Iwe kana mumwe munhu waunoziva mungave makaudzwa nachiremba nezvemushonga unonzi Melphalan, kana kuti mungave muchitsvaga ruzivo nezvemushonga uyu. Zita racho ringanzwika richikutyisai. Asi musazvidya mwoyo. Ngatitaurei nezvemushonga uyu nenzira iri nyore yamunonzwisisa, kusanganisira kuti unoshandisirwei, mashandisirwo awo, uye matanho ekudzivirira.
Mushonga werudzii Melphalan?
Muchidimbu, Melphalan imhando yechemotherapy inouraya masero ekenza . Inopihwa sejekiseni mumuviri. Inonyanya kushandiswa kurapa kenza inonzi Multiple Myeloma . Sezvamungave makanzwa, iyi ikenza inokura mumongo medu.
Pamusoro pezvo, vamwe vanhu vane multiple myeloma vanopiwa mushonga uyu vasati vaisirwa stem cell . Kureva kuti, unopihwa kugadzirira muviri kuti uisirwe.
Mushonga uyu dzimwe nguva ungashandiswa navanachiremba kune zvimwe zvirwere, saka kana muine mimwe mibvunzo nezveizvi, zvakanaka kubvunza chiremba wenyu kana munhu ari kupharmacy.
Mushonga uyu unogona kutengeswa uchishandisa mazita akadai seAlkeran kana Evomela .
Ndezvipi zvinhu zvaunofanira kuudza chiremba wako usati watanga kurapwa?
Usati watanga kurapwa neMelphalan, zvakakosha kuudza chiremba wako nezvehutano hwako zvizere, sezvo paine zvimwe zvirwere zvinoda kutarisirwa kwakakosha paunenge uchipa mushonga uyu.
Kana uine chimwe chezvinhu izvi, iva nechokwadi chekuudza chiremba wako :
- Kana uine hutachiona (senge fivha, dzihwa, kukosora).
- Kana uine chirwere cheitsvo .
- Kana uine chirwere chechiropa .
- Kana uine zvikamu zveropa zvishoma , zvakaita semasero machena eropa, maplatelet, kana masero matsvuku eropa.
- Kana wakambogamuchira chemotherapy kana radiation therapy .
- Kana wakambova nechirwere cheMelphalan, mimwe mishonga yechemotherapy, mimwe mishonga, chikafu, madhayi, kana zvinochengetedza.
- Kana uine pamuviri kana kuti uri kuedza kubata pamuviri .
- Kana uri amai vanoyamwisa .
Kana ukataura zvinhu izvi nemazvo, chiremba wako anogona kuronga kurapwa kwako nenzira yakachengeteka.
Mushonga uyu unopihwa sei mumuviri?
Melphalan ijekiseni rinopinzwa mutsinga . Hariwanzopiwi kumba. Rinopinzwa muchipatara kana kukiriniki nachiremba kana nesi akadzidziswa zvakanyanya mune izvi.
Zvakakosha: Chipimo chemushonga uyu uye kuwanda kwawo zvichasarudzwa nachiremba wako zvichienderana nemamiriro ako ehutano, huremu hwemuviri, nezvimwe zvinhu zvakawanda. Saka, tevera mirairo yachiremba nemazvo.
Kana mushonga uyu ukapihwa vana , unofanira kupiwa nekungwarira kukuru mushure mekukurukura nezvawo nachiremba wevana.
Chii chinoitika kana ukatora mushonga uyu kupfuura wawakanyorerwa?
Sezvo izvi zvichipiwa muchipatara, mukana wekuti izvi zviitike wakaderera. Zvisinei, kana uchifunga kuti wakatora mushonga unopfuura wakatarwa, kana kuti ukaona zviratidzo zvisingawanzoitiki, unofanira kuzivisa vashandi vekurapa nekukasika .
Chimwe chinhu: Mushonga uyu ndewenyu chete. Wakanyorerwa chirwere chenyu. Saka, musaudza vamwe nezvemushonga uyu kana mushonga wacho.
Unoita sei kana ukarasikirwa nenguva yekurapwa nemishonga?
Zvakakosha zvikuru kutora mushonga wako pazuva rakarongwa uye panguva yakatarwa yekurapwa uku. Kana usingakwanise kuenda kuchipatara kana kukiriniki pazuva rakarongwa, fonera chiremba wako kana vashandi vekurapa nekukasika wovazivisa . Vachakuudza zvekuita zvinotevera.
Ndezvipi zvimwe zvinhu zvinogona kupindirana nemushonga uyu?
Ehe, kune mimwe mishonga inogona kukonzera matambudziko kana ikatorwa neMelphalan. Kureva kuti, inogona kukanganisa kushanda kweMelphalan kana kushanda kwemumwe mushonga.
