Xa ugqirha ekuxelela okanye umntu omaziyo ukuba unomhlaza wesibindi aze athi utyando alunakwenzeka, kuyinto eqhelekileyo ukuziva uloyiko olukhulu kunye nexhala. Usenokuba uzibuza, "Ndenze ntoni ngoku?" Nangona kunjalo, ngenkqubela phambili kwezonyango zanamhlanje, kukho unyango olunokusizisela isiqabu esikhulu kunye nethemba nakwiimeko ezinjalo. Namhlanje, siza kuthetha ngonyango olulodwa olukhethekileyo noluphambili. Olu lunyango lwe-Y-90.
Kulungile, ngoko ke luthini olu nyango lwe-Y-90?
Ngamafutshane, unyango lwe-Y-90 luhlobo lonyango lwemitha olujoliswe ngokukodwa kumhlaza wesibindi. Igama elithi "Y-90" apha lifutshane lento enemitha "Yttrium-90".
Cinga ngethumba lomhlaza njengenkampu yotshaba olubi. Imithambo yegazi ehambisa igazi kuloo nkampu ifana neendlela ezithwala ukutya neziselo ukuya kuloo nkampu. Kolu nyango, oogqirha bafaka izigidi zeentsimbi ezincinci eziqulethe into enokusasazeka ngemitha ebizwa ngokuba yi-Y-90, ezincinci kangangokuba azinakubonwa ngamehlo enyama, kumthambo wegazi ophambili ohambisa igazi kwithumba lomhlaza.
Ezi ncindi zincinci zihamba ngegazi zize zihlale kwimithambo yegazi emincinci engaphakathi kwethumba. Xa zihleli apho, zihambisa imitha ephezulu yelanga ngqo kwiiseli zomhlaza. Eyona nto ingcono kukuba le mitha igxile kwindawo encinci kakhulu, ngoko ke akukho monakalo mkhulu okanye akukho kwaphela kwizicubu zesibindi eziphilileyo ezijikeleze ithumba.
Into ebalulekileyo kukuba unyango lwe-Y-90 lusenokungawunyangi ngokupheleleyo umhlaza wesibindi. Nangona kunjalo, lunokunciphisa iithumba , lulawule esi sifo, kwaye lunike umguli ithuba elingcono lokuphila ixesha elide ngaphandle kweempawu kwaye enomgangatho olungileyo wobomi.
Olu nyango lwaziwa ngamagama amaninzi, umzekelo, ``Transarterial Radioembolization - TARE'' kunye ``Selective Internal Radiation Therapy - SIRT'', anokusetyenziswa ngugqirha wakho.
Ngubani olu nyango lufanelekileyo kuye?
Ugqirha wakho uya kugqiba ukuba olu nyango lukulungele na. Ngokwesiqhelo, unyango lwe-Y-90 luyacetyiswa kwiimeko ezilandelayo:
- Kwabo banomhlaza osuka esibindini (umhlaza oyintloko).
- Kwabo banomhlaza osasazeke esibindini (umhlaza osasazekayo) usuka kwenye indawo.
- Ikwasetyenziswa nakwezinye iintlobo zomhlaza we-bile duct.
Olu nyango ludla ngokuqwalaselwa xa utyando lungenakwenzeka ukususa ithumba elinomhlaza.Kwezinye iimeko, umhlaza ukufutshane kakhulu nemithambo yegazi emikhulu, kwaye utyando lunokubangela umonakalo omkhulu kwisibindi. Kwiimeko ezinjalo, unyango lwe-Y-90 lunokulawula ukukhula komhlaza kwaye lugcine ukusebenza kwesibindi.
Enye into ebalulekileyo kukuba kwabanye abantu, emva kokuba unyango lokuqala lwe-Y-90 lunciphise ithumba, banokukwazi utyando okanye ukufakelwa isibindi kamva. Eli lingaba linyathelo elibalulekileyo kwindlela yokuchacha.
Ulungiselela njani ngaphambi konyango?
