Ambiri a ife timaopa tikamva mawu akuti khansa. Koma chifukwa cha kupita patsogolo kwa mankhwala masiku ano, pali njira zambiri zochiritsira khansa. Pakati pa njirazi, chemotherapy ndiyo ikutsogolera. Kotero lero tikambirana za mankhwala apadera omwe angaphe maselo a khansa otere. Ameneyo ndi Procarbazine.
Kodi Procarbazine ndi mankhwala amtundu wanji?
Mwachidule, Procarbazine ndi mankhwala a chemotherapy omwe amalamulira kukula kwa maselo a khansa, kapena kuchepetsa kukula kwawo. Amabwera mu mawonekedwe a makapisozi.
Mankhwalawa amagwiritsidwa ntchito makamaka pochiza mtundu wa khansa wotchedwa Hodgkin's disease . Nthawi zambiri saperekedwa okha. Madokotala nthawi zambiri amalemba mankhwalawa pamodzi ndi mankhwala ena a khansa. Angagwiritsidwenso ntchito pa matenda ena. Dokotala wanu adzakufotokozerani izi.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Izi ndizofunikira kwambiri. Ndikofunikira kuti dokotala wanu adziwe za thanzi lanu lonse, zomwe zimakhudza kwambiri kupambana kwa chithandizo chanu. Chifukwa chake, musanayambe kumwa mankhwalawa, onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi vuto lililonse lomwe latchulidwa pansipa.
- Ngati muli ndi matenda aliwonse (makamaka matenda opatsirana ndi mavairasi monga nsabwe ndi herpes).
- Ngati muli ndi matenda a impso kapena chiwindi .
- Ngati mwanenedwa kuti muli ndi maselo ofiira a magazi, maselo oyera a magazi, kapena ma platelet ochepa m'magazi anu.
- Ngati ndinu wosuta fodya .
- Ngati munakhalapo ndi vuto la procarbazine kapena mankhwala ena aliwonse a chemotherapy, mankhwala ena, chakudya, kapena utoto.
- Ngati muli ndi pakati , mukuyesera kutenga pakati , kapena mukuyamwitsa , izi ndizofunikira kwambiri!
Kodi mumagwiritsa ntchito bwanji mankhwalawa?
Njira yogwiritsira ntchito mankhwalawa ndi yosavuta kwambiri.
- Imwani mlingo womwe dokotala wakupatsani ndi kapu ya madzi.
- Imwani mankhwala anu panthawi yoyenera komanso nthawi yoyenera. Musamwe mankhwala ochulukirapo kapena ochepera kuposa kuchuluka komwe dokotala wanu wakuuzani kuti mumwe.
- Kaya mukumva kusasangalala bwanji, musasiye kumwa mankhwalawo popanda upangiri wa dokotala.
- Ngati mukupereka mankhwalawa kwa ana, muyenera kulankhula ndi dokotala wa ana za izi ndikutsatira malangizo awo molondola.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, nthawi yomweyoImbani National Poisons Information Centre ku Colombo National Hospital kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi.
Kugwirizana ndi Procarbazine
Mukamamwa mankhwalawa, ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini ndi mankhwala azitsamba. Mankhwala ena, zakudya, ndi zakumwa zimatha kusokonezana ndi mankhwalawa ndikuyambitsa zotsatirapo zoyipa.
| Mtundu | Zitsanzo ndi mafotokozedwe |
|---|---|
| Musamwe izi pamodzi ndi Procarbazine. | |
| Mowa ndi tiyi wobiriwira | Pewani kumwa mowa uliwonse ndi tiyi wobiriwira. |
| Mankhwala ena | MAOIs (mtundu wa mankhwala ogwiritsidwa ntchito pochiza kuvutika maganizo), Linezolid, Isoniazid (mankhwala ogwiritsidwa ntchito pochiza chifuwa chachikulu), mankhwala ena ogwiritsidwa ntchito pa ziwengo, chimfine, mutu waching'alang'ala, ndi mankhwala ogwiritsidwa ntchito pa matenda amisala. |
| Lankhulani ndi dokotala wanu za izi. | |
| Mankhwala opha ululu | Mankhwala ochepetsa ululu monga Tramadol, Meperidine, Pentazocine. |
| Mankhwala oletsa ululu | Mankhwala operekedwa kuti apangitse munthu kugona kapena kuchita dzanzi pamalo enaake panthawi ya opaleshoni. |
| Mankhwala ena | Phenytoin (mankhwala ogwiritsidwa ntchito pochiza khunyu ), Dextromethorphan (yomwe imapezeka mu mankhwala ena a chifuwa), ndi Katemera. |
| Zakudya zokhala ndi Tyramine | Izi ndizofunikira kwambiri! Tikambirana mwatsatanetsatane za izi pansipa. |
Zinthu zofunika kusamala kwambiri mukamamwa mankhwala
Samalani kwambiri zakudya zomwe zili ndi Tyramine!
