Melphalan

Zamkati

• Musanatenge melphalan,
• Melphalan itha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa MUCHENJEZO CHENJEZO, itanani dokotala wanu mwachangu:
• Zizindikiro za bongo zingaphatikizepo izi:

Melphalan imatha kutsitsa kwambiri kuchuluka kwama cell am'mafupa anu. Izi zitha kuyambitsa zizindikilo zina ndipo zitha kuonjezera chiopsezo kuti mutenga matenda akulu kapena magazi. Ngati mukumane ndi izi, itanani dokotala wanu nthawi yomweyo: malungo, zilonda zapakhosi, kutsokomola kosalekeza komanso kuchulukana, kapena zizindikilo zina za matenda; kutuluka mwachilendo kapena kuvulala; wamagazi kapena wakuda, malo obisalira; kusanza kwamagazi; kapena kusanza magazi kapena zinthu zofiirira zomwe zikufanana ndi khofi.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula kuyesedwa kwa labotale nthawi zonse musanachitike komanso mukamalandira chithandizo kuti muwone ngati maselo anu akukhudzidwa ndi mankhwalawa.

Melphalan ikhoza kuonjezera chiopsezo kuti mudzadwala khansa zina. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito melphalan.

Melphalan imagwiritsidwa ntchito pochiza ma myeloma angapo (mtundu wa khansa ya m'mafupa). Melphalan imagwiritsidwanso ntchito kuthana ndi mtundu wina wa khansa yamchiberekero (khansa yomwe imayamba m'ziwalo zoberekera zachikazi momwe mazira amapangidwira). Melphalan ali mgulu la mankhwala otchedwa alkylating agents. Zimagwira ntchito poletsa kapena kuchepetsa kukula kwa maselo a khansa mthupi lanu.

Melphalan imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa m'mimba yopanda kanthu kamodzi patsiku. Kutalika kwa chithandizo kumatengera mitundu ya mankhwala omwe mukumwa, momwe thupi lanu limayankhira, komanso mtundu wa khansa yomwe muli nayo. Tengani melphalan mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani melphalan chimodzimodzi monga mwalamulo. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Dokotala wanu angafunikire kuchedwetsa chithandizo chanu kapena kusintha mtundu wa melphalan kutengera mayankho anu kuchipatala ndi zovuta zina zomwe mungakumane nazo. Lankhulani ndi dokotala wanu za momwe mukumvera mukamalandira chithandizo. Osasiya kumwa nyimbo musanalankhule ndi dokotala.

Funsani wamankhwala kapena dokotala wanu kuti mumupatseko zidziwitso za wopanga kwa wodwalayo.

Melphalan amagwiritsidwanso ntchito pochiza khansa ya m'mawere. Nthawi zina amagwiritsidwanso ntchito pochiza amyloidosis (matenda omwe mapuloteni osazolowereka amakhala m'matumba ndi ziwalo m'thupi). Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa ngati muli ndi vuto lanu.

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

Musanatenge melphalan,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi melphalan, mankhwala ena aliwonse, kapena zina zilizonse m'mapiritsi a melphalan. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• 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: carmustine (BICNU, BCNU), cimetidine (Tagamet), cisplatin (Platinol AQ), cyclosporine (Sandimmune, Gengraf, Neoral), kapena interferon alfa (Intron A, Infergen, Alferon N).
• uzani adotolo ngati mudamwapo kale, koma khansa yanu sinayankhe mankhwalawo. Dokotala wanu angakuuzeni kuti musatenge melphalan.
• uzani dokotala wanu ngati mwalandira mankhwala a radiation kapena chemotherapy ina posachedwa kapena ngati mwakhalapo ndi matenda a impso.
• muyenera kudziwa kuti melphalan imatha kusokoneza msambo mwa azimayi ndipo imatha kuimitsa umuna mwa amuna kwakanthawi kochepa kapena kosatha. Melphalan itha kubweretsa kusabereka (zovuta kukhala ndi pakati); komabe, simuyenera kuganiza kuti simungatenge mimba kapena kuti simungapatse wina mimba. Azimayi omwe ali ndi pakati kapena akuyamwitsa ayenera kuuza madokotala awo asanayambe kumwa mankhwalawa. Simuyenera kukonzekera kukhala ndi ana mukalandira mankhwala a chemotherapy kapena kwakanthawi mutalandira chithandizo. (Lankhulani ndi dokotala wanu kuti mumve zambiri.) Gwiritsani ntchito njira yodalirika yolerera popewa kutenga pakati. Melphalan itha kuvulaza mwana wosabadwayo.
• mulibe katemera popanda kulankhula ndi dokotala.

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.

Melphalan itha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kusanza
• kusowa chilakolako kapena kunenepa
• zilonda mkamwa ndi pakhosi
• osasamba msambo (mwa atsikana ndi akazi)
• kulumikizana, minofu, kapena msana

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa MUCHENJEZO CHENJEZO, itanani dokotala wanu mwachangu:

• zidzolo
• ming'oma
• kuyabwa
• kuvuta kupuma kapena kumeza
• khungu lotumbululuka
• kutopa kwambiri
• kukomoka
• kuthamanga, kusasinthasintha, kapena kugunda kwamtima
• chikasu cha khungu kapena maso
• kupweteka kumtunda chakumanja kwam'mimba
• mkodzo wachikuda
• ziphuphu zachilendo kapena misa

Melphalan imatha kuyambitsa 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. Sungani mu firiji komanso kutali ndi kuwala.

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.

Zizindikiro za bongo zingaphatikizepo izi:

• kusanza
• kutsegula m'mimba
• zilonda mkamwa ndi pakhosi
• wakuda, wodikira, kapena chimbudzi chamagazi
• masanzi amagazi kapena zinthu zosanza zomwe zimawoneka ngati malo a khofi
• kuvulaza kapena kutuluka mwachilendo
• zilonda zapakhosi, chifuwa, malungo, kapena zizindikilo zina za matenda

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.

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