Sonke siyazi ukuba ukulwa nomhlaza akuyonto ilula. Ngeli xesha lohambo, ngaba ugqirha ukuxelele okanye nabani na kusapho lwakho malunga neyeza elikhethekileyo elibizwa ngokuba yi-'Ipilimumab'? Ukuva eli gama kusenokuvakala kunzima kancinci, kwaye usenokuziva unexhala. Kodwa ungakhathazeki. Namhlanje, siza kuthetha ngeli yeza, into eliyenzayo, kunye nento ekufuneka uyilumkele, ngendlela elula neyobuhlobo.
Luhlobo luni lonyango oluyi-Ipilimumab (YERVOY)?
Ngamafutshane, i-Ipilimumab yi -immunotherapy . Ayifani ne-chemotherapy yendabuko. Isebenza ngokuvuselela amasosha omzimba ethu ukuze ayincede ibone kwaye ihlasele iiseli zomhlaza. Ngokukodwa, yiproteni eyenzelwe ngokukodwa. Kwezonyango, le siyibiza ngokuba yi-'monoclonal antibody'.
Eli yeza lisetyenziswa kakhulu ukunyanga iintlobo ezahlukeneyo zomhlaza. Umzekelo:
- Umhlaza weColoral
- Umhlaza wesisu
- Umhlaza wezintso
- Umhlaza wesibindi
- Umhlaza wemiphunga
- I-Melanoma, uhlobo olubi kakhulu lomhlaza wolusu
- Umhlaza wolusu lwemiphunga (iMesothelioma)
Ugqirha wakho angacebisa eli yeza nakwezinye iimeko zonyango.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale unyango
Ngaphambi kokuba uqale olu nyango, kubaluleke kakhulu ukuxelela ugqirha wakho ngembali yakho epheleleyo yempilo. Qiniseka ukuba uyamxelela ukuba unayo nayiphi na kwezi meko zilandelayo:
- Izifo zenkqubo yomzimba yokuzikhusela: Ukuba unezifo ezichaphazela amasosha omzimba, ezifana nesifo sikaCrohn, i-ulcerative colitis, okanye i-lupus, apho inkqubo yomzimba wakho yokuzikhusela ihlasela ngempazamo iindawo zomzimba wakho.
- Ukufakelwa amalungu omzimba: Ukuba ukhe wafakelwa amalungu omzimba ngaphambili.
- Ukufakelwa kweeseli ze-stem: Ukuba ukhe wafakelwa okanye uceba ukufakelwa iiseli ze-stem ze-allogeneic komnye umntu.
- Izifo zenkqubo yemithambo-luvo: Ukuba unezifo zenkqubo yemithambo-luvo ezifana ne-'Myasthenia gravis' okanye i-'Guillain-Barre syndrome'.
- Ii-Allergies: Ukuba une-allergy kule yeza (Ipilimumab) okanye naliphi na elinye iyeza, ukutya, okanye idayi.
- Ukukhulelwa: Ukuba ukhulelwe, uzama ukukhulelwa, okanye unamathandabuzo ngako.
- Ukuba ungumama oncancisayo: Ukuba ungumama oncancisa umntwana wakhe.
Ukuthetha nogqirha wakho ngaphandle kokufihla olu lwazi kubaluleke kakhulu kukhuseleko lwakho nakwimpumelelo yonyango lwakho.
Eli yeza linikwa njani emzimbeni?
Le ayisiyo pilisi okanye ikhaphu oza kuyithatha uye nayo ekhaya. Le yinaliti efakwa emthanjeni, njenge-saline . Olu nyango lunikwa esibhedlele okanye eklinikhi, phantsi kweliso elipheleleyo likagqirha okanye abasebenzi abaqeqeshiweyo bobuhlengikazi.
Eli yeza lidla ngokunikezelwa emzimbeni kangangemizuzu engama-30 ukuya kwengama-90. Ngaphambi kweseshoni nganye yonyango, uya kunikwa incwadana yolwazi ekhethekileyo (iMedGuide) malunga neli yeza. Kubalulekile ukulifunda nokuliqonda ngononophelo ngalo lonke ixesha.
Ukungayifumani idosi kunokuba yingxaki enkulu. Ngoko ke, ukuba awukwazi ukuya kwintlanganiso yakho ecwangcisiweyo, fowunela ugqirha wakho okanye isibhedlele ngokukhawuleza ukuze ubazise kwaye ufumane ingcebiso malunga nento omawuyenze ngokulandelayo.
