N'zovuta kufotokoza momwe zimakhalira inu kapena wokondedwa wanu akapezeka ndi khansa. Koma nthawi yomweyo, madokotala amalankhula za mankhwala atsopano akamalankhula za chithandizo. Mwina munamvapo dzina lakuti Pemetrexed. Uwu ndi mankhwala apadera omwe amaperekedwa kuti awononge maselo a khansa. Chifukwa chake lero, tiyeni tikambirane mwachidule komanso mwaubwenzi za mankhwalawa, zomwe amachita, komanso zomwe tiyenera kusamala nazo.
Kodi Pemetrexed ndi chiyani?
Mwachidule, Pemetrexed ndi mankhwala olimbana ndi maselo a khansa . Kunena zoona, ndi mankhwala a chemotherapy. Ntchito yake yayikulu ndikuletsa kukula kwa maselo a khansa omwe amagawanitsa mwachangu ndikuwononga.
Mankhwalawa amagwiritsidwa ntchito makamaka pochiza mitundu iwiri ya khansa ya m'mapapo.
- Mitundu ina ya khansa ya m'mapapo (khansa ya m'mapapo yosakhala ya maselo ang'onoang'ono)
- Mesothelioma ndi khansa yomwe imapezeka pakati pa mapapo ndi khoma la pachifuwa.
Kuphatikiza apo, dokotala wanu angakulembereni mankhwala awa a mitundu ina ya khansa. Mutha kupeza mankhwala awa pamsika pansi pa mayina monga `Alimta` kapena `PEMFEXY`.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kulandira chithandizo
Musanayambe chithandizochi, ndikofunikira kwambiri kudziwitsa dokotala wanu za mavuto aliwonse azaumoyo omwe muli nawo, chifukwa mavutowa angasinthe momwe mankhwalawa amakhudzira thupi.
| Nkhani yomwe muyenera kuifotokoza | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Ngati muli ndi matenda (monga matenda opatsirana ndi mavairasi monga nsabwe kapena herpes) | Chifukwa chakuti mankhwalawa amachepetsa chitetezo cha mthupi, matenda omwe alipo kale amatha kuipiraipira. |
| Ngati muli ndi matenda a impso | Popeza mankhwalawa amachotsedwa m'thupi kudzera mu impso, ndikofunikira kusamala ndi momwe impso zimagwirira ntchito. |
| Kuchuluka kwa magazi m'magazi (maselo oyera otsika, maselo ofiira a magazi, kapena ma platelet) | Mankhwala a chemotherapy amatha kuchepetsa kwambiri maselo a magazi anu, choncho ndikofunikira kudziwa izi musanayambe. |
| Ngati muli ndi matenda a m'mapapo kapena a m'mapapo (monga mphumu) | Dokotala ayenera kudziwa za chiopsezo cha kupuma movutikira chifukwa cha mankhwala. |
| Ngati mukulandira kapena mwalandira chithandizo cha radiation posachedwapa | Kuphatikiza chithandizo cha radiation ndi mankhwalawa kungapangitse zotsatirapo zake kukhala zovuta. |
| Ngati muli ndi vuto la Pemetrexed kapena mankhwala ena aliwonse kapena zakudya. | Izi ndizofunikira kwambiri kuti mupewe kudwala kwambiri kwa mankhwala. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa | Mankhwalawa amatha kuvulaza mwana wosabadwayo komanso amathanso kupita kwa mwana kudzera mu mkaka wa m'mawere. |
Kodi mankhwalawa amaperekedwa bwanji m'thupi?
Mankhwalawa si chinthu chomwe mungapite nacho kunyumba. Ndi jakisoni (infusion) yomwe imaperekedwa mumtsempha, monga saline . Amaperekedwa kuchipatala kapena ku chipatala ndi katswiri wazachipatala yemwe waphunzitsidwa mwapadera pa izi.
Chofunika kwambiri ndichakuti mankhwalawa ndi a inu nokha. Musagawane ndi wina aliyense pazifukwa zilizonse.
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital kapena ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Zinthu zoti muziganizire panthawi ya chithandizo
Chithandizo cha mankhwala a chemotherapy chingakhale nthawi yovuta. Izi zili choncho chifukwa mankhwalawa amakhudza maselo a khansa komanso maselo athanzi m'thupi lathu. Choncho ndi zachilendo kumva kusasangalala pang'ono komanso kutopa. Koma ngakhale mutakhala osasangalala, musasiye chithandizo mpaka dokotala wanu atakuuzani kuti musiye .
Dzitetezeni ku matenda
Mankhwalawa amachepetsa mphamvu ya thupi lanu yolimbana ndi matenda (chitetezo cha mthupi), kotero mutha kutenga matenda mosavuta.
