Ingabe udokotela wakho ukutshelile noma othile omaziyo ukuthi unohlobo lomdlavuza olubizwa ngokuthi i-neuroendocrine tumor? Kungenzeka ukuthi uke wezwa ngalolu hlobo lokwelashwa olukhethekile olubizwa ngokuthi i-Lutetium Lu 177 Dotatate. Igama eliyinkimbinkimbi, kodwa ngamagama alula, umuthi osebenza 'njengokuhlasela okuqondiwe' okuthola futhi kubhubhise amangqamuzana omdlavuza. Ake sixoxe ngakho ngokuningiliziwe.
Yini ngempela le mithi eyenzayo?
Kalula nje, isimila se-neuroendocrine uhlobo lomdlavuza oluvela emaselini akhiqiza ama-hormone emizimbeni yethu. Lo muthi, obizwa ngokuthi i-Lutetium Lu 177 Dotatate, uthola lawo maseli omdlavuza, unamathele kuwo, bese ukhipha amandla amancane (imisebe) ukubulala lawo maseli omdlavuza noma ukuwavimba ekusabalaleni kwawo. Lokhu kusho ukuthi akuyona nje umuthi, kufana nokwelashwa ngemisebe okuhlose amangqamuzana omdlavuza.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala ukwelashwa
Ngaphambi kokunquma ukuthi lokhu kwelashwa kukufanele yini, kubalulekile ukutshela udokotela wakho ngomlando wakho wezempilo ophelele. Qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezibalwe ngezansi.
| Isimo sakho sempilo | Ingabe kufanele ngitshele udokotela? |
|---|---|
| Isifo sezinso | Kumelwe kushiwo. |
| Isifo sesibindi | Kumelwe kushiwo. |
| Amazinga aphansi amangqamuzana egazi (amangqamuzana amhlophe egazi, ama-platelet, noma amangqamuzana abomvu egazi) | Kumelwe kushiwo. |
| Ukusabela kokungezwani komzimba kulo muthi noma eminye imithi, ukudla, noma udayi | Kumelwe kushiwo. |
| Uma ukhulelwe noma uzama ukukhulelwa | Kubaluleke kakhulu. Kufanele kukhulunywe ngaphambi kokwelashwa. |
| Uma ungumama oncelisayo | Kumelwe kushiwo. |
Uthola kanjani lo muthi?
Lo muthi awuyona into ongayithatha uye nayo ekhaya. Unikezwa njenge-infusion ngemithambo yegazi, njenge-saline, yithimba lezokwelapha esibhedlela noma emtholampilo.
Ngisho nasezinganeni ezingaphezu kweminyaka eyi-12, lokhu kwelashwa kunikezwa kwezinye izimo ezikhethekile. Kodwa-ke, kunezinyathelo zokuqapha ezikhethekile okudingeka zilandelwe.
Njengoba lokhu kunikezwa esibhedlela, ingozi yokudlula ngokweqile iphansi kakhulu. Kodwa-ke, uma usola ukuthi kukhona okwenzekile, kubikele ngokushesha i-Emergency Treatment Unit (ETU) yesibhedlela noma i-National Poisons Information Centre e-Colombo National Hospital .
Izinto okufanele uziqaphele kakhulu ngesikhathi sokwelashwa
Kunezinto eziningana okudingeka uzicabangele ngokuphepha kwakho kanye nokuphepha kwalabo abakuzungezile ngenkathi uphathwa ngale ndlela yokwelashwa.
Imiphumela emibi kanye nokungakhululeki
Kuvamile ukuzizwa ungakhululekile ngesikhathi sokwelashwa komdlavuza, njengoba kungathinta namaseli anempilo. Lokhu kuvamile ekwelashweni komdlavuza. Ngakho-ke, tshela ithimba lakho lezokwelapha nganoma yimiphi imiphumela emibi oyitholayo. Kodwa, ungayeki ukwelashwa kuze kube yilapho udokotela wakho ekutshelile.
Qaphela ngemisebe.
Lokhu kubaluleke kakhulu. Ngemva kokuthola lo muthi, kungase kube nomsakazo emchameni wakho izinsuku ezingafika kwezingu-30 .
Ngakho-ke, ukuqinisekisa ukuthi labo abasekhaya nawe, ikakhulukazi izingane ezincane nabesifazane abakhulelwe, abathinteki yilo msebe, kufanele ulandele ngokuqinile imiyalelo enikezwe yithimba lakho lezokwelapha. Isibonelo:
- Ukusebenzisa indlu yangasese ehlukile.
- Ukuhlanza kabili ngemva kokusebenzisa indlu yangasese.
- Ukunciphisa isikhathi esichithwa usondelene nabanye.
Udokotela uzokunikeza imiyalelo ecacile efana nale.
