Tonsefe tikudziwa kuti kulimbana ndi khansa sikophweka. Choncho dokotala wanu akakuuzani kuti muyambe kulandira mankhwala a chemotherapy, ndi zachilendo kumva mantha pang'ono, kufuna kudziwa zambiri, komanso kukhala ndi mafunso ambiri okhudza mankhwala omwe adzaperekedwa. Lero tikulankhula za Oxaliplatin, mankhwala ofunikira kwambiri omwe amapha maselo a khansa. Ngati inu kapena wokondedwa wanu mukulandira chithandizo ichi, nkhaniyi ikuthandizani kwambiri.
Kodi mankhwala a Oxaliplatin ndi otani?
Mwachidule, Oxaliplatin ndi mankhwala oletsa khansa , omwe ndi mankhwala a chemotherapy. Maselo a khansa m'thupi lathu ndi mtundu wa selo lomwe limagawikana mwachangu kwambiri. Mankhwalawa amalimbana ndi kuwononga maselo amenewa omwe amagawikana mofulumira.
Mankhwalawa amagwiritsidwa ntchito makamaka pochiza khansa ya m'matumbo ndi m'matumbo . Madokotala amalembanso mankhwalawa pa mitundu ina ya khansa. Mutha kupezanso mankhwalawa pansi pa dzina la `Eloxatin`.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Musanayambe chithandizo ichi, ndikofunikira kwambiri kuti dokotala wanu adziwe bwino za thanzi lanu. Chifukwa matenda ena amafunika chisamaliro chapadera mukamagwiritsa ntchito mankhwalawa. Chifukwa chake, ngati muli ndi vuto lililonse pansipa, onetsetsani kuti mwadziwitsa dokotala wanu musanayambe chithandizo .
| Matenda anu | Zinthu zapadera zoti mudziwitse dokotala |
|---|---|
| Matenda a mtima | Ngati muli ndi matenda a mtima kapena kugunda kwa mtima kosakhazikika. |
| Matenda a chiwindi | Ngati muli ndi vuto lililonse la chiwindi. |
| Matenda a magazi | Ngati chiwerengero cha maselo oyera a magazi, maselo ofiira a magazi, kapena ma platelet m'magazi chili chochepa. |
| Matenda a mitsempha | Ngati muli ndi dzanzi, ululu, kapena matenda ena a mitsempha m'miyendo yanu. |
| Matenda a kupuma | Ngati muli ndi matenda a m'mapapo kapena kupuma monga mphumu. |
| Mankhwala oletsa magazi kuundana | Ngati mukumwa mankhwala ochepetsa magazi. |
| Matenda a ziwengo | Ngati muli ndi vuto la Oxaliplatin, mankhwala ena a chemotherapy, mankhwala ena, zakudya, zotetezera, 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 mankhwala olowetsedwa m'mitsempha, monga saline . Choncho amaperekedwa kuchipatala kapena ku chipatala ndi katswiri wa zaumoyo yemwe waphunzitsidwa bwino pankhaniyi.
Chofunika: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa mlingo womwe mwapatsidwa, musachite mantha. Imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi.
Mankhwalawa aperekedwa kwa inu nokha. Choncho, musagawane mankhwalawa ndi wina aliyense.
Nanga bwanji ngati nditaphonya tsiku loti ndimwe mankhwalawo?
Ndikofunikira kwambiri kumwa mankhwala anu pa tsiku lomwe mwakonza panthawi ya chithandizo. Ngati pazifukwa zina simungathe kupita kuchipatala pa tsiku lomwe mwakonza, imbani dokotala wanu kapena chipinda chothandizira nthawi yomweyo ndipo muwadziwitse.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)
Mankhwala ena omwe mukumwa angagwirizane ndi Oxaliplatin, choncho ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba).
| Mtundu wa mankhwala | Zinthu zoti muganizire |
|---|---|
| Mankhwala omwe sayenera kumwedwa ndi Oxaliplatin | |
| Kumwa mankhwala awa ndi Oxaliplatin kungayambitse mavuto aakulu a mtima. |
| Mukamamwa Oxaliplatin, onetsetsani kuti mwauza dokotala wanu za mankhwalawa. | |
| Mankhwala opha ululu | Mankhwala ochepetsa ululu a NSAID monga Aspirin, Ibuprofen, ndi Naproxen. |
| Mankhwala ochepetsa magazi | Mankhwala monga Warfarin, Apixaban, Dabigatran, ndi Rivaroxaban. |
| Mankhwala ena | Cisplatin, Cyclosporine, diuretics, mankhwala ena opatsirana, ndi mankhwala ena omwe amakhudza kugunda kwa mtima (QT interval). |
Zinthu zomwe muyenera kusamala nazo makamaka mukalandira chithandizo
Gulu lanu lachipatala lidzakuyang'anirani mosamala nthawi yonse ya chithandizo chanu, ndipo ndikofunikira kuti muzisamaliranso zinthu izi.
