Kodi dokotala wanu wakupatsani Selumetinib kwa inu kapena mwana wanu? Ndikudziwa kuti muli ndi mafunso ambiri okhudza mankhwalawa chifukwa ndi mankhwala apadera. Ndizachilendo. Musadandaule, tikambirana mwachidule komanso momveka bwino za mankhwalawa, momwe amagwiritsidwira ntchito, zotsatira zake, ndi zinthu zomwe muyenera kusamala nazo kwambiri.
Kodi mankhwala awa ndi amtundu wanji? Kodi kwenikweni amagwira ntchito yanji?
Mwachidule, Selumetinib ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda otchedwa neurofibromatosis . Matendawa amachititsa kuti zotupa zikule m'mitsempha m'thupi lathu. Chifukwa chake mankhwalawa amachita ndikuletsa puloteni inayake yomwe imathandiza maselo a chotupa kukula, kugawa, ndi kuchulukana. Mwachidule, amalamulira liwiro lomwe zotupa zimakulira.
Mutha kugula mankhwalawa ku pharmacy pansi pa dzina loti Koselugo . Nthawi zina, madokotala amathanso kulemba mankhwalawa pa matenda ena.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Musanayambe kumwa mankhwalawa, ndikofunikira kudziwitsa dokotala wanu zonse zokhudza thanzi lanu. Izi ndizofunikira kwambiri pa chitetezo chanu. Ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwawauza za vutoli.
| Zimene muyenera kudziwa | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Matenda otuluka magazi | Mankhwalawa angawonjezere chiopsezo cha kutuluka magazi, kotero ngati muli kale ndi vuto ngati limenelo, dokotala wanu ayenera kudziwa za vutoli. |
| Matenda a maso kapena mavuto a maso | Selumetinib ingakhudze masomphenya, choncho ndikofunikira kudziwitsa dokotala wanu za mavuto aliwonse omwe alipo kale. |
| Matenda a mtima | Mankhwalawa nthawi zina amatha kusokoneza ntchito ya mtima. |
| Matenda a chiwindi | Chiwindi ndi komwe mankhwala amachotsedwa m'thupi. Ngati muli ndi vuto la chiwindi, mlingo wanu ungafunike kusinthidwa. |
| Matenda a selumetinib kapena zosakaniza zina zilizonse | Onetsetsani kuti mwatiuza ngati muli ndi vuto lililonse la mankhwala awa, mankhwala ena, zakudya, kapena utoto. |
| Ngati inu kapena mnzanu mukuyesera kutenga mimba kapena muli ndi pakati. | Izi ndizofunikira kwambiri. Mankhwalawa amatha kuvulaza mwana wosabadwayo. Tikambirana zambiri za izi. |
| Ngati ndinu mayi woyamwitsa. | Uzaninso dokotala za kuyamwitsa, chifukwa mankhwalawa amatha kupita kwa mwana kudzera mu mkaka wa m'mawere. |
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
Kuti mupindule kwambiri ndi mankhwala, ndikofunikira kwambiri kuwagwiritsa ntchito moyenera.
- Ichi ndi kapisozi. Chiyenera kumezedwa chonse ndi kapu ya madzi.
- Musaswe, kuphwanya, kapena kutafuna kapisozi iyi. Kuchita zimenezi kungapangitse kusintha momwe mankhwala amagwirira ntchito.
- Yesetsani kumwa mankhwala anu nthawi yomweyo tsiku lililonse , monga momwe dokotala wanu wanenera. Izi zidzakuthandizani kuti musunge mankhwalawo m'thupi lanu nthawi zonse.
- Mungathe kumwa mankhwalawa muli ndi chakudya kapena ayi. Komabe, ngati mukumva kupweteka m'mimba kapena nseru, ndi bwino kumwa mankhwalawa pamodzi ndi chakudya.
- Pitirizani kugwiritsa ntchito mankhwalawa mpaka dokotala wanu atakuuzani kuti musiye.
- Chofunika: Pewani kumwa mankhwalawa pamodzi ndi madzi a mphesa. Zingakhale ndi zotsatira zosafunikira pa mphamvu ya mankhwalawa.
