Isitofu sokugonya seTemozolomide: Masithethe ngolu nyango lomhlaza wobuchopho!

Kuqhelekile ukuziva uxinezelekile xa wena okanye umntu osondeleyo kuwe efunyaniswa ukuba unesifo esifana nomhlaza wobuchopho. Kodwa xa uzama ukufumanisa ukuba loluphi unyango olufumanekayo, ugqirha wakho unokukuxelela ngamayeza ahlukeneyo. Umzekelo, iTemozolomide sisitofu esikhethekileyo esisetyenziselwa ukunyanga iintlobo ezithile zomhlaza wobuchopho. Eli liyeza le-chemotherapy. Makhe sithethe ngalo ngokweenkcukacha namhlanje, kulungile?

Luhlobo luni lweyeza iTemozolomide?

Ngamafutshane, iTemozolomide yinaliti efakwa emthanjeni enceda ukubulala iiseli zomhlaza. Iyinxalenye yechemotherapy. Ungayifumana le yeza phantsi kwegama lophawu elithi `TEMODAR`. Eli yeza lisebenza ngokuthintela ukukhula kweeseli zomhlaza nokuzibulala. Nangona kunjalo, alisebenzi kuzo zonke iintlobo zomhlaza wobuchopho. Ugqirha wakho uya kugqiba ukuba oku kulungile na kuwe.

Eli yeza lingasetyenziselwa nezinye iimeko zonyango, ngoko ke ukuba unemibuzo engaphezulu malunga noku, kungcono ubuze ugqirha wakho okanye ingcali yezonyango.

Ndimele ndimxelele ntoni ugqirha wam ngaphambi kokuba ndisebenzise eli yeza?

Ngaphambi kokuba uqale unyango ngeTemozolomide, kubaluleke kakhulu ukuxelela iqela lakho lokhathalelo ngezinto ezithile, kuba yiloo ndlela abaza kuceba ukukunika ngayo olu nyango ngokukhuselekileyo.

Ungalibali ukubaxelela ngezi zinto:

• Ukuba unesifo sezintso .
• Ukuba unesifo sesibindi .
• Ukuba ukhe waba ne-allergy okanye i-reaction engaqhelekanga kwi-Temozolomide, i-Dacarbazine (DTIC), amanye amayeza, ukutya, iidayi okanye izithinteli.
• Kulungile ukuba ukhulelwe okanye unethemba lokukhulelwa .
• Ukuba uncancisa .

Xa ubaxelela olu lwazi, banokuqwalasela iingozi ezinokubakho baze benze utshintsho kwisicwangciso sakho sonyango ukuba kuyimfuneko.

Ndingakunika njani eli yeza?

I-Temozolomide inikwa njengenaliti emthanjeni. Idla ngokunikezelwa yingcali yezempilo esibhedlele okanye eklinikhi.

Nangona kunjalo, kwezinye iimeko, oogqirha banokukwazi ukulungiselela ukuba uthathe eli yeza ekhaya. Ukuba kunjalo, uya kunikwa uqeqesho olufanelekileyo malunga nendlela yokulungiselela nokuthatha eli yeza ngokufanelekileyo. Kubalulekile ukulithatha kanye njengoko kuyalelwe . Kubalulekile nokulithatha ngexesha elifanelekileyo nangomlinganiselo ofanelekileyo. Ungaze uthathe ngaphezu komlinganiselo omiselweyo.

Kubalulekile:Kufuneka ufake iinaliti neesirinji ezisetyenzisiweyo kwisikhongozeli esikhethekileyo se-sharps. Musa ukuzilahla emgqomeni. Ukuba awunayo, cela enye kwikhemesti yakho okanye kumboneleli wezempilo.

Ukuba unika abantwana eli yeza, kufuneka uthethe nogqirha wakho wabantwana ngalo, kuba lisenokufuna unyango olukhethekileyo.

I-Overdose: Ukuba ucinga ukuba usele eli yeza kakhulu, fowunela iziko lolawulo lwetyhefu okanye igumbi longxamiseko ngokukhawuleza.

Nceda uqaphele: Eli yeza lelakho kuphela. Musa ukulinika omnye umntu.

Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?

Kubaluleke kakhulu ukusela amayeza akho ngexesha lonyango. Ukuba awukwazi ukuwasela amayeza akho ngosuku olucwangcisiweyo, fowunela ugqirha wakho okanye ingcali yezempilo ngokukhawuleza uze ubazise.

Zeziphi izinto ezinokudibana nale mithi?

