Tiyeni tiphunzire za mankhwala a Mercaptopurine (6-MP)?

Kodi dokotala wanu wakupatsani mankhwala a Mercaptopurine kapena munthu wina amene mumamudziwa? Mwina muli ndi mafunso ambiri okhudza mankhwala awa, ntchito yake, momwe angagwiritsire ntchito bwino, komanso njira zodzitetezera zomwe muyenera kutsatira. Lero, tikambirana zonsezi m'njira yosavuta yomwe mungamvetse.

Kodi Mercaptopurine ndi mankhwala otani?

Mwachidule, Mercaptopurine, yomwe nthawi zina imatchedwa 6-MP, ndi mankhwala omwe amaletsa kukula kwa maselo a khansa . Makamaka, ndi mankhwala a gulu la mankhwala otchedwa chemotherapy. Amagwira ntchito poletsa maselo a khansa kuti asagawanike ndikukula mofulumira kwambiri. Nthawi zina amagwiritsidwanso ntchito kuletsa chitetezo cha mthupi. Amagwiritsidwa ntchito makamaka pochiza mitundu ina ya khansa ya m'magazi.

Taganizirani izi, maselo m'thupi lathu nthawi zonse amagawikana ndikudzikonzanso okha. Zimenezo n'zachibadwa. Koma mu khansa, maselo ena amayamba kugawikana mofulumira kwambiri, osalamulirika. Mercaptopurine imathandiza kuletsa kugawikana kwa maselo mwachangu komanso kosalamulirika.

Dokotala wanu angakupatseninso mankhwala awa pa vuto lina. Chifukwa chake ngati muli ndi mafunso, ndi bwino kufunsa dokotala wanu kapena wamankhwala. Mankhwalawa akhoza kukhala ndi mayina angapo, mwachitsanzo, mwina mudawawonapo otchedwa PURIXAN.

Ndi zinthu ziti zomwe ndiyenera kuuza dokotala ndisanayambe kumwa mankhwalawa?

Musanayambe kumwa mankhwalawa, pali zinthu zingapo zomwe muyenera kuuza dokotala wanu ndi gulu lanu la chisamaliro. Izi ziwathandiza kusankha ngati mankhwalawa ndi oyenera kwa inu komanso kuchuluka kwa zomwe angakupatseni. Onetsetsani kuti mwawauza zonsezi, eti?

• Ngati muli ndi matenda a impso .
• Ngati muli ndi matenda aliwonse a chiwindi .
• Ngati kuchuluka kwa maselo anu m'magazi kuli kotsika (monga maselo oyera amagazi, maselo ofiira amagazi, kapena ma platelet), dokotala wanu adzayang'ana izi mu malipoti a magazi.
• Ngati muli ndi vuto lotchedwa kusowa kwa nucleotide diphosphatase (NUDT15) (ili ndi vuto la majini, dokotala wanu akhoza kuchita mayeso apadera kuti aone ngati lili ndi vuto limeneli).
• Palibe vuto ngati mwalandira katemera posachedwapa kapena mukukonzekera kulandira katemera posachedwa.
• Ngati muli ndi vuto lotchedwa thiopurine methyltransferase (TPMT) (ilinso ndi vuto la majini monga NUDT15, ndipo lingasinthe momwe mankhwala amagwirira ntchito m'thupi).
• Ngati munakhalapo ndi vuto lachilendo la ziwengo chifukwa cha mercaptopurine, perekani mankhwala ena, chakudya, utoto, kapena zotetezera.
• Ngati muli ndi mimba , chabwino?Ngati mukuyembekeza kukhala ndi mwana , izi ndizofunikira kwambiri.
• Ngati ndinu mayi woyamwitsa .

Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?

Uwu ndi mankhwala opangidwa ndi dokotala. Muyenera kumwa monga momwe dokotala wanu walembera, malinga ndi malangizo omwe ali pa chizindikiro cha mankhwala.

Chofunika kwambiri ndikugwedeza botolo bwino musanamwe mankhwala . Izi zithandiza kuti zosakaniza zonse zisakanizidwe bwino ndipo mulandire mlingo woyenera.

