Kana chiremba wako akakuudza iwe kana mudiwa wako kuti unofanira kubayiwa jekiseni rinonzi Blinatumomab kuti urape leukemia, zvakajairika kunzwa kutya, kutya, uye kuda kuziva. Mushonga werudzii uyu? Unorwisa sei kenza? Chii chatinofanira kuziva? Ndiri kunyora tsananguro iyi kungopindura mibvunzo yakawanda yakaita seiyi yaungave nayo mupfungwa dzako. Ngatitaurei nezvechimwe nechimwe chezvinhu izvi chimwe nechimwe.
Zvichitaurwa zviri nyore, chii chinonzi Blinatumomab?
Blinatumomab (unowanzoiwana ichishandisa zita rekuti BLINCYTO) mushonga unoshandiswa kurapa leukemia , rudzi rwekenza yeropa. Hauna kufanana nemushonga wechemotherapy wenguva dzose. Mushonga wepamusoro-soro.
Muchidimbu, mushonga uyu unoshanda nekutaura nemasoja emuviri wako, kuumutsa, uye kuubatsira kuwana nekuparadza masero ekenza. Zvakafanana nekuratidza dziviriro yemuviri wedu vavengi vakavanzika (masero ekenza) uye kuvaudza kuti, "Heino, varwise." Mukurapa, tinodana mhando idzi dzemishonga kuti monoclonal antibodies . Kureva kuti, puroteni yakagadzirirwa kurwisa chinangwa chaicho chete.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga kurapwa
Kuti chiremba wako akupe kurapwa kwakanakisa uye kwakachengeteka, zvakakosha kuti azive nhoroondo yehutano hwako hwese. Saka, kana chimwe chezvinotevera chichishanda kwauri, iva nechokwadi chekuudza chiremba wako usingamboregi .
- Kana wakamborapwa nemwaranzi kuuropi: Kana wakamborapwa nemwaranzi kunzvimbo yeuropi hwako kare, iva nechokwadi chekuzvitaura.
- Utachiona huripo parizvino: Kana uine hutachiona , hwakadai sefivha, kukosora, dzihwa, kana hutachiona hwenzira yekuzvitakura.
- Chirwere chechiropa: Kana uine chirwere chinokonzerwa nechiropa.
- Matambudziko etsinga: Kana wakambobatwa nepfari kare, kana uchinzwa sekunge uri kurasikirwa nendangariro, kana uine matambudziko akadai sekuoma kutaura, kana kana ukarasikirwa nemwero wako pakufamba.
- Kana wakarongerwa kugamuchira mushonga wekudzivirira: Kana uri kuronga kugamuchira mushonga wekudzivirira munguva pfupi iri kutevera.
- Kurwara: Kana uine allergy yemushonga uyu weBlinatumomab kana chero mumwe mushonga, chikafu, kana dhayi.
- Kana uri kuedza kubata pamuviri kana kuti une pamuviri: Izvi zvakakosha zvikuru kana uine pamuviri kana kuti uri kuronga kuva nemwana. Mushonga uyu unogona kukonzera kukuvara kukuru kumwana panguva yekuzvitakura.
- Kana uchiyamwisa:Kana uri amai vari kuyamwisa mwana.
Ndingakupa sei mushonga uyu?
Iri harisi piritsi raunomedza. Blinatumomab mushonga unobayiwa mutsinga . Unowanzopihwa muchipatara kana kiriniki, uchitariswa nevashandi vezvehutano.
Iyi haisi jekiseni kamwe chete. Inopihwa mubhegi diki (infusion bag) uye inopihwa semushonga wesaline unopinzwa zvishoma nezvishoma mumuviri wako kwemaawa makumi maviri nemana. Nenzira iyi, kurapwa kunogona kuenderera mberi kwemazuva akati wandei.
Usati watanga kurapwa kwega kwega, uchapihwa kapepa keruzivo rwakakosha (MedGuide) nezvemushonga uyu. Zvakakosha kuti uverenge uye unzwisise nekungwarira nguva dzese.
