Sonke siyazi ukuthi ukulwa nomdlavuza akuyona indlela elula. Phakathi nalolu hambo, ingabe udokotela ukutshelile noma omunye umuntu emndenini wakho ngomuthi okhethekile obizwa ngokuthi 'i-Ipilimumab'? Ukuzwa leli gama kungase kuzwakale kuyinkimbinkimbi kancane, futhi ungase uzizwe ukhathazekile. Kodwa ungakhathazeki. Namuhla, sizoxoxa ngalo muthi, ukuthi wenzani, nokuthi yini okudingeka uyiqaphele, ngendlela elula kakhulu nenobungane.
Uhlobo luni lomuthi i-Ipilimumab (YERVOY)?
Kalula nje, i-Ipilimumab iyindlela yokwelapha nge-immunotherapy . Ayifani ne-chemotherapy yendabuko. Isebenza ngokuvuselela amasosha omzimba ethu ukuze isize ibone futhi ihlasele amangqamuzana omdlavuza. Ngokuqondile, iyiprotheni eklanywe ngokukhethekile. Kwezokwelapha, lokhu sikubiza ngokuthi 'i-antibody ye-monoclonal.'
Lomuthi usetshenziswa kakhulu ukwelapha izinhlobo ezahlukene zomdlavuza. Isibonelo:
- Umdlavuza we-Colorectal
- Umdlavuza we-Esophageal
- Umdlavuza wezinso
- Umdlavuza wesibindi
- Umdlavuza wamaphaphu
- I-Melanoma, uhlobo olubi kakhulu lomdlavuza wesikhumba
- Umdlavuza wolwelwesi lwamaphaphu (i-Mesothelioma)
Udokotela wakho angase futhi ancome lo muthi kwezinye izimo zezokwelapha.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala ukwelashwa
Ngaphambi kokuqala lokhu kwelashwa, kubaluleke kakhulu ukutshela udokotela wakho ngomlando wakho wezempilo ophelele. Qiniseka ukuthi uyamtshela uma unezinye zezimo ezilandelayo:
- Izifo zesimiso sokuzivikela komzimba: Uma unezifo ezizimele, njengesifo sikaCrohn, i-ulcerative colitis, noma i-lupus, lapho isimiso somzimba wakho sokuzivikela komzimba sihlasela khona izingxenye zomzimba wakho ngephutha.
- Ukufakelwa izitho zomzimba: Uma uke wafakelwa izitho zomzimba ngaphambili.
- Ukufakelwa kwamaseli e-stem: Uma uke waba noma uhlela ukufakelwa amaseli e-stem e-allogeneic komunye umuntu.
- Izifo zesimiso sezinzwa: Uma unezifo zesimiso sezinzwa ezifana ne-'Myasthenia gravis' noma i-'Guillain-Barre syndrome'.
- Ukungezwani komzimba: Uma une-allergy kulo muthi (i-Ipilimumab) noma yimuphi omunye umuthi, ukudla, noma idayi.
- Ukukhulelwa: Uma ukhulelwe, uzama ukukhulelwa, noma ukungabaza ngakho.
- Uma ungumama oncelisayo: Uma ungumama oncelisa ingane yakhe.
Ukukhuluma nodokotela wakho ngaphandle kokufihla lolu lwazi kubaluleke kakhulu ekuphepheni kwakho nasekuphumeleleni kokwelashwa kwakho.
Lo muthi unikezwa kanjani emzimbeni?
Lokhu akulona iphilisi noma ikhaphu oyithatha uye nayo ekhaya. Lokhu kuwumjovo ofakwa emthanjeni, njenge-saline . Lokhu kwelashwa kunikezwa esibhedlela noma emtholampilo, ngaphansi kokuqondisa okugcwele kukadokotela noma abasebenzi abaqeqeshiwe bobuhlengikazi.
Lo muthi uvame ukunikezwa umzimba isikhathi esingangemizuzu engama-30 kuya kwengama-90. Ngaphambi kweseshini ngayinye yokwelashwa, uzonikezwa incwajana yolwazi ekhethekile (i-MedGuide) ngalo muthi. Kubalulekile ukuwufunda nokuwuqonda ngokucophelela isikhathi ngasinye.
