Tonsefe tikudziwa kuti kupeza chithandizo cha khansa si ulendo wophweka. Paulendo umenewu, muyenera kugwiritsa ntchito mitundu yosiyanasiyana ya mankhwala. Trabectedin ndi jakisoni wamphamvu womwe umaperekedwa makamaka pa mtundu wa khansa wotchedwa 'Sarcoma'. Mutha kukhala ndi mafunso ambiri okhudza mankhwalawa. Zimenezo ndi zachilendo. Lero, m'nkhaniyi, tikambirana za mankhwalawa, zomwe zimachitika nawo, komanso zomwe tiyenera kusamala nazo.
Kodi Trabectedin ndi mankhwala otani?
Mwachidule, trabectin ndi mankhwala omwe amapha maselo a khansa . Kunena zoona, ndi gawo la mankhwala a chemotherapy. Ntchito yake yayikulu ndikuletsa kukula kwa maselo a khansa omwe amagawanitsa mwachangu m'thupi ndikuwawononga. Mankhwalawa amapezeka kwambiri pansi pa dzina la Yondelis.
Mankhwalawa amaperekedwa kwa inu ngati njira yothira m'mitsempha. Izi si zomwe mungachite kunyumba. Amaperekedwa kwa inu ndi katswiri wazachipatala wodziwa bwino ntchito kuchipatala kapena ku chipatala . Komanso, musanalandire chithandizo chilichonse, mudzapatsidwa kabuku kapadera kodziwitsa za mankhwalawa (MedGuide). Ndikofunikira kwambiri kuwerenga ndikumvetsa mosamala nthawi iliyonse.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kulandira chithandizo
Musanayambe kumwa mankhwalawa, ndikofunikira kudziwitsa dokotala wanu zonse zokhudza thanzi lanu. Onetsetsani kuti mwawauza za vuto lililonse mwa zotsatirazi, makamaka ngati muli nalo:
| Mkhalidwe wanu | N’chifukwa chiyani muyenera kuuza dokotala? |
|---|---|
| Matenda a mtima | Mankhwalawa nthawi zina amatha kusokoneza ntchito ya mtima. |
| Matenda a impso | Impso ndi njira yomwe thupi limasefera zinyalala. Ngati muli ndi vuto la impso, zotsatirapo za mankhwala zimatha kukwera. |
| Matenda a chiwindi | Chiwindi chimagwira ntchito yaikulu pochotsa mankhwala awa m'thupi. Ngati pali vuto ndi chiwindi, zotsatira za mankhwalawa zitha kuwonjezeka mosafunikira. |
| Kuchuluka kwa magazi m'magazi | Ngati maselo anu ofiira a magazi, maselo oyera a magazi, kapena ma platelet ali otsika kale, mankhwalawa angapangitse vutoli kukhala loipa kwambiri. |
| Kupweteka kwa minofu kapena kufooka | Popeza mankhwalawa amatha kukhudza minofu, dokotala ayenera kudziwa mavuto aliwonse omwe alipo. |
| Kuyesa kutenga mimba kapena kukhala ndi pakati | Mankhwalawa akhoza kukhala oopsa kwambiri kwa mwana wosabadwa, choncho onetsetsani kuti mwawauza za mankhwalawa. |
| Kuyamwitsa | Zosakaniza zomwe zili mu mankhwalawa zimatha kupita kwa mwana kudzera mu mkaka wa m'mawere. Izi ndi zovulaza kwa mwana. |
| Matenda a chifuwa cha mankhwala ena kapena zakudya zina | Uzani dokotala wanu za ziwengo zilizonse zomwe muli nazo. |
Mfundo zapadera zomwe muyenera kuziganizira mukamagwiritsa ntchito mankhwalawa
Mimba ndi njira zolerera
Iyi ndi nkhani yofunika kwambiri.
- Kwa akazi: Pewani kutenga pakati mukumwa mankhwalawa komanso kwa miyezi iwiri mutasiya kumwa mankhwalawa.
- Kwa amuna: Gwiritsani ntchito njira yodalirika kwambiri yolerera panthawi ya chithandizo komanso kwa miyezi 5 mutalandira mlingo womaliza.
Mankhwalawa akhoza kuvulaza kwambiri mwana wosabadwa. Komanso, pewani kuyamwitsa kotheratu pamene mukumwa mankhwalawa.
Chitetezo ku matenda
Mankhwalawa amafooketsa chitetezo cha mthupi lanu, zomwe zikutanthauza kuti mumatha kudwala mosavuta.
- Pewani anthu omwe ali ndi chimfine ndi fuluwenza.
- Malungo, kuzizira, pakhosiNgati mukumva zizindikiro ngati izi, musamwe mankhwala monga paracetamol nokha. Imbani dokotala nthawi yomweyo.
- Samalani mukamatsuka mano anu komanso pogwiritsa ntchito zotsukira mano. Kutuluka magazi m'kamwa ndi matenda enaake nthawi zambiri kumakhalapo. Ngati mukulandira chithandizo chilichonse cha mano, uzani dokotala wanu wa mano kuti mukumwa mankhwalawa.
