Katemera wa Topotecan: Zimene muyenera kudziwa zokhudza chithandizo cha khansa

Tikudziwa kuti kulimbana ndi khansa sikophweka. Paulendowu, mungamve za njira zosiyanasiyana zochiritsira. Mukamva mawu akuti chemotherapy, mungamve mantha pang'ono komanso mantha. Koma mukadziwa bwino za izi, mutha kuthana ndi mantha amenewo. Lero tikambirana za jakisoni wapadera womwe umaperekedwa pochiza khansa yotereyi. Ndi Topotecan. Tiyeni tikambirane za izi mosavuta, m'njira yomwe mungamvetse.

Kodi Topotecan ndi chiyani?

Mwachidule, Topotecan ndi mankhwala omwe amagwiritsidwa ntchito pochiza mitundu ina ya khansa. Kunena zoona, ndi mtundu wa chemotherapy. Maselo a khansa m'thupi lanu ndi maselo omwe amagawikana mofulumira komanso mosalamulirika. Mankhwalawa amagwira ntchito pochepetsa kukula kwa maselo a khansa omwe amagawikana mofulumira, zomwe zili ngati kuyika mabuleki pagalimoto yothamanga. Mankhwalawa amathandiza kuwongolera kukula kwa maselo a khansa ndikuletsa khansa kufalikira.

Mankhwalawa amadziwikanso kuti Hycamtin pamsika. Komabe, dokotala wanu angatchule dzina lake lenileni, Topotecan.

Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kulandira chithandizo

Musanayambe kulandira chithandizo cha Topotecan, ndikofunikira kwambiri kulankhula ndi dokotala wanu momasuka. Kupatsa dokotala wanu chidziwitso cholondola chokhudza thupi lanu ndi matenda ena aliwonse omwe mungakhale nawo ndikofunikira kwambiri kuti mukhale otetezeka komanso kuti chithandizo chanu chipambane. Ngati chilichonse mwa izi chikukukhudzani, onetsetsani kuti mwauza dokotala wanu.

• Zofooka mu chitetezo chamthupi: Ngati mphamvu ya thupi lanu yolimbana ndi matenda (chitetezo chamthupi) ndi yochepa, kutanthauza kuti ndinu munthu amene amadwala pafupipafupi, auzeni za vutoli.
• Matenda omwe alipo panopa: Tiuzeni ngati muli ndi matenda opatsirana monga chickenpox, herpes, kapena matenda ena aliwonse (malungo, chifuwa, chimfine).
• Matenda a impso: Kodi muli ndi matenda aliwonse okhudzana ndi impso? Ngati ndi choncho, ndikofunikira kwambiri kukambirana za vutoli.
• Kuchuluka kwa maselo m'magazi: Kodi munayamba mwauzidwapo kuti muli ndi maselo oyera, maselo ofiira, kapena ma platelet ochepa m'magazi anu? Ngati ndi choncho, tiuzeninso za zimenezo.
• Matenda a m'mapapo: Kodi muli ndi matenda aliwonse a m'mapapo, mwachitsanzo mphumu kapena mavuto ena opuma?
• Matenda a ziwengo: Onetsetsani kuti mwauza dokotala wanu ngati muli ndi ziwengo zilizonse, osati za Topotecan zokha, komanso mankhwala ena aliwonse, chakudya, kapena utoto.
• Mimba kapena kukonzekera kukhala ndi mwana:Ngati muli ndi pakati, mukufuna kutenga mimba, kapena mnzanu akuyesera kutenga mimba, nkhaniyi ndi yofunika kwambiri . Lankhulani ndi dokotala wanu za nkhaniyi momasuka.
• Kuyamwitsa: Ngati panopa mukuyamwitsa, muyenera kutiuzanso za zimenezo.

Kodi mumapeza bwanji mankhwala awa?

Topotecan si piritsi lomwe munthu amatenga kunyumba. Ndi jakisoni yomwe imaperekedwa kudzera mu mtsempha, kutanthauza, mu mtsempha. Mumalandira chithandizochi kuchipatala kapena kuchipatala, ndi dokotala kapena anamwino ophunzitsidwa bwino. Choncho chilichonse kuyambira mlingo mpaka liwiro la kuperekedwa chimayang'aniridwa mwaukadaulo.

Nanga bwanji ngati mlingo wa mankhwalawo ukuwonjezeka?

Popeza izi zimaperekedwa kuchipatala, mwayi woti munthu agwiritse ntchito mopitirira muyeso ndi wochepa kwambiri. Komabe, ngati mukuganiza kuti mwakumanapo ndi vuto ngati limeneli, funsani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) yapafupi.

Zinthu zomwe muyenera kusamala nazo makamaka mukalandira chithandizo

Chithandizo cha mankhwala a chemotherapy ndi chosiyana pang'ono. Chingakhudze thupi lanu komanso moyo wanu watsiku ndi tsiku. Choncho ndikofunikira kusamalira ngakhale zinthu zazing'ono panthawiyi.

Ndi zachilendo kumva kusamasuka.

