuma, kusintha kwa kumva, kupweteka pamalo omwe jakisoni amaperekedwa, kutupa, kufiira, kusanza, maso kapena khungu kukhala lachikasu. |
| Zotsatirapo zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa | |
| Zotsatira zoyipa zofala | Kutsegula m'mimba, kutayika tsitsi, kusowa chilakolako cha chakudya, kukoma kwachitsulo mkamwa, kusiya kusamba, nseru. |
Ngati mukukumana ndi zotsatirapo zina zomwe sizinatchulidwe pamndandandawu, uzani dokotala wanu za izo.
Uthenga Wopita Nawo Kunyumba
- Mechlorethamine ndi mankhwala amphamvu a chemotherapy omwe amapha maselo a khansa. Amaperekedwa kuchipatala kokha ndi ogwira ntchito zachipatala ophunzitsidwa bwino.
- Ndikofunikira kuuza dokotala wanu za matenda anu onse ndi mankhwala onse omwe mukumwa musanayambe kulandira chithandizo.
- Pa nthawi ya chithandizo, samalani kwambiri ndi zizindikiro za matenda (malungo, chifuwa) ndi zizindikiro za kutuluka magazi (khungu labuluu). Ngati muwona zizindikiro zilizonsezi , dziwitsani dokotala wanu nthawi yomweyo.
- Pewani kutenga pakati mukumwa mankhwalawa. Komanso, musayamwitse mwana.
- Ndi ufulu wanu kulankhula momasuka ndi dokotala wanu za mafunso kapena nkhawa zilizonse zomwe mungakhale nazo.
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