Zvikuru, majekiseni mhenyu anofanira kudzivirirwa paunenge uchitora mushonga uyu.
Pamusoro pezvo, mishonga inotevera inogona kushanda pamwe chete neMelphalan:
- Carmustine
- Cisplatin
- Cyclosporine
Rondedzero iyi haina kukwana. Saka, unofanira kuudza chiremba wako nezvemishonga yese yauri kutora (yakanyorwa nachiremba, inotengeswa pasina kunyorerwa chiremba, mishonga yemishonga, mavitamini, zvekudya zvinovaka muviri). Zvakare, udza chiremba wako kana uchisvuta, uchinwa doro, kana kushandisa mimwe mishonga. Zvimwe zvinhu zvinogona kukanganisa mushonga uyu.
Zvinhu zvakakosha zvekuziva paunenge uchitora mushonga uyu
Vanachiremba vachanyatsoongorora hutano hwako paunenge uchirapwa neMelphalan.
- Uchafanirwa kuongororwa ropa nguva nenguva (kuongorora ropa).: Paunenge uchitora mushonga uyu, huwandu hwemasero eropa rako (masero machena eropa, masero matsvuku eropa, maplatelet), pamwe nekushanda kweitsvo nechiropa, zvinofanirwa kuongororwa nguva nenguva.
- Ziva njodzi dzegomarara : Kutora mushonga uyu kunogona kuwedzera njodzi yako yekubatwa negomarara remhando dzakasiyana mune ramangwana. Taura nachiremba wako nezvazvo uye tsanangura njodzi dzacho.
- Kunyanya kutarisisa pamuviri nekusununguka :
- Vakadzi : Unofanira kudzivirira kubata pamuviri paunenge uchitora mushonga uyu uye kwemwedzi mitanhatu mushure mekurega kushandisa mushonga. Kana uri kuedza kubata pamuviri, kana kuti uchifunga kuti ungave nepamuviri, taurira chiremba wako nekukasika.
- Varume : Musaedza kubereka mwana muchitora mushonga uyu uye kwemwedzi mitatu mushure mekurega mushonga. Mushonga uyu unogona kukonzera migumisiro yakaipa kumwana asati aberekwa. Bvunzai chiremba wenyu kuti muwane rumwe ruzivo nezveizvi.
- Kuyamwisa : Musayamwisa mwana muchitora mushonga uyu uye kwevhiki imwe chete mushure mekupiwa mushonga wekupedzisira.
- Kubereka : Mushonga uyu unogona kukanganisa kugona kwako kubereka vana (kubereka). Izvi zvinoreva kuti zvinogona kuoma kubata pamuviri kana kuva nemwana. Kana uine zvinokunetsa nezvazvo, taura nachiremba wako nezvazvo.
Ndezvipi zvimwe zvingakonzerwa nemushonga uyu?
Kufanana nemushonga upi zvawo, Melphalan inogona kukonzera mimwe migumisiro yakaipa. Zvisinei, havasi vese vanowana migumisiro yakaipa iyi. Vamwe vanhu vanogona kunge vasina migumisiro yakaipa zvachose. Ngationei kuti migumisiro yakaipa iyi chii.
Migumisiro yaunofanira kuudza chiremba wako nezvayo nekukasika
Kana ukaona chimwe chezviratidzo izvi, unofanira kuudza chiremba wako kana vashandi vezvehutano nekukurumidza sezvinobvira :
- Kurwara nepfungwa : Mapundu eganda, kuvaviwa kana mapundu, kuzvimba kwechiso, miromo, kana rurimi.
- Matambudziko ekufema .
- Kuchinja kwekuona (kuona kusina kujeka) : Kufanana nekuona kusina kujeka.
- Manyoka : Kana uine manyoka akanyanya.
- Dzungu .
- Kurova kwemoyo nekukurumidza .
- Zviratidzo zvinokonzerwa nekudzikira kwezvikamu zveropa :
- Kuderera kwemasero machena eropa : Izvi zvinowedzera njodzi yekubatwa nezvirwere. Zviratidzo zvinogona kusanganisira fivha, dzihwa, kukosora, kurwadziwa pahuro, uye kurwadziwa kana kuoma kuita weti.
- Zviratidzo zvekudzikira kwemaplatelet kana kubuda ropa : kukwenya, kupenya mavara matsvuku pasi peganda, dema, tsvina yemudumbu, ropa muweti.
- Kudzikira kwemasero matsvuku eropa: kunzwa kusasimba zvakanyanya kana kuneta, kupera simba, kupererwa nemusoro.
- Vakadzi vanotadza kuenda kumwedzi .