- Kumva kuzizira: Izi ndi zotsatira zoyipa zomwe zimachitika chifukwa cha Oxaliplatin. Pewani madzi ozizira, ayisikilimu, ndi ayezi. Valani magolovesi mukatulutsa chilichonse mufiriji. Ngati mukupita kunja tsiku lozizira, valani zovala zofunda ndipo phimbani pakamwa ndi mphuno yanu ndi choletsa mpweya. Izi zilola mpweya wofunda kulowa m'mapapu anu. Uzani dokotala wanu za kuvutika kuzizira kumeneku.
- Mimba ndi kubereka:
- Akazi: Pewani kutenga pakati mukamamwa mankhwalawa komanso kwa miyezi 9 mutasiya kumwa.
- Amuna: Pewani kubereka mwana pamene mukumwa mankhwalawa komanso kwa miyezi 6 mutasiya kumwa.
- Mankhwalawa angayambitse kulephera kwa mazira m'mimba mwa akazi komanso kuchepa kwa umuna mwa amuna. Ngati mukuyembekeza kukhala ndi ana, lankhulani ndi dokotala wanu za izi musanayambe kulandira chithandizo.
- Kuyamwitsa: Pewani kuyamwitsa pamene mukumwa mankhwalawo komanso kwa miyezi itatu mutasiya kuyamwitsa.
- Kuopsa kwa matenda: Chemo imafooketsa chitetezo cha mthupi. Choncho ngati mukuyamba zizindikiro monga malungo, chimfine, kapena kupweteka pakhosi, uzani dokotala nthawi yomweyo . Musamwe mankhwala nokha. Pewani anthu odwala.
- Kuopsa kwa kutuluka magazi: Samalani mukamatsuka mano anu ndi floss. Kutuluka magazi kungachuluke. Ngati mukulandira chithandizo cha mano, uzani dokotala wanu wa mano kuti mukumwa mankhwala a chemo.
Kodi ndi zotsatirapo zotani zomwe ndingayembekezere?
Monga mankhwala ena aliwonse a chemotherapy, Oxaliplatin ikhoza kukhala ndi zotsatirapo zake. Koma si aliyense amene amalandira. Musadandaule, zambiri mwa izi zitha kuthandizidwa.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime, komanso kuvutika kupuma. |
| Matenda a mitsempha | Kupweteka kwambiri miyendo, dzanzi, kuvutika kulankhula, komanso kuuma kwa nsagwada. |
| Zizindikiro za kutuluka magazi | Zakuda, ndowe zokhazikika, kusanza chinthu chomwe chimaoneka ngati khofi wophikidwa, madontho ofiira pakhungu, mabala osazolowereka, kutuluka magazi m'mphuno ndi m'kamwa. |
| Zizindikiro za matenda | Malungo, kuzizira, kupweteka pakhosi, chifuwa, matenda a mkodzo. |
| Zizindikiro za kuwonongeka kwa chiwindi | Maso ndi khungu kukhala lachikasu, mkodzo wakuda, kupweteka kumtunda kwa kumanja kwa m'mimba, kutopa kwambiri. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Mavuto a m'mimba | Kutsegula m'mimba, nseru, zilonda pakamwa, kusowa chilakolako cha chakudya, kusintha kwa kukoma. |
| Zina | Kutaya tsitsi, kutopa. |
Uthenga Wopita Nawo Kunyumba
- Oxaliplatin ndi mankhwala amphamvu a chemotherapy omwe amapha maselo a khansa.
- Musanayambe kulandira chithandizo, uzani dokotala wanu za matenda anu onse ndi mankhwala ena onse omwe mukumwa.
- Kumva kuzizira kwambiri nthawi ya chithandizo, choncho pewani zakudya ndi zakumwa zozizira komanso malo ozizira.
- Ngati zizindikiro zazikulu monga kutentha thupi, kutuluka magazi, kapena dzanzi lalikulu zichitika, funsani upangiri wa dokotala nthawi yomweyo.
- Ngati mukuyembekeza kukhala ndi ana, ndikofunikira kwambiri kukambirana izi ndi dokotala wanu musanayambe kulandira chithandizo.
- Ngati muli ndi nkhawa, mafunso, kapena mantha, musazengereze kufunsa dokotala wanu. Simuli nokha pankhondoyi.
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