Tonse tikudziwa kuti kulimbana ndi khansa sikophweka. Pankhondoyi, madokotala anu adzakulangizani njira zosiyanasiyana zochiritsira, monga chemotherapy. Pegaspargase (dzina lodziwika bwino: Oncaspar) ndi imodzi mwa mankhwala ofunikira komanso amphamvu kwambiri omwe amagwiritsidwa ntchito pochiza khansa ya m'magazi yotchedwa acute lymphoblastic leukemia (ALL) . Chifukwa chake, ngati inu kapena wokondedwa wanu mukupatsidwa mankhwalawa, zidzakhala mpumulo waukulu kuti mumvetsetse bwino chilichonse chokhudza khansa. Tiyeni tikambirane za izi.
Kodi Pegaspargase ndi mankhwala amtundu wanji?
Mwachidule, Pegaspargase ndi mankhwala a chemotherapy, kutanthauza kuti, mankhwala omwe amaperekedwa kuti aphe maselo a khansa . Asparagine ndi michere yofunika kwambiri kuti maselo a khansa akule. Chomwe Pegaspargase imachita ndikuphwanya michere ya asparagine iyi m'thupi, ndikuchotsa maselo a khansa "chakudya". Kenako maselo a khansa sangathe kukula ndipo amafa.
Ngakhale kuti imagwiritsidwa ntchito kwambiri pochiza khansa ya m'magazi ya Acute Lymphoblastic Leukemia (ALL), nthawi zina ingagwiritsidwe ntchito pa mitundu ina ya khansa monga momwe dokotala wanu akulangizira.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kulandira chithandizo
Musanayambe chithandizochi, ndikofunikira kwambiri kuuza dokotala wanu za mbiri yanu yonse ya thanzi. Mankhwalawa akhoza kusokoneza matenda ena. Onetsetsani kuti mwauza dokotala wanu makamaka za izi:
- Matenda a ziwengo: Onetsetsani kuti mwatiuza ngati muli ndi vuto lililonse la ziwengo ku Pegaspargase, L-asparaginase, mapuloteni a E. coli, mankhwala ena, zakudya, kapena utoto.
- Pancreatitis: Ngati mudadwalapo kale kapamba.
- Matenda a chiwindi: Ngati muli ndi matenda a chiwindi.
- Mavuto a magazi kuundana: Ngati magazi anu amaundana mosavuta kapena ngati muli ndi matenda otuluka magazi.
- Matenda a shuga: Ngati muli ndi matenda a shuga kapena mavuto ena okhudzana ndi kuchuluka kwa shuga m'magazi.
- Mimba: Ndikofunikira kuuza dokotala wanu ngati muli ndi pakati, mukufuna kutenga pakati, kapena ngati mukuyamwitsa. Izi ndizofunikira kwambiri.
Patsani dokotala wanu mndandanda wathunthu wa mankhwala ena onse omwe mumamwa, kuphatikizapo mavitamini, mankhwala achikhalidwe, ndi zowonjezera.
Kodi mankhwalawa amaperekedwa bwanji m'thupi?
Iyi si piritsi yomwe mungapite nayo kunyumba. Imaperekedwa kuchipatala kapena ku chipatala., kokha ndi dokotala kapena namwino amene walandira maphunziro apadera pankhaniyi.
Pali njira ziwiri zoperekera mankhwala:
1. Kulowetsedwa m'mitsempha: Mankhwala , monga saline, amaperekedwa pang'onopang'ono m'thupi kudzera m'mitsempha.
2. Jakisoni wa m'mitsempha: Jakisoni mu minofu.
Izi zimaperekedwa kwa ana aang'ono, ngakhale makanda a mwezi umodzi, pazifukwa zina. Komabe, chisankhocho chimapangidwa ndi dokotala wa ana.
Kodi ndi zinthu ziti zomwe muyenera kuziganizira mukamalandira chithandizo?
Dokotala wanu adzakuyang'anirani kwambiri pamene mukumwa mankhwala awa.
- Kuyezetsa magazi: Muyenera kuyezetsa magazi nthawi zonse kuti muwone momwe mankhwalawo akukhudzira thupi lanu.
- Shuga m'magazi: Mankhwalawa angawonjezere shuga m'magazi. Ngati muli ndi matenda a shuga, lankhulani ndi dokotala wanu za zakudya zomwe mukudya komanso ngati mukufunika kusintha mankhwala anu a shuga.
- Ziwengo: Nthawi zina mankhwala awa amatha kuyambitsa ziwengo kwambiri. Pofuna kuchepetsa chiopsezochi, dokotala wanu angasankhe kukupatsani mankhwala ena (monga antihistamines, steroids) asanakupatseni Pegaspargase.
- Mimba ndi kuyamwitsa (ZOFUNIKA KWAMBIRI): Izi ndizofunikira kwambiri.
