Ukulwa nomdlavuza kuyinselele enkulu ngempela, akunjalo? Ukuze sikusekele kulolu hambo, kunezindlela ezahlukene zokwelapha ezitholakalayo. Enye indlela yokwelapha enjalo yiCarmustine , okungenzeka ukuthi uke wayizwa ibizwa ngokuthi (BCNU) . Kujwayelekile ngokuphelele ukuzizwa ukhathazekile kancane uma uzwa igama elisha lomuthi, kodwa ake sixoxe ngalo muthi kalula, njengokungathi singabangane abakhulumayo, ukuze ube nokuqonda okucacile kwalokho ongakulindela.
Uhlobo luni lomuthi iCarmustine, futhi isetshenziselwani?
Kalula nje, i-Carmustine umuthi osetshenziselwa ukulwa namaseli omdlavuza . Ngokukhethekile, uhlobo lwe- chemotherapy . Amanye amaseli emizimbeni yethu, ikakhulukazi amaseli omdlavuza , ahlukana futhi aphindaphindeke ngokushesha. Lo muthi usebenza ngokuphazamisa ukukhula kwalawo maseli ahlukana ngokushesha futhi uwagcine elawulwa.
Ake sibheke izimo zomdlavuza eziyinhloko ezisetshenziselwa lo muthi:
- Izimila zobuchopho : Zisetshenziselwa izinhlobo ezahlukene zokukhula noma izimila ezenzeka ebuchosheni.
- I-Multiple myeloma: Umdlavuza ovela emnkantsheni wethambo.
- Isifo sikaHodgkin: Umdlavuza othinta uhlelo lwe-lymphatic .
- Ama-lymphoma angewona ama-Hodgkin: Elinye iqembu lomdlavuza elithinta uhlelo lwe-lymphatic.
Ngaphandle kwalezi zimo, udokotela wakho ngezinye izikhathi angasebenzisa lo muthi kwezinye izinkinga zempilo. Ngakho-ke, uma unikezwe lo muthi, kungcono ukucela udokotela wakho noma usokhemisi ukuthi akuchazele kahle ukuthi kungani nokuthi uzonikezwa kanjani esimweni sakho.
Yini okufanele uyitshele udokotela wakho ngaphambi kokuqala lo muthi?
Ngaphambi kokuthi uqale ukwelashwa nge-Carmustine, kubalulekile ukwabelana ngolwazi oluthile nethimba lakho lokunakekelwa. Ithimba lakho lezokwelapha lidinga le mininingwane ukuze linqume ukuthi lokhu kwelashwa kulungile yini kuwe, ukubala umthamo ofanele, nokubona ukuthi yini edinga ukubhekwa okwengeziwe.
Nazi ezinye izinto ezibalulekile okufanele uzidalule:
- Uma unezifo ezikhona njengamanje: Ikakhulukazi izifo ezibangelwa amagciwane njenge -chickenpox noma i-herpes, noma uma unomkhuhlane noma umkhuhlane.
- Isifo sezinso : Noma yiziphi izinkinga ezihlobene nezinso zakho.
- Isifo sesibindi : Noma yikuphi ukukhathazeka mayelana nokusebenza kwesibindi .
- Ukubalwa kwamaseli egazi aphansi: Njengama-platelet aphansi, amaseli abomvu egazi aphansi (i-anemia), noma amaseli amhlophe egazi aphansi. Udokotela wakho kudingeka azi ngalokhu.
- Isifo samaphaphu: Uma unezinkinga zokuphefumula noma ubunzima bokuphefumula.
- Ukusabela kokungezwani komzimba: Kumelwe udalule ukuthi uke waba nokusabela kokungezwani komzimba ku-Carmustine, BCNU, eminye imithi ye-chemotherapy, noma eminye imithi, ukudla, udayi, noma izithasiselo.
- Uma ukhulelwe noma uzama ukukhulelwa: Lokhu kubaluleke kakhulu.
- Uma uncelisa.
Ukuvuleleka kudokotela wakho ngalezi zici kubalulekile ekuphepheni kwakho nasekunakekelweni okuphumelelayo eNirogi Lanka.
I-Carmustine inikezwa kanjani?
Lo muthi unikezwa njengokufakwa noma umjovo emthanjeni. Lo muthi akuwona umuthi owuthatha ekhaya; uzonikezwa uchwepheshe wezempilo oqeqeshiwe esibhedlela noma emtholampilo.
Okubalulekile: Uma lo muthi unikezwe ingane, wenziwa ngaphansi kokunakekelwa okukhethekile kanye nokuqondisa kukadokotela wezingane.
Kuthiwani uma uthola ukudlula umthamo?
Uma usola ukuthi uphuze ngokweqile, sicela uxhumane nezinsizakalo eziphuthumayo zasendaweni noma uye ekamelweni eliphuthumayo eliseduze ngokushesha.