- Maronda emuromo .
- Kusvotwa nekurutsa : Kana zvakanyanya.
- Zviratidzo zvekukuvara kwechiropa : weti yero yakasviba kana yebrown; kunzwa kurwara kana zviratidzo zvakaita sefuruu; tsvina yakachenuruka; kurasikirwa nechido chekudya; kuda kurutsa; kurwadziwa kumusoro kurudyi kwedumbu; kuneta kana kuneta kusingawanzoitiki; kutsvuka kwemaziso kana ganda.
- Kuderedza huremu : pasina chikonzero chiri pachena.
Kana ukaona chimwe chinhu chakadai, usapedza nguva woudza chiremba wako .
Migumisiro yausingawanzo taurira chiremba wako nezvayo, asi inofanira kutaurwa kana ikaramba iripo
Migumisiro iyi inowanzova isina kuipa. Kazhinji, inopera yoga mukati memazuva mashoma. Zvisinei, kana ikaramba iripo kana kukunetsa, udza chiremba wako.
- Kuzvimba kwemuviri .
- Kurasikirwa nebvudzi : Izvi ndezvenguva pfupi, uye bvudzi richakura zvakare kana mushonga wamiswa.
- Kuneta .
Yeuka: Hazvisi zvese zvinokanganisa pane urongwa urwu zvinogona kuitika. Kana ukasangana nekusagadzikana kana zviratidzo zvisiri pane urongwa urwu, ndapota udza chiremba wako.
Mushonga uyu unouchengetera kupi?
Sezvo Melphalan iri mushonga unopihwa kuchipatara kana kukiriniki, haufanirwe kuutora kumba. Saka hapana chekunetseka nezvawo.
Chinhu chinonyanya kukosha - yeuka (Mharidzo Yekuenda Kumba)
Melphalan mushonga unoshandiswa kurapa kenza, kunyanya zvirwere zvakaita se multiple myeloma. Kunyange zvazvo mushonga uyu uchigona kukonzera mimwe migumisiro yakaipa, chiremba wako achanyatsoongorora mamiriro ako.
- Taura nachiremba nezvemibvunzo kana zvinokunetsa . Usatya, varipo kuti vakubatsire.
- Tevedzera mirairo yachiremba wako nemazvo . Iva nechokwadi chekutevedzera mazuva, nguva, uye mazuva ekuongororwa kweropa rako.
- Zvakakosha kuziva nezvemigumisiro yacho pachine nguva kuitira kuti ugone kutora matanho nekukurumidza kana paine zviratidzo zvikaonekwa.
- Ramba wakasimba paunenge uchitora mushonga uyu. Taura nemhuri neshamwari. Hausi wega.
Ndinovimba ruzivo urwu ruchakubatsira. Ndinokushuvira kuti upore nekukurumidza!
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Doxycycline mushonga unorwisa mabhakitiriya une simba here wekurapa mapundu?
Pamusoro pekurapa mapundu, iyi ndeimwe yemishonga inorwisa mabhakitiriya ine simba uye inozivikanwa zvikuru pasi rose! Vanachiremba vanoishandisa kurapa pneumonia, zvirwere zvemudumbu zvakaita secholera, zvirwere zvepabonde (Syphilis / Chlamydia), Leptospirosis / Fever yemakonzo, uye kudzivirira malaria (Prophylaxis).
💬 Mushonga uyu (Doxycycline) unomisa sei kukura kwebhakitiriya?
Kuti mabhakitiriya ararame uye abereke, anofanira kugadzira chikafu/mapuroteni aanoda (Protein synthesis). Mushonga uyu (mumhuri yeTetracycline) unoshanda nekuvharira zvakananga fekitari yekugadzira mapuroteni yemabhakitiriya (30S Ribosome). Kana chikafu/mapuroteni akarasika, mabhakitiriya haakure, uye masoja emuviri wedu anoparadza mabhakitiriya iwayo (Bacteriostatic).
💬 Sei muchiti musanwe mukaka kunyanya kana muchinwa mapiritsi aya?
Chinhu chinofanira kudyiwa! Kana ukadya mukaka, yogati, chizi kana piritsi recalcium mukati memaawa maviri mushure mekunwa piritsi iri, calcium iyoyo ichasangana nepiritsi uye ichaoma sedombo (Chelation). Pakupedzisira, piritsi harizonyungudike nemuviri (uye chirwere hachizoperi). Imwe mhedzisiro huru ndeye njodzi yakakura ye 'Photosensitivity/Sunburn' paunenge uchinwa piritsi iri!
Melphalan , chemotherapy, multiple myeloma, kuisirwa stem cell, kurapwa kwegomarara, migumisiro yaro, Alkeran, Evomela
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