- Musatenge mimba pazifukwa zilizonse mukamamwa mankhwalawa **.
- Pewani kutenga mimba kwa miyezi itatu mutasiya kulandira chithandizo.
- Muyenera kugwiritsa ntchito njira zolerera panthawiyi. Komabe, popeza mapiritsi olerera opangidwa ndi mahomoni (mankhwala olerera omwa) amatha kusokonezana ndi mankhwalawa, lankhulani ndi dokotala wanu za kugwiritsa ntchito njira yolerera yosakhala ya mahomoni (monga makondomu).
- Ngati mukukayikira pang'ono kuti muli ndi pakati, uzani dokotala wanu nthawi yomweyo .
- Musayamwitse mwana wanu panthawi ya chithandizo komanso kwa mwezi umodzi mutasiya kumwa mankhwalawa.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse, Pegaspargase ingayambitse zotsatirapo zoyipa. Si aliyense amene amadwala. Komabe, ndikofunikira kudziwa zizindikiro izi. Ngati muwona zizindikiro zilizonse zoopsa, dziwitsani ogwira ntchito zachipatala nthawi yomweyo kapena pitani ku Dipatimenti Yoona Zadzidzidzi (ETU) yapafupi.
| Gulu la zotsatira zoyipa | Zinthu zofunika kuzisamala |
|---|---|
| Zinthu zoti muuze dokotala wanu kapena ogwira ntchito kuchipatala nthawi yomweyo | |
| Matenda Oopsa a Thupi | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime, komanso kuvutika kupuma. |
| Zizindikiro za kutuluka magazi | Chimbudzi chakuda, chokhazikika; mkodzo wofiira kapena wakuda; kusanza komwe kumaoneka ngati khofi wophwanyidwa kapena kusanza magazi; mawanga ofiira pakhungu; kutuluka magazi kosazolowereka m'maso, m'kamwa, kapena m'mphuno. |
| Zizindikiro za magazi kuundana | Kupweteka pachifuwa; kuvutika kupuma; kupweteka kwa mwendo, kutupa, kapena kutentha. |
| Zizindikiro za kuwonongeka kwa chiwindi | Mkodzo wakuda wachikasu kapena bulauni; chikasu cha maso kapena khungu; malungo; kusowa chilakolako; kupweteka kumtunda kwa kumanja kwa m'mimba; ndowe zotumbululuka. |
| Zizindikiro za shuga wambiri m'magazi | Ludzu losazolowereka ndi njala; kukodza pafupipafupi; kutopa kwambiri; kusawona bwino. |
| Zizindikiro zina zoopsa | Mutu waukulu kwambiri, kupweteka kwambiri m'mimba (kungakhale chizindikiro cha kapamba). |
| Ngati zikupitirira kapena zikukuvutitsani, uzani dokotala wanu. | |
| Zotsatira zoyipa zofala | Kutuluka thukuta, kuchepetsa thupi. |
Kodi pangakhale mavuto ndi mankhwala ena? (Kuyanjana)
Inde. Mankhwala ena angayambitse mavuto akamwedwa ndi Pegaspargase. Mwachitsanzo:
- methotrexate
- vincristine
- cytarabine
- dexamethasoni
- Mapiritsi oletsa kubereka (mankhwala oletsa kubereka)
Mndandandawu sunathe. Choncho, uzani dokotala wanu za mankhwala onse omwe mumamwa, ngakhale mavitamini . Komanso, musaiwale kumuuza ngati mumasuta kapena kumwa mowa.
Uthenga Wopita Nawo Kunyumba
- Pegaspargase ndi mankhwala amphamvu a chemotherapy omwe amagwiritsidwa ntchito pochiza khansa ya m'magazi yotchedwa Acute Lymphoblastic Leukemia (ALL).
- Mankhwalawa amaperekedwa kuchipatala kokha, moyang'aniridwa ndi dokotala.
- Musanayambe kulandira chithandizo, uzani dokotala wanu za matenda anu onse, ziwengo, ndi mankhwala ena omwe mukumwa.
- Ngati mukukumana ndi zizindikiro monga ziwengo zoopsa, kutuluka magazi, magazi kuundana, kapena kupweteka kwambiri m'mimba, dziwitsani ogwira ntchito zachipatala nthawi yomweyo.
- Pewani kutenga mimba konse panthawi ya chithandizo ndipo kwa miyezi itatu pambuyo pake. Gwiritsani ntchito njira yodalirika komanso yopanda mahomoni yolerera.
- Chonde bwerani kukaonana ndi dokotala pa nthawi yake. Ngati simungathe kupita kuchipatala, chonde dziwitsani chipatala pasadakhale.
- Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi mankhwalawa, lankhulani ndi dokotala wanu za izi poyera.
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