- Ngati mukumva zizindikiro monga malungo, kuzizira, kupweteka kwa thupi, kapena kupweteka pakhosi , musadzipatse mankhwala ndipo imbani dokotala nthawi yomweyo.
- Chepetsani momwe mungathere kukhala pafupi ndi malo odzaza anthu komanso anthu odwala.
Samalani ndi kutuluka magazi ndi mabala.
Mankhwalawa amatha kuchepetsa kuchuluka kwa ma platelet, omwe amathandiza magazi kuundana. Chifukwa chake,
- Musamatsuke mano anu mwamphamvu kwambiri , gwiritsani ntchito burashi yofewa.
- Ngati mukumva mabala osazolowereka m'thupi lanu, mawanga ofiira pansi pa khungu, kutuluka magazi m'kamwa, kapena magazi mu mkodzo kapena ndowe zanu, uzani dokotala wanu nthawi yomweyo.
Samalani ndi mankhwala ochepetsa ululu.
Mankhwala ena ochepetsa ululu, monga ibuprofen, angagwirizane ndi mankhwalawa. Komanso, mankhwala monga aspirin ndi paracetamol amatha kuchepetsa kutentha thupi. Popeza kutentha thupi ndi chizindikiro choyamba cha matenda, musamwe mankhwala ochepetsa ululu popanda upangiri wa dokotala . Uzani dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba).
Zokhudza mimba ndi kubereka
Iyi ndi nkhani yofunika kwambiri.
- Akazi: Pewani kutenga pakati mukumwa mankhwalawa komanso kwa miyezi 6 mutasiya kumwa mankhwalawa.
- Amuna: Pewani kubereka mwana pamene mukumwa mankhwalawa komanso kwa miyezi itatu mutasiya kumwa mankhwalawa.
- Mankhwalawa akhoza kuvulaza kwambiri mwana wosabadwa. Amayi oyamwitsa ayeneranso kupewa kuyamwitsa mwana wawo akamamwa mankhwalawo komanso kwa sabata imodzi atasiya kumwa mankhwalawa.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, Pemetrexed ikhoza kukhala ndi zotsatirapo zake. Zina zimafuna chisamaliro chachangu, pomwe zina ndizofala.
| Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime, komanso kuvutika kupuma. |
| Zizindikiro za matenda | Malungo, kuzizira, chifuwa, kupweteka pakhosi, komanso kupweteka mukakodza. |
| Zizindikiro za kutuluka magazi | Chimbudzi chakuda kapena chamagazi, mkodzo wakuda kapena wofiira, masanzi omwe amaoneka ngati khofi wophikidwa, madontho ofiira pakhungu, ndi mabala osadziwikiratu. |
| Mavuto aakulu a khungu | Kufiira kwa khungu, kutupa, kutuluka kwa matuza (ngakhale mkati mwa pakamwa). |
| Zizindikiro za kuwonongeka kwa impso | Kuchepa kwa mkodzo kapena kuvutika kukodza. |
| Zizindikiro za kuwonongeka kwa chiwindi | Maso kapena khungu kukhala lachikasu, mkodzo wakuda wachikasu/bulauni, ndowe zotumbululuka, kupweteka kumtunda kwa kumanja kwa m'mimba, nseru. |
| Zinthu zomwe nthawi zambiri sizili zoopsa, koma ziyenera kunenedwa kwa dokotala ngati zikupitirira | |
| Kudzimbidwa | Kuvuta kupita kuchimbudzi. |
| Zilonda pakamwa | Zilonda zopweteka mkamwa. |
| Kusanza ndi kusanza | Kusanza ndi kusanza. |
| Kutopa kosazolowereka | Kumva kutopa kwambiri komanso kusakhala ndi moyo. |
Ngati mukukumana ndi zizindikiro zina zachilendo zomwe sizinatchulidwe pamndandandawu, musaope kulankhula ndi dokotala wanu za zizindikirozo.
Uthenga Wopita Nawo Kunyumba
- Pemetrexed ndi mankhwala amphamvu a chemotherapy omwe amagwiritsidwa ntchito pochiza khansa. Nthawi zonse tsatirani malangizo a dokotala wanu.
- Musanayambe kulandira chithandizo, uzani dokotala wanu za matenda anu onse ndi mankhwala ena onse omwe mukumwa.
- Mukamalandira chithandizo, dziwani zizindikiro zochenjeza monga kutentha thupi ndi kutuluka magazi. Ngati muli ndi vuto lililonse, dziwitsani dokotala wanu nthawi yomweyo.
- Pewani kutenga pakati kapena kubereka ana panthawi ya chithandizo mpaka dokotala atakuuzani kuti muchite zimenezo.
- Ngati muli ndi mafunso kapena nkhawa, musaope kufunsa dokotala wanu. Kumbukirani kuti simuli nokha.
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