Tose tinoziva kuti kurwisa kenza hakusi nyore. Muhondo iyi, vanachiremba vako vachakurudzira nzira dzakasiyana-siyana dzekurapa, dzakadai se chemotherapy. Pegaspargase (zita rechiratidzo: Oncaspar) ndeimwe yemishonga inonyanya kukosha uye ine simba inoshandiswa kurapa rudzi rwekenza yeropa inonzi acute lymphoblastic leukemia (ALL) . Saka, kana iwe kana mudiwa wako muchipiwa mushonga uyu, zvichava zororo guru kwauri kuti uve nekunzwisisa kuri nyore uye kwakajeka kwezvose nezvazvo. Ngatitaurei nezvazvo.

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Mushonga werudzii Pegaspargase?

Muchidimbu, Pegaspargase mushonga wechemotherapy, kureva kuti, mushonga unopiwa kuuraya masero ekenza . Asparagine chinhu chakakosha kuti masero ekenza akure. Chinoitwa naPegaspargase kupwanya chikafu ichi cheasparagine mumuviri, zvichibvisa "chikafu" masero ekenza. Ipapo masero ekenza haagone kukura uye anofa.

Kunyangwe ichinyanya kushandiswa kurapa Acute Lymphoblastic Leukemia (ALL), dzimwe nguva inogona kushandiswa kune mamwe marudzi ekenza sezvakataurwa nachiremba wako.

Zvinhu zvaunofanira kuudza chiremba wako usati watanga kurapwa

Usati watanga kurapwa uku, zvakakosha zvikuru kuudza chiremba wako nezvenhoroondo yako yese yehutano. Mushonga uyu unogona kukanganisa mamwe matambudziko ehutano. Iva nechokwadi chekuudza chiremba wako nezvezvinhu izvi kunyanya:

Kurwara: Iva nechokwadi chekutiudza kana uine allergies kuPegaspargase, L-asparaginase, E. coli proteins, mimwe mishonga, chikafu, kana madhayi.
Pancreatitis: Kana wakambova nepancreatitis kare.
Chirwere chechiropa: Kana uine chirwere chechiropa.
Matambudziko ekugwamba kweropa: Kana ropa rako richigwamba nyore nyore kana kana uine matambudziko ekubuda ropa.
Chirwere cheshuga: Kana uine chirwere cheshuga kana mamwe matambudziko ane chekuita nehuwandu hweshuga muropa.
Kubata pamuviri: Zvakakosha kuudza chiremba wako kana uine pamuviri, uri kuedza kubata pamuviri, kana kuti uchiyamwisa. Izvi zvakakosha zvikuru.

Ipa chiremba wako runyoro rwakakwana rwemishonga yese yaunotora, kusanganisira mavhitamini, mishonga yechivanhu, uye zvimwe zvinovaka muviri.

Mushonga uyu unopihwa sei mumuviri?

Iri harisi piritsi raunogona kutora kumba. Rinopihwa kuchipatara kana kukiriniki., chete nachiremba kana vashandi vekuchengeta varwere vakadzidziswa zvakanyanya panyaya iyi.

Kune nzira mbiri dzekushandisa mushonga uyu:

1. Kupinzwa mutsinga: Mushonga , semunyu, unopinzwa mumuviri zvishoma nezvishoma kuburikidza netsinga.

2. Jekiseni remutsinga: Jekiseni remutsinga.

Izvi zvinopihwa kuvana vadiki, kunyangwe vacheche vane mwedzi mumwe chete, pasi pemamwe mamiriro ezvinhu akasarudzwa. Zvisinei, sarudzo yacho inotorwa nachiremba wevana.

Ndezvipi zvinhu zvekufunga nezvazvo paunenge uchirapwa?

Chiremba wako achakutarisa zvakanyanya paunenge uchitora mushonga uyu.

Kuongororwa kweropa: Uchafanirwa kuongororwa ropa nguva nenguva kuti uone kuti mushonga wacho uri kukanganisa sei muviri wako.
Shuga muropa: Mushonga uyu unogona kuwedzera huwandu hweshuga muropa. Kana uine chirwere cheshuga, taura nachiremba wako nezvekudya uye kana uchida kuchinja mushonga wako weshuga.
Kurwara: Dzimwe nguva zvirwere zvinogona kukonzera allergy zvakanyanya pamushonga uyu. Kuti aderedze njodzi iyi, chiremba wako anogona kusarudza kukupa mimwe mishonga (semuenzaniso antihistamines, steroids) asati akupa Pegaspargase.
Kubata pamuviri nekuyamwisa (ZVINOKOSHA): Izvi zvakakosha zvikuru.
Usaite pamuviri chero chikonzero chipi zvacho paunenge uchitora mushonga uyu **.
Dzivisa kubata pamuviri kwemwedzi mitatu mushure mekumira kurapwa.
Unofanira kushandisa nzira dzekudzivirira pamuviri panguva iyi. Zvisinei, sezvo mapiritsi ekudzivirira pamuviri ane mahormone (mishonga yekudzivirira pamuviri inonwiwa) achigona kushanda nemushonga uyu, taura nachiremba wako nezvekushandisa nzira yekudzivirira pamuviri isina mahormone (semuenzaniso makondomu).
Kana uine kakufungira kuti une pamuviri, taurira chiremba wako nekukasika .
Musayamwisa mwana wenyu panguva yekurapwa uye kwemwedzi mumwe chete mushure mekumira.

