Ukulwa nomhlaza ngumceli mngeni obalulekileyo, akunjalo? Ukuze sikuncede kolu hambo, kukho iindlela ezahlukeneyo zonyango ezikhoyo. Olunye unyango olunjalo yiCarmustine , osenokuba ukhe weva lubizwa ngokuba yi- (BCNU) . Kuqhelekile ukuba uzive ukhathazekile xa usiva igama elitsha leyeza, kodwa masithethe ngale yeza ngokulula, ngokungathi singabahlobo abathethayo, ukuze ube nokuqonda okucacileyo ngento omawuyilindele.
Loluphi uhlobo lonyango oluyiCarmustine, kwaye lusetyenziselwa ntoni?
Ngamafutshane, iCarmustine liyeza elisetyenziselwa ukulwa neeseli zomhlaza . Ngokukodwa, luhlobo lwe- chemotherapy . Ezinye iiseli emizimbeni yethu, ingakumbi iiseli zomhlaza , ziyahlukana kwaye zande ngokukhawuleza. Eli yeza lisebenza ngokuphazamisa ukukhula kwezo seli zahlulahlula ngokukhawuleza kwaye zihlale zilawulwa.
Makhe sijonge iimeko eziphambili zomhlaza ezisetyenziselwa eli yeza:
- Iithumba zobuchopho : Zisetyenziselwa iintlobo ezahlukeneyo zokukhula okanye iithumba ezenzeka engqondweni.
- I-Multiple myeloma: Umhlaza ovela kumongo wethambo.
- Isifo sikaHodgkin: Umhlaza ochaphazela inkqubo ye-lymphatic .
- Ii-Non-Hodgkin's lymphomas: Elinye iqela lee-cancer ezichaphazela inkqubo ye-lymphatic.
Ngaphaya kwezi meko, ugqirha wakho ngamanye amaxesha angasebenzisa eli yeza kwezinye iingxaki zempilo. Ke ngoko, ukuba unikwe eli yeza, kungcono ucele ugqirha wakho okanye ikhemisti ukuba akuchazele isizathu sokuba lisetyenziswe njani kwimeko yakho.
Yintoni omele uyixelele ugqirha wakho ngaphambi kokuba uqale eli yeza?
Ngaphambi kokuba uqale unyango lweCarmustine, kubalulekile ukwabelana ngolwazi oluthile neqela lakho lokhathalelo. Iqela lakho lezonyango lifuna ezi nkcukacha ukuze libone ukuba olu nyango lukulungele na, ukubala idosi echanekileyo, kunye nokuchonga oko kufuna ukubekwa esweni ngakumbi.
Nazi ezinye iingongoma ezibalulekileyo ekufuneka uzityhile:
- Ukuba unayo nayiphi na intsholongwane ekhoyo ngoku: Ingakumbi intsholongwane efana ne-chickenpox okanye i-herpes, okanye ukuba unomkhuhlane okanye umkhuhlane.
- Isifo sezintso : Naziphi na iingxaki ezinxulumene nezintso zakho.
- Isifo sesibindi : Naziphi na iingxaki malunga nokusebenza kwesibindi .
- Inani leeseli zegazi ezisezantsi: Ezifana neeplatelets ezisezantsi, iiseli ezibomvu zegazi ezisezantsi (i-anemia), okanye iiseli ezimhlophe zegazi ezisezantsi. Ugqirha wakho kufuneka azi ngale nto.
- Isifo semiphunga: Ukuba uneengxaki zokuphefumla okanye ubunzima bokuphefumla.
- Iimpendulo ze-allergic: Kufuneka uchaze ukuba wakha waba ne-allergic reaction kwiCarmustine, BCNU, amanye amayeza e-chemotherapy, okanye nayiphi na eminye imithi, ukutya, iidayi, okanye izithinteli.
- Ukuba ukhulelwe okanye uzama ukukhulelwa: Oku kubaluleke kakhulu.
- Ukuba uncancisa.
Ukuvuleleka kugqirha wakho malunga nezi zinto kubalulekile ukuze ukhuseleke kwaye unyamekele kakuhle eNirogi Lanka.
Isetyenziswa njani iCarmustine?
Eli yeza linikwa njenge- infusion okanye i-injection emthanjeni. Eli asiloyeza olithathayo ekhaya; liza kunikwa yingcali yezempilo eqeqeshiweyo esibhedlele okanye ekliniki.
Kubalulekile: Ukuba eli yeza limiselwe umntwana, lenziwa phantsi kokhathalelo olukhethekileyo kunye nolawulo lukagqirha wabantwana.
Kuthekani ukuba ufumana i-overdose?
Ukuba ukrokrela ukuba uthatha i-overdose, nceda uqhagamshelane neenkonzo zongxamiseko zasekuhlaleni okanye uye kwigumbi likaxakeka elikufutshane ngoko nangoko.
