Kodi mukulandira chithandizo cha Polatuzumab Vedotin (Polivy)? Tiyeni tikambirane mwachidule za izi

Dokotala wanu akakuuzani kapena munthu amene mumamukonda ali ndi lymphoma, n'zachibadwa kukhala ndi chidwi ndi mantha pang'ono za njira zochiritsira. Makamaka mukamva za mankhwala atsopano apadera monga Polatuzumab Vedotin, mwina mudzakhala ndi mafunso ambiri okhudza chomwe chili, momwe chimagwirira ntchito, komanso ngati pali zotsatirapo zake . Choncho musadandaule. Lero, tikambirana za katemera wa Polatuzumab Vedotin (womwe nthawi zambiri umatchedwa dzina lodziwika bwino la Polivy) m'mawu osavuta komanso omveka bwino.

Kodi Polatuzumab Vedotin ndi chiyani?

Mwachidule, uwu ndi mankhwala enieni omwe amaperekedwa kuti aphe maselo a khansa. Timatcha kuti Targeted Therapy. Mosiyana ndi chemotherapy wamba, mankhwalawa ndi anzeru kwambiri. Ali ngati "missile yanzeru." Mankhwalawa amapangidwa ndi magawo awiri: 1. Antibody ya monoclonal : Iyi ndi "navigator." Imayenda m'thupi lonse, imapeza maselo a khansa (makamaka mtundu wotchedwa `Diffuse Large B-cell Lymphoma`), ndipo imadziphatika yokha ku puloteni inayake pamwamba pake. 2. Mankhwala a chemotherapy: Iyi ndi bomba lomwe lili mu "missile." Pambuyo poti antibody ya monoclonal yapeza ndikuyiphatika ku selo ya khansa, mankhwala a chemotherapy awa amapita mwachindunji ku selo ya khansa ndikuiwononga. Chifukwa cha njira iyi, kuwonongeka kwa maselo athanzi kumakhala kochepa kuposa ndi chemotherapy wamba. Ndicho chomwe chili chapadera pa izi.

Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kulandira chithandizo

Kuti mudziwe ngati chithandizochi chili choyenera kwa inu komanso chotetezeka, ndikofunikira kukhala oona mtima ndikuuza dokotala wanu za mbiri yanu ya thanzi. Onetsetsani kuti mwaphatikiza izi muzokambirana zanu:

• Matenda Omwe Alipo: Ngati muli ndi matenda opatsirana monga chickenpox , herpes, kapena matenda ena aliwonse opatsirana.
• Matenda a chiwindi : Ngati muli ndi vuto lililonse lokhudzana ndi chiwindi.
• Mavuto a magazi: Ngati mayeso a magazi akusonyeza kuti pali maselo oyera, maselo ofiira a magazi, kapena ma platelet ochepa.
• Matenda a mitsempha: Ngati muli ndi dzanzi, kumva kuwawa, kapena mavuto ena okhudzana ndi mitsempha m'miyendo yanu.
• Ziwengo : Ngati muli ndi vuto la ziwengo (allergy) ku mankhwala awa, mankhwala ena aliwonse, chakudya, kapena utoto.
• Mimba: Ngati muli ndi pakati, mukufuna kutenga mimba, kapena mukukayikira kuti muli ndi pakati.
• Kuyamwitsa : Ngati ndinu mayi amene akuyamwitsa mwana.

Kodi mankhwalawa amaperekedwa bwanji ndipo bwanji ngati mlingo waperekedwa molakwika?

Mankhwalawa amaperekedwa ngati njira yothira m'mitsempha, monga saline. Amaperekedwa kuchipatala kapena kuchipatala, moyang'aniridwa ndi katswiri wodziwa bwino ntchito, monga dokotala kapena namwino. Choncho simukuyenera kupita nawo kunyumba kapena kuwabaya nokha.

Popeza mankhwalawa amaperekedwa kuchipatala moyang'aniridwa ndi ogwira ntchito zachipatala, mwayi woti munthu agwiritse ntchito mopitirira muyeso ndi wochepa kwambiri. Ngati mukukayikira izi, uzani dokotala kapena namwino wanu nthawi yomweyo.

Ngati simungathe kupita kuchipatala kukalandira chithandizo pa tsiku lomwe mwakonza, musadandaule, ingoyimbirani dokotala wanu mwachangu. Iye adzakuuzani choti muchite kenako.

Zinthu zomwe muyenera kudziwa mukalandira chithandizo

Ndikofunikira kusamala pang'ono thupi lanu panthawiyi.

Kupimidwa kuchipatala nthawi zonse

Dokotala wanu nthawi zambiri amalamula kuti ayese magazi kuti awone kuchuluka kwa maselo anu m'magazi (maselo ofiira, maselo oyera, ma platelet) ndi momwe chiwindi chanu chikuyendera. Musasiye mayesowa.