Amanye amayeza anokusebenzisana neTemozolomide. Oku kuthetha ukuba xa esetyenziswa kunye, ukusebenza kwawo kunokutshintsha okanye iziphumo ebezingalindelekanga zinokwanda.

• Ezinye izitofu zokugonya
• I-Valproic acid (eli liyeza elidla ngokunikezelwa kwisifo sokuwa)

Olu luhlu aluphelelanga. Ngoko ke, xelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo (amiselwe ngugqirha okanye athengiswa ngaphandle kwemvume kagqirha), amayeza owasebenzisayo, iivithamini (izongezo zokutya), kunye nokuba uyatshaya, usela utywala, okanye usebenzisa iziyobisi ezingekho mthethweni. Ezinye zezi zinto zinokudibana nalo mayeza.

Lumka kakhulu ngezi zinto xa usebenzisa eli yeza!

Ungaziva ungakhululekanga kwaye ungenazintloni ngelixa usebenzisa eli yeza. Oku kuqhelekile. Oku kungenxa yokuba i-chemotherapy ayinakuchaphazela iiseli zomhlaza kuphela kodwa neeseli ezisempilweni. Ukuba ufumana naziphi na iziphumo ebezingalindelekanga, xelela ugqirha wakho. Qhubeka nonyango, nokuba alukhululekanga, de ugqirha wakho akuxelele ukuba uyeke.

Iimpendulo eziqatha zesikhumba ezinokubakho

Eli yeza ngamanye amaxesha linokubangela ukusabela okukhulu kwesikhumba . Oku kunokwenzeka kwiiveki okanye kwiinyanga emva kokuba uqale ukusela iyeza. Ukuba uvela irhashalala enomkhuhlane okanye iimpawu ezifana nomkhuhlane, bona ugqirha wakho ngoko nangoko. La marhashalala anokuba bomvu okanye abe mfusa, aze kamva ajike abe ngamadyungudyungu kwaye aqhekeke. Okanye, ukuba uvela irhashalala ebomvu ene-lymph nodes ezivuvukileyo ebusweni bakho, emilebeni, entanyeni, okanye emakhwapheni, kufuneka uxelele ugqirha wakho.

Uvavanyo lwegazi kunye nosulelo

Igazi lisebenza ngelixa usela eli yezaKuya kufuneka wenze oku. Oku kujonga ukuba inani leeseli zakho zegazi lichanekile na.

Ukuba ubonakalisa iimpawu ezinje ngomkhuhlane, ukubanda, umphimbo obuhlungu, impumlo egobhozayo, okanye urhudo, tsalela umnxeba ugqirha wakho ukuze akunike ingcebiso. Musa ukuzinyanga. Eli yeza linciphisa amandla omzimba wakho okulwa nezifo (amandla omzimba okulwa nosulelo). Ngoko ke, zama ukuhlala kude nabantu abagulayo.

Ukopha kunye nokudumba

Eli yeza lingakwenza ube nemivumbo okanye uphume igazi lula . Xelela ugqirha wakho ukuba ubona ukopha okungaqhelekanga (umzekelo, ukopha empumlweni, ukopha kweentsini xa uhlamba amazinyo, okanye amabala amancinci abomvu phantsi kolusu).

Eminye ingozi yomhlaza

Kunokubakho umngcipheko wokufumana iintlobo ezithile zomhlaza ngelixa usela eli yeza. Thetha nogqirha wakho ngale nto.

Ukukhulelwa, ukuncancisa kunye nokuzala

Le yingxaki enkulu .

• Kwabasetyhini:
• Ufanele ukuphephe ukukhulelwa ngelixa usebenzisa eli yeza kwaye ubuncinane iinyanga ezi-6 emva kokuyeka ukusebenzisa eli yeza, kuba linokubangela iziphumo ebezingalindelekanga ezibi kakhulu kumntwana ongekazalwa.
• Ukuba unethemba lokukhulelwa, okanye ukuba ucinga ukuba ukhulelwe, xelela ugqirha wakho ngoko nangoko.
• Musa ukuncancisa umntwana wakho ubuncinane iveki emva kokuba uyekile ukusebenzisa le mithi.
• Kwamadoda:
• Njengaxa wawusela la mayeza, musa ukucinga ngokuba nomntwana ubuncinane iinyanga ezi-3 emva kokuba uyekile ukuwasela.
• Ukuba iqabane lakho likhulelwa ngeli xesha, xelela ugqirha wakho ngoko nangoko.
• Kuphephe ukunikela ngesidoda ngelixa usebenzisa eli yeza kwaye ubuncinane iinyanga ezi-3 emva kokuba uyekile.

