Kodi mungaganize bwanji ngati dokotala atauza munthu amene akumenyana ndi khansa kuti, "Tiyeni tichite chithandizo chapadera cha laser tsopano?" Iyi si laser wamba. Chomwe mumachita ndikupatsa thupi mankhwala apadera omwe amamatira ku maselo a khansa ndikuwononga kuwala kwa laser kukawagunda. Mankhwala apadera otere amatchedwa Porfimer. Tiyeni tikambirane za izi m'njira yosavuta komanso yomveka bwino lero.
Kodi Porfimer iyi ndi chiyani?
Mwachidule, porfimer ndi mankhwala opatsa mphamvu kuwala. Momwe imagwirira ntchito ndi yodabwitsa. Taganizirani ngati maginito omwe amangomamatira ku maselo a khansa.
Timalowetsa mankhwalawa m'thupi kudzera m'mitsempha. Kenako tinthu ta mankhwalawa timayenda m'thupi lonse, makamaka kupeza ndi kulumikiza ku maselo a khansa. Sizimakhudza kwambiri maselo athanzi.
Patatha masiku awiri kuchokera pamene mankhwala aperekedwa, dokotala amatsogolera kuwala kwapadera kwa laser pamalo omwe khansa yafalikira. Tinthu ta mankhwala tomwe timalumikizidwa ku maselo a khansa timayamwa kuwala kwa laser kumeneku ndikuyamba kugwira ntchito. Zotsatira zake zimawononga maselo a khansa okha omwe amalumikizidwa nawo. Timatcha njira yonseyi kuti photodynamic therapy (PDT) .
Njira yochizira iyi imagwiritsidwa ntchito makamaka pa:
- Za khansa ya m'mero
- Za khansa ya m'mapapo
- Chithandizo cha matenda omwe asanachitike khansa otchedwa Barrett's esophagus .
Kupatula izi, mankhwalawa angagwiritsidwenso ntchito pa matenda ena monga momwe dokotala walangizira.
Zinthu zoti muuze dokotala wanu musanalandire chithandizo
Musanayambe chithandizochi, ndikofunikira kwambiri kudziwitsa dokotala wanu za thanzi lanu lonse. Onetsetsani kuti mwawauza ngati muli ndi vuto lililonse mwa izi:
- Ngati muli ndi zilonda za m'mero, fistula, kapena mitsempha ya varicose.
- Ngati muli ndi matenda a impso kapena chiwindi.
- Ngati muli ndi matenda osowa otchedwa porphyria.
- Ngati mwalandira chithandizo cha radiation posachedwapa kapena mukulandira chithandizo cha radiation.
- Ngati madokotala anu akuuzani kuti khansa yanu yafalikira (yafalikira) ku mtsempha waukulu wamagazi.
- Ngati muli ndi vuto la ziwengo chifukwa cha Porfimer kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati muli ndi pakati , mukuyesera kutenga pakati , kapena mukuyamwitsa .
Kodi mumagwiritsa ntchito bwanji mankhwalawa?
Mankhwala awa si mankhwala omwe mungapite nawo kunyumba. Mankhwalawa amaperekedwa mwa jakisoni m'mitsempha kuchipatala kapena ku chipatala ndi dokotala kapena namwino yemwe waphunzitsidwa mwapadera pa izi.
Ngati mukupereka mankhwalawa kwa ana, chisamaliro chapadera chikufunika. Lankhulani ndi dokotala wanu za izi.
Nanga bwanji ngati mlingo wa mankhwalawo ukuwonjezeka?
Izi sizingachitike chifukwa zimaperekedwa kuchipatala. Komabe, ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, funsani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) yapafupi.
Nanga bwanji ngati ndaphonya mlingo?
Ndikofunikira kwambiri kulandira chithandizo pa tsiku ndi nthawi yomwe dokotala wakupatsani. Ngati pazifukwa zina simungathe kupita nthawi imeneyo, imbani dokotala wanu nthawi yomweyo ndikumudziwitsa.
Kodi pangakhale kuyanjana ndi mankhwala ena?
Inde, mankhwala ena amatha kusokonezana ndi mankhwalawa. Choncho uzani dokotala wanu za mankhwala onse omwe mukumwa (mankhwala a matenda ena, mavitamini, mankhwala azitsamba, ndi zowonjezera zakudya). Komanso, uzani dokotala wanu ngati mumasuta kapena kumwa mowa.
Mavuto angachitike, makamaka, ndi mitundu yotsatirayi ya mankhwala:
- Mitundu ina ya maantibayotiki - mwachitsanzo, fluoroquinolones, sulfonamides, ndi tetracyclines.
- Mankhwala ena a shuga.
- Griseofulvin ndi mankhwala opha mabakiteriya.
- Phenothiazines ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda amisala.
- Thiazide diuretics ndi mankhwala omwe amawonjezera kuchuluka kwa mkodzo m'magazi.
Mndandanda uwu sunathe, kotero ndibwino kuuza dokotala wanu zonse zomwe mukumwa.
Zinthu zoti muziganizire panthawi ya chithandizo
Muyenera kudzisamalira bwino mukatha kumwa mankhwalawa.