Mukamamwa mankhwalawa, muyenera kupewa zakudya zomwe zili ndi mankhwala otchedwa 'Tyramine' . Chifukwa kuphatikiza kwa zinthu ziwirizi kungayambitse matenda oopsa monga mutu waukulu, kukwera mwadzidzidzi kwa kuthamanga kwa magazi, komanso kugunda kwa mtima kosakhazikika .
Zakudya zokhala ndi tyramine yambiri: tchizi chokalamba, nyama zosuta ndi zophikidwa ndi nsomba (masoseji, salami), mowa, vinyo (makamaka vinyo wofiira), soya msuzi, khofi, chokoleti, zakumwa za cola, nthochi, mapeyala, zipatso zokhwima kwambiri. Funsani dokotala wanu kapena katswiri wa zakudya kuti akupatseni mndandanda wathunthu.
Dzitetezeni ku matenda
Mankhwala a chemotherapy amachepetsa chitetezo cha mthupi, zomwe zikutanthauza kuti thupi silingathe kulimbana ndi matenda.
- Ngati mukumva zizindikiro monga kutentha thupi, kupweteka kwa thupi, kupweteka pakhosi, kapena chifuwa, dziwitsani dokotala wanu nthawi yomweyo . Musadzipatse mankhwala.
- Pewani malo odzaza anthu komanso malo omwe anthu odwala ali ambiri momwe angathere.
Samalani ndi kutuluka magazi.
Mankhwalawa amatha kuchepetsa kuchuluka kwa ma platelet m'magazi. Awa ndi maselo omwe amathandiza magazi kuundana pamene magazi atuluka.
- Ngati muwona zinthu monga mabala osadziwikiratu pathupi lanu, madontho ang'onoang'ono ofiira pakhungu lanu, ndowe zakuda, kapena magazi mu mkodzo wanu, uzani dokotala wanu nthawi yomweyo.
- Samalani mukamatsuka mano anu ndi floss. Ngati mukaonana ndi dokotala wa mano, muuzeni kuti mukumwa mankhwalawa.
Mfundo zina zofunika
- Kugona ndi chizungulire: Mankhwalawa angayambitse kugona ndi chizungulire. Chifukwa chake, pewani zinthu zomwe zimafuna kukhala maso, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina.
- Kusuta: Kusuta fodya mukumwa mankhwalawa kungakulitse chiopsezo chanu chokhala ndi khansa ya m'mapapo mtsogolo. Chifukwa chake, ndi bwino kusiya kusuta konse.
- Mimba: Musatenge mimba mukumwa mankhwalawa. Akhoza kukhala oopsa kwambiri kwa mwana m'mimba. Angakhudzenso kuchuluka kwa umuna mwa amuna, choncho lankhulani ndi dokotala wanu za izi ngati mukuganiza zokhala ndi mwana.
Zotsatirapo zoyipa za mankhwalawa
Monga mankhwala ena aliwonse, Procarbazine ingayambitse zotsatirapo zake. Komabe, si aliyense amene amalandira. Chofunika ndikudziwa zomwe muyenera kuyang'anira.
| Ngati mukukumana ndi zizindikiro izi, dziwitsani dokotala wanu nthawi yomweyo. | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime. |
| Zizindikiro za kuchepa kwa maselo m'magazi | Malungo, kuzizira , kupweteka pakhosi (zizindikiro za matenda), kuphwanya mosavuta, ndowe zakuda (zizindikiro za kutuluka magazi), kutopa kwambiri, kukomoka (zizindikiro za maselo ofiira ochepa m'magazi). |
| Mavuto a mitsempha | Kusokonezeka, kuona zinthu zisanachitike, kuvutika kuyenda kapena kulankhula, kukomoka , dzanzi kapena kupweteka kwa miyendo, kunjenjemera. |
| Zizindikiro zina zazikulu | Kuvuta kupuma, kusintha kwa maso, zilonda pakamwa, chikasu cha maso kapena khungu. |
| Ngati zinthu izi zikupitirira kapena zikukuvutitsani, uzani dokotala wanu. | |
| Zotsatira zoyipa zofala | Kusanza, kusanza, kusowa chilakolako cha chakudya, kutayika tsitsi, pakamwa pouma, mutu, kudzimbidwa kapena kutsegula m'mimba (izi ndi zinthu zomwe muyenera kuyembekezera panthawi ya chemotherapy). |
Uthenga Wopita Nawo Kunyumba
- Procarbazine ndi mankhwala amphamvu omwe amagwiritsidwa ntchito pochiza khansa. Chifukwa chake, imwani monga momwe dokotala wanu wanenera, panthawi yoyenera .
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa, kuphatikizapo mavitamini .
- Pewani kwathunthu zakudya zomwe zili ndi tyramine (monga tchizi chakale, nyama yokonzedwa, ndi vinyo).
- Ngati mukumva malungo, kuvulala, kapena zizindikiro zina zachilendo, imbani dokotala nthawi yomweyo.
- Pewani kutenga mimba mukumwa mankhwalawa. Lankhulani ndi dokotala wanu za izi.
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