Ngaphambi kokuba unyango luqale, ugqirha wakho uza kukuxilonga ngononophelo ukuqinisekisa ukuba usempilweni. Oku kudla ngokubandakanya:
- Uvavanyo lomzimba
- Uvavanyo lwegazi
- Uvavanyo lokusebenza kwesibindi
Ukongeza, ugqirha wakho uza kuxoxa nawe ngokucacileyo ngezi zinto ngaphambi kokuba unyango luqale:
- Imbali yakho epheleleyo yezonyango, naziphi na izinto ezibangela ukuba ungabi namdla kwizinto ezithile, nokuba ukhulelwe na.
- Ngawaphi amayeza owasebenzisayo ngoku kwaye ngawaphi amayeza ekufuneka uyeke ukuwasebenzisa ngaphambi kokuba unyango luqale.
- Kufuneka ulungiselele ukuba umntu akuse ekhaya emva konyango.
- Ngaphambi konyango, lixesha lokuyeka ukutya nokusela.
- Malunga nenkqubo yonke yonyango.
Eli lixesha elifanelekileyo lokubuza ugqirha nayiphi na imibuzo okanye amathandabuzo onokuba nawo.
Singathetha ngendlela olusebenza ngayo unyango?
Unyango lwe-Y-90 lunamanyathelo amabini aphambili. La mabini adla ngokwenziwa emva kweeveki ezimbini. Le nkqubo ikhokelwa ngugqirha okhethekileyo.
| Amanyathelo | Kwenzekani? |
|---|---|
| Inyathelo 1: Ukumaphu ye-Angiogram | Oku kufana nokuziqhelanisa nonyango lokwenyani. Apha, kwenziwa umngxuma omncinci kakhulu esinqeni sakho okanye esihlahleni, kwaye kufakwa umbhobho omncinci kakhulu (i-catheter) ngawo ecaleni kwemithambo yegazi ehambisa igazi kumhlaza. Emva koko kufakwa idayi ekhethekileyo .Imithambo yegazi ethwala umhlaza idweliswe ngokuchanekileyo. Oku kusetyenziswa ukukhetha indlela echanekileyo yokuhambisa amasuntswana e-Y-90. Oku kungathatha malunga neeyure ezi-2-4. |
| Inyathelo lesi-2: Ukufakwa kwe-Y-90 | Olu lolona nyango lokwenyani. Njengangaphambili, kufakwa i-catheter, kwaye izigidi zee-radioactive Y-90 particles zifakwa kwindlela edwetshiweyo. Ezi particles zinamathela ngaphakathi kwethumba kwaye ziqale ukukhupha imitha. Le nkqubo idla ngokuthatha iyure okanye ezimbini. I-90% yemitha evela kwezi particles ikhutshwa kwiintsuku ezili-10. Emva koko ezi particles zihlala zingenabungozi emzimbeni. |
Zithini iingenelo zonyango lwe-Y-90?
Unyango lwe-Y-90 luneengenelo ezininzi ngaphezu konyango lwe-radiation lwendabuko (EBRT).
- Unyango olujoliswe kulo: Ngenxa yokuba imitha iya ngqo kumhlaza, akukho monakalo mkhulu kwizicubu ezisempilweni. Ke ngoko, zimbalwa iziphumo ebezingalindelekanga.
- Ayingeni kakhulu: Akukho mingxunya mikhulu yotyando. Yenziwa ngokusikwa okuncinci kakhulu, njengokufaka inaliti. Ke ngoko, ixesha lokuphiliswa lifutshane kwaye akukho zinxeba phantse.
- Ukuchacha ngokukhawuleza: Ungabuyela kubomi obuqhelekileyo ngokukhawuleza kunokuba utyando olukhulu.
Ngaba kukho naziphi na iziphumo ebezingalindelekanga okanye iingozi?
Njengakwezinye iindlela zonyango, kukho amathuba okuba nemiphumo emibi emincinci kunye neengxaki ezingaqhelekanga.
