Ndizachilendo kuti aliyense amve mantha kwambiri komanso kudabwa akapezeka ndi khansa. Komabe, dokotala akanena kuti, "Tiyenera kuyamba kulandira mankhwala a chemotherapy," mantha amenewo amatha kukulirakulira. Koma kudziwa bwino mankhwala omwe mukupatsidwa, ndiko kuti, chithandizocho, kukupatsani mphamvu zambiri. Lero tikambirana za chithandizo cha khansa chomwe chimagwiritsidwa ntchito kwambiri, katemera wa Paclitaxel.
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Kodi mankhwala a Paclitaxel ndi otani?
Mwachidule, Paclitaxel ndi mtundu wa mankhwala a chemotherapy. Ntchito yake yayikulu ndikulunjika ndikuwononga maselo omwe amagawikana mwachangu m'thupi lathu. Tsopano mwina mukudabwa kuti, "Nchiyani chimachitika ndi maselo abwino?"
Taganizirani izi, maselo a khansa ndi maselo omwe amagawikana mwachangu kwambiri, popanda kulamulira kulikonse. Mankhwala a Paclitaxel amazindikira maselowa omwe amagawikana mwachangu ndipo amawaukira. Komabe, maselo ena athanzi m'thupi lathu (monga maselo omwe amapanga ma follicle a tsitsi, maselo omwe ali mkamwa) amagawikananso mwachangu. Ichi ndichifukwa chake zotsatirapo zoyipa monga kutaya tsitsi ndi zilonda pakamwa zimachitika mukalandira chemotherapy.
Mankhwalawa amagwiritsidwa ntchito makamaka pa:
- Khansa ya m'chiberekero
- Khansa ya m'mawere
- Khansa ya m'mapapo
- Kuchiza matenda a khansa monga Kaposi's sarcoma.
Zinthu zoti muuze dokotala wanu musanayambe kulandira chithandizo
Izi ndizofunikira kwambiri. Musanayambe chithandizo cha Paclitaxel, muyenera kulankhula ndi dokotala wanu za thanzi lanu popanda kubisa chilichonse. Onetsetsani kuti mwamuuza izi:
| Matenda kapena vuto | N’chifukwa chiyani ndiyenera kuuza dokotala? |
|---|---|
| Kugunda kwa mtima kosakhazikika kapena matenda ena a mtima | Mankhwalawa nthawi zina amatha kukhudza kugunda kwa mtima. |
| Matenda a chiwindi | Popeza chiwindi chimathandiza kuchotsa mankhwala m'thupi, ngati muli ndi vuto la chiwindi, mlingo wa mankhwala anu ungafunike kusinthidwa. |
| Kuchuluka kwa magazi m'magazi (monga maselo oyera otsika, ma platelet otsika) | Popeza mankhwalawa amatha kuchepetsa kuchuluka kwa maselo m'magazi, ndikofunikira kudziwa vutoli musanayambe kulandira chithandizo. |
| Mavuto a kupuma monga matenda a m'mapapo ndi mphumu | Ndikofunikira kudziwa izi pasadakhale, chifukwa kupuma movutikira kumachitika nthawi zina. |
| Matenda a mitsempha monga dzanzi ndi kupweteka kwa miyendo | Mankhwalawa angakhudze mitsempha ndipo angawononge vuto lomwe lilipo kale. |
| Matenda a ziwengo (makamaka ku Paclitaxel, mafuta a castor, mankhwala ena a chemo, zakudya, kapena utoto) | Popeza kuti pakhoza kukhala zotsatirapo zoopsa za Paclitaxel, ndikofunikira kunena za ziwengo zilizonse. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa mwana | Mankhwalawa akhoza kuvulaza kwambiri mwana wosabadwa ndipo angakhudzenso mwana kudzera mu mkaka wa m'mawere. |
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Paclitaxel ndi jakisoni (infusion) woperekedwa kudzera mu saline solution mu mitsempha. Izi zimachitika kuchipatala kapena ku chipatala ndi ogwira ntchito zachipatala ophunzitsidwa bwino. Choncho palibe chodetsa nkhawa.
Chofunika: Ngati simungathe kupita kuchipatala kukalandira chithandizo pa tsiku lomwe mwakonza, musachite mantha ndipo imbani dokotala nthawi yomweyo. Si bwino kunyalanyaza chithandizo.
Ngati mukukayikira kuti mwamwa mankhwala mopitirira muyeso mwangozi, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital , kapena ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.Pitani.
Kodi ndi zinthu ziti zomwe muyenera kuziganizira panthawi ya chithandizo?
Dokotala wanu adzakuyang'anirani mosamala nthawi yonse ya chithandizo chanu. Muyeneranso kuyezetsa magazi nthawi zonse. Pakadali pano, ndikofunikira kuti muzisamalira zinthu izi.
