Ndizachilendo kumva mantha pang'ono komanso mantha mukazindikira kuti inuyo kapena wokondedwa wanu mukuyamba kulandira chithandizo cha khansa. Zingakhale zosokoneza pang'ono mukaganizira za mankhwala atsopano, mayina awo, ndi momwe amagwirira ntchito. Koma musadandaule. Kudziwa bwino za chithandizo chanu ndiye mphamvu yayikulu yomwe mungakhale nayo paulendowu. Lero tikulankhula za mankhwala amphamvu oletsa khansa, Tremelimumab. Tiyeni tikambirane izi mwachidule, m'njira yomwe mungamvetse.
Kodi mankhwala awa otchedwa Tremelimumab (IMJUDO) ndi chiyani?
Mwachidule, Tremelimumab ndi mankhwala apadera omwe amagwiritsidwa ntchito pochiza mitundu ina ya khansa, monga khansa ya chiwindi ndi khansa ya m'mapapo. Amagulitsidwa pansi pa dzina lakuti IMJUDO .
Iyi si mankhwala a chemotherapy wamba. Iyi ndi mankhwala omwe ali mu gulu lapadera lotchedwa `monoclonal antibody.` Taganizirani izi ngati chida chapadera chomwe chimaphunzitsa chitetezo cha thupi lathu (chitetezo chathu cha mthupi) kuti chizimenyana ndi mdani winawake, makamaka maselo a khansa. Nthawi zina maselo a khansa amabisala ku chitetezo chathu cha mthupi. Mankhwalawa amaletsa puloteni yomwe imathandiza maselo a khansa kukula ndi kufalikira. Akachita izi, chitetezo chathu cha mthupi chimatha kuzindikira ndikuukira maselo a khansa. Mwanjira imeneyi, mankhwalawa amathandiza kuwongolera kapena kuletsa kufalikira kwa maselo a khansa.
Kodi ndiyenera kumuuza chiyani dokotala asanayambe kumwa mankhwalawa?
Musanayambe chithandizo ichi ndi dokotala wanu, ndikofunikira kwambiri kufotokoza bwino za thanzi lanu. Onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi vuto lililonse mwa izi:
- Matenda a autoimmune: Mwachitsanzo, matenda monga matenda a Crohn, ulcerative colitis , kapena lupus.
- Matenda a shuga
- Matenda a Addison kapena mavuto ena a mahomoni.
- Matenda a chithokomiro
- Matenda okhudzana ndi mapapo
- Matenda a mitsempha: Mwachitsanzo, myasthenia gravis kapena Guillain-Barre syndrome.
- Mavuto a m'mimba kapena m'mimba: Mwachitsanzo, matenda a m'matumbo.
- Ngati muli ndi vuto la ziwengo ku Tremelimumab kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba .
- Ngati ndinu mayi woyamwitsa .
Chidziwitsochi n'chofunika kwambiri pa chitetezo chanu, choncho lankhulani ndi dokotala wanu popanda kubisa chilichonse.
Ndingakupatseni bwanji mankhwala awa?
Mankhwalawa amaperekedwa ngati jakisoni mumtsempha . Si chinthu chomwe mungachite kunyumba. Amaperekedwa kwa inu ndi ogwira ntchito zachipatala ophunzitsidwa bwino kuchipatala kapena ku chipatala.
Musanayambe chithandizo chilichonse, mudzapatsidwa kabuku kapadera kodziwitsa za mankhwalawa (`MedGuide`). Nthawi zonse werengani mosamala zomwe zili mmenemo. Ngati muli ndi mafunso, musazengereze kufunsa dokotala kapena namwino wanu.
Chofunika: 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.
Mankhwalawa adaperekedwa kwa inu mwachindunji. Chifukwa chake, musawagawire ndi wina aliyense.
Kodi mumatani ngati mwaphonya mlingo wa mankhwala?
Ndikofunikira kwambiri kumwa mankhwala anu pa nthawi yake panthawi ya chithandizochi. Ngati simungathe kupita kuchipatala pa tsiku lomwe mwakonza, imbani gulu lanu lachipatala nthawi yomweyo ndikuwadziwitsa.
Zinthu zofunika kusamala kwambiri panthawi ya chithandizo
Ndizachilendo kumva kusasangalala mukalandira chithandizo champhamvu chotere. Izi zili choncho chifukwa mankhwalawa amatha kukhudza maselo a khansa komanso maselo ena athanzi. Chifukwa chake, dziwitsani gulu lanu lachipatala za zotsatirapo zilizonse zomwe mumakumana nazo. Mpaka dokotala wanu atakuuzani kuti musiye kulandira chithandizo, pitirizani kumwa mankhwalawa monga mwalangizidwira, ngakhale mutakhala kuti mukuvutika.
