Sonke siyazi ukuthi ukulwa nomdlavuza akulula. Kule mpi, odokotela bakho bazoncoma izindlela zokwelapha ezahlukahlukene, njengokwelashwa ngamakhemikhali. I-Pegaspargase (igama lomkhiqizo: i-Oncaspar) ingenye yemithi ebaluleke kakhulu futhi enamandla esetshenziselwa ukwelapha uhlobo lomdlavuza wegazi olubizwa ngokuthi i-acute lymphoblastic leukemia (ALL) . Ngakho-ke, uma wena noma othandekayo wakho ninikezwa lo muthi, kuzoba impumuzo enkulu kuwe ukuba nokuqonda okulula nokucacile kwakho konke ngawo. Ake sixoxe ngalokhu.
Uhlobo luni lomuthi iPegaspargase?
Kalula nje, i-Pegaspargase umuthi we-chemotherapy, okungukuthi, umuthi onikezwa ukubulala amangqamuzana omdlavuza . I-Asparagine iyisakhi esibalulekile ukuze amangqamuzana omdlavuza akhule. Lokho i-Pegaspargase ekwenzayo ukuphula lesi sakhi se-asparagine emzimbeni, incishe amangqamuzana omdlavuza "ukudla". Khona-ke amangqamuzana omdlavuza awakwazi ukukhula futhi ayafa.
Nakuba isetshenziswa kakhulu ukwelapha i-Acute Lymphoblastic Leukemia (YONKE), ngezinye izikhathi ingasetshenziswa kwezinye izinhlobo zomdlavuza njengoba kunconywa udokotela wakho.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala ukwelashwa
Ngaphambi kokuqala lokhu kwelashwa, kubaluleke kakhulu ukutshela udokotela wakho ngomlando wakho wezempilo ophelele. Lo muthi ungase uhlangane nezimo ezithile zempilo. Qiniseka ukuthi utshela udokotela wakho ngalezi zinto ikakhulukazi:
- Ukungezwani komzimba: Qiniseka ukuthi uyasitshela uma une-allergy ku-Pegaspargase, L-asparaginase, E. coli proteins, eminye imithi, ukudla, noma udayi.
- I-Pancreatitis: Uma uke waba ne-pancreatitis ngaphambili.
- Isifo sesibindi: Uma unesifo sesibindi.
- Izinkinga zokujiya kwegazi: Uma igazi lakho lijiya kalula noma uma unezinkinga zokopha.
- Isifo Sikashukela: Uma unesifo sikashukela noma ezinye izinkinga ezihlobene namazinga kashukela egazini.
- Ukukhulelwa: Kubalulekile ukutshela udokotela wakho uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. Lokhu kubaluleke kakhulu.
Nikeza udokotela wakho uhlu oluphelele lwazo zonke ezinye izidakamizwa ozithathayo, okuhlanganisa amavithamini, imithi yendabuko, ngisho nezithasiselo.
Lo muthi unikezwa kanjani emzimbeni?
Leli akulona iphilisi ongalithatha ekhaya. Linikezwa esibhedlela noma emtholampilo., ngudokotela noma abasebenzi abahlengikazi kuphela abathole ukuqeqeshwa okukhethekile kulokhu.
Kunezindlela ezimbili zokunikeza umuthi:
1. Ukumnika ngemithambo yegazi: Umuthi , njengosawoti, ufakwa kancane kancane emzimbeni ngomthambo.
2. Umjovo we-intramuscular: Umjovo emsipheni.
Lokhu kunikezwa izingane ezincane, ngisho nezinsana ezincane ezinenyanga eyodwa ubudala, ngaphansi kwezimo ezithile ezikhethiwe. Kodwa-ke, isinqumo senziwa udokotela wezingane.
Yiziphi izinto okufanele uzicabangele lapho uphathwa?
Udokotela wakho uzokuqapha ngokucophelela ngenkathi uthatha lo muthi.
- Ukuhlolwa kwegazi: Kuzodingeka ukuthi uhlolwe igazi njalo ukuze ubone ukuthi umuthi uwuthinta kanjani umzimba wakho.
- Ushukela egazini: Lo muthi ungase wandise amazinga kashukela egazini. Uma unesifo sikashukela, khuluma nodokotela wakho mayelana nokudla nokuthi udinga ukushintsha umuthi wakho wesifo sikashukela.
- Ukungezwani komzimba: Ngezinye izikhathi ukusabela okukhulu kokungezwani komzimba kungavela kulo muthi. Ukuze anciphise le ngozi, udokotela wakho angase anqume ukukunikeza eminye imithi (isib. ama-antihistamine, ama-steroids) ngaphambi kokukunikeza i-Pegaspargase.
- Ukukhulelwa kanye nokuncelisa (OKUBALULEKILE): Lokhu kubaluleke kakhulu.