Matenda a ziwengo
Mankhwalawa angayambitse ziwengo kwambiri mwa anthu ena. Kuti muchepetse chiopsezochi, mudzapatsidwa mankhwala ena (musanayambe kumwa mankhwala) musanalandire jakisoni wa Paclitaxel. Uzani dokotala wanu kapena namwino nthawi yomweyo ngati mukumva zizindikiro zilizonse panthawi kapena mutatha kulandira jakisoni, monga kuyabwa, kufiira, ziphuphu, kapena kutupa kwa nkhope yanu, milomo, kapena lilime .
Chitetezo ku matenda
Mankhwala a chemotherapy amachepetsa mphamvu ya thupi lanu yolimbana ndi matenda (chitetezo cha mthupi), kotero ndikofunikira kwambiri kudziteteza ku matenda panthawiyi.
- Pewani anthu omwe ali ndi matenda monga chimfine ndi fuluwenza.
- Ngati mukumva zizindikiro monga malungo, kuzizira, chifuwa, kapena kupweteka pakhosi , musamwe mankhwala momwe mukufunira ndipo imbani dokotala nthawi yomweyo.
- Makamaka musamwe mankhwala monga paracetamol, aspirin, ndi ibuprofen popanda upangiri wa dokotala. Mankhwalawa amatha kuchepetsa kutentha thupi ndikupangitsa kuti zikhale zovuta kuzindikira matenda m'thupi.
Kutuluka magazi ndi kuvulala
Mankhwalawa angachepetse kuchuluka kwa ma platelet omwe amathandiza kuletsa kutuluka kwa magazi.
- Ngati mukumva mabala ang'onoang'ono, madontho ofiira pakhungu lanu, magazi mu mkodzo wanu, kapena ndowe zakuda, uzani dokotala wanu nthawi yomweyo.
- Samalani mukamatsuka mano anu komanso pogwiritsa ntchito zotsukira mano. Mano anu akhoza kutuluka magazi. Ngati mukulandira chithandizo cha mano, uzani dokotala wanu wa mano kuti mukumwa mankhwala a chemotherapy.
Mimba ndi kuyamwitsa
Akazi: Pewani kutenga mimba kotheratu mukamamwa mankhwalawa. Kuyamwitsa sikuvomerezekanso panthawiyi.
Amuna: Mukulangizidwa kuti musamabereke mwana pamene mukumwa mankhwala awa.
Zotsatirapo Zotheka
Monga mankhwala ena aliwonse, Paclitaxel ingayambitse zotsatirapo zoyipa. Komabe, si aliyense amene amalandira. Tebulo ili pansipa likuthandizani kumvetsetsa izi.
| Zotsatira zoyipa za Paclitaxel | |
|---|---|
| Zinthu zoti muuze dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo (khungu loyabwa, kufiira, kutupa kwa nkhope/milomo) | Kuvuta kupuma |
| Kusintha kwa masomphenya | Kugunda kwa mtima mwachangu kapena kosasinthasintha |
| Kuthamanga kwa magazi kwambiri kapena kotsika | Zilonda pakamwa |
| Kupweteka kwambiri, dzanzi, kapena kutaya kumva m'miyendo | Zizindikiro za kutuluka magazi (mabala, mawanga ofiira pakhungu, ndowe zakuda, magazi mu mkodzo) |
| Zizindikiro za matenda (malungo, kuzizira, chifuwa, pakhosi) | Zizindikiro za kuwonongeka kwa chiwindi (kuoneka kwachikasu kwa maso/khungu, mkodzo wakuda, kupweteka kumtunda kwa kumanja kwa m'mimba) |
| Kutupa kwa manja, mapazi, akakolo | Kugunda kwa mtima pang'onopang'ono kwambiri |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kutsegula m'mimba | Kutaya tsitsi |
| Chilakolako cha chakudya | Kupweteka kwa minofu kapena mafupa |
| Kusanza, kusanza | Ululu, kufiira pamalo omwe jakisoni adayikidwa |
Uthenga Wopita Nawo Kunyumba
- Paclitaxel ndi mankhwala a chemotherapy omwe amapha maselo a khansa ndipo amaperekedwa kudzera m'mitsempha. Amaperekedwa kuchipatala ndi ogwira ntchito ophunzitsidwa bwino.
- Ndikofunikira kuuza dokotala wanu za matenda ena omwe mukumwa komanso mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi zitsamba).
- Ngati mukumva malungo, kutuluka magazi, kapena zizindikiro za ziwengo panthawi ya chithandizo, funsani upangiri wa dokotala nthawi yomweyo.
- Ndizachibadwa kumva kusasangalala panthawi ya chithandizo, koma musasiye chithandizo popanda upangiri wa dokotala.
- Pewani kutenga mimba mukumwa mankhwalawa. Amuna ayeneranso kupewa kubereka ana panthawiyi.
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