Ndizachilendo kumva mantha pang'ono komanso mantha dokotala wanu akakupatsani mankhwala otchedwa Melphalan kwa inu kapena munthu wina m'banja mwanu. Tikamva mawu akuti "mankhwala a khansa ," tonse timachita mantha pang'ono. Koma musachite mantha. Kudziwa bwino za chithandizo chilichonse ndiye njira yabwino kwambiri yopitira patsogolo paulendowu. Lero, tiyeni tikambirane mwachidule komanso mokoma mtima za mankhwala otchedwa Melphalan awa. Ngati kuti mnzanu, dokotala, akukufotokozerani.
Mwachidule, kodi Melphalan ndi chiyani?
Melphalan ndi mankhwala a chemotherapy omwe amalimbana ndi maselo a khansa . Kunena zoona, amachepetsa kukula kwa maselo a khansa, kutanthauza kuti, kuchuluka kwa maselo omwe amagawikana ndikuchulukana. Mwanjira imeneyi, ntchito yake yayikulu ndikulamulira maselo a khansa.
Mankhwalawa amagwiritsidwa ntchito makamaka pochiza:
- Za khansa ya m'chiberekero .
- Multiple myeloma ndi mtundu wa khansa yomwe imayamba m'mafupa .
Nthawi zina madokotala angagwiritse ntchito mankhwalawa pa mitundu ina ya khansa. Ku Sri Lanka, mutha kupeza mankhwalawa pansi pa dzina la `Alkeran`.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Izi ndizofunikira kwambiri. Mankhwalawa angakhudze matenda ena m'thupi lanu. Chifukwa chake, ngati muli ndi vuto lililonse lomwe latchulidwa pansipa, onetsetsani kuti mwadziwitsa dokotala wanu musanayambe kumwa mankhwalawo. Musabise zinthu izi, chifukwa ndi zofunika kwambiri pa chitetezo chanu.
| Mkhalidwe wanu | N’chifukwa chiyani kuli kofunikira kuuza dokotala? |
|---|---|
| Matenda a impso kapena chiwindi | Ziwalo zimenezi ndi zomwe zimachotsa mankhwala m'thupi. Ngati ntchito yawo yasokonekera, mlingo wa mankhwalawo ungafunike kusinthidwa. |
| Maselo otsika m'magazi | Mwachitsanzo, ngati muli ndi maselo oyera a m'magazi, maselo ofiira a m'magazi, kapena ma platelet ochepa, mankhwalawa angapangitse vutoli kukhala loipa kwambiri. Choncho dokotala wanu ayenera kudziwa zimenezo. |
| Matenda omwe alipo panopa | Popeza mankhwalawa amachepetsa chitetezo cha mthupi, ngati pali kale matenda, ayenera kuchiritsidwa. |
| Ngati mudalandirapo kale mankhwala a chemotherapy kapena radiation | Mankhwala am'mbuyomu mwina adakhudza mafupa, choncho izi ziyenera kuganiziridwa popereka mankhwala awa. |
| Matenda a Melphalan kapena mankhwala ena kapena zakudya zina | Ndikofunikira kwambiri kudziwa za mtundu uliwonse wa ziwengo. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa | Izi ndizofunikira kwambiri. Mankhwalawa amatha kuvulaza kwambiri mwana yemwe ali m'mimba. Amathanso kulowa mwa mwana kudzera mu mkaka wa m'mawere. Tikambirana za izi mwatsatanetsatane. |
Kodi njira yabwino kwambiri yogwiritsira ntchito mankhwalawa ndi iti?
Chofunika kwambiri ndi kumwa mlingo weniweni monga momwe dokotala wanu wanenera.
- Imwani mapiritsi awa ndi kapu ya madzi.
- Chofunika kwambiri ndikumwa mankhwalawa m'mimba yopanda kanthu. Izi zikutanthauza kuti osachepera ola limodzi musanadye kapena maola awiri mutatha kudya . Musamwe pamodzi ndi chakudya. Kumwa pamodzi ndi chakudya kungathandize kuchepetsa kuyamwa kwa mankhwalawa m'thupi.
