Kuvamile ukuzizwa wesaba futhi ukhathazekile kancane lapho wena noma othandekayo wakho senizoqala ukwelashwa komdlavuza. Ikakhulukazi uma uzwa ngomuthi obizwa ngokuthi 'i-chemotherapy', kunezinto eziningi ezifika engqondweni. Namuhla sizokhuluma ngomjovo okhethekile osetshenziselwa ukwelashwa komdlavuza okunjalo. Lowo muthi obizwa ngokuthi i-Asparaginase Erwinia Chrysanthemi (Recombinant) oza ngaphansi kwegama lomkhiqizo i-Rylaze. Njengoba leli gama liyinkimbinkimbi kancane, sizolibiza ngokuthi i-Rylaze. Lesi sihloko sizozama ukuphendula imibuzo yakho mayelana nalo muthi ngendlela elula.
Iyini i-Rylaze (i-Asparaginase)?
Kalula nje, lo umuthi we-chemotherapy onikezwa ukubulala amangqamuzana omdlavuza. Awusetshenziswa kuzo zonke izinhlobo zomdlavuza, kodwa usetshenziswa ngqo ezinhlotsheni ezimbili zomdlavuza ohlobene negazi. Lezi yizi:
- I-Acute Lymphoblastic Leukemia (YONKE)
- I-Lymphoma ye-Lymphoma
Lo muthi usebenza ngendlela exakile kakhulu. Amaseli omdlavuza adinga i-amino acid ebizwa ngokuthi i-asparagine ukuze akhule. Amaseli aphilile ajwayelekile emzimbeni wethu angenza lo asparagine ngokwawo. Kodwa lawa maseli omdlavuza we-leukemia kanye ne-lymphoma awanalo lelo khono. Ngakho-ke lo muthi we-Rylaze uyaphuka futhi ubhubhise lo asparagine egazini. Ngemuva kwalokho amaseli omdlavuza alahlekelwa umsoco awudingayo bese efa. Amaseli aphilile angenza i-asparagine ayidingayo, ngakho-ke awalimali kakhulu.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokuqala lokhu kwelashwa, kubaluleke kakhulu ukwazisa udokotela wakho ngomlando wakho wezempilo ophelele. Qiniseka ukuthi uyamtshela uma unezinye zezimo ezilandelayo:
| Isimo sakho sempilo | Kungani kubalulekile ukwazisa ngakho? |
|---|---|
| Izinkinga zokopha noma izinkinga zokujiya kwegazi | Lo muthi ungathinta inqubo yokujiya kwegazi. |
| Isifo sikashukela | Lo muthi ungabangela ukwenyuka kwamazinga kashukela egazini. |
| Uma une-pancreatitis | Lo muthi awuvamile ukubangela i-pancreatitis. |
| Isifo sesibindi | Umuthi ungathinta ukusebenza kwesibindi. |
| Ukungezwani nokudla, umuthi, noma idayi | Ukuhlola ingozi yokusabela kokungezwani nomuthi. |
| Uma ukhulelwe noma uzama ukukhulelwa | Lokhu kubaluleke kakhulu . Umuthi ungalimaza ingane engakazalwa. |
| Uma umntwana enceliswa ibele | Umuthi ungadluliselwa enganeni ngobisi lwebele. |
Ngingakunika kanjani lo muthi?
Lona akuwona umuthi ongawuthatha uye nawo ekhaya. Unikezwa ngabasebenzi bezokwelapha abaqeqeshiwe esibhedlela noma emtholampilo . Ngokuvamile unikezwa njengomjovo emsipheni .
Kubaluleke kakhulu ukuthi uphuze imithi yakho ngezinsuku ezihlelelwe wena. Ungazidluli lezi zinsuku nganoma yisiphi isizathu. Uma ngesizathu esithile ungakwazi ukuthatha imithi yakho ngosuku oluhlelelwe, shayela udokotela wakho ngokushesha umtshele.
Njengoba lo muthi unikezwa ngaphansi kokuqondisa kukadokotela, awekho amathuba 'okudlula umthamo'. Kodwa-ke, uma uzizwa ungakhululekile ngendlela engavamile ngemva kokuthatha umuthi, yazisa abasebenzi bezokwelapha ngokushesha. Esimweni esiphuthumayo, ungashayela neNational Poison Information Centre eColombo National Hospital .
Izinto okufanele uzicabangele ngesikhathi sokwelashwa
Ukubhekwa njalo kwezokwelapha
Odokotela bazoqapha isimo sakho ngokucophelela phakathi nesikhathi osithathayo. Bazoyala ukuhlolwa kwegazi njalo. Bazohlola ukuthi umuthi uyasebenza yini, ukuthi uthinte isibindi sakho, nokuthi amazinga kashukela egazini lakho anjani.
