Xa wena okanye umntu omthandayo nifunyaniswa ukuba ninomhlaza, kuyinto eqhelekileyo ukuziva nididekile kwaye nisoyika nonyango. Ingakumbi xa ugqirha ekhankanya iyeza elitsha, kunokuba nzima ukwazi ukuba liyintoni kanye kanye. Yiyo loo nto, namhlanje siza kuthetha ngesitofu esithi `Trabectedin`, esisetyenziselwa ukunyanga umhlaza . Kweli nqaku, siza kuthetha ngeli yeza ngendlela elula kakhulu, elula ukuyiqonda, into eliyenzayo, into ekufuneka uyilumkele xa ulisebenzisa, kunye neziphumo ebezingalindelekanga elinokubangelwa yiyo.
Luhlobo luni lonyango iTrabectedin?
Ngamafutshane, iTrabectedin liyeza elilawula okanye elicothisa ukukhula kweeseli zomhlaza . Lihlelwa njengonyango lwe -chemotherapy . Ngokukodwa, eli yeza lisetyenziselwa ukunyanga uhlobo lomhlaza olubizwa ngokuba yi- 'Sarcoma '.
Ngoku usenokuba uzibuza ukuba yintoni i-'Sarcoma'. Luhlobo lomhlaza oluvela kwizicubu zomzimba wethu. Cinga ngamathambo ethu, izihlunu, izicubu ezinamafutha, imithambo yegazi ... I-'Sarcoma' ngumhlaza owenzeka kwiindawo ezinjalo. Ngoko ke i-'Trabectin' iyayithintela loo mangqamuzana omhlaza ukuba angahlukani kwaye asasazeke. Eli yeza linokufumaneka kwimarike phantsi kwegama elithi 'Yondelis'.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale unyango
Oku kubaluleke kakhulu. Ngaphambi kokuba uqale unyango lwe-'Trabectin', kubalulekile ukuba ugqirha wakho azi imbali yakho epheleleyo yempilo . Eli yeza linokuchaphazela nezinye iimeko zempilo onokuba nazo. Ke ngoko, ukuba unayo nayiphi na kwezi zilandelayo, qiniseka ukuba uxelela ugqirha wakho ngayo.
- Isifo sentliziyo : Sixelele ukuba ukhe waba nesifo sentliziyo okanye okwangoku. Amanye amayeza omhlaza anokuchaphazela ukusebenza kwentliziyo ngandlela ithile.
- Isifo sezintso:Izintso zezona zihluza uninzi lwenkunkuma emizimbeni yethu. Kunjalo nangamayeza. Ngoko ke, ukuba kukho ubuthathaka kwizintso, kubalulekile ukuba ugqirha azi ngaloo nto.
- Isifo sesibindi: Isibindi sesinye isitho esibalulekileyo emzimbeni wethu. Amayeza aguqulwa sisibindi. Ke ngoko, nasiphi na isifo esisesibindini sinokuchaphazela ukusebenza kakuhle kweyeza.
- Amanqanaba aphantsi eeseli zegazi: Sixelele ukuba wakha waba nenani eliphantsi leeseli ezimhlophe zegazi, iiseli ezibomvu zegazi, okanye iiplatelets egazini lakho.
- Iintlungu okanye ubuthathaka bemisipha: Ukuba uhlala uziva iintlungu okanye ubuthathaka bemisipha, sazise.
- Ii-Allergy: Oku kubaluleke kakhulu. Ukuba une-allergy, kungekuphela nje kwiTrabecctin, kodwa nakweminye imithi, ukutya, idayi, okanye isithinteli, ngokuqinisekileyo kufuneka uxelele ugqirha wakho ngayo.
- Ukukhulelwa okanye ukuzama ukukhulelwa: Ukuba ukhulelwe, uzama ukukhulelwa, okanye ukrokrela ukuba ukhulelwe, kufuneka uxelele ugqirha wakho ngaphambi kokuba uqale olu nyango. Eli yeza linokulimaza usana olungekazalwa.
