Kodi mwapatsidwa mapiritsi a Mercaptopurine (6-MP)? Tiyeni tikambirane izi mwachidule!

Nthawi zina madokotala amalemba mankhwala a matenda aakulu kuposa momwe timaganizira, sichoncho? Pankhani yotereyi, ndikofunikira kwambiri kudziwa bwino lomwe kuti mankhwalawo ndi otani. Lero tikambirana za mankhwala apadera pang'ono, omwe ndi Mercaptopurine , mtundu wa mapiritsi omwe anthu ena amatchanso 6-MP . Mwina inuyo kapena munthu amene mumamudziwa mwapatsidwa mankhwala awa. Tiyeni tikambirane za izi mwatsatanetsatane, sichoncho?

Ndiye, kodi Mercaptopurine iyi ndi mankhwala otani?

Mwachidule, Mercaptopurine ndi mankhwala a chemotherapy omwe amaletsa kukula kwa maselo a khansa. Kunena zoona, amalamulira kugawikana ndi kukula kwa maselo a khansa. Angathenso kuchepetsa ntchito ya chitetezo cha mthupi lathu.

Mankhwalawa nthawi zambiri amagwiritsidwa ntchito pochiza mitundu ina ya khansa ya m'magazi, monga khansa ya m'magazi yoopsa . Komabe, nthawi zina madokotala amatha kukupatsani mankhwalawa pa matenda ena. Dokotala wanu adzakufotokozerani chifukwa chake mwapatsidwa mankhwalawa. Ngati muli ndi mafunso ena, musazengereze kufunsa dokotala wanu kapena wamankhwala.

Mankhwalawa amapezeka pamsika pansi pa dzina lodziwika bwino la Purinethol .

Kodi ndi zinthu ziti zofunika kwambiri zomwe muyenera kuuza dokotala musanayambe kumwa mankhwalawa?

Izi ndizofunikira kwambiri. Musanayambe kugwiritsa ntchito Mercaptopurine, pali zinthu zingapo zomwe muyenera kuuza dokotala wanu. Chifukwa izi ndi zomwe dokotala wanu adzagwiritsa ntchito podziwa mlingo wa mankhwalawo, kapena kudziwa ngati mankhwalawa ndi oyenera kwa inu kapena ayi.

Nazi mfundo zimenezo:

• Ngati muli ndi matenda a impso .
• Ngati muli ndi matenda a chiwindi .
• Ngati kuchuluka kwa maselo m'magazi anu kuli kochepa - kutanthauza kuti, ngati malipoti akusonyeza kuti muli ndi maselo oyera, maselo ofiira, kapena ma platelet ochepa.
• Ngati muli ndi vuto la majini lotchedwa nucleotide diphosphatase (NUDT15) (izi zitha kuzindikirika ndi mayeso apadera).
• Ngati mwalandira katemera posachedwapa, kapena mukukonzekera kulandira katemera wina mtsogolo.
• Ngati muli ndi vuto lina la majini lotchedwa thiopurine methyltransferase (TPMT) deficiency (izi zitha kuzindikirikanso ndi mayeso apadera).
• Ngati muli ndi vuto la mercaptopurine, mankhwala ena aliwonse, chakudya, utoto, kapena zotetezera.
• Ngati muli ndi pakati kapena mukufuna kutenga mimba, palibe vuto.
• Ngati ndinu mayi woyamwitsa.

Ndikofunikira kwambiri kuti thanzi lanu lidziwe dokotala wanu za zinthu izi popanda kuzibisa.

Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?

Mankhwalawa amabwera ngati mapiritsi. Muyenera kumwa mapiritsiwa ndi kapu ya madzi. Tsatirani malangizo a dokotala wanu kapena malangizo omwe ali pa chizindikiro cha mankhwala monga momwe aperekedwera. Imwani kuchuluka kwa mankhwala omwe mwapatsidwa panthawi yomwe mwapatsidwa. Musamwe mochuluka kapena mochuluka kuposa momwe dokotala wanu wanenera.

Chofunika kwambiri ndichakuti musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala. Kuchita zimenezi kungakhudze vuto lanu.

Ngati mukupereka mankhwalawa kwa ana aang'ono , muyenera kulankhula ndi dokotala wanu wa ana za mankhwalawa. Ngakhale kuti mankhwalawa amaperekedwa kwa ana nthawi zina, pali zinthu zina zomwe muyenera kusamala nazo.

Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?

Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo mwangozi, imbani malo owongolera poizoni kapena dipatimenti yapafupi yadzidzidzi yachipatala nthawi yomweyo. Musataye nthawi.

Dziwani: Mankhwalawa aperekedwa kwa inu nokha. Musagawane mankhwalawa ndi wina aliyense pazifukwa zilizonse.

