Chithandizo cha khansa nthawi zambiri chimakhala chovuta komanso chovuta. Tikudziwa kuti zotsatira zosiyanasiyana zimatha kuchitika pa thupi panthawi ya chithandizochi. Komabe, pali mankhwala apadera omwe angakutetezeni ku zotsatirapo zake ndikuthandizira kuti ulendowo ukhale wosavuta kwa inu. Lero tikambirana za "wothandizira" wotereyu yemwe amateteza gawo limodzi lofunika la thupi lanu panthawi ya chithandizo cha khansa. Umenewo ndi katemera wa Mesna.
Kodi Mesna ndi chiyani? Mwachidule...
Tangoganizirani kuti mwapatsidwa mankhwala a chemotherapy otchedwa `ifosfamide` a khansa. Mankhwalawa ndi amphamvu kwambiri popha maselo a khansa. Komabe, angayambitsenso kuwonongeka kwina kwa chikhodzodzo chanu, makamaka kutuluka magazi m'mkodzo wanu.
Apa ndi pomwe mankhwala otchedwa Mesna amabwera. Mesna si mankhwala a khansa. Imagwira ntchito ngati "woteteza" chikhodzodzo. Ntchito yayikulu ya Mesna ndikuletsa kuwonongeka komwe mankhwala a `ifosfamide` angayambitse pachikhodzodzo ndikuletsa kutuluka magazi.
Chofunika kwambiri n'chakuti, Mesna imaletsa kutuluka magazi m'chikhodzodzo chifukwa cha mankhwala a `ifosfamide` okha. Sizingalepheretse zotsatira zina zoyipa za chithandizo cha khansa, monga kutaya tsitsi ndi nseru.
Zinthu zofunika kwambiri zomwe muyenera kuuza dokotala musanagwiritse ntchito mankhwalawa ndi izi:
Musanayambe chithandizo cha Mesna, ndikofunikira kuti dokotala wanu adziwe bwino za thanzi lanu. Onetsetsani kuti mwamuuza izi makamaka:
- Ngati muli ndi matenda odziteteza ku matenda a autoimmune: Mwachitsanzo, ngati muli ndi matenda monga lupus, nephritis (matenda omwe amakhudza impso), kapena rheumatoid arthritis (matenda otupa a mafupa).
- Ngati muli ndi vuto lililonse la ziwengo: Uzani dokotala wanu ngati muli ndi vuto la Mesna, mowa uliwonse wa benzyl womwe ungakhale nawo, mankhwala aliwonse okhala ndi sulfure, mankhwala ena aliwonse, zakudya, utoto, kapena zosungira.
- Ngati muli ndi pakati, mukufuna kutenga pakati, kapena kuyamwitsa: Ndikofunikira kwambiri kuuza dokotala wanu za izi.
Kodi katemera wa Mesna amaperekedwa bwanji?
Mankhwalawa si chinthu chomwe mungapite nacho kunyumba. Ndi jakisoni yomwe imaperekedwa ngati njira yothira m'mitsempha, monga saline. Choncho imaperekedwa ndi katswiri wa zaumoyo kuchipatala kapena ku chipatala. Choncho simuyenera kuda nkhawa ndi kuphonya mlingo kapena kuphonya mlingo.
Ana angafunike chisamaliro chapadera popereka mankhwala awa. Dokotala wanu wa ana adzasankha izi ndikupereka ngati pakufunika kutero.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Izi zimaperekedwa kuchipatala, kotero mwayi woti izi zichitike ndi wochepa kwambiri. Komabe, ngati mukuganiza kuti mwamwa mankhwala opitirira muyeso, funsani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) yapafupi.
Zinthu zomwe tiyenera kuziganizira kwambiri tikamamwa mankhwalawa:
Dokotala wanu aziyang'anira matenda anu nthawi zonse panthawi ya chithandizo chanu cha Mesna, ndipo ndikofunikira kuti mudziwe mavuto awa.
1. Imwani madzi ambiri: Muyenera kumwa madzi osachepera lita imodzi (pafupifupi magalasi anayi) tsiku lililonse mukamamwa mankhwalawa. Izi zithandiza kuti chikhodzodzo chanu chikhale choyera.
2. Samalani mtundu wa mkodzo wanu: Ngati muwona kuti mkodzo wanu ukusintha kukhala pinki kapena wofiira, izi zitha kukhala chizindikiro cha kutuluka magazi. Mukangozindikira izi, uzani dokotala wanu nthawi yomweyo.
3. Kusintha kwa khungu: Nthawi zina zotsatirapo zoopsa pakhungu zimatha kuchitika ngakhale milungu ingapo mutayamba kumwa mankhwalawa. Samalani ndi zizindikiro izi:
- Kuyamba mwadzidzidzi kwa ziphuphu pakhungu zomwe zimakhala ndi zizindikiro monga malungo ndi kuzizira.
- Zilondazo zimakhala zofiira kapena zofiirira, kenako zimakhala matuza kapena khungu limatuluka.
