Ezinye iimeko zesikhumba zinokuba lula njengephundu elincinci, ngelixa ezinye zinokuba yingozi ngakumbi. Ngamanye amaxesha ezi zinokuba ngumhlaza wesikhumba. Nangona kunjalo, isayensi yezonyango yanamhlanje ihambele phambili kangangokuba kukho unyango olusebenzayo lwezi zifo. Namhlanje, siza kuthetha ngonyango olwahlukileyo kancinci kwimeko ethile yomhlaza wesikhumba. Igama leli yeza yiMethoxsalen.
Ngamafutshane, yintoni iMethoxsalen?
I-Methoxsalen ayifani nepilisi eqhelekileyo okanye inaliti. Liyeza elibangela ukukhanya. Ngokukodwa, lisetyenziselwa ukulawula iimpawu zohlobo oluthile lomhlaza oluchaphazela ulusu olubizwa ngokuba yi -cutaneous T-cell lymphoma (CTCL) .
Olu nyango alunikwa lodwa. Lunikwa kunye nemitha ye-ultraviolet. Igama lale nkqubo yonyango lonke yi- Extracorporeal Photopheresis (ECP). Nangona oku kunokuvakala ngathi ligama elinzima, inkqubo ilula kakhulu xa uyiqonda.
Ngoko ke olu nyango lwe-ECP lwenziwa njani?
Cinga nje, oku akufani nokunika umntu ogulayo amayeza. Le yinkqubo ekhethekileyo eyenziwa esibhedlele okanye ekliniki ngabasebenzi bezonyango abaqeqeshiweyo.
1. Ukuqokelelwa kwegazi: Okokuqala, igazi elithile liyathathwa emzimbeni wakho lize lithunyelwe ngomatshini okhethekileyo.
2. Ukwahlulwa kweeseli: Lo matshini wahlula iiseli ezimhlophe zegazi kuphela kwigazi lakho. Iinxalenye eziseleyo zegazi (ezifana neeseli ezibomvu zegazi kunye neplasma) emva koko zibuyiselwa emzimbeni wakho.
3. Ukongeza iyeza: Ngoku, iyeza elibizwa ngokuba yiMethoxsalen longezwa kwiiseli zegazi ezimhlophe ezahluliweyo.
4. Unyango lokukhanya: Okulandelayo, iiseli zegazi ezimhlophe ezixutywe neli yeza zichatshazelwa kukukhanya okukhethekileyo kwe-ultraviolet A (UVA) ngaphakathi komatshini. Ngenxa yeyeza iMethoxsalen, iiseli zomhlaza ziba novelwano kakhulu kolu kukhanya zize ziqale ukufa.
5. Ukufakwa kweeseli kwakhona: Okokugqibela, iiseli ezimhlophe zegazi ezinyangiweyo ngolu hlobo zibuyiselwa emzimbeni wakho, njenge-saline.
Le nkqubo yonke ingathatha iiyure ezininzi, kodwa ungahlala esitulweni ufunde incwadi okanye umamele ingoma ngeli xesha.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba unyangwe
Ngaphambi kokuba ugqibe ekubeni olu nyango lukulungele na, ugqirha wakho kuya kufuneka azi imbali yakho epheleleyo yempilo. Qiniseka ukuba ubaxelela ngayo nayiphi na kwezi meko zilandelayo, ingakumbi:
| Imeko yakho yezempilo | Kutheni ufanele uxelele? |
|---|---|
| Iingxaki zamehlo (umz. i-cataracts, i-aphakia ukuba ilensi isusiwe) | Ngenxa yokuba eli yeza lenza amehlo avakalelwe kukukhanya, iimeko zamehlo esele zikhona zinokuba mandundu. |
| Isifo sentliziyo, isifo sesibindi | Ngenxa yokuba inkqubo yonyango inokubangela uxinzelelo emzimbeni, kufuneka kuqatshelwe ukusebenza kwezi zitho. |
| Izifo zesikhumba ezifana ne-lupus, i-porphyria, kunye ne-xeroderma | Ezi meko zinokwenza ulusu lube buthathaka kakhulu ekukhanyeni, kwaye iMethoxsalen ingenza kube njalo nangakumbi. |
| Ukuba nembali yomhlaza wolusu okanye ukuba ufumene unyango lwe-X-ray/arsenic | Olu lwazi lubalulekile ekuvavanyeni umngcipheko wokuba nomhlaza wolusu kwixesha elizayo. |
| Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa | Eli yeza alikhuthazwa kwezi meko, kuba linokuchaphazela umntwana ongekazalwa. |
| Ukunganyamezelani kwamanye amayeza, ukutya, okanye izinto | Qaphela ukuba kunokwenzeka ukuba iMethoxsalen okanye izithako zayo zibe ne-allergy. |
Kubalulekile ukunika ugqirha wakho uluhlu olupheleleyo lwamayeza owasebenzisayo (amayeza athengiswa ngaphandle kwemvume kagqirha, iivithamini, amayeza esintu, kunye nezongezo zokutya). Amanye amayeza anokusebenzisana neMethoxsalen.
Izinto ekufuneka uziqwalasele ngokukodwa ngexesha lonyango
Kukho izinto ezininzi ekufuneka uzilandele ukuze ukhuseleke ngelixa usenza olu nyango.
Ukukhuselwa lilanga - le yeyona nto ibalulekileyo!
I-Methoxsalen yenza kungekuphela nje ulusu lwakho kodwa namehlo akho abe novelwano kakhulu ekukhanyeni. Ngoko ke, kufuneka uphephe ukuchatshazelwa lilanga kangangoko unako kangangeeyure ezingama-24 emva kokufumana unyango .
- Musa ukuphuma endlwini: hlala ngaphakathi kangangoko unako.
- Ukuba uphuma ngaphandle: Nxiba impahla enemikhono emide, ibhulukhwe ende, umnqwazi, uze ugqume umzimba wakho kakuhle.
- Isikhuseli selanga siyimfuneko: Faka isithambisi selanga esifanelekileyo kuzo zonke iindawo zolusu ezichatshazelwe lilanga.
- Iiglasi zelanga: Oku kuyimfuneko! Nxiba iiglasi zelanga ezithintela i-UV eziyi-100%, ezijikeleza amehlo nanini na xa ujongene nokukhanya okuncinci (nokuba ngaphakathi endlwini, ukuba ukukhanya kuvela ngefestile) kwiiyure ezingama-24 zokuqala emva konyango . Oku kubaluleke kakhulu ukuthintela umonakalo onokwenzeka emehlweni.
- Kuphephe ukukhanya okwenziweyo: Musa ukusebenzisa izinto ezifana nezibane zelanga kunye neebhedi zokutshisa ilanga.
Ezinye izinto ekufuneka ziqwalaselwe
- Ukuhlolwa Kwezonyango: Yiya rhoqo kuhlolo njengoko ugqirha wakho ekuyalele.
- Uvavanyo lwamehlo: Ukuba ubona naluphi na utshintsho kwindlela obona ngayo, xelela ugqirha wakho ngoko nangoko. Bona ugqirha wamehlo rhoqo ukuze ahlolwe amehlo akho.
- Umngcipheko womhlaza: Olu nyango lunokunyusa kancinci umngcipheko wakho wokuba nezinye iintlobo zomhlaza wolusu kwixesha elizayo. Ungakhathazeki ngale nto. Ugqirha wakho uza kuthetha nawe ngale ngozi aze akucebise ukuba uhlolwe ulusu rhoqo.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengakweminye imithi, iziphumo ebezingalindelekanga zinokubakho. Ezinye kufuneka zixelwe ngoko nangoko, ngelixa ezinye zihlala zingekho mbi kakhulu.
| Yazisa ugqirha wakho okanye isibhedlele osinyangayo ngoko nangoko. | |
|---|---|
| Iimpawu ze-aleji | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kwemilebe, ulwimi okanye ubuso. |
| Utshintsho kwindlela yokubona | Umbono ofipheleyo, ukubona ngendlela eyahlukileyo kunesiqhelo. |
| Iimpawu zosulelo | Umkhuhlane, ukubanda, umphimbo obuhlungu. |
| Uxinzelelo lwegazi oluphantsi | Ukuba nesiyezi , amehlo aluhlaza okwesibhakabhaka xa uvuka. |
| Ngokwesiqhelo ayisiyonto imbi kangako, kodwa yazisa ugqirha wakho ukuba iyaqhubeka. | |
| Isiyezi , intloko ebuhlungu | Inokwenzeka emva kwexesha elithile emva konyango. |
| Ulusu olomileyo, ukurhawuzelela | Ingabangelwa kukungakwazi kolusu ukukhanya. |
| Ukuncitshiswa kolusu, imibimbi | Ingabonakala kunyango oluthatha ixesha elide. |
Yintoni omawuyenze ukuba ugqithisile?
Ekubeni oku kunikwa ziingcali zonyango esibhedlele, amathuba okuba kusetyenziswe i-overdose anciphile. Nangona kunjalo, ukuba ukrokrela into efana nale, yazisa iYunithi yoNyango oluNgxamisekileyo (i-ETU) yesibhedlele ngoko nangoko. Ukuba kuyimfuneko, ungacela ingcebiso kwiZiko loLwazi lweePoisons kwiSibhedlele sikaZwelonke saseColombo .
Umyalezo Wokuya Ekhaya
- I-Methoxsalen ayisiyo inaliti eqhelekileyo, lunyango olukhethekileyo olunikwa kunye nokukhanya kwe-ultraviolet.
- Xelela ugqirha wakho ngokupheleleyo malunga nazo zonke ezinye iziyobisi ozithathayo kunye nazo zonke iimeko zempilo onazo.
- Kubaluleke kakhulu ukuzikhusela elangeni iiyure ezingama-24 emva konyango. Kubaluleke kakhulu ukunxiba iiglasi zelanga ezithintela imisebe ye-UV.
- Landela yonke imiyalelo enikwe ngugqirha kwaye uqiniseke ukuba uyaya kwiimvavanyo ezicwangcisiweyo kunye neekliniki.
- Ukuba ukhathazekile ngengxaki okanye isiphumo esithile, ungaze woyike ukuthetha ngokukhululekileyo nogqirha wakho ngayo.
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