Kulandira chithandizo cha khansa nthawi zambiri kumakhala kovuta komanso kovuta. Timamvetsetsa kuti chithandizochi chingakhudze thupi lanu m'njira zosiyanasiyana. Komabe, pali mankhwala apadera omwe amapangidwira kuti akutetezeni ku zotsatirapo zake ndikupangitsa njira yanu yothandizira kukhala yosavuta. Lero, tikambirana za "wothandizira" yemwe amateteza gawo lofunika la thupi lanu panthawi ya chithandizo china cha khansa: jakisoni wotchedwa Mesna.
Kodi Mesna ndi chiyani? Mwachidule…
Tangoganizirani kuti mukupatsidwa mankhwala a chemotherapy otchedwa `ifosfamide` a khansa. Ngakhale kuti mankhwalawa ndi othandiza kwambiri powononga maselo a khansa, angayambitsenso kuwonongeka kwa chikhodzodzo chanu, zomwe zingayambitse magazi mu mkodzo wanu (hematuria).
Apa ndi pomwe Mesna imayambira. Mesna si mankhwala okha a khansa. Ganizirani ngati "woteteza" chikhodzodzo chanu. Ntchito yake yayikulu ndikupewa kuwonongeka komwe `ifosfamide` ingabweretse ku chikhodzodzo chanu, kukuthandizani kupewa mavuto otuluka magazi.
Ndikofunikira kudziwa kuti Mesna imateteza kokha ku kutuluka magazi m'chikhodzodzo chifukwa cha `ifosfamide`. Siingalepheretse zotsatira zina za chemotherapy monga kutaya tsitsi kapena nseru.
Zinthu zofunika kuuza dokotala wanu musanayambe kumwa mankhwalawa
Musanayambe chithandizo cha Mesna, ndikofunikira kuti dokotala wanu adziwe bwino mbiri yanu yachipatala. Chonde onetsetsani kuti mwakambirana izi:
- Matenda a Autoimmune:Ngati muli ndi matenda aliwonse odziteteza ku matenda a autoimmune, monga lupus, nephritis (kutupa kwa impso), kapena rheumatoid arthritis.
- Matenda a ziwengo: Ngati muli ndi ziwengo ku Mesna, mowa wa benzyl, mankhwala okhala ndi sulfure, kapena mankhwala ena aliwonse, zakudya, utoto, kapena zosungira.
- Mimba ndi kuyamwitsa: Uzani dokotala wanu nthawi yomweyo ngati muli ndi pakati, mukukonzekera kutenga pakati, kapena mukuyamwitsa.
Kodi Mesna imaperekedwa bwanji?
Mesna si mankhwala omwe mumatenga kunyumba. Amaperekedwa ngati njira yothira m'mitsempha (IV) ndi katswiri wa zaumoyo kuchipatala kapena kuchipatala. Chifukwa chakuti amaperekedwa mwachindunji ndi gulu lanu lachipatala, simuyenera kuda nkhawa ndi kulephera kumwa mankhwala kapena zolakwika pakupereka mankhwala.
Ngati mwana wanu akulandira mankhwalawa, dokotala wawo wa ana adzayang'anira njirayi ndikupeza njira yoyenera yogwirizana ndi zosowa zake.
Nanga bwanji ngati nditalandira mankhwala ochulukirapo?
Popeza Mesna imaperekedwa kuchipatala cholamulidwa bwino, sizingatheke kuti munthu agwiritse ntchito mopitirira muyeso. Komabe, ngati mukukayikira kuti pali vuto lililonse, chonde funsani malo owongolera poizoni nthawi yomweyo kapena pitani ku dipatimenti yapafupi yothandiza anthu mwadzidzidzi (ER).
Zofunikira Zosamala Pa Chithandizo Chanu
Gulu lanu lachipatala ku Nirogi Lanka lidzakuyang'anirani mosamala panthawi ya chithandizo chanu cha Mesna. Ndikofunikanso kuti mukhale maso pa mfundo zotsatirazi:
1. Khalani ndi madzi okwanira: Imwani madzi osachepera lita imodzi (pafupifupi magalasi 4) tsiku lililonse mukalandira mankhwalawa. Madzi okwanira amathandiza kuti chikhodzodzo chanu chikhale choyera komanso chathanzi.
2. Yang'anirani Mkodzo Wanu: Yang'anirani mtundu wa mkodzo wanu. Ngati muwona kuti ukusanduka pinki kapena wofiira, izi zitha kusonyeza kutuluka magazi. Uzani dokotala wanu nthawi yomweyo ngati izi zitachitika.
