Matenda ena a pakhungu amatha kukhala ngati chiphuphu chaching'ono, pomwe ena amatha kukhala oopsa pang'ono. Nthawi zina amatha kukhala khansa ya pakhungu. Komabe, sayansi ya zamankhwala ya masiku ano yapita patsogolo kwambiri kotero kuti pali mankhwala othandiza a matendawa. Lero, tikambirana za mankhwala osiyana pang'ono a matenda enaake a khansa ya pakhungu. Dzina la mankhwalawa ndi Methoxsalen.
Mwachidule, kodi Methoxsalen ndi chiyani?
Methoxsalen si mankhwala wamba kapena jakisoni. Ndi mankhwala opatsa mphamvu kuwala. Makamaka, amagwiritsidwa ntchito poletsa zizindikiro za khansa yamtundu winawake yomwe imakhudza khungu lotchedwa cutaneous T-cell lymphoma (CTCL) .
Chithandizochi sichiperekedwa chokha. Chimaperekedwanso limodzi ndi kuwala kwa ultraviolet. Dzina la njira yonseyi yochizira ndi Extracorporeal Photopheresis (ECP). Ngakhale kuti izi zingamveke ngati mawu ovuta, njira imeneyi ndi yosavuta mukangoimvetsa.
Ndiye kodi chithandizo cha ECP ichi chimachitidwa bwanji?
Taganizirani izi, izi sizili ngati kupereka mankhwala kwa wodwala. Iyi ndi njira yapadera yomwe imachitika kuchipatala kapena ku chipatala ndi ogwira ntchito zachipatala ophunzitsidwa bwino.
1. Kusonkhanitsa magazi: Choyamba, magazi ena amatengedwa m'thupi lanu ndikutumizidwa kudzera mu makina apadera.
2. Kulekanitsa maselo: Makinawa amalekanitsa maselo oyera okha ndi magazi anu. Mbali zotsala za magazi (monga maselo ofiira a magazi ndi plasma) zimabwezeretsedwa m'thupi lanu.
3. Kuonjezera mankhwala: Tsopano, mankhwala otchedwa Methoxsalen amawonjezeredwa ku maselo oyera amagazi olekanitsidwa.
4. Chithandizo cha kuwala: Kenako, maselo oyera amagazi omwe asakanizidwa ndi mankhwalawa amakumana ndi kuwala kwapadera kwa ultraviolet A (UVA) mkati mwa makina. Chifukwa cha mankhwala a Methoxsalen, maselo a khansa amakhala okhudzidwa kwambiri ndi kuwala kumeneku ndipo amayamba kufa.
5. Kubwezeretsanso maselo: Pomaliza, maselo oyera amagazi omwe athandizidwa motere amabwereranso m'thupi lanu, ngati mchere.
Ntchito yonseyi ingatenge maola angapo, koma mutha kukhala pampando ndikuwerenga buku kapena kumvetsera nyimbo panthawiyi.
Zinthu zomwe muyenera kuuza dokotala wanu musanalandire chithandizo
Musanasankhe ngati chithandizochi chili choyenera kwa inu, dokotala wanu ayenera kudziwa mbiri yonse ya thanzi lanu. Onetsetsani kuti mwawauza za vuto lililonse mwa zotsatirazi, makamaka:
| Matenda anu | N’chifukwa chiyani muyenera kudziwitsa? |
|---|---|
| Mavuto a maso (monga cataracts, aphakia ngati lenzi yachotsedwa) | Chifukwa chakuti mankhwalawa amapangitsa maso kukhala omasuka ku kuwala, matenda a maso omwe analipo kale akhoza kukulirakulira. |
| Matenda a mtima, matenda a chiwindi | Popeza njira yochizira imatha kubweretsa mavuto m'thupi, chisamaliro chiyenera kutengedwa ndi kugwira ntchito kwa ziwalo izi. |
| Matenda a pakhungu monga lupus, porphyria, ndi xeroderma | Matendawa angapangitse khungu kukhala losamva kuwala kwambiri, ndipo Methoxsalen ingapangitse kuti likhale losamva kuwala kwambiri. |
| Kukhala ndi mbiri ya khansa ya pakhungu kapena kulandira chithandizo cha X-ray/arsenic | Chidziwitsochi n'chofunika kwambiri poyesa chiopsezo chotenga khansa ya pakhungu mtsogolo. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa | Mankhwalawa sakuvomerezedwa pazochitikazi, chifukwa angakhudze mwana wosabadwa. |
| Kutupa kwa mankhwala ena, zakudya, kapena zinthu zina | Dziwani kuti Methoxsalen kapena chilichonse mwa zinthu zomwe zili mmenemo chingayambitse ziwengo. |
Ndikofunikira kupatsa dokotala wanu mndandanda wathunthu wa mankhwala onse omwe mukumwa (mankhwala ogulitsidwa kunja kwa chipatala, mavitamini, mankhwala azitsamba, ndi zowonjezera zakudya). Mankhwala ena angagwirizane ndi Methoxsalen.
