Dokotala wanu atakuuzani inu kapena wokondedwa wanu kuti muli ndi khansa yotchedwa ' Multiple Myeloma ', kodi anakuuzaninso kuti muyenera kuyamba chithandizo chotchedwa Melphalan Flufenamide Injection? Ndizachibadwa kumva mantha pang'ono komanso mantha mukamva dzina lotere. Koma musachite mantha. Lero, tikambirana mwachidule komanso mwaubwenzi za mankhwalawa, zomwe amachita, komanso zomwe tiyenera kusamala nazo. Nkhaniyi iyankha mafunso ambiri omwe muli nawo m'maganizo.
Mwachidule, kodi Melphalan Flufenamide ndi chiyani?
Uwu ndi mankhwala omwe amawononga maselo a khansa . Mu zamankhwala, timatcha chemotherapy . Makamaka, mankhwalawa amagwiritsidwa ntchito pochiza Multiple Myeloma , mtundu wa khansa womwe umapezeka m'maselo a plasma omwe amapangidwa m'mafupa athu.
Tangoganizani kuti thupi lathu lili ngati munda wokongola. Nthawi zina udzu wosafunikira umamera m'munda uno womwe umawononga munda. Maselo a khansa ali choncho. Sali ngati maselo abwinobwino, amagawikana mwachangu kwambiri ndipo amafalikira m'thupi lonse popanda kulamulira. Mankhwala otchedwa Melphalan Flufenamide amafufuza maselo a khansa omwe amagawanitsa mofulumira, kuwaukira, ndikuletsa kukula kwawo. Zili ngati kupopera mankhwala ophera udzu ndikuwononga udzu. Koma munjira imeneyi, maselo ena abwino angakhudzidwenso pang'ono. Ndicho chifukwa chake zotsatirapo zoyipa zimachitika. Tikambirana za izi mtsogolo.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe chithandizochi
Izi ndizofunikira kwambiri. Dokotala wanu ayenera kukhala ndi chithunzi chonse cha thanzi lanu asanakupatseni mankhwala aliwonse. Choncho, onetsetsani kuti mwawauza izi popanda kubisa chilichonse.
| Chidziwitso chomwe muyenera kupereka | Mwachidule, chifukwa chiyani... |
|---|---|
| Matenda omwe alipo panopa | Ngati muli ndi matenda monga malungo, chimfine, kapena chifuwa, mankhwalawa akhoza kukulitsa matendawa chifukwa amafooketsa chitetezo cha mthupi. Chifukwa chake, mankhwalawa ayenera kuyamba pokhapokha chithandizo cha matendawa chitatha. |
| Matenda a ziwengo | Onetsetsani kuti mwauza dokotala wanu ngati muli ndi vuto lililonse la Melphalan Flufenamide, Melphalan, mankhwala ena aliwonse, chakudya, kapena utoto. Muuzeni ngati munakhalapo ndi vuto lililonse pakhungu, monga ziphuphu kapena kuyabwa. |
| Mimba kapena kuyesa kutenga mimba | Mankhwalawa akhoza kuvulaza kwambiri mwana wosabadwa. Uzani dokotala wanu ngati muli ndi pakati, mukufuna kutenga pakati, kapena mukuganiza kuti mwina muli ndi pakati. |
| Ngati ndinu mayi woyamwitsa (woyamwitsa) | Zosakaniza zomwe zili mu mankhwalawa zimatha kupita kwa mwana kudzera mu mkaka wa m'mawere. Ndi zovulaza kwa mwana. Choncho ngati mukuyamwitsa, uzani mwana wanu za izi. |
Kodi mankhwala awa adzaperekedwa bwanji kwa inu?
Iyi si mankhwala omwe mungapite nawo kunyumba. Iyi ndi jakisoni m'mitsempha . Izi zikutanthauza kuti imaperekedwa kuchipatala kapena kuchipatala ndi ogwira ntchito zachipatala ophunzitsidwa bwino. Amayika cannula m'mitsempha yanu ndipo kudzera mmenemo amaika pang'onopang'ono mankhwala awa m'thupi lanu ndi botolo la saline.
Tsatirani malangizo a dokotala wanu tsiku lomwe mwapatsidwa mankhwalawa. Nthawi zina, mankhwala ena (monga mankhwala oletsa nseru) angakupatseni musanamwe mankhwalawa kuti muchepetse zotsatirapo zake.
Chofunika kwambiri ndikumwa mankhwala anu pa masiku ndi nthawi zomwe dokotala wanu wakupatsani. Musadumphe mlingo pazifukwa zilizonse. Ngati simungathe kumwa, imbani dokotala wanu pasadakhale ndipo mumuuzeni.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Izi zimaperekedwa kuchipatala kotero mwayi woti izi zichitike ndi wochepa kwambiri. Komabe, ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, uzani ogwira ntchito nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital . Pakagwa mwadzidzidzi, imbani munthu wapafupi.Pitani ku Chipinda Chothandizira Padzidzidzi (ETU).
Zinthu zina zomwe zingagwirizane ndi mankhwalawa (Kuyanjana)
Muyenera kuuza dokotala wanu za mankhwala aliwonse omwe mumamwa, kaya ndi vitamini, chakudya chowonjezera , kapena mankhwala a ku Sinhala. Mankhwala ena angayambitse mavuto akaphatikizidwa ndi Melphalan Flufenamide.
- Katemera wamoyo: Muyenera kupewa kulandira katemera wamoyo panthawiyi chifukwa chitetezo cha mthupi lanu chimafooka chifukwa cha mankhwala a chemotherapy, ndipo mutha kudwala chifukwa cha katemerayo.
