Ukuthola ukuxilongwa komdlavuza wena noma othandekayo wakho kungaba yinto edidayo kakhulu futhi ekhungathekisayo. Kujwayelekile kakhulu ukuzizwa ukhathazekile, ikakhulukazi lapho udokotela wakho ekwethula igama elisha lomuthi ongalazi. KwaNirogi Lanka, sifuna ukusiza ekunciphiseni lowo mthwalo. Kulesi sihloko, sizoxoxa ngomuthi ojovwayo osetshenziswa ekwelapheni umdlavuza obizwa ngokuthi iTrabeccedin. Sizochaza ngamazwi alula ukuthi uyini, usebenza kanjani, yini okudingeka uyiqaphele, kanye nemiphumela emibi engaba khona okufanele uyiqaphele.
Iyini i-Trabectedin?
Kalula nje, i-Trabectedin umuthi osebenza ukulawula ukukhula kwamaseli omdlavuza noma ukubambezela ukuqhubeka kwawo. Uhlukaniswa njengohlobo lwe -chemotherapy . Lo muthi usetshenziselwa ngqo ukwelapha uhlobo lomdlavuza olwaziwa ngokuthi i-Sarcoma .
Ungase uzibuze ukuthi iyini i-sarcoma. Lezi zimdlavuza ezivela ezicutshini zomzimba ezixhumeneyo , njengamathambo akho, imisipha, amafutha, kanye nemithambo yegazi . I-Trabectin isebenza ngokuvimbela la maseli anomdlavuza ukuthi ahlukane futhi asakazeke. Ungawubona lo muthi ngaphansi kwegama lomkhiqizo elithi "Yondelis."
Ulwazi Olubalulekile Ngaphambi Kokuqala Ukwelashwa
Lokhu kubalulekile. Ngaphambi kokuthi uqale ukwelashwa nge-Trabectedin, kubalulekile ukuthi udokotela wakho aqonde kahle umlando wakho wezokwelapha . Izimo zakho zempilo ezikhona zingase zihlangane nalokhu kwelashwa. Sicela uqiniseke ukuthi udalula okulandelayo kumhlinzeki wakho wezempilo:
- Isifo senhliziyo : Uma unomlando wezinkinga zenhliziyo, yazisa udokotela wakho, njengoba ezinye izindlela zokwelapha umdlavuza zingathinta ukusebenza kwenhliziyo.
- Isifo sezinso: Njengoba izinso zakho zihlunga ukungcola kanye nemithi emzimbeni wakho, noma yikuphi ukukhubazeka lapha kubalulekile ukuthi udokotela wakho akwazi.
- Isifo sesibindi: Isibindi sakho sinesibopho sokugaya imithi eminingi; uma ukusebenza kwesibindi sakho kuphazamisekile, kungathinta indlela umzimba wakho osicubungula ngayo lesi sidakamizwa.
- Amazinga aphansi amangqamuzana egazi: Yazisa ithimba lakho uma uke watholakala unenani eliphansi lamangqamuzana amhlophe egazi, amangqamuzana abomvu egazi, noma ama-platelet aphansi.
- Ubuhlungu noma ubuthakathaka bemisipha: Bika noma yikuphi ubuhlungu bemisipha obuvamile noma ubuthakathaka obungachazeki.
- Ukungezwani komzimba: Lokhu kubaluleke kakhulu. Tshela udokotela wakho uma uke waba nokusabela kokungezwani komzimba neTrabectedin, noma eminye imithi, ukudla, udayi, noma izithasiselo.
- Ukukhulelwa noma ukuzama ukukhulelwa: Uma ukhulelwe noma uhlela ukukhulelwa, yazisa udokotela wakho ngokushesha. I-Trabecdin ingaba yingozi enganeni engakazalwa.
- Ukuncelisa: Sicela wazise udokotela wakho uma okwamanje uncelisa.
Ukuvuleleka nokwethembeka kudokotela wakho ngomlando wakho wezempilo kubalulekile ukuze uphephe.
Lo muthi unikezwa kanjani?
