Inu kapena munthu wina wapafupi nanu mwina mukulandira chithandizo cha khansa yotchedwa 'Multiple Myeloma'. Pachifukwa chotere, dokotala wanu angakulembereni mankhwala otchedwa 'Melphalan Flufenamide'. Uwu kwenikweni ndi mtundu wa 'Chemotherapy'. Dzinalo lingamveke ngati loopsa pang'ono, koma mukadziwa bwino lomwe kuti mankhwalawa ndi otani, adzakuthandizani kudutsa nthawi ya chithandizo mosavuta. Tiyeni tikambirane mwachidule.
Kodi mankhwala amenewa ndi chiyani kwenikweni?
Mwachidule, Melphalan Fluphenamide ndi mankhwala amphamvu omwe amapha maselo a khansa. Ndiko kuti, ndi mankhwala a chemotherapy . Amagwiritsidwa ntchito makamaka pochiza multiple myeloma , mtundu wa khansa yomwe imayamba m'mafupa. Mankhwalawa amadziwikanso pamsika kuti `Pepaxto`.
Iyi si piritsi kapena kapisozi yomwe mungapite nayo kunyumba. Ku chipatala kapena kuchipatala, dokotala kapena namwino wophunzitsidwa bwino adzakulowetsani mumtsempha wanu kudzera mu mzere wa saline. Choncho palibe chodetsa nkhawa, muli otetezeka ndipo mukuyang'aniridwa ndi dokotala.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kulandira chithandizo
Kuti dokotala wanu akupatseni chithandizochi mosamala, ayenera kukhala ndi chithunzi chonse cha thanzi lanu. Choncho, onetsetsani kuti mwamuuza izi:
| Mkhalidwe umene muyenera kudziwa | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Momwe matenda alili panopa (monga malungo, chifuwa, chimfine, matenda a mkodzo) | Mankhwalawa amatha kufooketsa chitetezo cha mthupi. Ngati muli kale ndi matenda, amatha kuipiraipira. |
| Matenda a ziwengo (Pa mankhwala awa, mankhwala ena, chakudya, zakumwa kapena utoto) | Izi ndizofunikira kwambiri kuti mupewe kudwala kwambiri mukamapereka mankhwala. |
| Mimba kapena kuyesa kutenga mimba | Mankhwalawa akhoza kuvulaza kwambiri mwana wosabadwa. Chifukwa chake, muyenera kupewa kutenga pakati panthawiyi. |
| Ngati mayi akuyamwitsa mwana wake | Zosakaniza za mankhwalawa zimatha kupita kwa mwana kudzera mu mkaka wa m'mawere. Chifukwa chake, kuyamwitsa kuyenera kuyimitsidwa panthawi ya chithandizo. |
Chimachitika ndi chiyani ngati mwamwa mankhwala ochulukirapo? (Kumwa mankhwala ochulukirapo)
Popeza izi zimaperekedwa kuchipatala, moyang'aniridwa ndi dokotala, mwayi woti munthu agwiritse ntchito mankhwala mopitirira muyeso ndi wochepa kwambiri. Komabe, ngati mukukayikira kuti china chake chachitika, uzani dokotala wanu kapena ogwira ntchito yosamalira anamwino nthawi yomweyo. Nthawi zina, monga kumwa mankhwala mopitirira muyeso omwe amagwiritsidwa ntchito kunyumba, imbani National Poisons Information Centre ku Colombo National Hospital . Nthawi yomweyo, ndikofunikira kwambiri kupita ku chipatala chapafupi cha Emergency Department (ETU) mwachangu momwe mungathere.
Nanga bwanji ngati sindingathe kumwa mankhwalawo tsiku lomwe ndakonza?
Chithandizochi chimaperekedwa m'magawo osiyanasiyana, pa masiku enaake. Choncho ndikofunikira kwambiri kupeza chithandizocho pa tsiku lomwe lakonzedwa . Ngati pazifukwa zina simungathe kufika pa tsiku lomwe lakonzedwa, imbani dokotala wanu nthawi yomweyo ndikumudziwitsa. Adzakuuzani choti muchite kenako.
Zinthu zofunika kuziganizira mukamalandira chithandizo
Chithandizo cha mankhwala a chemotherapy chingakhale nthawi yovuta, koma ngati mukudziwa zoona zake, zingakhale zosavuta kuthana nazo.
Chofunika kwambiri ndichakuti mankhwala a chemotherapy amakhudza maselo a khansa komanso kugawa maselo athanzi mwachangu. Ichi ndichifukwa chake zotsatirapo zambiri zimachitika. Chifukwa chake ndikwachibadwa kumva kusasangalala.
1. Dzitetezeni ku matenda
Mankhwalawa amatha kuchepetsa kuchuluka kwa maselo oyera m'thupi lanu omwe amalimbana ndi matenda. Izi zikutanthauza kuti chitetezo cha mthupi lanu chafooka ndipo muli ndi mwayi wopeza matenda .
- Ngati mukumva zizindikiro monga malungo, kuzizira, kupweteka pakhosi, chifuwa, kapena chimfine , musadzipatse mankhwala ndipo imbani dokotala nthawi yomweyo .