- Ukuncancisa: Ukuba ungumama oncancisayo, kufuneka wazise ugqirha.
Kubaluleke kakhulu kukhuseleko lwakho ukuthetha ngokukhululekileyo nogqirha ngaphandle kokufihla olu lwazi.
Ndingakunika njani eli yeza?
I-'Trabectedin' ayisiyopilisi okanye isiraphu oyithathayo ekhaya. Yinaliti emthanjeni. Oku kuthetha ukuba olu nyango lunikwa esibhedlele okanye ekliniki liqela lezonyango eliqeqeshiweyo.
Eli yeza lidla ngokufakwa ngemithambo ngebhotile yetyuwa. Le nkqubo ithatha ixesha elithile. Ngalo lonke ixesha ufumana unyango, uya kunikwa incwadana yolwazi ekhethekileyo ebizwa ngokuba yi-'MedGuide'. Iqulethe ulwazi oluninzi olubalulekileyo malunga neli yeza. Kubaluleke kakhulu ukulifunda ngononophelo ngaphambi konyango ngalunye.
Yintoni omawuyenze ukuba umthamo weyeza unyusiwe?
Ekubeni eli yeza linikwa esibhedlele, phantsi kweliso elithe ngqo loogqirha nabahlengikazi, umngcipheko wokusebenzisa kakhulu amayeza uphantsi kakhulu. Nangona kunjalo, ukuba ufumana naziphi na iimpawu ezingaqhelekanga, yazisa iqela lezonyango ngoko nangoko. Ngaphandle koko, fowunela ugqirha wakho. Kwimeko engxamisekileyo, ungafowunela neZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
Kuthekani ukuba ndiphoswa yiseshoni yonyango?
Olu nyango lunikwa ngokweshedyuli ethile. Kungoko ke, kubaluleke kakhulu ukufumana unyango kanye ngemihla namaxesha anikwe ngugqirha. Ungaphoswa yiseshoni yonyango nangasiphi na isizathu. Ukuba ngesizathu esithile awukwazi ukuza ngomhla ocwangcisiweyo, fowunela kwangaphambili kwaye wazise iqela lakho lezonyango kwaye ulungiselele umhla olandelayo.
Ezinye izinto ezinokuchaphazela iTrabectedin
Amanye amayeza owasebenzisayo anokuchaphazela indlela eli yeza elisebenza ngayo. Kwakhona, iTrabectedin inokutshintsha indlela amanye amayeza asebenza ngayo. Oku sikubiza ngokuba kukusebenzisana.
Ngoko ke, xelela ugqirha wakho ngayo yonke into oyisebenzisayo. Oko kuthetha ukuba:
- Amayeza amiselwe ngugqirha kwezinye izifo
- Amayeza angagunyaziswanga ngugqirha
- Iivithamini, iimveliso zemifuno, okanye ezinye izongezo zokutya
- Amayeza eSinhala okanye e-Ayurvedic
Nazi ezinye zezinto ezinokusebenzisana ne-'Trabectedin'.
- Amayeza okulwa nentsholongwane anikwa i-HIV okanye i-AIDS
- Amanye amayeza okubulala iintsholongwane, umzekelo `i-clarithromycin` kunye ne `i-telithromycin`.
- Amanye amayeza anikwayo osulelo lwefungus, umzekelo `ketoconazole`, `itraconazole`.
- Amanye amayeza asetyenziselwa ukunyanga izifo ezifana nokuxhuzula (ezifana ne-carbamazepine kunye ne-phenytoin)
- Ijusi yegrapefruit
- Imveliso yemifuno iSt. John's wort
- Iziyobisi ezifana ne-'Rifampin'
Olu luhlu aluphelelanga. Ngoko ke, kukhuseleko lwakho ukuxelela ugqirha wakho ngazo zonke iziyobisi ozisebenzisayo, kunye nokuba uyatshaya okanye usela utywala.
Izinto ekufuneka uzilumkele ngakumbi ngexesha lonyango
Iqela lakho lezonyango liza kujonga impilo yakho ngononophelo kulo lonke unyango lwakho, kwaye kufuneka ukhathalele nomzimba wakho.
Ukuziva ungaphili kakuhle
I-chemotherapy ichaphazela zombini iiseli zomhlaza kunye neeseli eziphilileyo emzimbeni wethu. Ngoko ke kuqhelekile ukuziva udiniwe, udiniwe, kwaye ungaphili kakuhle ngexesha lonyango. Nokuba ufumana ezi ntlungu, qhubeka ufumana unyango de ugqirha wakho akuxelele ukuba uyeke. Kodwa qiniseka ukuba wazisa iqela lakho lezonyango ngazo naziphi na iziphumo ebezingalindelekanga ozifumanayo.
Ingozi yokosuleleka
Eli yeza linokwenza buthathaka amasosha omzimba wakho, nto leyo ethetha ukuba usengozini enkulu yokugula.
- Unefiva, umkhuhlane, umphimbo obuhlungu, kunye nokukhohlela.Ukuba ufumana iimpawu zomkhuhlane, njengempumlo egobhozayo, musa ukuzama ukuthatha amayeza wedwa, kodwa tsalela umnxeba ugqirha wakho ngokukhawuleza ukuze akunike ingcebiso.
- Nciphisa ukuya kwiindawo ezinabantu abaninzi kwaye unxulumane nabantu abagulayo kangangoko unako.
Ukusetyenziswa kwezidambisi-ntlungu
Kubaluleke kakhulu ukwazi ukuba unomkhuhlane ngeli xesha. Ukusela amayeza okuphelisa iintlungu afana ne-'Aspirin', 'acetaminophen' (Panadol), 'ibuprofen', 'naproxen' kunokunciphisa umkhuhlane womzimba kwaye kuthintele ukuba usulelo lungabikho. Ngoko ke, musa ukusebenzisa naliphi na kula mayeza okuphelisa iintlungu ngaphandle kokubonisana nogqirha wakho.
Impilo yamazinyo
Ngexesha lonyango, iintsini zakho zinokuba semngciphekweni wokopha. Iintsholongwane nazo zinokubakho. Ngoko ke yiba nobubele kwaye ulumke xa uhlamba amazinyo akho kwaye ufaka i-floss. Ukuba ufuna unyango lwamazinyo, qiniseka ukuba uxelele ugqirha wakho wamazinyo ukuba usebenzisa iTrabectedin.
Ukukhulelwa nokuba nabantwana
Le yingxaki ebaluleke kakhulu kubasetyhini nakumadoda.
- Kwabasetyhini: Kufuneka uphephe ukukhulelwa ngelixa usela eli yeza kwaye kangangeenyanga ezimbini emva kwedosi yakho yokugqibela. Eli yeza linokubangela iziphene ezinkulu zokuzalwa kusana olungekazalwa. Kufuneka wenze uvavanyo lokukhulelwa ngaphambi kokuba uqale unyango ukuqinisekisa ukuba awukhulelwanga. Kufuneka usebenzise uhlobo oluthembekileyo lokulawula ukukhulelwa ngeli xesha. Thetha nogqirha wakho ngale nto.
- Kumadoda: Ufanele ukuphephe ukuba nguyise womntwana ngelixa usela eli yeza kwaye kangangeenyanga ezi-5 emva kwedosi yakho yokugqibela. Kubalulekile ukusebenzisa ikhondom ngexesha lokwabelana ngesondo ngeli xesha.
- Ukuncancisa: Kuphephe ukuncancisa ngokupheleleyo xa usebenzisa eli yeza.
- Ukuzala: Eli yeza lisenokuchaphazela ukuzala. Ukuba uneengxaki malunga noku, thetha nogqirha wakho.
