Sonke siyazi ukuba ukufumana unyango lomhlaza akuyonto ilula. Ngexesha lolo hambo, kufuneka usebenzise iintlobo ezahlukeneyo zamayeza. I-Trabectedin yinaliti enamandla enikwa ngokukodwa uhlobo lomhlaza olubizwa ngokuba yi-'Sarcoma'. Usenokuba nemibuzo emininzi engqondweni yakho malunga nalo mhlaza. Oko kuqhelekile. Ke namhlanje, kweli nqaku, siza kuthetha ngalo mayeza, ukuba kwenzeka ntoni ngawo, kunye noko kufuneka sikulumkele.
Luhlobo luni lonyango iTrabectedin?
Ngamafutshane, i-trabectin liyeza elibulala iiseli zomhlaza . Ngokuchanekileyo, liyinxalenye yenkqubo ye-chemotherapy. Umsebenzi walo ophambili kukuyeka ukukhula kweeseli zomhlaza ezahlulahlula ngokukhawuleza emzimbeni kwaye zitshabalalise. Eli yeza lifumaneka kakhulu phantsi kwegama lebrendi iYondelis.
Eli yeza linikwa wena njengokufakwa emthanjeni. Oku akuyonto onokuyenza ekhaya. Linikwa ngugqirha oqeqeshiweyo esibhedlele okanye eklinikhi . Kwakhona, ngaphambi konyango ngalunye, uya kunikwa incwadana yolwazi ekhethekileyo (iMedGuide) malunga neli yeza. Kubaluleke kakhulu ukulifunda nokuliqonda ngononophelo ngalo lonke ixesha.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale unyango
Ngaphambi kokuba uqalise eli yeza, kubalulekile ukunika ugqirha wakho inkcazo epheleleyo ngemeko yakho yempilo. Qiniseka ukuba ubaxelela ngayo nayiphi na kwezi meko zilandelayo, ingakumbi ukuba unayo:
| Imeko yakho | Kutheni kufuneka uxelele ugqirha? |
|---|---|
| Isifo sentliziyo | Eli yeza ngamanye amaxesha linokuchaphazela ukusebenza kwentliziyo. |
| Isifo sezintso | Izintso yindlela yomzimba yokucoca inkunkuma. Ukuba unengxaki yezintso, iziphumo ebezingalindelekanga zamayeza zinokwanda. |
| Isifo sesibindi | Isibindi sidlala indima enkulu ekususeni eli yeza emzimbeni. Ukuba kukho ingxaki kwisibindi, iziphumo zalo yeza zinokwanda ngokungeyomfuneko. |
| Amanani egazi aphantsi | Ukuba iiseli zakho ezibomvu zegazi, iiseli ezimhlophe zegazi, okanye iiplatelets sele ziphantsi, eli yeza lingenza imeko ibe mandundu. |
| Intlungu okanye ubuthathaka bemisipha | Ekubeni eli yeza linokuchaphazela izihlunu, ugqirha kufuneka azi naziphi na iingxaki ezikhoyo. |
| Ukuzama ukukhulelwa okanye ukukhulelwa | Eli yeza linokuba yingozi kakhulu kumntwana ongekazalwa, ngoko ke qiniseka ukuba uyabaxelela ngalo. |
| Ukuncancisa | Izithako ezikweli yeza zinokudluliselwa eluswini ngobisi lwebele. Oku kuyingozi kumntwana. |
| Ukunganyamezelani nezinye iziyobisi okanye ukutya | Xelela ugqirha wakho ngazo naziphi na izinto ezibangela ukuba ungabi namdla. |
Amanqaku akhethekileyo ekufuneka aqwalaselwe xa usebenzisa iyeza
Ukukhulelwa kunye nolawulo lokuzalwa
Le yingxaki ebaluleke kakhulu.
- Kwabasetyhini: Kuphephe ukukhulelwa ngelixa usebenzisa eli yeza kwaye emva kweenyanga ezimbini emva kokuyeka unyango.
- Kumadoda: Sebenzisa uhlobo lokuthintela ukukhulelwa oluthembekileyo kakhulu ngexesha lonyango kwaye kangangeenyanga ezi-5 emva komthamo wokugqibela.
Eli yeza linokulimaza kakhulu usana olungekazalwa. Kwakhona, kuphephe ukuncancisa ngokupheleleyo xa usebenzisa olu nyango.
Ukhuseleko kwizifo
Eli yeza lenza buthathaka amasosha omzimba wakho, nto leyo ethetha ukuba usengozini enkulu yokugula.
- Zigcine kude nabantu abanomkhuhlane kunye neflu.
- Umkhuhlane, ukubanda, umphimbo obuhlunguUkuba ufumana iimpawu ezinje, musa ukuthatha amayeza afana neparacetamol wedwa. Fowunela ugqirha wakho ngoko nangoko.
- Lumka xa uhlamba amazinyo akho kwaye usebenzisa amazinyo okuxubha. Iintsini eziphuma igazi kunye nosulelo zinokwenzeka kakhulu. Ukuba ufumana naluphi na unyango lwamazinyo, xelela ugqirha wakho wamazinyo ukuba usela eli yeza.
