Tose tinoziva kuti kurapwa negomarara, kana kuti 'chemotherapy' sezvatinokudana, hakusi nyore kuita. Idambudziko guru kumuviri pamwe nepfungwa. Chimwe chezvinhu zvikuru zvinonetsa zvinouya nekurapwa uku kuda kurutsa nekurutsa. Saka nhasi tichataura nezvemushonga unokosha unogona kudzivirira kusagadzikana uku kusati kwatomboitika. Ndiwo mushonga weRolapitant .
Rolapitant mushonga werudzii?
Muchidimbu, Rolapitant mushonga unopiwa kudzivirira kuda kurutsa nekurutsa zvinogona kuitika panguva yekurapwa nechemotherapy. Unovhara mamwe ezviratidzo zvinokonzera kuda kurutsa nekurutsa mumuviri wedu kuti zvisasvike kuuropi. Tinodana mhando idzi dzemishonga kuti `antiemetics``.
Mushonga uyu unowanikwa muSri Lanka nezita rekuti `Varubi`. Zvisinei, unogona kushandiswawo kune zvimwe zvinangwa, saka kana uine mibvunzo, bvunza chiremba wako.
Yeuka kuti uyu hausi mushonga wekunwa kana watova nenzara. Unopihwa kudzivirira nzara kuti isaitike .
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga
Chiremba wako asati akupa mapiritsi eRolapitant, achada kuziva nhoroondo yako yese yehutano. Iva nechokwadi chekuvaudza nezvezvinhu izvi kunyanya.
- Kana uine chirwere chechiropa .
- Kana wakambova nechirwere cheRolapitant kana chero mimwe mishonga, chikafu, kana dhayi.
- Kana uine pamuviri kana kuti uri kuedza kubata pamuviri .
- Kana uri amai vanoyamwisa .
Zvichibva paruzivo urwu, chiremba ndiye achasarudza kana mushonga uyu wakakodzera iwe kana kuti kwete.
Ndinofanira kushandisa mushonga uyu sei?
Mashandisiro amunoita mushonga uyu akakosha zvikuru.
- Unofanira kunwa piritsi iri negirazi remvura .
- Kazhinji, unofanira kunwa izvi kweinenge awa imwe chete usati watanga kurapwa nechemotherapy .
- Hazvina basa kuti unoitora usati wadya kana kuti wapedza kudya.
- Shandisa chete sezvakarairwa nachiremba wako, muhuwandu hwakanyorerwa . Usambofa wakatora zvinopfuura mwero wakatarwa.
Kungwarira kukuru kunofanira kutorwa pakupa mushonga uyu kuvana, saka taura nachiremba wako nezvazvo.
Chii chaunofanira kuita kana ukatora mushonga wakawandisa?
Kana uchifunga kuti watora mushonga wakawandisa, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika. Kana kufonera National Poisons Information Centre kuColombo National Hospital kuti uwane mazano.
Mushonga uyu ndewako chete. Usaugovere kune mumwe munhu chero chikonzero chipi zvacho.
Ko kana ndikarasikirwa nedosi?
Kana ukakanganwa kutora mushonga wako, tora nekukurumidza paunenge uchiyeuka. Asi usatore mishonga miviri kana kupfuura panguva imwe chete.
Mimwe mishonga inogona kushanda pamwe chete neRolapitant (Kushanda pamwe chete kwemishonga)
Rolapitant mushonga unogona kushanda pamwe chete nemimwe mishonga, saka zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora (kusanganisira mavhitamini nemishonga yemishonga).
| Usatore Rolapitant pamwe chete nemushonga uyu. | |
|---|---|
| Pimozide | Thioridazine |
| Matambudziko anogonawo kuitika nemishonga iyi (zivisa chiremba wako). | |
| Mimwe mishonga yekurapa BP nezvirwere zvemwoyo | Mimwe mishonga yekurapa chirwere chepfungwa nekuora mwoyo |
| Mishonga yekurapa pfari (semuenzaniso carbamazepine, phenobarbital, phenytoin) | Mishonga inodzivirira kuumbwa kweropa (semuenzaniso warfarin, dabigatran) |
| Rifampin, Rifapentine | Methotrexate, Irinotecan, Topotecan (mishonga yegomarara) |
| Apalutamide, Enzalutamide | Cyclosporine, Sirolimus, Digoxin |
| Rosuvastatin (mushonga wecholesterol) | Dextromethorphan (mushonga wekukosora) |
| Mishonga inoderedza marwadzo yeOpioid | Mishonga yakawanda... |
Rondedzero iyi haina kukwana. Saka udza chiremba wako nezvemishonga yese yaunotora, kana uchisvuta, kana kana uchinwa doro.
Migumisiro inogona kuitika nekuda kwemishonga
Kufanana nemushonga upi zvawo, Rolapitant inogona kukonzera mimwe migumisiro yakaipa. Mimwe yacho inogona kunge yakakomba, saka zvakakosha kuti uizive.
| Mhedzisiro yedivi | Chii chekuita? |
|---|---|
| Zvinhu zvekutaurira chiremba wako nekukasika | |
| Kusawirirana kwemuviri - Kutsamwiswa kweganda, kuvaviwa - Kuzvimba kwechiso, miromo, rurimi, pahuro (zvinogona kukonzera kufema kuomerwa) | Tsvaga rubatsiro rwechiremba nekukasika. Izvi zvinogona kunge zviri zvekukurumidzira. |
| Zvinhu zvisingawanzove zvakakomba, asi zvinofanira kutaurwa kuna chiremba kana zvikaramba zviripo | |
| Musoro/dzungu | Kana izvi zvikaramba zvichikunetsa, udza chiremba wako panguva yaunotevera yekurapwa kukiriniki. |
| Kukwiza | |
| Kurasikirwa nechido chekudya | |
| Kurwadziwa kwemudumbu kana kusagadzikana | |
Kana ukasangana nezvimwe zvinetso zvisina kutaurwa pane urongwa uhwu, taura nachiremba wako nezvazvo zvakare.
Munochengeta uye munorasa sei mushonga wacho?
- Chengeta kure nevana nezvipfuyo .
- Chengeta patembiricha yemumba (pakati pe20-25 degrees Celsius).
- Usamboshandisa mishonga yapera basa . Rasa mishonga yacho zvakanaka. Bvunza chiremba wako kuti uwane nzira chaiyo yekurasa mishonga yacho.
Mharidzo Yekuenda Nayo Kumba
- Rolapitant mushonga unopiwa kudzivirira kuda kurutsa uye kurutsa kunokonzerwa nechemotherapy, kwete kurapwa kana zvangoitika.
- Nguva dzose tora mushonga uyu sezvawakarairwa nachiremba wako, kazhinji awa imwe usati watora mishonga yechemotherapy.
- Iva nechokwadi chekuudza chiremba wako nezvemimwe mishonga yese, mavhitamini, uye zvimwe zvinovaka muviri zvauri kutora.
- Kana ukaona zviratidzo zvekurwara neganda zvakaita sekuzvimba kwechiso uye mapundu paganda, tsvaga rubatsiro rwechiremba nekukasika.
- Usambofa wakagovana mishonga yako yawakanyorerwa nevamwe.
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