Ndizachibadwa kumva mantha pang'ono komanso mantha pamene inu kapena wokondedwa wanu mukuyamba kulandira chithandizo cha khansa. Mantha amenewo amatha kukulirakulira, makamaka mukamva mawu akuti 'chemotherapy'. Koma musachite mantha konse. Kuti chithandizochi chikhale chopambana, choyamba tiyenera kudziwa bwino za mankhwalawa. Kenako tikhoza kukumana ndi ulendowu bwino. Lero tikulankhula za mankhwala amodzi oletsa khansa, Thioguanine (6-TG).
Kodi Thioguanine (6-TG) ndi mankhwala amtundu wanji?
Mwachidule, Thioguanine ndi mankhwala oletsa khansa . Madokotala amatcha kuti ndi mankhwala a 'chemotherapy'. Ntchito yake yayikulu ndikuletsa kukula kwa maselo a khansa omwe amagawanitsa mwachangu m'thupi ndikuwononga.
Mankhwalawa amagwiritsidwa ntchito makamaka pochiza mitundu ina ya khansa ya m'magazi , yomwe ndi khansa ya maselo a magazi. Nthawi zina, dokotala wanu angakupatseni mankhwala awa pa matenda ena. Chifukwa chake ngati muli ndi mafunso okhudza chifukwa chomwe mwapatsidwa mankhwalawa, ndi bwino kufunsa dokotala wanu.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Musanayambe kulandira chithandizo cha Thioguanine, ndikofunikira kwambiri kudziwitsa dokotala wanu za mbiri yanu yonse ya thanzi. Chifukwa tiyenera kusamala kwambiri tikamagwiritsa ntchito mankhwalawa omwe ali ndi matenda enaake. Ngati muli ndi zotsatirazi, onetsetsani kuti mwatiuza za izi.
| Mkhalidwe/zowona zaumoyo | N’chifukwa chiyani muyenera kuuza dokotala? |
|---|---|
| Matenda omwe alipo (makamaka omwe ali ndi kachilombo monga nkhuku ndi herpes) | Chifukwa chakuti mankhwalawa amachepetsa chitetezo cha mthupi, matenda omwe alipo kale akhoza kuipiraipira. |
| Matenda a chiwindi | Popeza mankhwalawa amakonzedwa ndi chiwindi, akhoza kukhala ndi zotsatirapo zoyipa pa matenda a chiwindi. |
| Kuchepa kwa chiwerengero cha maselo m'magazi (maselo oyera a magazi, maselo ofiira a magazi, ma platelet) | Thioguanine imatha kuchepetsa kwambiri kupanga maselo a m'magazi, zomwe zingakhale zoopsa ngati kuchuluka kwa maselo a m'magazi anu kuli kotsika kale. |
| Kusowa kwa TPMT (kusowa kwa Thiopurine methyltransferase) | Imeneyi ndi vuto la majini. Anthu omwe alibe enzyme iyi akhoza kukhala ndi Thioguanine wambiri m'thupi lawo, zomwe zimawonjezera zotsatirapo zake. |
| Matenda a ziwengo | Ndikofunikira kudziwitsa dokotala wanu ngati muli ndi vuto lililonse la Thioguanine kapena mankhwala ena kapena zakudya. |
| Kuyesa kutenga pakati, kukhala ndi pakati, kapena kuyamwitsa | Mankhwalawa angayambitse mavuto aakulu kwa mwana wosabadwa, choncho ndikofunikira kukambirana za izi. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Njira yogwiritsira ntchito mankhwalawa ndi yosavuta kwambiri, koma yofunika kwambiri.
- Mezani piritsi ndi kapu ya madzi , monga momwe mwalangizidwira ndi dokotala wanu.
- Imwani mankhwala anu tsiku lililonse, monga momwe dokotala wanu wanenera, panthawi yomwe mwauzidwa. Musadumphe nthawi yokumana ndi dokotala.
- Musasiye kumwa mankhwala kapena kusintha mlingo pazifukwa zilizonse popanda upangiri wa dokotala.
- Ngati mukupereka mankhwalawa kwa ana, lankhulani ndi dokotala wanu wa ana za izi ndipo tsatirani malangizo awo.
Chenjezo: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa omwe mwapatsidwa, musazengereze. Imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, musadandaule. Dumphani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi.Izi zikutanthauza kuti musamwe mlingo wowirikiza kawiri kuti mubwezeretse womwe mwaiwala. Ngati mukusanza mutamwa mankhwala, funsani dokotala wanu kuti akupatseni upangiri wa zomwe mungachite kenako.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mankhwala olembedwa ndi dokotala, mankhwala ogulitsidwa kunja kwa ofesi ya dokotala, mavitamini, mankhwala azitsamba, komanso zowonjezera. Mankhwala ena amatha kuyanjana ndi Thioguanine ndikuwonjezera zotsatirapo zake kapena kusintha momwe imagwirira ntchito.