3. Zotsatira za pakhungu: Nthawi zina, zotsatirapo zoopsa pakhungu zimatha kuchitika, nthawi zina ngakhale milungu ingapo mutayamba kulandira chithandizo. Samalani zizindikiro izi:
- Kutupa mwadzidzidzi komwe kumayenderana ndi malungo kapena zizindikiro zofanana ndi chimfine.
- Ziphuphu zimasanduka zofiira kapena zofiirira, zomwe zimasanduka matuza, kapena khungu limatuluka.
- Kutupa kwa ma lymph nodes (m'khosi, kumaso, kapena m'khwapa) komwe kumayenderana ndi kutupa pakhungu.
Fufuzani kuchipatala nthawi yomweyo ngati muwona zizindikiro izi.
Zotsatirapo Zotheka
Monga mankhwala ambiri, Mesna ingayambitse zotsatirapo zina. Zina zimafunika chithandizo chamankhwala mwachangu, pomwe zina sizimawopsa kwambiri.
| Zotsatira Zam'mbali |
|---|
| Zotsatirapo Zazikulu Zofunika Chithandizo Chachipatala Mwamsanga |
| Matenda a ziwengo: Ziphuphu, kuyabwa, ziphuphu, kapena kutupa kwa nkhope, milomo, kapena lilime. |
| Kuvuta kupuma kapena kupuma movutikira. |
| Magazi mu mkodzo kapena mkodzo wa pinki/wofiira. |
| Malungo, kuzizira, kapena kupweteka pakhosi. |
| Khungu likuyamba kuyera kapena kutentha. |
| Zilonda pakamwa. |
| Kupweteka kapena kufiira pamalo omwe jakisoni amaperekedwa. |
| Kufiira kwambiri pakhungu, kutupa, kapena kutsekeka (kuphatikizapo mkati mwa pakamwa). |
| Kutupa m'mapazi kapena m'mabowo. |
| Kusanza. |
| Zotsatirapo Zofala (Dziwani dokotala ngati zikupitirira) |
| Kupweteka ndi kupweteka kwa thupi lonse. |
| Kukoma kosasangalatsa mkamwa. |
| Kutsegula m'mimba. |
| Chizungulire. |
| Kutaya tsitsi. |
| Mutu. |
| Kusanza. |
Ngati mukukumana ndi zizindikiro zachilendo zomwe sizinatchulidwe pano, chonde funsani dokotala wanu ku Nirogi Lanka kuti akuthandizeni.
Zinthu Zofunika Kwambiri (Nirogi Lanka)
👩🏽⚕️ Mafunso Ofunsidwa Kawirikawiri (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi Mesna (Mesnex) ndi chiyani ndipo chifukwa chiyani amapatsidwa mankhwala?
Mesna si mankhwala a chemotherapy wamba. Ndi mankhwala apadera otchedwa 'chemoprotectant' omwe amaperekedwa kwa odwala omwe amalandira mlingo waukulu wa 'Ifosfamide' kapena 'Cyclophosphamide'. Mankhwala amphamvu a khansa awa amapanga mankhwala oopsa otchedwa Acrolein, omwe amatha kukwiyitsa kwambiri mkati mwa chikhodzodzo, zomwe zimapangitsa kuti magazi azituluka m'mkodzo. Mesna imagwira ntchito ngati chishango choletsa poizoniyu ndikuteteza chikhodzodzo chanu.
💬 Kodi Mesna amateteza bwanji chikhodzodzo ku kuwonongeka kwa mankhwala a chemotherapy?
Mankhwala ngati Ifosfamide akaphwanyika m'thupi, amatulutsa Acrolein, mankhwala omwe angawononge minofu ya chikhodzodzo. Mwa kupereka Mesna, mankhwalawa amapita ku chikhodzodzo chanu ndi kumangirira ku mamolekyu a Acrolein, zomwe zimapangitsa kuti asavulale komanso kuti atuluke mosavuta mumkodzo wanu, motero amateteza chikhodzodzo chanu panthawi ya chithandizo.
💬 Kodi zofooka ndi zotsatirapo zake zomwe zingachitike chifukwa cha Mesna ndi ziti?
Ndikofunikira kumvetsetsa kuti Mesna imateteza chikhodzodzo chokha; siteteza ziwalo zina monga chiwindi, impso, kapena mitsempha ku zotsatira za mankhwala a chemotherapy. Zotsatirapo zake zimaphatikizapo ziwengo (hypersensitivity), zomwe zingayambitse ziphuphu pakhungu kapena kutsika mwadzidzidzi kwa kuthamanga kwa magazi. Kuphatikiza apo, nseru ndi kusanza ndi zotsatirapo zoyipa zofala mosasamala kanthu za njira yoperekera mankhwalawa.
