Mukazindikira kuti inuyo kapena munthu amene muli naye pafupi ali ndi khansa, n'zachibadwa kukhala ndi chidwi, komanso mwina mantha, za njira zochiritsira. Zingakhale zoopsa, makamaka mukamva za mankhwala atsopano komanso ovuta. Lero tikambirana za mankhwala atsopano a khansa, Pembrolizumab. Tiyeni tikambirane m'njira yosavuta komanso yochezeka za zomwe zikuchitika komanso zomwe tiyenera kudziwa.
Kodi Pembrolizumab ndi chiyani?
Mwachidule, Pembrolizumab ndi mankhwala omwe amagwiritsidwa ntchito pochiza mitundu yosiyanasiyana ya khansa . Amadziwika pamsika kuti ``Keytruda``. Izi sizili ngati mankhwala wamba, ndi a mtundu wa ``monoclonal antibody``.
Tangoganizani, thupi lathu lili ndi gulu lankhondo lomwe limatiteteza ku matenda, timalitcha kuti chitetezo chamthupi. Nthawi zina maselo a khansa amakhala achinyengo kwambiri, amabisala ku gulu lankhondo la chitetezo chamthupi ili. Zimene Pembrolizumab imachita ndikupatsa chitetezo chamthupi chathu chizindikiro chakuti, "Dzukani, pali mdani pano," ndikuchithandiza kupeza maselo a khansa ndikuchiwukira. Izi zikutanthauza kuti, ndi njira yogwiritsira ntchito chitetezo chathu chamthupi polimbana ndi khansa.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kulandira chithandizo
Ndikofunikira kwambiri kuuza dokotala wanu za mbiri yonse ya thanzi lanu, chifukwa mankhwalawa si ofanana kwa aliyense. Onetsetsani kuti mwauza dokotala wanu za izi makamaka:
- Matenda a chitetezo chamthupi: Ngati muli ndi matenda odziteteza ku matenda enaake, monga matenda a Crohn, ulcerative colitis, kapena lupus, momwe chitetezo chamthupi chimaukira maselo ake.
- Kusamutsa ziwalo: Ngati mudasamutsa ziwalo kale kapena ngati mudasamutsa ziwalo za allogeneic kapena mukufuna kusamutsa maselo oyambira.
- Matenda ena: Ngati mwalandira chithandizo cha radiation pachifuwa, kapena ngati muli ndi matenda a mitsempha, monga myasthenia gravis kapena Guillain-Barre syndrome.
- Matenda a ziwengo: Ngati muli ndi vuto la ziwengo ndi mankhwalawa, Pembrolizumab, kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Mimba ndi kuyamwitsa: Ngati muli ndi pakati, mukufuna kutenga pakati, kapena kuyamwitsa, ndikofunikira kuuza dokotala wanu. Izi ndizofunikira kwambiri.
Ndingakupatseni bwanji mankhwala awa?
Mankhwala awa si chinthu chomwe mungapite nacho kunyumba.
Uwu ndi 'mankhwala olowetsedwa' omwe amaperekedwa mumtsempha, monga saline. Izi zikutanthauza kuti amaperekedwa kwa inu ndi ogwira ntchito zachipatala ophunzitsidwa bwino kuchipatala kapena kuchipatala.
Musanayambe chithandizo chilichonse, mudzapatsidwa kabuku kapadera kodziwitsa za mankhwalawa (MedGuide). Ndikofunikira kwambiri kuti mukhale otetezeka kuti muwawerenge ndikumvetsetsa mosamala nthawi zonse.
Mankhwalawa amalimbikitsidwanso kwa ana opitirira miyezi 6 pazochitika zina zapadera. Komabe, chisamaliro chapadera chiyenera kutengedwa, choncho kambiranani mosamala ndi dokotala wanu.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Mankhwalawa ndi operekedwa kuchipatala, kotero mwayi woti izi zichitike ndi wochepa. Komabe, ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku Emergency Unit (ETU) ya chipatala nthawi yomweyo . Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze upangiri.
Nanga bwanji ngati ndaphonya nthawi yolandira chithandizo?
