Iyeza elikhethekileyo elilwa nomhlaza: iDaunorubicin Liposomal; Masifunde ngesitofu sokugonya iCytarabine Liposomal.

Kukho izifo ezifuna ukusetyenziswa kwamayeza anamandla ukunyanga. Ingakumbi kwizifo ezifana nomhlaza. Namhlanje siza kuthetha ngelinye lamayeza anjalo. Ukuba wena okanye umntu omaziyo unikwe eli yeza elibizwa ngokuba yi-`Daunorubicin Liposomal; Cytarabine Liposomal`, olu lwazi luya kuba lubaluleke kakhulu.

Lithini eli yeza? (Daunorubicin Liposomal; Cytarabine Liposomal) Lithetha ukuthini?

Ngamafutshane, eli liyeza le-chemotherapy elibulala iiseli zomhlaza. Lisetyenziswa kakhulu ukunyanga uhlobo lomhlaza wegazi olubizwa ngokuba yi -Acute Myelogenous Leukemia (AML) . Usenokuba ukhe weva ngeli yeza elibizwa ngegama elithi `VYXEOS`.

Ngoku, igama elithi 'liposomal' kweli gama libhekisa kwindlela ekhethekileyo eyenziwa ngayo le chiza. Cinga ngayo njengombala omncinci ofana namafutha kwiinxalenye zeyeza. Oku kwenza kube lula ukuba iyeza liye ngqo kwiiseli zomhlaza lize lisebenze, kwaye kunceda ukunciphisa umonakalo kwezinye iiseli eziphilileyo. Yiyo loo nto iyenza ibe yekhethekileyo. Yiyo loo nto yahlukile kwi-daunorubicin eqhelekileyo kunye ne-cytarabine.

Izinto ezibalulekileyo ekufuneka uzixelele ugqirha wakho ngaphambi kokusebenzisa eli yeza:

Ngaphambi kokuba uqalise eli yeza, kukho izinto ezimbalwa ekufuneka uzixelele ugqirha okanye umongikazi wakho. Kubaluleke kakhulu ukuthembeka kubo ukuze ukhuseleke kwaye unyango lwakho luphumelele.

• Isifo sentliziyo: Ukuba unesifo sentliziyo (umzekelo, ukuba ukhe wahlaselwa yintliziyo ngaphambili, ukuba unesifo sentliziyo, ukuba unengxaki yesingqisho sentliziyo). Oku kungenxa yokuba eli yeza ngamanye amaxesha linokuchaphazela intliziyo. Kungoko ke, kubalulekile ukuba ugqirha aqaphele oku.
• Isifo sezintso: Ukuba izintso zakho azisebenzi kakuhle, oko kuthetha ukuba kukho ubuthathaka obuthile kwizintso, kunokuba nzima ukuba iyeza liphume emzimbeni wakho ngokufanelekileyo. Oku kunokubangela ukuba iyeza liqokelele emzimbeni wakho kwaye lonyuse iziphumo ebezingalindelekanga.
• Isifo sesibindi: Ukuba uneengxaki zesibindi sakho (umz. isifo sesibindi, i-hepatitis), sinokuchaphazela indlela elisebenza ngayo iyeza kunye nendlela elikhutshwa ngayo emzimbeni.
• Unyango lwemitha lwakutshanje okanye oluqhubekayo: Ukuba usebenzisa unyango lwemitha, iziphumo zalo mayeza zisenokutshintsha, kwaye iziphumo ebezingalindelekanga zinokwanda.
• Isifo sikaWilson okanye ezinye iingxaki zemetabolism ezinxulumene nekopolo: Ezi ziimeko ezingaqhelekanga ezinxulunyaniswa namanqanaba ekopolo emzimbeni. Eli yeza liqulethe ikopolo, ngoko ke kubalulekile ukukhankanya oku ukuba unale meko.
• Ukuba ukhe waba ne-allergy kwi-daunorubicin, i-cytarabine, amanye amayeza e-chemotherapy, naluphi na olunye unyango, ukutya, iidayi, izithinteli, njl.Ndixelele nokuba yinto encinci nje, kuba oko kuya kunceda ugqirha ukuba agqibe ukuba eli yeza likulungele na.
• Ukuba ukhulelwe okanye uzama ukukhulelwa: Oku kubaluleke kakhulu. Eli yeza linokulimaza usana olungekazalwa.
• Ukuba ungumama oncancisayo: Eli yeza linokudluliselwa kumntwana wakho ngobisi lwebele, ngoko ke kufuneka uxelele ugqirha wakho ngalo.