I-Trabectedin akuyona iphilisi noma isiraphu oyithatha ekhaya. Inikezwa njengomjovo emthanjeni (ngokufakwa ngaphakathi kwemithambo).Lokhu kusho ukuthi uzothola ukwelashwa esibhedlela noma emtholampilo ngaphansi kokunakekelwa kwethimba lochwepheshe bezokwelapha.
Umuthi uvame ukunikezwa kancane nge-IV drip. Uzothola idokhumenti ebizwa ngokuthi "i-MedGuide" phakathi nemihlangano yakho, equkethe imininingwane ebalulekile yokuphepha. Kubaluleke kakhulu ukukufunda lokhu ngaphambi kweseshini ngayinye yokwelashwa.
Kwenzekani uma kwenzeka ukudlula ngokweqile?
Ngenxa yokuthi lokhu kunikezwa endaweni yomtholampilo ngaphansi kokuqashwa okuqondile, ukudlula ngokweqile akuvamile kakhulu. Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezingavamile, yazisa ithimba lakho lezokwelapha ngokushesha. Kunoma yisiphi isimo esiphuthumayo sangempela, shayela u-911 noma uvakashele umnyango wezimo eziphuthumayo oseduze nawe.
Kuthiwani uma ngiphuthelwa umthamo?
Lokhu kwelashwa kulandela ishejuli eqinile. Sicela unamathele ezinsukwini nezikhathi ezinikezwe udokotela wakho. Uma ungakwazi ukuya esimisweni esihleliwe, xhumana nethimba lakho lezokwelapha ngokushesha okukhulu ukuze uhlele kabusha.
Ukusebenzisana Okungenzeka Nezinye Izinto
Eminye imithi ingaphazamisa indlela iTrabectedin esebenza ngayo, futhi okuphambene nalokho. Kubalulekile ukuthi wabelane ngakho konke okuthathayo nodokotela wakho, okuhlanganisa:
- Imithi kadokotela
- Imithi ethengiswa ngaphandle kwemithi kadokotela (engagunyaziwe ngudokotela)
- Amavithamini, imikhiqizo yamakhambi, noma izithasiselo zokudla
- Imithi yendabuko noma ehlukile yezitshalo
Izinto ezivamile ezingase zihlangane ne-Trabectedin zifaka:
- Imithi yokulwa negciwane lengculazi
- Amanye ama-antibiotic (isb., i-clarithromycin, i-telithromycin)
- Imithi yokulwa nesikhunta (isb., i-ketoconazole, i-itraconazole)
- Imithi yokuqunjelwa (isib. i-carbamazepine, i-phenytoin)
- Ijusi le-Grapefruit
- I-wort kaSt. John
- I-Rifampin
Lolu hlu aluphelele. Ukuze uphephe, xoxa nodokotela wakho ngazo zonke izinto ezidakayo, okuhlanganisa ukubhema nokusetshenziswa kotshwala.
Izinyathelo zokuphepha ngesikhathi sokwelashwa
Kuwo wonke uhambo lwakho lokwelashwa, ithimba lakho lezokwelapha lizoqapha ngokucophelela isimo sakho sempilo. Kubaluleke ngokulinganayo ukuthi uhlale unake indlela umzimba wakho ozizwa ngayo.
Umuzwa Ojwayelekile Wokungabi Nathemba
Ukwelashwa ngamakhemikhali kuhlose amangqamuzana omdlavuza kodwa kungathinta namaseli anempilo emzimbeni wakho. Ngenxa yalokho, ukuzizwa ukhathele, unesicanucanu, noma ukungaphatheki kahle ngokuvamile kuvamile ngesikhathi sokwelashwa. Ngisho noma uzwa lokhu kungakhululeki, sicela uqhubeke nokwelashwa okuhleliwe ngaphandle kokuthi udokotela wakho akutshele ukuthi uyeke. Kodwa-ke, qiniseka ukuthi ubika yonke imiphumela emibi oyitholayo eqenjini lakho lezokwelapha.
Ingozi Yokutheleleka
Lo muthi ungase ubuthakathaka okwesikhashana amasosha omzimba wakho, okukwenza ube sengozini enkulu yokutheleleka.
- Uma uzwa izimpawu ezifana nomkhuhlane, ukubanda, umphimbo obuhlungu, noma ukukhwehlela , ungazami ukuzelapha. Xhumana nodokotela wakho ngokushesha ukuze uthole iseluleko sochwepheshe.
