Unyango lomhlaza ludla ngokuba luhambo olunzima nolunzima. Siyazi ukuba iziphumo ezahlukeneyo zinokwenzeka emzimbeni ngexesha lonyango. Nangona kunjalo, kukho amayeza akhethekileyo anokukukhusela kwezo ziphumo zingalindelekanga kwaye ancede ukwenza uhambo lube lula kuwe. Namhlanje siza kuthetha "ngomncedisi" onjalo okhusela inxalenye ebalulekileyo yomzimba wakho ngexesha lonyango lomhlaza. Lowo ngugonyo lweMesna.
Yintoni uMesna? Ngamafutshane...
Khawucinge ukuba unikwa iyeza le-chemotherapy elibizwa ngokuba yi-`ifosfamide` lomhlaza. Eli yeza linamandla kakhulu ekubulaleni iiseli zomhlaza. Nangona kunjalo, linokubangela umonakalo othile kwisinyi sakho, ingakumbi ukopha kunye nomchamo wakho.
Kulapho ke iyeza elibizwa ngokuba yiMesna lingena khona. IMesna ayiloyeza lomhlaza. Isebenza "njengomlindi" wesinyi. Umsebenzi ophambili weMesna kukuthintela umonakalo onokwenziwa liyeza elithi `ifosfamide` kwisinyi kunye nokuthintela ukopha.
Okubalulekileyo kukuba, iMesna ithintela kuphela ukopha kwesinyi okubangelwa liyeza elithi `ifosfamide`. Ayinakuthintela ezinye iziphumo ebezingalindelekanga zonyango lomhlaza, ezifana nokulahlekelwa ziinwele kunye nokucaphuka.
Izinto ezibalulekileyo ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza zezi:
Ngaphambi kokuba uqale unyango lweMesna, kubalulekile ukuba ugqirha wakho azi kakuhle imeko yakho yempilo. Qiniseka ukuba umxelele oku kulandelayo ngokukodwa:
- Ukuba unesifo sokuzikhusela komzimba: Umzekelo, ukuba unesifo esifana ne-lupus, i-nephritis (isifo esichaphazela izintso), okanye i-rheumatoid arthritis (imeko yokuvuvukala kwamalungu).
- Ukuba unayo nayiphi na i-allergies: Xelela ugqirha wakho ukuba une-allergy kwiMesna, nayiphi na i-benzyl alcohol enokuba inayo, nawaphi na amayeza ane-sulfur, nawaphi na amanye amayeza, ukutya, iidayi, okanye izithinteli.
- Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa: Kubaluleke kakhulu ukwazisa ugqirha wakho ngezi meko.
Igonyo leMesna linikwa njani?
Eli yeza alikho into onokulithatha uye nayo ekhaya. Liyeza elinikwa njenge-infusion emthanjeni, njenge-saline. Ngoko ke linikwa yingcali yezempilo esibhedlele okanye eklinikhi. Ngoko ke akufuneki ukhathazeke ngokuphosa idosi okanye ukuphosa idosi.
Abantwana banokufuna ukhathalelo olukhethekileyo xa benikwa eli yeza. Ugqirha wakho wezingane uza kugqiba ngale nto aze ayinike njengoko kufuneka.
Kuthekani ukuba ndithatha amayeza amaninzi kakhulu?
Oku kunikwa esibhedlele, ngoko ke amathuba okuba oku kwenzeke aphantsi kakhulu. Nangona kunjalo, ukuba ukrokrela ukuba usele kakhulu, qhagamshelana neZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko. Okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) ekufutshane.
Izinto ekufuneka siziqwalasele ngokukodwa xa sithatha eli yeza:
Ugqirha wakho uza kujonga imeko yakho rhoqo ngexesha lonyango lwakho lweMesna, kwaye kubalulekile ukuba uqaphele ezi ngxaki.
1. Sela amanzi amaninzi: Ufanele usele ubuncinane ilitha yamanzi (malunga neeglasi ezi-4) yonke imihla ngelixa usebenzisa eli yeza. Oku kuya kunceda ukugcina isinyi sakho sicocekile.
2. Nika ingqalelo kumbala womchamo wakho: Ukuba uqaphela ukuba umchamo wakho utshintsha ube pinki okanye ube bomvu, oko kungaba luphawu lokopha. Wakuba ubonile oku, xelela ugqirha wakho ngokukhawuleza.
3. Utshintsho lolusu: Ngamanye amaxesha ulusu lunokusabela kakhulu emva kweeveki emva kokuba luqalile olu yeza. Lumka kwezi mpawu:
- Ukuqhambuka ngequbuliso okuneempawu ezifana nomkhuhlane kunye nokubanda.
- Izilonda zijika zibe bomvu okanye zibe mfusa, emva koko zikhule zibe ngamadyungudyungu okanye ulusu luxobuke.
- Ulusu olubomvu nolurhawuzelayo olunee-lymph nodes ezivuvukileyo ebusweni, emilebeni, entanyeni, okanye emakhwapheni.