Nanga bwanji ngati ndaphonya mlingo wa mankhwala?

Nthawi zina n'zotheka kuphonya mlingo, eti? Ngati zimenezo zitachitika, musamwe mlingo wowirikiza kawiri kuti mubwezeretse mlingo womwe mwaphonya. Dumphani mlingo womwe mwaphonya ndikumwa mlingo wanu wotsatira panthawi yokhazikika. Ngati mukukayikira chilichonse pa izi, funsani dokotala wanu.

Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa?

Iyi ndi mfundo yofunika kwambiri. Pali mankhwala ena omwe angayambitse mavuto akamwedwa ndi mercaptopurine.

Musamwe Mercaptopurine pamodzi ndi mankhwala awa:

• Febuxostat (iyi ndi mankhwala operekedwa pa matenda monga gout)

Mankhwalawa amathanso kusokonezana ndi mercaptopurine, zomwe zikutanthauza kuti amatha kusokonezana. Chifukwa chake ngati mukumwa mankhwalawa, muyenera kuuza dokotala wanu:

• Allopurinol (mankhwala omwe amagwiritsidwanso ntchito pochiza gout ndi miyala ina ya impso)
• Mankhwala ena omwe amaletsa magazi kuundana, mwachitsanzo warfarin
• Mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda monga ulcerative colitis: balsalazide, olsalazine, mesalamine, kapena sulfasalazine
• Katemera wa kachilombo ka moyo
• Trimethoprim-sulfamethoxazole (iyi ndi mankhwala opha tizilombo)

Mndandandawu sunathe. Uzani dokotala wanu za mankhwala onse (omwe mwapatsidwa ndi dokotala kapena omwe simunawagule), zitsamba, mavitamini, ndi zowonjezera zakudya zomwe mukumwa.Komanso, uzani dokotala wanu ngati mukusuta fodya, kumwa mowa, kapena kugwiritsa ntchito mankhwala ena osokoneza bongo. Zinthu zimenezi zingasokoneze mankhwala anu.

Kodi muyenera kusamala kwambiri ndi chiyani mukamagwiritsa ntchito mankhwalawa?

Mercaptopurine ndi mankhwala amphamvu pang'ono, kotero muyenera kusamala kwambiri ndi zinthu zina mukamamwa.

• Kumva kusasangalala pang'ono: Mungamve kusasangalala pang'ono komanso kusasangalala mukamwa mankhwalawa. Izi zili choncho chifukwa mankhwala oletsa khansa awa samakhudza maselo a khansa okha komanso maselo athanzi. Ngati mukukumana ndi zotsatirapo zilizonse, uzani dokotala wanu . Komabe, ndikofunikira kumwa mankhwalawo monga momwe mwalangizidwira, ngakhale atakhala osasangalatsa, mpaka dokotala wanu atakuuzani kuti musiye.
• Samalani ndi matenda: Ngati muli ndi zizindikiro za matenda monga malungo, kuzizira, pakhosi, chifuwa, kapena mphuno yotuluka madzi, musadzipatse mankhwala. Lankhulani ndi dokotala wanu kapena katswiri wa zaumoyo nthawi yomweyo kuti akupatseni upangiri. Mankhwalawa angathandize kuchepetsa mphamvu ya thupi lanu yolimbana ndi matenda. Chifukwa chake, yesetsani kupewa anthu odwala. Mwachitsanzo, ndi bwino kuchepetsa kupita kumalo odzaza anthu komanso kupita kwa odwala.
• Kutupa ndi kutuluka magazi mosavuta: Mankhwalawa angakuthandizeni kuti mutuluke mosavuta, kapena kutuluka magazi mosavuta chifukwa cha kuvulala pang'ono. Ngati mukumva kutuluka magazi kapena kuvulala kosazolowereka, uzani dokotala wanu.
• Kumva kudzuwa: Khungu lanu likhoza kukhala losamva kudzuwa kwambiri mukamamwa mankhwalawa. Chifukwa chake, pewani kuwala kwa dzuwa mwachindunji momwe mungathere. Ngati mutuluka panja, valani zovala zophimba thupi lanu bwino, valani chipewa, ndipo gwiritsani ntchito mafuta oteteza ku dzuwa. Musagwiritse ntchito nyali za dzuwa kapena mabedi/mahema opaka utoto.
• Kuopsa kwa khansa: Akuti kumwa mankhwalawa kungawonjezere pang'ono chiopsezo chotenga mitundu ina ya khansa. Chifukwa chake, lankhulani ndi dokotala wanu za izi ndipo dziwani za chiopsezo chanu.
• Mimba ndi kukhala ndi ana: Izi ndizofunikira kwambiri!
• Akazi: Musatenge mimba mukatenga mankhwalawa kwa miyezi 6 mutasiya kumwa mankhwalawa. Ngati mukufuna kutenga mimba kapena mukuganiza kuti muli ndi pakati, uzani dokotala wanu nthawi yomweyo.
• Amuna: Musayese kukhala ndi mwana pamene mukumwa mankhwalawa komanso kwa miyezi itatu mutasiya kumwa mankhwalawa.