Kunyangwe vana vadiki (kubva pamwedzi mumwe chete) vanopiwa mushonga uyu mune dzimwe nguva dzakanyanya kukosha. Zvisinei, sarudzo yacho inotorwa nachiremba wevana.
Ko kana ukatora mushonga wakawandisa netsaona?
Izvi zvinopihwa muchipatara, saka mikana yekuti izvi zviitike yakaderera. Zvisinei, kana uchifunga kuti watora mushonga uyu wakawandisa, fonera National Poisons Information Centre kuColombo National Hospital nekukasika . Kana, enda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
Ko kana ndikasawana nguva yekurapwa?
Zvakakosha kuti upedze nguva yako yekurapwa nemazvo. Usapotsa nguva yekurapwa chero ipi zvayo. Kana nekuda kwechimwe chikonzero usingakwanise kuuya kuchipatara pazuva rakarongwa, fonera timu yako yezvekurapa nekukasika uvazivise.
Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu
Zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora (kusanganisira mavhitamini nemishonga yemishonga), sezvo mimwe mishonga inogona kukanganisa Blinatumomab.
| Mishonga/zvinhu zvinogona kukonzera matambudziko | Tsananguro iri nyore |
|---|---|
| Majekiseni ehutachiona ari mupenyu | Dzivisa kuwana majekiseni ehutachiona mhenyu (semuenzaniso gwirikwiti, mamumps) paunenge uchitora mushonga uyu. Mushonga uyu unoshandura masoja emuviri wako, saka unogona kuwana hutachiona kubva mumajekiseni aya. |
| Cyclosporine | Iyi mishonga inodzvinyirira masoja emuviri. Mazano ekurapwa anodiwa usati washandisa mishonga iyi pamwe chete. |
| Warfarin | Kana uri kutora mushonga uyu unodzivirira kuumbwa kweropa, kushanda kwawo kunogona kuchinja kana ukashandisa Blinatumomab. |
Rondedzero iyi haina kukwana, saka udza chiremba wako nezvemishonga yese yauri kutora.
Zvinhu zvaunofanira kungwarira zvakanyanya panguva yekurapwa
Chikwata chako chezvekurapa chichakutarisa zvakanyanya paunenge uchirapwa, asi zvakakoshawo kuti utarisire muviri wako.
Chenjerera nezvezvirwere.
Mushonga uyu unogona kukanganisa mashandiro emuviri wako, izvo zvinogona kuwedzera njodzi yako yekuwana hutachiona. Saka, kana ukava nezviratidzo zvechikosoro zvakaita sefivha, dzihwa, pahuro, uye kukosora , usazvirape wega uye zivisa timu yako yezvekurapa nekukasika. Deredza kushanya kwako kunzvimbo dzine vanhu vanorwara.
Kuongororwa kweropa
Panguva yekurapwa, uchafanirwa kuongororwa ropa nguva nenguva (kuongorora ropa) kuti uone huwandu hweropa rako.
Kutyaira nekushandisa michina
Mushonga uyu unogona kukanganisa kuenzana kwako, nguva yekuita chimwe chinhu, uye kugona kwako kuita sarudzo . Saka, dzivisa kutyaira kana kushandisa michina inorema kusvika waziva kuti mushonga uyu unokukanganisa sei. Kuti uderedze njodzi yedzungu kana kusuruvara, simuka nekukurumidza, kungave wakagara kana wakarara pasi. Kunwa doro kunogona kuwedzera migumisiro iyi.
Kubata pamuviri nekuyamwisa (zvakakosha zvikuru)
Unofanira kungwarira zvikuru nezveizvi. Kubata pamuviri paunenge uchitora mushonga uyu uye kwemaawa makumi mana nemasere mushure memushonga wekupedzisira kunogona kukonzera matambudziko makuru ekuzvarwa kwemwana.
- Usati watanga kurapwa, uchaongororwa kuti uve nechokwadi chekuti hauna pamuviri.
- Zvakakosha kushandisa nzira yakavimbika yekudzivirira pamuviri panguva yese yekurapwa uye kwemaawa makumi mana nemasere mushure mekurapwa. Taura nachiremba wako nezveizvi uye sarudza nzira yakakodzera.
