Mukauzidwa kuti muyamba kulandira mankhwala a chemotherapy, kutanthauza mankhwala, monga chithandizo cha khansa, ndi zachilendo kumva mantha pang'ono komanso mantha. Mafunso ambiri amabwera m'maganizo mwanu, monga mtundu wa mankhwala, chomwe chidzachitike ndi mankhwalawa, komanso kodi padzakhala zotsatirapo zake. Lero tikambirana za jakisoni wotchedwa Teniposide, womwe umaperekedwa pochiza khansa. Tiyeni tikambirane mwachidule komanso mwaubwenzi za zomwe zimachitika ndi izi komanso zomwe tiyenera kusamala nazo.
Kodi Teniposide ndi chiyani?
Mwachidule, teniposide ndi mankhwala oletsa khansa. Ndiko kuti, ndi mankhwala omwe amachepetsa kapena kulamulira kukula kwa maselo a khansa . Amayikidwa m'gulu la mankhwala a chemotherapy.
Katemerayu nthawi zambiri amagwiritsidwa ntchito pochiza khansa ya m'magazi yotchedwa acute lymphocytic leukemia (ALL) , yomwe ndi mtundu wa khansa yomwe imakhudza maselo oyera m'magazi. Komabe, dokotala wanu angakupatseninso mankhwala awa pa mitundu ina ya khansa.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kulandira chithandizo
Musanayambe chithandizochi, ndikofunikira kwambiri kudziwitsa dokotala wanu za thanzi lanu lonse. Ngati muli ndi chilichonse mwa izi, onetsetsani kuti mwauza dokotala wanu za izi.
- Ngati muli ndi matenda a Down syndrome.
- Matenda omwe alipo panopa: Ngati muli ndi matenda ofala monga chimfine kapena chimfine, kapena matenda a kachilombo monga nsabwe kapena herpes.
- Matenda a impso: Ngati muli ndi vuto lililonse lokhudzana ndi impso.
- Matenda a chiwindi: Ngati muli ndi vuto la chiwindi.
- Kuchuluka kwa magazi m'magazi: Ngati mayeso am'mbuyomu apeza kuti muli ndi maselo oyera a magazi, maselo ofiira a magazi, kapena ma platelet ochepa m'magazi anu.
- Matenda a ziwengo: Ngati muli ndi vuto la ziwengo ndi mankhwala awa otchedwa Teniposide, kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Mimba ndi kuyamwitsa: Ngati muli ndi pakati, mukufuna kutenga pakati, kapena kuyamwitsa, ndikofunikira kuuza dokotala wanu musanayambe kulandira chithandizo.
Kodi mankhwala awa adzaperekedwa bwanji kwa inu?
Mankhwala awa si omwe mungamwe kunyumba. Teniposide ndi jakisoni (infusion) yomwe imaperekedwa m'thupi kudzera m'mitsempha . Zili ngati kupereka saline. Mankhwalawa amaperekedwa ndi katswiri wodziwa bwino ntchito zachipatala kuchipatala kapena ku chipatala. Choncho mulibe chodetsa nkhawa nacho.
Ngati mupatsa ana mankhwalawa...
Ngati mukuganiza zochizira mwana wanu, lankhulani ndi dokotala wanu wa ana za izi. Ngakhale kuti mankhwalawa amalimbikitsidwa kwa ana nthawi zina zapadera, palinso zinthu zina zomwe ziyenera kuganiziridwa.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Izi zimaperekedwa kuchipatala kotero mwayi woti izi zichitike ndi wochepa kwambiri. Komabe, ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, funsani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi.
Mankhwalawa ndi a inu nokha. Musagawane ndi wina aliyense.
Zinthu zoti muziganizire panthawi ya chithandizo
Muyenera kusamala pang'ono ndi thupi lanu pamene mukulandira chithandizochi.
- Kusasangalala ndi thupi: Popeza mankhwala a chemotherapy amakhudza maselo a khansa komanso maselo athanzi, ndi zachilendo kumva kutopa komanso kusasangalala. Ichi ndi chizindikiro chofala cha mankhwala a chemotherapy. Pitirizani kumwa mankhwala omwe mwapatsidwa mpaka dokotala atakuuzani kuti musiye .
