Ingabe odokotela banqume ukukunika wena noma othile omaziyo umjovo we-arsenic trioxide ye-leukemia? Ungase ukhathazeke kancane uma uzwa igama. Igama elithi "Arsenic" alihlali lifika engqondweni. Kodwa ungakhathazeki. Kwezokwelapha, amakhemikhali athile asetshenziswa njengemithi enamandla engasindisa izimpilo, ngemithamo elawulwa kakhulu. Lokhu kuyindlela yokwelapha enjalo, ethize elawula ukukhula kwamangqamuzana omdlavuza. Ake sixoxe ngakho kalula, ngendlela ongayiqonda.
Luhlobo luni lomuthi lolu?
Kalula nje, i-Arsenic Trioxide umuthi osetshenziselwa ukwelapha i-leukemia, uhlobo lomdlavuza wegazi. Isebenza njengomuthi we-chemotherapy. Umsebenzi wayo oyinhloko ukunciphisa ukukhula kwamaseli omdlavuza nokuwabhubhisa. Lo muthi waziwa kakhulu emakethe ngegama lomkhiqizo i -Trisenox . Lona akusiwo umuthi ongawuthatha uye nawo ekhaya. Ungumjovo onikezwa umzimba esibhedlela noma emtholampilo, ngaphansi kokuqashwa kwezokwelapha, ngemithambo yegazi, njengesixazululo se-saline.
Yini okufanele ngiyitshele udokotela ngaphambi kokuqala ukwelashwa?
Ukuqinisekisa ukuthi lokhu kwelashwa kunikezwa ngokuphephile, kubaluleke kakhulu ukuthi ithimba lakho lezokwelapha liqaphele ngokugcwele isimo sakho sempilo. Ngakho-ke, uma unezinye zezimo ezilandelayo, sicela utshele udokotela wakho ngaphambi kokuqala ukwelashwa. Ungafihli lutho.
- Uma unomkhuba wokuphuza utshwala .
- Uma unesifo senhliziyo .
- Uma uke waba nokwehluleka kwenhliziyo ngaphambilini.
- Uma ukuhlolwa kwezokwelapha kuthole amazinga aphansi noma aphezulu ama-electrolyte njenge- magnesium noma i-potassium egazini.
- Uma ukushaya kwenhliziyo kungahambi kahle noma izinga lokushaya kwenhliziyo liphansi.
- Uma unesifo sezinso noma isifo sesibindi .
- Uma une -allergies ku-arsenic noma kunoma yimuphi omunye umuthi, ukudla, noma udayi .
- Uma ukhulelwe noma uzama ukukhulelwa (lokhu kubaluleke kakhulu).
- Uma umlingani wakho ekhulelwe noma ezama ukukhulelwa .
- Uma ungumama oncelisayo .
Ngokusekelwe kulolu lwazi, odokotela bazonquma ukuthi bangakunikeza kanjani lokhu kwelashwa, umthamo, kanye nanoma yiziphi izinyathelo zokuphepha ezengeziwe okudingeka uzithathe.
Uwufaka kanjani lo muthi emzimbeni?
Lokhu akuyona iphilisi oligwinyayo. Lo muthi unikezwa njengomuthi. Lokhu kusho ukuthi i-cannula ifakwa emthanjeni ongalweni yakho bese ifakwa kancane kancane emzimbeni wakho amahora amaningana. Lonke lolu hlelo lwenzeka esibhedlela noma emtholampilo okhethekile wokwelapha umdlavuza ngaphansi kokuqashwa okuseduze kodokotela nabahlengikazi. Ngakho-ke awunalutho okufanele ukhathazeke ngalo.
Okubalulekile: Lokhu kwelashwa kunikezwa nezingane ezingaphezu kweminyaka engu-4 ezimweni ezithile ezikhethekile. Kodwa kwenziwa ngokuqapha okukhulu kanye nezinyathelo zokuqapha ezikhethekile.
Yini okufanele uyenze uma uphuza ngokweqile?
Njengoba lokhu kunikezwa esibhedlela, amathuba okuthi uphuthwe umthamo aphansi kakhulu. Kodwa-ke, uma ucabanga ukuthi uthathe umuthi omningi kakhulu, yazisa ithimba lezokwelapha ngokushesha. Ngokuvamile, esimweni esinjalo, uzothunyelwa e-Emergency Treatment Unit (ETU) yesibhedlela. Uma ufuna ukwazi okwengeziwe ngalokhu, ungashayela ne-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Ezinye izinto ezingase zihlangane nalo muthi
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nemithi yamakhambi oyithathayo, njengoba eminye imithi ingasebenzisana nokwelashwa nge-arsenic trioxide, okungathinta impumelelo yokwelashwa noma impilo yakho.
| Ungalokothi uthathe i-arsenic trioxide kanye nale mithi. | |
|---|---|
| Umuthi wokugomela i-dengue | I-Pimozide |
| I-Dronedarone | I-Thioridazine |
| I-Ketoconazole | I-Ziprasidone |
| I-Levoketoconazole | |
| Kukhona ithuba lokungqubuzana nale mithi - tshela udokotela wakho. | |
| Imithi yokuhlanza | Eminye imithi ethinta isigqi senhliziyo |
| Imithi ye-steroid efana ne-prednisone noma i-cortisone | |
Lolu hlu aluphelele. Ngakho-ke tshela udokotela wakho ngayo yonke imithi, amakhambi, amavithamini, kanye nezithasiselo ozithathayo, kanye nokuthi uyabhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa .
Izinto okufanele uzicabangele ngesikhathi sokwelashwa
Ithimba lakho lezokwelapha lizokuqapha kakhulu ngenkathi uthatha lo muthi, kodwa kubalulekile ukuthi unake nomzimba wakho.
Kuvamile ukuzizwa ungakhululekile.
Kuvamile ukuzizwa ukhathele futhi ungakhululekile ngesikhathi sokwelashwa komdlavuza. Lokhu kungenxa yokuthi le mithi enamandla ibulala amangqamuzana omdlavuza futhi ithinta namaseli anempilo emizimbeni yethu ngezinga elithile. Ngakho-ke, noma ngabe uzizwa ugula, qhubeka nenkambo yakho yokwelashwa kuze kube yilapho ithimba lakho lezokwelapha likutshela ukuthi uyeke. Kodwa qiniseka ukuthi ubatshela nganoma yimiphi imiphumela emibi oyitholayo.
Ukuhlolwa njalo kwezokwelapha
Ngesikhathi sokwelashwa kwakho, kuzodingeka ukuthi uhlolwe igazi njalo ukuze kuhlolwe izinto ezifana nokubalwa kwamaseli egazi lakho, ukusebenza kwesibindi kanye nezinso, njll. Ungase futhi wenze i-ECG (electrocardiogram) ukuze kuhlolwe ukusebenza kwenhliziyo yakho ngaphambi nangesikhathi sokwelashwa. Konke lokhu kwenzelwa ukuqinisekisa ukuphepha kwakho.
Ukukhulelwa, ukuncelisa kanye nokuzala
Udinga ukuqaphela kakhulu ngale ndaba.
Uma lo muthi uthathwa ngesikhathi sokukhulelwa, umntwana angaba nezinkinga ezinkulu zokuzalwa .
- Kwabesifazane: Kufanele wenze ukuhlolwa kokukhulelwa ngaphambi kokuqala ukwelashwa. Kufanele usebenzise uhlobo lokuvimbela inzalo olusebenza kahle kakhulu phakathi nesikhathi sakho sonke sokwelashwa kanye nezinyanga eziyisithupha ngemuva komthamo wakho wokugcina . Khuluma nodokotela wakho ngendlela efanele wena.
- Kwabesilisa: Uma umlingani wakho enethuba lokuzala, qiniseka ukuthi usebenzisa ikhondomu ngesikhathi socansi ngenkathi uthatha ukwelashwa kanye nezinyanga ezi-3 ngemuva komthamo wakho wokugcina . Uma usola ukuthi umlingani wakho ukhulelwe, tshela udokotela wakho ngokushesha.
- Ukuncelisa: Gwema ukuncelisa ngokuphelele ngenkathi uthatha lo muthi futhi amasonto amabili ngemuva komthamo wokugcina .
- Ukuzala: Lo muthi ungathinta ikhono lakho lokuthola abantwana. Uma unenkinga ngalokhu, khuluma nodokotela wakho ngaphambi kokuqala ukwelashwa.
Yimiphi imiphumela emibi engingayithola?
Njenganoma yimuphi umuthi, imiphumela emibi ingaba khona. Eminye iyingozi kakhulu futhi kufanele ibikwe ngokushesha. Eminye ivame ukuba yingozi kakhulu.
| 🚨 Imiphumela emibi okufanele ibikwe eqenjini lakho lezokwelapha ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ukuquleka, ubuhlungu besifuba, ubunzima bokuphefumula. |
| Izimpawu ze-Differentiation Syndrome | Umkhuhlane, ukukhwehlela, isiyezi, ubunzima bokuphefumula, ubuhlungu bamathambo, ukukhuluphala ngokuzumayo, ukuvuvukala kwamaqakala, izandla, noma izinyawo. |
| Izimpawu zokulimala kwesibindi | Ubuhlungu esiswini esingaphezulu kwesokudla, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi noma onsundu omnyama, ukuphuzi kwesikhumba noma amehlo, ukukhathala okungavamile. |
| Izimpawu zokutheleleka | Umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu, amanxeba angapholi, ubuhlungu lapho uchama. |
| Ezinye izimpawu ezinkulu | Ukuzungeza, ukulahlekelwa yibhalansi, ukudideka, ubunzima bokukhuluma, ukunyakaza kwamehlo okungalawuleki, ukuphuka kwesikhumba okungavamile noma ukopha. |
| 🙂 Imiphumela emibi engavamile ukuba mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Isicanucanu/ukuhlanza | Ikhanda elibuhlungu |
| Ubuhlungu besisu | Ukukhathala |
| Ukuqunjelwa | Uhudo |
Uma ubona noma yini engavamile engekho kulolu hlu, tshela udokotela wakho ngayo.
Umlayezo Wokuya Nawe Ekhaya
- I-Arsenic trioxide iyindlela yokwelapha i-leukemia ethize nenamandla. Iwumjovo ofakwa emthanjeni esibhedlela, ngaphansi kokuqashwa kwezokwelapha.
- Ngaphambi kokuqala ukwelashwa, tshela udokotela wakho ngazo zonke izimo zakho zempilo kanye nayo yonke eminye imithi oyithathayo.
- Kubalulekile ukugwema ukukhulelwa ngesikhathi sokwelashwa futhi uma nje udokotela wakho encoma. Lokhu kusebenza kokubili kwabesilisa nabesifazane.
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nemiphumela emibi efana nobunzima bokuphefumula, ubuhlungu besifuba, ukulunywa okukhulu, nokuvuvukala.
- Kubalulekile ukungaphuthelwa izinsuku nezikhathi ezinikeziwe zokwelashwa. Uma ngesizathu esithile ungakwazi ukuya, sicela wazise ithimba lezokwelapha kusenesikhathi.
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