Zvakajairika kunzwa wakaremerwa uye uchinetseka kana iwe kana munhu waunoda akaonekwa aine kenza, kunyanya acute leukemia. Panguva dzakadai, chiremba wako achataura newe nezvekurapa kwakasiyana-siyana. Imwe yemishonga iyoyo ijekiseni inonzi Clofarabine. Zita rayo rinonzi Clolar. Nhasi, ngatitaurei nezvemushonga uyu, zvaunoita, uye zvaunofanira kuziva.
Mushonga werudzii uyu weClofarabine?
Zvichitaurwa zviri nyore, clofarabine mushonga unorwisa masero ekenza. Mushonga uyu unoshandiswa, kunyanya, muzviitiko zve leukemia yakakomba. Masero ekenza mumuviri wedu anopatsanuka uye anokura nekukurumidza. Mushonga uyu unononotsa kukura kwemasero ekenza uye unodzora kupararira kwawo . Uyu chikamu chekurapa kenza (chemotherapy).
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga uyu
Kuti chikwata chenyu chezvekurapa chikupei kurapwa kwakanakisa uye kwakachengeteka, zvakakosha kuti vazive zvizere nezvehutano hwenyu. Saka, musati matanga kurapwa neclofarabine, iva nechokwadi chekuudza chiremba wenyu kana muine chimwe chezvirwere zvinotevera:
- Kana uine chirwere chekubuda ropa kana chirwere chekuti ropa rako harigwambi nyore.
- Kana pari zvino uine hutachiona hwakadai sefivha, kukosora, kana dzihwa.
- Kana uine chirwere cheitsvo .
- Kana wakambova neallergy nekuda kwe clofarabine kana chero imwe mishonga, chikafu, kana dhayi .
- Kana uine pamuviri kana kuti uchironga kubata pamuviri munguva pfupi iri kutevera .
- Kana uri amai vanoyamwisa .
Usavanzire chiremba ruzivo urwu, nekuti ruzivo urwu rwose rwakakosha zvikuru pakuchengetedza kwako.
Mushonga uyu uchapihwa sei kwauri?
Iri harisi piritsi kana sirapu yaunogona kuenda nayo kumba. Rinongopihwa muchipatara kana kukiriniki chete. Rinopihwa sejekiseni mutsinga nachiremba kana nesi akadzidziswa.
Vanachiremba dzimwe nguva vanopa mushonga uyu kuvana vane gore rimwe chete, asi vanoita izvi nokungwarira kukuru uye nekudzivirira kwakanyanya.
Chii chekuita kana mushonga wacho wakawedzerwa?
Sezvo izvi zvichipiwa muchipatara, mikana yekuti munhu atore mushonga wakawandisa yakaderera. Zvisinei, kana ukanzwa kuti watora mushonga wakawandisa kana kuti ukaona zviratidzo, zivisa timu yezvekurapa nekukasika. Kana paine emergency, unogona kufonera National Poisons Information Centre paNational Hospital muColombo . Kana kuenda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
Ko kana ndikarasikirwa nedosi remushonga?
Zvakakosha zvikuru kutora mushonga uyu pamazuva akarongwa uye panguva dzakatarwa. Kana usingakwanise kuenda kuchipatara kunotora mushonga wako pazuva rakatarwa, usauregedze. Fonera chiremba wako nekukasika wovaudza. Vachakuudza zvekuita zvinotevera.
Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu
Zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora, kwete chete yawakanyorerwa nachiremba wako, asiwo mishonga inonyaradza marwadzo, mavhitamini, mishonga yemishonga, nezvimwe zvauri kushandisa. Mimwe mishonga inogona kushanda pamwe chete neclofarabine, zvichikonzera migumisiro isingadiwe kana kuchinja mashandiro emushonga.
Pazasi pane mienzaniso mishoma chete. Rondedzero iyi haina kukwana.
| Rudzi rwemishonga | Mienzaniso |
|---|---|
| Mishonga inonyaradza marwadzo uye inoderedza fivha | Mishonga yeNSAID yakaita seAcetaminophen, Aspirin, Ibuprofen, uye Naproxen |
| Mishonga yezvirwere zvemwoyo neBP | Amiodarone, Methyldopa, mishonga yakasiyana-siyana yekubvisa manyoka |
| Mishonga yekuderedza cholesterol | Atorvastatin, Simvastatin |
| Mishonga yezvirwere zvakasiyana-siyana (mishonga inorwisa mabhakitiriya/mishonga inorwisa fungus) | Amphotericin B, Fluconazole, Ketoconazole, Acyclovir, Amoxicillin, Gentamicin, Tetracycline, Vancomycin, Rifampin |
| Mushonga wepfari/kubatwa nepfari | Carbamazepine, Phenytoin, Valproic acid |
| Mimwe mishonga inorwisa kenza uye inodzvinyirira masoja emuviri | Cisplatin, Cyclosporine, Methotrexate |
Zvinhu zvaunofanira kungwarira paunenge uchitora mushonga
Chikwata chevanachiremba chichakutarisa zvakanyanya paunenge uchitora mushonga uyu, asi zvakakoshawo kuti unyatsoteerera muviri wako.