Ngati mupatsa ana mankhwalawa
Mankhwalawa nthawi zina angapatsidwe ndi dokotala kwa ana azaka ziwiri pa matenda apadera. Koma amachitidwa mosamala kwambiri. Ngati mukupereka mankhwalawa kwa mwana, tsatirani malangizo a dokotalayo ndendende.
Kodi mungachite chiyani ngati mwamwa mankhwala mopitirira muyeso?
Ngati mukukayikira ngakhale pang'ono kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, musataye nthawi. Imbani nthawi yomweyo ku National Poison Information Centre ku Colombo National Hospital, kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Mankhwala awa ndi operekedwa kwa inu nokha. Musagawane ndi ena, ngakhale zizindikiro zanu zitakhala zofanana.
Nanga bwanji ngati nditaiwala kumwa mankhwala anga?
Aliyense amaiwala zinthu. Ngati zimenezo zitachitika, musadandaule.
- Ngati mwaiwala kumwa mapiritsi anu ndipo nthawi yomwe mumamwa nthawi zambiri sipitirira maola 6 , imwani nthawi yomweyo mukakumbukira.
- Komabe, ngati mwachedwa ndi maola opitilira 6 , thawani mlingo womwe mwaphonya. Imwani mlingo wotsatira nthawi yanthawi zonse. Musamwe mlingo wowirikiza kawiri kuti mubwezeretse mlingo womwe mwaiwala.
- Ngati mukusanza mutamwa mankhwala, dumphani mlingo umenewo. Musamwenso. Imwani monga mwachizolowezi nthawi ina.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa (Kuyanjana)
Mankhwala ena, mavitamini, ndi zowonjezera zomwe mumamwa zingagwirizane ndi selumetinib. Choncho, perekani dokotala wanu mndandanda wathunthu wa zonse zomwe mumamwa - mankhwala olembedwa ndi dokotala, mankhwala ogulitsidwa kunja kwa ofesi ya dokotala, mankhwala azitsamba, ndi mavitamini. Komanso, uzani dokotala wanu ngati mumasuta kapena kumwa mowa.
Mwachitsanzo, mankhwalawa akhoza kuyanjana ndi izi:
- Aspirin ndi mankhwala ena ofanana nawo
- Maantibayotiki ena, monga erythromycin
- Mankhwala ena oletsa mavairasi omwe amaperekedwa chifukwa cha HIV kapena Hepatitis
- Mankhwala oletsa bowa monga ketoconazole
- Mankhwala oletsa kupweteka kwa mutu monga Phenobarbital ndi Phenytoin
- Mankhwala ochepetsa magazi monga Warfarin
- Vitamini E
Mndandandawu sunathe, choncho ndibwino kuuza dokotala wanu zonse zomwe mumamwa.
Zinthu zofunika kusamala kwambiri mukamamwa mankhwala
- Pitani kukayezetsa nthawi zonse: Dokotala wanu adzakuuzani kuti mubwere kudzayezetsa nthawi zonse. Musaphonye masiku amenewo. Umu ndi momwe amayezetsera ngati mankhwala akugwira ntchito komanso ngati pali vuto lililonse.
- Kuopsa kwa kutuluka magazi: Mankhwalawa angawonjezere chiopsezo cha kutuluka magazi ngakhale pang'ono. Mabala amathanso kuchitika. Ngati mukumva kutuluka magazi kosazolowereka, monga magazi m'chimbudzi chanu, kusanza komwe kumaoneka ngati khofi, kapena madontho ofiira kapena ofiirira m'thupi lanu, uzani dokotala wanu nthawi yomweyo.
- Samalani maso anu:Maso anu adzayang'aniridwa musanayambe kumwa mankhwalawa komanso pamene mukumwa. Ngati muwona kusintha kulikonse m'maso anu - monga kuwona zinthu mopanda kuona bwino, kuona zinthu ngati zikuyenda, kapena kuona madontho akuda - uzani dokotala wanu nthawi yomweyo.
Chidziwitso chapadera chokhudza mimba ndi kuyamwitsa
Gawo ili ndi lofunika kwambiri. Chonde mvetserani mosamala.
- Kutenga mimba mukumwa mankhwalawa kungayambitse zilema zazikulu zobadwa nazo .
- Choncho, musanayambe kumwa mankhwala, mayeso a mimba amachitidwa kuti muwonetsetse kuti mulibe pakati.