Nceda ukhumbule: Eli yeza limiselwe wena kuphela. Ungaze ulinike omnye umntu.
Kuthekani ukuba uphoswe yidosi?
Kubalulekile ukulandela isicwangciso sakho sonyango esicwangcisiweyo. Ukuba awukwazi ukwenza idinga lakho elicwangcisiweyo, nceda ufowunele ugqirha wakho okanye ingcali yezempilo ngokukhawuleza ukuze ubazise. Baza kukukhokela kumanyathelo alandelayo.
Ngaba kukho amanye amayeza anokusebenzisana nolu nyango? (Ukusebenzisana kwamayeza)
Ewe, amanye amayeza anokusebenzisana neCarmustine, nto leyo enokutshintsha ukusebenza kwayo okanye yonyuse umngcipheko weziphumo ebezingalindelekanga.
Imizekelo ibandakanya:
- I-Cimetidine (esetyenziselwa izifo ezifana ne-gastritis)
- I-Phenobarbital (esetyenziselwa ezinye iingxaki zokuxhuzula)
- I-Phenytoin kunye ne-Fosphenytoin (ikwasetyenziselwa ukuxhuzula)
Olu luhlu aluphelelanga. Ke ngoko, kufuneka wazise ugqirha wakho malunga nayo yonke imithi oyithathayo—kuquka eminye imithi kagqirha, iivithamini, izongezo zemifuno, amayeza athengiswa ngaphandle kwemvume kagqirha, kunye nezongezo zokutya. Ukongeza, nceda wazise ugqirha wakho ukuba uyatshaya okanye usela utywala, kuba ezi zinto zinokuchaphazela unyango lwakho.
Yintoni ekufuneka uyilumkele ngexesha lonyango?
Ngexesha lonyango lwakho lweCarmustine, ugqirha wakho uza kukujonga rhoqo ukuze ajonge inkqubela phambili yakho kunye nempilo yakho iyonke.
- Ukuziva ungaphilanga kakuhle: Kuqhelekile ukuziva uphantsi kwemozulu ngelixa usebenzisa eli yeza. Ngenxa yokuba i-chemotherapy ijolise ekuhlukaniseni iiseli ngokukhawuleza, inokuchaphazela iiseli ezisempilweni kunye neeseli zomhlaza. Oku kulindeleke. Nceda uxele ugqirha wakho ngazo naziphi na iziphumo ebezingalindelekanga. Nokuba uziva ungakhululekanga, qhubeka nonyango njengoko kuyalelwe de ugqirha wakho akuxelele ngenye indlela.
- Amayeza okuxhasa: Ngamanye amaxesha, ugqirha wakho unokukunika amanye amayeza okunceda ukulawula iziphumo ebezingalindelekanga. Nceda uqinisekise ukuba ulandela imiyalelo yala mayeza ongezelelweyo njengoko enikiwe.
- Ukuzikhusela kwiintsholongwane: Ukuba unesifo somkhuhlane, ukubanda, umphimbo obuhlungu, ukukhwehlela, okanye iimpawu zomkhuhlane , qhagamshelana nogqirha wakho okanye umboneleli wezempilo ngokukhawuleza ukuze ufumane isikhokelo. Musa ukuzama ukuzinyanga. Eli yeza linokwenza buthathaka amasosha omzimba wakho, likwenze ube sesichengeni sosulelo. Zama ukuphepha ukusondelana nabantu abagulayo.
- Ukubeka esweni ukopha kunye nokukrwela: Eli yeza linokunyusa umngcipheko wakho wokopha okanye ukukrwela ngokulula. Ukuba ubona ukopha okungaqhelekanga (umz., ukopha empumlweni, ukopha kweentsini, igazi kwindle yakho) okanye ukukrwela okungachazwanga, yazisa ugqirha wakho ngoko nangoko.
- Umngcipheko womhlaza wesibini: Ukusetyenziswa kwale mithi ixesha elide kunokuba nomngcipheko omncinci wokufumana ezinye iintlobo zomhlaza. Xoxa nogqirha wakho ngayo nayiphi na inkxalabo onayo.
- Impembelelo yokuzala: Eli yeza linokuchaphazela ukuzala kwamadoda (amandla okuba nguyise womntwana). Ukuba unenkxalabo malunga noku, nceda uthethe nogqirha wakho okanye ingcali yezempilo.
- Ukukhulelwa nokuncancisa:
- Musa ukukhulelwa ngexesha lonyango kwaye kangangeenyanga ezi-6 emva kokuyeka eli yeza. Ukuba uceba ukukhulelwa okanye ukrokrela ukuba ukhulelwe, yazisa ugqirha wakho ngoko nangoko.
- Amadoda akufanele azame ukuba nguyise womntwana ngelixa esela eli yeza kwaye kangangeenyanga ezi-3 emva kokuyeka unyango.
