Tiyeni tingophunzira za katemera wa Sacituzumab Govitecan wa khansa ya m'mawere

N'zovuta kufotokoza mantha ndi nkhawa zomwe mumamva mukapezeka ndi khansa kapena wokondedwa wanu. Pakadali pano, mukamva mayina a mankhwala atsopano omwe madokotala akukuuzani, maganizo anu amasokonezeka kwambiri. Sacituzumab Govitecan ndi mankhwala ena omwe ali ndi dzina lovuta pang'ono. Koma musachite mantha. Munkhaniyi lero, tikulankhula za mankhwalawa, ngati kuti mnzanu kapena wachibale wanu akungokuuzani za iwo.

Mwachidule, kodi Sacituzumab Govitecan ndi chiyani?

Iyi ndi mankhwala enieni omwe amagwiritsidwa ntchito pochiza khansa ya m'mawere. Amapezeka kwambiri pamsika pansi pa dzina lakuti TRODELVY . Iyi ndi mankhwala omwe amagwira ntchito ngati "bomba lanzeru" lomwe limaukira cholinga chake. Ganizirani maselo a khansa ngati udzu woipa womwe sitikufuna kuti ukule m'thupi mwathu, womwe umafalikira mwachangu. Pali puloteni yapadera yomwe imathandiza udzu uwu kukula ndikufalikira kwambiri. Mankhwalawa, otchedwa Sacituzumab Govitecan, amapeza mapuloteniwo ndikuyimitsa ntchito yake. Zili ngati kuzimitsa chitoliro chamadzi kupita ku udzuwo. Kenako kuthekera kwa maselo a khansa kukula, kugawa, ndikufalikira mthupi lonse kumatayika kapena kuchepa kwambiri. Iyi ndi njira yochizira yomwe imayang'ana maselo a khansa okha, kotero ndi yosiyana pang'ono ndi mankhwala a chemotherapy wamba.

Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kulandira chithandizo

Musanayambe kumwa mankhwalawa, ndikofunikira kwambiri kuti dokotala wanu adziwe za thanzi lanu lonse. Izi zikuthandizani kudziwa ngati mankhwalawa ndi oyenera kwa inu kapena ngati mlingo wake ukufunika kusinthidwa. Onetsetsani kuti mwauza dokotala wanu izi:

• Ngati muli ndi jini ya UGT1A1*28: Ili ndi dzina lachipatala. Mwachidule, ili ndi vuto lapadera la majini lomwe anthu ena ali nalo. Anthu omwe ali ndi jini iyi sangathe kugwiritsa ntchito bwino mankhwalawa. Chifukwa chake, ali pachiwopsezo chachikulu cha zotsatirapo zoyipa . Ngati pakufunika kutero, dokotala wanu akhoza kuchita mayeso a majini kuti aone izi.
• Ngati muli ndi vuto la chiwindi : Chiwindi ndiye chiwalo chachikulu chomwe chimasefa ndikuchotsa poizoni , kuphatikizapo mankhwala, m'thupi lathu. Ngati muli ndi vuto la chiwindi, mankhwalawa sangachotsedwe bwino m'thupi ndipo akhoza kudziunjikira. Izi zitha kuwonjezera chiopsezo cha zotsatirapo zoyipa.
• Ngati muli ndi matenda enaake: Uzani dokotala wanu za matenda enaake monga malungo, chifuwa, kapena chimfine .Ndiuzeni. Chifukwa chithandizochi chingachepetse chitetezo cha mthupi.
• Ngati muli ndi pakati kapena mukufuna kutenga mimba: Izi ndizofunikira kwambiri . Mankhwalawa amatha kuvulaza kwambiri mwana panthawi ya mimba .
• Ngati mukuyamwitsa : Mankhwalawa amatha kulowa mu mkaka wa m'mawere wa mwana wanu. Chifukwa chake, kuyamwitsa sikuvomerezeka panthawi ya chithandizo.
• Kusamvana ndi mankhwala ena, zakudya, kapena utoto: Onetsetsani kuti mwauza dokotala wanu ngati muli ndi vuto lililonse la Sacituzumab Govitecan kapena mankhwala ena aliwonse.

Kodi mankhwala awa adzaperekedwa bwanji kwa inu?

