Ukunyangwa komhlaza kunokuba yinto eyoyikisayo neyonwabisayo ngamanye amaxesha. Xa ugqirha wakho ekuxelela ukuba uza kuqala amayeza amatsha, kuyinto eqhelekileyo ukuba unemibuzo emininzi ngawo. Ngoko ke, ukuba unikwe amayeza abizwa ngokuba yiFludarabine, masithethe ngawo ngendlela elula neyobuhlobo namhlanje. Ndiyathemba ukuba oku kuyayiphendula imibuzo yakho emininzi.
Yintoni iFludarabine?
Ngamafutshane, i-fludarabine luhlobo lweyeza le-chemotherapy . Oko kukuthi, iyeza elinceda ukutshabalalisa iiseli zomhlaza ngokuphazamisa ukukhula kwazo. Lisetyenziswa ngokukodwa ukunyanga uhlobo lomhlaza wegazi olubizwa ngokuba yi-chronic lymphocytic leukemia (CLL). Oko kukuthi, eli yeza lijolise kwiiseli zomhlaza kwaye lizithintele ekuzahluleni nasekukhuleni.
Ngamanye amaxesha oogqirha banokusebenzisa eli yeza kwezinye iintlobo zomhlaza, ngoko ke ukuba unemibuzo malunga noku, buza ugqirha wakho. Eli yeza likwafumaneka kwimarike phantsi kwegama elithi Fludara.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale unyango
Ngaphambi kokuba uqale unyango lwe-fludarabine, kubaluleke kakhulu ukunika ugqirha wakho inkcazo epheleleyo ngempilo yakho. Qiniseka ukuba uyamxelela ukuba unayo nayiphi na kwezi meko zingezantsi.
- Imeko yosulelo lwangoku: Ingakumbi ukuba unezifo ezibangelwa yintsholongwane ezifana ne-chickenpox okanye i-herpes.
- Isifo sezintso: Ukuba uneengxaki zezintso.
- Izifo zegazi: Ukuba sele ufunyenwe unenani eliphantsi leeseli ezibomvu, iiseli ezimhlophe, okanye iiplatelets egazini lakho.
- Ii-Allergies: Ukuba une-allergy kwi-fludarabine, amanye amayeza e-chemotherapy, amanye amayeza, ukutya, okanye izithinteli.
- Ukuba ukhulelwe okanye uzama ukukhulelwa: Oku kubaluleke kakhulu.
- Ukuba ungumama oncancisayo.
Ngokunika ugqirha wakho olu lwazi, uya kukwazi ukukunyanga ngokukhuselekileyo nangendlela efanelekileyo.
Ulisebenzisa njani eli yeza?
Eli yeza alikho into onokuyisebenzisa ekhaya. I-Fludarabine liyeza elinikwa njenge-infusion (njenge-saline) emthanjeni . Linikwa esibhedlele okanye eklinikhi yingcali yezempilo eqeqeshwe ngokukodwa ngale njongo. Ngoko ke akukho nto unokukhathazeka ngayo.
Ukuba unika abantwana eli yeza, kufuneka ukhathalelwe ngokukodwa. Kufuneka uthethe nogqirha wakho wabantwana ngalo mba.
Ingqalelo: Ukuba nangasiphi na isizathu ucinga ukuba uthathe eli yeza kakhulu, fowunela iZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko. Okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Eli yeza limiselwe wena wedwa. Ungaze ulinike omnye umntu. Ukuba uphoswe yidosi ngosuku olucwangcisiweyo, fowunela ugqirha wakho ngoko nangoko.
Ukusebenzisana namanye amayeza
Xa usebenzisa i-fludarabine, kufuneka uqaphele nezinye iziyobisi ozisebenzisayo. Amanye amayeza asenokudibana nayo.
| Uhlobo lweziyobisi | Inkcazo |
|---|---|
| Ungaze uthathe eli yeza kunye | |
| I-Pentostatin | Eli lelinye iyeza le-chemotherapy. Ukulisebenzisa kunye eli chiza kunokubangela iziphumo ebezingalindelekanga ezibi kakhulu. |
| Xelela ugqirha wakho ukuba uyazisebenzisa ezi. | |
| Amayeza okuphucula iiseli zegazi | Imizekelo: filgrastim, pegfilgrastim, sargramostim |
| Isitofu | Akucetyiswa ukufumana iintlobo ezithile zokugonywa ngexesha lonyango. |
| Iipilisi zokuphelisa iintlungu eziqhelekileyo | Amayeza anjenge-acetaminophen (paracetamol), i-aspirin, i-ibuprofen, kunye ne-naproxen. |
Olu luhlu aluphelelanga. Ngoko ke uthathaXelela ugqirha wakho ngazo zonke iziyobisi ozisebenzisayo (kuquka iivithamini, amayeza esintu, kunye nezongezo). Kwakhona, xelela ugqirha wakho ukuba uyatshaya okanye usela utywala.