- Kuopsa kwa matenda: Mankhwalawa amachepetsa kwakanthawi mphamvu ya thupi lanu yolimbana ndi matenda (chitetezo cha mthupi). Chifukwa chake, ngati mukumva zizindikiro monga kutentha thupi, mphuno yotuluka madzi, pakhosi lopweteka, kapena chifuwa , musadzipatse mankhwala ndipo uzani dokotala wanu nthawi yomweyo. Yesetsani kupewa anthu omwe akudwala panthawiyi.
- Kuopsa kwa kutuluka magazi: Mungakhale ndi mwayi waukulu wotuluka magazi kapena kuvulala mosavuta. Uzani dokotala wanu ngati muwona mkamwa mukutuluka magazi, kutuluka magazi m'mphuno, kapena kuvulala kosayembekezereka pakhungu lanu.
- Mimba ndi Kubereka:
- Akazi: Pewani kutenga mimba mukumwa mankhwalawa. Zingayambitse mavuto aakulu kwa mwana wanu wosabadwa ngati mutatenga mimba. Komanso, musayamwitse mwana wanu mukumwa mankhwalawa .
- Amuna: Pewani kutenga mimba mukumwa mankhwalawa. Ngati mnzanu atenga mimba panthawiyi, uzani dokotala wanu nthawi yomweyo. Mankhwalawa angakhudze kubereka kwa amuna. Lankhulani ndi dokotala wanu ngati muli ndi nkhawa iliyonse.
Zotsatirapo zoyipa za mankhwalawa
Monga mankhwala ena aliwonse, teniposide ingayambitse zotsatirapo zina. Zina mwa izo ziyenera kunenedwa nthawi yomweyo, pomwe zina sizowopsa kwenikweni. Tiyeni tifotokoze momveka bwino.
| Zotsatira zoyipa za Teniposide | |
|---|---|
| 🚨 Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Kuvuta kupuma | Kuvuta kupuma. |
| Zizindikiro za kuchepa kwa magazi |
|
| Zizindikiro zina zazikulu | Kusokonezeka, kugunda kwa mtima mofulumira, kutuluka magazi m'thupi, kupweteka kapena dzanzi m'miyendo. |
| 🙂 Kawirikawiri si nkhani yaikulu (koma uzani dokotala ngati ikupitirira) | |
| Mavuto a m'mimba | Kutsegula m'mimba, nseru, kusanza, zilonda pakamwa. |
| Kutaya tsitsi | Izi ndi zotsatira zoyipa zomwe zimachitika kawirikawiri, ndipo tsitsi lidzameranso pambuyo poti chithandizo chatha. |
Kodi pangakhale mavuto ndi mankhwala ena? (Kuyanjana kwa mankhwala)
Inde, mankhwala ena amatha kusokonezana ndi mankhwala a teniposide awa. Mwachitsanzo:
- Methotrexate
- Sodium salicylate
- Sulfamethizole
- Tolbutamide
Mndandanda uwu sunathe. Choncho onetsetsani kuti mwauza dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera), komanso ngati mumasuta kapena kumwa mowa.
Uthenga Wopita Nawo Kunyumba
- Teniposide ndi mankhwala amphamvu oletsa khansa omwe amaperekedwa kudzera m'mitsempha kuchipatala moyang'aniridwa ndi dokotala.
- Musanayambe chithandizo, uzani dokotala wanu za matenda anu onse, ziwengo, ndi mankhwala ena onse omwe mukumwa.
- Ngati mukupeza zizindikiro za matenda monga malungo, kupweteka pakhosi, kapena kutuluka magazi kapena mabala osazolowereka panthawi ya chithandizo, dziwitsani dokotala wanu nthawi yomweyo.
- Azimayi ndi amuna onse ayenera kusamala kwambiri kuti apewe kutenga mimba akamamwa mankhwalawa. Lankhulani ndi dokotala wanu za izi.
- Tsatirani malangizo a dokotala wanu. Pitirizani kulandira chithandizo mpaka dokotala wanu atakuuzani kuti musiye, ngakhale zitakupangitsani kukhala osasangalala. Lankhulani ndi gulu lanu lachipatala ngati muli ndi nkhawa iliyonse.
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