Pokamba za chithandizo cha khansa, makamaka tikamamva mawu monga chemotherapy, sizachilendo kuti timve mantha komanso mantha pang'ono. Koma tikadziwitsidwa bwino za zinthu izi, mantha ndi kusatsimikizika kumeneko zimatha kuthetsedwa kwambiri. Lero tikulankhula za katemera wotchedwa Pentostatin, womwe umagwiritsidwa ntchito pochiza khansa, makamaka mtundu wina wa khansa ya m'magazi. Tikambirana izi mosavuta, m'njira yomwe mungamvetse.
Kodi Pentostatin ndi chiyani?
Mwachidule, Pentostatin ndi mtundu wa mankhwala a chemotherapy . Ndiko kuti, mankhwala omwe amaperekedwa kuti aphe maselo a khansa kapena kuwongolera kukula kwawo. Amagwiritsidwa ntchito makamaka pochiza khansa ya m'magazi yotchedwa "Hairy Cell Leukemia."
Mankhwalawa amagwira ntchito poletsa zinthu zomwe maselo a khansa amafunika kuti agawane ndikukula. Kenako maselo a khansa sangathenso kufalikira. Nthawi zina dokotala wanu angakupatseni mankhwala awa pa matenda ena. Chifukwa chake ngati muli ndi mafunso okhudza izi, funsani dokotala wanu ndikufotokozerani zonse.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanayambe chithandizochi, ndikofunikira kwambiri kudziwitsa dokotala wanu za thanzi lanu lonse. Onetsetsani kuti mwatchula chilichonse mwa izi ngati muli ndi chimodzi mwa izi:
- Matenda omwe alipo kale: Ngati muli ndi matenda monga malungo, chifuwa, kapena chimfine.
- Matenda a impso: Ngati muli ndi vuto lililonse lokhudzana ndi impso.
- Matenda a ziwengo: Muyenera kuuza dokotala wanu ngati muli ndi vuto lililonse la Pentostatin, mankhwala ena, zakudya, utoto, kapena zosungira.
- Mimba: Ngati muli ndi pakati, mukufuna kutenga mimba, kapena mukukayikira kuti muli ndi pakati.
- Ngati ndinu mayi woyamwitsa: Ngati ndinu mayi amene akuyamwitsa mwana.
Kutengera ndi izi, dokotala adzasankha ngati akupatseni mankhwalawa kapena ayi, kapena ngati asinthe mlingo.
Kodi mankhwalawo amaperekedwa bwanji?
Mankhwalawa si chinthu chomwe mungamwe kunyumba. Amaperekedwa ngati jakisoni mumtsempha . Chifukwa chake muyenera kupita kuchipatala kapena ku chipatala kuti mukalandire chithandizochi. Kumeneko, dokotala wophunzitsidwa bwino kapena namwino adzakupatsani mankhwalawa.
Mankhwalawa angafunike chisamaliro chapadera akagwiritsidwa ntchito, choncho tsatirani malangizo omwe gulu lanu lachipatala lapereka mosamala.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ndikofunikira kutsatira masiku ndi nthawi zomwe zakonzedwa kuti mulandire chithandizochi. Ngati simungathe kupita kuchipatala pa tsiku lomwe mwakonza, imbani dokotala wanu nthawi yomweyo ndikumudziwitsa. Kudumpha nthawi yokumana ndi dokotala kungakhudze kupambana kwa chithandizocho.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Izi sizingachitike chifukwa zimaperekedwa kuchipatala. Komabe, ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani National Poisons Information Centre ku Colombo National Hospital nthawi yomweyo. Kapena pitani ku chipatala chapafupi cha Emergency Unit (ETU) mwachangu momwe mungathere.
Zinthu zofunika kukumbukira panthawi ya chithandizo
- Kuyang'aniridwa ndi dokotala nthawi zonse: Madokotala ndi anamwino adzayang'anira matenda anu nthawi zonse mukamamwa mankhwala awa.
- Kuyezetsa magazi: Pa nthawi ya chithandizo, muyenera kuchita kafukufuku wa magazi nthawi zonse kuti muwone ngati kuchuluka kwa maselo m'magazi anu (maselo ofiira a magazi, maselo oyera a magazi, ndi ma platelet) kuli pamlingo woyenera.
