Kuvamile ukuzizwa wesaba kakhulu lapho udokotela wakho ekutshela ukuthi umdlavuza usakazeke esiswini sakho, okungukuthi, esiswini sakho. Ngaphezu kokwelashwa ngamakhemikhali okuvamile, namuhla sizokhuluma ngendlela yokwelapha ephumelela kakhulu eqondene nalezi zimo. Lokhu kubizwa ngokuthi i-HIPEC. Ake sibone ukuthi kunjani.
Kalula nje, iyini i-HIPEC?
Incazelo ephelele ye-HIPEC ithi i-Hyperthermic Intraperitoneal Chemotherapy . Nakuba igama lingase lizwakale liyinkimbinkimbi, okwenzekayo kulula kakhulu. Lokhu ukwelashwa komdlavuza okunezingxenye ezimbili.
Ake sithi unesimila esinomdlavuza esiswini sakho (umgodi wesisu). Lo mgodi uqukethe izitho ezibalulekile njengesibindi sakho nesisu.
1. Isinyathelo sokuqala: Odokotela bazokwenza ukuhlinzwa kuqala futhi basuse cishe zonke izimila ezinomdlavuza ezibonakala ngaphakathi esiswini.
2. Isinyathelo sesibili: Bese kuthi, ukuze kubhujiswe noma yimaphi amangqamuzana omdlavuza asele angabonakali emehlweni, kufakwe isixazululo se-chemotherapy esishisayo kakhulu (i-Hyperthermic) ngqo esiswini (intraperitoneal) ukuze kugezwe kahle futhi kuvulwe umgodi.
Kalula nje, lokhu kwelashwa kuhilela ukususa izimila ezinomdlavuza nokuhlanza ingaphakathi lesisu ngemithi eshisayo ye-chemotherapy ukuze kubhujiswe noma yimaphi amangqamuzana omdlavuza asele.
Lolu hlobo lokwelashwa lunikezwa ziphi izinhlobo zomdlavuza?
Ukwelashwa kwe-HIPEC kuvame ukusetshenziselwa umdlavuza osakazeke (osuvele usakazeke) usuka kwenye indawo emzimbeni uye esiswini, okungukuthi, umgodi wesisu. Ngezinye izikhathi futhi usetshenziselwa umdlavuza oqala esiswini ngokwawo.
| Uhlobo lomdlavuza | Incazelo |
|---|---|
| Umdlavuza Owehlayo | |
| Umdlavuza wendlala ye-adrenal | Isithasiselo Umdlavuza |
| Umdlavuza wamathumbu amakhulu | Umdlavuza we-Colorectal |
| Umdlavuza wesibeletho | Umdlavuza Wesibeletho |
| Umdlavuza wesisu | Umdlavuza Wesisu |
| Umdlavuza wesibindi | Umdlavuza Wesibindi |
| Umdlavuza we-adrenal gland | Umdlavuza Wezinso |
| Umdlavuza Oyinhloko Wesisu | |
| Umdlavuza wesisu oyinhloko | Umdlavuza Oyinhloko Wesisu |
| I-mesothelioma ye-Peritoneal | I-Mesothelioma ye-Peritoneal |
| I-Pseudomyxoma peritonei | I-Pseudomyxoma Peritonei |
Into ebalulekile ukuthi ukwelashwa kwe-HIPEC kungase kungayiqedi ngokuphelele i-cancer. Kodwa-ke, lokhu kwelashwa kuvumela iziguli ukuthi ziphile isikhathi eside futhi zibe nempilo engcono . Udokotela wakho uzokuchazela izinzuzo kanye nokungalungi kwalokhu kwelashwa.
Kufanele uzilungiselele kanjani ngaphambi kwalokhu kuhlinzwa?
Lokhu ukuhlinzwa okukhulu kakhulu nokwelashwa. Ngakho-ke, kubaluleke kakhulu ukuthi ube sempilweni engcono kakhulu ngokomzimba nangokwengqondo ngaphambi kokuba ukwenze. Udokotela wakho uzokutshela konke okudingeka ukwazi ukuze akulungiselele. Lokhu kungafaka:
- Uma ubhema, yeka ngokuphelele.
- Ukugwema utshwala.
- Qinisa amaphaphu akho ngokwenza izivivinyo zokuphefumula (usebenzisa idivayisi efana ne-spirometer yokukhuthaza).