Izinto ekufuneka ziqwalaselwe ngakumbi ngexesha lonyango
- Ukukhulelwa nokuncancisa: Le yeyona nto ibalulekileyo. Kuphephe ukukhulelwa ngokupheleleyo ngelixa usela eli yeza kwaye kangangeenyanga ezi-3 emva kokuyeka unyango. Kunokulimaza kakhulu usana olungekazalwa. Kwakhona, kuphephe ukuncancisa ngexesha lonyango kwaye kangangeenyanga ezi-3 emva komthamo wokugqibela.
- Ukuhlolwa kwezonyango: Ugqirha wakho uza kujonga imeko yakho ngokusondeleyo kulo lonke unyango lwakho, kuquka nokuyalela uvavanyo lwegazi rhoqo (umsebenzi wegazi).
- Ukuba ugqithisile: Oku akunakwenzeka kuba kunikwe esibhedlele. Nangona kunjalo, ukuba ukrokrela ukuba ugqithisile, qhagamshelana ngokukhawuleza neZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo okanye uye kwiSebe leNgxamiseko elikufutshane (i-ETU) .
Iziphumo Ezingalindelekanga Ezinokwenzeka
Njengalo naliphi na iyeza, i-Ipilimumab inokubangela ezinye iziphumo ebezingalindelekanga. Ezinye zezi ziphumo kufuneka zixelwe ngoko nangoko, ngelixa ezinye zingengobungozi kangako. Masiqonde oku ngokucacileyo kwitheyibhile engasezantsi.
| Imiphumela | Inkcazo kunye neempawu |
|---|---|
| Izinto omele uzixelele ugqirha wakho ngoko nangoko | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe okanye ulwimi, ubunzima bokuphefumla. |
| Intlungu yesisu kunye norhudo | Intlungu ebuhlungu esiswini, indle ekhululekileyo okanye enegazi, kunye nendle emnyama, ehlala ixesha elide. |
| Iimpawu zomonakalo wesibindi | Ukutyheli kwamehlo okanye ulusu, umchamo otyheli/omdaka omnyama, indle ekhanyayo, iintlungu kwinxalenye ephezulu ngasekunene yesisu, ukungabi namdla wokutya, isicaphucaphu, ukudinwa kakhulu. |
| Iingxaki zolusu | Ulusu lubomvu, lunamadyungudyungu, luxobuka (nangaphakathi emlonyeni). |
| Iingxaki zenkqubo yemithambo-luvo | Ukuba ndindisholo kwimilenze, iintlungu, utshintsho lombono, iintlungu zamehlo, isiyezi esigqithisileyo, kunye nokuquleka. |
| Utshintsho kwisantya sentliziyo | Ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza okanye ngokungacwangciswanga, iintlungu zesifuba. |
| Izinto omele uzixelele ugqirha wakho ukuba ziyaqhubeka okanye ziyakukhathaza | |
| Intloko ebuhlungu | Intloko ebuhlungu ngokubanzi. |
| Umnqweno wokutya | Ukuncipha komnqweno wokutya. |
| Ukungalali | Ubunzima bokulala ebusuku. |
Ukuba ufumana naziphi na ezinye iimpawu ezingaqhelekanga ezingakhankanywanga kolu luhlu, nceda wazise ugqirha wakho ngazo.
Umyalezo Wokuya Ekhaya
- I-Ipilimumab lunyango oluthile olunceda amajoni omzimba ukuba ahlasele iiseli zomhlaza.
- Ngaphambi kokuba uqale unyango, xelela ugqirha wakho ngazo zonke iimeko zakho zempilo kunye nee-aleji.
- Kuphephe ukukhulelwa nokuncancisa ngokupheleleyo ngexesha lonyango nakwiinyanga ezi-3 emva kokuba luphelile.
- Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinje ngorhudo olunzima, amadyungudyungu eluswini, ukutyheli kwamehlo, okanye ubunzima bokuphefumla, xelela ugqirha wakho ngoko nangoko.
- Ungaphoswa ziintlanganiso zonyango ezicwangcisiweyo. Ukuba awukwazi ukuya nangasiphi na isizathu, nceda wazise isibhedlele kwangethuba.
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