Mawu akuti khansa amabweretsa mantha ambiri kwa ambiri a ife. Chifukwa chake, dokotala akakuuzani kapena wokondedwa wanu ali ndi khansa ya m'mawere, ndikudziwa kuti n'zovuta kufotokoza momwe mukumvera. Koma simuli nokha paulendowu. Chifukwa cha kupita patsogolo kwa zamankhwala masiku ano, pali mankhwala ambiri abwino olimbana ndi khansa. Chifukwa chake, kudziwa bwino za mankhwala amenewo kudzakulimbikitsani kwambiri. Lero, tikambirana za mankhwala ofunikira kwambiri omwe amagwiritsidwa ntchito pochiza khansa ya m'mawere. Ndi kuphatikiza kwa jakisoni wotchedwa Trastuzumab ndi Hyaluronidase.
Kodi katemera wa Trastuzumab ndi Hyaluronidase uyu ndi chiyani?
Mwachidule, izi ndi kuphatikiza kwa mankhwala awiri. Pamodzi, amalimbana ndi maselo a khansa. Tiyeni tiwone zomwe mankhwala awiriwa amachita padera.
1. Trastuzumab
Uyu ndiye ngwazi yayikulu ya chithandizochi. Trastuzumab ndi mankhwala ochizira matenda . Izi zikutanthauza kuti mankhwalawa samangoukira selo lililonse m'thupi. Amafufuza makamaka maselo a khansa ndikuwaukira.
Ganizirani maselo a khansa ngati zitseko zambiri zoipa. Maselo ena a khansa ya m'mawere ali ndi puloteni yapadera (puloteni yotchedwa HER2) pamwamba pake yomwe imathandiza maselowo kugawikana ndikukula mwachangu. Izi zili ngati kiyi yapadera yomwe yatsekedwa ku zitseko zoipazo. Ngati muli ndi kiyi iyi, chitseko chimatseguka, ndipo maselo a khansa amagawikana mwachangu.
Trastuzumab imagwira ntchito ngati kuyika chinthu mu dzenje la kiyi ndikuchitseka. Kenako maselo a khansa salandira chizindikiro chomwe chimawapangitsa kukula. Choncho maselo a khansa amasiya kugawikana ndikufalikira kapena kudwala kwambiri. Mankhwalawa ndi a gulu lotchedwa ``monoclonal antibody''. Izi zikutanthauza kuti ndi puloteni yomwe imapangidwa mu labu makamaka kuti igwire maselo a khansa, monga ziwalo zina za chitetezo cha mthupi lathu.
2. Hyaluronidase
Uyu ndiye mnzawo wa ngwazi yaikulu. Sitibaya katemerayu mwachindunji m'mitsempha, koma pansi pa khungu. Kenako molekyulu yaikulu ya puloteni yotchedwa Trastuzumab imafunika thandizo pang'ono kuti thupi lizimwa bwino.
Mankhwalawa, otchedwa Hyaluronidase, amamasula kwakanthawi minofu yomwe ili pansi pa khungu komwe jakisoni amaperekedwa. Izi zimathandiza kuti Trastuzumab idutse mosavuta, ilowe m'magazi, ndikufikira mwachangu maselo a khansa komwe ikufunika kugwira ntchito. Zili ngati kuchotsa magalimoto pamsewu ndikulola ambulansi kuti ifike kumeneko.
Mankhwalawa nthawi zambiri amagulitsidwa pansi pa dzina la HERCEPTIN HYLECTA .
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Musanayambe chithandizo chilichonse, ndikofunikira kwambiri kuuza dokotala wanu mbiri yanu yonse ya thanzi. Chifukwa chidziwitso chimenecho chidzatsimikizira chithandizo chotetezeka komanso chabwino kwambiri kwa inu. Pankhani ya mankhwala awa, ndikofunikira kunena zinthu zotsatirazi.
