Zvakajairika kunzwa kutya uye kutya kana iwe kana munhu waunoda mava kuda kutanga kurapwa kenza. Kunyanya kana ukanzwa nezvemushonga unonzi 'chemotherapy', zvinhu zvakawanda zvinouya mupfungwa. Nhasi tichataura nezvejekiseni rakakosha rinoshandiswa kurapa kenza yakadaro. Uyu mushonga unonzi Asparaginase Erwinia Chrysanthemi (Recombinant) unouya pasi pezita rekuti Rylaze. Sezvo zita iri rakaoma zvishoma, tichangoridaidza kuti Rylaze. Chinyorwa chino chichaedza kupindura mibvunzo yako nezvemushonga uyu nenzira iri nyore.
Chii chinonzi Asparaginase (Rylaze)?
Zvichitaurwa zviri nyore, uyu mushonga wechemotherapy unopiwa kuuraya masero ekenza. Haushandiswi kune kenza dzese, asi unoshandiswa zvakanyanya kune mhando mbiri dzekenza dzine chekuita neropa. Idzi ndedzi:
- Acute Lymphoblastic Leukemia (YOSE)
- Lymphoma yeLymphoma
Mushonga uyu unoshanda nenzira inoshamisa. Masero egomarara anoda amino acid inonzi asparagine kuti akure. Masero ane hutano hwakanaka mumuviri wedu anogona kugadzira asparagine iyi pachawo. Asi masero aya egomarara releukemia nelymphoma haana kugona ikoko. Saka mushonga uyu weRylaze unopwanyika woparadza asparagine iyi muropa. Ipapo masero egomarara anorasikirwa nekudya kwaanoda uye anofa. Masero ane hutano anogona kugadzira asparagine yaanoda, saka haakuvadzwi zvakanyanya.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga
Usati watanga kurapwa uku, zvakakosha kuzivisa chiremba wako nezvenhoroondo yako yese yehutano. Iva nechokwadi chekumuudza kana uine chimwe chezvirwere zvinotevera:
| Hutano hwako | Sei zvichikosha kuziva nezvazvo? |
|---|---|
| Matambudziko ekubuda ropa kana matambudziko ekugwamba kweropa | Mushonga uyu unogona kukanganisa maitiro ekugwamba kweropa. |
| Chirwere cheshuga | Mushonga uyu unogona kukonzera kukwira kweshuga muropa. |
| Kana uine pancreatitis | Mushonga uyu haugone kukonzera pancreatitis. |
| Chirwere chechiropa | Mushonga uyu unogona kukanganisa mashandiro echiropa. |
| Kurwara nemishonga, chikafu, kana dhayi | Kuongorora njodzi yekusawirirana nemishonga. |
| Kana uine pamuviri kana kuti uri kuedza kubata pamuviri | Izvi zvakakosha zvikuru . Mushonga uyu unogona kukuvadza mwana asati aberekwa. |
| Kana mwana achiyamwiswa | Mushonga uyu unogona kupfuudzwa kumwana kuburikidza nemukaka wemuzamu. |
Ndingakupa sei mushonga uyu?
Uyu hausi mushonga waunogona kuenda nawo kumba. Unopihwa kwauri nevashandi vezvehutano vakadzidziswa muchipatara kana kiriniki . Unowanzopihwa sejekiseni mutsandanyama .
Zvakakosha kuti unwe mushonga wako pamazuva akarongwa iwe. Usapotsa mazuva aya chero chikonzero chipi zvacho. Kana nekuda kwechimwe chikonzero usingakwanise kutora mushonga wako pazuva rakarongwa, fonera chiremba wako nekukasika womuzivisa.
Sezvo mushonga uyu uchipiwa pasi pekutarisirwa kwachiremba, hapana mukana wekuti 'uwedzere'. Zvisinei, kana uchinzwa kusagadzikana zvakanyanya mushure mekutora mushonga, zivisa vashandi vekurapa nekukasika. Kana paine emergency, unogona zvakare kufonera National Poison Information Centre paColombo National Hospital .
Zvinhu zvekufunga nezvazvo panguva yekurapwa
Kutarisirwa kwenguva dzose kwechiremba
Vanachiremba vachanyatsoongorora mamiriro ako panguva yaunenge uchitora mushonga uyu. Vacharaira kuongororwa ropa nguva nenguva. Vachaongorora kana mushonga wacho uchishanda, kana wakakanganisa chiropa chako, uye kuti shuga yako yeropa yakadii.
