Ngati mukulandira chithandizo cha mankhwala a khansa, ndi zachilendo kuti chitetezo cha mthupi lanu chifooke. Izi zimakupangitsani kukhala pachiwopsezo chachikulu cha matenda. Chifukwa chake, kuti muchepetse chiopsezo cha matendawa ndikutetezani, dokotala wanu angakulangizeni jakisoni wapadera. Jakisoni imodzi yofunika kwambiri ndi Pegfilgrastim. M'nkhaniyi, tikambirana za izi mwachidule.
Kodi Pegfilgrastim ndi chiyani?
Mwachidule, Pegfilgrastim ndi mankhwala omwe amathandiza thupi lanu kulimbana ndi majeremusi. Maselo oyera a m'magazi ndi mtundu wa selo lomwe limagwira ntchito ngati gulu lankhondo m'thupi lathu, kutiteteza kuti tisadwale. Mukalandira mankhwala a chemotherapy, chiwerengero cha maselo oyera a m'magazi amenewa chimatha kuchepa. Izi zimapangitsa kuti mukhale ndi matenda mosavuta.
Jakisoni wa Pegfilgrastim amagwira ntchito polimbikitsa mafuta a m'mafupa anu kuti apange maselo oyera ambiri a magazi. Zili ngati kulemba asilikali atsopano kuti alowe usilikali. Izi zimalimbitsa chitetezo cha mthupi lanu ndipo zimachepetsa kwambiri chiopsezo chanu chotenga matenda.
Mankhwalawa nthawi zina amagwiritsidwa ntchito pochiza anthu omwe adakumana ndi mphamvu zambiri za radiation. Amapezeka pansi pa mayina osiyanasiyana, monga Fulphila, Neulasta, ndi UDENYCA.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Kuti mukhale otetezeka, ndikofunikira kwambiri kukambirana nkhaniyi moona mtima ndi dokotala wanu musanayambe kumwa mankhwalawa.
Dokotala wanu akamadziwa bwino za thanzi lanu, chithandizo chanu chidzakhala chopambana kwambiri.
Ngati muli ndi chilichonse mwa zinthu izi, onetsetsani kuti mwauza dokotala wanu:
- Matenda a impso: Ngati muli ndi matenda aliwonse a impso.
- Matenda a latex: Zipangizo zina zobayira jakisoni zingakhale ndi latex.
- Chithandizo cha radiation: Ngati mukulandira chithandizo cha radiation pakali pano.
- Matenda a sickle cell: Anthu omwe ali ndi matendawa amafunika chisamaliro chapadera.
- Kutupa kwa zomatira za acrylic: Nthawi zina mankhwalawa amaperekedwa kudzera mu chipangizo chaching'ono chomwe chimapakidwa pakhungu (On-Body Injector). Ngati muli ndi vuto la zomatira zotere, uzani dokotala wanu.
- Matenda ena a ziwengo: Ngati muli ndi vuto la ziwengo ku Pegfilgrastim, Filgrastim, kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Mimba: Ngati muli ndi pakati kapena mukufuna kutenga mimba.
- Ngati ndinu mayi woyamwitsa: Ngati ndinu mayi woyamwitsa.
Kodi mumagwiritsa ntchito bwanji jakisoni uyu?
Mankhwalawa amaperekedwa ngati jakisoni wopangidwa pansi pa khungu . Mungafunike kudzipatsa jakisoniyu kunyumba. Ngati ndi choncho, namwino kapena dokotala adzakuwonetsani momwe mungachitire, pogwiritsa ntchito sirinji yodzazidwa kale. Kapena adzakuwonetsani momwe mungagwiritsire ntchito jakisoni wopangidwa pathupi.
Chofunika kwambiri ndikutsatira malangizo omwe mwalandira ndendende. Ngati mukuganiza kuti chigambacho sichikugwira ntchito bwino, kapena ngati mukukayikira kuti mwaphonya mlingo kapena simunalandire mlingo wonse, dziwitsani gulu lanu lazaumoyo nthawi yomweyo.
Kodi mumatani ndi singano zogwiritsidwa ntchito kale?
Chenjezo: Musataye singano ndi ma syringe ogwiritsidwa ntchito kale mu zinyalala. Izi zitha kuvulaza ena kwambiri.
Izi ziyenera kuyikidwa mu chidebe chapadera chapulasitiki cholimba chomwe chingachotsedwe. Ngati mulibe, mutha kupempha dokotala wanu kapena kuchipatala kuti akupatseni chimodzi.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, musachite mantha ndipo nthawi yomweyo imbani National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Si bwino kuphonya nthawi yokonzedweratu ya mankhwala awa. Izi zingakhudze kupambana kwa chithandizo. Ngati mwaphonya mlingo, imbani dokotala wanu nthawi yomweyo kuti akupatseni upangiri.
