Chiremba wako akakurudzira mushonga weNivolumab here kuti iwe kana mumwe munhu wemumhuri mako murape gomarara? Saka, ngatikurukurei muchidimbu kuti mushonga uyu chii, unoita sei, uye zvaunofanira kuziva. Uyu mushonga wakaoma, asi wakanyanya kufambira mberi, saka zvakakosha kuti uunzwisise zvakanaka.
Chii chinonzi mushonga uyu weNivolumab?
Zvichitaurwa zviri nyore, Nivolumab (inowanzozivikanwa nezita rekuti Opdivo) mushonga wekudzivirira uri muboka remishonga inonzi monoclonal antibodies . Izvi zvinoreva kuti ipuroteni yakakosha yakagadzirirwa kukurudzira masoja emuviri wedu, ichibatsira kuziva, kurwisa, uye kuparadza masero ekenza. Haina kufanana nechemotherapy, asi inoshanda nenzira yakasiyana.
Mushonga uyu unonyanya kushandiswa kurapa mhando dzakasiyana dzegomarara. Mimwe yacho ndeiyi:
- Kenza yemudumbu
- Kenza yemusoro nemutsipa
- Hodgkin lymphoma
- Kenza yemapapu
- Melanoma, rudzi rwekenza yeganda
Chiremba wako anogonawo kunyora mushonga uyu kune mamwe marudzi egomarara asiri pane urongwa uhwu, saka taura nachiremba wako kuti mushonga uyu wakakunakira here.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga kurapwa
Usati watanga mushonga uyu, zvakakosha zvikuru kupa chiremba wako tsananguro yakazara yehutano hwako. Nekuti mamwe matambudziko ehutano anoda kutarisirwa zvakanyanya paunenge uchishandisa mushonga uyu. Iva nechokwadi chekutaura zvinhu izvi zvakanyanya:
- Kana uine zvirwere zve autoimmune , zvakaita seCrohn's disease, ulcerative colitis , kana lupus.
- Kana wakamboisirwa allogeneic stem cell kana kuti uri kuronga kuita imwe.
- Kana wakamborapwa nemwaranzi panzvimbo yechipfuva chako.
- Kana wakamboisirwa nhengo yemuviri.
- Kana uine chirwere chetsinga , senge myasthenia gravis kana Guillain-Barre syndrome.
- Kana wakambova neallergy neNivolumab kana chero imwe mishonga, chikafu, kana dhayi.
- Kana uine pamuviri, uchiedza kubata pamuviri, kana kuyamwisa , izvi zvakakosha zvikuru.
Nzira yekupa mushonga uyu uye zvekuchenjerera
Mushonga uyu unopihwa kwauri kuburikidza netsinga (inobayiwa mutsinga). Izvi hazvisi zvinhu zvaunogona kuita kumba, asi zvinoitwa muchipatara kana kiriniki uchitarisirwa nevashandi vekurapa .
Usati watanga kurapwa, uchapihwa kapepa kakakosha (MedGuide) kane ruzivo nezvemushonga uyu. Zvakakosha kuti uverenge uye unzwisise zvakanaka usati watanga kurapwa.
Funga nezvezvaungaita kana ukarasikirwa nemushonga. Zvakakosha kuenda kuna chiremba wako panguva chaiyo yavanokupa. Kana nekuda kwechimwe chikonzero usingakwanise kuenda, fonera timu yako yezvekurapa nekukasika wovazivisa.
Kana uchifunga kuti watora mushonga uyu wakawandisa, enda kuEmergency Treatment Unit (ETU) yechipatara nekukasika. Kana kufonera National Poisons Information Centre kuColombo National Hospital kuti uwane mazano.
Zvinhu zvekungwarira zvakanyanya panguva yekurapwa
Chiremba wako achanyatsoongorora mamiriro ako paunenge uchitora mushonga uyu. Uchafanirawo kuongororwa ropa nguva nenguva.
Kunyanya kutarisisa nezvepamuviri uye lactation:
- Kuvakadzi: Dzivisai kubata pamuviri pamunenge muchitora mushonga uyu uye kwemwedzi mishanu mushure mekurega mushonga. Izvi zvinogona kukuvadza hutano hwemwana zvakanyanya. Kana muchironga kubata pamuviri kana kuti muchifunga kuti mune pamuviri, taurirai chiremba wenyu nekukasika.
