Kodi dokotala wanu wakupatsani mankhwala otchedwa Vandetanib? Kapena kodi munthu wapafupi nanu wakupatsani mankhwala awa? Uwu ndi mankhwala omwe nthawi zambiri amaperekedwa pochiza mitundu ina ya khansa yomwe imapezeka mu chithokomiro (medullary thyroid cancer). Pali zinthu zingapo zomwe tiyenera kusamala nazo kwambiri tikamagwiritsa ntchito mankhwalawa. Choncho musadandaule, tiyeni tikambirane zonsezi mosavuta komanso momveka bwino.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Musanayambe kumwa mankhwalawa, ndikofunikira kwambiri kuuza dokotala wanu za mbiri yonse ya thanzi lanu. Izi zili choncho chifukwa matenda ena angapangitse kuti kugwiritsa ntchito mankhwalawa kukhale koopsa. Ngati muli ndi vuto lililonse mwa omwe ali pansipa, onetsetsani kuti mwadziwitsa dokotala wanu.
- Matenda a mtima: Kodi muli ndi matenda a mtima, kugunda kwa mtima kosasinthasintha, kapena mbiri ya nthawi yayitali ya QT?
- Kuthamanga kwa magazi: Kodi muli ndi kuthamanga kwa magazi?
- Mavuto otuluka magazi: Kodi muli ndi vuto lililonse lotuluka magazi kapena vuto la magazi kuundana?
- Matenda a chiwindi kapena impso: Kodi muli ndi matenda aliwonse a chiwindi kapena impso?
- Matenda a m'mapapo: Kodi muli ndi vuto lopuma kapena matenda ena a m'mapapo monga mphumu?
- Kuchuluka kwa mchere m'magazi: Kodi munayamba mwauzidwapo kuti kuchuluka kwa calcium, magnesium, kapena potaziyamu m'magazi anu ndi kochepa?
- Kuchuluka kwa mahomoni a chithokomiro: Kodi kuchuluka kwa mahomoni olimbikitsa chithokomiro (TSH) m'magazi kwakwera?
- Matenda ena: Kodi muli ndi kutsegula m'mimba, khunyu, matenda a pakhungu kapena matenda a pakhungu?
- Opaleshoni: Kodi muchita opaleshoni posachedwa? Kapena mwachita opaleshoni posachedwapa?
- Matenda a ziwengo: Kodi muli ndi vuto la ziwengo ndi mankhwala a Vandetanib awa, mankhwala ena, zakudya, kapena utoto?
- Mimba ndi kuyamwitsa: Kodi muli ndi pakati? Mukuyesera kutenga pakati? Kapena ndinu mayi woyamwitsa?
Musabise chilichonse mwa izi. Ndikofunikira kwambiri kuti dokotala adziwe zonsezi kuti mukhale otetezeka.
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
Njira yogwiritsira ntchito mankhwalawa ndi yosavuta kwambiri, koma ndikofunikira kutsatira malangizo molondola.
- Mezani piritsi lonseli ndi kapu ya madzi .
- Musaswe, kuphwanya, kapena kutafuna piritsi.
- Imwani mankhwala monga momwe dokotala wanu wanenera, panthawi yomwe mwapatsidwa. Musamwe mankhwala opitirira nthawi zomwe mwapatsidwa patsiku.
- Musasiye kumwa mankhwala popanda upangiri wa dokotala . Kuchita zimenezi kungapangitse kuti vuto lanu likhale loipa kwambiri.
- Mukapatsidwa mankhwala awa, mudzalandira kabuku kapadera kodziwitsa za mankhwalawa (MedGuide). Amabwera ndi mankhwala aliwonse olembedwa ndi dokotala. Nthawi zonse werengani mosamala.
Kodi mumatani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati patatha maola osakwana 12 kuti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya. Ingomwani mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo umodzi nthawi imodzi kuti mubwezeretse mlingo womwe mwaphonya.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, pitani ku chipatala chapafupi cha Emergency Treatment Unit (ETU) nthawi yomweyo . Kapena imbani National Poisons Information Centre ku Colombo National Hospital.
Mankhwala ena omwe sayenera kugwiritsidwa ntchito ndi mankhwalawa ndipo angagwirizane nawo
Vandetanib ndi mankhwala omwe angagwirizane ndi mankhwala ena, choncho muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba).
| Gulu la mankhwala | Zitsanzo |
|---|---|
| Mankhwala omwe sayenera kumwedwa ndi Vandetanib | |
| Mankhwala osiyanasiyana | Cisapride, Dronedarone, Pimozide, Thioridazine, Ziprasidone |
| Mankhwala ena omwe angagwirizane ndi Vandetanib | |
| Mankhwala a kugunda kwa mtima kosakhazikika | Mankhwala monga Amiodarone, Sotalol, Quinidine, Procainamide |
| Mankhwala a khunyu | Carbamazepine, Phenobarbital, ndi Phenytoin |
| Mankhwala ena ndi zitsamba | Digoxin, Metformin, Rifampin, St. John's Wort (Hypericum perforatum) |
| Mankhwala omwe amawonjezera nthawi ya QT ya mtima | Mankhwala monga Dofetilide, Ziprasidone |
Mndandandawu sunathe. Choncho uzani dokotala wanu za mankhwala aliwonse omwe mukumwa, kaya alembedwa ndi dokotala, ogulidwa ku pharmacy, kapena mankhwala azitsamba.