| Matenda anu | N’chifukwa chiyani kuli kofunika kudziwa zambiri za nkhaniyi? |
|---|---|
| Matenda a mtima kapena kulephera kwa mtima | Trastuzumab nthawi zina ingakhudze ntchito ya mtima, kotero dokotala wanu adzasamala kwambiri ngati muli ndi vuto la mtima lomwe lilipo kale. |
| Matenda a m'mapapo | Mankhwalawa nthawi zina angayambitse mavuto opuma, choncho ndikofunikira kudziwitsa dokotala wanu pasadakhale ngati muli ndi vuto la m'mapapo monga mphumu. |
| Matenda osiyanasiyana a ziwengo (Allergies) | Onetsetsani kuti mwatiuza ngati muli ndi vuto lililonse la Trastuzumab, mankhwala ena, zakudya, kapena utoto. |
| Ngati mukuyesera kutenga mimba kapena muli ndi pakati | Mankhwalawa akhoza kukhala oopsa kwambiri kwa mwana amene ali m'mimba, choncho muyenera kuonetsetsa kuti simuli ndi pakati musanayambe kulandira chithandizo. |
| Ngati mwana akuyamwitsa | Mankhwalawa amatha kupita kwa mwana kudzera mu mkaka wa m'mawere. Chifukwa chake, kuyamwitsa kuyenera kupewedwa panthawi ya chithandizo komanso kwa nthawi yayitali . |
Kodi chithandizochi chidzaperekedwa bwanji kwa inu?
Mankhwala awa si omwe mungapite nawo kunyumba. Katemerayu amaperekedwa kuchipatala kapena ku chipatala ndi ogwira ntchito zachipatala ophunzitsidwa bwino.
Katemerayu amaperekedwa pansi pa khungu lanu (jakisoni wa subcutaneous).Kawirikawiri imabayidwa m'dera la ntchafu. Izi zimatenga mphindi zochepa.
Chofunika: Mankhwalawa saloledwa kugwiritsidwa ntchito kwa ana. Komanso, mankhwalawa ndi a inu nokha. Musagawane ndi wina aliyense pazifukwa zilizonse.
Nanga bwanji ngati mlingo wa mankhwala ukuwonjezeka?
Izi zimaperekedwa kuchipatala kotero mwayi woti izi zichitike ndi wochepa kwambiri. Komabe, ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, dziwitsani ogwira ntchito zachipatala nthawi yomweyo. Kupanda kutero, imbani National Poisons Information Centre ku National Hospital , kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi.
Kodi mumatani ngati mwaphonya mlingo wa mankhwala?
Ndikofunikira kwambiri kuti chithandizochi chikhale chopambana kumwa mankhwalawo pa tsiku ndi nthawi yomwe mwakonza. Ngati simungathe kupita kuchipatala/chipatala pa tsiku lomwe mwakonza, imbani dokotala wanu kapena chipatala nthawi yomweyo ndikuwadziwitsa. Adzakuuzani choti muchite kenako. Musasinthe tsikulo nokha.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Mitundu ina ya mankhwala a chemotherapy, makamaka daunorubicin, doxorubicin, epirubicin, ndi idarubicin, ingawonjezere chiopsezo cha matenda a mtima ikagwiritsidwa ntchito limodzi.
Koma kumbukirani kuti mndandandawu sunathe. Choncho ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mumamwa, kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera. Muuzeninso dokotala wanu ngati mumasuta kapena kumwa mowa.
Zinthu zomwe muyenera kusamala nazo makamaka mukalandira chithandizo
Ndikofunikira kuyang'anitsitsa thupi lanu panthawiyi.
Kusasangalala ndi thanzi labwino
Ndizachibadwa kumva kutopa pang'ono komanso kusasangalala mukalandira chithandizo cha khansa, chifukwa zingakhudzenso maselo athanzi. Izi zimachitika kwa anthu ambiri. Koma uzani gulu lanu lachipatala za zotsatirapo zilizonse zomwe mumakumana nazo. Ndikofunikira kumaliza chithandizo, ngakhale zitakhala zosasangalatsa, mpaka atakuuzani kuti musiye.
Samalani ndi matenda opatsirana.
Mankhwalawa angafooketse chitetezo chamthupi chanu pang'ono. Izi zikutanthauza kuti mumatha kudwala ndi kutenga matenda. Chifukwa chake ngati muli ndi zizindikiro za chimfine monga malungo, kuzizira, pakhosi, kapena chifuwa , musamwe monga mwachizolowezi . Imbani dokotala wanu nthawi yomweyo kuti akupatseni malangizo. Musapite nokha kukamwa mankhwala anu. Pewani malo odzaza anthu momwe mungathere ndipo pewani anthu odwala.
Samalani ndi mankhwala ochepetsa ululu omwe amaletsa kutentha thupi.
Pokhapokha ngati dokotala wanu wakuuzani mwachindunji, musamwe mankhwala ochepetsa ululu monga aspirin, acetaminophen, ibuprofen, kapena naproxen. Mankhwalawa amatha kuchepetsa kutentha thupi kwanu. Chizindikiro choyamba komanso chofunikira kwambiri cha matenda ndi kutentha thupi. Ngati achepetsedwa, simungadziwe mpaka mutadwala matenda oopsa m'thupi lanu.