Kuti muyese mankhwala, gwiritsani ntchito sirinji yapadera yoyezera yomwe imabwera ndi mankhwala. Musayese ndi supuni zapakhomo kapena supuni, chifukwa sizingayese kuchuluka kwenikweni. Werengani Malangizo Ogwiritsira Ntchito mosamala pa phukusi la mankhwala. Limafotokoza masitepe pang'onopang'ono.

Imwani mankhwala anu panthawi yoyenera komanso nthawi yoyenera . Musamwe mankhwala ochulukirapo kuposa momwe dokotala wanu wanenera, kapena kumwa pafupipafupi. Komanso, musasiye kumwa mankhwala anu mwadzidzidzi popanda upangiri wa dokotala . Kuchita zimenezi kungakhudze vuto lanu.

Kodi mumatani mukapereka mankhwala awa kwa ana?

Madokotala amapatsanso ana mankhwalawa nthawi zina. Komabe, pali zinthu zina zomwe muyenera kusamala nazo mukamapatsa ana mankhwalawa. Chifukwa chake, ngati mukupereka mankhwalawa kwa mwana wanu, ndikofunikira kukambirana mosamala ndi dokotala wa ana ndikupempha upangiri. Mlingo wake ungasiyane kutengera kulemera kwa mwana, kutalika kwake, komanso matenda ake.

Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo mwangozi?

Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani malo owongolera poizoni kapena chipinda chadzidzidzi chapafupi nthawi yomweyo . Musataye nthawi. Musadikire mpaka mutapeza zizindikiro za kumwa mankhwala opitirira muyeso.

Chofunika: Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi ena, ngakhale atakhala ndi zizindikiro zomwezo zomwe muli nazo.

Kodi mumatani ngati mwaphonya mlingo wa mankhwala?

Ngati mwaphonya mlingo, thawani mlingo womwe mwaphonya . Imwani mlingo wanu wotsatira nthawi yanthawi zonse. Musamwe milingo iwiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaphonya . Kuchita izi kungapangitse kuti muwonjezere mlingo ndikuyambitsa zotsatirapo zoyipa. Ngati nthawi zambiri mumaphonya mlingo, lankhulani ndi dokotala wanu. Mungafunike thandizo popanga njira yokumbutsa.

Ndi mankhwala ena ati omwe sagwirizana ndi mankhwalawa, kapena ayenera kumwedwa mosamala?

Mukamamwa mankhwalawa, amatha kuyanjana ndi mankhwala ena. Izi zikutanthauza kuti akamwedwa limodzi ndi mankhwalawa, mphamvu ya mankhwalawa ingasinthe kapena zotsatira zake zingawonjezeke.

Musamwe Mercaptopurine pamodzi ndi mankhwala awa:

• Febuxostat (iyi ndi mankhwala a gout)

Mankhwalawa amathanso kukhudzana ndi mercaptopurine. Chifukwa chake, ngati mukumwa mankhwalawa, muyenera kuuza dokotala wanu:

• Allopurinol (iyi ndi mankhwala a gout. Ngati mutenga iyi, muyenera kuchepetsa mlingo wa mercaptopurine)
• Mankhwala ena omwe amaletsa magazi kuundana, mwachitsanzo warfarin
• Mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda monga ulcerative colitis: balsalazide, olsalazine, mesalamine, sulfasalazine
• Katemera wa kachilombo kamoyo (monga chikuku, mumps, rubella (MMR), katemera wa nsabwe)
• Trimethoprim-sulfamethoxazole (iyi ndi mankhwala opha tizilombo omwe amagwiritsidwa ntchito kwambiri)

Mndandandawu sukuphatikizapo zinthu zonse zomwe zingachitike. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mumamwa (omwe amalembedwa ndi dokotala kapena omwe amagulitsidwa pamtengo wotsika), mankhwala azitsamba, mavitamini, ndi zowonjezera zakudya zomwe mumagwiritsa ntchito. Muyeneranso kudziwitsa dokotala wanu ngati mumasuta fodya, kumwa mowa, kapena kugwiritsa ntchito mankhwala ena. Zinthu zina zingakhudze mankhwala anu.

Kodi muyenera kusamala ndi chiyani mukamamwa mankhwalawa?

Mungamve kusasangalala kapena kusasangalala kuposa masiku onse mukumwa mankhwalawa. Izi ndi zachilendo chifukwa mankhwala a chemotherapy amathanso kukhudza maselo athanzi. Komabe, ngati mukukumana ndi zotsatirapo zina, uzani dokotala wanu. Muyenera kupitiriza kumwa mankhwalawo ngakhale atakhala osasangalatsa mpaka dokotala wanu atakuuzani kuti musiye .

