Tonsefe tikudziwa kuti ulendo wolimbana ndi khansa ndi wovuta komanso wotopetsa. Mukamalandira chithandizo, makamaka mukalandira chithandizo champhamvu monga chemotherapy, zotsatirapo zake zimakhala zopweteka kwambiri. Chimodzi mwa izi ndi zilonda za mkamwa. Anthu ambiri amavutika ndi zilondazi, osatha kudya, kumwa, kapena kulankhula kwa kanthawi. Chifukwa chake, lero tikambirana za katemera wapadera yemwe amathandiza kupewa ndi kuchiza zilonda zazikulu za mkamwa izi. Ndi Palifermin.
Mwachidule, Palifermin ndi chiyani?
Palifermin ndi puloteni yapadera yopangidwa mu labu yomwe imafanana ndi puloteni yomwe thupi lathu limapanga lokha. Kunena zoona, ndi chinthu chomwe chimapangitsa kuti epithelial growth factor . Izi zikutanthauza kuti mankhwalawa amathandiza maselo athu a pakhungu, makamaka maselo ofewa (epithelial cells) omwe ali mkati mwa pakamwa pathu, pakhosi, ndi m'mimba, kukula ndi kukonzanso mwachangu.
Amagwiritsidwa ntchito makamaka popewa ndikuchiza matenda oopsa a mkamwa omwe amayamba chifukwa cha mankhwala amphamvu a chemotherapy kapena radiation omwe amaperekedwa musanapatsidwe maselo oyambira mwa odwala omwe ali ndi khansa yokhudzana ndi magazi. Mwachidule, mankhwalawa amathandiza kuchepetsa ndikuteteza khungu lofewa mkamwa mwanu ku zotsatira za mankhwala amphamvu a khansa.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanapatsidwe katemera wa Palifermin uyu, ndikofunikira kuti muuze dokotala wanu mfundo zotsatirazi. Musabise zinthuzi, chifukwa ndizofunikira kwambiri pa chitetezo chanu.
- Ngati muli ndi vuto la ziwengo ku Palifermin kapena mapuloteni opangidwa kuchokera ku bakiteriya E. coli (mapuloteni awa amagwiritsidwa ntchito popanga mankhwalawa) .
- Ngati muli ndi vuto la ziwengo ku mankhwala ena aliwonse, chakudya, utoto, kapena zotetezera .
- Ngati muli ndi pakati kapena mukuyembekezera mwana .
- Ngati ndinu mayi woyamwitsa .
Chidziwitsochi chidzagwiritsidwa ntchito ndi gulu lachipatala posankha ngati akupatseni mankhwala awa kapena ayi, ndipo ngati ndi choncho, momwe mungawaperekere. Choncho fotokozani zonse momveka bwino.
Kodi mumagwiritsa ntchito bwanji mankhwalawa?
Palifermin si mankhwala omwe mungamwe kunyumba.
- Uwu ndi jakisoni mu mtsempha .
- Imaperekedwa kuchipatala kapena ku chipatala ndi katswiri wazachipatala wophunzitsidwa bwino.Katemerayu adzaperekedwa pa masiku omwe akonzedwa komanso nthawi zomwe zakonzedwa, malinga ndi dongosolo lanu lochiza khansa.
- Mankhwalawa saloledwa kugwiritsidwa ntchito kwa ana .
- Ngati mwamwa mankhwala osokoneza bongo mwangozi: Izi zimaperekedwa kuchipatala, kotero mwayi woti izi zichitike ndi wochepa. Komabe, ngati zitachitika, gulu lachipatala lidzadziwitsidwa nthawi yomweyo. Ngati muwona zizindikiro zachilendo, muwadziwitse nthawi yomweyo. M'dziko lathu, ngati mukuganiza kuti muli ndi poizoni, mutha kuyimbira National Poisons Information Center ku Colombo National Hospital .
Kodi mungachite chiyani ngati mwaphonya mlingo?
