Kuqhelekile ukuba noloyiko olukhulu xa ugqirha wakho ekuxelela ukuba umhlaza usasazeke esiswini sakho, oko kukuthi, esiswini sakho. Ukongeza kwi-chemotherapy eqhelekileyo, namhlanje siza kuthetha ngendlela yonyango esebenzayo ngakumbi ehambelana nezi meko. Oku kubizwa ngokuba yi-HIPEC. Makhe sibone ukuba kunjani.
Kalula nje, yintoni i-HIPEC?
Intsingiselo epheleleyo ye-HIPEC yi- Hyperthermic Intraperitoneal Chemotherapy . Nangona igama lisenokuvakala liyinkimbinkimbi, okwenzekayo kulula kakhulu. Olu lunyango lomhlaza olunezigaba ezibini.
Khawuthelekelele ukuba unesimila esinomhlaza esiswini sakho (umgodi wesisu). Esi sigqubuthelo kulapho amalungu ethu abalulekileyo anjengesibindi nesisu akhoyo khona.
1. Inyathelo lokuqala: Oogqirha baza kuqala benze utyando baze basuse phantse zonke iithumba ezinomhlaza ezibonakala ngaphakathi esiswini.
2. Inyathelo lesibini: Emva koko, ukuze kutshatyalaliswe naziphi na iiseli zomhlaza eziseleyo ezingabonakaliyo emehlweni, kufakwa isisombululo se-chemotherapy esishushu kakhulu (i-Hyperthermic) ngqo esiswini (intraperitoneal) ukuze kuhlanjwe kakuhle kwaye kuvulwe umngxuma.
Ngamafutshane, olu nyango lubandakanya ukususa iithumba ezinomhlaza kunye nokuhlamba isisu ngamayeza ashushu e-chemotherapy ukuze kutshatyalaliswe naziphi na iiseli zomhlaza eziseleyo.
Loluphi uhlobo lomhlaza olu lunikwayo?
Unyango lwe-HIPEC ludla ngokusetyenziselwa umhlaza osasazeke (owahlulwe yi-metastasized) ukusuka kwenye indawo emzimbeni ukuya esiswini, oko kukuthi, kwisisu. Ngamanye amaxesha lusetyenziswa nakwiimhlaza eziqala esiswini ngokwaso.
| Uhlobo lomhlaza | Inkcazo |
|---|---|
| Umhlaza weMetastatic | |
| Umhlaza we-adrenal gland | Isihlomelo somhlaza |
| Umhlaza wamathumbu amakhulu | Umhlaza weColorectal |
| Umhlaza wesibeleko | Umhlaza we-Ovarian |
| Umhlaza wesisu | Umhlaza Wesisu |
| Umhlaza wesibindi | Umhlaza wesibindi |
| Umhlaza we-adrenal gland | Umhlaza we-adrenal |
| Umhlaza oPhambili wePeritoneal | |
| Umhlaza wesisu oyintloko | Umhlaza oPhambili wePeritoneal |
| I-mesothelioma ye-Peritoneal | I-Mesothelioma yePeritoneal |
| I-Pseudomyxoma peritonei | I-Pseudomyxoma Peritonei |
Into ebalulekileyo kukuba unyango lwe-HIPEC lusenokungawunyangi ngokupheleleyo umhlaza. Nangona kunjalo, olu nyango luvumela izigulane ukuba ziphile ixesha elide kwaye ziphile ubomi obungcono . Ugqirha wakho uza kukuchazela iingenelo kunye nokungalungi kolu nyango.
Ufanele uzilungiselele njani ngaphambi kolu tyando?
Olu lutyando olukhulu kakhulu nolunzulu. Ngoko ke, kubaluleke kakhulu ukuba ube sempilweni entle yomzimba nengqondo ngaphambi kokuba ulwenze. Ugqirha wakho uza kukuxelela yonke into ekufuneka uyazi ukuze akulungiselele. Oku kungabandakanya:
- Ukuba uyatshaya, yeka ngokupheleleyo.
- Ukuphepha utywala.
- Yomeleza imiphunga yakho ngokwenza umthambo wokuphefumla (usebenzisa isixhobo esifana ne-spirometer yokukhuthaza).
