Kuyini ukushiswa kwemisebe emzimbeni wonke? (Ukushiswa kwemisebe emzimbeni wonke) Ake sixoxe ngalokhu kalula.

Uma ukhuluma ngokwelashwa komdlavuza, kungenzeka ukuthi uke wezwa ngokwelashwa ngemisebe, noma ngemisebe. Kodwa uma uzwa "imisebe emzimbeni wonke," ungase uzizwe wesaba kancane. Kodwa lokhu kuyindlela yokwelapha ebaluleke kakhulu okumele yenziwe ngezinye izikhathi. Ngakho-ke namuhla, ake sixoxe ngokuthi iyini i-Total Body Irradiation (TBI), ukuthi kungani yenziwa, nokuthi isebenza kanjani.

Kalula nje, kuyini i-Total Body Irradiation (TBI)?

I-Total Body Irradiation (TBI) uhlobo lokwelashwa ngemisebe. Kodwa-ke, ngokungafani nokwelashwa ngemisebe okuvamile, imisebe ayiqondisiwe endaweni eyodwa yomzimba. Kunalokho , umthamo omncane kakhulu wemisebe ulethwa emzimbeni wakho wonke .

Cabanga ngale ndlela: ukwelashwa ngemisebe okuvamile kufana nokukhanyisa ithoshi endaweni eyodwa. Kodwa i-TBI ifana nokukhanyisa isibani egumbini lonke, okwenza inani elincane lokukhanya liwele yonke indawo. Umthamo wemisebe osetshenziswa lapha uphansi kakhulu kunokwelashwa ngemisebe endaweni eyodwa.

Kungani kwenziwa lokhu kwelashwa? Iyini inhloso yako?

Ukwelashwa kwe-TBI kwenziwa kakhulu ukuze kukulungiselele ukufakelwa umnkantsha wamathambo noma ukufakelwa i-stem cell. Kunezizathu ezintathu eziyinhloko zokuthi kungani udokotela wakho engase akuncome lokhu kwelashwa.

• Ukubhubhisa amangqamuzana omdlavuza: Lokhu kusiza ekubhubhiseni ngokuphelele amangqamuzana omdlavuza afihliwe emnkantsheni wakho wamathambo, ohlelweni lwezinzwa, noma ezindaweni lapho ezinye izindlela zokwelapha zingenakuzifinyelela kalula.
• Yenza umnkantsha wethambo ube yindawo: Lokhu kwelashwa kusiza ukwenza umnkantsha wethambo osanda kutshalwa futhi kunciphise umsebenzi womnkantsha wethambo omdala.
• Lawula amasosha omzimba wakho: Lokhu kusiza ukuvimbela amasosha omzimba wakho ukuthi aqaphele umongo wethambo osanda kutshalwa kabusha “njengowangaphandle” bese ewenqaba, ngaleyo ndlela enze ukufakelwa kube nokwenzeka kakhulu ukuthi kuphumelele.

Yiziphi izimo eziphathwa nge-TBI?

Ukwelashwa nge-TBI akuvamile ukwenziwa wedwa. Kuvame ukusetshenziswa kanye nezinye izindlela zokwelapha umdlavuza, njenge-chemotherapy. Ithebula elingezansi libala ezinye zezimo ezivame kakhulu lapho lokhu kwelashwa kusetshenziswa khona.

Kwenzekani ngaphambi kokwelashwa? (Ukulingisa)

Ngaphambi kokuthi uthole ukwelashwa kwakho kwe-TBI, uzoba ne-aphoyintimenti ekhethekile ebizwa ngokuthi "ukulingisa." Lokhu kufana nokuthatha izilinganiso ngaphambi kokuthi uthungelwe isudi. Kufana neseshini yokuzijwayeza ngaphambi kokuthi uthole ukwelashwa. Inhloso eyinhloko yalokhu ukuhlela indawo engcono kakhulu ozoba kuyo ukuqinisekisa ukuthi umzimba wakho uthola isilinganiso esifanele semisebe, ngendlela efanele .

Kulesi simulation:

• Uzobekwa etafuleni elikhethekile futhi kuzokwenziwa i-CT scan ukuze kuhlolwe indawo okufanele iphathwe.
• Udokotela wezokwelapha ngemisebe uzothatha izilinganiso eziningana zomzimba wakho.
• Ngemva kokunquma indawo engcono kakhulu yomzimba wakho, bazokwenza amamaki amancane kakhulu esikhumbeni sakho. Bazothatha nezithombe. Lokhu kuzokusiza ukuthi uhlale endaweni efanayo ngosuku lokwelashwa. Lamamaki angase abe ahlala njalo, kodwa mancane kakhulu.

Kwenzekani ngesikhathi sokwelashwa?

