Sonke siyazi ukuba unyango lomhlaza luyinto enzima kakhulu kwaye inzima. Amanye amayeza anikwayo ngexesha lonyango (i-chemotherapy) atshabalalisa iiseli zomhlaza emizimbeni yethu, kodwa anokuba nefuthe elithile kwiiseli eziphilileyo. Ngoko ke, kukho amayeza akhethekileyo anikwayo ukunciphisa ezo ziphumo zimbi, okanye ukwenza unyango lomhlaza luphumelele ngakumbi. Namhlanje sithetha ngesinye isitofu esibalulekileyo, esibizwa ngokuba yiLevoleucovorin.
Lisetyenziselwa ntoni eli yeza?
Ngamafutshane, olu gonyo lweLevoleucovorin lusetyenziselwa iinjongo ezimbini eziphambili.
1. Ukunciphisa iziphumo ezimbi zamayeza okulwa nomhlaza:
Khawucinge nje, xa unika iyeza elinamandla lokulwa nomhlaza njenge-methotrexate, lingonakalisa kungekuphela nje iiseli zomhlaza, kodwa neeseli zethu ezilungileyo. Ngoko ke eli yeza libizwa ngokuba yi-levoleucovorin lenzelwe ukukhusela ezo seli zilungileyo. Lifana "nomsebenzi wokuhlangula" kwiiseli ezilungileyo eziza konakala. Oku kunokunciphisa kakhulu iziphumo ebezingalindelekanga zonyango lomhlaza.
2. Yandisa impumelelo yonyango lomhlaza:
Enye indlela esetyenziswa kakhulu kunyango lomhlaza wamathumbu kunye neyeza elibizwa ngokuba yi-5- fluorouracil (5-FU). Apha, iyeza elibizwa ngokuba yi-levoleucovorin lonyusa amandla okubulala umhlaza e-5-FU. Ngamanye amazwi, la mayeza mabini asebenza kunye njengeqela lokulwa nomhlaza ngempumelelo.
Oogqirha banokuthi bakunike eli yeza kwezinye iimeko ngaphandle kwezo zikhankanyiweyo apha ngasentla. Ukuba unemibuzo malunga noku, buza ugqirha wakho.
Ndimele ndimxelele ntoni ugqirha ngaphambi kokuba ndithathe eli yeza?
Ngaphambi kokuba uqale olu nyango, kubaluleke kakhulu ukwazisa iqela lezonyango malunga neenkcukacha ezithile malunga nempilo yakho.
- Ii-Allergies: Qiniseka ukuba uxelele ugqirha wakho ukuba unayo nayiphi na i-allergies kwi-levoleucovorin, i-leucovorin, i-folic acid, okanye nayiphi na enye iyeza, ukutya, okanye idayi .
- I-anemia ebangelwa kukunqongophala kwe-vitamin B-12: Ukuba unolu hlobo lwe-anemia, xelela ugqirha wakho, njengoko eli yeza linokwenza kube nzima ukufumanisa imeko.
- Ukukhulelwa nokuncancisa: Vula kugqirha wakho malunga nokuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa . Izigqibo zonyango ngeli xesha zenziwa kucingelwa ukhuseleko lwakho nolomntwana wakho.
Ulisebenzisa njani eli yeza?
Eli asiloyeza onokulithatha uye nalo ekhaya. Eli liyeza lokujova emthanjeni . Linikwa yingcali yezempilo eqeqeshiweyo esibhedlele okanye eklinikhi. Ngoko ke akukho nto unokukhathazeka ngayo.
Ngaba uyabanika abantwana eli yeza?
Ewe, kwezinye iimeko ezikhethiweyo, eli yeza linokunikwa abantwana abaneminyaka engaphezu kwemithandathu ubudala. Kodwa lenziwa ngononophelo olukhethekileyo. Ke ngoko, ukuba unika umntwana wakho eli yeza, thetha nogqirha wakho wabantwana ngalo ngononophelo kwaye ufumane iinkcukacha.
Wenza ntoni ukuba idosi iphezulu kakhulu?
Ekubeni oku kwenziwa phantsi kweliso lezonyango esibhedlele, umngcipheko wokusebenzisa i-overdose uphantsi kakhulu. Nangona kunjalo, ukuba ukrokrela ukuba kukho into eyenzekileyo, fowunela iZiko loLwazi lweePoisons kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko, okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) ekufutshane.
Kuthekani ukuba ndiphoswa yidosi?
Kubaluleke kakhulu ukuthatha idosi yakho ngexesha ngeli xesha lonyango. Ukuba awukwazi ukuza kunyango lwakho ngomhla ocwangcisiweyo, qiniseka ukuba ufowunela ugqirha wakho okanye iklinikhi kwaye ubazise.
Ezinye izinto ezinokusebenzisana nale mithi
I-Levoleucovorin inokunxibelelana namanye amayeza owasebenzisayo, nto leyo enokutshintsha iziphumo zonyango lwakho okanye yonyuse iziphumo ebezingalindelekanga.
| Udidi lweziyobisi | Imizekelo |
|---|---|
| Ii-fluoropyrimidines (amayeza okulwa nomhlaza) | I-5-fluorouracil, i-capecitabine |
| I-Phenobarbital ( yokuxhuzula ) | I-Phenobarbital |
| I-Phenytoin ( yokuxhuzula ) | I-Phenytoin |
| I-Primidone ( ukuxhuzula)izifo) | I-Primidone |
| I-Trimethoprim-sulfamethoxazole (i-antibiotic) | I-Trimethoprim-sulfamethoxazole |
Olu luhlu aluphelelanga. Ngoko ke, nika ugqirha wakho uluhlu olupheleleyo lwamayeza owasebenzisayo (abhalwe ngugqirha nathengiswa ngaphandle kwemvume kagqirha), amayeza esintu, kunye nezongezo zokutya ozithathayo . Kwakhona, ungalibali ukuxelela ugqirha wakho ukuba uyatshaya okanye usela utywala, kuba ezi zinto zinokuchaphazela unyango lwakho.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengayo nayiphi na iyeza, eli yeza linokubangela ezinye iziphumo ebezingalindelekanga, nangona kungengabo bonke abantu abazifumanayo.
| Imiphumela | Inkcazo |
|---|---|
| Izinto omele uzixelele ugqirha wakho ngoko nangoko | |
| Iimpendulo eziqatha ze-allergy | Izinto ezifana nokurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, nolwimi. |
| Ubunzima bokuphefumla | Ndivakalelwa ngathi kunzima ukuphefumla. |
| Urhudo | Urhudo oluqatha okanye oluqhubekayo. |
| Izilonda zomlomo | Izilonda ezibuhlungu ngaphakathi emlonyeni. |
| Ukuxhuzula | Ukuxhuzula ngequbuliso. |
| Ukuba iyaqhubeka okanye iyakhathaza, xelela ugqirha wakho. | |
| Isicaphucaphu nokuhlanza | Oku kuqhelekile kwiindlela ezininzi zonyango lomhlaza. Kodwa ukuba awukwazi ukuyilawula, xelela ugqirha wakho . |
Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ubona into engaqhelekanga, nceda unxibelelane nogqirha wakho ukuze akunike iingcebiso zonyango.
Umyalezo Wokuya Ekhaya
- I-Levoleucovorin sisitofu esibalulekileyo esinikezelwa ukunciphisa iziphumo ebezingalindelekanga zonyango lomhlaza kunye nokwandisa impumelelo kwezinye iindlela zonyango.
- Kubaluleke kakhulu ukuxelela ugqirha wakho malunga nee-allergies zakho, ezinye iimeko zempilo, kunye nawo onke amayeza owasebenzisayo ngaphambi kokuba usebenzise eli yeza.
- Olu lugonyo olunikezelwa esibhedlele. Ukuba awukwazi ukuya kunyango ngosuku olucwangcisiweyo, qiniseka ukuba wazise ugqirha .
- Funa uncedo lwezonyango ngokukhawuleza ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinje ngobunzima bokuphefumla, ii-allergy ezinzima, izilonda emlonyeni, okanye ukuxhuzula.
- Musa ukoyika ukuthetha nogqirha wakho ngayo nayiphi na imibuzo okanye izinto ezikuxhalabisayo. Bakho ukuze bakuncede.
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