Ndikofunikira kwambiri kumwa mankhwalawa pa tsiku ndi nthawi yomwe mwakonza. Ngati simungathe kupita kuchipatala pa tsiku lomwe mwakonza, imbani dokotala wanu nthawi yomweyo ndikuwadziwitsa kuti akupatseni malangizo a zomwe mungachite kenako.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, Pembrolizumab ikhoza kukhala ndi zotsatirapo zake. Koma si aliyense amene amalandira. Ndikofunikira kudziwa izi. Tiyeni tigawane izi m'magulu awiri.
| Zotsatira zoyipa | Kufotokozera ndi choti muchite |
|---|---|
| Zinthu zoti muuze dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Kuvuta kupuma | Chifuwa, kupweteka pachifuwa, kupuma movutikira. |
| Mavuto a m'mimba | Kupweteka kwambiri m'mimba, kutsegula m'mimba, magazi m'chimbudzi, kapena chopondapo chakuda. |
| Mavuto a chiwindi | Maso kapena khungu kukhala lachikasu, mkodzo wakuda, kupweteka kumtunda kwa kumanja kwa m'mimba, nseru. |
| Mavuto a impso | Kuchepa kwa mkodzo kapena kuvutika kukodza. |
| Kuchuluka kwa shuga m'magazi | Ludzu lalikulu, pakamwa pouma, kukodza pafupipafupi, ndi fungo loipa la mpweya wotuluka m'mphuno. |
| Zizindikiro zina zazikulu | Mutu waukulu, kusintha kwa masomphenya, kupweteka kwa mafupa, kufooka kwa minofu, dzanzi m'miyendo, malungo, kutupa kwa ma lymph nodes. |
| Kawirikawiri si nkhani yaikulu (koma uzani dokotala ngati ikupitirira) | |
| Kutopa | Kutopa kwachizolowezi. |
| Chilakolako cha chakudya | Kuchepa kwa chilakolako chofuna kudya. |
| Kutaya tsitsi | Kutaya tsitsi. |
Ndi chiyani chinanso chomwe ndiyenera kusamala nacho ndikamamwa mankhwalawa?
Dokotala wanu adzayang'anira matenda anu mosamala nthawi yonse ya chithandizo chanu. Muyeneranso kuyesedwa magazi nthawi zonse (magazi) kuti muwone momwe mankhwalawo akukhudzira thupi lanu.
Izi ndizofunikira kwambiri: Muyenera kupewa kutenga mimba mukamagwiritsa ntchito mankhwalawa komanso kwa miyezi inayi mutasiya kumwa mankhwalawa. Komanso, pewani kuyamwitsa panthawiyi. Izi zitha kuvulaza kwambiri mwana yemwe ali m'mimba. Choncho lankhulani ndi dokotala wanu za izi.
Pomaliza, mankhwalawa ndi a inu nokha. Musagawane ndi wina aliyense.
Uthenga Wopita Nawo Kunyumba
- Pembrolizumab ndi mankhwala amakono omwe amalimbikitsa chitetezo cha mthupi lathu kuti chiukire maselo a khansa.
- Musanayambe kulandira chithandizo, ndikofunikira kuuza dokotala wanu mbiri yonse ya thanzi lanu, makamaka za matenda ena, ziwengo, ndi mimba.
- Mankhwalawa amaperekedwa kudzera m'mitsempha kuchipatala. Ndikofunikira kwambiri kulandira chithandizo pa nthawi yake.
- Ndikofunikira kwambiri kupewa kutenga mimba ndi kuyamwitsa kwathunthu panthawi ya chithandizo komanso kwa miyezi inayi mutatha.
- Ngati mukukumana ndi mavuto aakulu monga kupuma movutikira, kutsegula m'mimba kwambiri, kapena khungu kukhala lachikasu, dziwitsani dokotala wanu nthawi yomweyo.
- Simuli nokha paulendowu. Dokotala wanu ndi gulu lanu lachipatala ali nanu. Musazengereze kulankhula nawo za mafunso kapena nkhawa zilizonse zomwe mungakhale nazo.
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