Iimeko eziqhele ukubonwa
Kuqhelekile ukuziva udiniwe kangangeveki okanye ezimbini emva konyango. Abanye abantu banokufumana imeko ebizwa ngokuba yi -post-embolization syndrome (PES) . Oku kuquka:
- Isicaphucaphu nokuhlanza
- Umnqweno wokutya
- Intlungu yesisu
- Ukuziva ushushu
Ezi mpawu zihlala ziqala emva kweentsuku ezintathu zize ziphele kwiveki. Ukuba ufumana ezi mpawu, xelela ugqirha wakho ukuze akunike amayeza afunekayo.
Iingxaki ezingaqhelekanga
- Usulelo: Usulelo lunokukhula kwindawo efakwe kuyo i-catheter. Oku kunokufuna ii-antibiotics.
- Ii-Allergy: Kunokwenzeka ukuba umntu abe ne-allergy kwinto efana nedayi esetyenzisiweyo. Yiyo loo nto ugqirha eza kukubuza nge-allergy yakho kwangaphambili.
- Izilonda zesisu: Azifane zenzeke, oku kunokwenzeka ukuba amasuntswana e-Y-90 angena esiswini okanye emathunjini amancinci. Nangona kunjalo, le ngozi iphantsi kakhulu kuba ugqirha uvala imithambo yegazi kwezo ndawo ngexesha lokuhlolwa kwe-angiogram.
Yintoni endifanele ndiyilumkele emva konyango?
Phumla kakuhle iintsuku ezimbalwa emva konyango. Landela imiyalelo kagqirha wakho ngononophelo, ingakumbi nayiphi na imiqathango yokuqhuba nokuzivocavoca.
Enye into ebalulekileyo malunga ne-radioactivity. Nokuba sele ubuyele ekhaya uvela esibhedlele, inani elincinci le-radiation evela kumasuntswana e-Y-90 liya kukhutshwa kangangeentsuku ezimbalwa. Ngoko ke ugqirha wakho unokukunika icebiso elifana neli:
- Kuphephe ukulala ebhedini enye neqabane lakho kangangeentsuku ezimbalwa.
- Kuphephe ukuhlala kufutshane nomntu ixesha elide.
- Nciphisa ukusondelana nabasetyhini abakhulelweyo kunye nabo baneenkqubo zomzimba ezibuthathaka.
Kodwa ungakhathazeki. Ngenxa yokuba i-Y-90 lunyango olujoliswe kulo, uninzi lwemitha lufunxwa ngumhlaza ngokwawo. Ngoko ke umngcipheko kwabanye ovela kuwe uphantsi kakhulu.
Ukuba unomkhuhlane, uziva ubanda, uvuvukile, ubomvu, okanye ufudumele apho kufakwe khona ikhathetha, unentlungu ebuhlungu esiswini, okanye imilenze yakho ingenamsebenzi, yazisa ugqirha wakho ngoko nangoko .
Kuqhelekile ukuba uzive usoyika xa ucinga ngokufaka into ene-radioactive emzimbeni wakho. Nangona kunjalo, unyango lwe-Y-90 lunyango olukhuselekileyo nolusebenzayo lomhlaza wesibindi. Lunokukunika amandla okuphila ixesha elide ngaphandle kweempawu zomhlaza. Ngoko ke, ukuba ugqirha wakho ucebisa olu nyango kuwe, thetha naye ngononophelo kwaye ubuze yonke imibuzo yakho.
Umyalezo Wokuya Ekhaya
- I-Y-90 yindlela ekhethekileyo yonyango ethumela amasuntswana ane-radioactive ngqo ukuba aye kujolisa kwiithumba zesibindi.
- Nangona oku kungawunyangi ngokupheleleyo umhlaza, kunokunciphisa ithumba, kulawule esi sifo, kwandise ubomi, kwaye kuphucule umgangatho wobomi.
- Olu asilotyando olukhulu. Ngenxa yokuba lwenziwa ngokusikwa okuncinci, ixesha lokuchacha lifutshane kwaye iziphumo ebezingalindelekanga zincinci.
- Kubalulekile ukulandela imiyalelo enikiweyo ukuze uzikhusele kwimitha yelanga kangangeentsuku ezimbalwa emva konyango.
- Ukuba unemibuzo malunga nolu nyango, ungoyiki ukubuza ugqirha wakho.
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