Dokotala wanu mwina anakupatsani mankhwala otchedwa Tamoxifen ngati mankhwala a khansa ya m'mawere. Ndizachibadwa kukhala ndi mafunso, chidwi, komanso mwina nkhawa ndi mankhwala ofunikira kwambiri. Chifukwa chake, lero tikambirana za mankhwalawa, momwe amakhudzira matupi athu, zomwe tiyenera kusamala nazo, komanso zotsatirapo zake zomwe zingachitike.
Kodi Tamoxifen ndi chiyani? Imagwira ntchito bwanji?
Mwachidule, Tamoxifen ndi mankhwala omwe amalamulira kukula ndi kufalikira kwa maselo a khansa ya m'mawere, komanso amaletsa khansa kuti isabwererenso.
Taganizirani izi, mitundu ina ya khansa ya m'mawere ili ngati chomera chaching'ono. Chomerachi chimafuna madzi kuti chikule ndikukulirakulira. Mofananamo, maselo a khansa awa amafunikira mahomoni achikazi otchedwa estrogen kuti akule. Mankhwala a tamoxifen amagwira ntchito yobisika kwambiri. Amalowa m'mafupa a bere ndikuletsa mahomoni a estrogen kuti asafike ku maselo a khansa amenewo. Zili ngati kutseka chitoliro cha madzi kupita ku chomeracho. Kenako, popanda estrogen, maselo a khansa amataya mphamvu zawo zokulira ndikufalikira.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Dokotala wanu akamakuganizirani bwino, chithandizo chanu chidzakhala chotetezeka. Choncho, musanayambe kumwa tamoxifen, onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi vuto lililonse mwa izi:
| Matenda aliwonse omwe alipo kale kapena mavuto ena omwe mungakhale nawo |
|---|
| Ngati muli ndi mbiri ya magazi kuundana |
| Ngati mudadwalapo sitiroko kale |
| Ngati muli ndi khansa ya m'mimba kapena uterine fibroids |
| Ngati muli ndi endometriosis |
| Ngati muli ndi cholesterol yambiri m'magazi |
| Ngati muli ndi nthawi yosasinthasintha ya msambo |
| Ngati muli ndi matenda a chiwindi |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa mwana |
| Ngati muli ndi vuto la chifuwa cha tamoxifen kapena mankhwala ena kapena chakudya |
Kodi mungagwiritse ntchito bwanji mankhwalawa moyenera?
Kuti mupindule kwambiri ndi mankhwalawa, ndikofunikira kwambiri kuwagwiritsa ntchito moyenera.
- Piritsi ili liyenera kumwedwa pakamwa. Ndi chizolowezi chabwino kumwa nthawi yomweyo tsiku lililonse , monga momwe dokotala wanenera.
- Mungathe kumwa mankhwalawa muli ndi chakudya kapena ayi. Komabe, anthu ena amatha kuvutika m'mimba kapena nseru akamamwa popanda chakudya. Ngati izi zitachitika, imwani mankhwalawa mukamadya .
- Chofunika kwambiri ndikupitiriza kumwa mankhwalawa mpaka dokotala wanu atanena kuti, "Zakwanira, siyani." Musayime pakati.
Ngati mwamwa mankhwala ochulukirapo mwangozi, musataye nthawi ndipo pitani nthawi yomweyo ku Emergency Treatment Unit (ETU) ya chipatala chapafupi. Kapena imbani National Poisons Information Centre ku Colombo National Hospital .
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, musadandaule. Imwani mwamsanga mukangokumbukira. Komabe, ngati uli pafupi kwambiri ndi mlingo wanu wotsatira (monga, maola ochepa okha), dumphani mlingo womwe mwaphonya ndikumwa mlingo wanu wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri pazifukwa zilizonse.
Mankhwala ena omwe angagwirizane ndi tamoxifen
Mankhwala ena omwe mukumwa angakhudze momwe tamoxifen imagwirira ntchito, choncho ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa.
| Mankhwala omwe sayenera kumwedwa ndi tamoxifen | |
|---|---|
| Cisapride | Dronedarone |
| Pimozide | Thioridazine |
| Mankhwala ena omwe angayambitse mavuto ndi tamoxifen (uzani dokotala ngati mukumwa mankhwalawa) | |
| Mankhwala ena oletsa khansa monga Anastrozole ndi Letrozole | Mankhwala ochepetsa magazi monga Warfarin |
| Mankhwala oletsa khunyu monga Carbamazepine, Phenobarbital, ndi Phenytoin | Mankhwala oletsa kuvutika maganizo monga Paroxetine |
| Rifampin (mankhwala a chifuwa chachikulu) | Mankhwala ena omwe amawonjezera nthawi ya QT |
Mndandandawu sunathe. Choncho uzani dokotala wanu za mankhwala ena aliwonse, mavitamini, zitsamba, ndi zowonjezera zomwe mukumwa. Uzaninso dokotala wanu ngati mumasuta kapena kumwa mowa.