- Ukujoyina iqembu lokusekelana nabanye abalwa nomdlavuza njengawe noma ukuhlangana nomeluleki kungaba yindlela enhle yokuqinisa impilo yakho yengqondo.
Kwenzekani ngesikhathi sokwelashwa?
Njengoba sikhulume ngakho ngaphambili, lokhu kuyinqubo enezingxenye ezimbili.
Ingxenye Yokuqala: Ukuhlinzwa Kwe-Cytoreductive (CRS)
Lesi yisinyathelo sokuqala nesikhulu kunazo zonke. Odokotela abahlinzayo bazosika futhi basuse zonke izimila zomdlavuza ezibonakalayo kanye nezicubu ezigulayo esiswini sakho. Uzoba ngaphansi kwe-anesthesia ejwayelekile kulo lonke lolu hlelo. Ngakho ngeke uzwe ubuhlungu. Uzoba sebuthongweni obujulile.
Ingxenye Yesibili: Ukwelashwa kwe-HIPEC
Le ngxenye yenziwa ngokushesha ngemva kokususwa kwesimila somdlavuza, ngenkathi ungaphansi kwe-anesthesia.
1. Ukufaka ipayipi: Udokotela uzokwenza ukusika okuncane esikhumbeni sesisu sakho bese efaka ipayipi (i-catheter) ngalo esiswini sakho. Leli payipi lixhunywe emshinini ofudumeza imithi ye-chemotherapy.
2. Ukunikeza i-chemotherapy eshisayo: Lo mshini ufudumeza i-chemotherapy cishe ibe ngama-degree Celsius angu-41 (108 degrees Fahrenheit). Uketshezi olushisayo lube selupontshwa ngepayipi luye esiswini sakho.
3. Ukukhipha umuthi: Okulandelayo, udokotela uzophendula umzimba wakho kancane kancane kusukela kolunye uhlangothi kuya kolunye ukuqinisekisa ukuthi umuthi ufinyelela kuzo zonke izingqimba zesisu sakho. Njengoba nje sishukumisa isitsha, lokhu kuhlanza ngokuphelele ingaphakathi lesisu sakho ngomuthi.
4. Ukususwa kwemithi: Ngemva kwemizuzu engaba ngu-30 kuya ku-90, imithi ye-chemo ethunyelwe esiswini iyakhishwa futhi. Bese, isisu siyagezwa futhi ngesisombululo sikasawoti.
5. Ukuthunga izimbobo: Ekugcineni, zonke izimbobo ezenziwe ngesikhathi sokuhlinzwa ziyathungwa zivaliwe.
Yonke inqubo, okuhlanganisa nokuhlinzwa kanye ne-HIPEC, ingathatha noma yikuphi amahora ama-5 kuya kwayi-10 , kuye ngokuthi umdlavuza ususakazeke kangakanani esiswini.
Yiziphi izinzuzo nezingozi zokwelashwa kwe-HIPEC?
Njenganoma yikuphi ukwelashwa, i-HIPEC inezinzuzo kanye nezingozi.
| Izinzuzo | Izingozi |
|---|---|
| I-chemotherapy egxile kakhulu: Ngenxa yokuthi imithi ye-chemotherapy ilethwa ngqo endaweni lapho kukhona khona amangqamuzana omdlavuza, inganikezwa ngemithamo enamandla kakhulu kune-chemotherapy ejwayelekile. Ukushisa imithi kukhulisa kakhulu ikhono layo lokubulala umdlavuza. | Izingozi ezivamile zokuhlinzwa: Izingozi zanoma yikuphi ukuhlinzwa okukhulu, njengokuphuma kwegazi ngokweqile kanye nokutheleleka, zivamile nakulo. |
| Imiphumela emibi encishisiwe: Njengoba umuthi unikezwa ngaphakathi esiswini kuphela, omncane wawo umuncwa egazini futhi uhamba emzimbeni wonke. Lokhu kunganciphisa imiphumela emibi yokwelashwa ngamakhemikhali okuvamile, njengokulahlekelwa izinwele nokuhlanza ngokweqile. | Izingozi ezithile: Kungase kube nezingozi ezithile kuye ngohlobo lwe-chemotherapy olunikeziwe kanye nohlobo lomdlavuza onalo. Udokotela wakho uzokuchazela lokhu ngokwehlukana. |
| Ukwelashwa kwenziwa ngesikhathi esisodwa: Asikho isidingo sokudlula emizuliswaneni eminingi njengokwelashwa ngamakhemikhali okuvamile. Lokhu kwelashwa kwenziwa ngesikhathi esisodwa nokuhlinzwa. | Isikhathi sokululama: Njengoba lokhu kuwukuhlinzwa okukhulu, kungathatha amasonto noma izinyanga ukululama. |
Kwenzekani ngemva kokwelashwa?