Samalani kwambiri ndi mankhwala otsatirawa:
- Busulfan (mankhwala ena oletsa khansa)
- Mankhwala omwe amaletsa magazi kuundana (monga Warfarin)
- Mankhwala owonjezera kuchuluka kwa maselo m'magazi (monga filgrastim)
- Mankhwala monga Mesalamine, Olsalazine, Sulfasalazine, ndi Balsalazide
- Katemera wamtundu uliwonse
Chenjezo lapadera: Musamwe mankhwala ochepetsa ululu monga aspirin, acetaminophen, ndi ibuprofen omwe amagulitsidwa ku ofesi ya dokotala popanda kufunsa dokotala. Mankhwalawa amatha kuletsa zizindikiro monga malungo. Ndikofunikira kuzindikira malungo msanga, chifukwa akhoza kukhala chizindikiro choyamba cha matenda mukatenga Thioguanine.
Zinthu zofunika kuziganizira mukamalandira chithandizo
Popeza mankhwala a chemotherapy amakhudza maselo a khansa komanso maselo athanzi, ndi zachilendo kumva kusasangalala komanso kutopa. Komabe, musasiye chithandizo mpaka dokotala wanu atakuuzani chifukwa cha kusasangalala kumeneku.
- Dzitetezeni ku matenda: Mankhwalawa amachepetsa chitetezo cha mthupi lanu, kotero kuti mumatha kudwala mosavuta. Chifukwa chake, pewani kupita kumalo odzaza anthu ambiri komanso kukhudzana ndi odwala (omwe ali ndi malungo kapena chimfine) momwe mungathere. Ngati mukumva zizindikiro monga malungo, chimfine, kupweteka pakhosi, kapena kupweteka kwa thupi , musadzipatse mankhwala ndipo uzani dokotala wanu nthawi yomweyo.
- Samalani ndi kutuluka magazi: Chiwopsezo cha kutuluka magazi chikhoza kuwonjezeka. Choncho, tsukani mano anu pang'onopang'ono. Musagwiritse ntchito maburashi olimba. Yang'anani ngati pali mabala kapena madontho ang'onoang'ono ofiira pakhungu. Ngati muwona chilichonse chonga chimenecho, dziwitsani dokotala wanu.
- Pewani kutenga mimba: Izi ndizofunikira kwambiri. Pewani kutenga mimba kotheratu mukumwa mankhwalawa. Komanso, pewani kuyamwitsa mukumwa mankhwalawa. Funsani dokotala wanu kuti akuuzeni zambiri za izi.
Kodi zotsatirapo zoyipa kwambiri ndi ziti?
Monga mankhwala ena aliwonse, Thioguanine ingayambitse zotsatira zoyipa. Koma si aliyense amene amadwala. Zina zimakhala zofala kwambiri, ndipo zina sizimachitika kawirikawiri. Chofunika kwambiri ndikudziwa zotsatira zoyipazo komanso choti achite ngati zitachitika.
| Zotsatira zoyipa za Thioguanine (6-TG) | |
|---|---|
| 🚨 Zotsatira zoyipa zomwe zimafuna chithandizo chamankhwala mwachangu | |
| Zizindikiro za ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, komanso kuvutika kupuma. |
| Zizindikiro za matenda | Malungo, kuzizira, chifuwa, kupweteka pakhosi, kupweteka pokodza. |
| Zizindikiro za kutuluka magazi | Kutupa kosamveka bwino pakhungu, kumasonyeza mawanga ofiira pansi pa khungu, ndowe zakuda, ndi magazi mu mkodzo. |
| Zizindikiro za kuchepa kwa magazi m'thupi | Kutopa kosazolowereka, kutopa, chizungulire, maso abuluu. |
| Mavuto a chiwindi | Ululu kumtunda kwa kumanja kwa m'mimba, chikasu cha maso kapena khungu (jaundice). |
| Zizindikiro zina zazikulu | Zilonda pakamwa, kutupa kwa akakolo, mapazi kapena mimba, kuwonjezeka kwa thupi mwadzidzidzi. |
| 🙂 Zotsatirapo zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Mavuto a m'mimba | Kutsegula m'mimba, kusowa chilakolako cha chakudya, nseru, kusanza. |
Kodi mungasunge bwanji mankhwala moyenera?
- Sungani pamalo otetezeka omwe ana sangafikire.
- Sungani pamalo ouma kutentha kwa chipinda (pakati pa madigiri 15 ndi 25 Celsius).
- Tetezani ku chinyezi. Choncho sungani botolo la mankhwala litatsekedwa bwino.
- Tayani mankhwala aliwonse omwe atha ntchito.
Uthenga Wopita Nawo Kunyumba
- Thioguanine ndi mankhwala a chemotherapy omwe amagwiritsidwa ntchito pochiza khansa monga khansa ya m'magazi.
- Nthawi zonse imwani mankhwala anu monga momwe dokotala wanu wanenera, panthawi yoyenera.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi mankhwala achikhalidwe omwe mukumwa.
- Ngati muwona zizindikiro za matenda kapena kutuluka magazi, monga kutentha thupi, kuvulala, kapena kuvulala, dziwitsani dokotala wanu nthawi yomweyo.
- Pewani kutenga mimba ndi kuyamwitsa pamene mukumwa mankhwalawa.
- Musasiye kumwa mankhwala kapena kusintha mlingo popanda upangiri wa dokotala.
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