Mimba ndi kuyamwitsa (zofunika kwambiri)
Nkhani imeneyi ndi yofunika kwambiri.
- Mimba: Muyenera kupewa kutenga mimba mukumwa mankhwalawa komanso kwa miyezi 7 mutatha kumwa mankhwala omaliza . Mankhwalawa angayambitse mavuto aakulu obereka mwana wosabadwa. Muyenera kuyesedwa mimba musanayambe kulandira chithandizo. Lankhulani ndi dokotala wanu za njira zolerera zomwe zili zoyenera kwa inu panthawiyi.
- Kuyamwitsa: Pewani kuyamwitsa mwana wanu mukumwa mankhwalawo komanso kwa miyezi 7 mutamwa mankhwala omaliza .
Zotsatirapo zomwe zingachitike ndi mankhwalawa
Zinthu izi zitha kukhala zoopsa kumva, koma si zonse zomwe zimachitika kwa aliyense. Komanso, zambiri zimatha kulamuliridwa. Chofunika kwambiri ndikudziwitsa gulu lanu lachipatala ngati mukuwona kuti pali china chake chosiyana.
| Zotsatirapo/zizindikiro | Kufotokozera ndi zomwe muyenera kuchita |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
| Zotsatira za chifuwa kapena angioedema | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, maso, milomo, lilime, manja kapena mapazi, kuvutika kumeza kapena kupuma. Ngati muli ndi chilichonse mwa izi, ndi vuto ladzidzidzi. |
| Kuvuta kupuma | Chifuwa chouma, kupuma movutikira, kupuma movutikira. |
| Zizindikiro za kulephera kwa mtima | Kupuma movutikira, kutupa kwa akakolo, mapazi, kapena manja, kunenepa mwadzidzidzi, kumva kutopa kwambiri kapena kutopa kwambiri. |
| Kusintha kwa kugunda kwa mtima | Kumva ngati mtima wanu ukugunda mofulumira kapena mosakhazikika, chizungulire, kukomoka, kupweteka pachifuwa. |
| Kuthamanga kwa magazi | Kuthamanga kwa magazi anu kudzayang'aniridwa nthawi zonse, koma dziwani zinthu monga mutu ndi chizungulire. |
| Zizindikiro za matenda | Malungo, kuzizira, chifuwa, pakhosi. |
| Zotsatira zoyipa zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa: | |
| Kutsegula m'mimba | Imwani madzi monga madzi ndi Jeevani. Ngati zipitirira, uzani dokotala wanu. |
| Kutaya tsitsi | Izi zimaoneka m'njira zambiri zochizira khansa. Tsitsi limameranso pambuyo poti chithandizo chatha. |
| Mutu | Pumulani. Imwani zakumwa. Uzani dokotala wanu ngati ndi yoopsa kapena yosatha. |
| Kupweteka kwa minofu | Kupuma pang'ono ndi kusamba m'madzi ofunda kungathandize. |
| Kusanza | M'malo modya chakudya chachikulu nthawi imodzi, idyani chakudya chaching'ono. Dokotala adzakupatsani mankhwala a nseru. |
| Kufooka kapena kutopa kosazolowereka | Ndi zachilendo kumva kutopa kwambiri kuposa masiku onse panthawiyi. Pumulani mokwanira momwe mungathere. |
Uthenga Wopita Nawo Kunyumba
- Trastuzumab ndi Hyaluronidase ndi mankhwala ochizira khansa ya m'mawere omwe amaletsa kukula kwa maselo a khansa.
- Musanayambe kulandira chithandizo, uzani dokotala wanu zonse zokhudza thanzi lanu, makamaka za matenda a mtima ndi mapapo.
- Katemerayu amaperekedwa kuchipatala kapena ku chipatala ndi ogwira ntchito ophunzitsidwa bwino. Si mankhwala oti munthu atenge kunyumba.
- Mukamalandira chithandizo, samalani kwambiri ndi zinthu monga kutentha thupi, kupuma movutikira, komanso kutupa kwa miyendo. Ngati muwona kusintha kulikonse, uzani dokotala wanu nthawi yomweyo.
- Ndikofunikira kwambiri kupewa kutenga mimba kotheratu mukumwa mankhwalawa komanso kwa miyezi 7 mutamaliza kulandira chithandizo.
- Musaope kulankhula ndi gulu lanu lachipatala za vuto lililonse lomwe mukumva, ngakhale litakhala laling'ono bwanji. Iwo nthawi zonse amakhalapo kuti akuthandizeni.
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