Iyi si piritsi yomwe mungapite nayo kunyumba. Mankhwalawa amaperekedwa kuchipatala kapena kuchipatala, moyang'aniridwa ndi dokotala kapena namwino wophunzitsidwa. Amaperekedwa ngati jakisoni mumtsempha. Amaperekedwa kudzera mumtsempha (m'mitsempha kapena m'mitsempha) , monga momwe amachitira ndi madzi amchere. Izi nthawi zambiri zimatenga maola angapo.

Kodi mungachite chiyani ngati mlingo wa mankhwala ukuwonjezeka?

Izi zimaperekedwa kuchipatala, kotero mwayi woti izi zichitike ndi wochepa kwambiri. Komabe, ngati mukuganiza kuti mwamwa mankhwala opitirira muyeso, pitani ku Emergency Treatment Unit (ETU) ya chipatala nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze upangiri.

Kodi izi zingagwirizane ndi mankhwala ena? (Kuyanjana kwa mankhwala)

Inde, ndithudi. Mankhwala awa ndi amphamvu kwambiri. Chifukwa chake amatha kuyanjana ndi mankhwala ena omwe mukumwa. Angawonjezerenso zotsatirapo zake. Chifukwa chake, mukapita kukaonana ndi dokotala wanu, bweretsani mndandanda wa zonse zomwe mukumwa.

• Mankhwala operekedwa ndi madokotala a matenda ena
• Mankhwala ogulitsidwa kunja kwa sitolo (monga mankhwala ochepetsa ululu, mavitamini) ochokera ku pharmacy
• Mankhwala a Ayurvedic kapena a Sinhala
• Zakudya zowonjezera
• Ngati mumasuta kapena kumwa mowa, ndiuzeni.

Kutengera ndi izi, dokotalayo adzatha kukuthandizani mosamala.

Zinthu zomwe muyenera kudziwa mukalandira chithandizo

Mukalandira chithandizo champhamvu chotere, muyenera kusamalira thupi lanu bwino. Ndikofunikira kulabadira ngakhale kusintha pang'ono.

Ndi zachilendo kumva kusamasuka.

Mankhwalawa amapha maselo a khansa, koma amathanso kukhudza maselo athanzi omwe amagawikana mwachangu m'thupi lathu (monga maselo a tsitsi, maselo a magazi). Chifukwa chake, ndikwachibadwa kumva kutopa, kufooka, kusowa chilakolako cha chakudya, komanso kumva nseru panthawi ya chithandizo. Ichi ndi chizindikiro chofala cha chemotherapy. Pitirizani kulandira chithandizo monga momwe mwalangizidwira, ngakhale zitakhala zovuta, mpaka dokotala wanu atakuuzani kuti musiye. Komabe, ngati zotsatirapo zake zili zoopsa, uzani dokotala wanu nthawi yomweyo.

Kufunika kwa kuyezetsa magazi

Pa nthawi ya chithandizo, dokotala wanu adzalamula kuyezetsa magazi nthawi zonse. Izi zidzayang'ana kuchuluka kwa maselo ofiira a magazi anu, maselo oyera a magazi, ndi ma platelet, komanso ngati chiwindi ndi impso zanu zikugwira ntchito bwino. Zotsatira za mayesowa zidzatsimikizira ngati mungathe kumwa mlingo wotsatira wa mankhwalawo kapena ngati mlingo wanu ukufunika kusinthidwa.

Dziwani kuti pali zinthu zomwe zimayambitsa ziwengo.

Anthu ena akhoza kukhala ndi vuto la ziwengo ndi mankhwalawa akamamwa kapena atamwa. Ngati mukumva zizindikiro monga kupweteka pachifuwa, kuvutika kupuma, ziphuphu, kuyabwa, kapena kutupa kwa nkhope kapena milomo, uzani namwino wanu kapena dokotala nthawi yomweyo. Kuti muchepetse chiopsezochi, dokotala wanu angakupatseni mankhwala ena (mankhwala oyambira) kuti mupewe ziwengo asanakupatseni mankhwalawa.

Kutsegula m'mimba, kusanza ndi kutaya madzi m'thupi

Mankhwalawa angayambitse kutsegula m'mimba kwambiri komanso kusanza. Ngati izi zitachitika, madzi ndi mchere zimatha kutuluka m'thupi ndikupangitsa kuti munthu asathenso madzi m'thupi. Izi ndi zoopsa. Chifukwa chake, imwani madzi ambiri monga madzi, madzi, madzi a lalanje, ndi phala . Ngati kutsegula m'mimba kapena kusanza kuli koopsa kwambiri moti simungathe kulamulira, kapena ngati mukutuluka thukuta kwambiri, imbani dokotala nthawi yomweyo.

Samalani kwambiri panthawi ya mimba, kuyamwitsa, komanso kubereka.

Iyi ndi gawo lofunika kwambiri.

• Pewani kutenga mimba: Muyenera kupewa kutenga mimba nthawi yonse ya chithandizo komanso kwa miyezi 6 mutasiya kulandira chithandizo. Pachifukwa ichi, ndikofunikira kugwiritsa ntchito njira yodalirika kwambiri yolerera. Lankhulani ndi dokotala wanu za izi ndipo sankhani njira yoyenera.
• Kwa amuna: Ngati ndinu mwamuna ndipo mnzanu ali ndi mwayi wobereka, onetsetsani kuti mwagwiritsa ntchito kondomu panthawi yogonana mukumwa mankhwalawa komanso kwa miyezi itatu mutasiya kumwa mankhwalawa. Mankhwalawa amatha kudutsa mu umuna ndikuvulaza mwana wosabadwayo.
• Pewani kuyamwitsa mwana wanu: Pewani kuyamwitsa mwana wanu panthawi ya chithandizo komanso kwa mwezi umodzi mutasiya kumwa mankhwala.
• Zotsatira zomwe zingachitike pa chonde:Mankhwalawa angakhudze kwakanthawi kapena kosatha luso la akazi ndi amuna lokhala ndi ana. Ngati mukuyembekeza kukhala ndi ana mtsogolo, lankhulani ndi dokotala wanu za izi musanayambe chithandizo. Njira zina monga kuzizira dzira/umuna zitha kufotokozedwa.

Dzitetezeni ku matenda.

Mankhwalawa amatha kuchepetsa kuchuluka kwa maselo oyera m'magazi. Maselo oyera ali ngati gulu lankhondo la thupi lathu, maselo omwe amatiteteza ku matenda. Akakhala ochepa, ngakhale kachilombo kakang'ono kangayambitse matenda akuluakulu. Chifukwa chake,

• Pewani malo odzaza anthu (mabasi, sitima, misika) momwe mungathere.
• Pewani anthu odwala (malungo, chifuwa).
• Sambani m'manja mwanu nthawi zonse ndi sopo .
• Idyani zakudya zophikidwa bwino zokha. Samalani ndi zinthu monga masaladi ndi zipatso zomwe zimadyedwa zosaphika.
• Ngati mukupeza zizindikiro za matenda monga malungo, kuzizira, kupweteka pakhosi, ndi chifuwa , musadzipatse mankhwala ndipo imbani dokotala nthawi yomweyo.

Samalani mukamagwiritsa ntchito mankhwala ochepetsa ululu.

Malungo ndi chizindikiro chachikulu cha matenda. Mankhwala ena ochepetsa ululu, monga aspirin, ibuprofen, ndi naproxen, amatha kuletsa kutentha thupi. Izi zitha kubisa kupezeka kwa matenda. Chifukwa chake, musamwe mankhwala aliwonse ochepetsa ululu popanda kufunsa dokotala wanu wa khansa.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawo?

Monga mankhwala ena aliwonse, Sacituzumab Govitecan ili ndi zotsatirapo zake. Koma si aliyense amene amalandira. Anthu ena sangakumane ndi zotsatirapo zake, pomwe ena angakumane ndi zotsatirapo zake zingapo. Chofunika kwambiri ndikudziwa izi ndikuchitapo kanthu mwachangu ngati pakufunika kutero. Ngati mukukumana ndi zizindikiro zina zachilendo zomwe sizinatchulidwe pamndandandawu, musaope kulankhula ndi dokotala wanu za zizindikirozo. Sacituzumab Govitecan, TRODELVY, khansa ya m'mawere, mankhwala a khansa, chithandizo cha khansa, chemotherapy, chithandizo cholunjika, zotsatirapo zake