Umhlobo wakho ekulweni nomhlaza: Funda ngesitofu sokugonya iCarmustine (BCNU)

Ukulwa nomhlaza ngumceli mngeni wokwenene, akunjalo? Kukho iindlela ezahlukeneyo zonyango ezinokukunceda kwaye zikuqinise kolu hambo. Olunye unyango olunjalo yiCarmustine , osenokuba ukhe weva ngayo njengeBCNU . Usenokuziva usoyika kancinci xa usiva eli gama, kwaye oko kuqhelekile. Kodwa namhlanje, siza kuthetha ngeli yeza ngokulula, njengokuba uthetha nomhlobo. Emva koko uya kukwazi ukuliqonda ngcono.

Luhlobo luni lweyeza iCarmustine? Isetyenziselwa ntoni?

Ngamafutshane, iCarmustine liyeza elibulala iiseli zomhlaza . Ngokuchanekileyo, luhlobo lweyeza le -chemotherapy . Ezinye iiseli emzimbeni wethu, ingakumbi iiseli zomhlaza , ziyahlukana kwaye zikhula ngokukhawuleza. Eli yeza liphazamisa ukukhula kwezo seli zahlulahlula ngokukhawuleza kwaye liyazilawula.

Ngoku makhe sibone ukuba zeziphi iintlobo zomhlaza ezisetyenziselwa kakhulu eli yeza:

• Iithumba zobuchopho : Oku kusetyenziswa kwiintlobo ezahlukeneyo zeethumba okanye umhlaza ezenzeka engqondweni.
• I-multiple myeloma: Olu luhlobo lomhlaza oluvela kumongo wethambo.
• Isifo sikaHodgkin: Lo ngumhlaza owenzeka kwinkqubo ye-lymphatic.
• Ii-Non-Hodgkin's lymphomas: Olu lolunye uhlobo lomhlaza oluvela kwinkqubo ye-lymphatic.

Ukongeza kwizifo ezikhankanyiweyo apha ngasentla, oogqirha ngamanye amaxesha banokusebenzisa eli yeza kwezinye iimeko. Ngoko ke, ukuba unikwa eli yeza, kungcono ubuze ugqirha wakho okanye ikhemisti ukuba akuchazele isizathu kunye nendlela elisebenza ngayo.

Zeziphi izinto ekufuneka ndizixelele ugqirha ngaphambi kokuba ndisebenzise eli yeza?

Ngaphambi kokuba uqale ukusebenzisa iCarmustine, kufuneka uxelele iqela lakho lokhathalelo ngolwazi olubalulekileyo. Olu lwazi luza kubanceda bagqibe ukuba eli yeza likulungele na, lingakanani na, kwaye zeziphi ezinye izinto ekufuneka uzilumkele.

Nazi izinto ezibalulekileyo ekufuneka uziqaphele:

• Ukuba okwangoku unentsholongwane: ingakumbi intsholongwane efana ne -chickenpox , i-herpes, okanye umkhuhlaneUkuba unomkhuhlane, kufuneka usixelele.
• Isifo sezintso : Ukuba uneengxaki zezintso.
• Isifo sesibindi: Ukuba kukho iingxaki ezinxulumene nokusebenza kwesibindi .
• Ukuba kukho iinxalenye zegazi ezisezantsi: Oku kuthetha ukuba inani leeplatelet liphantsi, inani eliphantsi leeseli ezibomvu zegazi (oko kuthetha ukuba kukho i-anemia), okanye inani eliphantsi leeseli ezimhlophe zegazi. Ugqirha wakho kufuneka azi ngezi meko.
• Isifo semiphunga: Ukuba unesifo esinxulumene nemiphunga, esifana nobunzima bokuphefumla.
• Iimpendulo ze-allergic: Ukuba ukhe waba ne-allergy okanye imbali ye-allergy kwiCarmustine, BCNU, amanye amayeza e-chemotherapy, naluphi na olunye unyango, ukutya, iidayi, okanye izithinteli, kufuneka uxelele ugqirha wakho.
• Ukuba ukhulelwe okanye uzama ukukhulelwa: Oku kubaluleke kakhulu.
• Ukuba ungumama oncancisayo.

Kubaluleke kakhulu ukuze ukhuseleke ukuxelela ugqirha ngokucacileyo, ngaphandle kokufihla ezi zinto.

Igonyo leCarmustine linikezelwa njani?

Eli yeza linikwa wena njengokufakwa okanye ukujova emthanjeni. Eli ayiloyeza onokulithatha ekhaya. Linikwa ngugqirha oqeqeshiweyo ofumene uqeqesho olukhethekileyo, nokuba kusesibhedlele okanye eklinikhi.

Kubalulekile: Ukuba unika abantwana abancinci eli yeza, thetha ngalo nogqirha wabantwana kwaye usebenzise olu nyango phantsi konyango olukhethekileyo.

Wenza ntoni ukuba usela amayeza amaninzi ngempazamo?

