Inu kapena munthu amene mumamukonda akapezeka ndi khansa, n'zachibadwa kukhala ndi chidwi komanso mantha pang'ono ndi njira zochiritsira. Makamaka pankhani ya mankhwala atsopano komanso apamwamba monga Nivolumab ndi Relatlimab. Chifukwa chake lero, tiyeni tikambirane za mankhwala awa m'njira yosavuta kumva. Mukawerenga izi, mudzamvetsetsa bwino mankhwala awa.
Kodi mankhwala awa ndi amtundu wanji?
Mwachidule, Nivolumab ndi Relatlimab ndi mankhwala osakaniza awiri omwe amagwiritsidwa ntchito pochiza khansa ya pakhungu yotchedwa melanoma . Nthawi zambiri imabwera pansi pa dzina la Opdualag.
Mankhwalawa ndi a gulu la mankhwala otchedwa Monoclonal Antibodies . Taganizirani ngati 'zipolopolo zanzeru' zomwe zimathandiza chitetezo cha mthupi la thupi lathu, kuziphunzitsa kupeza ndi kuukira maselo a khansa okha. Izi zimagwiritsa ntchito chitetezo chathu chamthupi polimbana ndi khansa.
Mankhwalawa si chinthu chomwe mungapite nacho kunyumba. Amaperekedwa ngati njira yothira m'mitsempha (IV) , kaya kuchipatala kapena kuchipatala chothandizira khansa.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kulandira chithandizo
Musanayambe chithandizochi, ndikofunikira kwambiri kupatsa gulu lanu la chisamaliro kufotokozera kwathunthu za thanzi lanu. Izi zidzakuthandizani kudziwa ngati mankhwalawa ndi oyenera kwa inu komanso momwe ayenera kuperekedwera. Onetsetsani kuti mwawauza izi makamaka.
- Matenda a Autoimmune: Izi ndi matenda omwe chitetezo chamthupi lanu chimaukira maselo anu athanzi. Mwachitsanzo, ngati muli ndi matenda monga matenda a Crohn, Ulcerative Colitis, kapena Lupus.
- Kusamutsa maselo oyambira: Ngati munasamutsa kale maselo oyambira oyambira kapena mukukonzekera kusamutsa maselo oyambira oyambira opangidwa ndi allogeneic.
- Kusamutsa ziwalo zina: Ngati mudasamutsa ziwalo zina, monga impso kapena chiwindi.
- Ngati mwalandira chithandizo cha radiation pachifuwa (Mbiri ya radiation pachifuwa).
- Matenda a mitsempha: Ngati muli ndi matenda okhudzana ndi mitsempha, monga Myasthenia Gravis kapena Guillain-Barre syndrome.
- Matenda a ziwengo: Ngati muli ndi vuto la ziwengo ku Nivolumab, Relatlimab, kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Mimba ndi kuyamwitsa: Izi ndizofunikira kwambiri ngati muli ndi pakati, mukufuna kutenga pakati, kapena kuyamwitsa . Tikambirana zambiri za izi.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
Madokotala anu adzakuyang'anirani mosamala mukamamwa mankhwalawa. Adzakulamulanso kuti muyesedwe magazi nthawi zonse (ntchito ya magazi) .
Chidziwitso chapadera chokhudza mimba ndi kuyamwitsa!
Muyenera kupewa kutenga mimba mukatenga mankhwalawa komanso kwa miyezi 5 mutasiya kumwa mankhwalawa. Muyeneranso kusiya kuyamwitsa panthawiyi. Izi zitha kuvulaza mwana wosabadwayo. Lankhulani ndi dokotala wanu za izi mobwerezabwereza.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati simungathe kubwera kudzaonana ndi dokotala wanu, chonde funsani gulu lanu lachipatala mwamsanga. Kudumpha maulendo amenewa kungakhudze kupambana kwa chithandizo chanu.
Nanga bwanji ngati mwangozi nditamwa mopitirira muyeso?
Izi sizingachitike chifukwa zimaperekedwa kuchipatala. Komabe, ngati mukukayikira kuti china chake chachitika, funsani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital kapena pitani ku ETU (Emergency Treatment Unit) yapafupi .
Zotsatirapo zoyipa za mankhwalawa
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatirapo zake. Komabe, si aliyense amene amalandira mankhwalawa. Chofunika kwambiri ndikudziwa zizindikirozi ndikudziwitsa dokotala wanu nthawi yomweyo ngati mukukumana ndi zizindikiro zazikulu.
| Zotsatira zoyipa | Zinthu zofunika kuzisamala |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Kusamvana kwa Thupi | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi, komanso kuvutika kupuma. |
| Mavuto a m'mimba | Chimbudzi chodzaza ndi magazi kapena chochedwa, kupweteka kwambiri m'mimba, kutsegula m'mimba. |
| Kuvulala kwa Chiwindi | Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wakuda wachikasu kapena bulauni, komanso maso kapena khungu kukhala lachikasu. |
| Mavuto a Mahomoni | Hyperthyroidism: Kugunda kwa mtima mwachangu, kuchepetsa thupi, thukuta kwambiri. Hypothyroidism: Kutopa kwambiri, kulephera kupirira chimfine, kudzimbidwa, kunenepa kwambiri, kuvutika maganizo. |
| Kuvulala kwa Impso | Kuchepa kwa mkodzo wotuluka, kutupa kwa akakolo, manja, kapena mapazi. |
| Mavuto a m'mapapo | Chifuwa chouma, kuvutika kupuma popanda chifukwa. |
| Mavuto aakulu a khungu | Kufiira kwa khungu, kutupa, kutuluka kwa matuza (ngakhale mkati mwa pakamwa). |
| Zizindikiro zina zazikulu | Kupweteka pachifuwa, kugunda kwa mtima kosasinthasintha, kusintha kwa masomphenya, kupweteka kwa maso, kuvulala kapena kutuluka magazi kosazolowereka, kupweteka kwa minofu, dzanzi kapena kufooka kwa miyendo. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Zotsatira zoyipa zofala | Mutu, kupweteka kwa thupi, kutopa, kusowa chilakolako cha chakudya, nseru. |
Uthenga Wopita Nawo Kunyumba
- Nivolumab ndi Relatlimab ndi mankhwala apamwamba omwe amalimbikitsa chitetezo cha mthupi ndipo amagwiritsidwa ntchito pochiza khansa ya pakhungu yotchedwa melanoma.
- Musanayambe chithandizochi, ndikofunikira kuti muuze dokotala wanu za matenda anu onse ndi mankhwala omwe mukumwa.
- Ndikofunikira kwambiri kupewa kutenga mimba ndi kuyamwitsa pamene mukumwa mankhwala komanso kwa miyezi 5 mutasiya kumwa.
- Ngati mukukumana ndi mavuto ena aakulu monga kusanza, kuvutika kupuma, kupweteka kwambiri m'mimba, kapena khungu kapena maso kukhala achikasu, funsani dokotala nthawi yomweyo.
- Musadumphe nthawi yokumana ndi dokotala. Ngati simungathe kupita kuchipatala, chonde dziwitsani chipatala pasadakhale.
- Ngati muli ndi mafunso okhudza mankhwalawa, musaope kufunsa dokotala wanu.
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