Tose tinoziva kuti kurwisa kenza hakusi nyore. Munguva iyi, chiremba akakuudza here iwe kana mumwe munhu mumhuri yako nezvemushonga unonzi 'Ipilimumab'? Kunzwa zita iri kunganzwika sekunge kwakaoma, uye ungatonzwa kutya. Asi usazvidya moyo. Nhasi, tichataura nezvemushonga uyu, zvaunoita, uye zvaunofanira kungwarira, nenzira iri nyore uye ine hushamwari.
Ipilimumab (YERVOY) mushonga werudzii?
Zvichitaurwa zviri nyore, Ipilimumab imishonga inorwisa hutachiona . Haina kufanana nechemotherapy yechinyakare. Inoshanda nekukurudzira masoja edu emuviri kuti ikwanise kuziva nekurwisa masero ekenza. Zvikuru sei, ipuroteni yakagadzirwa zvakanaka. Mukurapa, tinoidaidza kuti 'monoclonal antibody.'
Mushonga uyu unonyanya kushandiswa kurapa mhando dzakasiyana dzegomarara. Semuenzaniso:
- Kenza yemudumbu
- Kenza yemudumbu
- Kenza yeitsvo
- Kenza yechiropa
- Kenza yemapapu
- Melanoma, rudzi rwakakomba rwekenza yeganda
- Kenza yemukati memapapu (Mesothelioma)
Chiremba wako anogonawo kukurudzira mushonga uyu kune zvimwe zvirwere.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga kurapwa
Usati watanga kurapwa uku, zvakakosha zvikuru kuudza chiremba wako nezvenhoroondo yako yese yehutano. Iva nechokwadi chekuvaudza kana uine chimwe chezvirwere zvinotevera:
- Zvirwere zvemuviri wako: Kana uine zvirwere zvemuviri wako zvinorwisa nhengo dzemuviri wako, zvakaita seCrohn's disease, ulcerative colitis, kana lupus, apo masoja emuviri wako anorwisa nhengo dzemuviri wako zvisirizvo.
- Kuisirwa nhengo: Kana wakamboisirwa nhengo kare.
- Kuisirwa masero emuviri: Kana wakamboisirwa kana kuronga kuisirwa masero emuviri e allogeneic kubva kune mumwe munhu.
- Zvirwere zvetsinga: Kana uine zvirwere zvetsinga zvakaita se 'Myasthenia gravis' kana 'Guillain-Barre syndrome'.
- Kurwara: Kana uine allergy yemushonga uyu (Ipilimumab) kana chero mumwe mushonga, chikafu, kana dhayi.
- Kubata pamuviri: Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uine kusava nechokwadi nazvo.
- Kana uri amai vanoyamwisa: Kana uri amai vari kuyamwisa mwana wavo.
Kutaura nachiremba wako usingavanzi ruzivo urwu kwakakosha zvikuru pakuchengetedza kwako uye kubudirira kwekurapwa kwako.
Mushonga uyu unopihwa sei mumuviri?
Iri harisi piritsi kana kapisiyumu yaunoenda nayo kumba. Iri ijekiseni rinopinzwa mutsinga, senge saline . Kurapa uku kunopihwa muchipatara kana kiriniki, pasi pekutarisirwa kwakazara nachiremba kana vashandi vakadzidziswa vekurapa.
Mushonga uyu unowanzopihwa kumuviri kwemaminetsi makumi matatu kusvika makumi mapfumbamwe. Nguva imwe neimwe usati watanga kurapwa, uchapihwa kapepa keruzivo rwakakosha (MedGuide) nezvemushonga uyu. Zvakakosha kuuverenga nekunyatsonzwisisa nguva imwe neimwe.
Kusatora mushonga wekurapa kunogona kuva dambudziko guru. Saka kana usingakwanise kuenda kumusangano wako, fonera chiremba wako kana chipatara nekukasika kuti uvazivise uye uwane mazano ezvekuita zvinotevera.
