Xa sithetha ngonyango lomhlaza, ngamanye amaxesha amagama amayeza esiwavayo ayinkimbinkimbi kancinci, akunjalo? Elinye lala magama yiLutetium Lu 177 dotatate. Kodwa nangona eli gama liyinkimbinkimbi, ukuba siyaqonda nje indlela elisebenza ngayo, uloyiko lwakho kunye namathandabuzo akho aya kuphela. Namhlanje, masithethe ngale ndlela yonyango, ngokungathi sithetha nomhlobo.
Yintoni le Lutetium Lu 177 dotatate?
Ngamafutshane, eli liyeza elithile elinikwa ukubulala iiseli zomhlaza. Oku akufani ne-chemotherapy eqhelekileyo. Oku kubizwa ngokuba 'lunyango olujoliswe kuyo'. Cinga ngeli yeza 'njengebhombu ekrelekrele' eya kufuna iiseli zomhlaza ize izihlasele.
Olu nyango lusetyenziselwa ngokukodwa ukunyanga uhlobo lomhlaza olubizwa ngokuba yi-neuroendocrine tumors. Eli yeza liqulathe i-radioactive component. Eli yeza linamathela kwiiproteni ezithile (ii-receptors) kumphezulu weeseli zomhlaza. Lifana nesitshixo esifakwa kwisitshixo. Nje ukuba sinamathele, imitha evela kwiyeza itshabalalisa iseli yomhlaza ngaphakathi. Le ndlela ibangela umonakalo omncinci kwiiseli eziphilileyo.
Ndimele ndimxelele ntoni ugqirha ngaphambi kokuba ndiqalise unyango?
Ngaphambi kokuba akunike olu nyango, ugqirha wakho kuya kufuneka azi imbali yakho epheleleyo yempilo. Kungoko ke, kubaluleke kakhulu ukuba unike olu lwazi ngokuchanekileyo kwaye ungafihli nto .
- Isifo sezintso okanye sesibindi: Qiniseka ukuba uxelele ugqirha wakho ukuba unesifo sezintso okanye sesibindi.
- Ukungaqheleki kwegazi: Ukuba uneeseli ezibomvu zegazi ezisezantsi, iiseli ezimhlophe zegazi, okanye iiplatelets, kufuneka uxelele ugqirha wakho kuba olu nyango lunokwenza ezi meko zibe mandundu.
- Ii-Allergies: Nceda usazise ukuba unayo nayiphi na i-allergies kweli yeza, i-Lutetium Lu 177 dotatate, okanye nayiphi na enye iyeza, ukutya, okanye idayi.
- Ukukhulelwa nokuncancisa: Oku kubaluleke kakhulu ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa. Thetha ngokukhululekileyo nogqirha wakho ngale nto.
Indlela yokunika eli yeza emzimbeni kunye nezinye izinto ekufuneka ziqwalaselwe
Eli yeza linikwa njenge-infusion (isicombululo se-saline) emthanjeni. Oku kwenziwa esibhedlele okanye ekliniki ngabasebenzi bezonyango abaqeqeshiweyo. Ngoko ke, asinto onokuyenza ekhaya.
Kufuneka unonophelo olukhethekileyo xa unika abantwana abancinci eli yeza. Ngoko ke, ukuba umntwana wakho unikwe olu nyango, thetha ngalo ngononophelo nogqirha wezingane.
Kuthekani ukuba ndiphoswa yidosi?
Ukuba awukwazi ukuya esibhedlele ngomhla ocwangcisiweyo, nceda wazise ugqirha wakho okanye isibhedlele ngoko nangoko. Kubaluleke kakhulu ukusela la mayeza njengoko kucwangcisiwe kwaye ungawaphuli amachiza.
Kuthekani ukuba idosi iyanda?
Ekubeni oku kunikwa esibhedlele, amathuba okuba uyisebenzise ngokugqithisileyo aphantsi kakhulu. Nangona kunjalo, ukuba ukrokrela ukuba oku kwenzekile, fowunela iZiko loLwazi lweePoisons kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko, okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele.
Izinto ekufuneka sizilumkele ngakumbi ngexesha lonyango
Udinga ukunyamekela impilo yakho kancinci ngelixa usebenzisa eli yeza.
Ukukhulelwa, ukuncancisa kunye nokuzala
Le yingxaki ebaluleke kakhulu.
- Abafazi: Kuphephe ukukhulelwa ngelixa usebenzisa la mayeza kwaye emva kweenyanga ezisi-7 emva kokuyeka unyango. Oku kunokwenzakalisa kakhulu usana olungekazalwa. Thetha nogqirha wakho ukuba uceba ukukhulelwa.
- Amadoda: Ukuba uthatha olu nyango, kuphephe ukuba nguyise womntwana ngexesha lonyango kwaye emva kweenyanga ezi-4 emva kokuyeka.
- Ukuncancisa: Kuphephe ukuncancisa umntwana wakho iinyanga ezi-2.5 emva komthamo wokugqibela.
- Eli yeza lisenokuchaphazela ukuzala. Ukuba uneengxaki malunga noku, thetha nogqirha wakho.
Umngcipheko wosulelo kunye nokopha
Eli yeza lisenokunciphisa amandla omzimba wakho okulwa nezifo (amandla omzimba okulwa nosulelo).
