Tiyeni tiphunzire mwachidule za Vincristine (Vincristine Sulfate Liposome), mankhwala omwe amagwiritsidwa ntchito pochiza khansa.

Kodi dokotala wanu wakuuzani inu kapena wina m'banja mwanu kuti muyambe mankhwala otchedwa Vincristine chifukwa cha khansa? Ndizachilendo kumva mantha pang'ono komanso mantha mukamva mawu akuti 'chemotherapy'. Koma ngati tadziwitsidwa bwino za mankhwalawa, mantha ndi kusatsimikizika kumeneko zitha kuchepetsedwa kwambiri. Chifukwa chake lero, tiyeni tikambirane za mankhwala otchedwa Vincristine, ngati kuti tikulankhula ndi mnzanu.

Kodi Vincristine ndi chiyani kwenikweni?

Mwachidule, Vincristine ndi mankhwala a chemotherapy omwe amalamulira kapena kuchepetsa kukula kwa maselo a khansa. Maselo a khansa m'thupi lathu ndi mtundu wa selo lomwe limagawikana ndikukula mofulumira popanda kulamulira. Choncho chomwe mankhwalawa amachita ndikuletsa kukula msangako.

Mankhwalawa amagwiritsidwa ntchito makamaka pochiza mtundu wa khansa ya m'magazi yotchedwa acute lymphocytic leukemia (ALL). Mutha kudziwa mankhwala awa ndi dzina lodziwika bwino la `Marqibo`.

Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kulandira chithandizo

Izi ndizofunikira kwambiri. Kuti chithandizo chipambane komanso kuti mukhale otetezeka, gulu lachipatala lidziwe za matenda ena aliwonse omwe muli nawo. Chifukwa chake, ngati muli ndi chilichonse mwa izi, musabise chilichonse ndipo uzani dokotala wanu.

• Chitetezo chamthupi chofooka: Ngati mphamvu ya thupi lanu yolimbana ndi matenda ndi yochepa.
• Matenda omwe alipo: Mtundu uliwonse wa malungo, chifuwa, kapena chimfine, makamaka matenda opatsirana ndi mavairasi monga nsabwe ndi herpes.
• Matenda a chiwindi: Ngati muli ndi matenda aliwonse a chiwindi.
• Kuchuluka kwa maselo a m'magazi: Ngati pali maselo oyera a m'magazi, maselo ofiira a m'magazi, kapena ma platelet ochepa m'magazi.
• Matenda a mitsempha: Mwachitsanzo, ngati muli ndi matenda monga Charcot-Marie-Tooth (CMT) kapena matenda ena a mitsempha.
• Mavuto a m'mimba: Ngati pali vuto lililonse m'matumbo kapena m'mimba.
• Kusanza m'miyendo: Ngati muli ndi kufooka kwa mitsempha, monga kusanza m'manja.
• Matenda a ziwengo: Ngati munayamba mwakhalapo ndi vuto la ziwengo ndi mankhwala a Vincristine awa kapena mankhwala ena aliwonse, chakudya, kapena utoto.
• Ngati muli ndi pakati kapena mukufuna kutenga mimba.
• Ngati ndinu mayi woyamwitsa.

Kodi mankhwalawa amaperekedwa bwanji m'thupi?

Mankhwalawa amaperekedwa ngati njira yothira m'mitsempha, monga saline. Izi si zomwe mungachite kunyumba. Mankhwalawa amaperekedwa ndi ogwira ntchito zachipatala ophunzitsidwa bwino kuchipatala kapena ku chipatala . Choncho palibe chifukwa chodera nkhawa.

Ngati mukupereka mankhwala awa kwa mwana, chisamaliro chapadera chingafunike. Lankhulani ndi dokotala wa mwana wanu za izi.

Nanga bwanji ngati nditamwa mankhwala ochulukirapo?

Izi sizingachitike kuchipatala. Komabe, ngati mukuganiza kuti mwamwa mankhwala mopitirira muyeso, funsani National Poisons Information Centre ku Colombo National Hospital nthawi yomweyo. Kapena, funsani Emergency Treatment Unit (ETU) ya chipatalacho.

Mankhwala ena omwe angagwirizane ndi mankhwalawa

Izi ndizofunikira kwambiri. Mankhwala ena omwe mukumwa angakhudze momwe Vincristine imagwirira ntchito. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera . Komanso, uzani dokotala wanu ngati mumasuta kapena kumwa mowa.

Makamaka, ngati mukumwa mankhwala aliwonse mwa awa, muyenera kuuza dokotala wanu. Dokotala wanu angasiye kwakanthawi kapena kusintha mankhwala anu.

• Carbamazepine
• Clarithromycin
• Itraconazole
• Ketoconazole
• Phenytoin
• Rifampin
• Wort wa St. John
• Mankhwala ena a HIV/AIDS (monga ritonavir, indinavir)

Mndandanda uwu sunathe, choncho ndikofunikira kwambiri kudziwitsa dokotala wanu za mankhwala onse omwe mukumwa .

Zinthu zoti muziganizire panthawi ya chithandizo

• Kumva kudwala: Ndizachibadwa kumva kudwala pang'ono kapena kutopa panthawi ya chemotherapy. Izi zili choncho chifukwa mankhwalawa amakhudza maselo a khansa komanso maselo ena athanzi. Uzani dokotala wanu za zotsatirapo zilizonse zomwe mumakumana nazo. Koma musasiye chithandizo chanu mpaka dokotala wanu atakuuzani kuti muchite zimenezo.
• Kuyezetsa magazi: Muyenera kuyezetsa magazi nthawi zonse kuti muwone kuchuluka kwa magazi anu panthawi ya chithandizo.
• Kudzimbidwa: Mankhwalawa angayambitse kudzimbidwa. Choncho, onetsetsani kuti mwachita chimbudzi masiku awiri kapena atatu aliwonse. Ngati simunachite chimbudzi kwa masiku atatu, imbani dokotala nthawi yomweyo.
• Mimba ndi kuyamwitsa: Izi ndizofunikira kwambiri.
• Akazi: Musatenge mimba mukatenga mankhwalawa komanso kwa miyezi 6 mutasiya kumwa mankhwalawa.
• Amuna: Pamene mukumwa mankhwalawa komanso mukasiya kumwa mankhwalaPewani kutenga pakati kwa miyezi itatu .
• Mankhwalawa akhoza kuvulaza kwambiri mwana wosabadwa. Komanso, musamuyamwitse mwana wanu panthawi ya chithandizo komanso kwa sabata imodzi mutasiya kumwa mankhwala.
• Zotsatira pa chonde: Mankhwalawa akhoza kukhala ndi zotsatirapo pa chonde. Ngati muli ndi nkhawa iliyonse pankhaniyi, lankhulani ndi dokotala wanu momasuka.

Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?

Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Koma izi sizichitika kwa aliyense. Anthu ena okha ndi omwe amadwala. Tiyeni tiwone zomwe zili.