Inu kapena wokondedwa wanu mukapatsidwa mankhwala atsopano a khansa, n'zachibadwa kukhala ndi mantha komanso chidwi. Pali mafunso ambiri omwe amabwera m'maganizo mwanu, monga mtundu wa mankhwalawo, momwe amagwirira ntchito, komanso zomwe muyenera kusamala nazo. Lero, tikambirana za mankhwala enaake oletsa khansa, Pemigatinib. Mukawerenga nkhaniyi, mudzamvetsetsa bwino mankhwalawa.
Kodi Pemigatinib ndi chiyani?
Mwachidule, Pemigatinib ndi mankhwala ochizira matenda . Izi zikutanthauza kuti imalimbana ndi maselo a khansa, m'malo mokhudza selo lililonse m'thupi monga mankhwala akale a khansa.
Mankhwalawa makamaka amathandiza:
- Za khansa ya ndulu .
- Kwa mitundu ina ya khansa yokhudzana ndi mafuta a m'mafupa (Myeloid/Lymphoid Neoplasm) .
Ganizirani maselo a khansa ngati udzu. Udzu uwu umafunika michere yapadera (puloteni) kuti ukule. Zimene mankhwala a Pemigatinib amachita ndikuletsa michereyo kufika m'maselo a khansa. Zili ngati kuzimitsa chitoliro cha madzi kupita ku udzu. Kenako maselo a khansa amataya kapena kuchepetsa kwambiri mphamvu yawo yokulira ndikufalikira m'thupi lonse. Mudzawona dzina la mankhwala awa, Pemazyre .
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Dokotala wanu asanakupatseni mankhwala awa, ndikofunikira kudziwa mbiri yonse ya thanzi lanu. Chifukwa chake, ngati muli ndi vuto lililonse mwa izi, onetsetsani kuti mwadziwitsa dokotala wanu.
- Kuchuluka kwa phosphorous m'magazi: Mankhwalawa angayambitse kuchuluka kwa phosphorous m'magazi, choncho ndikofunikira kudziwa izi.
- Matenda a impso: Impso zili ngati zosefera m'thupi lathu. Zimathandiza kuchotsa mankhwala m'thupi. Ngati pali vuto ndi impso, dokotala angafunike kusintha mlingo wa mankhwalawo.
- Matenda a chiwindi: Chiwindi ndi chiwalo chachikulu chomwe chimagwira ntchito m'thupi pokonza mankhwala.
- Mavuto a maso: Mankhwalawa angakhudze maso, choncho ngati muli kale ndi vuto lililonse la maso, chonde tidziwitseni pasadakhale.
- Kudwala kwa Pemigatinib kapena mankhwala ena aliwonse, chakudya, kapena utoto: Ndikofunikira kwambiri kutiuza ngati mudadwalapo matenda aliwonse a chifuwa m'mbuyomu.
- Kuyesa kutenga mimba kapena kutenga mimba pakali pano: Mankhwalawa akhoza kukhala oopsa kwambiri kwa mwana panthawi ya mimba.
- Kuyamwitsa: Mankhwalawa amatha kupita kwa mwana kudzera mu mkaka wa m'mawere.
Kupatsa dokotala wanu chidziwitso cholondola pa zinthu izi ndikofunikira kwambiri pa chitetezo chanu komanso kupambana kwa chithandizo chanu.
Kodi mungagwiritse ntchito bwanji mankhwalawa moyenera?
Kuti mugwiritse ntchito bwino mankhwala anu, ndikofunikira kuwagwiritsa ntchito moyenera.
- Mankhwalawa amatengedwa pakamwa ngati piritsi. Khalani ndi chizolowezi chomwa nthawi yomweyo tsiku lililonse .
- Musaswe, kuphwanya, kapena kutafuna piritsi. Kuchita zimenezi kungapangitse kuti mankhwalawo asinthe momwe amagwirira ntchito. Choncho, mezani piritsi lonse ndi madzi.
- Mungathe kumwa musanadye kapena mutadya, koma ngati mukumva ngati muli ndi vuto la m'mimba, ndi bwino kumwa limodzi ndi chakudya.
- Pitirizani kumwa mankhwalawo mpaka dokotala wanu atakuuzani kuti musiye. Ngakhale mutakumana ndi zotsatirapo zoyipa, musasiye kumwa mankhwalawo popanda kufunsa dokotala wanu. Iye adzasintha mlingo kapena kukuuzani kuti musiye kumwa mankhwalawo ngati pakufunika kutero.
- Chofunika: Musamwe madzi a mphesa mukamamwa mankhwalawa. Madzi a mphesa amatha kusintha momwe mankhwalawa amagwirira ntchito m'thupi.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Tangoganizani kuti mwamwa mankhwala ochulukirapo kuposa mlingo womwe mwapatsidwa. Ngati izi zitachitika, musachite mantha. Imbani nthawi yomweyo National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Nanga bwanji ngati ndiphonya kumwa mankhwala anga?
Tangoganizani kuti mumayenera kumwa mankhwala anu nthawi ya 8 koloko m'mawa. Mwaiwala kumwa.
- Ngati mukukumbukira isanafike 12 koloko masana (kutanthauza, mkati mwa maola 4), imwani mapiritsi mwamsanga mukangokumbukira.
