Tiyeni tiphunzire za Radium-223 dichloride, mankhwala omwe amagwiritsidwa ntchito pochiza khansa ya prostate yomwe yafalikira mpaka m'mafupa.

Nthawi zina akamalimbana ndi khansa, makamaka pamene matenda monga khansa ya prostate afalikira mpaka m'mafupa, madokotala amalemba mankhwala enaake. Panthawiyo, inu kapena munthu wina m'banja mwanu mwina munamvapo za mankhwala otchedwa Radium-223 dichloride. Mwina munamvapo za dzina lake lodziwika bwino, Xofigo. Ndiye tiyeni tikambirane zambiri za mankhwalawa lero, sichoncho?

Kodi mankhwala awa (Radium-223 dichloride) ndi otani?

Mwachidule, Radium-223 dichloride ndi mankhwala opangidwa ndi ma radioactive, omwe ndi mtundu wapadera wa mankhwala. Timatchanso kuti "mankhwala opangidwa ndi ma radiopharmaceutical". Chomwe chimachitika pankhaniyi ndichakuti khansa ya prostate ikakula ndikufalikira ku mafupa (timatcha kuti "mafupa otupa"), ma radiation amatumizidwa kuti akayang'ane maselo a khansa m'mafupa amenewo. Kunena zoona, mankhwalawa amathandiza kupewa kusweka kwa mafupa ndi mavuto ena okhudzana ndi mafupa omwe amayamba chifukwa cha khansa. Taganizirani ngati kuwombera "chandamale" chaching'ono, kupereka chithandizo cha ma radiation mwachindunji ku vuto lomwe lili m'mafupa. Izi zimachepetsanso kuwonongeka kwa maselo athanzi, chifukwa mankhwalawa amapita mwachindunji ku mafupa.

Zinthu zomwe muyenera kuuza gulu lanu lachipatala musanayambe kumwa mankhwalawa

Musanayambe chithandizo ichi (Radium-223 dichloride), kodi ndikofunikira kuuza dokotala wanu kapena namwino zinthu izi? Izi ndi zofunika kwambiri:

• Ngati muli ndi vuto lililonse lokhudzana ndi magazi (monga vuto lomwe limaletsa magazi kuundana msanga, kapena matenda omwe amachepetsa kupanga magazi).
• Ngati muli ndi zinthu zina m'magazi mwanu zomwe zili zochepa . Izi zikutanthauza kuti, ngati madokotala anena kuti muli ndi maselo oyera ochepa (awa ndi omwe amalimbana ndi matenda m'thupi lathu), maselo ofiira a m'magazi (awa ndi omwe amanyamula mpweya), kapena ma platelet (awa amathandiza magazi kuundana). Pamene kuchuluka kumeneku kuli kochepa, mavuto osiyanasiyana angabuke, ndichifukwa chake izi ndizofunikira.
• Ngati muli ndi pakati kapena mukufuna kutenga mimba , izi ndizofunikira kwambiri, chifukwa mankhwalawa amatha kukhudza mwana wosabadwa.
• Ngati ndinu mayi woyamwitsa , muyeneranso kudziwitsa dokotala wanu za izi, chifukwa mankhwalawa amatha kupita kwa mwana wanu kudzera mu mkaka wa m'mawere.

Kodi mankhwala awa adzaperekedwa bwanji kwa inu?

Mankhwalawa (Radium-223 dichloride) amaperekedwa ngati jakisoni mumtsempha . Mankhwalawa si omwe mungamwe kunyumba. Mankhwalawa amaperekedwa kwa inu ndi katswiri wazachipatala wodziwa bwino ntchito, kaya dokotala kapena namwino wodziwa bwino ntchito, kuchipatala kapena kuchipatala. Nthawi zambiri amaperekedwa kwa mphindi zochepa. Choncho palibe chodetsa nkhawa.

Chofunika: Ngati mukupereka mankhwalawa kwa ana aang'ono, muyenera kulankhula ndi dokotala wa ana za mankhwalawa. Popeza palibe zambiri zokhudza kagwiritsidwe ntchito kake mwa ana, chisamaliro chapadera chingafunike.

Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?

Tikukhulupirira kuti izi sizingachitike, chifukwa izi zimaperekedwa moyang'aniridwa ndi dokotala. Komabe, ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, muyenera kuyimbira foni kuchipatala chowongolera poizoni kapena kuchipatala chodzidzimutsa nthawi yomweyo.

Kumbukirani chinthu china: Mankhwalawa ndi a inu nokha . Musapatse wina aliyense kapena kugawana. Mankhwala oyenera komanso chithandizo choyenera cha munthu aliyense ndi osiyana.

Nanga bwanji ngati ndaphonya mlingo wa mankhwala?

Ndikofunikira kwambiri kumwa mankhwala panthawi yoyenera panthawi ya chithandizochi. Katemerayu nthawi zambiri amaperekedwa milungu inayi iliyonse. Ngati simungathe kubwera kudzatenga katemerayu tsiku ndi nthawi yoyenera, onetsetsani kuti mwayimbira foni dokotala wanu kapena katswiri wazaumoyo ndikumudziwitsa. Adzakuuzani choti muchite kenako. Musasinthe tsikulo mwachisawawa.

Kodi zinthu zina zimagwirizana ndi mankhwalawa?

Kunena zoona, palibe maphunziro ambiri omwe achitika okhudza momwe mankhwala awa (Radium-223 dichloride) amagwirira ntchito ndi mankhwala ena.

Koma, ndithudi, muyenera kuuza dokotala wanu zinthu izi :

• Mankhwala onse omwe mukumwa pakadali pano (kuphatikizapo omwe dokotala wakupatsani, mankhwala ochepetsa ululu omwe mumawagula popanda kugula, ndi mavitamini).
• Ndi mankhwala ndi zitsamba ziti zomwe mumagwiritsa ntchito?
• Mavitamini, zakudya zowonjezera .
• Tiuzeni ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo .

Zina mwa zinthuzi zingakhudze momwe mankhwala anu amagwirira ntchito kapena momwe amagwirira ntchito, choncho ndi bwino kuuza dokotala wanu zonse zomwe mukumwa kuti mukhale otetezeka.

Zinthu zomwe muyenera kudziwa mukamamwa mankhwalawa:

Madokotala nthawi zonse amafufuza thupi lanu kuti awone ngati pali kusintha kulikonse komanso thanzi lanu pamene mukumwa mankhwala awa. Choncho musaphonye nthawi yokumana ndi dokotala .

Mankhwalawa angakupangitseni kumva kusasangalala komanso kusasangalala kuposa masiku onse . Izi ndi zachilendo. Monga mankhwala a chemotherapy, mankhwalawa sangakhudze maselo a khansa okha komanso maselo ena athanzi. Ndicho chifukwa chake zimachitika. Ngati muli ndi zotsatirapo zina, uzani dokotala wanu . Ndikofunikira kupitiriza kumwa mankhwalawo, ngakhale atakhala osasangalatsa pang'ono, mpaka dokotala wanu atakuuzani kuti musiye.

Dzitetezeni ku matenda!

Ngati muli ndi zizindikiro monga malungo, kuzizira, kupweteka pakhosi, mphuno yotuluka madzi, kapena chifuwa , imbani dokotala wanu kapena katswiri wa zaumoyo nthawi yomweyo kuti akupatseni malangizo. Simuyenera kudzipatsa mankhwala nokha . Izi zili choncho chifukwa mankhwalawa amatha kuchepetsa mphamvu ya thupi lanu yolimbana ndi matenda . Izi zikutanthauza kuti mutha kutenga matenda mosavuta. Momwe mungathereYesetsani kupewa malo omwe anthu amadwala. Ndi bwinonso kuvala chophimba nkhope mukapita kumalo odzaza anthu.

Samalani ndi kutuluka magazi ndi mabala.