Ukuba oku kuyenzeka, oko kuthetha ukuba ucinga ukuba usele kakhulu, kufuneka utsalele umnxeba kwiziko lokulawula ityhefu okanye kwigumbi likaxakeka ngokukhawuleza.

Nceda ukhumbule: Eli yeza limiselwe wena wedwa. Ungaze wabelane ngeli yeza nabanye abantu.

Wenza ntoni ukuba uphoswe yidosi yeyeza?

Kubaluleke kakhulu ukusela amayeza akho ngexesha nangosuku lokubonana nogqirha. Ukuba awukwazi ukugcina idinga lakho, fowunela ugqirha wakho okanye ingcali yezempilo ngokukhawuleza. Baza kukuxelela into omawuyenze emva koko.

Ngaba kukho amanye amayeza anokusebenzisana nalo mayeza? (Ukusebenzisana kwamayeza)

Ewe, kukho amayeza athile anokusebenzisana neCarmustine, oko kuthetha ukuba anokungqubana. Ukuba oko kuyenzeka, ukusebenza kweCarmustine kunokutshintsha okanye iziphumo ebezingalindelekanga zinokwanda.

Nazi ezinye zezi ziyobisi:

• I-Cimetidine ( iyeza elisetyenziselwa izifo ezifana ne-gastritis)
• I-Phenobarbital (enikwa ezinye izifo zesifo sokuwa)
• I-Phenytoin kunye ne-Fosphenytoin (ikwasetyenziselwa isifo sokuwa)

Olu luhlu luyimizekelo embalwa nje. Ngoko ke, kufuneka uxelele ugqirha wakho ngawo onke amayeza owasebenzisayo (amayeza ezinye izifo, iivithamini, amayeza esintu, izongezo zemifuno, amayeza angagunyaziswanga ngugqirha, izongezo zokutya, njl.njl.). Kwakhona, ukuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi, yazisa ugqirha wakho ngaloo nto. Kuba ezinye izinto zinokudibana nalo mayeza.

Yintoni esifanele siyiqwalasele xa sithatha amayeza?

Ngelixa usebenzisa iCarmustine, ugqirha wakho uza kujonga inkqubela yakho rhoqo.

• Ukungakhululeki ngokubanzi: Kuqhelekile ukuziva ungakhululekanga okanye ungaphilanga kakuhle ngelixa usebenzisa eli yeza. Oku kungenxa yokuba amayeza e-chemotherapy anokuchaphazela kungekuphela nje iiseli zomhlaza kodwa neeseli ezisempilweni. Oku akuqhelekanga. Ukuba ufumana naziphi na iziphumo ebezingalindelekanga, xelela ugqirha wakho. Qhubeka uthatha iyeza nokuba alikukhululeki, de ugqirha wakho akuxelele ukuba uyeke.
• Amayeza ongezelelweyo eziphumo ebezingalindelekanga: Ngamanye amaxesha, ugqirha wakho angakunika amanye amayeza okunceda ukulawula iziphumo ebezingalindelekanga zale mayeza. Landela imiyalelo yokusebenzisa loo mayeza kanye njengoko enikiwe.
• Ukuzikhusela kwiintsholongwane: Ukuba unomkhuhlane, ingqele, umphimbo obuhlungu, ukukhwehlela, okanye ezinye iimpawu ezifana nomkhuhlane , tsalela umnxeba ugqirha wakho okanye ingcali yezempilo ngokukhawuleza ukuze ufumane ingcebiso. Musa ukuzinyanga. Eli yeza linokunciphisa amandla omzimba wakho okulwa nokugula (amasosha omzimba). Ke ngoko, zama ukuhlala kude nabantu abagulayo kangangoko unako.
• Lumka xa uphuma igazi okanye utyumkile: Eli yeza linokukwandisa umngcipheko wakho wokopha okanye utyumkile ngokulula. Xelela ugqirha wakho ukuba uphuma igazi ngendlela engaqhelekanga (umz., ukopha empumlweni, ukopha iintsini, igazi elisendle) okanye ukutyumkile.
• Umngcipheko womhlaza: Kunokubakho umngcipheko omncinci wokufumana ezinye iintlobo zomhlaza ngelixa usebenzisa eli yeza. Thetha nogqirha wakho ngale nto.
• Iziphumo ekuNzala:Eli yeza lisenokuchaphazela amandla endoda okuba nguyise womntwana. Ukuba unemibuzo okanye iinkxalabo malunga noku, thetha nogqirha wakho okanye ingcali yezempilo.
• Ukukhulelwa nokuncancisa:
• Njengakweminye imithi, musa ukukhulelwa iinyanga ezi-6 emva kokuyeka amayeza. Ukuba uceba ukukhulelwa, okanye ucinga ukuba ukhulelwe, xelela ugqirha wakho ngoko nangoko.
• Njengaxa amadoda esela la mayeza, akufanele azame ukuba nomntwana kangangeenyanga ezi-3 emva kokuyeka amayeza.
• Eli yeza linokubangela iziphumo ebezingalindelekanga ezibi kakhulu kusana olungekazalwa. Buza ugqirha wakho okanye ikhemisti ukuze ufumane ulwazi oluthe kratya.
• Musa ukumncancisa umntwana xa usebenzisa eli yeza.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengayo nayiphi na iyeza, iCarmustine inokubangela ezinye iziphumo ebezingalindelekanga. Nangona kunjalo, ayinguye wonke umntu ofumana zonke ezi ziphumo ebezingalindelekanga. Ezinye zazo zizinto ekufuneka uxelele ugqirha wakho ngazo ngoko nangoko, ngelixa ezinye zihlala zingekho nzulu kwaye ziyanyamalala emva kweentsuku ezimbalwa.