- Pewani kutenga mimba: Pewani kutenga mimba kotheratu mukumwa mankhwalawa. Mankhwalawa angayambitse mavuto aakulu kwa mwana wosabadwa. Chifukwa chake, ndikofunikira kugwiritsa ntchito njira yothandiza yolerera panthawi ya chithandizo komanso nthawi yonse yomwe dokotala wanu akulangiza. Ngati mukukonzekera kutenga mimba, lankhulani ndi dokotala wanu za izi.
- Pewani kuyamwitsa: Ngati mukumwa mankhwalawa, pewani kuyamwitsa mwana wanu .
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)
Mankhwala ena omwe mukumwa angagwirizane ndi pentostatin. Choncho uzani dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera) . Ndikofunikira kwambiri kuuza dokotala wanu ngati mukumwa mankhwala aliwonse mwa awa:
- Allopurinol
- Fludarabine
- Vidarabine
Mndandanda uwu sungakhale wokwanira, choncho khalani omasuka komanso oona mtima kwa dokotala wanu za mankhwala aliwonse omwe mumamwa, kaya mumasuta fodya, kapena mumamwa mowa.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse a chemotherapy, pentostatin ingayambitse zotsatirapo zake. Zina ndizofala, pomwe zina zimafunika chisamaliro chadzidzidzi. Tiyeni tikambirane mwachidule.
| Mtundu wa zotsatira zoyipa | Makhalidwe |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu kapena kuchipatala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Kusintha kwa masomphenya | Kusawona bwino kapena kusintha kwina kwa masomphenya. |
| Kusintha kwa kugunda kwa mtima | Kuvuta kupuma, kupweteka pachifuwa, chizungulire, kugunda kwa mtima mofulumira kapena kosakhazikika. |
| Zizindikiro za matenda | Malungo, kuzizira, chifuwa, kupweteka pakhosi, kupweteka pokodza. |
| Kuwonongeka kwa impso | Kuvuta kukodza kapena kusintha kwa kuchuluka kwa mkodzo womwe umatuluka. |
| Zizindikiro za kuchepa kwa maselo m'magazi | Kuvutika kupuma, kukomoka, kumva kutopa kwambiri kapena kutopa (maselo ofiira ochepa m'magazi). |
| Kutuluka magazi kosazolowereka | Kutupa kapena kutuluka magazi kosazolowereka. |
| Kutupa | Kutupa kwa akakolo, mapazi, kapena manja. |
| Zomwe muyenera kuuza dokotala wanu ngati zikupitirira kapena zikukuvutitsani | |
| Mavuto a m'mimba | Kusowa chilakolako cha chakudya, kupweteka m'mimba, nseru, kusanza, kutsegula m'mimba (kutsegula m'mimba). |
| Zilonda pakamwa | Zilonda mkamwa kapena pamilomo. |
Ngati mukukumana ndi zizindikiro zina zachilendo zomwe sizinatchulidwe pamndandandawu, chonde dziwitsani dokotala wanu za zizindikirozo.
Uthenga Wopita Nawo Kunyumba
- Pentostatin ndi mankhwala a chemotherapy omwe amaperekedwa kuchipatala kapena kuchipatala moyang'aniridwa ndi dokotala.
- Musanayambe kulandira chithandizo, uzani dokotala wanu za matenda anu onse, ziwengo, ndi mankhwala ena omwe mukumwa.
- Nenani za zotsatirapo zilizonse zomwe zimachitika panthawi ya chithandizo kwa dokotala nthawi yomweyo, makamaka malungo, zizindikiro za matenda, ndi kutuluka magazi kosazolowereka.
- Onetsetsani kuti mwapita kukaonana ndi dokotala nthawi zonse komanso kuyezetsa magazi. Ngati simungathe kupitako pazifukwa zilizonse, chonde tidziwitseni pasadakhale.
- Pewani kutenga mimba ndi kuyamwitsa panthawi ya chithandizo komanso nthawi yomwe dokotala wanu wakupatsani pambuyo pake.
- Ngati muli ndi nkhawa kapena kukayikira kulikonse, musazengereze kukambirana ndi dokotala wanu.
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