Mukhoza kuvulala kapena kutuluka magazi mosavuta mukumwa mankhwalawa. Uzani dokotala wanu nthawi yomweyo ngati muwona kutuluka magazi kosazolowereka (monga kuchokera m'mphuno kapena m'kamwa), madontho ang'onoang'ono ofiira pakhungu lanu (monga pinprick), ndowe zotuluka m'thupi, kapena magazi mu mkodzo wanu .

Samalani mukamatsuka mano anu ndi kutsuka pakamwa panu.

Samalani kwambiri mukamatsuka mano anu, kutsuka mano, kapena kugwiritsa ntchito chotsukira mano. Gwiritsani ntchito burashi yofewa. Izi zingayambitse kutuluka magazi m'kamwa mwanu mosavuta ndikuyambitsa matenda. Ngati mukuchita ntchito iliyonse ya mano, onetsetsani kuti mwauza dokotala wanu wa mano kuti mukumwa mankhwalawa .

Samalani ndi mankhwala ochepetsa ululu

Pokhapokha ngati dokotala wanu wakuuzani mwachindunji, musamwe mankhwala ochepetsa ululu monga aspirin, acetaminophen, ibuprofen, naproxen, kapena ketoprofen nokha . Mankhwalawa amatha kubisa zizindikiro monga malungo. Izi zitha kuchedwetsa kupezeka kwa matenda. Ngati muli ndi ululu uliwonse, imwani mankhwalawo monga momwe dokotala wanu walangizira.

Malangizo apadera kwa amuna (zaumoyo wogonana)

Ngati ndinu mwamuna, muyenera kusamala kwambiri ndi izi. Ngati mukugonana ndi mkazi mukumwa mankhwalawa ndipo kwa miyezi yosachepera 6 mutasiya kumwa mankhwalawa , muyenera kugwiritsa ntchito kondomu ya latex . Izi ndizofunikira ngakhale mutachitidwa opaleshoni yoletsa kubereka. Izi zili choncho chifukwa mphamvu ya mankhwalawa imatha kukhudza umuna, zomwe zingakhudze mwana wamtsogolo.

Ngati mnzanu watenga mimba mwangozi, dziwitsani dokotala wanu nthawi yomweyo . Komanso, pewani kupereka umuna mukumwa mankhwalawa komanso kwa miyezi 6 mutasiya kumwa.

Ponena za ana

Mankhwalawa angakhudze kuthekera kwanu kutenga pakati (kubereka) . Ngati muli ndi nkhawa iliyonse pankhaniyi, lankhulani ndi dokotala wanu za izi. Iye adzakupatsani upangiri womwe mukufuna. Muthanso kukambirana njira zina monga kupereka umuna musanayambe chithandizo.

Za zoopsa zina za khansa

Pakhoza kukhala chiopsezo chochepa chotenga mitundu ina ya khansa mukumwa mankhwalawa. Musachite mantha ndi izi. Madokotala amadziwa zonse za izi ndipo nthawi zonse amayang'anira thanzi lanu. Lankhulani ndi dokotala wanu za izi kuti mudziwe zambiri.

Kuyezetsa kuchipatala nthawi zonse

Dokotala wanu adzakuyang'anirani mosamala mukamamwa mankhwalawa. Muyeneranso kuyesedwa magazi nthawi zonse . Izi zimachitika kuti muwone momwe mankhwalawa akukhudzira thupi lanu, kuti muwone kuchuluka kwa magazi anu, komanso kuti muwonetsetse kuti chilichonse chikugwira ntchito bwino.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena onse, mankhwalawa (Radium-223 dichloride) angayambitse zotsatirapo zina. Zina mwa izo ziyenera kunenedwa kwa dokotala nthawi yomweyo, pomwe zina ziyenera kunenedwa pakapita nthawi ngati zipitirira.

Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala kapena katswiri wa zaumoyo nthawi yomweyo:

Ngati mukukumana ndi zizindikiro izi, kodi ndi bwino kuuza dokotala wanu nthawi yomweyo?