Izinto zingashintsha kuye ngesimo sakho ngemva kokuhlinzwa.
- Hlala Eyunithi Yokunakekelwa Okujulile (ICU): Ungagcinwa e-ICU izinsuku ezimbalwa ngemva kokuhlinzwa, lapho uzoqashwa khona ngokucophelela. Ungaxhunywa futhi nomshini wokuphefumula ukuze ukusize uphefumule.
- Ukondla ngepayipi: Kuze kube yilapho ukusebenza kwamathumbu akho kubuyela esimweni esijwayelekile, ungase unikezwe ukudla okumanzi ngepayipi lokondla elifakwe ngekhala lakho.
- Imiphumela emibi: Lokhu okulandelayo kungenzeka ngesikhathi sokululama:
- Ukugcwalisa isisu
- Ukuqunjelwa noma isifo sohudo
- Ukukhathala ngokweqile
- Isicanucanu nokuhlanza
- Ubuhlungu obuzungeze imigwaqo enqunyiwe
- Ukuvuvukala (ngenxa yesisombululo sikasawoti esisetshenziselwa ukugeza ingaphakathi lesisu)
Kuthatha isikhathi esingakanani ukuphulukiswa?
Kungathatha noma yikuphi kusukela emavikini amane kuya kwayi-12 ukululama ngokuphelele kulokhu kwelashwa. Lokhu kuhlanganisa izinsuku ezimbalwa kuya kwamasonto amabili esibhedlela. Udokotela wakho uzokunikeza imiyalelo yokuthi ungazinakekela kanjani ngemva kokubuyela ekhaya.
Ngingashayela nini udokotela ucingo?
Uma uba nanoma yiziphi zalezi zimpawu ngemva kokubuyela ekhaya, kufanele ushayele udokotela wakho ucingo ngokushesha.
Funa usizo lwezokwelapha ngokushesha uma umkhuhlane wakho ungaphezu kwama-degree Celsius angu-38.3 (101°F), unesicanucanu esiqhubekayo nokuhlanza, ukusikwa kwakho kuvuvukele kakhulu, kushisa, futhi kuphuma ubomvu, noma ubuhlungu bakho buba bubi kakhulu. Lokhu kungaba izimpawu zokutheleleka.
Izinhlobo zemithi esetshenziswa ku-HIPEC
Kunezinhlobo eziningana zemithi yokwelapha ngamakhemikhali evame ukusetshenziswa kulokhu kwelashwa. Udokotela uzochaza ukuthi yimiphi imithi oyinikwayo nokuthi kungani.
- I-Carboplatin
- I-Cisplatin
- I-Doxorubicin
- I-Mitomycin
- I-Oxaliplatin
Odokotela batusa ukwelashwa kwe-HIPEC kuphela uma izinzuzo zidlula izingozi ngokusobala. Uma unconywa lokhu kwelashwa, qiniseka ukuthi ubuza udokotela wakho ukuthi kungani nokuthi yimiphi imiphumela ongayilindela ngokusekelwe esimweni sakho.
Umlayezo Wokuya Nawe Ekhaya
- I-HIPEC iyindlela ethile yokwelapha umdlavuza osakazeke esiswini. Ihilela ukususa amangqamuzana omdlavuza ngokuhlinzwa kanye nokufaka imithi eshisayo ye-chemotherapy esiswini.
- Lokhu kungase kungabi ikhambi eliphelele lomdlavuza, kodwa kungasiza kakhulu ekwandiseni impilo nokunciphisa izimpawu.
- Njengoba lokhu kuwukuhlinzwa okukhulu, kubaluleke kakhulu ukulungiselela kahle ngokomzimba nangokwengqondo.
- Kungathatha amasonto noma izinyanga eziningana ukuze kwelapheke, futhi imiphumela emibi ingase ivele phakathi naleso sikhathi.
- Kubalulekile ukuba nengxoxo evulekile nejulile nodokotela wakho mayelana nokuthi lokhu kwelashwa kulungile yini kuwe nokuthi yiziphi izinzuzo nezinkinga zako.
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