Kuvamile ukuthi umuntu olwa nomdlavuza azizwe esaba futhi ekhathazekile kancane lapho ezwa igama elithi "chemotherapy." Kodwa namuhla, ezokwelapha sezithuthuke kakhulu. Manje, ngokungafani nesikhathi esidlule, kunezindlela zokwelapha ezithuthukisiwe kakhulu neziqondiwe. Namuhla, sizokhuluma ngomuthi okhethekile oqondisa amangqamuzana omdlavuza. Igama lawo yi-Nanoparticle Albumin-Bound Paclitaxel. Nakuba igama lide kancane, umsebenzi walo uhlukile kakhulu.
Uhlobo luni lomuthi? Kalula nje...
Lolu uhlobo 'lwe-chemotherapy', noma umuthi wokulwa nomdlavuza. Kodwa lokhu akufani nomuthi we-chemo ojwayelekile. Okwenzekayo lapha ukuthi umuthi oyinhloko wokulwa nomdlavuza 'i-Paclitaxel' uhlanganiswe nephrotheni ebizwa ngokuthi 'i-Albumin' ekhona emizimbeni yethu, futhi yenziwa ibe yizinhlayiya ezincane kakhulu ('i-Nanoparticles').
Cabanga ngakho njengephasela. Umuthi ungaphakathi, futhi umbozwe yiprotheni ebizwa ngokuthi i-'Albumin'. Amaseli omdlavuza anamandla kakhulu kule phrotheni ethi 'Albumin'. Ngakho-ke uma lo muthi unikezwa emzimbeni, amaseli omdlavuza adonsa le 'phasela' ngaphakathi kwawo. Ngemuva kwalokho umuthi ungena ngqo engqamuzaneni lomdlavuza bese ubhubhisa amaseli omdlavuza ahlukana ngokushesha. Le ndlela inganciphisa umonakalo kumaseli anempilo ngezinga elithile.
Lo muthi uvame ukusetshenziselwa ukwelapha umdlavuza webele, umdlavuza wamaphaphu, kanye nomdlavuza we-pancreatic. Uvame ukutholakala emakethe ngaphansi kwegama elithi `Abraxane` .
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala ukwelashwa
Kubaluleke kakhulu ukuthi udokotela wakho azi umlando wakho wezempilo ophelele ngaphambi kokunquma ukuthi lokhu kwelashwa kukufanele yini. Qiniseka ukuthi usho noma yiziphi izimo ezingezansi uma unazo.
| Isimo sempilo noma inkinga | Incazelo |
|---|---|
| Isifo sezinso | Uma unesifo esihlobene nezinso. |
| Isifo sesibindi | Uma unesifo sesibindi. |
| Amazinga aphansi egazini | Uma uke watholakala ukuthi unamaseli amhlophe egazi aphansi, amaseli abomvu egazi, noma ama-platelet. |
| Izifo zokuphefumula | Izifo zamaphaphu noma zokuphefumula njenge-asthma. |
| Izinkinga ze-neurological | Izinkinga ezihlobene nemizwa njengokungazweli kanye nokuvuvukala ezandleni nasezinyaweni. |
| Ukungezwani komzimba | Uma une-allergy ku-paclitaxel, i-albumin, eminye imithi ye-chemotherapy, noma yimuphi omunye umuthi, ukudla, noma idayi. |
| Ukukhulelwa nokuncelisa | Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. |
Ngingakunika kanjani lo muthi?
Lo muthi akuyona into ongayithatha ekhaya. Ungumjovo ofakwa emzimbeni wakho ngemithambo yegazi, njengesixazululo sikasawoti (i-infusion) . Unikezwa esibhedlela noma emtholampilo nguchwepheshe wezempilo oqeqeshwe ngokukhethekile kulokhu.
Uma unikeza ingane lo muthi, kungase kudingeke ukunakekelwa okukhethekile. Khuluma nodokotela wezingane ngalokhu.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Lokhu ukwelashwa okusesibhedlela, ngakho-ke amathuba okuba lokhu kwenzeke mancane. Kodwa-ke, uma usola ukuthi uphuze ngokweqile, bika lolu daba ngokushesha e-National Poisons Information Centre e-Colombo National Hospital noma e-Emergency Treatment Unit (ETU) yesibhedlela.
Izinto okufanele uzicabangele ngesikhathi sokwelashwa
Odokotela bazoqapha isimo sakho ngokucophelela ngenkathi uthatha lo muthi, futhi kuzodingeka ukuthi uhlolwe igazi njalo .
- Ukungezwani komzimba: Lo muthi ngezinye izikhathi ungabangela ukusabela okukhulu kokungezwani komzimba. Tshela udokotela wakho noma umhlengikazi ngokushesha uma uhlangabezana nezimpawu ezifana nokuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, noma ulimi.