Ukuba ubona into efana nale, funa ingcebiso kagqirha ngokukhawuleza.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengayo nayiphi na imithi, iMesna inokubangela ezinye iziphumo ebezingalindelekanga. Ezinye zezi ziphumo kufuneka zixelwe ngoko nangoko, ngelixa ezinye zingekho mbi kangako.
| Imiphumela |
|---|
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha wakho ngoko nangoko |
| Iimpendulo ze-allergy ezifana nokurhawuzelela kwesikhumba, ukurhawuzelela okanye ukurhawuzelela, ukudumba kobuso, imilebe okanye ulwimi |
| Ubunzima bokuphefumla |
| Igazi kumchamo okanye umchamo opinki/obomvu |
| Umkhuhlane, ukubanda, okanye umphimbo obuhlungu |
| Ubomvu besikhumba okanye ukurhawuzelela |
| Izilonda zomlomo |
| Intlungu okanye ukubomvu kwindawo yokutofa |
| Ubomvu, amadyungudyungu, ukuxobuka kolusu (nangaphakathi emlonyeni) |
| Ukudumba kweqatha okanye iinyawo |
| Ukuhlanza |
| Iziphumo ebezingalindelekanga ekufuneka zixelwe kugqirha ukuba ziyaqhubeka okanye ziyakhathaza |
| Iintlungu zomzimba |
| Ukuva incasa engathandekiyo emlonyeni |
| Urhudo |
| Isiyezi |
| Ukulahleka kweenwele |
| Intloko ebuhlungu |
| Isicaphucaphu |
Ukuba ufumana naziphi na ezinye iimpawu ezingaqhelekanga ezingakhankanywanga kolu luhlu, nceda wazise ugqirha wakho ngazo.
Umyalezo Wokuya Ekhaya
- I-Mesna ayiloyeza lomhlaza. Liyeza elikhuselayo elithintela umonakalo kwisinyi obangelwa liyeza lomhlaza elithi `ifosfamide`.
- Ngaphambi kokuba uqale unyango, xelela ugqirha wakho ngazo zonke iimeko zakho zempilo kunye nee-aleji.
- Ungalibali ukusela amanzi amaninzi ngeentsuku ozisebenzisa ngazo eli yeza.
- Ukuba umchamo wakho ujika ube bomvu/ube pinki okanye uqaphela ukusabela okunzulu kwesikhumba, yazisa ugqirha wakho ngoko nangoko.
- Ekubeni eli yeza linikwa esibhedlele, akufuneki ukhathazeke ngokulahlekelwa yidosi okanye ukuyigcina.
- Ukuba unemibuzo okanye amathandabuzo malunga nale yeza, ungoyiki ukubuza ugqirha wakho.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Ugonyo/iipilisi zeMesna/Mesnex liyeza elikhethekileyo elinikwe isifo esinjani?
Eli asiloyeza eliqhelekileyo/lokulwa nomhlaza! Eli liyeza lodwa elisindisa ubomi (iChemoprotectant) elinokuthintela iHemorrhagic Cystitis (ukopha nomchamo) kwaye 'likhusele isinyi nge-100%' kwizigulana ezinomhlaza ezinikwa inaliti yomhlaza enamandla kakhulu/enamandla ebizwa ngokuba yi'Cyclophosphamide (Cytoxan)' kunye ne'Ifosfamide', ezibangelwa yityhefu ebulalayo (iAcrolein) eveliswa zezo naliti, ezilimaza ngokupheleleyo isinyi somguli kwaye zibangele ukopha!
💬 Xa izitofu zomhlaza ziza kutshisa isinyi, olu gonyo (iMesna) lukhusela njani isinyi?
Xa ugonyo lomhlaza (i-Ifosfamide) lunikwa umzimba, luvelisa ityhefu ebizwa ngokuba yi-'Acrolein' eqatha kangangokuba itshisa inyama yesinyi. Le tyhefu iya kwisinyi. Kodwa ukuba le naliti 'yeMesna' inikwa ngaphambi kokuba iyeza lomhlaza linikwe, iya ngqo kwisinyi (iqela leThiol libopha i-Acrolein) kwaye liguqula loo tyhefu imbi ibe yinto engenabungozi, njengamanzi amnandi! Emva koko ezo gonyo zomhlaza ziya kubulala umhlaza kuphela kwaye zingalimazi isinyi.
💬 Zeziphi iingcamango eziphosakeleyo kunye neziphumo ebezingalindelekanga ekufuneka abantu abasebenzisa eli yeza (iMesna) baziqaphele?
Eyona nto iphosakeleyo kukuba oku akuzikhuseli ezinye izitho zomzimba ngaphandle kwesinyi (isibindi, izintso, imithambo-luvo) kwiingozi zelo yeza lomhlaza (ezinye izifo ziya kuvela)! Kwakhona, emva kokusebenzisa eli yeza, abanye abantu banokuba ne-allergy (i-Hypersensitivity) kwaye bafumane amaqhuqhuva emzimbeni wonke kwaye uxinzelelo lwabo lwegazi lunokwehla luye kwi-zero. Enye into ecaphukisayo kukuba nokuba ulithatha ngomlomo okanye ulifake inaliti, ngokuqinisekileyo uya kuba 'ne-Nausea/Gamiting' enganyamezelekiyo.
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