- Usayamwisa mwana zvachose paunenge uchitora mushonga uyu uye kwemaawa makumi mana nemasere mushure memushonga wekupedzisira.
Ndezvipi zvimwe zvinhu zvinogona kundikanganisa?
Kufanana nemushonga upi zvawo une simba, Blinatumomab inogona kukonzera migumisiro yakaipa. Mimwe yacho yakakomba uye inofanira kutaurwa nekukasika. Mimwe inowanzova isina kuipa, asi kana ikaramba iripo, unofanira kuudza chiremba wako .
| Migumisiro yakaipa yaunofanira kuudza chiremba wako nekukasika | |
|---|---|
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Cytokine Release Syndrome | Fivha, kutonhora, kuneta zvakanyanya, kushaya chido chekudya, kuda kurutsa, musoro, dzungu, kupera simba, kunetseka kufema, kurova kwemoyo nekukurumidza kana kusina kurongeka. Izvi zvinogona kunge zviri kukonzerwa nemushonga uyu. |
| Utachiona | Fivha, dzihwa, kukosora, pahuro panorwadza, maronda asingapore, hutachiona hwemunzira yeweti, uye marwadzo emuviri. |
| Kukuvara kwechiropa | Kurwadziwa mudumbu, kushaya chido chekudya, kuda kurutsa, tsvina ine ruvara rwakajeka, weti yero kana yero, ganda kana maziso kuita yero, uye kuneta kwakanyanya. |
| Matambudziko ehurongwa hwetsinga | Kurwadziwa kwemakumbo, kusanzwa simba, kushaya simba, kuchinja kwekuona, kuvhiringidzika, kuoma kutaura, kurasikirwa nepfungwa dzakanaka, kuoma kufamba, pfari. |
| Chipembenene | Kurwadziwa kwakanyanya mudumbu repamusoro, kuchibuda kumusana. Kurwadziwa kunowedzera kana uchidya kana kubata dumbu, fivha, kuda kurutsa, kurutsa. |
| Chirwere cheTumor Lysis (TLS) | Dambudziko rinokonzerwa nekukurumidzira kuparadzwa kwemasero ekenza. Kusvotwa, kurutsa, manyoka, kudzikira kwemushonga weti, weti yakasviba, kuneta kwakanyanya, kuvhiringidzika, kugwinha kwetsandanyama, kurwadziwa kwemajoini, uye kuchinja kwekurova kwemoyo. |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Musoro | Musoro wemusoro unogona kuitika. |
| Kuzvimba kwemuviri | Kuzvimba kwezvitsitsinho, maoko, kana tsoka. |
| Kudengenyeka | Kuzununguka kusingadzoreki kwemakumbo, zvakaita semaoko nemakumbo. |
Rondedzero iyi haina migumisiro yese inogona kuitika. Kana ukasangana nechimwe chinhu chisingawanzoitiki kana chisingafadzi, taura nachiremba wako nezvazvo.
Mharidzo Yekuenda Nayo Kumba
- Blinatumomab mushonga wepamusoro-soro unokurudzira masoja emuviri wako kurwisa leukemia.
- Usati watanga kurapwa, udza chiremba wako ruzivo rwako rwese rwehutano, mishonga yauri kutora, uye chero allergies dzaungave uine.
- Pakurapwa, chenjerera zvikuru zviratidzo zvehutachiona zvakaita sefivha nekukosora, uye zviratidzo zvisingawanzoitika zvine chekuita netsinga (kunetseka kutaura, pfari). Kana ukaona chero chinhu, taurira chiremba wako nekukasika.
- Zvakakosha zvikuru:Dzivisai kubata pamuviri zvachose panguva yekurapwa uye kwemaawa makumi mana nemasere mushure mekurapwa. Iva nechokwadi chekushandisa nzira dzekudzivirira pamuviri dzakavimbika. Dzivisaiwo kuyamwisa panguva iyi.
- Rwendo urwu harusi rwega rwaunofamba narwo. Taura pachena nachiremba wako nechikwata chezvekurapa nezvemibvunzo kana zvinokunetsa zvaungave nazvo.
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