- Muyenera kugwiritsa ntchito njira yolerera yothandiza kwambiri mukatenga mapiritsi komanso kwa sabata imodzi mutasiya kumwa mapiritsi . Lankhulani ndi dokotala wanu za njira yoyenera kwa inu.
- Ngati mnzanu watenga mimba, ndikofunikira kugwiritsa ntchito kondomu panthawi yogonana mukumwa mapiritsi komanso kwa sabata imodzi mutasiya kumwa mapiritsi.
- Komanso, musayamwitse mwana wanu pamene mukumwa mankhwalawa komanso kwa sabata imodzi mutasiya kumwa.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, selumetinib ingayambitse zotsatirapo zoyipa. Si aliyense amene amalandira, koma ndikofunikira kudziwa za izo.
| Zotsatira zoyipa | Kufotokozera ndi choti muchite |
|---|---|
| Zotsatirapo zoyipa zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime. |
| Kutuluka magazi kosadziwika bwino (Kutuluka magazi) | Chimbudzi chakuda kapena chamagazi, kusanza komwe kumaoneka ngati khofi wophikidwa, mkodzo wofiira/wofiirira wakuda, madontho ofiira/ofiirira pakhungu. |
| Kusintha kwa masomphenya | Kuona zinthu molakwika, kutayika kwa masomphenya, kuona zinthu ngati zikukoka, kuona madontho akuda. |
| Zizindikiro za kulephera kwa mtima | Kuvuta kupuma, kutupa kwa akakolo, mapazi, manja, kunenepa mwadzidzidzi, kutopa kwambiri. |
| Zizindikiro za kuvulala kwa chiwindi | Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, nseru, khungu kapena maso kukhala achikasu, mkodzo wakuda. |
| Kuvulala kwa minofu | Kutopa kosazolowereka, kupweteka kwa minofu, mkodzo wakuda wachikasu kapena bulauni. |
| Kutsegula m'mimba kwambiri kapena kupweteka m'mimba | Kupweteka m'mimba kosalekeza kapena koopsa komanso kutsegula m'mimba. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Zotsatira zoyipa zofala | Kupweteka kwa mafupa, mafupa kapena minofu, khungu louma, kusapeza bwino komanso kutopa, mutu, nseru, kupweteka m'mimba, kusanza. |
Kodi mumasunga ndi kuchotsa bwanji mankhwalawo?
- Sungani bwino: Sungani pamalo omwe ana ndi ziweto sangafikire .
- Kusunga: Sungani kutentha kwa chipinda (madigiri 20-25 Celsius). Sungani mankhwala mu botolo loyambirira lotsekedwa bwino komanso lotetezedwa ku chinyezi. Musachotse paketi yaying'ono (paketi yoyamwa chinyezi) mkati mwa botolo, chifukwa zimathandiza kuti mankhwalawo akhale ouma.
- Kutha Ntchito: Musagwiritse ntchito mankhwala otha ntchito.
- Kuchotsa:Mankhwala omwe atha ntchito kapena omwe sakufunikiranso ayenera kutayidwa bwino. Ngati simukudziwa ngati muwatulutsire kuchimbudzi kapena kuwataya m'zinyalala, funsani dokotala wanu. Ngati mukuwataya m'zinyalala, tulutsani mankhwalawo m'botolo, sakanizani ndi china chake monga masamba a tiyi ogwiritsidwa ntchito kale, khofi wophikidwa, kapena dothi, ikani m'thumba, litsekeni bwino, ndikulitaya m'zinyalala.
Uthenga Wopita Nawo Kunyumba
- Mezani makapisozi a Selumetinib nthawi zonse. Musawaswe, kuwaphwanya, kapena kuwatafuna.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi zowonjezera zomwe mukumwa.
- Fufuzani thandizo lachipatala mwamsanga ngati mukumva kutuluka magazi kosazolowereka, kuvulala, kusintha kwa masomphenya, kapena kupweteka kwambiri m'mimba.
- Ndikofunikira kupewa kutenga mimba mukamamwa mankhwalawa komanso kwa sabata imodzi mutasiya kumwa. Gwiritsani ntchito njira yodalirika kwambiri yolerera.
- Ngati muli ndi mafunso okhudza mankhwalawa, musazengereze kulankhula ndi dokotala wanu.
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