Xa ulwa nomhlaza, kuyinto eqhelekileyo ukuziva usoyika kwaye unexhala xa usiva igama elithi 'unyango lwemitha'. Nangona kunjalo, xa usiva igama elithi 'imitha emzimbeni wonke', olo loyiko lunokuba lukhulu nangakumbi. Kodwa i-Total Body Irradiation (TBI) esithetha ngayo namhlanje, ukuba iqondwa ngokuchanekileyo, inokuba linyathelo elibaluleke kakhulu nelikhuselekileyo kuhambo lwakho lonyango. Ngoko masifumane iimpendulo kuyo yonke imibuzo yakho malunga nayo, akunjalo?
Yintoni i-Total Body Irradiation (TBI)?
Ngamafutshane, olu luhlobo lonyango lwemitha. Kodwa alufani nezinye iindlela zonyango lwemitha. Endaweni yokuba ijolise kwidosi ephezulu yemitha kwithumba kuphela, i-TBI inika idosi ephantsi kakhulu yemitha emzimbeni wonke ngendlela elawulwayo.
Cinga ngokulungiselela umhlaba kuyo yonke igadi yakho ngokongeza isichumiso esincinci, kungekhona nje ukutsala ukhula oluncinci. Injongo ephambili yoku kukulungiselela inyathelo elikhulu elilandelayo kunyango, elikukufakelwa kwethambo okanye ukufakelwa kweeseli zesiqu.
Kutheni udinga olu nyango?
Kukho izizathu ezininzi eziphambili zokuba ugqirha wakho angacebisa olu nyango.
- Tshabalalisa iiseli zomhlaza: Oku kunceda ekutshabalaliseni iiseli zomhlaza ezifihliweyo kwiindawo ezinzima ukufikelela kuzo, ingakumbi kumongo wethambo kunye nenkqubo yemithambo-luvo.
- Ukuvula indawo yokufakelwa umongo wethambo: Ukuba ucwangciselwe ukufakelwa umongo wethambo, olu nyango lunceda ekunciphiseni inani leeseli ezindala zomongo wethambo ukuze kuvuleke iiseli ezintsha neziphilileyo emzimbeni wakho.
- Lawula amasosha omzimba wakho: Ukuze ukufakelwa komongo wethambo kuphumelele, amasosha omzimba wakho akufuneki alahle iiseli ezintsha. Olu nyango lulawula ngokukhuselekileyo umsebenzi waloo masosha omzimba, lunyusa amathuba okuba ukufakelwa komongo kuphumelele.
Zeziphi iimeko ezisetyenziselwa unyango lweTBI?
I-Total Body Irradiation idla ngokwenziwa kunye nezinye iindlela zonyango lomhlaza, ezifana ne-chemotherapy. Nazi ezinye zeemeko ezinokunyangeka ngayo.
| Igama lesifo (Isimo) | Intshayelelo emfutshane |
|---|---|
| I-Leukemia | Umhlaza wegazi kunye nomongo wamathambo. |
| I-Lymphoma | Umhlaza owenzeka kwinkqubo ye-lymphatic. |
| I-Multiple Myeloma | Umhlaza weeseli zeplasma kumongo wethambo. |
| Isifo seMyelodysplastic | Isifo apho ukuveliswa kweeseli zegazi ezisempilweni kumongo wethambo kungahambi kakuhle. |
Kwenzeka ntoni ngaphambi nangexesha lonyango?
Ukucwangcisa ngaphambi konyango
Oku kufana nokuziqhelanisa nomdlalo. Ngaphambi kokuba kunikwe imitha yokwenyani, kubakho 'intlanganiso yokucwangcisa' (ukulinganisa) ukucwangcisa yonke into ngokuchanekileyo. Ngeli xesha, uthatha i-CT scan, kwaye ingcali yemitha ithatha imilinganiselo efunekayo. Umzimba wakho ubekwa kwindawo ethile, kwaye amabala amancinci ambalwa abekwa eluswini ukugcina loo ndawo kulo lonke unyango. La mabala ahlala ehleli, kodwa mancinci kakhulu, njengechaphaza kwi-tattoo.
Ngexesha lonyango
Kusenokufuneka uhlale esibhedlele iintsuku ezimbalwa ngelixa ufumana unyango lweTBI. Nantsi into eyenzekayo ngexesha lonyango:
- Ingcali ye-radiation iza kukubeka kwindawo echanekileyo njengoko bekucwangcisiwe.
- Ukunciphisa idosi yemitha kwizitho ezithile, ezifana nemiphunga, izikhuselo ezikhethekileyo zingabekwa phezu kwezo ndawo.
- Ingcali ye-radiation iza kuphuma kwigumbi. Uza kuba wedwa ngexesha lonyango. Kodwa ungakhathazeki, baza kukujonga ngeekhamera, kwaye ungathetha nabo nge-intercom.
- Umatshini omkhulu obizwa ngokuba yi-linear accelerator uhamba ujikeleze wena kwaye ukhupha imisebe yemitha.