Ndingakunika njani eli yeza?

Eli yeza linikwa njenge-infusion emthanjeni. Lifana ne-saline, kodwa liyeza elikhethekileyo, ngoko ke lingathatha ixesha elide. Linikwa ngabasebenzi bezonyango abaqeqeshiweyo esibhedlele okanye kwikliniki ekhethekileyo yonyango lomhlaza. Asiloyeza onokulithatha ekhaya. Baza kukunyamekela kakuhle ngelixa ufumana unyango.

Ngokuphathelele ukuba eli yeza linganikwa abantwana na, ewe, kwezinye iimeko ezikhethekileyo linganikwa abantwana abaneminyaka eli-1 ubudala . Kodwa oku kufuneka kwenziwe ngononophelo olukhulu kwaye phantsi kweliso elibukhali lengcali yomhlaza wabantwana, ngokwemiyalelo ekhethekileyo.

Kuthekani ukuba ndiphoswa lidosi leyeza? Kuthekani ukuba ndisela amayeza amaninzi kakhulu?

Kubaluleke kakhulu ukusela eli yeza ngexesha elifanelekileyo, ngomhla omele ulithathe ngawo. Ukuba awukwazi ukusela amayeza akho ngomhla omele ulithathe ngawo, fowunela ugqirha wakho okanye ingcali yezempilo ngoko nangoko. Baza kukuxelela into omele uyenze ngokulandelayo. Musa ukuzama ukwenza izigqibo wedwa.

Ukuba ucinga ukuba ngempazamo usele eli yeza lininzi kakhulu (eli linikwa esibhedlele, ngoko ke amathuba okuba oku kwenzeke mancinci, kodwa kulungile ukwazi), yiya kwigumbi likaxakeka elikufutshane okanye utsalele umnxeba kwiziko lolawulo lwetyhefu ngokukhawuleza.

Kwakhona, eli yeza lenzelwe wena kuphela. Ungaze ulinike omnye umntu, nokuba uneempawu ezifana nezakho.

Ngaba kukho ezinye izinto ezinokusebenzisana nale mithi?

Ewe, eli yeza linokusebenzisana namanye amayeza, oko kuthetha ukuba linokuphikisana. Ukuba oku kuyenzeka, isiphumo salo yeza sinokuncipha, sinyuke, okanye iziphumo ebezingalindelekanga zinokwanda. Ngokukodwa:

• Amanye amayeza anokubangela ubuthi bentliziyo.
• Amanye amayeza anokubangela ubuthi besibindi.

Olu luhlu aluphelelanga. Ngoko ke, xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (amiselwe ngugqirha wakho, athengwe kwikhemesti), amayeza esintu, iimveliso zamakhambi, iivithamini, kunye nezongezo zokutya. Kwakhona, qiniseka ukuba uxelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi. Ezinye izinto zinokuchaphazela eli yeza.

Zeziphi izinto ekufuneka sizilumkele ngakumbi xa sithatha amayeza?

Ugqirha wakho uza kujonga imeko yakho ngononophelo ngelixa usela eli yeza. Kufuneka uqaphele oku kulandelayo:

• Kuya kufuneka wenze uvavanyo lwegazi rhoqo (umsebenzi wegazi). Oku kujonga ukuba iyeza liyasebenza na, ukuba amanqanaba eeseli zegazi (iiseli zegazi ezimhlophe, iiseli zegazi ezibomvu, iiplatelets) angakanani na, nokuba amalungu anjengesibindi nezintso achaphazelekile na, nokuba kukho naziphi na iziphumo ebezingalindelekanga eziye zenzeka.
• Ukuba uneempawu zomkhuhlane, ezinje ngomkhuhlane, ukubanda, okanye umphimbo obuhlungu: Fowunela ugqirha wakho okanye ingcali yezempilo ngokukhawuleza. Musa ukuzinyanga. Eli yeza linciphisa amandla omzimba wakho okulwa nesifo (amandla okulwa nomkhuhlane). Ngoko ke, zama ukuhlala kude nabantu abagulayo (abanomkhuhlane okanye umkhuhlane) kangangoko kunokwenzeka. Kukwangumbono olungileyo ukunxiba imaski yobuso xa usiya kwiindawo ezinabantu abaninzi.
• Ukuba ubona ukopha okanye ukukrwela okwandileyo: Eli yeza linokunciphisa kancinci ukujiya kwegazi (ngenxa yokuncipha kweeplatelets). Ngoko ke, ukuba ubona nayiphi na imikrwelo engaqhelekanga, amabala amancinci abomvu eluswini lwakho, ukopha kweentsini xa uhlamba amazinyo akho, okanye ukopha okungayekiyo nokuba kukukrwela okuncinci, xelela ugqirha wakho . Lumka xa usebenzisa izinto ezibukhali kwaye ucheba.
• Ukukhulelwa nokuncancisa: Le yingxaki ebaluleke kakhulu. Nceda unikele ingqalelo ekhethekileyo kule nto.
• Abafazi: Kuphephe ukukhulelwa ngelixa usela eli yeza kwaye ubuncinane iinyanga ezi-6 emva kokuyeka iyeza. Thetha nogqirha wakho malunga nokusebenzisa ucwangciso lokuzala. Xelela ugqirha wakho ngoko nangoko ukuba uceba ukukhulelwa okanye ucinga ukuba unokukhulelwa.
• Amadoda: Akufanele uzame ukuba nguyise womntwana ngelixa usela eli yeza kwaye ubuncinane iinyanga ezi-6 emva kokuyeka iyeza. Eli yeza linokubangela iziphumo ebezingalindelekanga kumntwana ongekazalwa. Ngoko ke, sebenzisa ucwangciso lokuzala olusebenzayo ngeli xesha.
• Ukuncancisa: Musa ukuncancisa umntwana wakho ngelixa usebenzisa eli yeza kwaye ubuncinane iiveki ezimbini emva kokuba uyekile ukusebenzisa eli yeza.

Ukuze ufumane ulwazi oluthe kratya malunga noku, buza ugqirha wakho okanye ikhemisti malunga neendlela zokulawula ukukhulelwa ezifanelekileyo kuwe.

• Ukuzala kwamadoda: Eli yeza lisenokuchaphazela amandla endoda okuba nabantwana. Ukuba ukhathazekile ngale nto, thetha nogqirha wakho ngaphambi kokuba uqale unyango kwaye uxoxe ngeendlela ezinje ngokunikela ngesidoda, ukuba kuyimfuneko.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengazo zonke amayeza, le inokuba nemiphumo emibi. Asinguye wonke umntu oyifumanayo, kodwa kubalulekile ukuba uzazi.

Iziphumo ebezingalindelekanga ekufuneka uzixelele ugqirha wakho ngoko nangoko:

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

• Iimpendulo ze-allergy:Ukurhawuzelela kwesikhumba, ukurhawuzelela okukhulu, amabala abomvu eluswini, ukudumba kobuso, imilebe, ulwimi okanye umqala, ubunzima bokuphefumla. Oku kungaba yingxamiseko.
• Ukutshintsha kombono: Umbono ofiphele ngequbuliso, umbono ophindwe kabini, amabala amnyama ahamba phambi kwamehlo.
• Intlungu yesifuba okanye utshintsho kwisantya sentliziyo (ukubetha kwentliziyo): Ukuba uziva ngathi isifuba sakho siqinile, sixinene, kunzima ukuphefumla, intliziyo yakho ibetha ngokukhawuleza kakhulu, okanye ibetha ngendlela engaqhelekanga (hayi ngendlela enye).
• Iimpawu zokubala iiseli zegazi ezisezantsi: Eli yeza linokubangela ukwehla kweeseli zegazi ezimhlophe (iiseli ezilwa nosulelo), iiseli ezibomvu zegazi (iiseli ezithwala ioksijini), kunye neeplatelets (iiseli ezinceda ekuqhekekeni kwegazi).
• Iimpawu zosulelo (xa iiseli ezimhlophe zegazi ziphantsi): umkhuhlane (ngesiqhelo ungaphezulu kwama-38°C okanye i-100.4°F), ukugodola, iintlungu zomzimba, ukubila okugqithisileyo, ukukhohlela, umphimbo obuhlungu, iintlungu xa uchama, kunye nokutsha.
• Iimpawu zeeseli ezibomvu zegazi ezisezantsi (i-anemia): ukudinwa kakhulu, ulusu olukhanyayo, ukuziva ubuthathaka, intloko ebuhlungu, kunye nokuphelelwa ngumphefumlo (ingakumbi xa udiniwe).
• Iimpawu zeeplatelets ezisezantsi okanye ukopha: ukukrweleka okulula (ngaphandle kwesizathu), ukukhomba amabala abomvu (i-petechiae) eluswini, ukopha empumlweni, ukopha kweentsini, indle emnyama (i-tarry) okanye i-tarry, igazi kumchamo, ukopha kakhulu exesheni.
• Izilonda zomlomo: Ukuba kuvela izilonda ezibuhlungu emlonyeni wakho, emilebeni yakho, okanye elulwimini lwakho, kunokuba nzima ukutya okanye ukusela.
• Ukuba kukho intlungu, ukubomvu, ukudumba, okanye ububomvu kwindawo yokutofa.
• Iimpawu kunye neempawu zokulimala kwesibindi: Umchamo otyheli okanye omdaka omnyama; ukuziva ungaphilanga, umkhuhlane; indle ekhanyayo (enombala wodongwe); ukungabi namdla wokutya; isicaphucaphu, ukuhlanza; iintlungu kwicala eliphezulu lasekunene lesisu; ukudinwa kakhulu; ukutyheli kwamehlo okanye ulusu (i-jaundice).
• Iimpawu zokusilela kwentliziyo okuya kusiba mandundu: Ubunzima bokuphefumla (ingakumbi xa ulele phantsi), ukuvuka ebusuku kunzima ukuphefumla, ukudumba emilenzeni nasezinyaweni, kunye nokunyuka kobunzima ngequbuliso.