Chitetezo ku dzuwa ndi kuwala kowala
Uwu ndi upangiri wofunikira kwambiri komanso wofunikira kutsatira . Mukatha kumwa mankhwalawa, khungu lanu lidzakhala losavuta kumva kuwala. Chifukwa chake, pewani kuwala kwa dzuwa kwa masiku osachepera 30 mutamwa mankhwalawa . Ngati muyenera kutuluka panja, valani zovala zophimba thupi lanu lonse ndipo valani chipewa. Choteteza ku dzuwa sichipereka chitetezo chilichonse pankhaniyi . Komanso, muyenera kupewa magetsi owala amkati ndi mabedi opaka utoto.
Maso anu adzakhalanso omasuka kwambiri ndi kuwala, choncho valani magalasi amdima abwino mukatuluka panja kwa mwezi umodzi mutatha kumwa mankhwalawo.
Mimba ndi kuyamwitsa
- Akazi:Pewani kutenga pakati mukumwa mankhwalawa komanso kwa miyezi 5 mutasiya kumwa mankhwalawa.
- Amuna: Ngati mukulandira chithandizochi, pewani kubereka mwana panthawi ya chithandizochi komanso kwa miyezi 5 mutasiya.
- Pewani kuyamwitsa mwana wanu panthawiyi.
Mankhwalawa akhoza kuvulaza kwambiri mwana wosabadwa.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Zina mwa izo ndi zazikulu, zina ndizofala.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Kuvuta kupuma | Kuvuta kupuma, kupuma movutikira. |
| Kupweteka pachifuwa | Kupweteka pachifuwa mwadzidzidzi komanso koopsa. |
| Kutsokomola magazi | Kutsokomola magazi ndi mamina. |
| Malungo | Malungo popanda chifukwa. |
| Zizindikiro za kuchepa kwa magazi m'thupi ( anemia ) | Kumva kutopa kwambiri kuposa masiku onse, kukomoka, komanso kumva ngati munthu wopanda moyo. |
| Kuvuta kumeza | Kuvuta kumeza chakudya kapena chakumwa. |
| Kawirikawiri si nkhani yaikulu (koma uzani dokotala ngati ikupitirira) | |
| Mavuto a m'mimba | Kudzimbidwa, kutsegula m'mimba, nseru, kusanza. |
| Kusowa kwa chakudya chokwanira | Kuchepa kwa chilakolako. |
Ngati mukukumana ndi zizindikiro zina zachilendo zomwe sizinatchulidwe pamndandandawu, lankhulani ndi dokotala wanu za zizindikirozo.
Uthenga Wopita Nawo Kunyumba
- Porfimer ndi mankhwala apadera omwe amalimbana ndi kuwononga maselo a khansa pogwiritsa ntchito kuwala kwa laser.
- Pambuyo pa chithandizochi, khungu lanu ndi maso anu zidzakhala zosavuta kuunikira kwa masiku osachepera 30. Dzitetezeni ku kuwala kwa dzuwa ndi kuwala kowala kwathunthu. Choteteza ku dzuwa sichipereka chitetezo chilichonse .
- Ndikofunikira kupatsa dokotala wanu kufotokozera kwathunthu mankhwala ena onse, mavitamini, ndi matenda omwe mukumwa.
- Pewani kutenga pakati kapena kubereka ana panthawi ya chithandizo komanso kwa miyezi 5 pambuyo poti chatha.
- Ngati mukukumana ndi mavuto ena aakulu monga kupuma movutikira, kupweteka pachifuwa, kapena kusagwirizana ndi mankhwala, uzani dokotala wanu kapena chipatala nthawi yomweyo.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi Porfimer Injection / Photofrin imagwiritsidwa ntchito pa chiyani?
Uwu ndi mankhwala apamwamba kwambiri (Photodynamic Therapy / PDT) a khansa! Katemerayu amagwiritsidwa ntchito kwambiri kuwononga zotupa zoopsa za khansa pakhosi/makutu (khansa ya m'mero) ndi m'mapapo (NSCLC), popanda kuzidula ndi kuzichotsa opaleshoni, pogwiritsa ntchito 'laser light' kuti awononge khansayo.
💬 Kodi mankhwala awa (Porfimer) ndi kuwala kwa laser zimawononga bwanji maselo a khansa?
Mankhwalawa ndi osathandiza kwa inu, amagwira ntchito pa 'kuwala' kokha! (Photosensitizer). Mankhwalawa akalowetsedwa mumtsempha, amalowa m'magazi ndipo amaikidwa mkati mwa maselo a khansa kwa masiku angapo. Kenako dokotala amaika chubu ndikuwunikira 'kuwala kofiira kwa laser (630nm Light)' pa khansa! Kuwala kukangoyamba, mankhwalawa amachitapo kanthu mkati mwa khansa ndikupanga 'oxygen yoopsa (Singlet oxygen)', ndikuwononga khansa kuchokera mkati ngati bomba lomwe likuphulika.
💬 N’chifukwa chiyani mukunena kuti musapite padzuwa (Photosensitivity) mukamaliza katemerayu?
Ili ndiye vuto lalikulu komanso loopsa kwambiri pa chithandizochi! Mankhwalawa samangokhala mu khansa yokha komanso pakhungu/minofu. Chifukwa chake, ngati mukumana ndi 'dzuwa (dzuwa) kapena mababu amphamvu' kwa masiku 30-90 (miyezi 1-3) mutalandira chithandizochi, khungu/thupi lanu lonse lidzayaka ngati kuti likuyaka (Severe Photosensitivity Reaction)! Chifukwa chake, ndikofunikira kukhala m'chipinda/diresi yamdima kuti muphimbe thupi lonse.
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