Ndikofunikira kwambiri kupeza katemera pa nthawi yake kuti mupeze chithandizochi. Ngati simungathe kukwaniritsa nthawi yanu yokumana ndi dokotala, imbani dokotala wanu kapena chipatala nthawi yomweyo ndipo muwadziwitse. Adzakuuzani choti muchite kenako.
Mfundo zapadera zoti muganizire mukamagula
- Sikoyenera khansa zina: Izi ndizofunikira kwambiri. Palifermin imagwiritsidwa ntchito kokha kwa anthu omwe ali ndi khansa yokhudzana ndi magazi (hematological malignancies) . Mankhwalawa saperekedwa kwa anthu omwe ali ndi zotupa zolimba (khansa zomwe zimakula m'ziwalo monga mawere, mapapo kapena matumbo) chifukwa mankhwalawa angathandize mitundu iyi ya maselo a khansa kukula.
- Kwa amayi oyamwitsa: Musayamwitse mwana wanu pamene mukumwa mankhwalawa komanso kwa milungu iwiri mutasiya kumwa mankhwalawa.
- Kubereka: Mankhwalawa akhoza kukhala ndi zotsatirapo zina kwa iwo omwe akukonzekera kukhala ndi mwana (amuna ndi akazi). Ngati muli ndi nkhawa iliyonse pa izi, musachite mantha ndipo lankhulani ndi dokotala wanu za izi momasuka.
- Mankhwala ena: Pakadali pano palibe kuyanjana kodziwika ndi mankhwalawa. Komabe, sizikutanthauza kuti sadzakukhudzani. Chifukwa chake, perekani dokotala wanu mndandanda wathunthu wa mankhwala onse, mavitamini, mankhwala azitsamba, ndi zowonjezera zomwe mukumwa.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, Palifermin ingayambitse zotsatira zina zoyipa. Komabe, si aliyense amene amakumana nazo. Zina mwa izi ndizofala, pomwe zina zimakhala zoopsa. Tiyeni tiphunzire zambiri za izo mu tebulo ili m'munsimu.
| Mtundu wa zotsatira zoyipa | Kufotokozera |
|---|---|
| Zinthu zoti muuze dokotala kapena namwino nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa kwambiri, kutupa kwa nkhope, milomo, kapena lilime, komanso kuvutika kupuma. |
| Kusintha kwa mkamwa | Kutupa mkamwa kapena kuzungulira pakamwa, dzanzi, kusintha kwa kukoma, kusintha kwa mtundu wa lilime, kukhuthala kapena kukula kwa lilime. |
| Zizindikiro zina zazikulu | Kusintha kwa masomphenya, malungo. |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kutupa | Kutupa kwa akakolo, mapazi, kapena manja. |
| Ululu ndi dzanzi | Ululu ndi dzanzi m'miyendo. |
| Kupweteka kwa mafupa | Kupweteka kwa mafupa. |
Mndandandawu sukuphatikizapo zotsatirapo zonse zomwe zingachitike. Ngati mukukumana ndi vuto linalake losiyana, chonde uzani dokotala wanu.
Uthenga Wopita Nawo Kunyumba
- Palifermin ndi katemera wapadera womwe umaperekedwa kuti uteteze ndikuchiza zilonda zazikulu pakamwa zomwe zimayambitsidwa ndi chithandizo champhamvu cha khansa yokhudzana ndi magazi.
- Mankhwalawa amaperekedwa kuchipatala kapena ku chipatala chokha. Si mankhwala omwe angatengedwe kunyumba.
- Onetsetsani kuti mwauza dokotala wanu za ziwengo zilizonse zomwe muli nazo komanso mankhwala ena onse omwe mukumwa.
- Ngati mukukumana ndi zizindikiro zachilendo (makamaka ziwengo) mukumwa mankhwala, dziwitsani gulu lachipatala nthawi yomweyo.
- Kumbukirani kuti mankhwalawa si oyenera matenda a khansa yolimba. Ngati mukukayikira, funsani dokotala wanu kuti atsimikizire.
- Chithandizo cha khansa ndi chovuta. Zidzakhala mpumulo waukulu kwa inu kulankhula momasuka ndi dokotala wanu za mavuto omwe amabwera paulendowo, popanda mantha.
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