Sicela ukhumbule: Lo muthi unikezwe wena kuphela. Ungalokothi uwuhlanganyele nanoma ubani omunye.
Kuthiwani uma uphuthelwa umthamo?
Kubalulekile ukulandela uhlelo lwakho lokwelashwa oluhleliwe. Uma ungakwazi ukwenza i-aphoyintimenti yakho ehleliwe, sicela ushayele udokotela wakho noma uchwepheshe wezempilo ngokushesha ukuze ubazise. Bazokuqondisa ezinyathelweni ezilandelayo.
Ingabe ikhona eminye imithi engasebenzisana nalokhu kwelashwa? (Ukusebenzisana kwezidakamizwa)
Yebo, eminye imithi ingasebenzisana neCarmustine, okungashintsha ukusebenza kwayo noma kwandise ingozi yemiphumela emibi.
Izibonelo zifaka:
- I-Cimetidine (esetshenziselwa izimo ezifana ne-gastritis)
- I-Phenobarbital (esetshenziselwa ezinye izifo zokuxhuzula)
- I-Phenytoin ne-Fosphenytoin (esetshenziselwa futhi ukuxhuzula)
Lolu hlu aluphelele. Ngakho-ke, kufanele wazise udokotela wakho ngayo yonke imithi oyithathayo—kufaka phakathi eminye imithi kadokotela, amavithamini, izithasiselo zamakhambi, imithi ethengiswa ngaphandle kwemithi kadokotela, kanye nezithasiselo zokudla. Ngaphezu kwalokho, sicela wazise udokotela wakho uma ubhema noma uphuza utshwala, njengoba lokhu kungathintana nokwelashwa kwakho.
Yini okufanele uyiqaphele ngesikhathi sokwelashwa?
Ngesikhathi sokwelashwa kwakho kweCarmustine, udokotela wakho uzokuqapha njalo ukuze ahlole intuthuko yakho kanye nempilo yakho iyonke.
- Ukuzizwa ungaphilile kahle: Kuvamile ukuzizwa ungaphansi kwesimo sezulu ngenkathi usebenzisa lo muthi. Ngenxa yokuthi i-chemotherapy ihlasela amaseli ahlukanisa ngokushesha, ingathinta amaseli anempilo kanye namaseli omdlavuza. Lokhu kulindeleke. Sicela ubike noma yimiphi imiphumela emibi kudokotela wakho. Ngisho noma uzizwa ungakhululekile, qhubeka nokwelashwa njengoba kunqunyiwe kuze kube yilapho udokotela wakho ekweluleka ngenye indlela.
- Imithi yokusekela: Ngezinye izikhathi, udokotela wakho angase akunikeze imithi eyengeziwe ukusiza ukulawula imiphumela emibi. Sicela uqinisekise ukuthi ulandela imiyalelo yale mithi eyengeziwe njengoba ihlinzekiwe.
- Ukuzivikela ezifweni: Uma uba nomkhuhlane, ukubanda, umphimbo obuhlungu, ukukhwehlela, noma izimpawu zomkhuhlane , xhumana nodokotela wakho noma umhlinzeki wezempilo ngokushesha ukuze uthole isiqondiso. Ungazami ukuzelapha. Lo muthi ungenza buthaka amasosha omzimba wakho, okwenza ube sengozini enkulu yokutheleleka. Zama ukugwema ukuxhumana eduze nabantu abagulayo.
- Ukuqapha ukopha nokuklwebheka: Lo muthi ungandisa ingozi yakho yokopha noma ukuklwebheka kalula. Uma ubona ukopha okungajwayelekile (isib. ukopha ekhaleni, ukopha kwezinsini, igazi esitulweni sakho) noma ukuklwebheka okungachazeki, yazisa udokotela wakho ngokushesha.
- Ingozi yomdlavuza wesibili: Ukusetshenziswa kwalomuthi isikhathi eside kungaba nengozi encane yokuthola ezinye izinhlobo zomdlavuza. Xoxa nodokotela wakho nganoma yiziphi izinkinga onazo.
- Imithelela Yokuzala: Lo muthi ungathinta ukuzala kwabesilisa (ikhono lokuba ngubaba wengane). Uma unenkinga ngalokhu, sicela ukhulume nodokotela wakho noma uchwepheshe wezempilo.
- Ukukhulelwa nokuncelisa:
- Ungakhulelwa ngesikhathi sokwelashwa futhi izinyanga eziyisithupha ngemva kokuyeka lo muthi. Uma uhlela ukukhulelwa noma usola ukuthi kungenzeka ukuthi ukhulelwe, yazisa udokotela wakho ngokushesha.
- Amadoda akufanele azame ukuba nguyise wengane ngenkathi ethatha lo muthi futhi izinyanga ezintathu ngemuva kokuyeka ukwelashwa.