- Chepetsani maulendo anu opita ku malo odzaza anthu (mabasi, sitima, malo owonetsera mafilimu) momwe mungathere.
- Pewani anthu odwala (malungo, chifuwa).
- Sambani m'manja nthawi zambiri ndi sopo.
2. Samalani ndi kutuluka magazi ndi mabala.
Mankhwalawa angachepetsenso kuchuluka kwa ma platelet, omwe ndi maselo m'thupi omwe amathandiza magazi kuundana. Chifukwa chake:
- Mabala angaoneke ngati abuluu pathupi.
- Ngakhale bala laling'ono lingatenge nthawi yayitali kuti magazi asiye kutuluka .
- Pali kuthekera kwa kutuluka magazi m'kamwa ndi m'mphuno.
- Ngati ndowe ndi yakuda kapena yotuluka magazi, kapena ngati kusanzako kuli ndi khofi wothira, kungakhale kutuluka magazi kosazolowereka.
Ngati muwona kutuluka magazi kosazolowereka ngati kumeneku, uzani dokotala wanu nthawi yomweyo. Dokotala wanu nthawi zambiri amalamula kuti muyese magazi anu kuti awone kuchuluka kwa magazi anu panthawi ya chithandizo.
3. Mimba, kuyamwitsa ndi kubereka
Iyi ndi mfundo yofunika kwambiri.
- Akazi: Muyenera kupewa kutenga mimba mukamagwiritsa ntchito mankhwalawa komanso kwa miyezi 6 mutasiya kumwa mankhwalawa . Lankhulani ndi dokotala wanu za njira zoyenera zolerera.
- Amuna: Muyeneranso kupewa kubereka mwana pamene mukumwa mankhwalawa komanso kwa miyezi itatu mutasiya kumwa mankhwalawa .
- Kuyamwitsa: Pewani kuyamwitsa mwana wanu panthawi ya chithandizo komanso kwa sabata imodzi mutasiya kumwa mankhwala.
- Kubereka: Mankhwalawa angakhudze kuthekera kwanu kobereka ana mtsogolo. Ngati muli ndi nkhawa iliyonse pankhaniyi, kambiranani momasuka ndi dokotala wanu musanayambe kulandira chithandizo.
Zotsatirapo zomwe zingakhalepo chifukwa cha mankhwalawa
Si aliyense amene angakumane ndi zotsatirapo zonse, koma ndikofunikira kudziwa zomwe zingatheke.
| Zotsatira zoyipa | Kufotokozera ndi choti muchite |
|---|---|
| Zotsatirapo zoyipa zomwe zimafuna chithandizo chamankhwala mwachangu | |
| Matenda Oopsa a Thupi | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime, kuvutika kupuma. Uzani dokotala wanu nthawi yomweyo. |
| Zizindikiro za matenda | Malungo (oposa 100.4°F kapena 38°C), kuzizira, kupweteka pakhosi, chifuwa. Uzani dokotala wanu nthawi yomweyo. |
| Kutuluka magazi kosazolowereka | Kutupa, kutuluka magazi m'kamwa/mphuno, ndowe zakuda/magazi, mkodzo wakuda/wofiira. Uzani dokotala wanu nthawi yomweyo. |
| Kuchepa kwa maselo ofiira a m'magazi (Anemia) | Kuvuta kupuma, kutopa kwambiri, kufooka, kukomoka. Uzani dokotala wanu nthawi yomweyo. |
| Zotsatirapo zomwe nthawi zambiri sizimakhala zoopsa, koma ngati zikukuvutitsani, muyenera kuuza dokotala wanu. | |
| Kusanza ndi kusanza | Dokotala adzakupatsani mankhwala oletsa izi. |
| Chilakolako cha chakudya | Yesetsani kudya zakudya zambiri zopatsa thanzi momwe mungathere. |
| Kutsegula m'mimba | Imwani madzi ambiri monga madzi ndi Jeevani kuti mupewe kutaya madzi m'thupi. Ngati zakula kwambiri, uzani dokotala wanu . |
| Mutu, chifuwa | Ngati izi zikupitirira kapena zikukuvutitsani, lankhulani ndi dokotala wanu. |
Ngati muwona chinthu chachilendo chomwe sichili pamndandandawu, musaope kulankhula ndi dokotala wanu za icho.
Uthenga Wopita Nawo Kunyumba
- Melphalan Flufenamide ndi mankhwala a chemotherapy a khansa ya multiple myeloma yomwe imaperekedwa m'mitsempha kuchipatala.
- Musanayambe kulandira chithandizo, uzani dokotala wanu za matenda anu onse, mankhwala ena omwe mukumwa, ndi ziwengo.
- Nthawi zonse samalani ndi zizindikiro za matenda monga malungo, kuzizira, ndi kutuluka magazi kosazolowereka. Ngati muwona chilichonse mwa izi , funsani upangiri wa dokotala nthawi yomweyo.
- Pewani kutenga pakati panthawi ya chithandizo komanso kwa nthawi inayake pambuyo pake (izi zikugwira ntchito kwa akazi ndi amuna).
- Kambiranani momasuka ndi dokotala wanu za kusapeza bwino kapena zotsatirapo zina zomwe mungakumane nazo. Iye nthawi zonse amakhala wokonzeka kukuthandizani paulendowu.
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