Kubata pamuviri nekuyamwisa
Iyi inyaya inonetsa zvikuru.
Usabata pamuviri paunenge uchitora mushonga uyu. Dzivisa kubata pamuviri kwemwedzi mitatu mushure mekurega kushandisa mushonga uyu.
Mapiritsi ekudzivirira pamuviri anowanzo shandiswa nemahormone anogona kusashanda zvakanaka nemushonga uyu. Saka, iva nechokwadi chekutaura nachiremba wako nezveimwe nzira yakachengeteka yekudzivirira pamuviri yakakunakira. Mushonga uyu unogona kukonzera kukuvara kukuru kumwana asati aberekwa.
Uyewo, dzivisa kuyamwisa mwana wako paunenge uchitora mushonga uye kwevhiki imwe chete mushure mekurega .
Kuziva nezvemimwe mishonga
Udza chiremba wako nezvemishonga yese yauri kutora. Izvi zvinosanganisira mishonga yemamwe matambudziko, mavhitamini, mishonga inoderedza marwadzo, mishonga yemiti, mishonga yeAyurvedic, uye mishonga yekuwedzera. Mimwe mishonga inogona kukanganisa Rylaze. Semuenzaniso:
- Corticosteroids (semuenzaniso, Prednisolone)
- Methotrexate
- Vincristine
- Zonisamide
- Cytarabine
- Mahormone ethyroid
Rondedzero iyi haina kukwana, saka zvakakosha zvikuru kuudza chiremba wako nezvese zvauri kutora.
Migumisiro inogona kuitika nekuda kwemishonga
Kufanana nemushonga upi zvawo, izvi zvinogona kukonzera migumisiro yakaipa. Havasi vese vanoiwana. Zvisinei, zvakakosha kuziva izvi kuitira kuti ugone kuita chimwe chinhu nekukurumidza kana paine zviratidzo.
| Mhedzisiro yedivi | Zviratidzo zvauri kuona |
|---|---|
| Migumisiro yakaipa inofanira kuziviswa kuna chiremba kana vashandi vechipatara nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi, kuoma kufema. |
| Kubuda ropa kusingajairika | Tsvina nhema kana kuti dzine ropa, weti tsvuku/tsvuku yakasviba, kurutsa kunoita sekofi yakakuyiwa, kubuda ropa mumhino/mazino, mavanga matsvuku paganda. |
| Kugwamba kweropa | Kurwadziwa pachipfuva, kushaya mweya, kurwadziwa kwemakumbo, kuzvimba, kana kudziya. |
| Chipembenene | Kurwadziwa kwakanyanya mudumbu repamusoro, kunosvika kumusana, fivha, kuda kurutsa, uye kurutsa. |
| Kukuvara kwechiropa | Kutsvuka kwemaziso neganda (jaundice), weti yeruvara rweyero/brown, kurwadziwa kumusoro kwedumbu kurudyi, kuneta kwakanyanya. |
| Shuga yakakwira muropa | Nzara yakawedzera zvisingawanzoitiki, nyota yakawandisa, kuita weti nguva nenguva, kuona zvisipo, kuneta zvakanyanya. |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Musoro | Musoro wemusoro. |
| Kuda kudya | Kurasikirwa nechido chekudya. |
| Kurwadziwa kwetsandanyama | Kurwadziwa kwemuviri. |
| Maronda emuromo | Maronda madiki mukati memuromo. |
Kana ukaona zvimwe zviratidzo zvisingawanzoitiki zvisiri pane urongwa uhwu, ndapota zivisa chiremba wako nezvazvo zvakare.
Mharidzo Yekuenda Nayo Kumba
- Rylaze (Asparaginase) ijekiseni rechemotherapy rinoshandiswa kurapa kenza yeropa inonzi leukemia nelymphoma.
- Mushonga uyu unopihwa muchipatara kana kiriniki pasi pekutarisirwa nachiremba.
- Udza chiremba wako nezvezvirwere zvako zvese pamwe nemimwe mishonga yaunotora.
- Kana ukasangana nematambudziko akakomba akadai sezviratidzo zvekurwara nepfungwa, kubuda ropa kusingawanzoitiki, kana kurwadziwa kwakanyanya mudumbu, tsvaga rubatsiro rwechiremba nekukasika.
- Dzivisa kubata pamuviri zvachose panguva yekurapwa uye kwemwedzi mitatu mushure mekurapwa.
- Kana muine mibvunzo kana zvinokunetsai, musatya kutaura nachiremba wenyu. Varipo kuti vakubatsirei.
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