- Ukujoyina iqela lenkxaso nabanye abalwa nomhlaza njengawe okanye ukudibana nomcebisi kunokuba yindlela entle yokuqinisa impilo yakho yengqondo.
Kwenzeka ntoni ngexesha lonyango?
Njengoko besikhe sathetha ngaphambili, le yinkqubo enamacandelo amabini.
Inxalenye Yokuqala: Utyando Lokuxilonga Ngemichiza (CRS)
Eli linyathelo lokuqala nelona likhulu. Oogqirha baza kususa zonke izihlunu zomhlaza ezibonakalayo kunye nezicubu ezinesifo esiswini sakho. Uza kuba phantsi kwe-anesthesia jikelele kulo lonke eli nkqubo. Ngoko awuyi kuva ntlungu. Uza kuba ulele ubuthongo obunzulu.
Icandelo lesiBini: Unyango lwe-HIPEC
Le nxalenye yenziwa emva nje kokuba ithumba elinomhlaza lisusiwe, ngelixa uphantsi kwe-anesthesia.
1. Ukufaka ityhubhu: Ugqirha uza kwenza umngxuma omncinci eluswini lwesisu sakho aze afake ityhubhu (i-catheter) ngayo iye esiswini sakho. Le tyhubhu iqhagamshelwe kumatshini ofudumeza amayeza e-chemotherapy.
2. Ukunika i-chemotherapy eshushu: Lo matshini ufudumeza i-chemotherapy ukuya kuma-41 degrees Celsius (108 degrees Fahrenheit). Ulwelo olushushu luphonswa ngetyhubhu iye esiswini sakho.
3. Ukukhupha amayeza: Emva koko, ugqirha uza kujika umzimba wakho kancinci kancinci ukusuka kwelinye icala ukuya kwelinye ukuqinisekisa ukuba amayeza afikelela kuzo zonke iindawo zesisu sakho. Njengokuba sishukumisa isitya, oku kuhlamba kakuhle ingaphakathi lesisu sakho ngeyeza.
4. Ukususwa kwamayeza: Emva kwemizuzu engama-30 ukuya kwengama-90, amayeza e-chemo athunyelwe esiswini ayakhutshwa kwakhona. Emva koko, isisu siyahlanjwa kwakhona ngesisombululo se-saline.
5. Ukuthunga amanxeba: Okokugqibela, onke amanxeba awenziwe ngexesha lotyando athungwa avaliwe.
Yonke le nkqubo, kuquka utyando kunye ne-HIPEC, ingathatha naphi na ukusuka kwiiyure ezi-5 ukuya kwezili-10 , kuxhomekeke ekubeni umhlaza usasazeke kangakanani esiswini.
Ziziphi iingenelo kunye neengozi zonyango lwe-HIPEC?
Njengalo naluphi na unyango, i-HIPEC ineenzuzo kunye neengozi.
| Iinzuzo | Iingozi |
|---|---|
| I-chemotherapy enoxinzelelo oluphezulu: Ngenxa yokuba amayeza e-chemotherapy athunyelwa ngqo kwindawo apho iiseli zomhlaza zikhoyo, anokunikwa ngamanani aqinileyo kune-chemotherapy eqhelekileyo. Ukufudumeza la mayeza kwandisa amandla awo okubulala umhlaza. | Iingozi eziqhelekileyo zotyando: Iingozi zalo naluphi na utyando olukhulu, njengokuphuma kwegazi elininzi kunye nosulelo, ziqhelekile nakulo. |
| Iziphumo ebezingalindelekanga ezinciphileyo: Ekubeni iyeza linikwa ngaphakathi esiswini kuphela, lincinci kakhulu elingena egazini lize lihambe emzimbeni wonke. Oku kunokunciphisa iziphumo ebezingalindelekanga ze-chemotherapy rhoqo, ezinje ngokulahlekelwa ziinwele kunye nokuhlanza kakhulu. | Iingozi ezithile: Kunokubakho iingozi ezithile ngokuxhomekeke kuhlobo lwe-chemotherapy olunikiweyo kunye nohlobo lomhlaza onalo. Ugqirha wakho uza kukuchazela ezi zinto ngokwahlukeneyo. |
| Unyango lugqitywa ngexesha elinye: Akukho mfuneko yokudlula kwimijikelo emininzi efana ne-chemotherapy eqhelekileyo. Olu nyango lwenziwa ngexesha elinye ngotyando. | Ixesha lokuchacha: Ekubeni olu lutyando olukhulu, kungathatha iiveki okanye iinyanga ukuba luchache. |
Kwenzeka ntoni emva konyango?
