Wena noma othile oseduze nawe kungenzeka ukuthi welashwa umdlavuza obizwa ngokuthi 'Multiple Myeloma'. Esimweni esinjalo, udokotela wakho angakunikeza umuthi obizwa ngokuthi 'iMelphalan Flufenamide'. Empeleni lolu uhlobo 'lwe-Chemotherapy'. Igama lingase lizwakale lithusa kancane, kodwa uma usuwazi kahle ukuthi lo muthi uyini, uzokusiza ukuthi udlule esikhathini sokwelashwa kalula. Ake sixoxe ngakho kalula.
Uyini ngempela lo muthi?
Kalula nje, i-Melphalan Fluphenamide iyisidakamizwa esinamandla esibulala amangqamuzana omdlavuza. Okusho ukuthi, iyindlela yokwelapha ngamakhemikhali . Isetshenziswa ngqo ukwelapha i-multiple myeloma , uhlobo lomdlavuza oluvela emnkantsheni wethambo. Lesi sidakamizwa saziwa nangokuthi 'i-Pepaxto' emakethe.
Leli akulona iphilisi noma ikhaphu ongayithatha uye nayo ekhaya. Esibhedlela noma emtholampilo, udokotela noma abasebenzi abaqeqeshiwe bobuhlengikazi bazoyijova emthanjeni wakho ngomugqa we-saline. Ngakho-ke akukho okufanele ukhathazeke ngakho, uphephile futhi ungaphansi kokubhekwa kwezokwelapha.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala ukwelashwa
Ukuze akunikeze lokhu kwelashwa ngokuphephile, udokotela wakho kudingeka abe nesithombe esiphelele sempilo yakho. Ngakho-ke, qiniseka ukuthi uyamtshela ngalokhu okulandelayo:
| Isimo okufanele usiqaphele | Kungani lokho kubalulekile? |
|---|---|
| Isimo samanje sokutheleleka (isib. umkhuhlane, ukukhwehlela, umkhuhlane, ukutheleleka ngomgudu womchamo) | Lo muthi ungawenza buthaka amasosha omzimba. Uma usuvele unesifo, singase sibe sibi kakhulu. |
| Ukungezwani komzimba (Ngalo muthi, eminye imithi, ukudla, iziphuzo noma udayi) | Lolu lwazi lubalulekile ukuvimbela ukusabela okukhulu kokungezwani komzimba lapho unikeza umuthi. |
| Ukukhulelwa noma ukuzama ukukhulelwa | Lomuthi ungabangela umonakalo omkhulu enganeni engakazalwa. Ngakho-ke, kufanele ugweme ukukhulelwa phakathi nalesi sikhathi. |
| Uma umama encelisa ingane yakhe | Izithako zomuthi zingadluliselwa enganeni ngobisi lwebele. Ngakho-ke, ukuncelisa kumele kumiswe ngesikhathi sokwelashwa. |
Kwenzekani uma uphuza umuthi omningi kakhulu? (Umthamo oweqile)
Njengoba lokhu kunikezwa esibhedlela, ngaphansi kokuqashwa kwezokwelapha, amathuba okusebenzisa ngokweqile aphansi kakhulu. Kodwa-ke, uma usola ukuthi kukhona okwenzekile, tshela udokotela wakho noma abasebenzi abahlengikazi ngokushesha. Kwezinye izimo, njengokusebenzisa ngokweqile umuthi osetshenziswa ekhaya, shayela i-National Poisons Information Centre eColombo National Hospital . Ngesikhathi esifanayo, kubaluleke kakhulu ukuya eMnyangweni Wezimo Eziphuthumayo wesibhedlela esiseduze (ETU) ngokushesha okukhulu.
Kuthiwani uma ngingenakukwazi ukuthatha umuthi ngosuku oluhleliwe?
Lokhu kwelashwa kunikezwa ngemijikelezo, ngezinsuku ezithile. Ngakho- ke kubaluleke kakhulu ukuthola ukwelashwa ngosuku oluhleliwe . Uma ngesizathu esithile ungakwazi ukufika ngosuku oluhleliwe, shayela udokotela wakho ngokushesha umtshele. Uzokutshela ukuthi wenzeni ngokulandelayo.
Izinto okufanele uzicabangele lapho uphathwa
Ukwelashwa ngamakhemikhali kungaba isikhathi esinzima, kodwa uma wazi amaqiniso, kungaba lula ukusisingatha.
Into ebalulekile ukuthi imithi yokwelapha ngamakhemikhali ithinta kokubili amangqamuzana omdlavuza kanye nokuhlukanisa ngokushesha amangqamuzana anempilo. Yingakho kuvela imiphumela eminingi emibi. Ngakho-ke kuyinto evamile ukuzizwa ungakhululekile.
1. Zivikele ezifweni
Lo muthi unganciphisa inani lamaseli amhlophe egazi emzimbeni wakho alwa nezifo. Lokhu kusho ukuthi amasosha omzimba wakho abuthakathaka futhi unamathuba amaningi okuthola izifo .
- Uma uba nezimpawu ezifana nomkhuhlane, ukubanda, umphimbo obuhlungu, ukukhwehlela, noma umkhuhlane , ungaziniki imithi bese ushayela udokotela wakho ucingo ngokushesha .
