Chiremba wako akakupa Duvelisib here kana mumwe munhu waunoziva? Uyu mushonga unoshandiswa kurapa zvirwere zvegomarara zvakaita seleukemia nelymphoma. Zvakajairika kunzwa kutya uye kutya zvishoma paunonzwa zita remushonga wakaita seuyu. Asi kana uine ruzivo rwakakodzera nezvemushonga uyu, unogona kubvisa kutya ikoko. Saka, ngatitaurei zviri nyore uye zvakajeka nezvemushonga uyu, zvinhu zvekungwarira paunenge uchiushandisa, uye migumisiro inogona kuitika.
Chii chaizvo chinoitika nemushonga uyu?
Muchidimbu, Duvelisib mushonga unovhara puroteni chaiyo inobatsira masero ekenza kukura nekupararira. Gomarara rinoitika kana masero mumuviri wedu akapatsanuka nekuwanda zvisingadzoreki. Saka mushonga uyu unovhara puroteni inoratidza masero ekenza kukura. Ipapo kugona kwemasero ekenza kukura, kupatsanurana, nekuwanda kunodzikira. Iyi ndiyo nzira inobatsira nayo kudzora kenza. Inowanikwawo mumusika pasi pezita rekuti Copiktra.
Zvinhu zvekuudza chiremba wako usati watanga mushonga
Usati watanga mushonga uyu, zvakakosha kupa chiremba wako tsananguro yakazara yehutano hwako. Nekuti ruzivo irworwo ndirwo ruchasarudza kana mushonga uyu wakakodzera iwe, uye kuti unofanira kupiwa sei. Iva nechokwadi chekutaura zvinotevera kunyanya:
- Utachiona: Chero hutachiona hwaunahwo parizvino, hwakadai sefivha, kukosora, kana dzihwa.
- Chirwere chemapapu: Kana uine matambudziko ekufema akadai sechirwere chemapapu, asthma, kana COPD.
- Matambudziko emudumbu: Kana uine matambudziko mudumbu kana muura hwako.
- Kurwara: Kana wakambova nechirwere cheDuvelisib kana chero mimwe mishonga, chikafu, kana dhayi.
- Kubata Pamuviri: Kana iwe kana mumwe wako muri kuedza kubata pamuviri, kana kuti muri pamuviri parizvino, izvi zvakakosha zvikuru.
- Kuyamwisa: Kana uri amai vanoyamwisa.
Ndingashandisa sei mushonga uyu chaizvo?
Iri ipiritsi rinonwiwa. Sezvakataurwa nachiremba, kutevedzera mirairo kunobatsira zvikuru kubudirira kwekurapwa.
- Inwa izvi negirazi remvura.
- Sezvakataurwa nachiremba, edza kuitora panguva imwe chete zuva nezuva .
- Usapwanye, kupwanya, kana kutsenga piritsi iri. Medza rose.
- Unogona kuitora usati wadya kana kuti wapedza kudya. Zvisinei, kana uchinzwa kurwadziwa mudumbu, zvakanaka kuitora pamwe chete nechikafu.
- Ramba uchiishandisa kusvika chiremba wako akuudza kuti urege.
Kana ukatora mushonga wakawanda kupfuura wawaida, usanonoka. Fonera National Poisons Information Centre paColombo National Hospital nekukasika, kana kuenda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
Mushonga uyu wakanyorerwa iwe chete. Usaupe kune mumwe munhu ane chirwere chimwe chete nekuti wakuita kuti unzwe zviri nani.
Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?
Kukanganwa kutora mushonga wako kunogona kuitika kune chero ani zvake. Kana ukakanganwa kutora mushonga, tora nekukurumidza paunenge uchiyeuka, kunze kwekunge wanonoka kupfuura maawa matanhatu . Zvisinei, kana wanonoka kupfuura maawa matanhatu , svetuka mushonga wausina kutora. Tora mushonga wako unotevera panguva yakatarwa. Usambofa watora mishonga miviri panguva imwe chete.
Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu
Mimwe mishonga yauri kutora inogona kukanganisa mashandiro anoita Duvelisib. Saka udza chiremba wako nezvemishonga yese yauri kutora, kusanganisira mavhitamini nemishonga yemishonga.
| Rudzi rwemushonga | Tsananguro nemienzaniso |
|---|---|
| Mishonga isingafanirwe kutorwa neDuvelisib | |
| Flibanserin | Mushonga unopihwa kumatambudziko ane chekuita nechido chepabonde kuvakadzi. |
| Lomitapide | Inoshandiswa kurapa cholesterol yakakwira. |
| Lonafarnib | Inoshandiswa kurapa zvirwere zvisingawanzoitiki zvemajini. |
| Mimwe mishonga inogona kushanda pamwe chete neDuvelisib | |
| Mamwe maantibayotiki | Semuenzaniso: Erythromycin, Clarithromycin |
| Mishonga inorwisa utachiona yeHIV kana Hepatitis | Udza chiremba nezvenyaya iyi. |
| Mishonga yezvirwere zvefungus | Semuenzaniso: Ketoconazole, Itraconazole |
| Mishonga yekurapa pfari | Mienzaniso: Carbamazepine, Phenobarbital, Phenytoin |
| Midazolam | Mushonga unopihwa semushonga unonyaradza kana usati wabatwa nechirwere cheanesthesia. |
| Rifampin | Mushonga unopihwa wezvirwere zvakaita seTB. |
Zvinhu zvekungwarira paunenge uchitora mushonga
Zvakakosha zvikuru kutarisisa shanduko dziri kuitika mumuviri wako paunenge uchitora mushonga uyu.
Kuongororwa nachiremba nguva dzose
Chiremba wako achakutarisa nguva dzose paunenge uchitora mushonga uyu. Ungangodawo kuongororwa ropa nguva dzose kuti uone shanduko mukushanda kweropa rako nechiropa. Usapotsa bvunzo idzi.
Zvingangoitika zvakakomba paganda
Dzimwe nguva ganda rinogona kubatwa zvakanyanya kunyangwe mushure memavhiki ekutanga mushonga uyu. Udza chiremba wako nekukasika kana ukatanga mapundu pamwe chete nezviratidzo zvakaita sefivha nechando . Mapundu aya anogona kutsvuka kana kutsvukuruka, uye ganda rinogona kutanga kutsvuka. Zvakare, mapundu matsvuku pamwe chete nekuzvimba kwechiso, miromo, kana ma lymph nodes akazvimba mumutsipa kana muhapwa chiratidzo chine njodzi.
Njodzi yekutapukirwa
Mushonga uyu unogona kuderedza masoja emuviri wako , zvichiita kuti uve nenjodzi yekurwara. Kana uine zviratidzo zvechikosoro zvakaita sefivha, dzihwa, pahuro, uye kukosora, usazvirape uye fonera chiremba wako. Dzivisa kuenda kunzvimbo dzine vanhu vanorwara zvakanyanya sezvinobvira.
Nezvekubata pamuviri, kuyamwisa uye kubereka
Ichi chikamu chakakosha zvikuru.
- Kubata pamuviri: Kana uchitora mushonga uyu uyeUnofanira kudzivirira kubata pamuviri kwemwedzi mumwe chete mushure mekurega kushandisa mushonga. Izvi zvinogona kukonzera matambudziko makuru ekuzvarwa kwemwana. Unofanira kutora bvunzo yekuzvitakura usati watanga kushandisa mushonga uyu kuti uve nechokwadi chekuti hauna pamuviri. Bvunza chiremba wako kuti akupe mazano ekudzivirira pamuviri kwakakodzera panguva iyi.
- Kune varume: Kana mumwe wako akakwanisa kubata pamuviri, zvakakosha kushandisa kondomu panguva yebonde uchitora mushonga uyu uye kwemwedzi mumwe chete mushure mekurega.
- Kuyamwisa: Musayamwisa mwana wenyu muchitora mushonga uyu uye kwemwedzi mumwe chete mushure mekurega kuyamwisa.
- Kubereka: Mushonga uyu unogona kukanganisa kubereka. Kana uine zvinokunetsa nezvazvo, taura nachiremba wako.