- Eli yeza linokubangela ingozi enkulu kumntwana ongekazalwa. Xoxa ngalo mba ngakumbi nogqirha wakho okanye nekhemisti.
- Musa ukuncancisa umntwana xa unyangwa ngale mithi.
Zithini iziphumo ebezingalindelekanga ezinokubakho zale mithi?
Njengayo nayiphi na imithi, iCarmustine inokubangela iziphumo ebezingalindelekanga. Nangona kunjalo, ayinguye wonke umntu ozifumanayo. Ezinye zifuna ingqalelo ekhawulezileyo kugqirha wakho, ngelixa ezinye zingenzima kangako kwaye zihlala ziphela ngokuhamba kwexesha.
Iziphumo ebezingalindelekanga ezifuna unyango olukhawulezileyo:
Ukuba ufumana nayiphi na kwezi zilandelayo, nxibelelana nogqirha wakho okanye nomboneleli wezempilo ngokukhawuleza:
- Iimpendulo ze-allergy: Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukurhawuzelela, okanye ukudumba kobuso, imilebe, okanye ulwimi.
- Ubunzima bokuphefumla.
- Intlungu yamalungu.
- Inani eliphantsi legazi: Eli yeza linokunciphisa inani leeseli zakho ezimhlophe zegazi, iiseli ezibomvu zegazi, kunye neeplatelet, nto leyo eyandisa umngcipheko wakho wosulelo kunye nokopha.
- Intlungu yemisipha.
- Ukuxhuzula.
- Iimpawu zosulelo: Umkhuhlane, ukubanda, ukukhohlela, umphimbo obuhlungu, okanye intlungu/ubunzima xa uchama.
- Iimpawu zeeplatelets ezisezantsi okanye ukopha: Ukudumba okungachazwanga, amabala abomvu acacileyo eluswini, indle emnyama okanye eyomileyo, okanye igazi emchameni.
- Iimpawu zokulimala kwezintso: Ubunzima bokuchama okanye utshintsho kwimveliso yomchamo.
- Ukunciphisa umzimba ngendlela engachazekiyo.
Iziphumo ebezingalindelekanga ezingezizo eziqatha kangako kodwa ezisafanele zixelwe ukuba ziyaqhubeka:
Ezi ziphumo zilandelayo azisoloko zisongela ubomi kodwa kufuneka zixelwe ukuba ziyakhathaza okanye zihlala zikho:
- Intloko ebuhlungu.
- Ukulahlekelwa yintliziyo.
- Isicaphucaphu okanye ukuhlanza.
- Intlungu, ukubomvu, okanye ukurhawuzelelwa kwindawo efakwe kuyo inaliti.
Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ufumana nantoni na engaqhelekanga, nceda uqhagamshelane neqela lakho lezempilo.
Ligcinwa njani eli yeza?
Ngenxa yokuba eli yeza linikwa esibhedlele okanye kwindawo yeklinikhi, akufuneki uligcine ekhaya. Abasebenzi besibhedlele banoxanduva lokuphathwa kwalo ngendlela efanelekileyo.
Umyalezo Wokuya Ekhaya
Sixoxe ngezinto ezininzi malunga nonyango lweCarmustine. Khumbula:
Eyona nto ibalulekileyo kukuxoxa ngokukhululekileyo ngayo nayiphi na imibuzo, amathandabuzo, okanye amaxhala onokuba nawo nogqirha wakho, umongikazi, okanye ikhemisti. Balapha ukukuxhasa.
- I-Carmustine liyeza le-chemotherapy elenzelwe ukulawula ukukhula kweeseli zomhlaza.
- Ngaphambi kokuba uqale unyango, yazisa ugqirha wakho ngembali yakho epheleleyo yempilo kunye nawo onke amanye amayeza owasebenzisayo.
- Yiya kwiiseshoni zakho zonyango njengoko bekucwangcisiwe. Ukuba uphoswe yidibano, yazisa ugqirha wakho ngoko nangoko.
- Hlala ulumkile ngemiphumo emibi. Xela ugqirha wakho ngeempawu ezinzulu ngokukhawuleza.
- Ziqhelise ucoceko ukuze uthintele usulelo kwaye uhlale ulumkile xa kukho iimpawu zokopha.
- Landela iingcebiso zonyango ngokungqongqo malunga nokukhulelwa nokuncancisa.
Khumbula, awuwedwa kolu hambo. Uneqela lezonyango elizinikeleyo eNirogi Lanka eliza kukunyamekela. Hlala uqinile, landela isicwangciso sakho sonyango, kwaye sikunqwenelela ukuchacha ngokukhawuleza!
Amagama angundoqo: I-Carmustine, i-BCNU, unyango lomhlaza, i-chemotherapy, umhlaza wobuchopho, i-multiple myeloma, i-lymphoma, amayeza omhlaza, iziphumo ebezingalindelekanga