Mankhwalawa akhoza kuvulaza kwambiri mwana wosabadwa, choncho samalani kwambiri ndi izi.

• Kuyamwitsa: Musayamwitse mwana wanu pamene mukumwa mankhwalawa komanso kwa sabata imodzi mutasiya kumwa mankhwalawa.
• Zotsatira pa Kubereka:Mankhwalawa angakhudze kuthekera kwanu kobereka ana. Ngati muli ndi nkhawa iliyonse pankhaniyi, lankhulani ndi dokotala wanu kapena katswiri wa zaumoyo.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena onse, Mercaptopurine ingayambitse zotsatira zina zoyipa. Komabe, si aliyense amene amalandira mankhwalawa. Ena mwa iwo ayenera kuuzidwa kwa dokotala nthawi yomweyo, pomwe ena amatha kupirira kwa kanthawi.

Uzani dokotala wanu kapena katswiri wa zaumoyo nthawi yomweyo ngati mukukumana ndi zotsatirapo izi:

• Matenda a ziwengo: Ziphuphu pakhungu, kuyabwa, ziphuphu; kutupa kwa nkhope, milomo, kapena lilime.
• Kuvuta kupuma.
• Zizindikiro za kuchepa kwa maselo m'magazi: Mankhwalawa angayambitse kuchepa kwa maselo oyera m'magazi, maselo ofiira amagazi, ndi ma platelet. Izi zitha kuwonjezera chiopsezo cha matenda ndi kutuluka magazi.
• Zizindikiro za ma platelet otsika kapena kutuluka magazi: kuvulala kosavuta, madontho ofiira pakhungu, ndowe zakuda, ndi magazi mu mkodzo.
• Zizindikiro za maselo ofiira ochepa m'magazi: kumva kutopa kwambiri, kumva kufooka, kukomoka, kumva chizungulire, komanso kukomoka.
• Zizindikiro za matenda: malungo kapena kuzizira, chifuwa, kupweteka pakhosi, kupweteka kapena kuvutika kukodza.
• Zizindikiro za kuvulala kwa chiwindi: Mkodzo wakuda wachikasu kapena bulauni; kumva kusasangalala kapena kukhala ndi malungo kapena zizindikiro zofanana ndi chimfine; ndowe zoyera; kusowa chilakolako; nseru; kupweteka kumtunda kwa kumanja kwa m'mimba; kufooka kapena kutopa kosazolowereka; chikasu cha maso kapena khungu.
• Kupweteka kwambiri pakhosi.
• Kutupa m'mimba.

Zotsatirapo izi nthawi zambiri siziyenera kufotokozedwa kwa dokotala wanu (koma ngati zikupitirira kapena kukuvutitsani, uzani dokotala wanu ):

• Kutsegula m'mimba.
• Kutaya tsitsi.
• Zilonda pakamwa.
• Kusanza.

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

Kodi mumasunga bwanji mankhwalawo?

Mankhwalawa ayenera kusungidwa pamalo omwe ana sangawafikire .

Sungani kutentha kwa chipinda (pakati pa madigiri 20 ndi 25 Celsius / madigiri 68 ndi 77 Fahrenheit). Tetezani ku chinyezi. Sungani botolo/paketi ya mankhwala otsekedwa bwino. Musagwiritse ntchito mankhwala otha ntchito, muwataye.

Zinthu zoti mukumbukire!

Chabwino, kotero tinakambirana zambiri za mercaptopurine, eti?

Chofunika kwambiri ndichakuti mankhwalawa ayenera kugwiritsidwa ntchito monga momwe adalangizidwira, motsogozedwa ndi dokotala.

• Mvetserani mosamala zonse zomwe dokotala wanu akunena ndipo muzitsatire.
• Ngati muli ndi mafunso kapena kukayikira kulikonse, musaope kufunsa dokotala.
• Dziwani zotsatirapo zake, makamaka ngati mukukumana ndi zizindikiro zazikulu zomwe takambiranazi, ndipo uzani dokotala wanu nthawi yomweyo.
• Ngati mukugwiritsa ntchito mankhwala ena, musaiwale kuuza dokotala wanu za mankhwalawo.
• Tsatirani malangizo okhudza mimba ndi kuyamwitsa bwino lomwe.

Mankhwalawa ndi othandiza pochiza matenda anu. Chifukwa chake, khulupirirani madokotala ndipo tsatirani malangizo awo. Ndikufunirani kuti muchire mwachangu!

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