Ndezvipi zvingakonzera migumisiro yakaipa?
Kufanana nemushonga upi zvawo, Duvelisib inogona kukonzera migumisiro yakaipa. Zvisinei, havasi vese vanoiwana. Mimwe yacho yakakomba, asi mimwe inowanzoonekwa. Chinhu chakakosha kuziva zviratidzo izvi uye kuudza chiremba wako nekukurumidza kana uine chero dambudziko.
| Mhedzisiro Yepadivi | Tsananguro |
|---|---|
| Migumisiro yaunofanira kuudza chiremba wako nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Kuoma kufema | Kukosora kwakaoma kusinganzwisisike, kunetseka kufema. |
| Zviratidzo zvehutachiona | Fivha, dzihwa, pahuro panorwadza, maronda asingapore, hutachiona hwemunzira yeweti. |
| Zviratidzo zvekukuvara kwechiropa | Kurwadziwa mudumbu rekumusoro kurudyi, kurasikirwa nechido chekudya, kuda kurutsa, kutsvuka kweganda kana maziso, weti yakasviba. |
| Anemia (Kuderera kwemasero matsvuku eropa) | Kuneta kusingawanzoitiki, dzungu, musoro, kuoma kufema. |
| Kukanganiswa kwakanyanya kweganda | Kutsvuka kweganda, maronda, kukwenya kweganda, maronda mumuromo. |
| Kurwadziwa kwakanyanya mudumbu | Kurwadziwa mudumbu kwakanyanya kana kuti kunoramba kuripo, manyoka ane ropa, fivha, kuda kurutsa, uye kurutsa. |
| Kubuda ropa kusingajairika | Kubuda ropa kusingamire kunyangwe kubva paronda diki, madonhwe eropa ari pasi peganda. |
| Migumisiro inofanira kuudzwa chiremba kana ikaramba iripo kana kuti ichinetsa | |
| Kurwadziwa kwemapfupa, majoini, kana tsandanyama | Kurwadziwa kwemuviri. |
| Kuneta | Kunzwa kuneta kupfuura zvakajairika. |
| Musoro | Musoro mudiki. |
| Kusvotwa | Dumbu rinogumbura, kurutsa. |
| Maronda emuromo kana pahuro | Kutsvuka, kuzvimba, kana kurwadziwa mumuromo kana pahuro. |
Munochengeta uye munobvisa sei mushonga wacho?
- Kuchengetedza kwakachengeteka: Chengeta kure nevana nezvipfuyo . Chengeta patembiricha yemukamuri (pakati pe20-25 degrees Celsius). Chengeta mushonga mubhodhoro rekutanga rawakauya naro.
- Kuraswa: Usashandise mishonga yapera basa. Kana uchida kuirasa, bvunza chiremba wako. Neimwe nzira, bvisa mapiritsi mubhodhoro, uasanganise nechimwe chinhu chakaita semashizha etii akamboshandiswa, kofi yakakuyiwa, kana ivhu, uaise mubhegi, uavhare, woakanda mumarara. Usamboasundira muchimbuzi.
Mharidzo Yekuenda Nayo Kumba
- Duvelisib mushonga unomisa kukura kwemasero ekenza akadai seleukemia nelymphoma.
- Inwa mushonga wakanyorwa, panguva yakatarwa, sezvakarairwa nachiremba. Usapwanye, usapwanye, kana kutsenga piritsi.
- Usati watanga mushonga, udza chiremba wako nezvezvirwere zvako zvese nemimwe mishonga yauri kutora.
- Kana ukaona zviratidzo zvakaita sefivha, mapundu eganda akanyanya, kurwadziwa mudumbu zvakanyanya, kana kubuda ropa kusingawanzoitiki, zivisa chiremba wako nekukasika.
- Dzivisa kubata pamuviri paunenge uchitora mushonga uyu uye kwemwedzi mumwe chete mushure mekurega. Shandisa nzira dzekudzivirira pamuviri dzakakodzera.
- Kana muine mibvunzo, musatya kubvunza chiremba wenyu. Musazvisarudzire mega.
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