- Kuongororwa kweropa uye kuongororwa kwechiremba: Munguva yekurapwa uku, uchafanirwa kuongororwa ropa nguva nenguva kuti utarise huwandu hwemasero eropa rako, mashandiro eitsvo nechiropa. Usazvisiya.
- Njodzi yekubuda ropa: Mushonga uyu unogona kuderedza huwandu hwemasero mumuviri wako anobatsira kuumbwa kweropa (platelets). Izvi zvinogona kuita kuti zviomere kunyangwe kucheka kudiki kumisa kubuda ropa. Udza chiremba wako nekukasika kana ukaona mavanga asina kujairika, mavara epepuru, matadza anobuda ropa, kana kubuda ropa mumhino .
- Njodzi yekutapukirwa: Mushonga uyu unoderedza dziviriro yemuviri wako, saka unogona kutapukirwa nezvirwere zviri nyore. Kana ukaona zviratidzo zvakaita sefivha , dzihwa, pahuro, kana kukosora , usazvirape uye fonera chiremba wako nekukasika. Deredza kushanya kwako kunzvimbo dzine vanhu vanorwara.
- Kukanganiswa kwakakomba kweganda: Dzimwe nguva, kunyangwe mavhiki mashoma mushure mekutanga mushonga, kukanganiswa kwakakomba kweganda kunogona kuitika. Kana ukaona chimwe chinhu chakadai semaronda matsvuku kana epepuru paganda rako pamwe nefivha, ganda richibuda, kana maronda mumuromo mako, usazviregeredza. Tsvaga rubatsiro rwechiremba nekukasika.
- Kubata pamuviri nekuyamwisa: Mushonga uyu unogona kukonzera matambudziko makuru ekuzvarwa nawo mumwana kana ukatorwa panguva yekuzvitakura . Saka, unofanira kudzivirira kubata pamuviri panguva yekurapwa uye kwemwedzi mitanhatu mushure mekumira kurapwa. Uyewo, usayamwisa panguva yekurapwa uye kwemavhiki maviri mushure mekumira kurapwa.
- Kubereka: Mushonga uyu unogona kukanganisa kubereka kwevarume nevakadzi. Izvi zvinoreva kuti unogona kukanganisa kugona kwako kubereka vana mune ramangwana. Kana uine zvinokunetsa nezvazvo, taura nachiremba wako usati watanga kurapwa.
Migumisiro inogona kuitika nekuda kwemushonga uyu
Kufanana nemushonga upi zvawo, clofarabine inogona kukonzera migumisiro yakaipa. Haasi munhu wese anowana. Zvisinei, zvakakosha kuziva zvingangoitika.
| Mhedzisiro yedivi | Zvaunonzwa/unoona |
|---|---|
| Migumisiro yaunofanira kuudza chiremba wako nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi, kuoma kufema. |
| Kubuda ropa kusingajairika | Tsvina nhema kana kuti ine ropa, kurutsa kunoita sekofi yakakuyiwa, weti tsvuku/yakasvibira, mavanga matsvuku/epepuru paganda. |
| Chirwere chekubuda kwemvura muropa (capillary leak syndrome) | Kurwadziwa mudumbu kana tsandanyama, kuneta kwakanyanya, kupera simba, kudzikira kwemvura inobuda mumuviri, kuzvimba kwezvitsitsinho, maoko, netsoka, uye kuoma kufema. |
| Zviratidzo zvehutachiona | Fivha, dzihwa, kukosora, pahuro panorwadza, maronda asingapore. |
| Kukuvara kweitsvo | Kudzikira kweweti, kuzvimba kwezvitsitsinho, maoko, netsoka. |
| Kukuvara kwechiropa | Kurwadziwa mudumbu, kurasikirwa nechido chekudya, kuda kurutsa, kutsvuka kweganda kana maziso, weti yero/brown yakasviba. |
| Chirwere cheTumor Lysis (TLS) | Kusvotwa, kurutsa, manyoka, kudzikira kweweti, kurova kwemoyo zvisina kurongeka, kugwinha kwetsandanyama, kuvhiringidzika. |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Musoro | - |
| Kuda kudya | - |
| Kusvotwa nekurutsa | - |
| Kurwadziwa mumaoko nemakumbo | - |
Mharidzo Yekuenda Nayo Kumba
- Clofarabine mushonga une simba unopinzwa muchipatara netsinga kurapa leukemia.
- Usati watanga kurapwa, udza chiremba wako zvizere nezvemimwe mishonga yese, mavhitamini, uye allergies dzauri kutora.
- Munguva yekurapwa, kana ukaona zviratidzo zvekubuda ropa zvisina kujairika, hutachiona (fivha, kukosora), kana shanduko huru dzeganda, tsvaga rubatsiro rwechiremba nekukasika.
- Dzivisa kubata pamuviri paunenge uchitora mushonga uyu uye kwemwedzi mitanhatu mushure mekurega. Dzivisawo kuyamwisa.
- Taura pachena nachiremba wako kana timu yezvekurapa nezvemibvunzo, kutya, kana zvinokunetsa. Varipo kuti vakubatsire.
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