Zimene Mukuyenera Kudziwa Zokhudza Kuchiza Lupus Yanu Ndi Cyclophosphamide
Dokotala wanu akhoza kuti anakuuzani mankhwala osokoneza bongo a Cytoxan (cyclophosphamide) ngati lupus yanu yayamba kwambiri. Mankhwala a "golide" omwe amagwiritsidwa ntchito poyesa matenda a lupus ndi Cytoxan kuphatikizapo corticosteroid methylprednisolone.
Cytoxan kwenikweni ndi mankhwala a khansa, koma mu lupus odwala, amagwiritsidwa ntchito pochizira matenda aakulu a impso (kuphatikizapo lupus nephritis ) kapena mavuto ena omwe amawopseza ziwalo.
Cytoxan imakhala ndi zotsatira zoyipa, kuphatikizapo zolephereka kubadwa, kotero inu mukufuna kuti mudziwe zambiri za izo.
Mmene Cytoxan Imagwirira Ntchito
Cytoxan imagwiritsidwa ntchito monga mankhwala a chemotherapy opatsirana khansa kuphatikizapo ma lymphomas , myeloma ndi khansa ya m'magazi . Malingana ndi American College of Rheumatology, imanenedwa kuti ikhale yamphamvu, yowonongeka ndi nyamakazi kapena matenda aakulu a lupus , myositis, scleroderma kapena vasculitis .
Cytoxan ali mu kalasi ya mankhwala omwe amatchedwa alkylating agents. Izi zikutanthauza kuti imachedwetsa kapena kuyimitsa kukula kwa maselo oopsa kapena maselo ena ogawidwa mofulumira, monga maselo oyera a mthupi omwe amapha thupi lanu panthawi ya lupus.
Mankhwala a Immunosuppressives monga Cytoxan amagwiritsidwa ntchito pochiza lupus pa zifukwa zikuluzikulu ziwiri:
- Ndizo mankhwala olimbikitsa omwe amathandiza kuchepetsa matenda m'ziwalo zazikulu.
- Angathe kuchepetsa kapena kuthetsa kusowa kwa steroids.
Cytoxan kawirikawiri imaperekedwa kwa miyezi itatu kapena sikisi mpaka wodwala apita ku lupus remission.
Mankhwalawa amatulutsidwa mobwerezabwereza, koma akhoza kutengedwa pamlomo. Kutengedwa pamlomo, mlingoyo umachokera pa matenda anu, kulemera, kuyankha kwa mankhwala ndi zina zomwe mungalandire. Dokotala wanu adzadziwa mlingo woyenera ndi regimen kwa inu.
Kodi zotsatira za chi Cytoxani ndi zotani?
Mankhwalawa ali ndi zotsatira zambiri, choncho ayenera kuyang'anitsitsa ndi dokotala wanu.
Zotsatira zake zikuphatikizapo:
- Tsitsi lopweteka kwambiri
- Khungu lakuda ndi lakuta
- Khungu lopukuta kapena acne
- Kutaya njala kapena kulemera
- Kutopa
- Kukuda
- Kusakanikirana
- Fever
- Chizungulire
- Chills
- Kupuma pang'ono
- Sungani khosi
- Nausea
- Kuthamanga
- Mtsuko wa piritsi / wamagazi
- Zilonda zam'kamwa, zothamanga
- Chisoni chophatikizana
- Kulira kosavuta / kutuluka magazi
- Zithunzi zakuda / zamagazi
- Kuwawa m'mimba / m'mimba
- Kutupa kwa mabowo / mapazi
- Kuwonjezeka kwa chiopsezo cha ming'oma
- Kusadziletsa
Muyenera kulankhula ndi adokotala mwamsanga ngati mutakumana ndi zotsatira zoopsa izi: magazi mumkodzo, malungo, ndi ziwombankhanga, kuphwanyidwa kapena kupuma magazi, kupuma pang'ono kapena kupuma kwa mapazi ndi mabotolo.
Muyeneranso kudziwa kuti Cytoxan ndi khansa. Izi zikutanthauza kuti zimagwirizana ndi chitukuko cha mitundu ina ya khansa, makamaka khansara ya chikhodzodzo .
Musanayambe kutenga Cytoxan, onetsetsani kuuza dokotala wanu ngati:
- Ali ndi pakati, kapena akuganiza kutenga pakati
- Kodi akuyamwitsa
- Wakhalapo ndi matenda a impso
- Zimatsutsa mankhwala alionse
Njira Yina Yofunika Kuidziwa
Mankhwala osokoneza bongo otchedwa mycophenolic acid awonetsedwa kuti amachepetsa kwambiri steroid mlingo kwa odwala lupus nephritis kapena lupus-resistant lupus. Zimagwiritsidwa ntchito ngati mankhwala oyamba a lupus nephritis ndipo nthawi zambiri zimalowa m'malo mwa Cytoxan.
> Zotsatira:
> Cyclophosphamide (Cytoxan). American College of Rheumatology. May 2015.
> Cyclophosphamide. MedlinePlus Information Dawa. September 15, 2011.
> Immune Suppressants. Lupus Foundation ya America.
> Matenda a Glomerular. Impso ya National ndi Urological Diseases Information Clearinghouse. NIH Publication No. 07-4358. April 2006.