• Kutuluka magazi ndi mabala kungachuluke: Mankhwalawa angakulitse chiopsezo chanu chotuluka magazi ndi mabala. Uzani dokotala wanu nthawi yomweyo ngati muwona kutuluka magazi kwachilendo (monga kutuluka magazi m'mphuno, m'kamwa), mabala osavuta, madontho ang'onoang'ono ofiira pakhungu lanu, ndowe zakuda, kapena magazi m'mkodzo wanu. Samalani kuti musadzivulaze. Gwiritsani ntchito burashi yofewa potsuka mano anu.

• Kuopsa kwa Matenda: Ngati mukumva zizindikiro monga malungo, kuzizira, kupweteka pakhosi, mphuno yotuluka madzi, kapena chifuwa, uzani dokotala nthawi yomweyo. Musamadzipatse mankhwala . Mankhwalawa angathandize kuchepetsa mphamvu ya thupi lanu yolimbana ndi matenda. Chifukwa chake, yesetsani kupewa anthu odwala momwe mungathere. Samalani mukamapita kumalo odzaza anthu. Sambani m'manja nthawi zambiri.

• Kuzindikira kwa Dzuwa:Khungu lanu likhoza kukhala losavuta kumva ku dzuwa mukamamwa mankhwalawa. Choncho samalani ndi dzuwa momwe mungathere. Chepetsani kuwala kwa dzuwa pakati pa 10 koloko m'mawa ndi 4 koloko madzulo. Ngati mukufuna kukhala padzuwa, valani zovala zophimba thupi lanu bwino, chipewa chachikulu, ndi mafuta oteteza ku dzuwa (SPF 30 kapena kupitirira apo). Musagwiritse ntchito nyali za dzuwa kapena malo opaka utoto.

• Kuopsa kwa khansa: Pakhoza kukhala chiopsezo chochepa chotenga mitundu ina ya khansa (monga khansa ya pakhungu) ngati mankhwalawa atengedwa kwa nthawi yayitali. Lankhulani ndi dokotala wanu za izi kuti mudziwe zambiri. Ndicho chifukwa chake ndikofunikira kusamala padzuwa.

• Zokhudza mimba ndi kukhala ndi ana:
• Akazi: Musatenge mimba mukatenga mankhwalawa kwa miyezi 6 mutasiya kumwa mankhwalawa. Ngati mukukonzekera kutenga pakati kapena mukuganiza kuti muli ndi pakati, uzani dokotala wanu nthawi yomweyo. Lankhulani ndi dokotala wanu za njira zoyenera zolerera.
• Amuna: Musabereke mwana pamene mukumwa mankhwalawa komanso kwa miyezi itatu mutasiya kumwa mankhwalawa. Onetsetsani kuti mnzanuyo alibe pakati. Mankhwalawa angayambitse mavuto aakulu kwa mwana wosabadwa. Funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

• Kuyamwitsa: Musayamwitse mwana wanu pamene mukumwa mankhwalawa kapena kwa sabata imodzi mutasiya kumwa mankhwalawa. Mankhwalawa amatha kupita kwa mwana kudzera mu mkaka wa m'mawere.

• Kubereka: Mankhwalawa angakhudze kuthekera kwanu kubereka, kapena kubereka. Izi zingakhudze amuna ndi akazi. Ngati muli ndi nkhawa iliyonse pankhaniyi, lankhulani ndi dokotala wanu musanayambe chithandizo kuti mudziwe zomwe mungachite.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena aliwonse, Mercaptopurine ikhoza kukhala ndi zotsatirapo zina. Zina mwa izo ziyenera kunenedwa kwa dokotala wanu nthawi yomweyo, pomwe zina sizowopsa kwenikweni. Tiyeni tiwone zomwe zili.