- Mankhwala ena: Mankhwalawa amatha kuyanjana ndi mankhwala ena, makamaka carmustine, cisplatin, ndi cyclosporine. Ndi bwino kupatsa dokotala wanu mndandanda wa mankhwala onse omwe mumamwa.
Komanso, ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena osokoneza bongo, lankhulani ndi dokotala wanu moona mtima za vutoli.
Zinthu zomwe tiyenera kuziganizira tikalandira chithandizo
Ndi zachilendo kumva kusasangalala pang'ono komanso opanda moyo panthawi ya chemotherapy. Izi zili choncho chifukwa, monga tanenera kale, mankhwalawa samakhudza maselo a khansa okha, komanso maselo athanzi omwe amagawikana mwachangu m'matupi athu (monga maselo atsitsi, maselo omwe ali mkamwa mwathu, maselo amagazi).
- Kuopsa kwa matenda: Mankhwalawa amatha kuchepetsa kuchuluka kwa maselo oyera m'magazi mwanu. Maselo oyera ali ngati gulu lankhondo la thupi lathu. Amalimbana ndi majeremusi. Choncho akakhala ochepa, mumakhala ndi mwayi wodwala ndi kutenga matenda.
- Ngati mukumva zizindikiro monga malungo, kuzizira, kupweteka pakhosi, chifuwa, mphuno yotuluka madzi, kapena kutentha mukamakodza, musadzipatse mankhwala ndipo imbani dokotala nthawi yomweyo.
- Chepetsani kupita kumalo odzaza anthu.
- Khalani kutali ndi anthu odwala.
- Sambani m'manja mwanu nthawi zonse ndi sopo.
- Kuopsa kwa magazi: Mankhwalawa amathanso kuchepetsa kuchuluka kwa ma platelet, omwe amathandiza magazi kuundana. Chifukwa chake, ngakhale kudula pang'ono kungatenge nthawi yayitali kuti magazi asiye kutuluka.
- Ngati mukumva mabala abuluu osazolowereka m'thupi lanu, kutuluka magazi m'kamwa, kutuluka magazi m'mphuno, magazi m'chimbudzi chanu (chimbudzi chakuda), kapena mkodzo wofiira/wakuda, uzani dokotala wanu nthawi yomweyo.
- Mukatsuka mano anu, gwiritsani ntchito burashi yofewa.
- Pewani kuchita zinthu zomwe zingayambitse mabala ndi mikwingwirima.
- Mimba ndi Kubereka: Izi ndizofunikira kwambiri.
- Akazi: Akumwa mankhwalawa kwa miyezi 6 atasiya kulandira chithandizoMuyenera kupewa kutenga mimba. Lankhulani ndi dokotala wanu za njira yoyenera yolerera.
- Amuna: Muyenera kupewa kubereka mwana mukumwa mankhwalawa komanso kwa miyezi itatu mutasiya kumwa mankhwalawa.
- Kuyamwitsa: Pewani kuyamwitsa mwana wanu panthawi ya chithandizo komanso kwa sabata imodzi mutasiya kuyamwitsa.
- Mankhwalawa angakhudze kuthekera kwanu kobereka ana mtsogolo. Ngati muli ndi nkhawa iliyonse pankhaniyi, lankhulani ndi dokotala wanu musanayambe kulandira chithandizo.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Si aliyense amene amakumana ndi zotsatirapo zake zonse. Anthu ena sangazindikire chilichonse. Komabe, ndikofunikira kudziwa zinthu izi.
| Zotsatirapo zoyipa zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, komanso kuvutika kupuma. |
| Kutuluka magazi | Chimbudzi chakuda kapena chamagazi, mkodzo wofiira/wofiirira wakuda, masanzi ooneka ngati khofi wophikidwa, madontho ofiira pakhungu, mabala osavuta, kutuluka magazi m'kamwa kapena m'mphuno. |
| Zizindikiro za matenda | Malungo, kuzizira, chifuwa, kupweteka pakhosi, kupweteka kapena kuvutika kukodza. |
| Zizindikiro za kuchepa kwa maselo ofiira m'magazi | Kuvuta kupuma, kukomoka, chizungulire, kukomoka, kutopa kwambiri komanso kutopa. |
| Kawirikawiri sikoopsa, koma ngati zikupitiriraZotsatirapo zake zoti uuze dokotala | |
| Chifuwa | Chilakolako cha chakudya |
| Kutsegula m'mimba (kupweteka m'mimba) | Mutu |
| Kusanza ndi kusanza | Zovuta zina zazing'ono. |
Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Ngati mukukumana ndi vuto lililonse lachilendo, musaope kulankhula ndi dokotala wanu za vutoli.
Uthenga Wopita Nawo Kunyumba
- Melphalan Flufenamide ndi mankhwala a chemotherapy omwe amagwiritsidwa ntchito pochiza khansa ya Multiple Myeloma. Amaperekedwa kudzera m'mitsempha kuchipatala.
- Musanayambe kulandira chithandizo, uzani dokotala wanu za matenda anu onse, ziwengo, ndi mankhwala onse omwe mukumwa.
- Pali chiopsezo chachikulu cha matenda ndi kutuluka magazi panthawi ya chithandizo. Dziwani zizindikiro monga kutentha thupi ndi mabala.
- Pewani kutenga mimba mukumwa mankhwalawa komanso kwa kanthawi mukatha kumwa mankhwalawa. Lankhulani ndi dokotala wanu za izi.
- Ngati mukukumana ndi zizindikiro zachilendo kapena zotsatirapo zake, dziwitsani dokotala wanu nthawi yomweyo.
- Ulendo uwu ndi wovuta, koma simuli nokha. Dokotala wanu, ogwira ntchito yosamalira ana, ndi banja lanu ali nanu. Khalani ndi chiyembekezo komanso olimba mtima.
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