Zinthu zomwe muyenera kuziganizira kwambiri mukalandira chithandizo
Pali zinthu zingapo zomwe muyenera kutsatira kuti mukhale otetezeka mukalandira chithandizochi.
Chitetezo cha dzuwa - ichi ndiye chinthu chofunikira kwambiri!
Methoxsalen sikuti imangopangitsa khungu lanu komanso maso anu kukhala omasuka kwambiri ku kuwala. Chifukwa chake, muyenera kupewa kupsa ndi dzuwa kwa maola 24 mutalandira chithandizo .
- Musatuluke m'nyumba: khalani m'nyumba momwe mungathere.
- Ngati mutuluka panja: Valani zovala za manja aatali, mathalauza aatali, chipewa, ndipo phimbani thupi lanu bwino.
- Kupaka mafuta oteteza ku dzuwa ndikofunikira: Pakani mafuta abwino oteteza ku dzuwa m'malo onse a khungu omwe ali ndi dzuwa.
- Magalasi a dzuwa: Izi ndi zofunika kwambiri! Valani magalasi a dzuwa oteteza kuwala kwa UV 100% nthawi iliyonse mukakumana ndi kuwala pang'ono (ngakhale m'nyumba, ngati kuwalako kukutulukira pawindo) kwa maola 24 oyambirira mutalandira chithandizo . Izi ndizofunikira kwambiri kuti mupewe kuwonongeka kwa maso.
- Pewani kuwala kochita kupanga: Musagwiritse ntchito zinthu monga nyali za dzuwa ndi mabedi opaka utoto.
Zinthu zina zofunika kuziganizira
- Kuyezetsa Zachipatala: Pita kukayezetsa nthawi zonse monga momwe dokotala wanu wanenera.
- Kuyezetsa maso: Ngati muwona kusintha kulikonse m'maso mwanu, uzani dokotala wanu nthawi yomweyo. Pitani kwa dokotala wa maso nthawi ndi nthawi kuti akakuyezeni maso anu.
- Kuopsa kwa khansa: Chithandizochi chingakuwonjezereni pang'ono chiopsezo chanu chokhala ndi mitundu ina ya khansa ya pakhungu mtsogolo. Musadandaule ndi izi. Dokotala wanu adzakulankhulani za chiopsezochi ndikukulangizani kuti muyezedwe khungu nthawi zonse.
Kodi zotsatirapo zake zingakhale zotani?
Monga momwe zimakhalira ndi chithandizo chilichonse, zotsatirapo zake zimatha kuchitika. Zina ziyenera kunenedwa nthawi yomweyo, pomwe zina nthawi zambiri sizimakhala zoopsa.
| Uzani dokotala wanu kapena chipatala chomwe chikukuthandizani nthawi yomweyo. | |
|---|---|
| Zizindikiro za ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa milomo, lilime kapena nkhope. |
| Kusintha kwa masomphenya | Kuona molakwika, kuona mosiyana ndi masiku onse. |
| Zizindikiro za matenda | Malungo, kuzizira, pakhosi. |
| Kuthamanga kwa magazi kotsika | Chizungulire , maso abuluu akamadzuka. |
| Kawirikawiri si nkhani yaikulu, koma dziwitsani dokotala ngati ikupitirira. | |
| Chizungulire , mutu | Zitha kuchitika nthawi ina pambuyo pa chithandizo. |
| Khungu louma, kuyabwa | Zingachitike chifukwa cha khungu lomwe limayang'ana kuwala. |
| Kuchepa kwa khungu, makwinya | Zitha kuwoneka mu chithandizo cha nthawi yayitali. |
Kodi mungachite chiyani ngati mwamwa mopitirira muyeso?
Popeza izi zimaperekedwa ndi akatswiri azachipatala kuchipatala, palibe mwayi woti munthu agwiritse ntchito mopitirira muyeso. Komabe, ngati mukukayikira chilichonse chonga ichi, dziwitsani nthawi yomweyo Chipatala cha Emergency Treatment Unit (ETU). Ngati kuli kofunikira, mutha kupempha upangiri kuchokera ku National Poisons Information Centre ku Colombo National Hospital .
Uthenga Wopita Nawo Kunyumba
- Methoxsalen si jakisoni wamba, ndi chithandizo chapadera chomwe chimaperekedwa pamodzi ndi kuwala kwa ultraviolet.
- Uzani dokotala wanu mokwanira za mankhwala ena onse omwe mumamwa komanso matenda onse omwe muli nawo.
- Ndikofunikira kwambiri kudziteteza ku dzuwa kwa maola 24 mutalandira chithandizo. Ndikofunikira kwambiri kuvala magalasi a dzuwa omwe amatseka kuwala kwa UV.
- Tsatirani malangizo onse omwe dokotala wakupatsani ndipo onetsetsani kuti mwapita ku mayeso ndi zipatala zomwe zakonzedwa.
- Ngati mukuda nkhawa ndi vuto kapena zotsatira zake, musaope kulankhula momasuka ndi dokotala wanu za vutoli.
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