Ukusebenzisana nezinye iziyobisi kunye nokutya
I-Trabectin inokunxibelelana namanye amayeza owasebenzisayo. Ngoko ke, xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka iivithamini kunye namayeza esintu) . Lumka ngakumbi ngezi zinto zilandelayo:
- Izithomalalisi zentlungu: Musa ukuthatha amayeza afana ne-aspirin kunye ne-ibuprofen ngaphandle kwengcebiso kagqirha wakho. La mayeza anokunciphisa umkhuhlane kwaye enze kube nzima ukubona usulelo.
- Amayeza e-HIV okanye i-AIDS
- Amanye amayeza okubulala iintsholongwane: Umzekelo, i-clarithromycin, i-telithromycin.
- Amayeza okulwa nefungus: Amayeza afana ne-ketoconazole kunye ne-itraconazole.
- Amayeza okuxhuzula: afana ne-carbamazepine kunye ne-phenytoin.
- I-St. John's Wort yimveliso yemifuno.
- Ijusi yegrapefruit: Musa ukusela ijusi yegrapefruit ngelixa usebenzisa eli yeza, kuba lisenokutshintsha imiphumo yeyeza.
Zeziphi iziphumo ebezingalindelekanga ezinokubakho?
Njengalo naliphi na iyeza lokulwa nomhlaza, iTrabectedin inokubangela iziphumo ebezingalindelekanga. Oku kungenxa yokuba eli yeza lichaphazela zombini iiseli zomhlaza kunye neeseli eziphilileyo ukuya kwinqanaba elithile. Eyona nto ibalulekileyo kukwazi ezi mpawu kwaye wazise ugqirha wakho xa kuyimfuneko.
| Isiphumo/impawu | Ufanele wenze ntoni? |
|---|---|
| Ezi zinokuba zizinto ezinzulu: xelela ugqirha wakho ngoko nangoko. | |
| Iimpendulo ze-allergy: ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso/imilebe. | Funa ingcebiso yezonyango ngoko nangoko. |
| Iimpawu zomonakalo wesibindi: ukutyheli kwamehlo okanye ulusu, umchamo otyheli/omdaka omnyama, iintlungu kwicala lasekunene lesisu, ukungabi namdla wokutya. | Ezi ziimpawu ezinzulu. Xelela ugqirha wakho ngoko nangoko. |
| Iimpawu zokonakala kwemisipha: umchamo omnyama, ubunzima bokuchama, iintlungu eziqatha zemisipha. | Xelela ugqirha ngoko nangoko. |
| Iimpawu zokopha: amabala amancinci abomvu phantsi kolusu, ukukrweleka, indle emnyama, kunye negazi kumchamo. | Xelela ugqirha ngoko nangoko. |
| Iimpawu zosulelo: umkhuhlane, ukugodola, ukukhohlela, umphimbo obuhlungu. | Xelela ugqirha ngoko nangoko. |
| Ubunzima bokuphefumla, iintlungu zesifuba, ukudumba kwemilenze/izandla/amaqatha. | Xelela ugqirha ngoko nangoko. |
| Izinto ekufuneka uzixelele ugqirha wakho ukuba ziqhelekile kodwa ziyaqhubeka | |
| Isicaphucaphu, ukuhlanza | Ungacela ugqirha wakho ukuba akunike amayeza okulawula ezi zinto. |
| Ukuqhinwa, intloko ebuhlungu, ukungabi namdla wokutya | Ukuba ezi zinto ziyaqhubeka, xelela ugqirha wakho. |
| Ukudinwa kakhulu, ukungalali | Ezi zinokuba yinxalenye yonyango, kodwa ukuba zinzima kakhulu ukuzinyamezela, thetha nogqirha wakho. |
Ukuba ucinga ukuba usele kakhulu eli yeza, fowunela iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko, okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Kuqhelekile ukuziva ugula okanye ungakhululekanga ngexesha lonyango. Kodwa ungayeki unyango ngaphandle kokuba ugqirha wakho ekuxelele ukuba uyenze. Thetha naye ngokukhululekileyo malunga nazo naziphi na izinto ezikuxhalabisayo.
Umyalezo Wokuya Ekhaya
- I-Trabectedin liyeza elinamandla elisetyenziselwa ukunyanga uhlobo lomhlaza olubizwa ngokuba yi-sarcoma. Linikwa esibhedlele phantsi kweliso likagqirha.
- Ngaphambi kokuba uqale unyango, qiniseka ukuba uxelela ugqirha wakho ngazo zonke iimeko zakho zempilo kunye nawo onke amayeza owasebenzisayo.
- Kuphephe ukukhulelwa nokuncancisa ngokupheleleyo xa usebenzisa eli yeza. Sebenzisa ucwangciso lokuzala oluthembekileyo.
- Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinje ngomkhuhlane, ukukrweleka, okanye ukutyheli kolusu, yazisa ugqirha wakho ngaphandle kokulibazisa.
- Kuqhelekile ukuba uzive ungakhululekanga ngexesha lonyango. Kodwa ungaze ugqibe ekubeni uyeke unyango wedwa. Soloko uthetha nogqirha wakho.
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