Kodi mukuchita chemotherapy ya khansa ? Ndiye kuti muyenera kuti munamva ngati mukupeza matenda nthawi zonse, sichoncho? Izi zimachitika kwa anthu ambiri. Chifukwa chachikulu cha izi ndikuti chithandizo cha khansa chimachepetsa kuchuluka kwa maselo oyera m'magazi athu omwe amalimbana ndi matenda . Lero, tikambirana za mankhwala ofunikira kwambiri omwe amathandiza pa vutoli.
Kodi Tbo-Filgrastim ndi chiyani?
Mwachidule, Tbo-Filgrastim ndi ngati msilikali wofunikira kwambiri m'thupi lathu. Mankhwalawa ndi a gulu la mankhwala otchedwa ``Granulocyte colony-stimulating factor''. Kunena zoona, mankhwalawa amagwira ntchito kupita ku mafupa athu ndikuwapatsa 'signal' pang'ono. Chizindikirocho chimati, "Chabwino, pitani kuntchito tsopano, tikufuna asilikali ambiri."
Ma neutrophils amenewa ndi mtundu wapadera wa maselo oyera a m'magazi otchedwa neutrophils . Ma neutrophils amenewa ndi omwe makamaka amalimbana ndi majeremusi monga mabakiteriya ndi mavairasi omwe amalowa m'thupi lathu.
Tsopano, mukapatsidwa mankhwala a chemotherapy, mankhwalawa amatha kupha osati maselo a khansa okha, komanso maselo athu athanzi omwe amagawikana mwachangu, makamaka maselo omwe amapanga ma neutrophils mu fupa la mafupa. Kenako chiwerengero cha ma neutrophils chimachepa kwambiri. M'mawu azachipatala, timatcha vutoli kuti 'severe neutropenia' . Chomwe jakisoni wa Tbo-Filgrastim amachita ndikuchepetsa nthawi yomwe ma neutrophils amenewo amakhala ochepa momwe mungathere ndikukutetezani ku chiopsezo chotenga matenda. Mankhwalawa amadziwikanso ndi dzina lodziwika bwino la ' Granix '.
Zinthu zoti muuze dokotala wanu musanayambe kumwa mankhwala
Musanasankhe ngati mankhwalawa ndi oyenera kwa inu, dokotala wanu ayenera kudziwa mbiri yonse ya thanzi lanu. Chifukwa chake, onetsetsani kuti mwamuuza izi:
- Ngati mukufuna kuyesedwa fupa posachedwa.
- Ngati muli ndi matenda a impso .
- Ngati muli ndi vuto lotchedwa 'Sickle cell anemia' .
- Ngati mudakumanapo ndi vuto la mankhwala awa (tbo-filgrastim) kapena mankhwala ena ofanana nawo (filgrastim, pegfilgrastim) kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba .
- Ngati ndinu mayi amene akuyamwitsa mwana .
Ndikofunikira kwambiri kuti mukhale otetezeka kupereka uthengawu kwa dokotala, choncho kumbukirani kumuuza popanda kubisa chilichonse.
Kodi mankhwalawa angagwiritsidwe ntchito bwanji?
Iyi ndi jakisoni pansi pa khungu. Nthawi zambiri imaperekedwa kuchipatala kapena kuchipatala. Koma nthawi zina, mungafunike kudzibaya nokha mankhwala kunyumba. Ngati ndi choncho, musadandaule. Dokotala wanu kapena ogwira ntchito yosamalira anamwino adzakuwonetsani njira yoyenera yochitira izi, kuyambira kukonzekera mankhwalawo mpaka kukupatsani. Werenganinso malangizo omwe amabwera ndi phukusi la mankhwala mosamala.
Mfundo zofunika zingapo
- Kutaya singano: Musataye singano ndi ma syringe ogwiritsidwa ntchito kale m'zinyalala . Ndi oopsa kwambiri. Ayenera kuyikidwa mu chidebe chapadera cha sharping. Ngati mulibe, mutha kupeza imodzi kwa dokotala wanu kapena kuchipatala.
- Ngati aperekedwa kwa ana: Ngati akupereka mankhwalawa kwa ana aang'ono, funsani dokotala wa ana.Muyenera kulankhula ndi dokotala wanu. Nthawi zina zapadera, izi zitha kuperekedwa kwa mwana wa mwezi umodzi, koma mosamala kwambiri komanso moyang'aniridwa ndi dokotala.
