Kodi dokotala wanu wakupezani inu kapena munthu wina amene mumamudziwa ali ndi matenda a Cushing? Zikatero, nthawi zina opaleshoni siingatheke, kapena opaleshoni siingapambane mokwanira. Lero, tikambirana za katemera wapadera amene madokotala amalangiza pazochitika zotere. Katemera wa Pasireotide ndi ameneyu. Katemerayu amapezeka kwambiri pansi pa dzina la Signifor.
Mwachidule, kodi chimachitika ndi chiyani ndi katemera wa Pasireotide uyu?
Munthu amene ali ndi matenda a Cushing amakhala ndi mahomoni ambiri otchedwa cortisol m'thupi mwake. Izi ndi zomwe zimayambitsa zizindikiro za matendawa. Chifukwa chake ntchito yayikulu ya jakisoni wa Pasireotide iyi ndikulamulira ndikuchepetsa kuchuluka kwa cortisol m'magazi mwanu. Ndiko kuti, mankhwalawa amachiritsa chomwe chimayambitsa matendawa.
Komabe, dokotala wanu angaperekenso mankhwala awa pa matenda ena, kotero ngati muli ndi mafunso ena okhudza izi, ndi bwino kufunsa dokotala wanu.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Dokotala wanu asanakupatseni mankhwala awa, ayenera kudziwa mbiri yonse ya thanzi lanu. Onetsetsani kuti mwawauza za matenda aliwonse omwe atchulidwa pansipa.
- Ngati muli ndi matenda a shuga kapena shuga wambiri m'magazi.
- Ngati muli ndi matenda a ndulu kapena miyala.
- Ngati muli ndi mbiri ya matenda a mtima kapena kugunda kwa mtima kosasinthasintha.
- Ngati kale munali ndi pancreatitis.
- Ngati muli ndi matenda a chiwindi .
- Ngati mwanenedwa kuti muli ndi potaziyamu kapena magnesium yochepa m'magazi anu.
- Ngati muli ndi vuto la chithokomiro (matenda a chithokomiro).
- Ngati munayamba mwakhalapo ndi vuto la ziwengo chifukwa cha pasireotide kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba .
- Ngati ndinu mayi woyamwitsa .
Ndikofunikira kwambiri kuti mukhale otetezeka kulankhula ndi dokotala popanda kubisa izi.
Kodi katemerayu angagwiritsidwe ntchito bwanji moyenera?
Iyi ndi jakisoni pansi pa khungu. Dokotala kapena namwino adzakuphunzitsani momveka bwino momwe mungaperekere izi, kuyambira kukonzekera mankhwala mpaka kuwabaya. Tsatirani malangizo amenewo molondola .Imwani mankhwalawo panthawi yoyenera, muyeso woyenera, ndipo musamwe pafupipafupi kuposa momwe dokotala wanu wanenera.
Kodi mumatani ndi singano ndi ma syringe ogwiritsidwa ntchito kale?
Izi ndizofunikira kwambiri. Musataye singano ndi ma syringe ogwiritsidwa ntchito kale m'zinyalala. Mukufuna chidebe chapadera, chotchedwa 'chidebe cha sharps.' Ngati mulibe, mutha kuchipeza kwa dokotala wanu kapena kuchipatala.
Kawirikawiri, mukapatsidwa mankhwala awa, mudzalandira kabuku kapadera (MedGuide) komwe kali ndi tsatanetsatane wake. Werengani mosamala nthawi iliyonse mukamwa mankhwalawo.
Ngati mukupereka mankhwalawa kwa ana, chisamaliro chapadera chingafunike, choncho onetsetsani kuti mwapeza upangiri kwa dokotala wa ana.
Nanga bwanji ngati ndamwa mankhwala ochulukirapo kapena ndaphonya mlingo?
Ngati mwamwa mankhwala ochulukirapo (Overdose):
Ngati mukukayikira ngakhale pang'ono kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi. Musatenge izi mopepuka.
Ngati mwaphonya mlingo:
Imwani mlingo womwe mwaphonya nthawi yomweyo mukakumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera), chifukwa mankhwala ena amatha kusokonezana ndi Pasireotide.
| Mtundu wa mankhwala | N’chifukwa chiyani muyenera kusamala? |
|---|---|
| Musamwe Pasireotide pamodzi ndi mankhwalawa. | |
| Cisapride, Dronedarone, Pimozide, Thioridazine | Izi zingakhudze kwambiri ntchito ya mtima. |
| Ngati mukumwa mankhwalawa, onetsetsani kuti mwauza dokotala wanu. | |
| Beta-blockers - mwachitsanzo Metoprolol, Propranolol | Kugunda kwa mtima kungachepe modabwitsa. |
| Mankhwala oletsa njira za calcium - mwachitsanzo Diltiazem, Verapamil | Izi zingakhudzenso kugunda kwa mtima. |
| Bromocriptine, Cyclosporine, Digoxin | Pasireotide ingasinthe momwe mankhwala awa amagwirira ntchito. |
| Mankhwala ena omwe amawonjezera nthawi ya QT (mankhwala owonjezera nthawi ya QT) - mwachitsanzo Dofetilide | Zimawonjezera chiopsezo chokhala ndi kugunda kwa mtima kosazolowereka. |
Mndandandawu sunathe. Choncho uzani dokotala wanu za mankhwala onse omwe mumamwa. Muuzeninso ngati mumasuta kapena kumwa mowa.
Kodi zotsatirapo zake zingakhale zotani chifukwa chomwa mankhwalawo?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Ena ndi oopsa, ena ndi ofala.
| Zizindikiro zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
|---|---|
| Zizindikiro za kuchuluka kwa shuga m'magazi:
|
| Zizindikiro zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| |
Ngati mukukumana ndi zizindikiro zina zachilendo zomwe sizinatchulidwe pamndandandawu, lankhulani ndi dokotala wanu za zizindikirozo.
Kodi mankhwalawo angasungidwe bwanji?
- Sungani pamalo omwe ana sangafikire .
- Sungani kutentha kwa chipinda (pakati pa madigiri 20-25 Celsius).
- Tetezani ku kuwala.
- Tayani mankhwala otha ntchito.
Uthenga Wopita Nawo Kunyumba
- Pasireotide ndi mankhwala enieni a matenda a Cushing. Ndi a inu nokha. Musagawire mankhwalawa ndi wina aliyense.
- Musanayambe kumwa mankhwala, uzani dokotala wanu za matenda anu onse komanso mankhwala ena onse omwe mukumwa.
- Mankhwalawa angayambitse kuchuluka kwa shuga m'magazi. Samalani zizindikiro monga ludzu lochuluka komanso kukodza pafupipafupi.
- Ngati mwamwa mankhwala ochulukirapo kapena mukukumana ndi zotsatirapo zoyipa, dziwitsani nthawi yomweyo ETU kapena National Poisons Information Center .
- Khalani omasuka kulankhula ndi dokotala wanu za mafunso kapena nkhawa zilizonse zomwe muli nazo zokhudza mankhwalawa.
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