Muyenera kuuza dokotala wanu kapena katswiri wa zaumoyo mwamsanga ngati muli ndi zotsatirapo izi:

• Matenda a ziwengo: Zizindikiro monga ziphuphu pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, ndi lilime.
• Mavuto opuma.
• Kuchuluka kwa magazi m'magazi: Mankhwalawa amatha kuchepetsa maselo oyera a magazi, maselo ofiira a magazi, ndi ma platelet. Izi zitha kuwonjezera chiopsezo chanu chotenga matenda ndi kutuluka magazi. Dokotala wanu adzayang'ana kuchuluka kwa magazi anu nthawi zonse.
• Zizindikiro za kuchepa kwa ma platelet kapena kutuluka magazi:Kutupa, kuoneka mawanga ofiira pakhungu, zakuda, ndowe zotuluka m'thupi, ndi magazi m'mkodzo.
• Zizindikiro za maselo ofiira ochepa m'magazi: kutopa kosazolowereka, kumva kufooka kapena kutopa kosazolowereka, kumva kufooka kapena mutu wopepuka, ndi kugwa.
• Zizindikiro za matenda: malungo kapena kuzizira, chifuwa, kupweteka pakhosi, kupweteka kapena kuvutika kukodza.
• Zizindikiro za kuvulala kwa chiwindi: mkodzo wakuda wachikasu kapena bulauni; kumva kudwala kapena zizindikiro zofanana ndi chimfine; ndowe zowala; kusowa chilakolako; nseru; kupweteka m'mimba chapamwamba chakumanja; kufooka kapena kutopa kosazolowereka; maso kapena khungu kukhala lachikasu.
• Zizindikiro za shuga wotsika m'magazi: kumva nkhawa; chisokonezo; chizungulire; njala yowonjezera; kufooka kapena kutopa kwambiri; thukuta; kugwedezeka; kumva kuzizira; kukwiya; mutu; kusawona bwino; kugunda kwa mtima mwachangu; kutaya chidziwitso.
• Chikhure.
• Kutupa kwa m'mimba.

Zotsatirapo zomwe nthawi zambiri sizifuna chithandizo chamankhwala (ngati izi zikupitirira kapena zikukuvutitsani, uzani dokotala wanu):

• Kutsegula m'mimba.
• Kutaya tsitsi (izi ndi zakanthawi, tsitsi lidzameranso mankhwala akangosiya)
• Zilonda pakamwa. (Funsani dokotala wanu za mankhwala otsukira pakamwa.)
• Kusanza. (Ngati mukusanza, uzani dokotala wanu , pali mankhwala ochizira zimenezo.)

Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Ngati muwona china chake chachilendo kuwonjezera pa izi, chonde funsani dokotala wanu kuti akupatseni upangiri.

Kodi ndiyenera kusunga bwanji mankhwalawa?

Mankhwalawa ayenera kusungidwa pamalo omwe ana sangawafikire . Zimenezi n'zofunika kwambiri.

Sungani mankhwalawo kutentha kwa madigiri 15 mpaka 25 Celsius (madigiri 59 ndi 77 Fahrenheit) . Uku ndi kutentha kwabwinobwino kwa chipinda. Musasunge pamalo otentha kapena mufiriji, pokhapokha ngati dokotala wanu atakuuzani zosiyana. Tsekani botolo mwamphamvu.

Botolo la mankhwalaPambuyo pa milungu 8 yogwiritsidwa ntchito, mankhwala otsala ayenera kutayidwa. Musagwiritse ntchito. Ndikoopsa kugwiritsa ntchito mankhwala omwe atha ntchito.

Pomaliza, chinthu chofunikira kwambiri chomwe muyenera kukumbukira ndi

Nkhaniyi ndi chidule cha Mercaptopurine. Mwina sichingakhale chokwanira. Ngati muli ndi mafunso ena okhudza mankhwalawa, ndi bwino kulankhula ndi dokotala wanu, wamankhwala, kapena katswiri wina wa zaumoyo. Musamwe mankhwala aliwonse nokha popanda kufunsa dokotala . Kutsatira malangizo a dokotala wanu ndiyo njira yabwino kwambiri yokhalira ndi thanzi labwino.

Kumbukirani, simuli nokha. Pali madokotala ndi magulu azaumoyo oti akuthandizeni. Musaope kulankhula nawo momasuka za mafunso, mantha, kapena kukayikira kulikonse komwe muli nako. Iwo alipo kuti akuthandizeni.

Mercaptopurine , 6-MP, khansa, khansa ya m'magazi, chemotherapy, zotsatirapo zake, mankhwala