Wake wezwa ukuthi umuthi okhethekile kanye nokukhanya okukhethekile kungahlanganiswa ukuze kubhubhise amangqamuzana ayingozi emzimbeni wethu, njengamaseli omdlavuza? Kungase kuzwakale kungavamile, kodwa kuyiqiniso. Namuhla sizokhuluma ngenye yezindlela zokwelapha ezimangalisayo nezinamuhla. Kwisayensi yezokwelapha, lokhu kubizwa ngokuthi i-Photodynamic Therapy , noma i-PDT njengoba sonke sikwazi ngamafuphi.
Kuyini i-Photodynamic Therapy (PDT) ngamagama alula?
Kalula nje, i-PDT iyindlela yokwelapha enezingxenye ezimbili ehlasela futhi ibhubhise kuphela amangqamuzana ayingozi, anesifo emzimbeni wethu.
Cabanga ngale ndlela. Okokuqala, unikezwa umuthi okhethekile okwenza uzwele ekukhanyeni. Lokhu sikubiza ngokuthi i- photosensitizer . Lo muthi ungathathwa njengephilisi, usetshenziswe esikhumbeni, noma ufakwe ngisho nasemithanjeni. Lokhu kuncike endaweni okuyo isimo sakho.
Okwenzekayo ngokulandelayo kuyathakazelisa kakhulu. Lo muthi we-photosensitizer umuncwa yiwo wonke amaseli emzimbeni wethu. Kodwa kumaseli angajwayelekile, anesifo, njengamaseli omdlavuza, lo muthi uhlala usemazingeni aphezulu isikhathi eside. Ususwa ngokushesha kumaseli anempilo. Lokhu kungathatha amahora ambalwa noma izinsuku ezimbalwa.
Uma isikhathi sesifanele, udokotela wakho uzoqondisa ukukhanya okukhethekile (ukukhanya kwe-laser noma ukukhanya kwe-LED) emaseli agulayo. Umuthi we-photosensitizer ongaphakathi kwamaseli uhlangana nokukhanya bese uqala ukusabela kwamakhemikhali nomoya-mpilo. Ngenxa yalokhu kusabela, amaseli agulayo kuphela abhujiswayo. Umonakalo kumaseli aphilile mncane kakhulu.
Yiziphi izifo ezisetshenziswayo kulokhu kwelashwa?
Ukwelashwa kwe-PDT kungenziwa kuphela ezindaweni ezingafinyelelwa ngokukhanya, yingakho kuwusizo kakhulu ezifweni ezithile.
| Uhlobo lwesimo sezokwelapha | Izibonelo |
|---|---|
| Umdlavuza wesikhumba kanye nezimo zangaphambi komdlavuza (ezisetshenziswa kakhulu) | Umdlavuza wesikhumba, i-actinic keratosis, isifo sikaBowen |
| Umdlavuza wezitho zangaphakathi | Umdlavuza we-Barrett, umdlavuza we-bile duct, umdlavuza wesinye, umdlavuza we-esophageal, umdlavuza wekhanda nentamo, umdlavuza wamaphaphu, umdlavuza we-pancreatic |
| Ezinye izimo ezingezona ezomdlavuza | Izifo zesikhumba ezifana ne-acne enzima kanye ne-photoaging |
Ukulungiselela ngaphambi kokwelashwa
Ukuze anqume ukuthi lokhu kwelashwa kukufanele yini, udokotela wakho uzothatha umlando ophelele wezokwelapha. Ikakhulukazi, bazohlola ukuze babone ukuthi unesifo sokukhanya noma ezinye izimo ezingabangela izinkinga ezifanayo. Isibonelo, abanye abantu bangase babe nezilonda zomkhuhlane ezengeziwe ngemva kwalokhu kwelashwa. Kodwa ungakhathazeki, udokotela wakho angakunika imithi yokuvimba lokhu ngaphambi kokuba kwenzeke.
Kwenzekani ngesikhathi sokwelashwa nangemva kwalokho?
Kuthatha isikhathi esingakanani ukwelashwa?
Ngokuvamile, iseshini eyodwa yokwelashwa kwe-PDT ingahlala noma kuphi kusukela emizuzwini eyi-15 kuya kwengama-90, kuye ngobukhulu bendawo ephathwayo.
Ingabe lokhu kubuhlungu?