Iziphumo ebezingalindelekanga ekufuneka uziqaphele
Njengalo naliphi na iyeza, i-'Trabectedin' inokubangela iziphumo ebezingalindelekanga. Asinguye wonke umntu ozifumanayo. Nangona kunjalo, kubalulekile ukuba uzazi. Masizihlukanise ezi ziphumo zibe ziindidi ezimbini.
| Imiphumela | Inkcazo kunye nento omawuyenze |
|---|---|
| Iziphumo ebezingalindelekanga ekufuneka zixelwe kwiqela lakho lezonyango ngoko nangoko | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala, ubunzima bokuphefumla. Ezi ziimeko ezingxamisekileyo kwaye zifuna unyango olukhawulezileyo. |
| Isifo sokuvuza kwe-capillary | Intlungu esiswini okanye kwimisipha, ukudinwa okungaqhelekanga, ukuquleka, ukuncipha kokuphuma komchamo, ukudumba kwamaqatha, izandla, neenyawo, kunye nobunzima bokuphefumla. |
| Ukumelwa yintliziyo | Ubunzima bokuphefumla, ukudumba kwamaqatha, iinyawo, okanye izandla, ukunyuka kobunzima ngequbuliso, ukuziva udiniwe okanye ubuthathaka ngendlela engaqhelekanga. |
| Iimpawu zosulelo | Umkhuhlane, ukubanda, ukukhohlela, umphimbo obuhlungu, amanxeba angapholiyo, iintlungu xa uchama. |
| Iimpawu zokulimala kwesibindi | Intlungu kwicala eliphezulu lasekunene lesisu, ukuphelelwa ngumdla wokutya, isicaphucaphu, indle enombala okhanyayo, umchamo otyheli okanye omdaka omnyama, kunye nokutyheli kolusu okanye amehlo. |
| Ukulimala kwemisipha | Ukudinwa okungaqhelekanga, iintlungu zemisipha, umchamo otyheli okanye omdaka, ukuncipha kokuphuma komchamo. |
| Ukopha okungaqhelekanga okanye ukukrweleka | Ukopha okungayekiyo nokuba kukho inxeba elincinci, okubangela ukugruzuka okungeyomfuneko phantsi kolusu. |
| Intlungu kwindawo yokutofa | Ububomvu, ukudumba, ubushushu, iintlungu, okanye amadyungudyungu/amanxeba ajikeleze indawo yokutofa. |
| Iziphumo ebezingalindelekanga ezingezizo ezinzulu, kodwa ezifanele zixelwe kugqirha ukuba ziyaqhubeka okanye ziyakhathaza: | |
| Iingxaki zenkqubo yokugaya ukutya | Ukuqhinwa, Urhudo, Isicaphucaphu, Ukugabha. |
| Ezinye iingxaki eziqhelekileyo | Ukudinwa, intloko ebuhlungu, ukungabi namdla wokutya. |
Umyalezo Wokuya Ekhaya
- I-'Trabectedin' liyeza elinamandla elisetyenziselwa ukunyanga uhlobo lomhlaza olubizwa ngokuba yi-'Sarcoma.' Linikwa esibhedlele, phantsi kweliso likagqirha.
- Xelela ugqirha wakho ngazo naziphi na ezinye iingxaki zempilo onazo, onke amayeza owasebenzisayo (kuquka amayeza esiSinhala), kunye nee-allergies ngaphambi kokuba uqale unyango.
- Ukuba ufumana umkhuhlane, iimpawu zosulelo, ukopha okungaqhelekanga, okanye ezinye iziphumo ebezingalindelekanga ngexesha lonyango, funa ingcebiso kagqirha ngoko nangoko.
- Kubalulekile ukuba abafazi namadoda basebenzise iindlela zokulawula ukukhulelwa ezithembekileyo ukuze baphephe ukukhulelwa ngexesha lonyango nangexesha elithile emva koko.
- Thetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na imibuzo, uloyiko, okanye iinkxalabo onokuba nazo malunga nonyango lwakho. Bahlala bekulungele ukukunceda.
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