Ndizachilendo kuti munthu amene akudwala khansa azimva mantha komanso nkhawa akamva mawu oti "chemotherapy." Koma masiku ano, mankhwala apita patsogolo kwambiri. Tsopano, mosiyana ndi kale, pali mankhwala apamwamba kwambiri komanso olunjika. Lero, tikambirana za mankhwala apadera omwe amalimbana ndi maselo a khansa. Dzina lake ndi Nanoparticle Albumin-Bound Paclitaxel. Ngakhale kuti dzinali ndi lalitali pang'ono, ntchito yake ndi yapadera kwambiri.
Kodi mankhwala awa ndi amtundu wanji? Mwachidule...
Uwu ndi mtundu wa `chemotherapy`, kapena mankhwala oletsa khansa. Koma izi sizili ngati mankhwala wamba a chemotherapy. Chomwe chimachitika apa ndi chakuti mankhwala akuluakulu oletsa khansa `Paclitaxel` amaphatikizidwa ndi puloteni yotchedwa `Albumin` yomwe imapezeka m'thupi lathu, ndipo imapangidwa kukhala tinthu tating'onoting'ono kwambiri (`Nanoparticles`).
Taganizirani ngati phukusi. Mankhwalawa ali mkati, ndipo ali ndi puloteni yotchedwa `Albumin`. Maselo a khansa ali ndi mphamvu yaikulu pa puloteni iyi ya `Albumin`. Choncho mankhwalawa akaperekedwa m'thupi, maselo a khansa amakoka `phukusi` ili mkati mwawo. Kenako mankhwalawo amapita mwachindunji mu selo ya khansa ndikuwononga maselo a khansa omwe amagawikana mofulumira. Njirayi ingachepetse kuwonongeka kwa maselo athanzi pang'ono.
Mankhwalawa nthawi zambiri amagwiritsidwa ntchito pochiza khansa ya m'mawere, khansa ya m'mapapo, ndi khansa ya kapamba. Amapezeka kwambiri pamsika pansi pa dzina lakuti `Abraxane` .
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kulandira chithandizo
Ndikofunikira kwambiri kuti dokotala wanu adziwe mbiri yanu yonse ya thanzi musanasankhe ngati chithandizochi chili choyenera kwa inu. Onetsetsani kuti mwatchula matenda aliwonse omwe ali pansipa ngati muli nawo.
| Matenda kapena vuto | Kufotokozera |
|---|---|
| Matenda a impso | Ngati muli ndi vuto lililonse lokhudzana ndi impso. |
| Matenda a chiwindi | Ngati muli ndi matenda aliwonse a chiwindi. |
| Kuchepa kwa magazi | Ngati munapezekapo kale ndi maselo oyera a m'magazi, maselo ofiira a m'magazi, kapena ma platelet ochepa. |
| Matenda a kupuma | Matenda a m'mapapo kapena kupuma monga mphumu. |
| Matenda a mitsempha | Mavuto okhudzana ndi mitsempha monga dzanzi ndi kutupa m'manja ndi m'mapazi. |
| Matenda a ziwengo | Ngati muli ndi vuto la paclitaxel, albumin, mankhwala ena a chemotherapy, mankhwala ena aliwonse, chakudya, kapena utoto. |
| Mimba ndi kuyamwitsa | Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa. |
Ndingakupatseni bwanji mankhwala awa?
Mankhwalawa si chinthu chomwe mungamwe kunyumba. Ndi jakisoni yomwe imaperekedwa m'thupi lanu kudzera m'mitsempha, monga madzi amchere (infusion) . Amaperekedwa kuchipatala kapena kuchipatala ndi katswiri wazachipatala yemwe waphunzitsidwa bwino pa izi.
Ngati mukupereka mankhwalawa kwa mwana, chisamaliro chapadera chingafunike. Lankhulani ndi dokotala wa ana za izi.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Uwu ndi mankhwala ochizira kuchipatala, kotero mwayi woti izi zichitike ndi wochepa. Komabe, ngati mukuganiza kuti mwamwa mopitirira muyeso, dziwitsani nkhaniyi ku National Poisons Information Centre ku Colombo National Hospital kapena ku Emergency Treatment Unit (ETU) ya chipatalacho.
Zinthu zoti muziganizire panthawi ya chithandizo
Madokotala adzayang'anira bwino vuto lanu pamene mukumwa mankhwala awa, ndipo muyenera kuyesedwa magazi nthawi zonse .
- Matenda a ziwengo: Mankhwalawa nthawi zina angayambitse ziwengo kwambiri. Uzani dokotala wanu nthawi yomweyo ngati mukumva zizindikiro monga kutupa pakhungu, kuyabwa, kutupa pankhope, milomo, kapena lilime.