Ngokwesiqhelo, iseshoni yonyango enye ingathabatha imizuzu engama-60. Usenokufumana ithuba lokwenza ezinye izinto ngeli xesha, njengokumamela umculo, ukuba uyafuna. Uninzi lwabantu lufumana olu nyango kabini okanye kathathu ngemini, kangangeentsuku ezintathu ukuya kwezintlanu.
Okona kubaluleke kakhulu, olu nyango alunantlungu kwaphela . Awuyi kuva naluphi na uhlobo lwemitha okanye uzive umatshini ubetha emzimbeni wakho.
Zithini iziphumo ebezingalindelekanga kunye neengozi?
Njengalo naluphi na unyango lomhlaza, i-TBI inokuba nemiphumo emibi. Kodwa le miphumo idla ngokulawulwa. Le miphumo emibi ingahluka ngokuxhomekeke kwinani lonyango olufumanayo, idosi yemitha, kunye nempilo yakho iyonke.
| Uhlobo lwesiphumo esibi | Yintoni onokuyilindela |
|---|---|
| Iziphumo ebezingalindelekanga zexesha elifutshane (iintsuku ezimbalwa okanye iiveki emva konyango) | |
| Isicaphucaphu nokuhlanza | Isicaphucaphu nokuhlanza. Kukho amayeza okulawula oku. |
| Ukudinwa | Ndiziva ndidiniwe kakhulu kwaye ndidiniwe. |
| Ukulahleka kweenwele | Ukulahleka kweenwele kunye nokulahleka kweenwele emzimbeni (okwexeshana) |
| Urhudo | Ukuqunjelwa. |
| Utshintsho lolusu | Ulusu olurhawuzelelayo, olomileyo, okanye olunombala otshintshileyo. |
| Ukuncipha kweeseli zegazi | Oku kunokukhokelela ekwandeni komngcipheko wosulelo, ukopha (umz. ukopha empumlweni , ukopha kweentsini), kunye ne-anemia yokunqongophala kwesinyithi. |
| Iziphumo ebezingalindelekanga zexesha elide (zinokwenzeka rhoqo) | |
| IiCataracts | Ukufiphala kwelensi yeliso. |
| Imiphumo ekukwazini ukuba nabantwana (Ukungazali) | Kukho umngcipheko wokungabi nabantwana. |
| Ukuvaleka kwemiphunga (i-Pulmonary Fibrosis) | Ukuvaleka kwezicubu zemiphunga. |
| I-Hypothyroidism | Ukwehla kwemveliso yehomoni ye-thyroid. |
Kubalulekile: Nangona umngcipheko wokuba nomhlaza wesibini emva kokufakelwa umongo wethambo unokwanda kancinci, kubalulekile ukukhumbula ukuba iingozi zempilo zokungafakelwa utyando zinkulu kakhulu .
Ndingazinyamekela njani emva konyango?
Ukulawula iziphumo ebezingalindelekanga kunokwenza kube lula ngeli xesha.
- Ukuba uziva unesicaphucaphu, cela iyeza laso.
- Landela icebiso likagqirha wakho malunga nokhathalelo lolusu. Ukuba bakuxelela ukuba usebenzise i-moisturizer, qiniseka ukuba uyayisebenzisa.
- Lala kakuhle, kwaye ukuba kunokwenzeka, jonga ukulala ubuncinane iiyure ezisi-8 ngobusuku .
- Thetha ngeemvakalelo zakho, uloyiko lwakho, kunye nentlungu yakho nomntu omthembayo okanye umcebisi.
- Emva kokuphuma esibhedlele, ukuba kunokwenzeka, thatha ikhefu emsebenzini uze uphumle.
Ndifanele ndimfowunele nini ugqirha?
Ukuba ufumana into efana nale ngexesha okanye emva konyango, kufuneka uthethe nogqirha wakho ngoko nangoko .
- Iimpawu zokugodola
- Umkhuhlane ngaphandle kwesizathu
- Utshintsho lolusu olufana nokudumba nokukhupha ulusu
Umyalezo Wokuya Ekhaya
- I-Total Body Irradiation (TBI) lunyango olukhethekileyo lwe-radiation olunikwa umzimba wakho wonke ngedosi ephantsi ukulungiselela ukufakelwa umongo wethambo.
- Olu nyango alubuhlungu, kodwa kunokubakho iziphumo ebezingalindelekanga zexesha elifutshane (ezifana nokucaphuka, ukudinwa, ukulahleka kweenwele). Ezi zinokulawulwa.
- Thetha ngokukhululekileyo nogqirha wakho malunga nesicwangciso sakho sonyango, iziphumo ebezingalindelekanga, kunye naluphi na uloyiko okanye iinkxalabo onokuba nazo.
- Injongo yolu nyango kukutshabalalisa iiseli zomhlaza kwiindawo ezingenakufikeleleka lula kwaye uncede ukufakelwa kwakho umongo wethambo kuphumelele.
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