Ukukhulelwa nokuncelisa
Lena indaba ekhathazayo kakhulu.
Ungakhulelwa ngenkathi uthatha lo muthi. Gwema ukukhulelwa okungenani izinyanga ezintathu ngemva kokuyeka umuthi.
Amaphilisi okulawula ukubeletha avamile angase angasebenzi kahle ngalo muthi. Ngakho-ke, qiniseka ukuthi ukhuluma nodokotela wakho ngenye indlela ephephile yokulawula ukubeletha efanele wena. Lo muthi ungabangela umonakalo omkhulu enganeni engakazalwa.
Futhi, gwema ukuncelisa ingane yakho ngenkathi uthatha imithi kanye nesonto elilodwa ngemva kokuyeka.
Ukuqaphela eminye imithi
Tshela udokotela wakho ngayo yonke imithi oyithathayo. Lokhu kufaka phakathi imithi yezinye izimo, amavithamini, imithi yobuhlungu, imithi yamakhambi, imithi ye-Ayurvedic, kanye nezithasiselo. Eminye imithi ingasebenzisana ne-Rylaze. Isibonelo:
- Ama-Corticosteroids (isib. i-Prednisolone)
- I-Methotrexate
- UVincristine
- I-Zonisamide
- I-Cytarabine
- Amahomoni e-thyroid
Lolu hlu aluphelele, ngakho-ke kubaluleke kakhulu ukutshela udokotela wakho ngakho konke okuthathayo.
Imiphumela emibi engase ivele ngenxa yemithi
Njenganoma yimuphi umuthi, lokhu kungabangela imiphumela emibi. Akuwona wonke umuntu oyitholayo. Kodwa-ke, kubalulekile ukuqaphela lokhu ukuze ukwazi ukuthatha isinyathelo ngokushesha uma kuvela izimpawu.
| Umphumela ongemuhle | Izimpawu ozibonayo |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela noma kubasebenzi basesibhedlela ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, nobunzima bokuphefumula. |
| Ukopha okungavamile | Indle emnyama noma enegazi, umchamo obomvu/onsundu omnyama, ukuhlanza okufana nekhofi, ukuphuma kwegazi ekhaleni/ezinsinini, amabala abomvu esikhumbeni. |
| Ihluli | Ubuhlungu esifubeni, ukuphelelwa umoya, ubuhlungu emilenzeni, ukuvuvukala, noma ukufudumala. |
| I-Pancreatitis | Ubuhlungu obukhulu esiswini esingaphezulu, obuphuma emhlane, umkhuhlane, isicanucanu kanye nokuhlanza. |
| Ukulimala kwesibindi | Ukuphuzi kwamehlo nesikhumba (i-jaundice), umchamo ophuzi/onsundu omnyama, ubuhlungu engxenyeni ephezulu kwesokudla yesisu, ukukhathala okukhulu. |
| Ushukela ophezulu egazini | Indlala eyanda ngendlela engavamile, ukoma ngokweqile, ukuchama njalo, ukubona okufiphele, ukukhathala okukhulu. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ikhanda elibuhlungu | Ikhanda elijwayelekile. |
| Isifiso sokudla | Ukulahlekelwa yisifiso sokudla. |
| Ubuhlungu bemisipha | Ubuhlungu bomzimba. |
| Izilonda zomlomo | Izilonda ezincane emlonyeni. |
Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile ezingekho kulolu hlu, sicela wazise udokotela wakho ngazo.
Umlayezo Wokuya Nawe Ekhaya
- I-Rylaze (i-Asparaginase) iwumjovo we-chemotherapy osetshenziselwa ukwelapha umdlavuza wegazi obizwa ngokuthi i-leukemia kanye ne-lymphoma.
- Lomuthi unikezwa esibhedlela noma emtholampilo ngaphansi kokuqashwa kwezokwelapha.
- Tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke eminye imithi oyiphuzayo.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nezimpawu zokungezwani komzimba, ukopha okungajwayelekile, noma ubuhlungu obukhulu besisu, funa iseluleko sezokwelapha ngokushesha.
- Gwema ukukhulelwa ngokuphelele ngesikhathi sokwelashwa kanye nezinyanga ezintathu ngemuva kwalokho.
- Uma unemibuzo noma ukukhathazeka, ungesabi ukukhuluma nodokotela wakho. Bakhona ukuzokusiza.
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