Madokotala akamakupezani inu kapena wokondedwa wanu ali ndi khansa, ndi zachilendo kumva mantha pang'ono, kufuna kudziwa zambiri, komanso kukhala ndi mafunso ambiri okhudza chithandizocho. Makamaka tikamva za chemotherapy , mtundu wa chithandizo cha khansa chomwe chimabwera m'maganizo mwathu. Lero tikulankhula za chithandizo chimodzi chotere cha khansa, makamaka mankhwala otchedwa Temozolomide, omwe amagwiritsidwa ntchito pochiza mitundu ingapo ya khansa ya muubongo . Ngakhale kuti nkhaniyi ndi yovuta, tidzaisunga yosavuta komanso yosavuta kumva.
Kodi Temozolomide ndi mankhwala otani?
Mwachidule, `Temozolomide` ndi mankhwala a chemotherapy `(chemotherapy)` omwe amaperekedwa kupha maselo a khansa . Amabwera ngati makapisozi. Amagwiritsidwa ntchito makamaka pochiza mitundu ina ya khansa ya muubongo. Nthawi zina dokotala wanu angakupatseninso mankhwalawa pa matenda ena. Chifukwa chake ngati muli ndi mafunso aliwonse, musaope kulankhula ndi dokotala wanu za izi. Mankhwalawa amadziwikanso ndi dzina lodziwika bwino la `TEMODAR`.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwala
Dokotala wanu asanakupatseni mankhwala awa, ayenera kukhala ndi chithunzi chonse cha thanzi lanu. Chifukwa chake, ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwadziwitsa dokotala wanu.
- Matenda a impso : Ngati muli ndi matenda aliwonse a impso, chifukwa impso zimakhudzidwa ndi kuchotsa mankhwalawa m'thupi.
- Matenda a Chiwindi: Ngati muli ndi matenda a chiwindi, chiwindi ndi chofunikira kwambiri kuti mankhwala agwire ntchito m'thupi.
- Matenda a ziwengo : Tiuzeni ngati muli ndi vuto lililonse la ziwengo ku Temozolomide, dacarbazine (DTIC), kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Mimba : Ngati muli ndi pakati, mukufuna kutenga mimba, kapena mukukayikira kuti muli ndi pakati, muyenera kuuza dokotala wanu.
- Kuyamwitsa : Ngati ndinu mayi amene akuyamwitsa mwana, dziwitsani dokotala wanu za izi.
Izi ndizofunikira kuti dokotala akupatseni chithandizo chotetezeka kwambiri.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Dokotala wanu adzakufotokozerani momveka bwino momwe mungagwiritsire ntchito mankhwalawa. Ndikofunikira kwambiri kutsatira malangizo amenewo molondola.
- Mezani kapisozi yonseyi ndi kapu ya madzi. Musamatafune, kuphwanya, kapena kuswa kapisoziyo.
- Mungathe kumwa izi muli ndi chakudya kapena ayi. Koma chofunika kwambiri ndikutenganso chimodzimodzi tsiku lililonse . Mwachitsanzo, ngati munamwa musanadye tsiku loyamba, pitirizani kumwa musanadye. Ngati munamwa mutadya, pitirizani kutero.
- Anthu ena angamve nseru akatha kumwa mankhwalawa. Kumwa mankhwalawa m'mimba yopanda kanthu kungathandize kuchepetsa nseru. Komanso, kumwa mankhwalawa musanagone usiku kungathandize kuchepetsa nseru.
- Imwani mankhwala anu pokhapokha ngati dokotala wanu wakupatsani malangizo. Musasiye kumwa mankhwala anu kapena kusintha mlingo popanda malangizo a dokotala wanu .
Chofunika: Ngati mwadzidzidzi mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku Dipatimenti Yothandiza Pangozi (ETU) yapafupi mwamsanga. Kapena imbani National Poisons Information Centre ku Chipatala cha Dziko Lonse cha Colombo .
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, musadandaule. Funsani dokotala wanu momwe mungamwere mlingo wanu wotsatira. Musamwe milingo iwiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaphonya. Ngati mwasanza mutamwa mlingo, musamwenso mlingo wina nthawi imodzi. Imwani mlingo wanu nthawi ina.
Zinthu zofunika kukumbukira mukamamwa mankhwala
Tiyenera kusamala kwambiri matupi athu pamene tikulandira chithandizo cha chemotherapy.
Matenda ndi zovuta zomwe zimachitika kawirikawiri
Mankhwala a chemotherapy amatha kukhudza osati maselo a khansa okha, komanso maselo athanzi m'thupi lathu. Chifukwa chake, ndikwachibadwa kumva kutopa pang'ono, kufooka, komanso kusasangalala panthawi ya chithandizo. Uzani dokotala wanu za zotsatirapo zilizonse zomwe mumakumana nazo. Komabe, pitirizani ndi chithandizo mpaka dokotala wanu atakuuzani kuti musiye.