- Koma ngati mukukumbukira kuti mwachedwa ndi maola opitilira 4 (ndiye kuti, mwachedwa ndi maola oposa 4), musamwe mapiritsi omwe munaphonya. Imwaninso mapiritsi tsiku lotsatira nthawi yanthawi zonse.
- Musamwe mapiritsi awiri nthawi imodzi, kaya chifukwa chakuti mwaiwala kumwa limodzi kapena chifukwa choti muyenera kumwa limodzi.
Ndi zinthu zina ziti zomwe zingagwirizane ndi mankhwalawa?
Mankhwala ena, mavitamini, kapena mankhwala azitsamba omwe mukumwa angagwirizane ndi Pemigatinib. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba) . Nazi zinthu zina zomwe muyenera kusamala nazo kwambiri.
| Mtundu wa mankhwala/chakudya | Zitsanzo |
|---|---|
| Maantibayotiki ena | Erythromycin, Clarithromycin |
| Mankhwala ena oletsa mavairasi omwe amaperekedwa chifukwa cha HIV kapena Hepatitis | Funsani dokotala. |
| Mankhwala ena a matenda a bowa | Ketoconazole, Itraconazole |
| Mankhwala ena a khunyu | Carbamazepine, Phenobarbital, ndi Phenytoin |
| Zogulitsa zitsamba | Wort wa St. John |
| Chakudya ndi zakumwa | Madzi a mphesa |
Mndandandawu sunathe, choncho ndibwino kuuza dokotala wanu zonse zomwe mumamwa.
Zinthu zofunika kukumbukira mukamamwa mankhwala
- Kuyezetsa magazi nthawi zonse: Musaphonye masiku anu a kuchipatala. Kuyezetsa kumeneku n'kofunika kwambiri kuti muwone momwe chithandizo chanu chikuyendera komanso kuthana ndi zotsatirapo zake. Mungapemphedwenso kuti muyeze magazi.
- Kusintha kwa maso: Mankhwalawa angayambitse maso ouma komanso kusawona bwino. Ngati muvala ma contact lens, mungakhale ndi vuto. Madontho a maso opaka mafuta angagwiritsidwe ntchito pazochitika zotere . Komabe , ngati muwona kusintha kulikonse (maso osawona bwino, madontho akuda, kapena zinthu zomwe zikuwoneka ngati zikuyenda), dziwitsani dokotala wanu nthawi yomweyo.
- Kupewa mimba: Nkhaniyi ndi yofunika kwambiri.
- Ngati ndinu mkazi, pewani kutenga mimba mukumwa mankhwalawa komanso kwa sabata imodzi mutasiya kumwa mankhwalawa.
- Ngati ndinu mwamuna, gwiritsani ntchito kondomu pogonana ngati mnzanu angatenge mimba pamene mukumwa mankhwalawa komanso kwa sabata imodzi mutasiya kumwa mankhwalawa.
- Pewani kuyamwitsa pamene mukumwa mankhwalawa komanso kwa sabata imodzi mutasiya kuyamwitsa.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse, Pemigatinib ingayambitse zotsatira zina zoyipa. Zina mwa izi zitha kukhala zoopsa, pomwe zina ndizofala. Ndikofunikira kudziwa izi.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kusintha kwakukulu kwa masomphenya | Kusawona bwino, kutayika kwa masomphenya, kuona zinthu ngati zatambasuka, kuona madontho akuda kapena owala. |
| Zizindikiro za kuchuluka kwa phosphorous m'magazi | Kugwedezeka kwa minofu kapena kupweteka, kupweteka kwa mafupa kapena mafupa, dzanzi kuzungulira pakamwa. |
| Zotsatirapo zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa | |
| Zotsatira zoyipa zofala |
|
Kodi mungasunge bwanji ndikutaya mankhwala mosamala?
- Kusungira: Sungani botolo la mankhwala pamalo omwe ana ndi ziweto sangafikire . Ndi bwino kulisunga pamalo otentha (pakati pa madigiri 20-25 Celsius).
- Kuchotsa:Pewani kutaya mankhwala otha ntchito kapena osagwiritsidwa ntchito m'zinyalala. Kuti muwataye bwino, chotsani mapiritsiwo m'botolo ndikusakaniza ndi china chake monga masamba a tiyi ogwiritsidwa ntchito, khofi wophikidwa, kapena dothi. Kenako ikani chosakanizacho m'thumba lotseka ndikuchitaya pamodzi ndi zinyalala. Musamatsuke mankhwala kuchimbudzi pazifukwa zilizonse. Ngati muli ndi mafunso, funsani dokotala wanu.
Uthenga Wopita Nawo Kunyumba
- Imwani mankhwala monga momwe dokotala wanu wanenera, panthawi yoyenera, komanso mu mlingo woyenera. Musasinthe mlingo nokha.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa.
- Pewani kumwa madzi a mphesa pazifukwa zilizonse mukamamwa mankhwalawa.
- Ngati mukukumana ndi zotsatirapo zoyipa, monga kusintha kwa masomphenya kapena kuwonongeka kwakukulu kwa khungu, funsani upangiri wa dokotala nthawi yomweyo.
- Pewani kutenga mimba kwathunthu mukumwa mapiritsiwa komanso kwa sabata imodzi mutasiya kumwa. Gwiritsani ntchito njira yodalirika yolerera.
- Ngakhale mutakhala kuti simukumva bwino, pewani kusiya kumwa mankhwalawo popanda kufunsa dokotala wanu. Kambiranani naye nkhawa zilizonse.
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