Ukweqiwa umthamo kungaba yinkinga enkulu. Ngakho-ke uma ungakwazi ukuya esimisweni sakho esihleliwe, shayela udokotela wakho noma isibhedlela ngokushesha ukuze ubazise futhi uthole iseluleko salokho okufanele ukwenze ngokulandelayo.
Izinto okufanele uziqaphele kakhulu ngesikhathi sokwelashwa
- Ukukhulelwa nokuncelisa: Lena yinto ebaluleke kakhulu. Gwema ukukhulelwa ngokuphelele ngenkathi uthatha lo muthi kanye nezinyanga ezi-3 ngemuva kokuyeka ukwelashwa. Kungalimaza kakhulu ingane engakazalwa. Futhi, gwema ukuncelisa ngesikhathi sokwelashwa kanye nezinyanga ezi-3 ngemuva komthamo wokugcina.
- Ukuqashwa kwezokwelapha: Udokotela wakho uzoqapha isimo sakho eduze phakathi nokwelashwa kwakho, okuhlanganisa noku-oda ukuhlolwa kwegazi njalo (umsebenzi wegazi).
- Uma uphuza ngokweqile: Lokhu akunakwenzeka ngoba kunikezwa esibhedlela. Kodwa-ke, uma usola ukuthi uphuze ngokweqile, xhumana ngokushesha ne-National Poisons Information Centre e-Colombo National Hospital noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) oseduze.
Imiphumela Engase Ibe Khona
Njenganoma yimuphi umuthi, i-Ipilimumab ingabangela imiphumela emibi. Eminye yale miphumela kufanele ibikwe ngokushesha, kanti eminye ayibi kakhulu kangako. Ake sikuqonde kahle lokhu kusukela kuthebula elingezansi.
| Umphumela ongemuhle | Incazelo kanye nezimpawu |
|---|---|
| Izinto okufanele uzitshele udokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi, ubunzima bokuphefumula. |
| Ubuhlungu besisu kanye nesifo sohudo | Ubuhlungu obukhulu besisu, indle ekhululekile noma enegazi, kanye nendle emnyama, ehlala isikhathi eside. |
| Izimpawu zokulimala kwesibindi | Ukuphuzi kwamehlo noma isikhumba, umchamo ophuzi/onsundu omnyama, indle ekhanyayo, ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, ukukhathala okukhulu. |
| Izinkinga zesikhumba | Ukubomvu kwesikhumba, ukuqubuka, ukuxebuka (ngisho nangaphakathi emlonyeni). |
| Izinkinga zesistimu yezinzwa | Ukuba ndikindiki ezithweni zomzimba, ubuhlungu, ukushintsha kombono, ubuhlungu bamehlo, isiyezi esikhulu, kanye nokuquleka. |
| Izinguquko ekushayeni kwenhliziyo | Ukuzwa sengathi inhliziyo yakho ishaya ngokushesha noma ngokungajwayelekile, ubuhlungu besifuba. |
| Izinto okufanele uzitshele udokotela wakho uma ziqhubeka noma zikhathaza | |
| Ikhanda elibuhlungu | Ikhanda elijwayelekile. |
| Isifiso sokudla | Ukuncipha kwesifiso sokudla. |
| Ukungalali | Ubunzima bokulala ebusuku. |
Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile ezingashiwongo kulolu hlu, sicela wazise udokotela wakho ngazo.
Umlayezo Wokuya Nawe Ekhaya
- I-Ipilimumab iyindlela ethile yokwelapha esiza amasosha omzimba ukuthi ahlasele amangqamuzana omdlavuza.
- Ngaphambi kokuqala ukwelashwa, tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nokungezwani komzimba.
- Gwema ukukhulelwa nokuncelisa ngokuphelele ngesikhathi sokwelashwa kanye nezinyanga ezintathu ngemuva kokuphela.
- Tshela udokotela wakho ngokushesha uma uhlangabezana nanoma yimiphi imiphumela emibi, njengohudo olubi, amabala esikhumba aqinile, ukuphuzi kwamehlo, noma ubunzima bokuphefumula.
- Ungayeki ama-aphoyintimenti okwelashwa ahleliwe. Uma ungakwazi ukuya nganoma yisiphi isizathu, sicela wazise isibhedlela kusenesikhathi.
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