- Ngoko zama ukuhlala kude nabantu abanezifo ezifana nomkhuhlane okanye umkhuhlane .
- Ukuba ubonakalisa iimpawu ezinje ngomkhuhlane, ukubanda, okanye umphimbo obuhlungu, musa ukuzinyanga kwaye uxelele ugqirha wakho ngoko nangoko.
- Lumka xa uhlamba amazinyo akho kwaye usebenzisa amazinyo okuxuba amazinyo, kuba anokubangela ukopha kweentsini. Sebenzisa ibhrashi yamazinyo eneenwele ezithambileyo .
- Ukuba uza kunyangwa ngamazinyo, xelela ugqirha wamazinyo ukuba usela eli yeza.
- Ukuba ufumana nayiphi na imivumbo okanye ukopha okungaqhelekanga, yazisa ugqirha wakho.
Impilo ngokubanzi kunye namanye amayeza
- Musa ukusebenzisa izithomalalisi zentlungu (ezifana ne-aspirin, i-ibuprofen) okanye izithomalalisi zomkhuhlane (ezifana ne-acetaminophen) ngaphandle kwengcebiso kagqirha, kuba ezi zinokuthintela umkhuhlane ohambisana nosulelo.
- Kuya kufuneka wenze uvavanyo lwegazi rhoqo (umsebenzi wegazi) ngelixa usebenzisa olu nyango. Musa ukulutyeshela.
- Kuqhelekile ukuba umzimba uzive ungakhululekanga kwaye udiniwe ngenxa yonyango lomhlaza. Oku kungenxa yokuba xa iiseli zomhlaza zitshatyalalisiwe, iiseli eziphilileyo nazo ziyachaphazeleka. Qhubeka nonyango nokuba uzive ungakhululekanga de ugqirha wakho akuxelele ukuba uyeke.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengayo nayiphi na iyeza, eli linokubangela iziphumo ebezingalindelekanga. Kodwa ayinguye wonke umntu ozifumanayo. Ezinye zimbi kakhulu, ezinye zincinci.
| Uhlobo lwesiphumo esibi | Inkcazo kunye neempawu |
|---|---|
| Iimpawu ezinzulu ekufuneka zixelwe kugqirha wakho ngoko nangoko | |
| Iziphumo kwiiseli zegazi | - Iimpawu zosulelo: umkhuhlane, ukubanda, umphimbo obuhlungu, ukukhwehlela - Iimpawu zokopha: ukudumba okulula, amabala amancinci abomvu eluswini, igazi emchameni - Iimpawu zeeseli ezibomvu zegazi ezisezantsi: ukudinwa kakhulu, ukuphaphatheka, ukuquleka |
| Utshintsho kwisantya sentliziyo | Intlungu yesifuba, isiyezi, ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga, ubunzima bokuphefumla. |
| Iziphumo kwisibindi okanye kwizintso | - Isibindi: umchamo otyheli/omdaka omnyama, ukutyheli kwamehlo okanye ulusu, iintlungu kwicala eliphezulu lasekunene lesisu, isicaphucaphu - Izintso: Utshintsho ekuphumeni komchamo, ubunzima bokuchama |
| Utshintsho kumanqanaba eswekile egazini | - Iswekile ephantsi egazini: ukubila kakhulu, ukungcangcazela, indlala egqithisileyo, ukuxhalaba, ukulahlekelwa zingqondo - Iswekile ephezulu egazini: ukoma kakhulu, umlomo owomileyo, ukuchama rhoqo |
| Ezinye iimpawu ezinzulu | Ubunzima bokuphefumla, ukufutha, urhudo, ukungaziva mnandi kwamalungu omzimba, iintlungu zemisipha okanye ukuqina. |
| Iimpawu eziqhele ukuba zimbi kakhulu, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Inkqubo yokugaya ukutya | Isicaphucaphu, ukuhlanza, iintlungu zesisu, ukungabi namdla wokutya, ukungonwabi esiswini |
| Ezinye iimpawu ngokubanzi | Ukukhohlela, ukulahleka kweenwele, ukudumba kwezandla, iinyawo, okanye amaqatha. |
Umyalezo Wokuya Ekhaya
- I-Lutetium Lu 177 dotatate lunyango oluthile olujolise kwaye lutshabalalise iiseli zomhlaza.
- Ngaphambi kokuba uqale unyango, xelela ugqirha wakho ngalo lonke ulwazi lwakho lwempilo kunye nawo onke amanye amayeza owasebenzisayo.
- Landela imiyalelo enikiweyo ukuze uphephe ukukhulelwa, ukuba nguyise wabantwana, kunye nokuncancisa ngexesha nangexesha elithile emva konyango.
- Lumka ngomngcipheko wokosuleleka nokopha. Ukuba ubona iimpawu ezifana nomkhuhlane okanye ukukrweleka okungaqhelekanga, yazisa ugqirha wakho ngoko nangoko.
- Funa ingcebiso kagqirha ngokukhawuleza ukuba ubona naziphi na iziphumo ebezingalindelekanga ezinzulu. Xela naziphi na iziphumo ebezingalindelekanga eziqhelekileyo eziqhubekayo.
- Thetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na imibuzo, uloyiko, okanye amathandabuzo onokuba nawo. Bakho ukuze bakuncede.
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