Isitofu sokugonya seNelarabine: Ngaba uyayazi le mithi yomhlaza?

Ngaba wena okanye umntu omaziyo wakha waxelelwa ngugqirha malunga neyeza elibizwa ngokuba yi-'Nelarabine'? Okanye waziva usoyika kancinci xa usiva eli gama? Oko kunokwenzeka, kuba eli liyeza elikhethekileyo elinikwa umhlaza. Kodwa ungoyiki. Eyona nto ibalulekileyo kukwazi. Ngoko ke namhlanje, masithethe ngesi sitofu se-'Nelarabine', into esiyenzayo, kunye nento ekufuneka siyilumkele, ngendlela elula onokuyiqonda.

Yintoni le yeza? Yintoni `(Nelarabine)`?

Ngamafutshane, i-'Nelarabine' liyeza elilwa neeseli zomhlaza kwaye linceda ekumiseni ukukhula kwazo. Liyeza elikwiqela le-'chemotherapy' kwaye linikwa njengenaliti. Ngokukodwa, lisetyenziswa kakhulu kwiintlobo ezimbini zomhlaza eziqala kuhlobo lweseli emzimbeni wethu ezibizwa ngokuba yi-'T-cells'. Zezi:

• `I-T-cell lymphoblastic leukemia`
• `I-T-cell lymphoblastic lymphoma`

Eli yeza lisebenza ngokuthintela iiseli zomhlaza ukuba zingahlukani, zikhule, kwaye zisasazeke emzimbeni wonke. Oko kukuthi, lilawula inkqubela yomhlaza ukuya kwinqanaba elithile. Nangona kunjalo, eli liyeza elifanele lisetyenziswe kuphela phantsi kwengcebiso kagqirha, kwaye kanye njengoko kumiselwe. Ngamanye amaxesha, ugqirha wakho angakunika eli yeza ngezinye izizathu kuxhomekeke kwimeko yakho. Ngoko ke ukuba unemibuzo, kungcono ukubuza ugqirha wakho okanye ikhemisti.

Ungalibona eli yeza phantsi kwegama lophawu elithi `Arranon`.

Zeziphi izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uthathe amayeza?

Ngaphambi kokuba uqale ukusebenzisa iNelarabine, kukho izinto ezimbalwa ekufuneka uzixelele ugqirha wakho. Oku kuya kunceda ugqirha wakho agqibe ukuba eli yeza likulungele na kwaye zeziphi izilumkiso ekufuneka uzithathe.

Nazi ezo ngongoma zibalulekileyo:

• Ukuba sele ufumene unyango lwe-chemotherapy okanye i-radiation engqondweni okanye emgogodleni wakho.
• Ukuba uneengxaki zezintso okanye izifo, umzekelo, ukuba ubunezintso ezibuthathaka ixesha elide, kufuneka ubaxelele.
• Ukuba uneengxaki ngenkqubo yemithambo-luvo. Oko kuthetha ukuba wakha waxhuzula ngaphambili, waphelelwa bubuthongo, okanye waphelelwa zimvakalelo.
• Ukuba usandul’ ukufumana naluphi na ugonyo, okanye uceba ukulufumana kwixesha elizayo.
• Ukuba une-allergy kwi-Nelarabine, amanye amayeza e-chemotherapy, naluphi na olunye unyango, ukutya, iidayi, izithinteli, okanye nantoni na enye. Nokuba kukurhawuzelela okuncinci okanye ukusabela okukhulu kwe-allergy, sixelele.
• Ukuba ukhulelwe okanye uzama ukukhulelwa, oku kubaluleke kakhulu.
• Ukuba ungumama oncancisayo.

Kubaluleke kakhulu kukhuseleko lwakho ukuxelela ugqirha ezi zinto ngaphandle kokuzifihla, uyaqonda?

Ulisebenzisa njani eli yeza?

I-'Nelarabine' ayisiyopilisi oyiginyayo. Inikwa njenge-infusion emthanjeni. Kufana nokunika i-saline. Le ayisiyonto unokuyenza ekhaya. Eli yeza linikwa wena esibhedlele okanye eklinikhi ngugqirha okanye umongikazi ofumene uqeqesho olukhethekileyo koku.

Ngaba eli yeza linokunikwa abantwana abancinci?

Ewe, ngamanye amaxesha eli yeza linokunikwa abantwana abaneminyaka eli-1 ubudala, kwiintlobo ezithile zomhlaza. Kodwa lenziwa phantsi kweliso elibukhali leengcali, nangononophelo olukhulu. Ngoko ke ukuba uthetha nomntwana wakho ngale yeza, thetha nogqirha wabantwana ngalo ngononophelo kwaye umchazele yonke into.

Kuza kwenzeka ntoni ukuba uthatha amayeza amaninzi kakhulu?

Oku akunakwenzeka, njengoko kunikwe ngabasebenzi besibhedlele. Nangona kunjalo, ukuba ucinga ukuba oku kuye kwenzeka kuwe, oko kuthetha ukuba uzive ngathi usele kakhulu, fowunela iziko lokulawula ityhefu okanye igumbi likaxakeka ngokukhawuleza.

Kubalulekile: Eli yeza limiselwe wena wedwa. Musa ukwabelana ngeli yeza nabanye abantu nangasiphi na isizathu.

Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?

Kubaluleke kakhulu ukuthatha amayeza akho ngexesha lonyango. Ukuba awukwazi ukuya esibhedlele okanye ekliniki ngosuku okanye ngexesha elicwangcisiweyo, fowunela ugqirha wakho okanye ingcali yezempilo ngokukhawuleza uze ubazise. Baza kukuxelela into omawuyenze ngokulandelayo.

Ziziphi ezinye izinto ezinokusebenzisana nale mithi?

INelarabine inokusebenzisana namanye amayeza, oko kuthetha ukuba inokuphazamisana nawo. Ukuba oku kuyenzeka, iziphumo zamayeza zinokutshintsha okanye iziphumo ebezingalindelekanga zinganda.

• Njengoko kuye kwafunyaniswa, iyeza elithi `Nelarabine` linokunxibelelana nelithi ` Pentostatin` .

Olu luhlu alubandakanyi zonke iindlela ezinokwenzeka zokunxibelelana. Ngoko ke, xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (amayeza amiselweyo, athengiswa ngaphandle kwemvume kagqirha, amayeza esintu, iivithamini, iimveliso zezityalo). Kubalulekile ukuxelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi.

Izinto ekufuneka uzilumkele xa usebenzisa amayeza

Xa usela eli yeza le-'chemotherapy', ungaziva ungakhululekanga kwaye ungaphilanga kakuhle. Oku kuqhelekile. Kuba eli yeza le-'chemotherapy' linokuchaphazela kungekuphela nje iiseli zomhlaza, kodwa neeseli ezisempilweni emzimbeni wethu. Ke ngoko, ukuba ufumana naziphi na iziphumo ebezingalindelekanga, xelela ugqirha wakho. Qhubeka nonyango nokuba alukukhululeki de ugqirha akuxelele ukuba uyeke unyango.

• Uvavanyo lwegazi:Ngelixa usela eli yeza, kuya kufuneka uhlolwe igazi rhoqo ukuze ujonge amanqanaba egazi lakho.
• Lumka kwiintsholongwane: Ukuba uneempawu zomkhuhlane ezifana nomkhuhlane, impumlo egobhozayo, umphimbo obuhlungu, kunye nokukhwehlela, musa ukuzinyanga. Fowunela ugqirha wakho ngoko nangoko. Eli yeza linokunciphisa amandla omzimba wakho okulwa nokugula. Ngoko ke, zama ukuhlala kude nabantu abagulayo kangangoko unako.
• Ukozela/Ukudinwa: Eli yeza linokukwenza uzive ulele okanye unesizungu. Ngoko ke, de wazi kakuhle indlela eli yeza elikuchaphazela ngayo, musa ukuqhuba, ukusebenzisa oomatshini, okanye ukwenza eminye imisebenzi efuna ukulumka. Ingakumbi ukuba ukhulile, musa ukuphakama kwindawo ohleli kuyo okanye omi kuyo ngequbuliso. Oku kunokubangela isizungu kwaye uwe.
• Ukukhulelwa nokuncancisa:
• Musa ukukhulelwa ngelixa usebenzisa eli yeza. Ukuba uzama ukukhulelwa, okanye ukuba ucinga ukuba ukhulelwe, xelela ugqirha wakho ngoko nangoko.
• Amadoda nawo kufuneka akuqaphele oku. Musa ukuba nguyise womntwana ngelixa usela eli yeza kwaye kangangeenyanga ezi-3 emva kokuyeka ukusebenzisa eli yeza. Eli yeza linokubangela ingozi enkulu kusana olungekazalwa. Buza ugqirha wakho okanye ikhemisti ukuba akunike ulwazi oluthe kratya malunga noku.
• Musa ukuncancisa umntwana wakho xa usebenzisa eli yeza.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengazo zonke iziyobisi, iNelarabine inokubangela ezinye iziphumo ebezingalindelekanga. Ezinye zinzima kwaye kufuneka zixelwe kugqirha wakho ngoko nangoko. Ezinye azinzima kangako, kodwa ukuba ziyaqhubeka, kufuneka uxelele ugqirha wakho ukuba ziyakukhathaza.

Iziphumo ebezingalindelekanga ekufuneka uxelele ugqirha wakho ngazo ngoko nangoko:

• Iimpendulo ze-allergy: Ukurhawuzelela kwesikhumba, ukurhawuzelela, amaqhuqhuva, ukudumba kobuso, imilebe nolwimi.
• Ukuncipha kokubala kwegazi: Eli yeza lisenokunciphisa inani leeseli ezimhlophe zegazi, iiseli ezibomvu zegazi, kunye neeplatelets emzimbeni wakho.
• Iimpawu zosulelo (ngenxa yokuba iiseli ezimhlophe zegazi ziphantsi): umkhuhlane okanye ukubanda, ukukhwehlela, umphimbo obuhlungu, iintlungu okanye ubunzima bokuchama.
• Iimpawu zokopha (ngenxa yeeplatelets ezisezantsi): ukukrweleka emzimbeni wonke, amabala amancinci abomvu eluswini, umnyama, indle ephumayo, kunye nokopha empumlweni.
• Iimpawu zeeseli ezibomvu zegazi ezisezantsi (i-anemia): ukudinwa kakhulu, ubuthathaka, ukuquleka, ukuziva unesiyezi.
• Intlungu okanye ubuthathaka bemisipha.
• Intlungu, ukuba ndindisholo, kunye nokulahlekelwa luvakalelo kwimilenze.
• Ukulahlekelwa yibhalansi xa uhamba okanye unyuka izinyuko. Umzekelo, ukuba ukufumanisa kunzima ukuqhobosha ihempe okanye iileta zakho ziyabhidana xa ubhala, usenokuba neengxaki zomzimba ezingasebenzi kakuhle.
• Ukuxhuzula.
• Ukungaziva ngqindilili okanye ubuthathaka ebusweni, engalweni, okanye emlenzeni.
• Ukudinwa kakhulu, ukudinwa.

Iimpawu ezidla ngokungadingi nyango (kodwa xelela ugqirha wakho ukuba ziyaqhubeka okanye ziyakukhathaza):

• Ukuqhinwa
• Urhudo
• Intloko ebuhlungu
• Ukulahlekelwa ngumdla wokutya
• Isicaphucaphu, ukuhlanza

Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ubona enye into, nceda ubuze ugqirha wakho.

Ndingaligcina njani iyeza?

Akufuneki ukhathazeke kakhulu ngale nto. Kuba, awuyi kuvunyelwa ukuba uthathe iNelarabine uye nayo ekhaya. Eli liyeza elinikwa esibhedlele okanye ekliniki phantsi kweliso likagqirha okanye umongikazi. Ngoko ke, abasebenzi besibhedlele banoxanduva lokugcina eli yeza.

Eyona nto ibalulekileyo - khumbula! (Umyalezo oya nawo ekhaya)

Kulungile, ngoko ke sithethe kakhulu ngeNelarabine namhlanje. Okokugqibela, nazi izinto ezibalulekileyo ekufuneka uzikhumbule:

• I-Nelarabine luhlobo lweyeza le-chemotherapy elilawula ukukhula kweeseli zomhlaza.
• Oku kuyinyani ngakumbi kwiimeko ze-leukemia kunye ne-lymphoma ezinxulumene ne-T-cell.
• Ngaphambi kokuba usebenzise iyeza, xelela ugqirha wakho ngalo lonke ulwazi lwakho lwempilo, amanye amayeza owasebenzisayo, kunye nee-allergies.
• Eli yeza linikwa ngemithambo yegazi, esibhedlele.
• Qaphela iziphumo ebezingalindelekanga, kwaye ukuba ubona nantoni na engaqhelekanga, xelela ugqirha wakho ngoko nangoko.
• Eli yeza alifanelekanga ukusetyenziswa ukuba ukhulelwe, uceba ukukhulelwa, okanye ungumama oncancisayo. Thetha nogqirha wakho ngale nto.
• Eli yeza lelakho wedwa, ungaliniki omnye umntu.

Ndiyathemba ukuba olu lwazi luza kukunceda. Ukuba unemibuzo, ungathandabuzi ukubuza ugqirha wakho. Ndikunqwenelela ukuchacha ngokukhawuleza!

` I-Nelarabine, i-Nelarabine, Amayeza oMhlaza, iKhemotherapy, i-Leukemia, i-Lymphoma, Iziphumo ezingalindelekanga zoMhlaza