Uma wena noma othile omaziyo ekhuluma ngomdlavuza webele, cishe uke wezwa odokotela bekhuluma ngezivivinyo ezahlukahlukene. Ngezinye izikhathi la mazwi angabonakala eyinkimbinkimbi kancane. Namuhla sizokhuluma ngomjovo okhethekile osetshenziswa ekuhlolweni okunjalo. Lokhu akuyona indlela yokwelapha, kodwa kungasiza udokotela wakho ukuthi akhethe ukwelashwa okukulungele.
Kalula nje, iyini i-Fluoroestradiol F 18?
Kulungile, leli gama lizwakala lide kancane, akunjalo? Masiligcine lilula. Nakuba i-Fluoroestradiol F 18 iyisidakamizwa, akuyona into enikezwa ukwelapha umdlavuza. Isebenza njenge- "ejenti yokuthola" . Kalula nje, ifana "nodayi" onemisebe kancane ofakwa emzimbeni ngaphambi kokuba kwenziwe i-"(PET Scan)`` ekhethekile.
" O, ingabe ikhipha imisebe?" ungase ucabange. Akunjalo nhlobo. Lokhu kusebenzisa inani elincane kakhulu, eliphephile lezinto ezikhipha imisebe. Kushiya umzimba zingakapheli amahora ambalwa. Inhloso eyinhloko yalokhu ukukhombisa udokotela ukuthi iyini ngempela imvelo yamangqamuzana akho omdlavuza webele. Okungukuthi, ukuthola ukuthi lawo maseli omdlavuza asebenzisa i-hormone ebizwa ngokuthi ``(Oestrogen)`` ukuze akhule.
Kusebenza kanjani lokhu? Kuyamangalisa!
Ukuze siqonde lokhu, ake sithathe isibonelo esincane. Cabanga ngamanye amangqamuzana omdlavuza njengeminyango enezingidi eziningi "ezincane ongafaka kuzo ukhiye." Lezi zingidi zibizwa ngokuthi "ama-estrogen receptors" (noma "ER") . I-hormone ye-estrogen emzimbeni wethu ifana "nesihluthulelo" esifanelana nalezi zingidi. Uma lesi sihluthulelo sifakwa kukhiye, okungukuthi, lapho i-hormone ye-estrogen ibopha kukhiye weseli lomdlavuza, iseli lomdlavuza lithola isignali yokukhula nokuhlukana. Sibiza umdlavuza onjalo ngokuthi '(ER-positive)'.
Manje, uyazi ukuthi yini etholakala kumjovo we-'Fluoroestradiol F 18' esiwunikezayo? Uqukethe "ukhiye wamanga" ofana ncamashi nokhiye we-estrogen. Kodwa lo khiye wamanga unento ekhethekile. Unengxenye enomsebe ebizwa ngokuthi "F 18" enamathiselwe kuwo, esebenza njenge "isibani esincane."
Uma unikezwa lo mjovo, lawa "makhi mbumbulu anama-bulb okukhanya anamathiselwe" ahamba emzimbeni wonke ngegazi, futhi anamathele kuwo wonke "ama-lock" (`ama-Estrogen Receptors`) kulawo maseli omdlavuza.
Ngemuva kwalokho, cishe ngemva kwehora, uzofakwa emshinini we-"PET Scan". Lesi sithwebuli sifana nekhamera ekhethekile engakwazi ukubona ukukhanya okuvela kulawo “mabhamuza kagesi.” Uma usibheka ngale khamera, uma kukhona lawo maseli omdlavuza “ane-ER-positive” noma kuphi emzimbeni, wonke azokhanya kahle.
Ngale ndlela, udokotela angakwazi ukunquma ngokunembile ukuthi umdlavuza ukuphi, ukuthi ngabe usakazekele kwezinye izingxenye zomzimba, futhi okubaluleke kakhulu, ukuthi ngabe uhlobo lomdlavuza olune-ER-positive.
Kungani udinga lolu vivinyo?
Ngokuvamile, uma kusolwa ukuthi umdlavuza webele, udokotela uthatha ingxenye encane yesimila bese enza ukuhlolwa. Lokhu kubizwa ngokuthi "i-biopsy." Lokhu kunganquma uhlobo lomdlavuza.
Kodwa kunezimo ezithile lapho lokhu kuhlolwa kwe-`Fluoroestradiol F 18` kuwusizo kakhulu.
- Uma ufuna ukwazi kahle ukuthi umdlavuza ususakazekele kwezinye izingxenye zomzimba (i-metastasis).
- Uma kukhona ukusola ukuthi umdlavuza owawukade welashwe usubuyile.
- Uma kukhona umdlavuza endaweni ethile, kunzima ukwenza i-biopsy.
- Qiniseka ukuthi umdlavuza uyasabela ekwelashweni kwama-hormone kwamanje.