Eli yeza lisenokuchaphazela ukuzala (amandla okufumana abantwana) kwamanye amadoda. Ukuba uneenkxalabo malunga noku, thetha nogqirha wakho.

Zithini iziphumo ebezingalindelekanga ezinokubakho?

Njengazo zonke iziyobisi, iTemozolomide inokubangela iziphumo ebezingalindelekanga. Ezinye zazo kufuneka zixelwe kugqirha wakho ngoko nangoko, ngelixa ezinye zingembi kangako, kodwa ukuba ziyaqhubeka okanye ziyakhathaza, kufuneka uxelele ugqirha wakho.

Iziphumo ebezingalindelekanga ekufuneka zixelwe kugqirha okanye kwingcali yezempilo ngokukhawuleza:

• Iimpendulo ze-allergy: ukurhawuzelela kwesikhumba, ukurhawuzelela okanye ukurhawuzelela, ukudumba kobuso, imilebe okanye ulwimi.
• Iingxaki zokuphefumla.
• Ukubalwa kwegazi okuphantsi: Eli yeza linokubangela ukwehla kwenani leeseli ezimhlophe zegazi, iiseli ezibomvu zegazi, kunye neeplatelets. Oku kunokunyusa umngcipheko wakho wosulelo kunye nokopha.
• Iimpendulo zesikhumba:Ubomvu, ukuqhekeka, ukuxobuka okanye ukukhululeka kolusu, nokuba ngaphakathi emlonyeni.
• Iimpawu zosulelo: umkhuhlane okanye ukubanda, ukukhohlela, umphimbo obuhlungu, iintlungu okanye ubunzima bokuchama.
• Iimpawu zokuncipha kweeplatelets okanye ukopha: ukukrweleka, ukukhonkotha amabala abomvu eluswini, umnyama, indle ethambileyo, igazi emchameni.
• Iimpawu zokuncipha kweeseli ezibomvu zegazi: Ukuziva ubuthathaka okanye udiniwe ngendlela engaqhelekanga, ukuquleka, ukuziva unentloko ebuhlungu.
• Iimpawu kunye neempawu zokulimala kwesibindi: umchamo otyheli okanye omdaka omnyama; ukungonwabi ngokubanzi okanye umkhuhlane; ilindle elikhanyayo; ukuphelelwa ngumdla wokutya; isicaphucaphu; iintlungu esiswini esingaphezulu ngasekunene; ubuthathaka okanye ukudinwa okungaqhelekanga; ukutyheli kwamehlo okanye ulusu (i-jaundice).
• Iimeko zokuxhuzula/ukuxhuzula.

Iziphumo ebezingalindelekanga ezihlala zingadingi nyango (zixele kugqirha wakho okanye kwingcali yezempilo ukuba ziyaqhubeka okanye ziyakukhathaza):

• Ukuqhinwa
• Urhudo
• Ukulahleka kweenwele
• Intloko ebuhlungu
• Intlungu, ubomvu, okanye ukucaphuka kwindawo yokujova
• Ukuhlanza

Olu luhlu aluzizo zonke iziphumo ebezingalindelekanga ezinokubakho. Ukuba ubona nantoni na engaqhelekanga ukongeza kwezi, funa ingcebiso kagqirha. Ungaxela iziphumo ebezingalindelekanga kugqirha wakho okanye kwigunya lezempilo.

Uligcina njani eli yeza?

Eli yeza lifanele ligcinwe kude nabantwana .

Ukuba usebenzisa eli yeza ekhaya, uza kunikwa imiyalelo yokuba ungaligcina njani ngokufanelekileyo. Lahla naliphi na iyeza elingasetyenziswanga emva komhla wokuphelelwa kwalo kwileyibhile.

Okokugqibela, izinto ezimbalwa (Umyalezo Wokuya Ekhaya)

I-Temozolomide liyeza elibalulekileyo elinceda ekulweni nomhlaza wobuchopho. Nangona kunjalo, njengazo zonke iziyobisi, ineengozi zayo kunye nemiphumo emibi. Eyona nto ibalulekileyo kukuthetha nogqirha wakho ngokukhawuleza ukuba unemibuzo, iinkxalabo, okanye iinkxalabo. Ngabo banokukunceda ngcono.

Xa usenza olu nyango, inkxaso yosapho lwakho kunye nabahlobo nayo ibaluleke kakhulu. Hlala uqinile, landela imiyalelo kagqirha wakho, kwaye ujongane nalo mceli mngeni. Sonke sikunqwenelela ukuchacha ngokukhawuleza!

I- Temozolomide, iKhemotherapy, umhlaza wobuchopho, amayeza omhlaza, iziphumo ebezingalindelekanga, i-TEMODAR