Mitotane

Zamkati

• Musanatenge mitotane,
• Mitotane imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

Mitotane imatha kuyambitsa matenda owopsa, omwe amatha kuchitika pomwe mahomoni osakwanira (cortisol) amapangidwa ndimatenda a adrenal mthupi lanu. Mitotane ayenera kumwedwa ndi dokotala yemwe amadziwa kugwiritsa ntchito mankhwala ochizira khansa. Mukakhala ndi matenda akulu, matenda, kapena kuvulala muyenera kusiya kumwa mitotane ndikuyimbira dokotala nthawi yomweyo.

Mitotane amagwiritsidwa ntchito pochiza khansa ya adrenal gland yomwe singachiritsidwe ndi opaleshoni. Mitotane ali mgulu la mankhwala otchedwa antineoplastic agents. Zimagwira pochepetsa kukula kapena kuchepetsa kukula kwa chotupacho.

Mitotane amabwera ngati piritsi kuti atenge pakamwa. Nthawi zambiri amatengedwa katatu kapena kanayi patsiku. Tengani mitotane mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani mitotane ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Mwinanso mugonekedwa mchipatala mukamayamba mankhwala anu ndi mitotane. Dokotala wanu akuyambitsani pamlingo wochepa wa mitotane ndipo pang'onopang'ono muwonjezere mlingo wanu.

Pitilizani kutenga mitotane ngakhale mukumva bwino. Osasiya kumwa mitotane osalankhula ndi dokotala.

Mitotane imagwiritsidwanso ntchito pochiza Cushing's Syndrome (momwe thupi limatulutsa mahomoni ambiri a cortisol). Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa pazikhalidwe zanu.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanatenge mitotane,

• uzani dokotala wanu komanso wamankhwala ngati mukugwirizana ndi mitotane, kapena mankhwala aliwonse.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: maanticoagulants ('ochepetsa magazi') monga warfarin (Coumadin); mankhwala opatsirana pogonana ('mood lifters'); mankhwala a nkhawa, matenda amisala, kapena kugwidwa; mankhwala ogonetsa, mapiritsi ogona, kapena zotontholetsa; ndi spironolactone (Aldactone). Dokotala wanu angafunike kusintha mlingo wa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi mitotane, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• uzani dokotala wanu ngati mwakhalapo kapena mudakhalapo ndi matenda a chiwindi.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga mitotane, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa mitotane.
• muyenera kudziwa kuti mitotane imatha kukupangitsani kukhala ozunguzika kapena kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Mitotane imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kusowa chilakolako
• nseru
• kusanza
• kutsegula m'mimba
• kukhumudwa
• kusowa mphamvu
• kusinza kwachilendo
• kumva kuti chipinda chikuyenda
• kusintha kwa masomphenya
• totupa kapena kusintha kwa khungu

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

• m'mimba kapena kupweteka kwammbali
• chisokonezo
• kugunda kwamtima mwachangu
• malungo akulu kapena kuzizira
• thukuta kwambiri

Mitotane imatha kuwononga ubongo kapena dongosolo lamanjenje mukamamwa kwambiri kwa nthawi yayitali kuposa zaka ziwiri. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa.

Mitotane imatha kubweretsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amatha kuyitanitsa mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira mitotane.

Musanayezetsedwe kwa labotale, uzani adotolo ndi ogwira nawo ntchito kuti mukumwa mitotane.

Valani kapena mukhale ndi chizindikiritso chamankhwala chonena kuti mumatenga mitotane kuti mutsimikizire kuti mulandila chithandizo pakagwa mwadzidzidzi.

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• Lysodren^®