- Matenda a pakhungu: Matenda a pakhungu amatha kuchitika ngakhale milungu ingapo mutayamba kumwa mankhwalawa. Pitani kuchipatala msanga ngati mukumva zizindikiro monga malungo kapena kuzizira, matuza ofiira kapena ofiirira, matuza, kapena khungu likutuluka. Komanso, ngati mukumva mabala ofiira pakhungu lanu limodzi ndi kutupa kwa nkhope yanu, milomo, kapena khosi kapena m'khwapa.
- Mimba ndi kuyamwitsa:
- Mayeso a magazi:Dokotala wanu angakupatseni mayeso osiyanasiyana a magazi kuti muwone momwe thanzi lanu lilili panthawi ya chithandizo.
- Tremelimumab ndi mankhwala amphamvu omwe amalimbikitsa chitetezo cha mthupi lanu kuti chilimbane ndi maselo a khansa.
- Musanayambe chithandizo, uzani dokotala wanu za matenda anu onse komanso ziwengo.
- Musaphonye nthawi yokumana ndi dokotala. Ngati pazifukwa zina simungathe kupita kuchipatala, dziwitsani chipatala nthawi yomweyo.
- Fufuzani thandizo lachipatala mwamsanga ngati mukukumana ndi mavuto aakulu, monga kusokonezeka kwa khungu, kuvutika kupuma, kapena kupweteka kwambiri m'mimba.
- Ndikofunikira kugwiritsa ntchito njira yodalirika kwambiri yolerera komanso kupewa kuyamwitsa panthawi ya chithandizo komanso kwa miyezi itatu mutasiya.
- Kambiranani momasuka ndi dokotala wanu za mafunso kapena nkhawa zilizonse zomwe mungakhale nazo. Kumbukirani kuti simuli nokha.
Ngati mukukonzekera kutenga pakati kapena mukuganiza kuti muli ndi pakati, lankhulani ndi dokotala wanu. Mankhwalawa angayambitse mavuto aakulu obereka mwana wanu ngati atengedwa panthawi ya mimba. Muyenera kuyezetsa mimba musanayambe kulandira chithandizo kuti muwonetsetse kuti simuli ndi pakati. Muyenera kugwiritsa ntchito njira yodalirika yolerera panthawi ya chithandizo komanso kwa miyezi itatu mutasiya kulandira chithandizo. Komanso, pewani kuyamwitsa panthawi ya chithandizo komanso kwa miyezi itatu mutasiya kulandira chithandizo.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatirapo zina. Zina ndi zazing'ono, pomwe zina zimafunika chisamaliro chadzidzidzi. Gome ili pansipa likufotokoza momveka bwino izi.
| Zotsatira zoyipa | Zizindikiro |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa gulu lanu lachipatala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Mavuto okhudzana ndi mapapo | Chifuwa chouma chosamveka bwino, kupuma movutikira. |
| Kutupa kwa minofu ya mtima | Kutopa kosazolowereka, kupuma movutikira, kupweteka pachifuwa, kugunda kwa mtima mofulumira kapena kosakhazikika, chizungulire, kutupa kwa akakolo, mapazi, kapena manja. |
| Kuvulala kwa chiwindi | Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wakuda wachikasu kapena bulauni, komanso khungu kapena maso achikasu. |
| Kuvulala kwa impso | Kuchepa kwa mkodzo, mkodzo wofiira kapena wakuda, mkodzo wokhala ndi thovu, kutupa kwa akakolo, manja, kapena mapazi. |
| Mavuto ndi mahomoni | Homoni ya chithokomiro yochuluka (hyperthyroidism): Kugunda kwa mtima mofulumira, kuchepa thupi, thukuta kwambiri, kunjenjemera, kusakhazikika. Homoni ya chithokomiro yotsika (hypothyroidism): Kutopa kosazolowereka, kulephera kupirira chimfine, kudzimbidwa, kutaya tsitsi, khungu louma, kunenepa kwambiri, kuvutika maganizo. |
| Kupweteka kwambiri m'mimba | Kupweteka kwambiri m'mimba (makamaka kumbuyo), kutentha thupi, nseru, kusanza, kutsegula m'mimba komwe kumatuluka magazi. |
| Matenda aakulu a khungu | Kufiira kwa khungu, kutupa, kutuluka kwa khungu (ngakhale mkati mwa mkamwa), malungo ndi kutupa kwa mkamwa. |
| Zotsatirapo zomwe ziyenera kufotokozedwa kwa gulu lachipatala ngati zikupitirira kapena zikuvutitsa | |
| Zotsatirapo zazing'ono | Kutsegula m'mimba, Kutopa, Kupweteka kwa minofu, Kupweteka kwa mafupa, Kupweteka m'mimba. |
Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Kuphatikiza apo, ngati mukukumana ndi vuto lililonse lachilendo, lankhulani ndi dokotala wanu za vutoli.
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