- Ungakhulelwa nganoma yisiphi isizathu ngenkathi uthatha lo muthi **.
- Gwema ukukhulelwa okungenani izinyanga ezintathu ngemva kokuyeka ukwelashwa.
- Kufanele nakanjani usebenzise izindlela zokuvimbela inzalo phakathi nalesi sikhathi. Kodwa-ke, njengoba amaphilisi okuvimbela inzalo angama-hormone (izithibela-nzalo eziphuzwayo) angasebenzisana nalo muthi, khuluma nodokotela wakho mayelana nokusebenzisa indlela yokuvimbela inzalo engeyona eye-hormone (isib. amakhondomu).
- Uma usola kancane ukuthi ukhulelwe, tshela udokotela wakho ngokushesha .
- Ungamncelisi umntwana wakho ibele ngesikhathi sokwelashwa kanye nenyanga eyodwa ngemva kokuyeka.
Imiphumela emibi engase ivele ngenxa yemithi
Njenganoma yimuphi umuthi, i-Pegaspargase ingabangela imiphumela emibi. Akuwona wonke umuntu oyitholayo. Kodwa-ke, kubalulekile ukuqaphela lezi zimpawu. Uma ubona noma yiziphi izimpawu ezinkulu, yazisa abasebenzi bezokwelapha ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) oseduze.
| Isigaba semiphumela emibi | Izici okufanele uziqaphele |
|---|---|
| Izinto okufanele uzitshele udokotela wakho noma abasebenzi basesibhedlela ngokushesha | |
| Ukusabela Okukhulu Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi, ubunzima bokuphefumula. |
| Izimpawu zokopha | Indle emnyama, ephuzi; umchamo obomvu noma onsundu omnyama; ukuhlanza okufana nokugaywa kwekhofi noma ukuhlanza igazi; amabala abomvu esikhumbeni; ukuphuma kwegazi okungajwayelekile emehlweni, ezinsinini, noma ekhaleni. |
| Izimpawu Zegazi Eliqhekekile | Ubuhlungu esifubeni; ubunzima bokuphefumula; ubuhlungu emilenzeni, ukuvuvukala, noma ukufudumala. |
| Izimpawu zokulimala kwesibindi | Umchamo ophuzi omnyama noma onsundu; ukuphuzi kwamehlo noma isikhumba; umkhuhlane; ukulahlekelwa yisifiso sokudla; ubuhlungu ohlangothini oluphezulu kwesokudla lwesisu; indle ekhanyayo. |
| Izimpawu zoshukela ophezulu egazini | Ukoma okungavamile kanye nendlala; ukuchama njalo; ukukhathala okukhulu; ukubona okufiphele. |
| Ezinye izimpawu ezinzima | Ikhanda elibuhlungu kakhulu, ubuhlungu obukhulu besisu (kungaba uphawu lwe-pancreatitis). |
| Uma kuqhubeka noma kukhathaza, tshela udokotela wakho. | |
| Imiphumela emibi evamile | Ukujuluka, ukwehlisa isisindo. |
Ingabe kungaba nezinkinga ngeminye imithi? (Ukusebenzisana)
Yebo. Eminye imithi ingabangela izinkinga uma ithathwa nge-Pegaspargase. Isibonelo:
- i-methotrexate
- uVincristine
- i-cytarabine
- i-dexamethasone
- Amaphilisi okuvimbela inzalo (izithibela-nzalo eziphuzwa ngomlomo)
Lolu hlu aluphelele. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo, ngisho namavithamini . Futhi, ungakhohlwa ukumtshela uma ubhema noma uphuza utshwala.
Umlayezo Wokuya Nawe Ekhaya
- I-Pegaspargase umuthi onamandla we-chemotherapy osetshenziselwa ukwelapha uhlobo lomdlavuza wegazi olubizwa ngokuthi i-Acute Lymphoblastic Leukemia (ALL).
- Lomuthi unikezwa esibhedlela kuphela, ngaphansi kokuqashwa kwezokwelapha.
- Ngaphambi kokuqala ukwelashwa, tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha, ukungezwani komzimba, kanye neminye imithi oyithathayo.
- Uma uhlangabezana nezimpawu ezifana nokungezwani komzimba okukhulu, ukopha, ukujiya kwegazi, noma ubuhlungu obukhulu besisu, yazisa abasebenzi bezokwelapha ngokushesha.
- Gwema ukukhulelwa ngokuphelele ngesikhathi sokwelashwa kanye nezinyanga ezi-3 ngemuva kwalokho. Sebenzisa indlela yokuvimbela inzalo ethembekile, engeyona eye-hormone.
- Sicela ube khona ngesikhathi lapho uhlela khona ukwelashwa. Uma ungakwazi ukuya, sicela wazise isibhedlela kusenesikhathi.
- Uma unemibuzo noma ukukhathazeka ngalo muthi, khuluma nodokotela wakho ngakho ngokukhululekile.
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