Izinto ekufuneka ziqwalaselwe ngexesha lonyango
Kuqhelekile ukuziva ungakhululekanga kwaye udiniwe ngelixa usebenzisa i-chemotherapy. Oku kungenxa yokuba la mayeza achaphazela zombini iiseli zomhlaza kunye neeseli eziphilileyo ngandlela ithile. Nangona kunjalo, qhubeka nonyango de ugqirha wakho akuxelele ukuba uyeke.
Zikhusele kwiintsholongwane
Eli yeza linokuthoba amandla omzimba wakho okuzikhusela kwizifo, nto leyo ethetha ukuba unokuba sengozini enkulu yokuhlaselwa zizifo.
- Ukuba ufumanisa iimpawu ezinje ngomkhuhlane, ukubanda, umphimbo obuhlungu, okanye ukukhwehlela, tsalela umnxeba ugqirha wakho ngoko nangoko.
- Ziphephe iindawo ezinabantu abaninzi kunye neendawo apho abantu abanezifo bafumaneka khona kangangoko.
- Ukuba ufumana imivumbo engaziwayo, amabala amancinci abomvu eluswini lwakho , iintsini eziphuma igazi , okanye indle emnyama, xelela ugqirha wakho ngoko nangoko.
- Lumka kakhulu xa uhlamba amazinyo akho kwaye ucoca phakathi kwamazinyo akho. Ukuba ubona ugqirha wamazinyo, mxelele ukuba uthatha olu nyango.
- Abafazi: Musa ukukhulelwa ngelixa usebenzisa eli yeza. Eli yeza linokubangela ingozi enkulu kusana olungekazalwa. Kwakhona, musa ukuncancisa umntwana wakho ngexesha lonyango.
- Amadoda: Eli yeza lisenokunciphisa inani lamadlozi. Ngoko ke ukuba unethemba lokuba nomntwana, thetha nogqirha wakho ngalo mba ngaphambi kokuba uqale unyango.
- I-Fludarabine liyeza elinamandla le-chemotherapy elilawula ukukhula kweeseli zomhlaza.
- Ngaphambi kokuba uqale unyango, xelela ugqirha wakho ngazo zonke iimeko zakho zempilo kunye nawo onke amayeza owasebenzisayo.
- Ngexesha lonyango, lumka kwiimpawu zosulelo ezifana nomkhuhlane, ukugodola, kunye nokopha okungaqhelekanga. Ukuba ubona nayiphi na kwezi, funa ingcebiso kagqirha ngokukhawuleza.
- Kuphephe ukukhulelwa ngelixa usebenzisa la mayeza. Amadoda kufuneka athethe nogqirha wawo malunga nokuzala.
- Musa ukoyika ukuthetha nogqirha wakho malunga nokungonwabi, iingxaki, okanye iziphumo ebezingalindelekanga onokuzifumana. Awuwedwa.
Musa ukuthatha amayeza anjengeparacetamol wedwa, kuba la mayeza anokunciphisa umkhuhlane kwaye asenokungafumani usulelo.
Lumka ukopha.
I-Fludarabine inokubangela ukwehla kwenani lee-platelet egazini, nto leyo enceda igazi lijiye xa uphuma igazi.
Ukukhulelwa kunye nokuzala
Zeziphi iziphumo ebezingalindelekanga endinokuzifumana?
Njengazo zonke iziyobisi, i-fludarabine inokubangela iziphumo ebezingalindelekanga, nangona kungengabo bonke abantu abazifumanayo.
| Imiphumela | Inkcazo / Okufanele ukwenze |
|---|---|
| Izinto ekufuneka uzixelele ugqirha wakho ngoko nangoko | |
| Ii-aleji | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi. |
| Iimpawu zosulelo | Umkhuhlane, ukubanda, umphimbo obuhlungu, ukukhwehlela, usulelo lomchamo. |
| Iimpawu zokopha | Imivumbo, amabala abomvu eluswini, ukopha kwempumlo, indle emnyama. |
| Iimpawu ze-anemia | Ukudinwa okungaqhelekanga, ukuphaphatheka, ukuphelelwa lithemba, amehlo aluhlaza okwesibhakabhaka. |
| Ezinye iimpawu ezinzulu | Ubunzima bokuphefumla, utshintsho embonweni okanye ekuveni, ukudideka, izilonda emlonyeni, ukungaziva okanye iintlungu emalungeni, ukudumba kwamaqatha, izandla neenyawo, ukutyheli kwamehlo okanye ulusu. |
| Izinto omele uzixelele ugqirha wakho ukuba azisoloko zimbi, kodwa ziqhubeka | |
| Iingxaki zenkqubo yokugaya ukutya | Ukuqhinwa, urhudo, isicaphucaphu, ukuhlanza, ukungabi namdla wokutya. |
| Ezinye izifo ezincinci | Ukulahlekelwa ziinwele, ukungalali. |
Thetha nogqirha wakho malunga nazo naziphi na iimpawu ezingaqhelekanga ezingakhankanywanga kolu luhlu.
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