Mukamwa mankhwalawa, nthawi zambiri mumadzimva kuti simuli bwino komanso ndinu otopa. Izi zimachitika kwa anthu ambiri panthawi ya chithandizo cha chemotherapy. Izi zili choncho chifukwa mankhwalawa samakhudza maselo a khansa okha, komanso maselo athanzi omwe amagawikana mwachangu m'thupi lathu pang'ono. Chifukwa chake, musasiye kulandira chithandizo chifukwa chakuti sichikusangalatsani pang'ono. Uzani dokotala wanu za kusasangalala kulikonse komwe mukumva. Pitirizani kumwa mankhwalawa mpaka dokotala atakuuzani kuti musiye kumwa mankhwalawa.

Dzitetezeni ku matenda

Mankhwalawa amatha kuchepetsa kuchuluka kwa maselo oyera m'thupi lanu. Maselo oyera ali ngati asilikali m'thupi lathu. Amalimbana ndi majeremusi omwe amayambitsa matenda. Choncho akakhala ochepa, mumakhala ndi mwayi wopeza matenda.

• Ngati mukumva zizindikiro monga malungo, kuzizira, kupweteka pakhosi, ndi chifuwa , musaganize kuti ndi chimfine chabe, koma imbani dokotala nthawi yomweyo .
• Musamwe mankhwala momwe mukufunira.
• Yesetsani kupewa anthu odwala. Ndi bwino kuchepetsa nthawi yopita kumalo odzaza anthu panthawiyi.

Samalani ndi kutuluka magazi ndi mabala.

Topotecan ingayambitse kuchepa kwa ma platelet m'magazi anu. Ma platelet ndi maselo omwe amathandiza kutseka magazi ndikuletsa kutuluka magazi. Akachepa, zimatenga nthawi yayitali kuti ngakhale kudula pang'ono kusiye kutuluka magazi.

• Yang'anani ngati pali mabala abuluu pathupi.
• Samalani ndi mkamwa wotuluka magazi, kutuluka magazi m'mphuno, kapena kutuluka magazi kwina kulikonse kosazolowereka. Ngati muwona chilichonse chonga ichi, uzani dokotala wanu.
• Gwiritsani ntchito burashi yofewa kwambiri potsuka mano anu. Samalani kwambiri mukamagwiritsa ntchito floss poyeretsa pakati pa mano anu.

Samalani mukamagwiritsa ntchito mankhwala ochepetsa ululu.

Musamwe mankhwala ochepetsa ululu monga aspirin, acetaminophen, ndi ibuprofen omwe amagulitsidwa ndi dokotala popanda kufunsa dokotala. Mankhwalawa amatha kuchepetsa kutentha thupi kwanu. Kutentha thupi ndi chizindikiro chofunikira cha matenda panthawiyi. Chifukwa chake, sikoyenera kunyalanyaza.

Mimba, kuyamwitsa ndi kubereka

• Mimba: Muyenera kupewa kutenga mimba mukamamwa mankhwalawa chifukwa angayambitse mavuto aakulu obereka mwana wosabadwa. Muyenera kuyesedwa mimba musanayambe kulandira chithandizo kuti muwonetsetse kuti simuli ndi pakati. Muyenera kugwiritsa ntchito njira yothandiza kwambiri yolerera panthawi ya chithandizo komanso kwa miyezi 6 mutatenga mlingo wanu womaliza . Lankhulani ndi dokotala wanu za njira yoyenera kwa inu.
• Kwa amuna: Ngati mnzanu ali ndi mwayi wokhala ndi mwana, onetsetsani kuti mwagwiritsa ntchito kondomu panthawi yogonana pamene mukumwa mankhwalawa komanso kwa miyezi itatu mutatenga mlingo wanu womaliza .
• Kuyamwitsa: Pewani kuyamwitsa mwana wanu kotheratu pamene mukumwa mankhwalawa.
• Kubereka: Mankhwalawa angakhudze kubereka kwanu, komwe ndi kuthekera kwanu kukhala ndi ana. Ngati mukukonzekera kukhala ndi ana mtsogolo, lankhulani ndi dokotala wanu za njira zomwe mungasankhe musanayambe kulandira chithandizo.

Kodi zotsatirapo zake zingakhale zotani?

Monga mankhwala ena aliwonse, Topotecan ingayambitse mavuto. Komabe, si aliyense amene amadwala. Anthu ena sangakhale ndi mavuto aliwonse. Chofunika ndikudziwa zomwe zimayambitsa mavutowa komanso choti achite ngati atachitika.

Zinthu zina zomwe zingagwirizane ndi mankhwalawa

Mankhwala ena omwe mumamwa angagwirizane ndi Topotecan, choncho uzani dokotala wanu zonse zomwe mumagwiritsa ntchito. Izi zikutanthauza kuti,

• Mankhwala operekedwa ndi madokotala a matenda ena.
• Mukhoza kugula mankhwala ochepetsa ululu ndi mavitamini ku pharmacy.
• Mankhwala achikhalidwe, mankhwala a Ayurvedic kapena zowonjezera zitsamba.
• Zakudya ndi zakumwa zina, monga madzi a mphesa, zingagwirizanenso ndi mankhwalawa. Choncho lankhulani ndi dokotala wanu za zakudya zomwe mumadya.

Ndikofunikira kuuza dokotala wanu ngati mukusuta kapena kumwa mowa. Chitetezo chanu chimadalira izi.