Dokotala wanu akakuuzani kapena munthu amene mumamudziwa kuti mumwe Rituximab; Hyaluronidase ngati mankhwala a khansa, mungamve mantha pang'ono komanso mantha. Ndizachibadwa kudzifunsa kuti ndi mankhwala amtundu wanji awa, angathandize bwanji thupi lanu, komanso kuti adzakhala ovuta bwanji. Choncho musachite mantha. Lero, tikambirana za mankhwalawa, momwe amagwirira ntchito, zomwe muyenera kudziwa, ndi zotsatira zake m'njira yosavuta komanso yomveka bwino.
Kodi mankhwalawa ndi chiyani? Kodi amagwiritsidwa ntchito pa matenda amtundu wanji?
Mwachidule, Rituximab; Hyaluronidase ndi mankhwala osakaniza awiri omwe amagwiritsidwa ntchito pochiza mitundu ingapo ya khansa. Amagwiritsidwa ntchito makamaka pochiza matenda a khansa monga Non-Hodgkin lymphoma ndi chronic lymphocytic leukemia .
Mankhwala akuluakulu omwe ali mu mankhwalawa ndi Rituximab . Uwu ndi mankhwala apadera kwambiri. Mu zamankhwala, timatcha izi kuti "monoclonal antibody". Izi zikutanthauza kuti, mankhwalawa adapangidwa kuti apeze maselo a khansa mwachindunji, kuwaukira, ndikuwononga, monga msilikali wophunzitsidwa bwino. Izi sizimawononga maselo athanzi kwambiri.
Kenako, mankhwala ena otchedwa Hyaluronidase amathandiza kuti mankhwala akuluakulu, Rituximab, azitha kuyamwa bwino m'thupi lanu komanso kuti azitha kufika mosavuta m'maselo a khansa.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kulandira chithandizo
Kuti mupereke chithandizochi mosamala, ndikofunikira kuti dokotala wanu adziwe mbiri yanu yonse ya thanzi. Ngati muli ndi vuto lililonse lomwe latchulidwa pansipa, chonde uzani dokotala wanu musanayambe kulandira chithandizo.
| Matenda anu | N’chifukwa chiyani muyenera kudziwitsa? |
|---|---|
| Matenda a mtima kapena kusakhazikika kwa kayendedwe ka mtima | Chifukwa nthawi zina mankhwalawa amatha kusokoneza ntchito ya mtima. |
| Matenda opatsirana omwe alipo (makamaka matenda opatsirana ndi mavairasi monga Hepatitis B, nkhuku, herpes) | Chitetezo cha mthupi chikafooka chifukwa cha mankhwala, matenda akale amatha kubwereranso. |
| Zofooka za chitetezo chamthupi | Popeza mankhwalawa amakhudza chitetezo chamthupi, ndikofunikira kudziwa zofooka zilizonse zomwe zilipo. |
| Matenda a impso kapena mapapo (monga mphumu) | Kusamalira magwiridwe antchito a ziwalo izi. |
| Ngati mwalandira katemera posachedwapa kapena mukukonzekera kulandira katemera wina mtsogolo | Katemera wina angagwirizane ndi mankhwalawa. |
| Matenda a chifuwa cha mankhwala osiyanasiyana, zakudya, kapena zinthu zina | Kuwunika chiopsezo chokhala ndi vuto la ziwengo ku mankhwala. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa | Izi ndizofunikira kwambiri chifukwa mankhwalawa akhoza kuvulaza mwana m'mimba komanso mwana kudzera mu mkaka wa m'mawere. |
Ndingakupatseni bwanji mankhwala awa?
Mankhwalawa amaperekedwa ngati jakisoni pansi pa khungu. Simungapeze mankhwalawa kunyumba. Amaperekedwa ndi katswiri wodziwa bwino ntchito zachipatala kuchipatala kapena ku chipatala.
Musanayambe chithandizo chilichonse, mudzapatsidwa kabuku kapadera (`MedGuide`) kofotokoza zambiri za mankhwalawa. Ndikofunikira kwambiri kuwerenga ndi kumvetsetsa mosamala nthawi zonse.
Pamafunika chisamaliro chapadera popereka mankhwalawa kwa ana. Chifukwa chake, ngati mwana wanu wapatsidwa chithandizochi, kambiranani bwino ndi dokotala wanu wa ana.