Iziphumo ebezingalindelekanga ekufuneka uxelele ugqirha wakho ngazo ngoko nangoko:

Ukuba ufumana naziphi na kwezi mpawu, kufuneka uxelele ugqirha wakho okanye ingcali yezempilo ngokukhawuleza:

• Iimpendulo ze-allergy: ukurhawuzelela kwesikhumba, ukurhawuzelela okanye ukurhawuzelela, ukudumba kobuso, imilebe okanye ulwimi.
• Iingxaki zokuphefumla.
• Intlungu yamalungu.
• Inani legazi eliphantsi: Eli yeza linokubangela ukuba iiseli ezimhlophe zegazi, iiseli ezibomvu zegazi, kunye neeplatelets zibe phantsi, nto leyo enokunyusa umngcipheko wosulelo kunye nokopha.
• Intlungu yemisipha.
• Ukuxhuzula.
• Iimpawu zosulelo: umkhuhlane okanye ukubanda, ukukhohlela, umphimbo obuhlungu, iintlungu okanye ubunzima bokuchama.
• Iimpawu zokuncipha kweeplatelets okanye ukopha: ukukrweleka, ukukhonkotha amabala abomvu eluswini, umnyama, indle ethambileyo, igazi emchameni.
• Iimpawu zokulimala kwezintso: Ubunzima bokuchama okanye utshintsho kubungakanani bomchamo owuvelisayo.
• Ukunciphisa umzimba (ngaphandle kwesizathu).

Iziphumo ebezingalindelekanga oqhele ukungaxeleli ugqirha wakho ngazo , kodwa kufuneka zixelwe ukuba ziyaqhubeka:

Ezi ziphumo bezingalindelekanga azisoloko zimbi. Nangona kunjalo, ukuba ziyaqhubeka okanye zikukhathaza kakhulu, xelela ugqirha wakho:

• Intloko ebuhlungu .
• Ukulahlekelwa yintliziyo.
• Isicaphucaphu, ukuhlanza.
• Intlungu, ukubomvu, okanye ukurhawuzelelwa kwindawo apho kufakwe khona inaliti.

Olu luhlu aluzizo zonke iziphumo ebezingalindelekanga. Ukuba ubona enye into engaqhelekanga, buza ugqirha wakho ngayo.

Uligcina phi eli yeza?

Ekubeni eli yeza ulinikwa esibhedlele okanye ekliniki, awuyi kukwazi ukulithatha uliyise ekhaya okanye ukuligcina. Abasebenzi besibhedlele banoxanduva lwalo mba.

Izinto ezibaluleke kakhulu ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke sithethe kakhulu ngeziyobisi iCarmustine, akunjalo?

Eyona nto ibalulekileyo kukuba ukuba unemibuzo, amathandabuzo, okanye uloyiko malunga nolu nyango, zive ukhululekile ukuthetha nogqirha wakho, umongikazi, okanye ikhemisti. Bakho ukukunceda.

• I-Carmustine liyeza le-chemotherapy elilawula ukukhula kweeseli zomhlaza.
• Ngaphambi kokuba usebenzise iyeza, xelela ugqirha wakho ngalo lonke ulwazi lwakho lwempilo kunye namanye amayeza owasebenzisayo.
• Thatha unyango lwakho ngemihla emiselweyo nangendlela emiselweyo. Ukuba uphoswe ziintlanganiso, xelela ugqirha wakho ngoko nangoko.
• Lumka ngemiphumo emibi. Ukuba ufumana naziphi na iimpawu ezinzulu, xelela ugqirha wakho ngoko nangoko.
• Zikhusele kwiintsholongwane kwaye ulumke ukopha.
• Landela imiyalelo kagqirha wakho malunga nokukhulelwa nokuncancisa ngokuchanekileyo.

Khumbula, awuwedwa kweli dabi. Uneqela loogqirha abanokukunceda baze bakunyamekele. Ngoko ke hlala uqinile, landela imiyalelo enikiweyo, kwaye ujongane nolu nyango. Ndikunqwenelela ukuchacha ngokukhawuleza!

I- Carmustine, i-BCNU, unyango lomhlaza, i-chemotherapy, umhlaza wobuchopho, i-multiple myeloma, i-lymphoma, amayeza omhlaza, iziphumo ebezingalindelekanga