Kumwa mankhwalawa kungachepetse mphamvu ya thupi lanu yolimbana ndi matenda . Izi zikutanthauza kuti chiwerengero cha maselo oyera m'magazi anu chingachepe.
- Choncho, yesetsani kupewa anthu omwe ali ndi zizindikiro monga malungo, chimfine, chifuwa, ndi kupweteka pakhosi .
- Ngati muli ndi malungo, mukumva ngati mwalumidwa ndi chimfine, kapena mukutsegula m'mimba, musadzipatse mankhwala. Imbani dokotala wanu nthawi yomweyo.
Zotsatira za khungu zomwe zingatheke
Kawirikawiri, pakhungu pamakhala zotsatirapo zoopsa. Izi zitha kuchitika ngakhale milungu ingapo mutayamba kumwa mankhwalawa. Fufuzani thandizo lachipatala mwachangu ngati mutuluka matuza ofiira kapena ofiirira pakhungu lanu limodzi ndi malungo kapena zizindikiro za chimfine , ngati khungu lanu likutuluka , kapena ngati mutuluka mawanga ofiira pankhope panu, pamilomo, pakhosi, kapena m'khwapa ndi ma lymph nodes otupa.
Kutuluka magazi ndi mimba
- Mankhwalawa amatha kuchepetsa kuchuluka kwa ma platelet m'thupi lanu, zomwe zimathandiza magazi kuundana. Izi zimapangitsa kuti ngakhale kachilonda kakang'ono kasanduke buluu ndikuyambitsa kutuluka magazi . Uzani dokotala wanu ngati muwona mabala abuluu osazolowereka, mawanga ang'onoang'ono ofiira pakhungu lanu, magazi mu mkodzo wanu, kapena ndowe zakuda.
- Mimba: Izi ndizofunikira kwambiri.
- Akazi: Pewani kutenga pakati mukamamwa mankhwalawa komanso kwa miyezi 6 mutasiya kumwa .
- Amuna: Pewani kubereka mwana pamene mukumwa mankhwalawa komanso kwa miyezi itatu mutasiya kumwa . Ngati mnzanu watenga pakati, uzani dokotala nthawi yomweyo. Komanso pewani kupereka umuna panthawiyi.
- Mankhwalawa angakhudze chonde. Ngati muli ndi nkhawa iliyonse pankhaniyi, lankhulani ndi dokotala wanu za izi momasuka.
| Mtundu wa zotsatira zoyipa | Zimene muyenera kudziwa |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime. |
| Kuvuta kupuma | Kupuma movutikira, kupuma movutikira. |
| Zizindikiro za kuchepa kwa maselo m'magazi | Zizindikiro za matenda (malungo, chifuwa), kutuluka magazi kapena mabala osazolowereka, kutopa kwambiri, kukomoka. |
| Matenda aakulu a khungu | Kufiira, kutupa, khungu lotupa (ngakhale mkati mwa pakamwa). |
| Zizindikiro za kuwonongeka kwa chiwindi | Mkodzo wakuda wachikasu/bulauni, maso kapena khungu kukhala lachikasu, kupweteka kumtunda kwa mimba. |
| Kugwidwa ndi khunyu | Matenda obwera mwadzidzidzi ngati khunyu. |
| Zotsatirapo zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa | |
| Mavuto a m'mimba | Kudzimbidwa, kutsegula m'mimba, kusanza, nseru. |
| Kutaya tsitsi | Kutaya tsitsi kwakanthawi. |
| Mutu | Kupweteka mutu pafupipafupi. |
Kodi muyenera kusunga bwanji mankhwala anu?
- Sungani pamalo omwe ana sangafikire .
- Sungani kutentha kwa chipinda (pakati pa madigiri 20 ndi 25 Celsius).
- Tayani mankhwala otha ntchito.
Kuchiza khansa ndi ulendo waukulu. Ndizachibadwa kukhala ndi mafunso, nkhawa, ndi mantha panjira. Chofunika kwambiri ndikugawana zonse zomwe zili m'maganizo mwanu ndi dokotala wanu komanso banja lanu. Simuli nokha.
Uthenga Wopita Nawo Kunyumba
- Imwani makapisozi a Temozolomide monga momwe dokotala wanu wanenera, panthawi yoyenera komanso mu mlingo woyenera.
- Musamaswe, kutafuna, kapena kuphwanya makapisozi. Mezani onse.
- Ngati muwona zotsatira zoyipa monga kutentha thupi, matuza pakhungu, mabala osazolowereka kapena kutuluka magazi, dziwitsani dokotala wanu nthawi yomweyo .
- Pewani kutenga mimba konse panthawi ya chithandizo komanso kwa nthawi yonse yomwe dokotala wanu akulangiza (izi zikugwira ntchito kwa akazi ndi amuna).
- Patsani dokotala wanu mndandanda wathunthu wa mankhwala ena onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala achikhalidwe).
- Musazengereze kufunsa dokotala wanu mafunso kapena nkhawa zilizonse zomwe mungakhale nazo.
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