- Nciphisa ukuvakashela kwakho ezindaweni ezinabantu abaningi (amabhasi, izitimela, amabhayisikobho) ngangokunokwenzeka.
- Hlala kude nabantu abagulayo (umkhuhlane, ukukhwehlela).
- Geza izandla zakho njalo ngensipho.
2. Qaphela ukuphuma kwegazi kanye nokuklwebheka.
Lomuthi ungase futhi unciphise inani lama-platelet, okungamaseli emzimbeni asiza ukujiya kwegazi. Ngakho-ke:
- Amanxeba angase abonakale eluhlaza okwesibhakabhaka emzimbeni.
- Ngisho nesilonda esincane singathatha isikhathi eside ukuyeka ukopha .
- Kukhona amathuba okuphuma kwegazi ezinsinini kanye nokopha kwamakhala.
- Uma indle imnyama noma inegazi, noma uma ukuhlanza kuqukethe ikhofi, kungase kube ukopha okungavamile.
Uma ubona noma yikuphi ukopha okungajwayelekile okufana nalokhu, tshela udokotela wakho ngokushesha. Udokotela wakho uvame uku-oda ukuhlolwa kwegazi ukuze kuhlolwe inani legazi lakho ngesikhathi sokwelashwa.
3. Ukukhulelwa, ukuncelisa kanye nokuzala
Leli yiphuzu elibaluleke kakhulu.
- Abesifazane: Kufanele ugweme ngokuphelele ukukhulelwa ngenkathi uthatha lo muthi futhi izinyanga eziyisithupha ngemuva kokuyeka ukwelashwa . Khuluma nodokotela wakho mayelana nokuvimbela inzalo okufanele.
- Amadoda: Kufanele futhi ugweme ukuba nguyise wengane ngenkathi uthatha lo muthi futhi izinyanga ezi-3 ngemuva kokuyeka ukwelashwa .
- Ukuncelisa: Gwema ukuncelisa ingane yakho ngesikhathi sokwelashwa kanye nesonto elilodwa ngemuva kokuyeka imithi.
- Ukuzala: Lo muthi ungathinta ikhono lakho lokuba nabantwana esikhathini esizayo. Uma unenkinga ngalokhu, xoxa ngakho ngokukhululekile nodokotela wakho ngaphambi kokuqala ukwelashwa.
Imiphumela emibi engaba khona yomuthi
Akuwona wonke umuntu ozobhekana nemiphumela emibi yonke, kodwa kubalulekile ukuqaphela engaba khona.
| Umphumela ongemuhle | Incazelo nokuthi yini okufanele uyenze |
|---|---|
| Imiphumela emibi kakhulu edinga usizo lwezokwelapha ngokushesha | |
| Ukusabela Okukhulu Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi, ubunzima bokuphefumula. Tshela udokotela wakho ngokushesha. |
| Izimpawu zokutheleleka | Umkhuhlane (ngaphezu kuka-100.4°F noma u-38°C), ukubanda, umphimbo obuhlungu, ukukhwehlela. Tshela udokotela wakho ngokushesha. |
| Ukopha okungavamile | Ukuphuka, ukuphuma kwegazi ezinsinini/ekhaleni, indle emnyama/enegazi, umchamo onsundu omnyama/obomvu. Tshela udokotela wakho ngokushesha. |
| Ukwehla kwamangqamuzana abomvu egazi (i-Anemia) | Ubunzima bokuphefumula, ukukhathala okukhulu, ukuphaphatheka, ukuquleka. Tshela udokotela wakho ngokushesha. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma ikhathaza | |
| Isicanucanu nokuhlanza | Udokotela uzokunikeza umuthi wokulawula lokhu. |
| Isifiso sokudla | Zama ukudla ukudla okunomsoco okuningi ngangokunokwenzeka. |
| Uhudo | Phuza uketshezi oluningi olufana namanzi nejusi ukuze uvimbele ukuphelelwa amanzi emzimbeni. Uma kukubi kakhulu, tshela udokotela wakho . |
| Ikhanda elibuhlungu, ukukhwehlela | Uma lokhu kuqhubeka noma kukhathaza, khuluma nodokotela wakho. |
Uma ubona noma yini engavamile engekho kulolu hlu, ungesabi ukukhuluma nodokotela wakho ngayo.
Umlayezo Wokuya Nawe Ekhaya
- I-Melphalan Flufenamide iyindlela yokwelapha ngamakhemikhali yomdlavuza we-multiple myeloma onikezwa ngemithambo esibhedlela.
- Ngaphambi kokuqala ukwelashwa, tshela udokotela wakho ngazo zonke izimo zakho zempilo, eminye imithi oyithathayo, kanye nokungezwani komzimba.
- Hlala uqaphile izimpawu zokutheleleka njengomkhuhlane, ukubanda, kanye nokopha okungavamile. Uma ubona noma yikuphi kwalokhu , funa iseluleko sezokwelapha ngokushesha.
- Gwema ukukhulelwa ngesikhathi sokwelashwa kanye nesikhathi esithile ngemva kwalokho (lokhu kusebenza kokubili kwabesifazane nabesilisa).
- Khuluma nodokotela wakho ngokukhululekile nganoma yikuphi ukungakhululeki noma imiphumela emibi ongase ube nayo. Uhlala ekulungele ukukusiza kulolu hambo.
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