Kuyanjana ndi mankhwala ena ndi zakudya
Trabectin ingagwirizane ndi mankhwala ena omwe mukumwa. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba) . Samalani kwambiri ndi izi:
- Mankhwala ochepetsa ululu: Musamwe mankhwala monga aspirin ndi ibuprofen popanda malangizo a dokotala. Mankhwalawa amatha kuchepetsa kutentha thupi ndikupangitsa kuti zikhale zovuta kuzindikira matenda.
- Mankhwala a HIV kapena Edzi
- Maantibayotiki ena: Mwachitsanzo, clarithromycin, telithromycin.
- Mankhwala Oletsa Bowa: Mankhwala monga ketoconazole ndi itraconazole.
- Mankhwala a khunyu: monga carbamazepine ndi phenytoin.
- Wort wa St. John ndi mankhwala ochokera ku zitsamba.
- Madzi a mphesa: Pewani kumwa madzi a mphesa mukamamwa mankhwalawa, chifukwa angasinthe zotsatira za mankhwalawa.
Kodi ndi zotsatirapo ziti zomwe zingatheke?
Monga mankhwala ena aliwonse oletsa khansa, Trabectin ingayambitse zotsatirapo zoyipa. Izi zili choncho chifukwa mankhwalawa amakhudza maselo a khansa komanso maselo athanzi pamlingo winawake. Chofunika kwambiri ndikudziwa zizindikiro izi ndikudziwitsa dokotala wanu ngati pakufunika kutero.
| Zotsatirapo/zizindikiro | Kodi muyenera kuchita chiyani? |
|---|---|
| Izi zitha kukhala zovuta kwambiri: uzani dokotala wanu nthawi yomweyo. | |
| Matenda a ziwengo: kutupa pakhungu, kuyabwa, kutupa kwa nkhope/milomo. | Funani upangiri wa dokotala nthawi yomweyo. |
| Zizindikiro za kuwonongeka kwa chiwindi: chikasu cha maso kapena khungu, mkodzo wakuda wachikasu/bulauni, kupweteka kumbali yakumanja ya m'mimba, kusowa chilakolako cha chakudya. | Izi ndi zizindikiro zazikulu. Uzani dokotala wanu nthawi yomweyo. |
| Zizindikiro za kuwonongeka kwa minofu: mkodzo wakuda, kuvutika kukodza, kupweteka kwambiri kwa minofu. | Uzani dokotala nthawi yomweyo. |
| Zizindikiro za kutuluka magazi: madontho ang'onoang'ono ofiira pansi pa khungu, mabala, ndowe zakuda, ndi magazi mu mkodzo. | Uzani dokotala nthawi yomweyo. |
| Zizindikiro za matenda: malungo, kuzizira, chifuwa, pakhosi. | Uzani dokotala nthawi yomweyo. |
| Kuvuta kupuma, kupweteka pachifuwa, kutupa kwa miyendo/manja/akakolo. | Uzani dokotala nthawi yomweyo. |
| Zinthu zomwe muyenera kuuza dokotala wanu ngati ndizofala koma zikupitirira | |
| Kusanza, kusanza | Mukhoza kupempha dokotala wanu kuti akupatseni mankhwala oletsa izi. |
| Kudzimbidwa, mutu, kusowa chilakolako cha chakudya | Ngati izi zikupitirira, uzani dokotala wanu. |
| Kutopa kwambiri, kusowa tulo | Izi zitha kukhala mbali ya chithandizo, koma ngati zili zovuta kuzipirira, lankhulani ndi dokotala wanu. |
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Ndi zachilendo kumva kudwala kapena kusasangalala mukalandira chithandizo. Koma musasiye kulandira chithandizo pokhapokha ngati dokotala wanu wakuuzani. Lankhulani naye momasuka za nkhawa zilizonse zomwe mungakhale nazo.
Uthenga Wopita Nawo Kunyumba
- Trabectedin ndi mankhwala amphamvu omwe amagwiritsidwa ntchito pochiza khansa yotchedwa sarcoma. Amaperekedwa kuchipatala moyang'aniridwa ndi dokotala.
- Musanayambe chithandizo, onetsetsani kuti mwauza dokotala wanu za matenda anu onse komanso mankhwala onse omwe mukumwa.
- Pewani kutenga mimba ndi kuyamwitsa kotheratu mukamamwa mankhwalawa. Gwiritsani ntchito njira zolerera zodalirika.
- Ngati mukukumana ndi mavuto ena aakulu monga kutentha thupi, kuvulala, kapena khungu kukhala lachikasu, dziwitsani dokotala wanu mwamsanga.
- Ndi zachilendo kumva kusasangalala panthawi ya chithandizo. Koma musasankhe kusiya chithandizo nokha. Nthawi zonse lankhulani ndi dokotala wanu.
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