Tiyeni tikambirane za katemera wa Temsirolimus wochizira khansa ya impso.

Dokotala wanu akakuuzani inu kapena munthu wina wapafupi nanu kuti ali ndi khansa ya impso, n'zachibadwa kukhala ndi chidwi komanso mantha pang'ono za chithandizo chotsatira. Chimodzi mwa mankhwala awa ndi katemera wotchedwa temsirolimus. Kotero lero, tiyeni tikambirane za mankhwalawa, monga momwe mungalankhulire ndi mnzanu, ndikuyesera kuyankha mafunso aliwonse omwe mungakhale nawo.

Kodi Temsirolimus ndi chiyani kwenikweni?

Mwachidule, temsirolimus ndi mankhwala apadera omwe amaperekedwa kuti amenyane ndi mitundu ina ya maselo a khansa omwe amakula mu impso. Mwina munamvapo za izi pansi pa dzina loti ``Torisel.'' Ntchito yake yayikulu ndikulamulira kukula kwa maselo a khansa mwa kusintha momwe chitetezo cha mthupi lathu chimagwirira ntchito. Izi zili ngati kutseka njira zomwe zimathandiza maselo a khansa kukula ndikukula. Izi zimayikidwa m'gulu la mankhwala a chemotherapy.

Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kulandira chithandizo

Musanayambe chithandizochi, ndikofunikira kwambiri kupatsa dokotala wanu chithunzi chonse cha thanzi lanu. Musabise chilichonse, poganiza kuti ndi chinthu chaching'ono. Chifukwa ngakhale chidziwitso chochepacho chingakhudze kupambana kwa chithandizo chanu. Ngati muli ndi chilichonse mwa izi, onetsetsani kuti mwauza dokotala wanu.

Ndingakupatseni bwanji mankhwala awa?

Iyi si mankhwala omwe mungapite nawo kunyumba. Iyi ndi jakisoni (infusion) yomwe imaperekedwa mumtsempha, monga saline, ndi katswiri wazachipatala wophunzitsidwa bwino kuchipatala kapena kuchipatala. Nthawi zambiri izi zimatenga mphindi 30 mpaka 60.

Nanga bwanji ngati mwaphonya mlingo wa mankhwala?

Ndikofunikira kwambiri kumwa mankhwala anu pa nthawi yake komanso pa tsiku lomwe mwakonzekera kulandira chithandizochi. Ngati pazifukwa zina simungathe kupita pa tsiku lomwe mwakonzekera,Imbani dokotala wanu kapena chipatala nthawi yomweyo ndipo muwadziwitse.

Nanga bwanji ngati mlingo wa mankhwala wawonjezeka (kupitirira muyeso)?

Izi zimaperekedwa kuchipatala, kotero mwayi woti izi zichitike ndi wochepa kwambiri. Komabe, ngati mukukayikira kuti izi zachitika mwanjira ina iliyonse, dziwitsani nthawi yomweyo Chipatala cha Emergency Treatment Unit (ETU). Muthanso kuyimbira National Poisons Information Centre ku Colombo National Hospital kuti mupeze upangiri, ngati pakufunika kutero.

Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)

Mankhwala ena, mavitamini, kapena mankhwala azitsamba omwe mukumwa angagwirizane ndi temsirolimus. Choncho uzani dokotala wanu zonse zomwe mukumwa. Samalani kwambiri ndi izi:

• Mankhwala oletsa mavairasi omwe atengedwa chifukwa cha HIV kapena Edzi
• Mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda a bowa (monga ketoconazole, itraconazole)
• Mankhwala ena omwe amagwiritsidwa ntchito pochiza kuthamanga kwa magazi (monga amlodipine, nifedipine)
• Mankhwala a khunyu (monga carbamazepine, phenytoin)
• Maantibayotiki ena (monga clarithromycin, rifampicin)
• Dexamethasone, mtundu wa steroid
• Mankhwala ena oletsa khansa monga `sunitinib`
• Madzi a mphesa
• Katemera

Zinthu zomwe muyenera kuziganizira kwambiri mukalandira chithandizo

Nthawi ino ingakhale yovuta pang'ono, koma ndi chidziwitso choyenera komanso chisamaliro choyenera , nthawi ino itha kupititsidwa mosavuta.

Kupimidwa nthawi zonse ndi kuyezetsa magazi

Dokotala wanu nthawi zambiri amakufunsani kuti muyesedwe magazi. Izi zimachitika kuti muwone momwe mankhwalawo akukhudzira thupi lanu komanso kuti muwone ngati chiwindi chanu, impso, ndi maselo amagazi akugwira ntchito bwino. Ndikofunikira kwambiri kuti musalumphe mayesowa.

Kusasangalala ndi matenda

Popeza mankhwalawa amakhudza maselo a khansa komanso maselo athanzi, ndi zachilendo kuti munthu azimva kufooka komanso kusasangalala. Koma pitirizani kumwa mankhwalawa mpaka dokotala wanu atakuuzani kuti musiye. Komanso, mankhwalawa amachepetsa mphamvu ya thupi lanu yolimbana ndi matenda (chitetezo chamthupi) . Chifukwa chake, pewani anthu omwe ali ndi chimfine ndi fuluwenza momwe mungathere.

Kuopsa kwa magazi ndi thanzi la mano

Mankhwalawa angayambitse magazi ambiri chifukwa cha mabala ang'onoang'ono ndi mabala, ndipo mukhoza kuvulala mosavuta. Mukamatsuka mano anu, gwiritsani ntchito burashi yofewa . Ngati mukupita kwa dokotala wa mano, muuzeni kuti mukumwa mankhwalawa.

Mimba ndi kuyamwitsa (zofunika kwambiri!)

• Akazi: Pewani kutenga pakati pamene mukumwa mankhwalawa komanso kwa miyezi itatu mutasiya kumwa mankhwalawa.
• Amuna: Pewani kubereka mwana pamene mukumwa mankhwalawa komanso kwa miyezi itatu mutasiya kumwa mankhwalawa.
• Mankhwalawa akhoza kuvulaza kwambiri mwana wosabadwa.
• Pewani kuyamwitsa panthawi ya chithandizo komanso kwa milungu itatu mutatenga mlingo womaliza.

Zotsatirapo zomwe mungakumane nazo

Monga mankhwala ena aliwonse, temsirolimus ikhoza kukhala ndi zotsatirapo zake. Zina zimakhala zoopsa, pomwe zina zimakhala zochepa. Chofunika kwambiri ndikudziwa izi ndikuziuza dokotala wanu mwachangu.