Lena inkinga abantu abaningi abanayo. Eqinisweni, ungase uzizwe ungakhululekile lapho ukukhanya kuqondiswa. Abanye abantu bangase bazizwe sengathi isikhumba sabo siyashisa. Abanye bangase bazizwe sengathi isikhumba sabo siyasha noma sengathi bahlatshwa yinaliti.
Into ebalulekile ukuthi lokhu kungakhululeki kuyisibonakaliso sokuthi ukwelashwa kuyasebenza. Kodwa akudingeki ubekezelele ubuhlungu. Qiniseka ukuthi utshela udokotela wakho noma abasebenzi bezokwelapha nganoma yikuphi ukungakhululeki okuzwayo. Bangakunika amafeni okupholisa, ama-ice pack, noma ama-painkiller ukuze bakusize uzizwe ungcono.
Sinjani isikhathi sokululama ngemva kokwelashwa?
Ezimweni eziningi, ungaya ekhaya ngosuku olufanayo nokwelashwa kwakho. Kodwa-ke, kuzodingeka ulandele imiyalelo ethile ekhethekile ukusiza indawo elashwe ukuthi iphulukise futhi ivikele isikhumba sakho.
Inqubo ejwayelekile yokuphulukisa ingase ibukeke kanje:
- Usuku lokuqala: Indawo ehlinzwe ingase ibe bomvu noma ishintshe umbala.
- Usuku Lwesibili: Ukuthi ukubomvu/ukuguquka kombala kungase kube kubi kakhulu.
- Phakathi kwezinsuku ezingu-3-7: Ungase (ngokungavamile kakhulu) uzwe amabala, ukulunywa, noma ukuxebuka kwesikhumba.
- Phakathi nesonto noma amabili: Isikhumba sakho sizoqala ukubuyela esimweni esijwayelekile.
Kuthatha cishe amasonto amabili kuya kwayisithupha ukululama ngokuphelele.Kungathatha isikhathi. Kuyahlukahluka kuye ngokuthi ukwelashwa kwenziwe kuphi.
Khumbula, isikhumba sakho sizozwela kakhulu ekukhanyeni isikhashana ngemuva kokwelashwa. Lokhu kusho ukuthi kuzodingeka uqaphele elangeni ngisho nasezibanini ezikhanyayo ekhaya kuze kube yilapho i-photosensitizer isiphelile ngokuphelele.
Yini okufanele ngiyinake ngokukhethekile ngesikhathi sokululama?
Ngaphezu kweseluleko esinikezwe udokotela wakho, qaphela lezi zinto:
- Hlala endlini ngangokunokwenzeka emahoreni okuqala angu-48.
- Yeka ukuchayeka ngokuphelele elangeni eliqondile.
- Hlala kude nezibani eziqinile zangaphakathi ekhaya.
- Uma uphuma ngaphandle, gqoka izingubo ezivikela ilanga kanye nesigqoko eside.
- Gwema ukuya ezindaweni lapho ukukhanya kungabonakala khona, njengasogwini lolwandle.
- Ungasebenzisi izinto ezifana nokomisa izinwele njengohlobo lwesigqoko.
- Ungami eduze kwezibani zokufunda ezikhipha ukukhanya okukhulu.
Uma uzwa ubuhlungu obukhulu, ukulunywa, noma okunye ukungakhululeki okungavamile ngesikhathi sokululama kwakho, shayela udokotela wakho ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- Ukwelashwa Nge-Photodynamic (PDT) kuyindlela yokwelapha yesimanje nephumelelayo esebenzisa umuthi okhethekile nokukhanya ukubhubhisa amangqamuzana agulayo.
- Lokhu kuwusizo kakhulu kumdlavuza wesikhumba kanye nezifo zesikhumba ezingaphenduka umdlavuza.
- Umphumela oyinhloko walokhu kwelashwa ukuthi isikhumba siba nomuzwa omkhulu ekukhanyeni isikhathi esifushane ngemva kokwelashwa. Ngakho-ke, kubalulekile ukuzivikela ekukhanyeni njengoba kuceliwe udokotela wakho.
- Inzuzo enkulu ukuthi kunezibazi ezincane futhi akukho miphumela emibi yesikhathi eside.
- Khuluma nodokotela wakho ngokukhululekile mayelana nokuthi lokhu kwelashwa kukufanele yini nokuthi yiziphi izinzuzo nezingozi zako.
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