- Ngati mwamwa mopitirira muyeso: Ngati mukuganiza kuti mwamwa mopitirira muyeso womwe mwapatsidwa, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Apo ayi, pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi mwamsanga.
Zotsatirapo zake ndi zina zomwe muyenera kuziganizira
Monga mankhwala ena aliwonse, pali zotsatirapo zina zomwe zingachitike mukamwa mankhwalawa. Zina zimakhala zoopsa, pomwe zina zimakhala zofala. Ndikofunikira kudziwa izi.
| Gulu la zotsatira zoyipa | Zizindikiro |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa kwambiri, kutupa kwa nkhope, milomo kapena lilime. |
| Kuvuta kupuma | Kupuma movutikira |
| Ululu | Kupweteka kwambiri m'mimba kapena m'mbali, kupweteka kwa phewa, kupweteka kwa msana. |
| Mavuto a impso | Kuvuta kukodza, kusintha kwa kuchuluka kwa mkodzo, magazi mu mkodzo, mkodzo wakuda. |
| Zizindikiro zina zazikulu | Kuyabwa, kukomoka, kugunda kwa mtima mofulumira, thukuta kwambiri, kutupa miyendo, akakolo kapena mimba, kutopa kwambiri. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kupweteka kwa mafupa | Izi ndi zotsatira zoyipa zomwe zimachitika kawirikawiri. Ululuwu ukhoza kuchitika chifukwa chakuti mafuta a m'mafupa ayamba kugwira ntchito. |
| Matenda ena ang'onoang'ono | Mutu, kupweteka kwa minofu, kutsegula m'mimba, kusanza. |
Mfundo zina zofunika
- Nanga bwanji ngati ndaphonya mlingo? Ndikofunikira kwambiri kumwa mankhwalawa monga momwe ayenera kukhalira. Ngati mwaphonya mlingo, imbani dokotala nthawi yomweyo kuti akupatseni upangiri.
- Mankhwala ena: Uzani dokotala wanu ngati mukumwa mankhwala monga lithiamu . Komanso, perekani dokotala wanu mndandanda wathunthu wa mankhwala onse omwe mukumwa (kuphatikizapo mavitamini, zakudya zowonjezera, ndi zitsamba).
- Kuyezetsa magazi: Dokotala wanu adzalamula kuyezetsa magazi kuti aone kuchuluka kwa maselo a magazi anu pamene mukumwa mankhwala awa. Ndikofunikira kuti mayesowa achitike pa nthawi yake komanso osawasiya.
- Kusungira: Sungani mufiriji pa madigiri 2 mpaka 8 Celsius . Tetezani ku kuwala ndipo sungani mu katoni yoyambirira. Tayani mankhwala osagwiritsidwa ntchito ngati akhala kunja kwa firiji kwa masiku opitilira 5. Musagwiritse ntchito mankhwala otha ntchito.
Uthenga Wopita Nawo Kunyumba
- Tbo-Filgrastim ndi katemera amene amathandiza kuwonjezera kuchuluka kwa maselo oyera a m'magazi omwe amalimbana ndi matenda otchedwa neutrophils, omwe amachepa chifukwa cha zinthu monga chithandizo cha khansa (chemotherapy).
- Uzani dokotala wanu mbiri yanu yonse ya matenda (makamaka ziwengo, matenda a impso, kuchepa kwa magazi m'thupi) musanayambe kumwa mankhwala.
- Phunzirani momwe mungabayire katemera moyenera komanso momwe mungatayire singano zomwe zagwiritsidwa ntchito mosamala.
- Uzani dokotala wanu nthawi yomweyo ngati mukukumana ndi mavuto aakulu monga kupuma movutikira, kupweteka kwambiri, kapena kusagwirizana ndi mankhwala.
- Ndikofunikira kwambiri kumwa mlingo wolembedwa panthawi yolembedwa. Ngati mwaphonya mlingo, funsani dokotala wanu nthawi yomweyo.
- Sungani mankhwala mufiriji monga momwe mwalangizidwira. Musagwiritse ntchito mankhwala otha ntchito kapena osasungidwa bwino.
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