Ngokusekelwe kulolu lwazi, udokotela wakho uzokwazi ukunquma ukuthi ukwelashwa okufana nokwelashwa ngama-hormone kufanelekile yini kuwe noma cha.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokunikeza lo muthi wokugoma
Lokhu kubaluleke kakhulu. Ngaphambi kokuba unikezwe lo muthi wokugomela, ithimba lakho lezokwelapha lizokubuza imibuzo embalwa. Kubalulekile ukuze uphephe ukuthi uyiphendule yonke ngeqiniso.
- Ukungezwani komzimba: Uma une -allergies kule `Fluoroestradiol F 18` noma yimuphi omunye umuthi, ukudla, noma idayi, qiniseka ukuthi usitshela ngakho.
- Ukukhulelwa: Uma ukhulelwe noma uzama ukukhulelwa, kufanele utshele udokotela wakho nakanjani . Lokhu kungenxa yokuthi kusetshenziswa inani elincane lemisebe, okungaphephile enganeni esesibelethweni.
- Uma ungumama oncelisayo: Kufanele futhi utshele udokotela wakho uma uncelisa. Ungase welulekwe ukuthi uyeke ukuncelisa amahora ambalwa noma usuku ngemuva kokuthola lo muthi wokugomela.
- Eminye imithi oyithathayo: Uma uthatha imithi yomdlavuza webele noma yisiphi esinye isimo, tshela udokotela wakho ngayo yonke imithi oyithathayo, ikakhulukazi imithi ehlobene nama-hormone.
| Eminye imithi ingase ihlangane nalo muthi. |
|---|
Kunemithi ethile engathinta imiphumela yalolu vivinyo. Uma uthatha noma yimuphi wale mithi, tshela udokotela wakho. Uzokutshela uma udinga ukuyeka ukuyithatha izinsuku ezimbalwa ngaphambi kokuhlolwa. Ezinye izibonelo yilezi:
|
| Qaphela: Lolu hlu aluphelele. Tshela udokotela wakho nganoma yimiphi imithi, amavithamini, noma ngisho nemithi yendabuko oyithathayo. |
Ingabe ikhona imiphumela emibi?
Njenganoma iyiphi inqubo yezokwelapha, kungenzeka kube nemiphumela emibi emincane, kodwa ayivamile kakhulu futhi ayibi yingozi.
| Umphumela ongemuhle | Yini okufanele uyenze? |
|---|---|
| Izinto okufanele uzibike eqenjini lakho lezokwelapha ngokushesha | |
Ukusabela okukhulu kokungezwani komzimba
| Lezi azivamile kakhulu kodwa zingaba zimbi kakhulu. Uma uhlangabezana nanoma yiziphi zalezi zimpawu, tshela udokotela wakho noma umhlengikazi ngokushesha . |
| Izinto ezingavamile ukuba bucayi, kodwa okufanele zibikwe uma ziqhubeka | |
| Ukushintsha kokunambitheka emlonyeni | Lokhu kuvame ukuphela ngemva kwesikhathi esithile. Uma kuqhubeka, tshela udokotela wakho. |
| Ubuhlungu, ukubomvu, noma ukuvuvukala lapho kujovwe khona | Lokhu kuvame ukuzixazulula ngokwakho. Uma ubuhlungu noma ukuvuvukala kukhuphuka, yazisa ithimba lezokwelapha. |
Yini okufanele uyenze uma umthamo wemithi ukhuphuka?
Lona akuwona umuthi ongawusebenzisa ekhaya. Lo muthi wokugoma unikezwa esibhedlela noma emtholampilo ngabasebenzi bezokwelapha abaqeqeshiwe. Ngakho-ke, amathuba okuthola umthamo ongalungile aphansi kakhulu. Uma ucabanga ukuthi lokhu kwenzekile, ngisho nasezimweni ezingavamile, iya e -ETU (Emergency Treatment Unit) ngokushesha. Uma kudingeka, ungashayela neNational Poisons Information Centre eColombo National Hospital ukuze uthole iseluleko.
Umlayezo Wokuya Nawe Ekhaya
- I-`Fluoroestradiol F 18` ayiyona indlela yokwelapha umdlavuza. Iwumjovo osetshenziswa esivivinyweni esikhethekile osiza ekuxilongeni uhlobo lomdlavuza webele.
- Lokhu kubheka kakhulu ukuthi amangqamuzana akho omdlavuza "ane-Estrogen Receptor-Positive" (ER-positive) , okusho ukuthi i-hormone i-estrogen iyasiza yini ekukhuleni komdlavuza.
- Lolu lwazi lubaluleke kakhulu kudokotela wakho ukuze anqume ukwelashwa okufanele kakhulu kuwe, ikakhulukazi ukwelashwa ngama-hormone.
- Lokhu kuphephile kakhulu ngoba kunikezwa ngaphansi kokuqashwa kwezokwelapha esibhedlela. Imiphumela emibi ayivamile kakhulu.
- Ngaphambi kokuhlolwa, qiniseka ukuthi wazisa udokotela wakho ngakho konke ukungezwani komzimba kwakho, ukukhulelwa, kanye nanoma yimiphi eminye imithi oyithathayo.
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