Zinthu zofunika kusamala nazo mukamamwa mankhwala
Mimba ndi kuyamwitsa
Izi ndizofunikira kwambiri . Musatenge mimba mukamagwiritsa ntchito mankhwalawa. Azimayi ayenera kugwiritsa ntchito njira zolerera pobereka akamamwa mankhwalawa komanso kwa miyezi inayi mutasiya. Zingayambitse mavuto aakulu kwa mwana m'mimba. Komanso, musayamwitse mwana wanu mukamagwiritsa ntchito mankhwalawa komanso kwa miyezi inayi mutasiya.
Musanachite opaleshoni
Ngati mukufuna kuchitidwa opaleshoni, muyenera kuuza dokotala wanu za izi. Mankhwalawa angachedwetse kuchira kwa mabala ochitidwa opaleshoni. Chifukwa chake, muyenera kusiya kumwa mankhwalawa mwezi umodzi opaleshoni isanachitike . Pambuyo pa opaleshoni, muyenera kudikira osachepera milungu iwiri musanayambitsenso mankhwala. Mankhwalawa ayenera kuyambika kokha bala litachira kwathunthu. Lankhulani ndi dokotala wanu za izi.
Chitetezo cha dzuwa
Mankhwalawa angapangitse khungu lanu kukhala losavuta kumva kuwala kwa dzuwa (photosensitivity). Choncho, pewani kuwala kwa dzuwa mwachindunji momwe mungathere mukamamwa mankhwalawa komanso kwa miyezi inayi mutasiya. Ngati mutuluka panja, valani zovala zophimba thupi lanu bwino ndipo gwiritsani ntchito mafuta abwino oteteza ku dzuwa. Musagwiritse ntchito nyali za dzuwa kapena mabedi opaka utoto.
Mfundo zina
- Mungamve tulo kapena chizungulire mukumwa mankhwalawa. Choncho, pewani zinthu zomwe zimafuna kukhala maso, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina, mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
- Dokotala wanu nthawi zonse amafufuza magazi anu ndi momwe mtima wanu umagwirira ntchito (monga ECG). Onetsetsani kuti mwapita ku mayeso ndi zipatala zimenezo.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena onse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Ena ndi oopsa, ena ndi ofala.
| Ngati mukukumana ndi zizindikiro izi, pitani kwa dokotala kapena ETU nthawi yomweyo. | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime. |
| Mtima | Kupweteka pachifuwa, kugunda kwa mtima mofulumira kapena kosasinthasintha, kukomoka, chizungulire. |
| Kutuluka magazi | Magazi mu ndowe kapena ndowe zakuda, kusanza khofi wothira, mabala osazolowereka, ndi mkodzo wofiira/wakuda. |
| Zokhudzana ndi khungu | Kufiira, kutupa, khungu lotupa (ngakhale mkati mwa pakamwa). |
| Dongosolo la mitsempha | Mutu waukulu, khunyu, kusintha kwa masomphenya, chisokonezo, kuvutika kulankhula, dzanzi mwadzidzidzi kapena kufooka kwa nkhope, mkono, kapena mwendo. |
| Zizindikiro zina zazikulu | Kuvuta kupuma, kutentha thupi, ndowe zotumbululuka, maso kapena khungu kukhala lachikasu (jaundice), kutupa kwa miyendo kapena akakolo. |
| Zotsatirapo zomwe nthawi zambiri sizifuna chithandizo chamankhwala (koma uzani dokotala ngati zikupitirira) | |
| |
Uthenga Wopita Nawo Kunyumba
- Vandetanib ndi mankhwala apadera a khansa ya chithokomiro. Gwiritsani ntchito monga momwe dokotala wanu akulangizira .
- Onetsetsani kuti mwauza dokotala wanu za mankhwala ena onse omwe mukumwa komanso matenda aliwonse omwe muli nawo.
- Pewani kutenga mimba ndi kuyamwitsa pamene mukumwa mankhwalawo komanso kwa miyezi inayi mutasiya kumwa.
- Fufuzani thandizo lachipatala mwamsanga ngati mukumva zizindikiro monga mutu waukulu, kupweteka pachifuwa, kutuluka magazi kosazolowereka, kapena kukhudzana kwambiri ndi khungu.
- Mwina mumakhala ndi chidwi ndi kuwala kwa dzuwa, choncho chitanipo kanthu kuti mudziteteze ku dzuwa.
- Mankhwalawa ndi a inu nokha. Musagawane ndi ena. Sungani pamalo omwe ana sangafikire.
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu