Sonke siyazi ukuba ukulwa nomhlaza akulula. Kule mfazwe, oogqirha bakho baya kucebisa unyango olwahlukeneyo, olufana ne-chemotherapy. I-Pegaspargase (igama lophawu: i-Oncaspar) yenye yezona ziyobisi zibalulekileyo nezinamandla ezisetyenziselwa ukunyanga uhlobo lomhlaza wegazi olubizwa ngokuba yi -acute lymphoblastic leukemia (ALL) . Ngoko ke, ukuba wena okanye umntu omthandayo unikwa eli yeza, kuya kuba luncedo kakhulu kuwe ukuba nokuqonda okulula nokucacileyo kwayo yonke into ngalo. Masithethe ngale nto.
Luhlobo luni lweyeza iPegaspargase?
Ngamafutshane, iPegaspargase liyeza le-chemotherapy, oko kukuthi, liyeza elinikwa ukubulala iiseli zomhlaza . I-Asparagine sisondlo esibalulekileyo ukuze iiseli zomhlaza zikhule. Into eyenziwa yiPegaspargase kukuqhekeza esi sondlo se-asparagine emzimbeni, inciphise iiseli zomhlaza "ukutya". Emva koko iiseli zomhlaza azikwazi ukukhula kwaye ziyafa.
Nangona isetyenziswa kakhulu ukunyanga i-Acute Lymphoblastic Leukemia (YONKE), ngamanye amaxesha ingasetyenziselwa ezinye iintlobo zomhlaza njengoko kucetyisiwe ngugqirha wakho.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale unyango
Ngaphambi kokuba uqale olu nyango, kubaluleke kakhulu ukuxelela ugqirha wakho ngembali yakho epheleleyo yempilo. Eli yeza lisenokudibana neemeko ezithile zempilo. Qiniseka ukuba uxelela ugqirha wakho ngezi zinto ngokukodwa:
- Ii-Allergies: Qiniseka ukuba uyasixelela ukuba unayo nayiphi na i-allergies kwi-Pegaspargase, i-L-asparaginase, iiproteni ze-E. coli, amanye amayeza, ukutya, okanye iidayi.
- I-Pancreatitis: Ukuba ukhe waba ne-pancreatitis ngaphambili.
- Isifo sesibindi: Ukuba unesifo sesibindi.
- Iingxaki zokujiya kwegazi: Ukuba igazi lakho lijiya lula okanye ukuba unengxaki yokopha.
- Isifo seswekile: Ukuba unesifo seswekile okanye ezinye iingxaki ezinxulumene namanqanaba eswekile egazini.
- Ukukhulelwa: Kubalulekile ukuxelela ugqirha wakho ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa. Oku kubaluleke kakhulu.
Nika ugqirha wakho uluhlu olupheleleyo lwazo zonke ezinye iziyobisi ozisebenzisayo, kuquka iivithamini, amayeza esintu, kunye nezongezo.
Eli yeza linikwa njani emzimbeni?
Le ayisiyopilisi onokuyisa ekhaya. Inikwa esibhedlele okanye ekliniki., ngugqirha okanye abasebenzi bomongikazi kuphela abafumene uqeqesho olukhethekileyo kule nkalo.
Kukho iindlela ezimbini zokusebenzisa amayeza:
1. Ukufakwa ngaphakathi kwemithambo yegazi: Iyeza , njenge-saline, lingeniswa kancinci emzimbeni ngemithambo yegazi.
2. Inaliti yemithambo: Inaliti kwisihlunu.
Oku kunikwa abantwana abancinci, kwanabantwana abancinci abaneminyaka eyi-1 ubudala, phantsi kweemeko ezithile ezikhethiweyo. Nangona kunjalo, isigqibo senziwa ngugqirha wabantwana.
Zeziphi izinto ekufuneka ziqwalaselwe xa usenza unyango?
Ugqirha wakho uza kukujonga ngononophelo ngelixa usela eli yeza.
- Uvavanyo lwegazi: Kuya kufuneka uhlolwe igazi rhoqo ukuze ubone ukuba iyeza lichaphazela njani umzimba wakho.
- Iswekile egazini: Eli yeza lingonyusa amanqanaba eswekile egazini. Ukuba unesifo seswekile, thetha nogqirha wakho malunga nokutya kunye nokuba kufuneka utshintshe amayeza akho eswekile.
- Ii-Allergy: Ngamanye amaxesha ii-allergy ezinzima zinokwenzeka kweli yeza. Ukunciphisa lo mngcipheko, ugqirha wakho unokugqiba ekubeni akunike amanye amayeza (umz. ii-antihistamines, ii-steroids) ngaphambi kokuba akunike i-Pegaspargase.
- Ukukhulelwa kunye nokuncancisa (KUBALULEKILE): Oku kubaluleke kakhulu.
- Musa ukukhulelwa nangasiphi na isizathu ngelixa usebenzisa eli yeza .
- Kuphephe ukukhulelwa ubuncinane iinyanga ezi-3 emva kokuyeka unyango.
- Ngokuqinisekileyo kufuneka usebenzise ucwangciso-nzala ngeli xesha. Nangona kunjalo, ekubeni iipilisi zokulawula ukuzalwa ngeehomoni (izithinteli-nzala ezithathwa ngomlomo) zinokusebenzisana nale mithi, thetha nogqirha wakho malunga nokusebenzisa indlela yokuthintela ukukhulelwa engeyiyo eyehomoni (umz. iikhondom).
- Ukuba unesikrokro sokuba ukhulelwe, xelela ugqirha wakho ngoko nangoko .
- Musa ukuncancisa umntwana wakho ngexesha lonyango kwaye emva kwenyanga enye uyekile.
Iziphumo ebezingalindelekanga ezinokubakho ngenxa yamayeza
Njengayo nayiphi na iyeza, iPegaspargase inokubangela iziphumo ebezingalindelekanga. Ayinguye wonke umntu ozifumanayo. Nangona kunjalo, kubalulekile ukuzazi ezi mpawu. Ukuba ubona naziphi na iimpawu ezinzulu, yazisa abasebenzi bezonyango ngoko nangoko okanye uye kwiSebe leNgxamiseko elikufutshane (ETU) .
| Udidi lweziphumo ebezingalindelekanga | Iimpawu ekufuneka uziqaphele |
|---|---|
| Izinto onokuzixelela ugqirha wakho okanye abasebenzi basesibhedlele ngoko nangoko | |
| Iimpendulo Ezinzima Zokwaliwa Yi-Allergic | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe okanye ulwimi, ubunzima bokuphefumla. |
| Iimpawu zokopha | Indle emnyama, ethambileyo; umchamo obomvu okanye omdaka; ukuhlanza okufana nokugabha ikofu okanye ukuhlanza igazi; amabala abomvu eluswini; ukopha okungaqhelekanga emehlweni, kwiintsini, okanye empumlweni. |
| Iimpawu zeClot yegazi | Intlungu esifubeni; ubunzima bokuphefumla; intlungu yomlenze, ukudumba, okanye ukufudumala. |
| Iimpawu zomonakalo wesibindi | Umchamo otyheli okanye omdaka omnyama; ukutyheli kwamehlo okanye ulusu; umkhuhlane; ukungabi namdla wokutya; iintlungu kwicala eliphezulu lasekunene lesisu; indle ekhanyayo. |
| Iimpawu zeswekile ephezulu egazini | Unxano olungaqhelekanga kunye nendlala; ukuchama rhoqo; ukudinwa kakhulu; ukubona okufipheleyo. |
| Ezinye iimpawu eziqatha | Intloko ebuhlungu kakhulu, iintlungu zesisu eziqatha (kusenokuba luphawu lwe-pancreatitis). |
| Ukuba iyaqhubeka okanye iyakhathaza, xelela ugqirha wakho. | |
| Iziphumo ebezingalindelekanga eziqhelekileyo | Ukubila, ukwehla kobunzima. |
Ngaba kukho iingxaki ngamanye amayeza? (Iindlela esetyenziswa ngayo)
Ewe. Amanye amayeza anokubangela iingxaki xa esetyenziswa ngePegaspargase. Umzekelo:
- i-methotrexate
- uVincristine
- i-cytarabine
- i-dexamethasone
- Iipilisi zokulawula ukukhulelwa (izithinteli zokukhulelwa ezithathwa ngomlomo)
Olu luhlu aluphelelanga. Ngoko ke, xelela ugqirha wakho ngayo yonke imithi oyithathayo, kuquka neevithamini . Ungalibali ukumxelela ukuba uyatshaya okanye usela utywala.
Umyalezo Wokuya Ekhaya
- I-Pegaspargase liyeza elinamandla le-chemotherapy elisetyenziselwa ukunyanga uhlobo lomhlaza wegazi olubizwa ngokuba yi-Acute Lymphoblastic Leukemia (ALL).
- Eli yeza linikwa esibhedlele kuphela, phantsi kweliso likagqirha.
- Ngaphambi kokuba uqale unyango, xelela ugqirha wakho ngazo zonke iimeko zakho zempilo, ii-allergies, kunye namanye amayeza owasebenzisayo.
- Ukuba ufumana iimpawu ezinje ngokungezwani komzimba okunzulu, ukopha, ukuqhekeka kwegazi, okanye iintlungu zesisu eziqatha, yazisa abasebenzi bezonyango ngoko nangoko.
- Kuphephe ukukhulelwa ngokupheleleyo ngexesha lonyango kwaye emva kweenyanga ezi-3. Sebenzisa indlela yokulawula inzala ethembekileyo, engeyiyo eyehomoni.
- Nceda uye kwintlanganiso yakho yonyango ecwangcisiweyo ngexesha. Ukuba awukwazi ukuya, nceda wazise isibhedlele kwangaphambili.
- Ukuba unemibuzo okanye iinkxalabo malunga nale mithi, thetha nogqirha wakho ngayo ngokukhululekileyo.
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