- Yesetsani kumwa mankhwala anu nthawi yomweyo tsiku lililonse, momwe mungathere. Izi zidzakuthandizani kuti milingo ya mankhwala m'thupi lanu ikhale yofanana.
- Musasiye kumwa mankhwala anu mpaka dokotala wanu atakuuzani kuti, "Zakwanira, siyani."
Chenjezo: Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi wina aliyense pazifukwa zilizonse.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwadzidzidzi mwaiwala kumwa mlingo, musadandaule. Dumphani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira nthawi yanthawi zonse. Musamwe mapiritsi awiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaiwala.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi .
Ndi zinthu zina ziti zomwe zingagwirizane ndi mankhwalawa?
Melphalan ndi mankhwala amphamvu kwambiri. Chifukwa chake, imatha kuyanjana ndi mankhwala ena. Chifukwa chake, muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera .
| Mtundu | Zitsanzo ndi mafotokozedwe |
|---|---|
| Zinthu zomwe si zabwino kugula | |
| Katemera wamoyo | Chitetezo cha mthupi lanu chimafooka mukatenga mankhwalawa. Ngati mutalandira katemera wamoyo (monga chikuku, mumps, rubella - MMR) panthawiyi, mutha kudwala ndi katemerayo. Choncho funsani dokotala wanu musanalandire katemera aliyense panthawiyi. |
| Mankhwala ena oti mugwiritse ntchito mosamala | |
| Mankhwala ena | Mankhwala monga Carmustine, Cisplatin, ndi Cyclosporine amatha kuyanjana ndi Melphalan. Chifukwa chake, ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa. |
Zinthu zomwe muyenera kusamala nazo kwambiri mukamamwa mankhwala
Chithandizo cha khansa chingakhale nthawi yovuta, koma ngati mukumbukira zinthu izi, mutha kuthana nazo mosavuta.
Kumva kudwala
Chemotherapy imagwira ntchito popha maselo omwe amagawikana mofulumira. Maselo a khansa ndi maselo omwe amagawikana mofulumira. Koma maselo ena athanzi m'thupi lathu (monga maselo a tsitsi, maselo omwe ali m'kamwa, maselo a magazi) amagawikananso mofulumira. Choncho mankhwala amenewa amakhudzanso maselo athanziwo. Ndicho chifukwa chake mungamve kusasangalala, kutopa, kapena nseru. Izi ndi zachilendo. Koma uzani dokotala wanu za zotsatirapo zilizonse zomwe mumakumana nazo. Musasiye kumwa mankhwala anu popanda upangiri wa dokotala chifukwa chakuti ndi osasangalatsa.
Chenjerani ndi matenda!
Izi ndizofunikira kwambiri. Melphalan imafooketsa chitetezo cha mthupi lanu. Izi zikutanthauza kuti imachepetsa kuchuluka kwa maselo oyera amagazi omwe amalimbana ndi matenda. Kotero mutha kutenga matenda mosavuta.
- Ngati mukumva zizindikiro monga malungo, kuzizira, kupweteka pakhosi , kapena chifuwa , imbani dokotala nthawi yomweyo. Musadzipatse mankhwala.
- Chepetsani kupita kumalo odzaza anthu.
- Pewani anthu odwala (odwala malungo, chimfine).
- Sambani m'manja nthawi zambiri ndi sopo.
Samalani ndi kutuluka magazi ndi mabala.
Mankhwalawa amathanso kuchepetsa kuchuluka kwa ma platelet, omwe ndi maselo omwe amathandiza magazi kuundana. Chifukwa chake,
- Ngakhale bala laling'ono lipitirira kutuluka magazi,
- Ngati mukumva mabala abuluu thupi lonse popanda chifukwa,
- Ngati mkamwa mwanu mukutuluka magazi,
Uzani dokotala wanu nthawi yomweyo.
Mimba, kuyamwitsa ndi kubereka
Izi zikugwira ntchito kwa amuna ndi akazi.