Zinthu zomwe muyenera kusamala kwambiri mukamamwa mankhwala
Kufunika kopita kuchipatala nthawi zonse
Ndikofunikira kulankhulana ndi dokotala nthawi zonse mukamamwa mankhwalawa. Ndikofunikira kupita kukaonana ndi dokotala nthawi zonse komanso kukaonana ndi dokotala nthawi zonse, monga kuyezetsa mabere, kuyezetsa m'chiuno, ndi kuyezetsa mammogram .
Dziwani zoopsa za khansa ya m'chiberekero.
Azimayi omwe akumwa tamoxifen akhoza kukhala ndi chiopsezo chowonjezeka pang'ono chotenga khansa ya m'chiberekero. Izi sizinthu zodetsa nkhawa, koma ndikofunikira kudziwa. Dokotala wanu adzakulankhulani za chiopsezochi. Samalani ndi zizindikiro monga kutuluka magazi m'mimba mutatha kusamba komanso kupweteka m'chiuno.
Malangizo apadera okhudza mimba ndi kuyamwitsa
Izi ndizofunikira kwambiri!Muyenera kupewa kutenga pakati mukumwa mankhwalawa komanso kwa miyezi iwiri mutasiya kumwa mankhwalawa. Mankhwalawa akhoza kuvulaza kwambiri mwana wosabadwa. Chifukwa chake, lankhulani ndi dokotala wanu za njira zolerera zoyenerera komanso zodalirika. Komanso, pewani kuyamwitsa mukumwa mankhwalawa komanso kwa miyezi itatu mutasiya kumwa mankhwalawa.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse, tamoxifen ingayambitse zotsatira zina zoyipa. Ngakhale zambiri mwa izi ndi zazing'ono, pali zinthu zina zomwe tiyenera kuzidziwa bwino.
| Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi |
| Zizindikiro za magazi kuundana | Kupweteka kwa mwendo, kutupa, kufiira, kupuma movutikira, kupweteka pachifuwa |
| Zizindikiro za sitiroko | Kusanza mwadzidzidzi kapena kufooka kwa nkhope, mkono, kapena mwendo, kuvutika kulankhula, kuvutika kuyenda, mutu waukulu, kusintha kwa masomphenya |
| Zizindikiro za kuwonongeka kwa chiwindi | Ululu m'mimba pamwamba pa kumanja, kusowa chilakolako cha chakudya, nseru, khungu kapena maso achikasu, mkodzo wakuda, ndowe zotumbululuka |
| Zizindikiro zina zazikulu | Zizindikiro za matenda monga kuvulala kapena kutuluka magazi kosazolowereka, kutuluka magazi m'mimba mutasiya kusamba, kupweteka m'chiuno, kutentha thupi, ndi kuzizira. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kutentha kwambiri | Kutentha mwadzidzidzi ndi thukuta pankhope ndi thupi. |
| Kusintha kwa maganizo | Kumva chisoni popanda chifukwa, kukwiya msanga (kusintha kwa maganizo). |
| Kutuluka kwa madzi m'mimba | Kutuluka kwa madzi m'mimba, monga kutuluka kwa madzi m'mimba. |
Uthenga Wopita Nawo Kunyumba
- Tamoxifen ndi mankhwala ofunikira kwambiri pochiza khansa ya m'mawere. Chifukwa chake, ndikofunikira kumwa mankhwalawa nthawi yonse yomwe dokotala wanu wakupatsani.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa komanso matenda ena aliwonse omwe mungakhale nawo.
- Ngati mukukumana ndi mavuto aakulu monga kutupa kwa miyendo, kupweteka pachifuwa, kupuma movutikira, kapena kutuluka magazi mosazolowereka, funsani dokotala nthawi yomweyo.
- Pewani kutenga mimba mukumwa mankhwalawa komanso kwa miyezi iwiri mutasiya kumwa. Lankhulani ndi dokotala wanu za izi.
- Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi mankhwalawa, musamangodalira zambiri zomwe zili pa intaneti, koma funsani dokotala wanu.
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