Kungase kudingeke uhlale esibhedlela izinsuku ezimbalwa ngemuva kokuthola ukwelashwa kwe-TBI. Nakhu okwenzekayo ngesikhathi sokwelashwa:

• Uchwepheshe wezokwelapha ngemisebe uzokubeka endaweni efanayo naleyo owawukuyo ekulingiseni okwakuhlelwe ngaphambilini.
• Ukuze kuncishiswe umthamo wokukhishwa kwemisebe ezithweni ezithile, njengamaphaphu akho, kungabekwa amaphaneli noma izihlangu ezikhethekile phezu kwalezo zitho.
• Ukuqinisekisa ukuthi imisebe isatshalaliswa ngokulinganayo kuwo wonke umzimba wakho, ungasetha into efana nesikrini esikhulu phambi kwakho.
• Udokotela wezokwelapha uyaphuma ekamelweni. Kodwa ungakhathazeki, awuwedwa. Ungakhuluma nabo nge-intercom. Bakubhekile bengaphandle.
• Umshini omkhulu obizwa ngokuthi "i-linear accelerator" uhamba nxazonke zakho, uletha imisebe ngendlela ehleliwe.

Isikhathi esivamile singahlala imizuzu efika kwengu-60. Isikhathi sakho sokuqala singathatha isikhathi eside ngoba udokotela wezokwelapha uzothatha ama-X-ray engeziwe ukuqinisekisa ukuthi ukuma kwakho kunembile ngokuphelele. Ungase futhi uvunyelwe ukwenza izinto ezifana nokulalela umculo phakathi nalesi sikhathi.

Kuyoze kube nini ngithatha lokwelashwa?

Iningi labantu lithola ukwelashwa kwe-TBI kabili noma kathathu ngosuku izinsuku ezintathu kuya kwezinhlanu. Ithimba lakho lezokwelapha lizochaza ukuthi zingaki izikhathi zokwelapha ozodinga ngaphambi kokuba uqale ukwelashwa.

Ziyini izingozi nemiphumela emibi yalokhu?

Njenganoma yikuphi ukwelashwa, ukwelashwa nge-TBI kungaba nemiphumela emibi. Le miphumela emibi ingahluka kumuntu nomuntu. Kunezici eziningana ezingayithinta:

• Inani lezikhathi zokwelapha ozozithola.
• Umthamo wokukhanya onikeziwe.
• Impilo yakho iyonke.

Imiphumela emibi ingahlukaniswa kakhulu ngezigaba ezimbili: yesikhathi esifushane neyesikhathi eside.

Imiphumela emibi yesikhashana

Lokhu kuvame ukuvela ezinsukwini noma amasonto ambalwa ngemva kokuqala ukwelashwa bese kuyanyamalala ngokuhamba kwesikhathi.

Imiphumela emibi yesikhathi eside

Lezi azivamile kakhulu, zingavela isikhathi eside ngemva kokwelashwa, futhi zingase zihlale isikhathi eside.

• Ama-cataract: Ukufiphala kwelensi yeso.
• Ukungazali: Ukuthinta ikhono lokuba nezingane.
• I-pulmonary fibrosis: Ukusha kwezicubu zamaphaphu, okubangela ubunzima bokuphefumula.
• I-Hypothyroidism: Ukwehla kokukhiqizwa kwe-hormone ye-thyroid, elawula ukugaywa komzimba.

Ungazinakekela kanjani ngemva kokwelashwa?

Ukuphatha imiphumela emibi kungasiza kakhulu ekwenzeni lesi sikhathi sokwelashwa sibe lula. Nazi ezinye izinto ongayenza:

• Uma uzizwa unesicanucanu, ungangabazi ukucela umuthi .
• Nakekela isikhumba sakho. Landela imiyalelo yokunakekelwa kwesikhumba kadokotela wakho. Faka i-moisturizer njalo.
• Uma kungenzeka, joyina iqembu lokusekelana nabantu abaye baba nokuhlangenwe nakho okufanayo.
• Yabelana ngemicabango nemizwa yakho mayelana nalokhu kwelashwa nomuntu omethembayo (uchwepheshe wezokwelapha, ilungu lomndeni, umngane).
• Zama ukulala kahle okungenani amahora ayisishiyagalombili njalo ebusuku.
• Uma kungenzeka , thatha ikhefu emsebenzini bese uphumula kahle ngemva kokuphuma esibhedlela.

Kunini lapho udinga ukukhuluma nodokotela?

Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngesikhathi noma ngemva kokwelashwa, yazisa udokotela wakho ngokushesha.

• Ukugodola
• Imfiva
• Izinguquko zesikhumba (isib., ukuqubuka, ukuxebuka kwesikhumba)

Kuvamile ukuzizwa wesaba uma uzwa amagama athi "imisebe yomzimba wonke" futhi ubani ongenalo? Kodwa khuluma nodokotela wakho we-radiation oncologist nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. I-TBI isebenzisa imithamo ephansi kakhulu yemisebe kuneminye imithi yokwelapha ngemisebe. Ubuchwepheshe obusha bunciphise kakhulu inani lemisebe esetshenziselwa ukwelapha izicubu ezinempilo. Ingabulala amangqamuzana omdlavuza amelana neminye imithi yokwelapha. Futhi kwandisa kakhulu amathuba okuba ukufakelwa umnkantsha wethambo kuphumelele ngaphandle kokwenqatshwa.