Iziphumo ebezingalindelekanga ezingeyongozi, kodwa ekufuneka zixelwe kugqirha wakho ukuba ziyaqhubeka:

Ezi zinto azisoloko ziyingozi kangako, kodwa ukuba ziyaqhubeka, okanye ukuba ziyakukhathaza, xelela ugqirha wakho:

• Urhudo
• Umnqweno wokutya
• Isicaphucaphu, ukuhlanza (ugqirha uza kukunika amayeza oku)
• Ukudinwa (oku kuqhelekile kwi-chemotherapy)
• Ukungalali okanye ukozela
• Intloko ebuhlungu
• Intlungu yomzimba

Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ubona nantoni na engaqhelekanga okanye eyahlukileyo emzimbeni wakho, nokuba incinci, nceda udibane nogqirha wakho.

Ndingaligcina njani eli yeza?

Njengoko bekutshiwo ngaphambili, eli yeza linikwa wena esibhedlele okanye ekliniki. Ngoko ke akufuneki ulithathe uliyise ekhaya uligcine. Liphathwa kwaye ligcinwe ngendlela ekhethekileyo kwikhemesti yesibhedlele.

Umyalezo obaluleke kakhulu (Umyalezo oya ekhaya)

Kaloku ke, eyona nto ibalulekileyo kuwe kwinto esithethe ngayo kukuba eli yeza libizwa ngokuba yi-'Daunorubicin Liposomal; iCytarabine Liposomal' liyeza elibalulekileyo nelinamandla. Liza kukunceda kakhulu ekulweni nesifo sakho. Kungoko ke, kubaluleke kakhulu ukulandela imiyalelo kagqirha ngokuchanekileyo, wenze uvavanyo olufunekayo, uthathe iyeza ngaphandle kokulibazisa, uqaphele iziphumo ebezingalindelekanga, kwaye uthethe nogqirha kunye nabongikazi ngayo nayiphi na imibuzo, iingxaki, nokuba zincinci.

Le nkqubo yonyango inokuba nzima ngamanye amaxesha, emzimbeni nasengqondweni. Kodwa khumbula, iqela lakho lezempilo - oogqirha, abahlengikazi, abasebenzi abancedisayo - bonke bakhona ukukunceda. Ngoko ke hlala uqinile, namathela kubo, kwaye ulandele iingcebiso zabo njengoko uqhubeka nolu hambo. Inkxaso yosapho lwakho kunye nabahlobo nayo ibaluleke kakhulu ngeli xesha. Ndikunqwenelela ukuchacha ngokukhawuleza!

I- Daunorubicin Liposomal, i-Cytarabine Liposomal, i-Daunorubicin Liposomal, i-Cytarabine Liposomal, i-VYXEOS, i-Acute Myeloid Leukemia, i-AML, Unyango lomhlaza, i-Chemotherapy, Iziphumo ebezingalindelekanga