- Dzivisa kuyamwisa mwana wako zvachose paunenge uchitora mushonga uyu uye kwemwedzi mishanu mushure mekurega .
Migumisiro inogona kuitika nemushonga uyu
Kufanana nemushonga upi zvawo, Nivolumab inogona kukonzera migumisiro yakaipa. Zvisinei, havasi vese vanoiwana. Chinhu chakakosha ndechekuziva zviratidzo izvi uye kuudza chiremba wako nekukasika kana ukaona zviratidzo zvakakomba.
| Rudzi rwemhedzisiro yakaipa | Zviratidzo |
|---|---|
| Migumisiro yakakomba inofanira kutaurwa kuna chiremba wako nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Matambudziko ekugaya chikafu | Kurwadziwa kwakanyanya mudumbu, manyoka, ropa mutsvina, kana tsvina nhema, yakamira. |
| Matambudziko ekufema | Kukosora kwakaoma kusinganzwisisike, kunetseka kufema. |
| Kukuvara kwechiropa | Kurwadziwa mudumbu rekumusoro kurudyi, kurasikirwa nechido chekudya, kuda kurutsa, tsvina ine ruvara rwakachenuruka, weti yero kana yero yakasviba, kutsvuka kwemaziso kana ganda, kuneta kusingawanzoitiki. |
| Kukuvara kweitsvo | Kudzikira kweweti, kuzvimba kwezvitsitsinho, maoko, kana tsoka. |
| Matambudziko nehomoni glands | Kuwedzera kwemahormone ethyroid (Hyperthyroidism): Kurova kwemoyo nekukurumidza, kudzikira kwehuremu, kudikitira zvakanyanya, kudedera, kusagadzikana. Hypothyroidism: Kuneta kusingawanzoitiki, kutadza kushivirira dzihwa, kuvimbiwa, kurasikirwa nebvudzi, ganda rakaoma, kuwedzera uremu, kuora mwoyo. |
| Kuwanda kweshuga muropa (Hyperglycemia) | Kunzwa nyota yakanyanya, kuda kuita weti nguva nenguva, kunzwa kuneta zvisina kujairika, kuona zvisizvo. |
| Zvimwe zviratidzo zvakakomba | Kurwadziwa pachipfuva, kuchinja kwekuona, kurwadziwa kwemaziso, kusanzwa kana kurwadziwa mumakumbo, kushaya simba kwetsandanyama, kurasikirwa nekugadzikana, kusviba kana kukwenya ganda, kusanganisira mumuromo, mavanga asina kujairika kana kubuda ropa. |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Kuneta | Kuneta |
| Kusvotwa nekurutsa | Kusvotwa uye Kurutsa |
| Kuda kudya | Kurasikirwa nechido chekudya |
| Kuzvimba | Kuzvimba |
| Kurwadziwa mumapfupa | Kurwadziwa kwemapfupa |
Rondedzero iyi haina migumisiro yese inogona kuitika. Kana ukaona chimwe chinhu chakasiyana kana chisina kujairika, taura nachiremba wako nezvazvo.
Mharidzo Yekuenda Nayo Kumba
- Nivolumab mushonga wekudzivirira chirwere wepamusoro-soro unobatsira masoja emuviri kuparadza masero egomarara.
- Usati watanga kurapwa, zvakakosha kuti uudze chiremba wako nezvezvirwere zvako zvese nemishonga yauri kutora.
- Tarisa zviratidzo zvemigumisiro yakakomba (kunyanya kuoma kufema, manyoka akanyanya, kutsvuka kweganda/maziso, maronda eganda). Tsvaga rubatsiro rwechiremba nekukasika kana ukaona chimwe cheizvi.
- Zvakakosha zvikuru kudzivirira zvachose pamuviri nekuyamwisa paunenge uchitora mushonga uyu uye kwemwedzi mishanu mushure mekurega.
- Usapotsa mazuva akapihwa nachiremba uye enda kunorapwa. Usatya kutaura nachiremba nezvemibvunzo kana matambudziko auinawo.
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