- Pa nthawi ya mimba: Ngati mutenga mimba mukumwa mankhwalawa, mwana wanu wosabadwayo akhoza kukhala ndi zilema zazikulu zobereka. Chifukwa chake, ndikofunikira kugwiritsa ntchito njira yodalirika kwambiri yolerera pamene mukumwa mankhwalawa komanso nthawi yonse yomwe dokotala wanu akulangiza mutasiya kumwa.
- Kwa amuna: Ngati mukumwa Melphalan, onetsetsani kuti mnzanuyo watetezedwa ku mimba. Ndikofunikira kwambiri kugwiritsa ntchito kondomu panthawi yogonana.
- Kuyamwitsa: Musayamwitse pamene mukumwa mankhwalawa.
- Kubereka: Mankhwalawa angakhudze kuthekera kwanu kubereka (kubereka). Ngati muli ndi nkhawa iliyonse pankhaniyi, lankhulani ndi dokotala wanu musanayambe kulandira chithandizo.
Zotsatirapo zoyipa za mankhwalawa
Monga mankhwala ena aliwonse, Melphalan ingayambitse zotsatirapo zina. Zina zimafunika chisamaliro chadzidzidzi, pomwe zina nthawi zambiri zimachepa pakapita nthawi.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Ngati mukukumana ndi zizindikiro izi, uzani dokotala wanu nthawi yomweyo. | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi, komanso kuvutika kupuma. |
| Zizindikiro za matenda | Malungo, kuzizira, chifuwa, pakhosi, mabala osachiritsa, kupweteka pokodza. |
| Zizindikiro za maselo ofiira otsika m'magazi | Kutopa kosazolowereka, kufooka, chizungulire, mutu, komanso kupuma movutikira. |
| Kutuluka magazi kosazolowereka kapena kuvulala | Mabala abuluu pathupi popanda chifukwa, mkamwa umatuluka magazi, kutuluka magazi m'mphuno. |
| Ngati zizindikiro izi zikupitirira kapena zikukuvutitsani, uzani dokotala wanu. | |
| Kutsegula m'mimba | Kuyenda ndi mimba yotayirira. |
| Kusanza ndi Kusanza | Matenda omwe amakhudza anthu ambiri. Pali mankhwala ena oletsa izi. |
| Zilonda pakamwa kapena pakhosi | Kufiira, kutupa, kupweteka, kapena zilonda mkamwa. |
Kodi mumasunga bwanji mankhwala anu kukhala otetezeka?
- Onetsetsani kuti mwasunga pamalo omwe ana ndi ziweto sangafikire .
- Mankhwalawa ayenera kusungidwa mufiriji .
- Isungeni pamalo pomwe kuwala sikungagwere .
- Musagwiritse ntchito mankhwala omwe atha ntchito.
- Funsani dokotala wanu kapena chipatala chanu momwe mungatayire mankhwala osagwiritsidwa ntchito kapena omwe atha ntchito mosamala.
Uthenga Wopita Nawo Kunyumba
- Melphalan ndi mankhwala a khansa. Iyenera kumwedwa pamimba yopanda kanthu (ola limodzi musanadye kapena maola awiri mutadya).
- Musasiye kumwa mankhwala kapena kusintha mlingo popanda upangiri wa dokotala.
- Chitetezo chanu cha mthupi chidzachepa mukamamwa mankhwalawo. Choncho ngati mutakhala ndi zizindikiro zilizonse za matenda monga malungo ndi chifuwa, uzani dokotala wanu nthawi yomweyo. Pewani kupita pagulu.
- Samalani ndi kutuluka magazi kapena mabala osazolowereka. Ngati muwona chilichonse chonga chimenecho, dziwitsani dokotala wanu.
- Pewani kutenga pakati kapena kubereka mwana mukumwa mankhwalawa. Ndikofunikira kugwiritsa ntchito njira zolerera zodalirika.
- Musaope kulankhula ndi dokotala wanu za kusapeza bwino kulikonse, zotsatirapo zake, kapena nkhawa zomwe mungakhale nazo. Kulankhulana momasuka ndiye chinsinsi cha chithandizo chabwino kwambiri.
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