Kodi mungachite chiyani ngati mwamwa mopitirira muyeso?
Mankhwalawa amaperekedwa moyang'aniridwa ndi dokotala kapena namwino, kotero mwayi woti izi zichitike nthawi zambiri umakhala wochepa kwambiri. Komabe, ngati mukuganiza kuti china chake chachitika, pitani ku Emergency Treatment Unit (ETU) ya chipatala nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze upangiri.
Zinthu zofunika kuziganizira mukamalandira chithandizo
Dokotala wanu adzayang'anira matenda anu mosamala panthawi yonse ya chithandizo chanu. Panthawiyi, muyeneranso kuyesedwa magazi nthawi zonse kuti muwone momwe mankhwalawo akukhudzira thupi lanu komanso ngati pali kusintha kulikonse m'maselo anu amagazi.
Zotsatira zoopsa za ziwengo
Mankhwalawa angayambitse ziwengo kwambiri mwa anthu ena. Pofuna kuchepetsa chiopsezochi, dokotala wanu angasankhe kukupatsani mankhwala ena (monga piritan) musanalandire katemerayu. Imwani mankhwala awa monga momwe mwalangizidwira.
Zotsatira zomwe zingachitike pa ubongo
Izi zimachitika kawirikawiri , koma ndikofunikira kudziwa. Kwa odwala ena, mankhwalawa amayambitsa matenda oopsa muubongo, omwe amatha kubweretsa imfa. Chifukwa chake ngati mukukumana ndi kusintha kulikonse kapena vuto lililonse m'masomphenya anu, kuganiza, kulankhula, kuyenda, kapena kukhazikika bwino , uzani dokotala wanu nthawi yomweyo .
Samalani ndi matenda opatsirana.
Mankhwalawa amachepetsa mphamvu ya thupi lanu yolimbana ndi matenda, kapena chitetezo chamthupi, pang'ono. Chifukwa chake, mumakhala ndi mwayi waukulu wopeza matenda.
- Ngati mukumva zizindikiro monga malungo, kuzizira, kupweteka kwa thupi, kapena kupweteka pakhosi, musadzipatse mankhwala ndipo muuzeni dokotala wanu.
- Yesetsani kukhala kutali ndi anthu odwala momwe mungathere.
Malangizo apadera okhudza mimba ndi kuyamwitsa
Iyi ndi nkhani yofunika kwambiri.
- Pewani kutenga pakati pamene mukumwa mankhwalawa komanso kwa miyezi 12 mutasiya kumwa mankhwalawa.
- Ngati mukuyembekezera kutenga pakati kapena mukuganiza kuti mwina muli ndi pakati, uzani dokotala wanu nthawi yomweyo.
- Pewani kuyamwitsa mwana wanu panthawi ya chithandizo komanso kwa miyezi 6 mutasiya kumwa mankhwalawa.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatirapo zina. Koma si onse omwe amachitikira aliyense. Tiyeni tiwagaŵanitse m'magulu awiri.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
|---|---|
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| Zotsatirapo zomwe nthawi zambiri sizili zoopsa (koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira) | |
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Ngati mukukumana ndi zizindikiro zina zachilendo zomwe sizinatchulidwe pamndandandawu, lankhulani ndi dokotala wanu za zizindikirozo.
Uthenga Wopita Nawo Kunyumba
- Rituximab; Hyaluronidase ndi mankhwala enieni omwe amalimbana ndi kuwononga maselo a khansa.
- Musanayambe kulandira chithandizo, uzani dokotala wanu za matenda anu onse ndi mankhwala omwe mukumwa.
- Pa nthawi ya chithandizo, khalani maso ngati muli ndi zizindikiro za matenda, ziwengo, kapena kusintha kwa mitsempha (kuvutika kulankhula, kuyenda).
- Pewani kutenga mimba ndi kuyamwitsa panthawi ya chithandizo komanso kwa nthawi yomwe mwapatsidwa.
- Musaphonye masiku omwe mwakonza ku chipatala. Ngati simungathe kupezekapo chifukwa cha zovuta zina, chonde dziwitsani chipatala pasadakhale.
- Kumbukirani, muli ndi ufulu wolankhula momasuka ndi dokotala wanu za mafunso kapena mantha aliwonse omwe muli nawo.
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