Migumisiro inogona kuitika nekuda kwemishonga

Kufanana nemushonga upi zvawo, Pegaspargase inogona kukonzera migumisiro yakaipa. Haasi munhu wese anowana. Zvisinei, zvakakosha kuziva nezvezviratidzo izvi. Kana ukaona zviratidzo zvakakomba, zivisa vashandi vezvehutano nekukurumidza kana kuenda kuDhipatimendi reEmergency (ETU) riri pedyo.

Chikamu chemigumisiro yakaipa	Zvinhu zvekuchenjerera
Zvinhu zvekuudza chiremba wako kana vashandi vechipatara nekukasika
Kurwara Kwakanyanya	Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo kana rurimi, kuoma kufema.
Zviratidzo zvekubuda ropa	Tsvina nhema, dzakaita sedzekunonoka; weti tsvuku kana dema; kurutsa kunoita sekunge kofi yakapwanywa kana kurutsa ropa; mavanga matsvuku paganda; kubuda ropa kusingawanzoitiki mumaziso, mumatadza, kana mumhino.
Zviratidzo zveKuvhara Ropa	Kurwadziwa pachipfuva; kuoma kufema; kurwadziwa kwemakumbo, kuzvimba, kana kudziya.
Zviratidzo zvekukuvara kwechiropa	Weti yero yakasviba kana yebrown; kutsvuka kwemaziso kana ganda; fivha; kurasikirwa nechido chekudya; kurwadziwa kumusoro kurudyi kwedumbu; tsvina yakachenuruka.
Zviratidzo zveshuga yakakwira muropa	Nyota nenzara zvisingawanzoitiki; kuita weti nguva nenguva; kuneta zvakanyanya; kuona zvisizvo.
Zvimwe zviratidzo zvakakomba	Musoro wakanyanya, kurwadziwa kwakanyanya mudumbu (kunogona kuva chiratidzo chepancreatitis).
Kana zvikaramba zvichiitika kana kuti zvichikunetsa, udza chiremba wako.
Migumisiro yakajairika	Kudikitira, kudzikira kwehuremu.

Panogona kuva nematambudziko nemimwe mishonga here? (Kudyidzana)

Ehe. Mimwe mishonga inogona kukonzera matambudziko kana ikatorwa nePegaspargase. Semuenzaniso:

methotrexate
vincristine
cytarabine
dexamethasone
Mapiritsi ekudzora nhumbu (mishonga yekudzora nhumbu)

Rondedzero iyi haina kukwana. Saka, udza chiremba wako nezvemishonga yese yaunotora, kunyangwe mavhitamini . Zvakare, usakanganwa kumuudza kana uchisvuta kana kunwa doro.

Mharidzo Yekuenda Nayo Kumba

Pegaspargase mushonga une simba wechemotherapy unoshandiswa kurapa mhando yekenza yeropa inonzi Acute Lymphoblastic Leukemia (ALL).
Mushonga uyu unongopihwa muchipatara chete, pasi pekutarisirwa nachiremba.
Usati watanga kurapwa, udza chiremba wako nezvezvirwere zvako zvese, allergies, uye mimwe mishonga yauri kutora.
Kana ukaona zviratidzo zvakaita sekurwara zvakanyanya, kubuda ropa, kuvharika kweropa, kana kurwadziwa kwakanyanya mudumbu, zivisa vashandi vekurapa nekukasika.
Dzivisa kubata pamuviri zvachose panguva yekurapwa uye kwemwedzi mitatu mushure mekurapwa. Shandisa nzira yakavimbika, isiri yemahormone yekudzivirira pamuviri.
Ndapota pindai nguva yenyu yekurapwa nenguva. Kana musingakwanise kuenda, ndapota zivisai chipatara pachine nguva.
Kana muine mibvunzo kana zvinokunetsai nezvemushonga uyu, taurai nachiremba wenyu nezvazvo pachena.