- Khungu lofiira, loyabwa ndi ma lymph nodes otupa pankhope, pamilomo, pakhosi, kapena m'khwapa.
Ngati mukuona chinthu chonga ichi, funsani upangiri wa dokotala nthawi yomweyo.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, Mesna ingayambitse zotsatira zina. Zina mwa izi ziyenera kunenedwa nthawi yomweyo, pomwe zina sizowopsa kwambiri.
| Zotsatira Zam'mbali |
|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo |
| Matenda monga kutupa pakhungu, kuyabwa kapena ziphuphu, kutupa kwa nkhope, milomo kapena lilime |
| Kuvuta kupuma |
| Magazi mu mkodzo kapena mkodzo wofiira/pinki |
| Malungo, kuzizira, kapena pakhosi |
| Kufiira kwa khungu kapena kufinya |
| Zilonda pakamwa |
| Ululu kapena kufiira pamalo omwe jakisoni adayikidwa |
| Kufiira, kutupa, khungu lotupa (ngakhale mkati mwa pakamwa) |
| Kutupa kwa bondo kapena phazi |
| Kusanza |
| Zotsatirapo zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa |
| Kupweteka kwa thupi |
| Kumva kukoma kosasangalatsa mkamwa |
| Kutsegula m'mimba |
| Chizungulire |
| Kutaya tsitsi |
| Mutu |
| Kusanza |
Ngati mukukumana ndi zizindikiro zina zachilendo zomwe sizinatchulidwe pamndandandawu, chonde dziwitsani dokotala wanu za zizindikirozo.
Uthenga Wopita Nawo Kunyumba
- Mesna si mankhwala a khansa. Ndi mankhwala oteteza omwe amaletsa kuwonongeka kwa chikhodzodzo chifukwa cha mankhwala a khansa otchedwa `ifosfamide`.
- Musanayambe chithandizo, uzani dokotala wanu za matenda anu onse komanso ziwengo.
- Musaiwale kumwa madzi ambiri masiku omwe mwamwa mankhwalawa.
- Ngati mkodzo wanu ukhala wofiira/wapinki kapena muwona kusintha kwakukulu pakhungu, dziwitsani dokotala wanu nthawi yomweyo.
- Popeza mankhwalawa amaperekedwa kuchipatala, simuyenera kuda nkhawa kuti mwataya mlingo kapena kuusunga.
- Ngati muli ndi mafunso kapena kukayikira kulikonse pa mankhwala awa, musaope kufunsa dokotala wanu.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Katemera/mapiritsi a Mesna / Mesnex ndi mankhwala apadera kwambiri omwe amaperekedwa pa matenda ati?
Iyi si mankhwala wamba a mapiritsi/mankhwala oletsa khansa! Iyi ndi mankhwala okhawo opulumutsa moyo (Chemoprotectant) omwe angathe kuletsa Hemorrhagic Cystitis (kutuluka magazi ndi mkodzo) ndi 'kuteteza chikhodzodzo 100%' kwa odwala khansa omwe amapatsidwa jakisoni wa khansa woopsa kwambiri/wamphamvu wotchedwa 'Cyclophosphamide (Cytoxan)' ndi 'Ifosfamide', zomwe zimayambitsidwa ndi poizoni wakupha (Acrolein) wopangidwa ndi jakisoniyo, womwe umavulaza chikhodzodzo cha wodwalayo kwathunthu ndikuyambitsa kutuluka magazi!
💬 Pamene katemera wa khansa akuwotcha chikhodzodzo, kodi katemerayu (Mesna) amateteza bwanji chikhodzodzo?
Katemera wa khansa (Ifosfamide) akaperekedwa m'thupi, amapanga poizoni wotchedwa 'Acrolein' woopsa kwambiri moti amawotcha mnofu wa chikhodzodzo. Poizoniyu amapita ku chikhodzodzo. Koma ngati jakisoni wa 'Mesna' uyu waperekedwa asanaperekedwe mankhwala a khansa, amapita mwachindunji ku chikhodzodzo (gulu la Thiol limamanga Acrolein) ndikusintha poizoni woopsayo kukhala chinthu chosavulaza, monga madzi otsekemera! Ndiye kuti katemera wa khansa amenewo amangopha khansa osati kuvulaza chikhodzodzo.
💬 Kodi ndi malingaliro olakwika ati ndi zotsatirapo zoyipa zomwe anthu omwe amagwiritsa ntchito mankhwalawa (Mesna) ayenera kudziwa?
Vuto lalikulu ndilakuti izi siziteteza ziwalo zina kupatula chikhodzodzo (chiwindi, impso, mitsempha) ku zoopsa za mankhwala a khansa (matenda ena adzabwerabe)! Komanso, anthu ena akatenga mankhwalawa, akhoza kukhala ndi ziwengo (Hypersensitivity) ndipo amamva ziphuphu m'thupi lonse ndipo kuthamanga kwa magazi awo kungatsike mpaka zero. Chinthu china chokhumudwitsa n'chakuti ngakhale mutamwa pakamwa kapena kuwabaya, mudzamva 'nseru/kusanza' kosatha.
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu