Kodi inuyo kapena munthu wina amene mumamudziwa analandirapo chithandizo cha matenda aakulu monga khansa? Mwina munamvapo kuti polandira chithandizo chotere, makamaka chemotherapy, chiwerengero cha asilikali olimbana ndi matenda m'thupi lathu, makamaka maselo oyera a magazi, chimachepa. Chifukwa cha kuchepa kwa maselo oyera a magazi, matenda aliwonse amatha kufalikira mosavuta. Chifukwa chake, m'mikhalidwe yotereyi, tikulankhula za katemera wapadera womwe umalimbikitsa mafupa a thupi lathu ndikuthandizira kumanganso asilikali omenyera nkhondowa.
Kodi Sargramostim (GM-CSF) ndi chiyani?
Mwachidule, Sargramostim ndi puloteni yopangidwa ndi anthu. Kunena zoona, ndi yofanana ndi chinthu chomwe matupi athu amapanga mwachibadwa chotchedwa `granulocyte-macrophage colony-stimulating factor (GM-CSF). Ganizirani za mafuta athu a m'mafupa ngati fakitale ya maselo a magazi. Mankhwalawa amadziwitsa fakitale iyi kuti ipange maselo oyera ambiri amagazi, makamaka ma neutrophils , mtundu wa maselo amagazi omwe amalimbana ndi matenda. Amadziwikanso ndi dzina lodziwika bwino la `Leukine`.
Mankhwalawa ali ngati maphunziro apadera olembera asilikali atsopano ku gulu lankhondo la chitetezo cha mthupi lathu (chitetezo cha mthupi), lomwe lafooka chifukwa cha chithandizo cha khansa.
Kodi ntchito za mankhwalawa ndi ziti?
Madokotala amalimbikitsa mankhwalawa pazifukwa zosiyanasiyana.
- Pambuyo pa Kusamutsa Mafupa: Pambuyo pa kusamutsa mafupa, fulumizitsani kupanga maselo oyera a magazi kuchokera ku mafupa atsopano.
- Pamene kusamutsidwa kwa mafupa sikulephera: Nthawi zina maselo sakula pambuyo pokusamutsidwa. Pazochitika zotere, mankhwalawa amathandiza.
- Musanaikidwe maselo oyambira komanso mutaikidwa: Bwezeretsani kuchuluka kwa maselo oyera m'magazi mwa odwala omwe anaikidwa maselo oyambira.
- Pambuyo pa chithandizo cha khansa: Wonjezerani kuchuluka kwa maselo oyera m'magazi pambuyo pa chithandizo cha chemotherapy cha khansa ya m'magazi monga khansa ya m'magazi yoopsa, makamaka kwa okalamba.
- Pambuyo pokumana ndi mphamvu ya kuwala kwambiri: Kuonjezera mwayi wopulumuka kwa munthu amene mwadzidzidzi wakumana ndi mphamvu ya kuwala kwambiri yomwe imawononga mafupa.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kulandira chithandizo
Dokotala wanu asanakupatseni mankhwala awa, ayenera kudziwa mbiri yonse ya thanzi lanu. Choncho onetsetsani kuti mwawauza izi:
- Ngati muli ndi matenda a mtima .
- Matenda a m'mapapo kapena mphumuNgati muli ndi vuto lopuma.
- Ngati muli ndi ziwengo ku Sargramostim, zinthu zopangidwa ndi yisiti , mowa wa benzyl, mankhwala ena, zakudya, zotetezera, kapena utoto.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba .
- Ngati ndinu mayi woyamwitsa .
Momwe mungagwiritsire ntchito mankhwala ndi zinthu zomwe muyenera kusamala nazo
Mankhwalawa amaperekedwa ngati jakisoni pansi pa khungu kapena mumtsempha. Nthawi zambiri amaperekedwa ndi katswiri wa zaumoyo kuchipatala kapena ku chipatala. Komabe, nthawi zina mungafunike kudzipatsa jakisoni kunyumba. Ngati izi zitachitika, mudzaphunzitsidwa njira yoyenera yochitira izi.
Chofunika kwambiri: Musataye singano ndi ma syringe ogwiritsidwa ntchito kale m'zinyalala wamba. Ziyenera kuyikidwa mu chidebe chapadera cha sharpe . Ngati mulibe, funsani dokotala wanu momwe mungapezere imodzi.
Nanga bwanji ngati ndamwa mankhwala ochulukirapo? Nanga bwanji ngati ndaphonya mlingo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital, kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Si bwino kuphonya mlingo wa mankhwala. Ngati izi zitachitika, musachite mantha ndipo imbani dokotala wanu kuti akupatseni malangizo.
Zotsatirapo zomwe zingakhalepo mukatenga mankhwala
Monga mankhwala ena aliwonse, Sargramostim ingayambitse zotsatirapo zina. Zina zimakhala zoopsa, pomwe zina zimakhala zofala. Ndikofunikira kudziwa izi.
| Zotsatirapo ndi zizindikiro |
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| Zinthu zoti muuze dokotala wanu nthawi yomweyo |
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| Kawirikawiri si nkhani yaikulu (koma uzani dokotala ngati ikupitirira) |
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Kuyanjana ndi mankhwala ena
Mankhwala ena angagwirizane ndi mankhwalawa. Mwachitsanzo, lithiamu kapena ma steroids monga prednisone ndi cortisone. Chifukwa chake, perekani dokotala wanu mndandanda wathunthu wa mankhwala onse omwe mukumwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera). Komanso, onetsetsani kuti mwauza dokotala wanu ngati mumasuta kapena kumwa mowa.
Kodi mankhwalawo angasungidwe bwanji?
- Sungani pamalo omwe ana sangafikire.
- Sungani mufiriji kutentha kwa madigiri 2 mpaka 8 Celsius (madigiri 2 mpaka 8 Celsius). Musasunge pakhomo la firiji , ndi bwino kuisunga pa shelufu yamkati.
- Musasunge mufiriji. Ngati mankhwalawo azizira, sadzagwiritsidwa ntchito.
- Tayani mankhwala osagwiritsidwa ntchito patatha masiku 20.
Ngati muli ndi mafunso ena okhudza mankhwalawa, musawasunge nokha. Lankhulani ndi dokotala wanu momasuka za mankhwalawa ndipo chotsani kukayikira kwanu konse.
Uthenga Wopita Nawo Kunyumba
- Sargramostim (GM-CSF) ndi katemera amene amathandiza kubwezeretsa chiwerengero cha maselo oyera a m'magazi (makamaka ma neutrophils) omwe atha chifukwa cha zinthu monga chithandizo cha khansa.
- Musanayambe chithandizochi, ndikofunikira kwambiri kuuza dokotala wanu za matenda ena aliwonse omwe muli nawo, ziwengo, ndi mankhwala ena onse omwe mukumwa.
- Musataye singano zogwiritsidwa ntchito kale mu zinyalala wamba. Gwiritsani ntchito chidebe chapadera (chidebe chosongola) pa izi.
- Ngati mukumva zizindikiro monga kupweteka kwa thupi mwadzidzidzi, kuvutika kupuma, kugunda kwa mtima mofulumira, kapena kutupa thupi, funsani dokotala nthawi yomweyo .
- Musazengereze kukambirana ndi dokotala wanu mafunso kapena nkhawa zilizonse zomwe mungakhale nazo zokhudza chithandizo chanu.











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