Chitetezo ku matenda

Mankhwalawa angachepetse pang'ono mphamvu ya thupi lanu yolimbana ndi matenda (chitetezo cha mthupi). Chifukwa chake:

• Pewani malo odzaza anthu momwe mungathere.
• Pewani anthu omwe ali ndi matenda monga malungo ndi chimfine .
• Ngati mukumva zizindikiro monga malungo, kuzizira, kupweteka pakhosi, kapena chifuwa , musadzipatse mankhwala ndipo imbani dokotala nthawi yomweyo.

Kuopsa kwa kutuluka magazi

Mankhwalawa angachepetse kuchuluka kwa ma platelet omwe amathandiza magazi kuundana. Chifukwa chake, ngati muwona mabala osazolowereka, madontho ang'onoang'ono ofiira pansi pa khungu, ndowe zakuda, kapena magazi mu mkodzo, uzani dokotala wanu nthawi yomweyo.

Chenjezo lofunika kwambiri: matenda a muubongo

Kawirikawiri, odwala ena amatha kukhala ndi matenda oopsa omwe amakhudza ubongo (Progressive Multifocal Leukoencephalopathy - PML). Uwu ndi matenda oopsa kwambiri. Dziwani bwino zizindikiro zotsatirazi.

Fufuzani thandizo lachipatala mwamsanga ngati inuyo kapena munthu amene mumamukonda akukumana ndi zizindikiro izi: * Kusintha kwa masomphenya * Kuvutika kuganiza, kusokonezeka * Kuvutika kulankhula kapena kumvetsetsa zomwe ena akunena * Kuvutika kuyenda, kulephera kulinganiza bwino * Kufooka mbali imodzi ya thupi

Mimba ndi Kubereka

Izi ndizofunikira kwambiri.

• Akazi: Pewani kutenga mimba kwathunthu pamene mukumwa mankhwalawa komanso kwa miyezi itatu mutasiya kumwa mankhwalawa.
• Amuna: Pewani kubereka mwana pamene mukumwa mankhwalawa komanso kwa miyezi 5 mutasiya kumwa mankhwalawa.
• Kuyamwitsa: Pewani kuyamwitsa panthawi ya chithandizo komanso kwa miyezi iwiri mutasiya kuyamwitsa.

Mankhwalawa amatha kuvulaza kwambiri mwana wosabadwa. Angakhudzenso kubereka kwa amuna ndi akazi. Ngati muli ndi nkhawa iliyonse pankhaniyi, lankhulani ndi dokotala wanu.

Kodi zotsatirapo zake zingakhale zotani?

Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatirapo zoyipa. Komabe, si aliyense amene amalandira. Nazi zotsatirapo zoyipa zomwe zimapezeka kawirikawiri.

Zotsatira zoyipa za Polatuzumab Vedotin zomwe muyenera kuuza dokotala wanu nthawi yomweyo Zotsatira zoyipa zomwe muyenera kuuza dokotala wanu ngati zikupitirira kapena zikuvutitsa

Matenda a ziwengo	Kutupa pakhungu, kuyabwa, kutupa kwa milomo/lilime/nkhope.
Mavuto a mitsempha	Ululu, dzanzi, kapena kumva kuwawa m'manja ndi m'mapazi (Peripheral Neuropathy).
Zizindikiro za matenda	Malungo, kuzizira, kupweteka pakhosi, chifuwa, matenda a mkodzo.
Zizindikiro za kuvulala kwa chiwindi	Mkodzo wachikasu wakuda, maso/khungu lachikasu, kupweteka kumtunda kwa kumanja kwa m'mimba, nseru.
Zizindikiro za kuchepa kwa magazi	Kumva kutopa kwambiri kuposa masiku onse, kufiira, kuvutika kupuma, kapena kuvulala kapena kutuluka magazi mosavuta.
Zizindikiro zina zazikulu	Kusanza, kutsegula m'mimba, chizungulire, kuvutika kuona, kulankhula, kapena kuyenda.
Kuchepa kwa chilakolako	Kuchepa kwa chilakolako chofuna kudya.
Kupweteka kwa mafupa	Kupweteka kwa mafupa.
Kuchepetsa thupi	Kuchepetsa thupi popanda khama.

Uthenga Wopita Nawo Kunyumba

• Polatuzumab Vedotin ndi mankhwala enieni, ochizira khansa ya lymphoma. Imagwira ntchito polimbana mwachindunji ndi maselo a khansa.
• Musanayambe kulandira chithandizo, ndikofunikira kuti muuze dokotala wanu zonse zokhudza thanzi lanu komanso mankhwala omwe mukumwa.
• Ngati zizindikiro zazikulu monga kutentha thupi, kutuluka magazi, dzanzi, kapena kuvutika kulankhula/kuyenda zikuonekera panthawi ya chithandizo, funsani upangiri wa dokotala nthawi yomweyo.
• Tsatirani malangizo a dokotala wanu okhudza mimba ndi kuyamwitsa.
• Kambiranani momasuka ndi dokotala wanu za mafunso kapena nkhawa zilizonse zomwe muli nazo. Simuli nokha pankhondoyi.