Zvinhu zvekungwarira zvakanyanya panguva yekurapwa
- Kubata pamuviri nekuyamwisa: Ichi ndicho chinhu chakakosha. Dzivisa kubata pamuviri zvachose paunenge uchitora mushonga uyu uye kwemwedzi mitatu mushure mekumira kurapwa. Zvinogona kukuvadza mwana asati aberekwa zvakanyanya. Zvakare, dzivisa kuyamwisa panguva yekurapwa uye kwemwedzi mitatu mushure memushonga wekupedzisira.
- Kutarisirwa kwechiremba: Chiremba wako achanyatsoongorora mamiriro ako panguva yekurapwa kwako, kusanganisira kukuraira kuongororwa ropa nguva dzose (kuongorora ropa).
- Kana ukanwa doro zvakanyanya: Izvi hazviwanzoitiki nekuti zvinopihwa muchipatara. Zvisinei, kana uchifungidzira kuti wanwa doro zvakanyanya, kurumidza kubata National Poisons Information Centre paColombo National Hospital kana kuenda kuEmergency Department (ETU) iri pedyo.
Migumisiro Inogona Kuitika
Kufanana nemushonga upi zvawo, Ipilimumab inogona kukonzera mimwe migumisiro yakaipa. Mimwe yacho inofanira kutaurwa nekukasika, asi mimwe haisi yakanyanya kuipa. Ngatinzwisisei izvi zvakajeka kubva patafura iri pazasi.
| Mhedzisiro yedivi | Tsananguro nezviratidzo |
|---|---|
| Zvinhu zvekuudza chiremba wako nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo kana rurimi, kuoma kufema. |
| Kurwadziwa kwemudumbu uye manyoka | Kurwadziwa kwakanyanya mudumbu, tsvina isina kusimba kana kuti ine ropa, uye tsvina nhema, inononoka. |
| Zviratidzo zvekukuvara kwechiropa | Kutsvuka kwemaziso kana ganda, weti yero/brown yakasviba, tsvina yakachenuruka, kurwadziwa mudumbu rekumusoro kurudyi, kushaya chido chekudya, kuda kurutsa, kuneta kwakanyanya. |
| Matambudziko eganda | Kutsvuka kweganda, maronda, kusviba (kunyangwe mukati memuromo). |
| Matambudziko ehurongwa hwetsinga | Kushaya simba mumakumbo, kurwadziwa, kuchinja kwemaonero, kurwadziwa kwemaziso, dzungu rakanyanya, uye kupera simba. |
| Kuchinja kwekurova kwemoyo | Kunzwa sekuti moyo wako uri kurova nekukurumidza kana kuti zvisina kurongeka, kurwadziwa pachipfuva. |
| Zvinhu zvekuudza chiremba wako kana zvikaramba zviripo kana kuti zvichikunetsa | |
| Musoro | Musoro wemusoro. |
| Kuda kudya | Kudzikira kwechido chekudya. |
| Kushaya hope | Kuomerwa nekurara husiku. |
Kana ukaona zvimwe zviratidzo zvisingawanzoitiki zvisina kutaurwa pane urongwa uhwu, ndapota zivisa chiremba wako nezvazvo zvakare.
Mharidzo Yekuenda Nayo Kumba
- Ipilimumab mushonga chaiwo unobatsira masoja emuviri kurwisa masero egomarara.
- Usati watanga kurapwa, udza chiremba wako nezvezvirwere zvako zvese uye allergies.
- Dzivisai kubata pamuviri nekuyamwisa zvachose panguva yekurapwa uye kwemwedzi mitatu mushure mekunge kwapera.
- Kana ukasangana nematambudziko akakomba akadai semanyoka akanyanya, maronda eganda akanyanya, maziso akaita yero, kana kufema zvakaoma, taurira chiremba wako nekukasika.
- Musapotsa nguva yekurapwa yakarongwa. Kana musingakwanise kuuya nekuda kwechimwe chikonzero, ndapota zivisai chipatara pachine nguva.
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