Izinto zingatshintsha ngokuxhomekeke kwimeko yakho emva kotyando.
- Hlala kwiYunithi yoKhathalelo oluNzulu (ICU): Ungagcinwa kwi-ICU iintsuku ezimbalwa emva kotyando, apho uza kube ujongiwe ngokusondeleyo. Ungaqhagamshelwa kwi-ventilator ukuze ikuncede uphefumle.
- Ukondla ngetyhubhu: De umsebenzi wakho wamathumbu ubuyele esiqhelweni, unganikwa ukutya okumanzi ngetyhubhu yokondla efakwe ngempumlo yakho.
- Iziphumo ebezingalindelekanga: Ezi zilandelayo zinokwenzeka ngexesha lokuchacha:
- Ukuzalisa isisu
- Ukuqhinwa okanye urhudo
- Ukudinwa okugqithisileyo
- Isicaphucaphu nokuhlanza
- Intlungu ecaleni kwendlela ezisikiweyo
- Ukudumba (ngenxa yesicombululo se-saline esisetyenziselwa ukuhlamba ingaphakathi lesisu)
Kuthatha ixesha elingakanani ukuphiliswa?
Kungathatha naphi na ukusuka kwiiveki ezi-4 ukuya kwezili-12 ukuze uphile ngokupheleleyo kolu nyango. Oku kuquka iintsuku ezimbalwa ukuya kwiiveki ezimbini esibhedlele. Ugqirha wakho uza kukunika imiyalelo yendlela yokuzinyamekela emva kokuba ubuyele ekhaya.
Ndifanele ndimfowunele nini ugqirha?
Ukuba ufumana naziphi na kwezi mpawu emva kokubuyela ekhaya, kufuneka ufowunele ugqirha wakho ngoko nangoko.
Funa uncedo lwezonyango ngokukhawuleza ukuba umkhuhlane wakho ungaphezulu kwama-38.3 degrees Celsius (101°F), unesicaphucaphu esingapheliyo kunye nokuhlanza, ukunqunyulwa kwakho kudumbile kakhulu, kushushu, kwaye kuphuma ubomvu, okanye intlungu yakho iya isiba mandundu. Ezi zisenokuba ziimpawu zosulelo.
Iintlobo zamayeza asetyenziselwa i-HIPEC
Kukho iintlobo ezahlukeneyo zamayeza e-chemotherapy asetyenziswa rhoqo kolu nyango. Ugqirha uza kukuchazela ukuba zeziphi iziyobisi ozinikwayo kunye nesizathu.
- I-Carboplatin
- ICisplatin
- I-Doxorubicin
- I-Mitomycin
- I-Oxaliplatin
Oogqirha bacebisa unyango lwe-HIPEC kuphela ukuba iingenelo zingaphezulu kweengozi. Ukuba ucetyiswa ngolu hlobo lonyango, qiniseka ukuba ubuza ugqirha wakho isizathu kunye neziphumo onokuzilindela ngokusekelwe kwimeko yakho.
Umyalezo Wokuya Ekhaya
- I-HIPEC lunyango oluthile lomhlaza osasazeke esiswini. Lubandakanya ukususwa kweeseli zomhlaza ngotyando kunye nokufaka amayeza ashushu e-chemotherapy esiswini.
- Oku kusenokungabi lonyango olupheleleyo lomhlaza, kodwa kunokunceda kakhulu ekwandiseni ubomi kunye nokunciphisa iimpawu.
- Ekubeni olu lutyando olukhulu, kubaluleke kakhulu ukulungiselela kakuhle ngokwasemzimbeni nangokwengqondo.
- Kungathatha iiveki okanye iinyanga ezininzi ukuphola, kwaye iziphumo ebezingalindelekanga zinokubakho ngelo xesha.
- Kubalulekile ukuba nengxoxo evulekileyo nepheleleyo nogqirha wakho malunga nokuba olu nyango lukulungele na wena kunye nezinto ezilungileyo nezingalunganga.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho