Msirikali wa Magazi Ofiira Kupanga Mankhwala Osokoneza Matenda a Khansa ya Amayi
Ngati mukulandira chithandizo cha khansa ya m'mawere, mukhoza kupatsidwa mankhwala a Aranesp (darbepoetin alfa). Aranesp ndi khungu lofiira m'magazi kwa anthu omwe ali ndi vuto la kuchepa kwa magazi , zomwe zimakhala ndi chiwerengero chochepa cha maselo ofiira a magazi omwe amayamba chifukwa cha chemotherapy . Ngati mukukumana ndi mavuto kuchokera kuchipatala chanu chifukwa cha kuchepa kwa maselo ofiira a magazi, Aranesp akhoza kukhala chida chamtengo wapatali.
Aranesp, Khansa ya m'mawere, ndi kuchepa kwa magazi
Pamene mukupezeka pa chemo, mumayang'aniridwa ndi kuyang'aniridwa ndi mavuto alionse. Chiyeso chimodzi chodziwika ndi Complete Blood Count (CBC), zomwe zimapereka dokotala wanu zofunika zokhudza mitundu ndi kuchuluka kwa maselo m'magazi anu. Ngati kafukufuku wanu wa CBC akuwonetsa kuti chiwerengero chanu cha maselo ofiira a m'magazi ndi otsika, mukhoza kukhala ndi magazi .
Matenda a m'thupi angapangitse kuti musamane ndi khansa ya m'mawere. mungamve ngati ofooka, ofooka, ozunguzika kapena otopa. Mutha kuvulaza mosavuta kapena kukhala ndi nosebleeds. Matenda a umoyo amatha kufooketsa thupi lanu ndi chitetezo cha mthupi, zomwe zimapangitsa kuti thupi lanu likhale lovuta kulimbana ndi matenda ndi matenda.
Ngati dokotala akupeza kuti muli ndi matenda ophera magazi chifukwa cha chemotherapy, akhoza kukupatsani mankhwala kuti akuthandizeni kupanga ma maselo ofiira ambiri. Aranesp ndi imodzi mwa mankhwala omwe amagwiritsidwa ntchito pazinthu izi. Kuperekedwa ndi jekeseni kapena kupatsirana mwakachetechete (IV), Aranesp akhoza kulimbitsa kupanga maselo ofiira a magazi ndipo angakuthandizeni kupeĊµa kuika magazi.
Kodi Aranesp Zimagwira Ntchito Bwanji ngati Nthambi Yopaka Magazi Ofiira?
Magazi amapangidwa m'kati mwa mafupa anu, zofewa, zofufumitsa m'mimba mwa mafupa anu. Chemotherapy kwa khansa ya m'mawere idzapha maselo anu ogawanitsa , kuphatikizapo mafupa a mafupa. Maselo ochepa a mafupa amatanthauza maselo osachepa a magazi. Kawirikawiri, impso zanu zimapanga erythropoietin, mapuloteni omwe amachititsa kupanga maselo ofiira a magazi.
Koma pa chemo kwa khansa ya m'mawere, impso zanu zisapangitse erythropoietin yokwanira. Aranesp ndi njira yowonjezera ya erythropoietin, ndipo mlingo woyenera wa mankhwalawa ukhoza kulimbikitsa kupanga maselo ofiira a magazi.
Kodi Ndiyenera Kuchitidwa Kawirikawiri Bwanji ndi Aranesp?
Mukhoza kupatsidwa zipolopolo kapena kupweteka kwa Aranesp kamodzi pa sabata kapena kamodzi pakatha masabata atatu, malingana ndi zosowa zanu.Ngati mutapatsidwa milungu itatu iliyonse, mlingowu ukhoza kusinthidwa ndi mankhwala anu a chemo, kukupatsani maulendo opita kuchipatala kuti mupititse patsogolo ndi kudula malipiro ena.
Kodi zotsatira za Aranesp ndi zotani?
Aranesp amakhala ndi zotsatira zoopsa, choncho onetsetsani kuti mungakambirane ndi zovuta zomwe mungachite ndi dokotala wanu. Adzagwira ntchito nanu kuti adziwe mlingo wotsika kwambiri kuti muzitha kuyang'anira maselo anu a magazi poyang'anira zoopsa zomwe zingakhalepo. Odwala omwe ali ndi kansa ya m'mawere, chotupacho chimakula mofulumira ndipo akhoza kufa posachedwa ngati mutenga Aranesp.
Zingayambitse vuto lalikulu la mtima, kuphatikizapo mtima wa mtima, kulephera kwa mtima, ndi kupwetekedwa mtima. Mankhwala a magazi awonetsedwanso pamene akuchiritsidwa ndi Aranesp. Aitaneni chithandizo chaumoyo wanu nthawi yomweyo ngati muli ndi zizindikiro izi:
- Kupweteka pachifuwa
- Kupuma kupuma kapena kupuma pang'ono
- Ululu kapena kutupa m'miyendo yanu
- Dzanja kapena miyendo yozizira kapena yowongoka
- Kusokonezeka mwadzidzidzi, kuvutika kulankhula kapena kuvutika kumvetsa ena
- Zofooka pamaso, mikono, miyendo kapena mbali imodzi ya thupi lanu
- Vuto ladzidzidzi likuwona
- Vuto ladzidzidzi likuyenda
- Kutaya chidziwitso
Aranesp ali ndi zotsatira zina zoyipa, kuphatikizapo kuthamanga kwa magazi , kugwidwa, ma antibodies kwa Aranesp, kutanthauza kuti thupi lanu lingalepheretse Aranesp ndi kupangitsa kuti magazi asapitirire kuchepa kwa magazi komanso kukhumudwa kwambiri.
Malangizo pa Chithandizo
Musanayambe jekeseni yoyamba ya Aranesp, dokotala wanu adzalangiza CBC kuti adziwe maselo ofiira a magazi, hemoglobin , hematocrit, ndi iron.
Pamene mankhwala akupita, mudzakhala ndi mayeso ambiri a magazi kuti muwone ngati Aranesp ili ndi mphamvu zedi kuti mupeze mlingo woyenera. Ngati mukuyamwitsa kapena muli ndi pakati, kambiranani ndi dokotala musanatenge Aranesp. Osaphunzira mokwanira kuti adziwe zotsatira za mankhwalawa pa mkaka wa m'mawere kapena mwana wa munthu.
Zotsatira:
"Araspen Labeling Revision". Dokotala wa FDA Postmarket Safety Information kwa Odwala ndi Madokotala, 2013.
Muller, R., Baribeault, D. "Zochitika zapakati pa mlingo wokwanira wa mankhwala oopsa a mankhwala ophera magazi m'thupi." Magazini ya American Journal of Health-System Pharmacy , 2007, 2547-2556.