• Matenda a ziwengo: Ziphuphu pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, kuvutika kupuma.
• Kuchuluka kwa magazi m'magazi: Mankhwalawa angayambitse kuchepa kwa maselo oyera a m'magazi, maselo ofiira a m'magazi, ndi ma platelet. Izi zimawonjezera chiopsezo cha matenda ndi kutuluka magazi m'magazi.
• Zizindikiro za matenda: malungo kapena kuzizira (monga chimfine), chifuwa, kupweteka pakhosi, kupweteka kapena kuvutika kukodza.
• Zizindikiro za magazi otsika kapena kutuluka magazi: kuvulala (ngakhale kumenyedwa pang'ono kungayambitse kuvulala kwakukulu), madontho ofiira pakhungu (monga kumenyedwa ndi pin), ndowe zakuda kapena zochedwa, magazi mu mkodzo, kutuluka magazi pafupipafupi m'kamwa.
• Zizindikiro za maselo ofiira ochepa m'magazi: kumva kutopa kwambiri kapena kutopa (kungotopa), kukomoka, kumva chizungulire, kugwa pafupipafupi, khungu loyera.
• Ululu, kufiira, kutupa, kapena kutentha pamalo omwe jakisoniyo waperekedwa.
• Kutupa kwa akakolo, mapazi, ndi manja (monga kusunga madzi m'thupi).

Zotsatirapo zomwe nthawi zambiri sizifuna upangiri wa dokotala (koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa):

Izi nthawi zambiri zimatha patatha masiku ochepa, koma ngati zikupitirira kapena zikukuvutitsani kwambiri, uzani dokotala wanu.

• Kutsegula m'mimba (kupweteka m'mimba)
• Chizungulire
• Pakamwa pouma
• Kusanza, kusanza (kungayambitsenso kusowa chilakolako cha chakudya)

Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Ngati muwona china chilichonse chachilendo, chonde uzani dokotala wanu. Si aliyense amene amakumana ndi zotsatirapo zonse.

Kodi mankhwala awa mumasunga kuti?

Si chinthu chomwe muyenera kuda nkhawa nacho. Chifukwa chakuti katemera wa (Radium-223 dichloride) uyu amaperekedwa kuchipatala kapena kuchipatala, simuyenera kupita naye kunyumba kapena kumusunga kunyumba . Choncho musadandaule nazo.

Pomaliza, zinthu zingapo zoti muzikumbukira

Chabwino, takambirana zambiri za (Radium-223 dichloride), sichoncho? Mwachidule:

• Uwu ndi mankhwala apadera opangidwa ndi radioactive omwe amaperekedwa ku khansa ya prostate yomwe yafalikira mpaka ku mafupa .
• Ndikofunikira kwambiri kukhala omasuka komanso oona mtima ndi gulu lanu lachipatala musanayambe komanso mukamalandira mankhwala awa. Auzeni za mankhwala ena aliwonse omwe mukumwa komanso matenda ena aliwonse omwe mungakhale nawo.
• Dziwani zotsatirapo zake . Uzani dokotala wanu nthawi yomweyo ngati mukuona zizindikiro zilizonse za matenda, kutuluka magazi, kapena ziwengo.
• Musaiwale kuti amuna ayenera kusamala kwambiri za thanzi la kugonana komanso kubereka , monga kugwiritsa ntchito makondomu komanso kupewa kupereka umuna.
• Mankhwalawa angayambitse kusasangalala. Komabe, ndikofunikira kupitiriza kulandira chithandizo monga momwe dokotala wanu wanenera . Musaphonye mayeso okonzedwa komanso nthawi yokumana ndi dokotala.

Kumbukirani, nkhaniyi ndi yongofuna kudziwa zambiri. Ngati muli ndi mafunso okhudza mankhwalawa, ndi bwino kufunsa dokotala wanu, namwino, kapena wamankhwala. Adzakupatsani upangiri wokhudzana ndi vuto lanu. Simuli nokha, ndipo pali gulu lachipatala loti likuthandizeni.

Radium -223 dichloride, Xofigo, khansa ya prostate, kufalikira kwa mafupa, mankhwala owopsa, chithandizo cha khansa, zotsatirapo zake