Umngane wakho ekulweni nomdlavuza: Funda ngomuthi wokugomela i-Carmustine (BCNU)

Ukulwa nomdlavuza kuyinselele yangempela, akunjalo? Kunezindlela zokwelapha ezahlukahlukene ezingakusiza futhi zikuqinise kulolu hambo. Enye indlela yokwelapha enjalo yiCarmustine , okungenzeka ukuthi uke wezwa ngayo ngokuthi yi-BCNU . Ungase uzizwe wesaba kancane uma uzwa leli gama, futhi lokho kuyinto evamile. Kodwa namuhla, sizokhuluma ngalo muthi ngamagama alula kakhulu, njengoba nje ukhuluma nomngane. Khona-ke uzokwazi ukuwuqonda kangcono.

Uhlobo luni lomuthi iCarmustine? Isetshenziselwani?

Kalula nje, i-Carmustine iwumuthi obulala amangqamuzana omdlavuza . Uma sikhuluma iqiniso, uhlobo lomuthi we -chemotherapy . Amanye amangqamuzana emzimbeni wethu, ikakhulukazi amangqamuzana omdlavuza , ayahlukana futhi akhule ngokushesha kakhulu. Lo muthi uphazamisa ukukhula kwalawo maseli ahlukana ngokushesha futhi uyawalawula.

Manje ake sibone ukuthi hlobo luni lomdlavuza olusetshenziswa kakhulu yilo muthi:

• Izimila zobuchopho : Lokhu kusetshenziselwa izinhlobo ezahlukene zezimila noma umdlavuza ezenzeka ebuchosheni.
• I-Multiple myeloma: Lolu uhlobo lomdlavuza oluvela emnkantsheni wethambo.
• Isifo sikaHodgkin: Lesi umdlavuza owenzeka ohlelweni lwe-lymphatic.
• Ama-lymphoma angewona ama-Hodgkin: Lolu olunye uhlobo lomdlavuza oluvela ohlelweni lwe-lymphatic.

Ngaphezu kwezifo ezishiwo ngenhla, odokotela ngezinye izikhathi bangasebenzisa lo muthi kwezinye izimo. Ngakho-ke, uma unikezwa lo muthi, kungcono ukucela udokotela wakho noma usokhemisi ukuthi akuchazele ukuthi kungani usebenza nokuthi usebenza kanjani.

Yiziphi izinto okudingeka ngizitshele udokotela ngaphambi kokusebenzisa lo muthi?

Ngaphambi kokuthi uqale ukuthatha iCarmustine, udinga ukutshela ithimba lakho lokunakekela ulwazi olubalulekile. Lolu lwazi luzobasiza ukuthi banqume ukuthi lo muthi ukulungele yini, ukuthi bangakunika malini, nokuthi yiziphi ezinye izinto okudingeka uziqaphele.

Nazi ezinye izinto ezibalulekile okufanele uziqaphele:

• Uma okwamanje unesifo: ikakhulukazi isifo esibangelwa yigciwane njenge -chickenpox , i-herpes, noma umkhuhlaneUma unomkhuhlane, kufanele usitshele.
• Isifo sezinso : Uma unezinkinga zezinso.
• Isifo sesibindi: Uma kunezinkinga ezihlobene nokusebenza kwesibindi .
• Uma kunezingxenye zegazi eziphansi: Lokhu kusho inani eliphansi lama-platelet, inani eliphansi lamaseli abomvu egazi (okusho i-anemia), noma inani eliphansi lamaseli amhlophe egazi. Udokotela wakho kufanele azi ngalezi zimo.
• Isifo samaphaphu: Uma unesifo esihlobene namaphaphu, njengobunzima bokuphefumula.
• Ukusabela kokungezwani komzimba: Uma uke waba nokungezwani komzimba noma umlando wokungezwani komzimba neCarmustine, BCNU, eminye imithi ye-chemotherapy, noma yimiphi eminye imithi, ukudla, udayi, noma izithasiselo, kufanele utshele udokotela wakho.
• Uma ukhulelwe noma uzama ukukhulelwa: Lokhu kubaluleke kakhulu.
• Uma ungumama oncelisayo.

Kubaluleke kakhulu ukuze uphephe ukutshela udokotela ngokucacile, ngaphandle kokufihla lezi zinto.

Umuthi wokugomela iCarmustine unikezwa kanjani?

Lomuthi unikezwa njengokufakwa noma ukujova emthanjeni. Lomuthi akuwona umuthi ongawuthatha ekhaya. Unikezwa uchwepheshe wezempilo othole ukuqeqeshwa okukhethekile, kungaba esibhedlela noma emtholampilo.

Okubalulekile: Uma unikeza izingane ezincane lo muthi, xoxa ngawo nodokotela wezingane bese usebenzisa lo muthi ngaphansi kokunakekelwa okukhethekile.

Wenzani uma uphuza umuthi omningi ngephutha?

Uma lokhu kwenzeka, okusho ukuthi ucabanga ukuthi uphuze ngokweqile, kufanele ushayele isikhungo sokulawula ubuthi noma igumbi lezimo eziphuthumayo ngokushesha.

Sicela ukhumbule: Lo muthi unikezwe wena kuphela. Ungalokothi wabelane ngalo muthi nanoma ubani omunye.

Wenzani uma uphuthelwa umthamo wemithi?

Kubaluleke kakhulu ukuphuza imithi yakho ngesikhathi nangosuku lokuqokwa kwakho. Uma ungakwazi ukugcina i-aphoyintimenti yakho, shayela udokotela wakho noma uchwepheshe wezempilo ngokushesha. Bazokutshela ukuthi wenzeni ngokulandelayo.

Ingabe ikhona eminye imithi engasebenzisana nalo muthi? (Ukusebenzisana Kwemithi)

Yebo, kunemithi ethile engasebenzisana neCarmustine, okusho ukuthi ingangqubuzana. Uma lokho kwenzeka, ukusebenza kahle kweCarmustine kungashintsha noma imiphumela emibi inganda.

Nazi ezinye zemithi enjalo:

• I-Cimetidine ( umuthi osetshenziselwa izimo ezifana ne-gastritis)
• I-Phenobarbital (enikezwa kwezinye izimo zesifo sokuwa)
• I-Phenytoin ne-Fosphenytoin (ephinde isetshenziswe ekwelapheni isithuthwane)

Lolu hlu luyizibonelo ezimbalwa nje. Ngakho-ke, kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo (imithi yezinye izifo, amavithamini, imithi yendabuko, izithasiselo zamakhambi, imithi enganikezwanga ngodokotela, izithasiselo zokudla, njll.). Futhi, uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa, yazisa udokotela wakho ngakho. Ngoba ezinye izinto zingathintana nalo muthi.

Yini okufanele siyiqaphele lapho sithatha imithi?

Ngesikhathi uthatha iCarmustine, udokotela wakho uzohlola intuthuko yakho njalo.

• Ukungakhululeki okuvamile: Kuvamile ukuzizwa ungakhululekile noma ungaphilile kahle ngenkathi uthatha lo muthi. Lokhu kungenxa yokuthi imithi ye-chemotherapy ingathinta hhayi amangqamuzana omdlavuza kuphela kodwa namaseli anempilo. Lokhu akuyona into engavamile. Uma uhlangabezana nanoma yimiphi imiphumela emibi, tshela udokotela wakho. Qhubeka uthatha umuthi noma ngabe awukhululekile kuwe, kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.
• Imithi eyengeziwe yemiphumela emibi: Ngezinye izikhathi, udokotela wakho angakunika imithi eyengeziwe ukusiza ukulawula imiphumela emibi yalo muthi. Landela imiyalelo yokusebenzisa leyo mithi njengoba nje inikezwe.
• Ukuzivikela ezifweni: Uma unomkhuhlane, ukubanda, umphimbo obuhlungu, ukukhwehlela, noma ezinye izimpawu ezifana nomkhuhlane , shayela udokotela wakho noma uchwepheshe wezempilo ngokushesha ukuze uthole iseluleko. Ungaziniki imithi. Lo muthi unganciphisa ikhono lomzimba wakho lokulwa nokugula (ukungavikeleki). Ngakho-ke, zama ukuhlala kude nabantu abagulayo ngangokunokwenzeka.
• Qaphela ngokuphuma kwegazi kanye nokubhoboza: Lo muthi ungandisa ingozi yakho yokopha noma ukubhoboza kalula. Tshela udokotela wakho uma ukopha okungajwayelekile (isib., ukuphuma kwegazi ekhaleni, ukuphuma kwegazi ezinsinini, igazi esitulweni sakho) noma ukubhoboza.
• Ingozi yomdlavuza: Kungase kube nengozi encane yokuthola ezinye izinhlobo zomdlavuza ngenkathi uthatha lo muthi. Khuluma nodokotela wakho ngalokhu.
• Imiphumela Ekuzaleni:Lo muthi ungathinta ikhono lendoda lokuba ngubaba wengane. Uma unemibuzo noma ukukhathazeka ngalokhu, khuluma nodokotela wakho noma uchwepheshe wezempilo.
• Ukukhulelwa nokuncelisa:
• , 6 . , , .
• Njengoba nje amadoda ephuza lo muthi, akufanele azame ukuba nomntwana izinyanga ezintathu ngemva kokuyeka umuthi.
• Lo muthi ungabangela imiphumela emibi kakhulu enganeni engakazalwa. Buza udokotela wakho noma usokhemisi ukuze uthole ulwazi olwengeziwe.
• Ungamncelisi umntwana ibele ngesikhathi uthatha lo muthi.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njenganoma yimuphi umuthi, iCarmustine ingabangela eminye imiphumela emibi. Kodwa-ke, akuwona wonke umuntu othola yonke le miphumela emibi. Eminye yayo yizinto okufanele utshele udokotela wakho ngazo ngokushesha, kanti eminye ngokuvamile ayibi yimbi kakhulu futhi iyanyamalala ngemva kwezinsuku ezimbalwa.

Imiphumela emibi okufanele utshele udokotela wakho ngayo ngokushesha:

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, kufanele utshele udokotela wakho noma uchwepheshe wezempilo ngokushesha okukhulu:

• Ukusabela kokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa noma ukuqubuka, ukuvuvukala kobuso, izindebe noma ulimi.
• Izinkinga zokuphefumula.
• Ubuhlungu bamalunga.
• Ukubalwa kwegazi okuphansi: Lo muthi ungabangela amangqamuzana amhlophe egazi aphansi, amangqamuzana abomvu egazi, nama-platelet, okungandisa ingozi yakho yokutheleleka nokopha.
• Ubuhlungu bemisipha.
• Ukuquleka.
• Izimpawu zokutheleleka: umkhuhlane noma ukubanda, ukukhwehlela, umphimbo obuhlungu, ubuhlungu noma ubunzima bokuchama.
• Izimpawu zokwehla kwama-platelet noma ukopha: ukuklwebheka, ukukhomba amabala abomvu esikhumbeni, umnyama, indle ephuzi, igazi emchameni.
• Izimpawu zokulimala kwezinso: Ubunzima bokuchama noma ushintsho enanini lomchamo owukhiqizayo.
• Ukwehlisa isisindo (ngaphandle kwesizathu).

Imiphumela emibi ngokuvamile okungadingeki ukuthi utshele udokotela wakho ngayo , kodwa okufanele ibikwe uma iqhubeka:

Le miphumela emibi ngokuvamile ayibi mibi kakhulu. Kodwa-ke, uma iqhubeka noma ikukhathaza kakhulu, tshela udokotela wakho:

• Ikhanda elibuhlungu .
• Ukulahlekelwa yisifiso sokudla.
• Isicanucanu, ukuhlanza.
• Ubuhlungu, ukubomvu, noma ukucasuka endaweni lapho kujovwe khona.

Lolu hlu aluyona yonke imiphumela emibi engaba khona. Uma ubona noma yini engavamile, buza udokotela wakho ngayo.

Uyigcinaphi le mithi?

Njengoba lo muthi unikezwa esibhedlela noma emtholampilo, ngeke ukwazi ukuwuthatha uwuyise ekhaya noma uwugcine. Abasebenzi besibhedlela banesibopho salokhu.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho sixoxe kakhulu ngesidakamizwa iCarmustine, akunjalo?

Into ebaluleke kakhulu ukuthi uma unemibuzo, ukungabaza, noma ukwesaba ngalokhu kwelashwa, zizwe ukhululekile ukukhuluma nodokotela wakho, umhlengikazi, noma usokhemisi. Bakhona ukukusiza.

• I-Carmustine umuthi we-chemotherapy olawula ukukhula kwamaseli omdlavuza.
• Ngaphambi kokuthatha umuthi, tshela udokotela wakho ngalo lonke ulwazi lwakho lwezempilo kanye neminye imithi oyithathayo.
• Thatha ukwelashwa kwakho ngezinsuku ezihleliwe nangendlela enqunyiwe. Uma uphuthelwa yinoma yiziphi izikhathi zokubonana, tshela udokotela wakho ngokushesha.
• Qaphela imiphumela emibi. Uma uhlangabezana nanoma yiziphi izimpawu ezinkulu, tshela udokotela wakho ngokushesha.
• Zivikele ezifweni futhi uqaphele ukopha.
• Landela imiyalelo kadokotela wakho mayelana nokukhulelwa nokuncelisa ngqo.

Khumbula, awuwedwa kule mpi. Unethimba lodokotela abazokusiza futhi bakunakekele. Ngakho-ke hlala uqinile, landela imiyalelo enikeziwe, bese ubhekana nalolu hlobo lokwelashwa. Ngikufisela ukululama okusheshayo!

I- Carmustine, i-BCNU, ukwelashwa komdlavuza, i-chemotherapy, umdlavuza wobuchopho, i-multiple myeloma, i-lymphoma, imithi yomdlavuza, imiphumela emibi