Mankhwala Omwe Ankafunika Kuchiritsa Matenda a Chemotherapy-Amakhala ndi Anemia Okhazikika
Pamene mukukumana ndi mankhwala a chemotherapy , mudzayang'aniridwa ndikuyang'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 .
The Link Between Cancer Breast, Chemotherapy, ndi Anemia
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 (darbepoetin alfa) ndi Malembo (epoetin alfa) ndi mankhwala awiri omwe amagwiritsidwa ntchito pazinthu izi. Kuperekedwa ndi jekeseni kapena kupatsirana mwakayakaya (IV), akhoza kulimbitsa maselo ofiira a magazi omwe angakuthandizeni kupeĊµa kuika magazi.
Momwe Mankhwalawa Amagwiritsira Ntchito Monga Amagazi a Red Blood Cell
Magazi amapangidwa m'kati mwa mafupa anu, zofewa, zofufumitsa m'mimba mwa mafupa anu. Maselo a mafupa ndi maselo ogawanitsa, omwe amakhudzidwa ndi chemotherapy. Maselo ochepa a mafupa amatanthauza maselo osachepa a magazi. CBC yanu ingavomereze kuti chiwerengero chanu cha magazi ofiira ndi otsika, ndipo muli ndi 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. Kulemba ndi Aranesp ndizopangidwa ndi anthu m'malo mwa erythropoietin, ndipo mlingo woyenera wa mankhwalawa udzakuthandizira kupanga maselo ofiira a magazi.
Zotsatira Zotsatira za Kulemba
Kulemba ndi mankhwala otetezeka kwambiri, ndipo odwala ambiri sakhala ndi zotsatirapo. Odwala ena akhoza kukhala ndi malungo. Muli ndi mwayi wopitirira 22% wokhala ndi zotsatirazi:
- Kutsekula m'mimba
- Nausea
- Kuthamanga
- Kusungirako zamagetsi (edema)
- Kutopa
Itanani Dokotala Wanu Ngati Muli Ndi Zizindikiro Izi:
- Kuthamanga kwa mankhwala (ming'oma, kupuma mavuto, kutupa nkhope, milomo, lilime kapena khosi)
- Kupweteka pachifuwa
- Kupuma pang'ono
- Mwadzidzidzi ndikumva ngati ndikusowa kapena kufooka (makamaka mopanda malire)
- Kupweteka kapena kutupa m'miyendo, mapazi, kapena mabotolo
- Kuthamanga kwa magazi
- Mutu wamdima (wamisala, wokomoka)
Zotsatira Zotsatira za Aranesp
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 Aranesp yanu kapena Kulemba mankhwala, dokotala wanu adzalamula CBC kuti ikhale ndi maselo ofiira a magazi, hemoglobin , hematocrit , ndi iron.
Pamene mankhwala akupita, mudzakhala ndi mayeso ochulukira magazi kuti muwone momwe mankhwalawa akugwiritsire ntchito komanso kuti muwone kuti mukupeza mlingo woyenera.
Musanayambe kulandira chithandizo chilichonse, kambiranani ndi dokotala wanu za kufunika kwanu komanso zoopsa zomwe zingakhalepo.
Zotsatira:
Chakudya & Ma Drug Administration. "Aranesp Kufotokozera Zomwe Ambiri Amanena." Zosinthidwa 2015.
Chakudya & Ma Drug Administration. "Lembani Kufotokozera Zomwe Mukudziwa," Revised 2013.
"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.