- Kumva kudwala: Ndizachibadwa kumva kudwala komanso kutopa mukalandira mankhwala a chemotherapy. Izi zili choncho chifukwa mankhwalawa amakhudza maselo a khansa komanso maselo ena athanzi. Komabe , ndikofunikira kumaliza chithandizo chomwe mwapatsidwa , pokhapokha ngati dokotala wanu atakuuzani kuti musiye.
- Chitetezo ku matenda: Mankhwalawa amachepetsa chitetezo cha mthupi. Chifukwa chake, ngati mukumva zizindikiro monga malungo, chimfine, kapena kupweteka pakhosi, musadzipatse mankhwala ndipo dziwitsani dokotala wanu nthawi yomweyo. Pewani malo omwe odwala amakhala nthawi yayitali momwe mungathere.
- Kutuluka magazi ndi kuvulala: Pali chiopsezo chowonjezeka cha kutuluka magazi kapena kuvulala pamene mukumwa mankhwalawa. Uzani dokotala wanu ngati mukumva kutuluka magazi kapena kuvulala kosazolowereka. Samalani mukamatsuka mano anu komanso pogwiritsa ntchito zotsukira mano. Ngati mukulandira chithandizo chilichonse cha mano, uzani dokotala wanu wa mano kuti mukumwa mankhwalawa.
- Mankhwala ochepetsa ululu: Musamwe mankhwala monga aspirin, paracetamol, ndi ibuprofen popanda upangiri wa dokotala, chifukwa mankhwalawa amatha kuletsa zizindikiro monga malungo.
Chidziwitso chapadera pa mimba ndi amayi
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Izi ndizofunikira kwambiri. Pewani kutenga pakati mukumwa mankhwalawa komanso kwa miyezi 6 mutasiya kumwa mankhwalawa. Ngati mukukonzekera kutenga pakati kapena mukuganiza kuti muli ndi pakati, uzani dokotala wanu nthawi yomweyo. Amuna ayeneranso kupewa kubereka ana mukumwa mankhwalawa komanso kwa miyezi itatu mutasiya kumwa mankhwalawa. Mankhwalawa angayambitse mavuto aakulu kwa mwana wosabadwa. Komanso, pewani kuyamwitsa mwana wanu mukumwa mankhwalawa komanso kwa milungu iwiri mutasiya kumwa mankhwalawa.
Zotsatirapo zomwe zingachitike ndi mankhwalawa
Monga mankhwala ena aliwonse, izi zingayambitse zotsatirapo zake. Komabe, si aliyense amene amalandira mankhwalawa. Samalani ndi zizindikiro zomwe zili pansipa.
| Mtundu wa zotsatira zoyipa | Makhalidwe |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Matenda a ziwengo | Ziphuphu pakhungu, kuyabwa, kutupa kwa nkhope/milomo/lilime. |
| Kuvuta kupuma | Kuvuta kupuma. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mofulumira, pang'onopang'ono, kapena kosasinthasintha. |
| Zizindikiro za matenda | Malungo, kuzizira, chifuwa, kupweteka pakhosi, matenda a mkodzo. |
| Zizindikiro za kuwonongeka kwa chiwindi | Mkodzo wakuda wachikasu/bulauni, maso/khungu limasintha chikasu, kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya. |
| Zizindikiro za kutuluka magazi | Mabala pathupi, mawanga ofiira pakhungu, ndowe zakuda, magazi mu mkodzo. |
| Zina mwazinthu | Kusintha kwa masomphenya, zilonda pakamwa, dzanzi/kupweteka m'miyendo, kutupa kwa akakolo/manja/mapazi. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Dongosolo la m'mimba | Kutsegula m'mimba, nseru, kusanza, kusowa chilakolako cha chakudya. |
| Kusintha kwa thupi | Kutaya tsitsi, kutopa. |
Uthenga Wopita Nawo Kunyumba
- Nanoparticle Albumin-Bound Paclitaxel ndi mankhwala apamwamba a chemotherapy omwe amalimbana makamaka ndi maselo a khansa.
- Ndikofunikira kuti muuze dokotala wanu za matenda anu onse ndi mankhwala musanayambe kulandira chithandizo.
- Ndikofunikira kwambiri kupewa kutenga mimba ndi kuyamwitsa pamene mukumwa mankhwalawa komanso kwa nthawi yayitali pambuyo pake.
- Ngati mukumva zizindikiro zazikulu monga kutentha thupi, kutuluka magazi kosazolowereka, kapena kupuma movutikira, funsani upangiri wa dokotala nthawi yomweyo.
- Kambiranani momasuka ndi dokotala wanu za vuto lililonse lomwe mukumva. Simuli nokha pankhondoyi.
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