- Ukuzizwa ugula: Kuvamile ukuzizwa ugula futhi ukhathele ngemva kokwelashwa ngamakhemikhali. Lokhu kungenxa yokuthi imithi ithinta amangqamuzana omdlavuza kanye namanye amangqamuzana anempilo. Kodwa-ke , kubalulekile ukuqedela inkambo yokwelashwa onikezwe yona , ngaphandle kokuthi udokotela wakho ekutshele ukuthi uyeke.
- Ukuvikelwa ezifweni: Lo muthi unciphisa amasosha omzimba. Ngakho-ke, uma ubona izimpawu ezifana nomkhuhlane, umkhuhlane, noma umphimbo obuhlungu, ungaziniki imithi bese utshela udokotela wakho ngokushesha. Hlala kude nezindawo lapho abantu abagulayo bechitha khona isikhathi esiningi ngangokunokwenzeka.
- Ukopha nokuklwebheka: Kunokwanda kwengozi yokopha noma ukuklwebheka ngenkathi uthatha lo muthi. Tshela udokotela wakho uma uzwa ukopha noma ukuklwebheka okungajwayelekile. Qaphela lapho uxubha amazinyo akho futhi usebenzisa amazinyo okuxubha. Uma uthola ukwelashwa kwamazinyo, tshela udokotela wakho wamazinyo ukuthi uthatha lo muthi.
- Iziqeda-zinhlungu: Ungathathi imithi efana ne-aspirin, i-paracetamol, ne-ibuprofen ngaphandle kweseluleko sikadokotela wakho, ngoba lokhu kungacindezela izimpawu ezifana nomkhuhlane.
Ukwaziswa okukhethekile ngokukhulelwa kanye nomama
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Lokhu kubaluleke kakhulu. Gwema ukukhulelwa ngenkathi uthatha lo muthi kanye nezinyanga eziyisi-6 ngemuva kokuyeka ukwelashwa. Uma uhlela ukukhulelwa noma usola ukuthi ukhulelwe, tshela udokotela wakho ngokushesha. Amadoda kufanele futhi agweme ukuba nguyise wezingane ngenkathi ethatha lo muthi kanye nezinyanga ezi-3 ngemuva kokuyeka ukwelashwa. Lo muthi ungabangela umonakalo omkhulu enganeni engakazalwa. Futhi, gwema ukuncelisa ingane yakho ngesikhathi sokwelashwa kanye namasonto ama-2 ngemuva kokuyeka ukwelashwa.
Imiphumela emibi engase ivele ngalo muthi
Njenganoma yimuphi umuthi, lokhu kungabangela imiphumela emibi. Kodwa-ke, akuwona wonke umuntu oyitholayo. Qaphela izimpawu ezingezansi.
| Uhlobo lomphumela ongemuhle | Izici |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
| Ukungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso/izindebe/ulimi. |
| Ubunzima bokuphefumula | Ubunzima bokuphefumula. |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo okusheshayo, okuhamba kancane, noma okungajwayelekile ngendlela engavamile. |
| Izimpawu zokutheleleka | Umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu, ukutheleleka komgudu womchamo. |
| Izimpawu zokulimala kwesibindi | Umchamo ophuzi/onsundu omnyama, ukuphuzi kwamehlo/isikhumba, ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukuphelelwa yisifiso sokudla. |
| Izimpawu zokopha | Ukulimala emzimbeni, amabala abomvu esikhumbeni, indle emnyama, igazi emchameni. |
| Ezinye izici | Ukushintsha kombono, izilonda zomlomo, ukungazweli/ukucasuka ezithweni, ukuvuvukala kwamaqakala/izandla/izinyawo. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Uhlelo lokugaya ukudla | Uhudo, isicanucanu, ukuhlanza, ukulahlekelwa yisifiso sokudla. |
| Izinguquko zomzimba | Ukulahlekelwa izinwele, ukukhathala. |
Umlayezo Wokuya Nawe Ekhaya
- I-Nanoparticle Albumin-Bound Paclitaxel umuthi we-chemotherapy othuthukisiwe ohlasela ngqo amangqamuzana omdlavuza.
- Kubalulekile ukuthi utshele udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nemithi ngaphambi kokuqala ukwelashwa.
- Kubaluleke kakhulu ukugwema ukukhulelwa nokuncelisa ngenkathi uthatha lo muthi kanye nesikhathi esithile ngemva kwalokho.
- Uma uhlangabezana nezimpawu ezinkulu njengomkhuhlane, ukopha okungavamile, noma ubunzima bokuphefumula, funa iseluleko sezokwelapha ngokushesha.
- Khuluma nodokotela wakho ngokukhululekile nganoma yikuphi ukungakhululeki okuzwayo. Awuwedwa kule mpi.
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