- Lo muthi ungabangela umonakalo omkhulu enganeni engakazalwa. Xoxa ngalokhu kabanzi nodokotela wakho noma nosokhemisi.
- Ungancelisi ingane ngesikhathi uphathwa ngalo muthi.
Yimiphi imiphumela emibi engaba khona yalo muthi?
Njenganoma yimuphi umuthi, i-Carmustine ingabangela imiphumela emibi. Kodwa-ke, akuwona wonke umuntu obhekana nayo. Eminye idinga ukunakekelwa okusheshayo kudokotela wakho, kanti eminye ayibi kakhulu futhi ivame ukuxazululeka ngokuhamba kwesikhathi.
Imiphumela emibi edinga ukunakekelwa kwezokwelapha okuphuthumayo:
Uma uhlangabezana nanoma yikuphi kwalokhu okulandelayo, xhumana nodokotela wakho noma umhlinzeki wezempilo ngokushesha okukhulu:
- Ukusabela kokungezwani komzimba: Ukuqubuka kwesikhumba, ukulunywa, ukuqubuka, noma ukuvuvukala kobuso, izindebe, noma ulimi.
- Ubunzima bokuphefumula.
- Ubuhlungu bamalunga.
- Ukubalwa kwegazi okuphansi: Lo muthi ungase wehlise inani lamaseli akho amhlophe egazi, amaseli abomvu egazi, kanye nama-platelet, okwandisa ingozi yakho yokutheleleka nokopha.
- Ubuhlungu bemisipha.
- Ukuquleka.
- Izimpawu zokutheleleka: Umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu, noma ubuhlungu/ubunzima ngesikhathi sokuchama.
- Izimpawu zama-platelet aphansi noma ukopha: Ukuminyana okungachazeki, amabala abomvu akhomba esikhumbeni, indle emnyama noma ephuzi, noma igazi emchameni.
- Izimpawu zokulimala kwezinso: Ubunzima bokuchama noma ukushintsha kokukhishwa komchamo.
- Ukwehlisa isisindo okungachazeki.
Imiphumela emibi ngokuvamile engemibi kangako kodwa okufanele ibikwe uma iqhubeka:
Imiphumela emibi elandelayo ngokuvamile ayisongeli impilo kodwa kufanele ibikwe uma iba yinkinga noma iqhubeka njalo:
- Ikhanda elibuhlungu.
- Ukulahlekelwa yisifiso sokudla.
- Ukucanuzela noma ukuhlanza.
- Ubuhlungu, ukubomvu, noma ukucasuka endaweni yomjovo.
Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Uma uhlangabezana nanoma yini engavamile, sicela uxhumane nethimba lakho lezempilo.
Lo muthi ugcinwa kanjani?
Ngenxa yokuthi lo muthi unikezwa esibhedlela noma endaweni yokwelapha, awudingi ukuwugcina ekhaya. Abasebenzi besibhedlela banesibopho sokuphathwa kwawo kanye nokugcinwa kwawo ngendlela efanele.
Umlayezo Wokuya Nawe Ekhaya
Sesixoxe ngezici eziningi zokwelashwa kwe-Carmustine. Khumbula:
Into ebaluleke kakhulu ukuxoxa ngokukhululekile nganoma yimiphi imibuzo, ukungabaza, noma ukukhathazeka ongase ube nakho nodokotela wakho, umhlengikazi, noma usokhemisi. Balapha ukuzokusekela.
- I-Carmustine umuthi we-chemotherapy owenzelwe ukulawula ukukhula kwamaseli omdlavuza.
- Ngaphambi kokuqala ukwelashwa, yazisa udokotela wakho ngomlando wakho wezempilo ophelele kanye nayo yonke eminye imithi oyithathayo.
- Yiba khona emihlanganweni yakho yokwelashwa njengoba kuhleliwe. Uma uphuthelwa yi-aphoyintimenti, yazisa udokotela wakho ngokushesha.
- Hlala uqaphele imiphumela emibi. Bika izimpawu ezimbi ngokushesha kudokotela wakho.
- Zijwayeze ukuhlanzeka okuhle ukuze uvimbele izifo futhi uhlale uqaphile ngezimpawu zokopha.
- Landela iseluleko sezokwelapha ngokuqinile mayelana nokukhulelwa nokuncelisa.
Khumbula, awuwedwa kulolu hambo. Unethimba lezokwelapha elizinikele eNirogi Lanka elizokunakekela. Hlala uqinile, landela uhlelo lwakho lokwelashwa, futhi sikufisela ukululama okusheshayo!
Amagama angukhiye: I-Carmustine, i-BCNU, ukwelashwa komdlavuza, i-chemotherapy, umdlavuza wobuchopho, i-multiple myeloma, i-lymphoma, imithi yomdlavuza, imiphumela emibi