Ukukhulelwa, ukuncelisa kanye nokuzala
- Lomuthi ungabangela izinkinga ezinkulu zokuzalwa.Kungenzeka ukuthi ube nomntwana. Ngakho-ke, kwenziwa ukuhlolwa ukuqinisekisa ukuthi awukhulelwe ngaphambi kokuqala ukwelashwa.
- Uma ungowesifazane onethuba lokuzala, kufanele usebenzise indlela yokuvimbela inzalo ethembeke kakhulu ngesikhathi sokwelashwa kanye nezinyanga eziyi-7 ngemuva kokuyeka ukwelashwa.
- Uma umlingani wakho enethuba lokuzala, kumele asebenzise izindlela zokuvimbela inzalo ezithembekile ngesikhathi sokwelashwa kanye nezinyanga ezine ngemuva kokuyeka ukwelashwa.
- Ungancelisi ngesikhathi sokwelashwa futhi izinyanga ezingu-2.5 ngemuva komthamo wokugcina.
- Lo muthi ungathinta ukuzala. Uma unenkinga ngalokhu, khuluma nodokotela wakho.
Zivikele ezifweni
Lo muthi unganciphisa ikhono lomzimba lokumelana nezifo. Ngakho-ke,
- Uma uba nezimpawu ezifana nomkhuhlane, umkhuhlane, noma umphimbo obuhlungu, ungaziniki imithi bese utshela udokotela wakho.
- Zama ukuhlala kude nabantu abagulayo.
- Ungaphuzi imithi yokubulala izinhlungu efana ne-aspirin, i-acetaminophen, ne-ibuprofen ngaphandle kweseluleko sikadokotela wakho, ngoba lokhu kungase kunciphise umkhuhlane futhi kwenze kube nzima ukuthola ukutheleleka.
- Uma uxubha futhi uxubha nge-floss, kwenze kancane, njengoba izinsini zakho zivame ukopha. Uma uthola ukwelashwa kwamazinyo, tshela udokotela wakho wamazinyo ukuthi uthatha lo muthi.
Yimiphi imiphumela emibi engaba khona yalo muthi?
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Eminye iyingozi, eminye ivamile.
| Uhlobo lomphumela ongemuhle | Izimpawu |
|---|---|
| Uma uhlangabezana nalezi zimpawu, tshela udokotela wakho ngokushesha. | |
| Ukusabela kokungezwani komzimba / i-Angioedema | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, amehlo, izindebe, ulimi, izandla noma izinyawo, ubunzima bokugwinya noma ukuphefumula. |
| Ukulimala kwezinso | Ukwehla kokukhishwa komchamo, ukuvuvukala kwamaqakala, izandla, noma izinyawo. |
| Ukulimala kwesibindi | Ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi noma onsundu omnyama, ukuphuzi kwamehlo noma isikhumba, ukukhathala okungavamile. |
| Ukwanda koshukela egazini (i-Hyperglycemia) | Ukoma okwandayo, ukuchama njalo, ukukhathala okungavamile, ukubona okufiphele. |
| Ukutheleleka | Umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu. |
| Ukwehla kwenani lamaseli abomvu egazi | Ukukhathala okungajwayelekile, isiyezi, ikhanda elibuhlungu, ubunzima bokuphefumula. |
| Ukopha noma ukuklwebheka okungavamile | Ukuphuka nokuphuma kwegazi okungachazeki okungeke kuphele. |
| Lokhu ngokuvamile akukubi kangako, kodwa uma kuqhubeka, tshela udokotela wakho. | |
| Izinkinga zesistimu yokugaya ukudla | Uhudo, Isicanucanu, Ubuhlungu besisu, Ukuhlanza. |
Umlayezo Wokuya Nawe Ekhaya
- I-Lutetium Lu 177 Dotatate iyindlela yokwelapha ngemisebe eqondiwe enikezwa eminye imidlavuza ye-neuroendocrine.
- Ngaphambi kokuqala ukwelashwa, tshela udokotela wakho ngazo zonke izimo zakho zempilo, imithi oyiphuzayo, kanye nokungezwani komzimba.
- Ngemva kokwelashwa, umchamo wakho uzoba nemisebe, ngakho landela imiyalelo kadokotela wakho ngokucophelela ukuze uvikele abanye.
- Lo muthi uyingozi kakhulu ngesikhathi sokukhulelwa. Ngakho-ke, sebenzisa izindlela zokuvimbela inzalo ezithembekile ngesikhathi sokwelashwa nangesikhathi esithile ngemva kwalokho. Gwema ukuncelisa.
- Uma uhlangabezana nanoma yiziphi izimpawu ezifana nokusabela okukhulu kokungezwani komzimba, umkhuhlane, noma izimpawu zokulimala kwesibindi noma kwezinso, yazisa udokotela wakho ngokushesha.
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