Zotsatirapo zomwe zingakhalepo chifukwa cha mankhwalawa
Monga mankhwala ena aliwonse, Pegfilgrastim ingayambitse zotsatirapo zina. Zina mwa izi ndi zazikulu, pomwe zina ndizofala. Chofunika kwambiri ndikudziwa izi ndikuchitapo kanthu mwachangu ngati pakufunika kutero.
| Zotsatira zoyipa | Zimene muyenera kusamala nazo |
|---|---|
| Zotsatirapo zoyipa zomwe zimafuna chithandizo chamankhwala mwachangu | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi, komanso kuvutika kupuma. Izi ndi zadzidzidzi. |
| Matenda a kutayikira kwa capillary | Kupweteka m'mimba kapena minofu, kutopa kwambiri, kukomoka, kuchepa kwa mkodzo, kutupa kwa akakolo, manja, kapena mapazi, komanso kuvutika kupuma. |
| Kuchuluka kwa maselo oyera m'magazi | Malungo, kutopa, kupuma movutikira, thukuta usiku, kusintha kwa masomphenya, kuchepetsa thupi. |
| Kuvulala kwa ndulu | Kupweteka kwambiri kumtunda kwa mimba kapena phewa lamanzere. |
| Kuvulala kwa impso | Kuchepa kwa mkodzo, mkodzo wofiira kapena wakuda, mkodzo wokhala ndi thovu, kutupa kwa akakolo, manja, kapena mapazi. |
| Kuvuta kupuma | Kuvuta kupuma kapena kupuma movutikira popanda chifukwa. |
| Kutupa kapena kutuluka magazi kosazolowereka | Kutuluka magazi komwe sikutha ngakhale chifukwa cha bala laling'ono kapena mabala pathupi. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kupweteka kwa mafupa | Izi ndi zotsatira zoyipa zofala. Ululuwu ukhoza kuchitika chifukwa mankhwalawa amalimbikitsa mafuta m'mafupa. Ngati simungathe kupirira, uzani dokotala wanu. |
| Ululu m'miyendo | Kupweteka m'manja ndi m'mapazi. |
Ngati mukukumana ndi zizindikiro zina zachilendo zomwe sizinatchulidwe pamndandandawu, lankhulani ndi dokotala wanu za zizindikirozo.
Zinthu zina zofunika kuziganizira mukamamwa mankhwala
- Kuyang'aniridwa ndi dokotala: Dokotala wanu adzakuyang'anirani mosamala mukamamwa mankhwalawa. Ndikofunikira kuyezetsa magazi nthawi zonse.
- Kuopsa kwa khansa: Kafukufuku wina wasonyeza kuti pali chiopsezo chochepa kwambiri chotenga mitundu ina ya khansa (monga khansa ya m'magazi) mukatenga mankhwalawa. Musachite mantha ndi izi, koma ndi bwino kulankhula ndi dokotala wanu za izi ndikudziwa.
- Mayeso ena azachipatala: Ngati mukufuna kuyesedwa monga MRI kapena CT scan, uzani gulu lachipatala pasadakhale kuti mukugwiritsa ntchito Pegfilgrastim (makamaka On-Body Injector).
Uthenga Wopita Nawo Kunyumba
- Pegfilgrastim ndi jakisoni wofunika kwambiri woperekedwa kuti ateteze ku matenda opatsirana panthawi ya chithandizo cha khansa (chemotherapy).
- Onetsetsani kuti mwauza dokotala wanu za matenda anu onse komanso ziwengo musanayambe kumwa mankhwala.
- Phunzirani bwino momwe mungadzipatsire jakisoni ndi momwe mungatayire singano zomwe mwagwiritsa ntchito mosamala. Musataye singano m'zinyalala.
- Ngati mukuvutika kupuma, kupweteka kwambiri, kapena zizindikiro zina zomwe zimayambitsa ziwengo (monga kutupa kwa nkhope), pitani ku Dipatimenti Yothandiza Anthu Odwala (ETU) kuchipatala nthawi yomweyo.
- Ngakhale kupweteka kwa mafupa ndi zotsatira zoyipa zomwe zimachitika kawirikawiri, funsani upangiri kwa dokotala ngati kuli kovuta kupirira.
- Ndikofunikira kwambiri kumwa mankhwala pa nthawi yake komanso kutsatira malangizo a dokotala.
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