- Zama ukugwema izindawo ezinabantu abaningi futhi uthintane nabantu abagulayo njengamanje.
Ukusetshenziswa Kwemithi Yokuqeda Ubuhlungu
Ukuqapha umkhuhlane kubalulekile phakathi nalesi sikhathi. Imithi yokwelapha ubuhlungu etholakala ngaphandle kwemithi kadokotela efana ne-Aspirin, i-acetaminophen (i-Panadol), i-ibuprofen, noma i-naproxen ingafihla umkhuhlane, okungenzeka ifihle izimpawu zokutheleleka. Ngakho-ke, ungasebenzisi noma yimiphi imithi yobuhlungu ngaphandle kokubonisana nodokotela wakho kuqala.
Impilo Yamazinyo
Ngesikhathi sokwelashwa, ungase uthambekele kakhulu ekuphuzeni igazi ezinsinini nasekuthelelekeni. Sicela uzilolonge kahle umlomo wakho uma uxubha futhi usebenzisa i-dental floss. Uma udinga noma yiziphi izinqubo zamazinyo, kufanele wazise udokotela wakho wamazinyo ukuthi uthola i-Trabectedin.
Ukukhulelwa kanye nokuba ngumzali
Lokhu kuyindaba ebalulekile kwabesifazane nabesilisa.
- Kwabesifazane: Kumelwe ugweme ngokuphelele ukukhulelwa ngesikhathi sokwelashwa kanye nezinyanga ezimbili ngemuva komthamo wakho wokugcina. Lo muthi ungabangela ukukhubazeka okukhulu kokuzalwa. Ngaphambi kokuqala ukwelashwa, kufanele uhlolwe ukukhulelwa ukuqinisekisa ukuthi awukhulelwe. Ngaphezu kwalokho, kufanele usebenzise uhlobo lokuvimbela inzalo oluthembeke kakhulu; sicela uxoxe ngezinketho ezifanele nodokotela wakho.
- Kwabesilisa: Kumelwe ugweme ukuba nguyise wengane ngesikhathi sokwelashwa kanye nezinyanga ezi-5 ngemuva komthamo wakho wokugcina. Kubalulekile ukusebenzisa amakhondomu ngesikhathi socansi phakathi nalesi sikhathi.
- Ukuncelisa: Kumelwe uyeke ngokuphelele ukuncelisa ngenkathi uthola lolu hlobo lokwelashwa.
- Ukuzala: Lo muthi ungathinta ikhono lakho lokukhulelwa. Uma unenkinga mayelana nokuzala kwakho, sicela uxoxe ngakho nodokotela wakho.
Imiphumela Engemihle Okufanele Iqashwe
Njenganoma yimuphi umuthi, i-Trabectedin ingadala imiphumela emibi. Akuwona wonke umuntu ozobhekana nalokhu, kodwa kubalulekile ukuhlala unolwazi. Ake sibheke le miphumela emibi ehlukaniswe ngamaqembu amabili.
| Umphumela Ongemuhle | Incazelo kanye Nesenzo Esidingekayo |
|---|---|
| Imiphumela emibi edinga ukunakekelwa kwezokwelapha okusheshayo | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo, kanye nobunzima bokuphefumula. Lezi yizimo eziphuthumayo ; funa usizo lwezokwelapha ngokushesha. |
| I-Capillary leak syndrome | Ubuhlungu besisu noma bemisipha, ukukhathala okungavamile, ikhanda elibuhlungu, ukuncipha kokuchama, ukuvuvukala emaqakaleni noma ezithweni, kanye nobunzima bokuphefumula. |
| Ukwehluleka kwenhliziyo | Ubunzima bokuphefumula, ukuvuvukala emaqakaleni, ezinyaweni, noma ezandleni, ukukhuluphala ngokuzumayo, noma ukukhathala noma ubuthakathaka obungavamile. |
| Izimpawu zokutheleleka | Umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu, amanxeba angapholi, noma ubuhlungu ngesikhathi sokuchama. |
| Ukulimala kwesibindi | Ubuhlungu esiswini esingaphezulu kwesokudla, ukulahlekelwa yisifiso sokudla, isicanucanu, indle ephaphathekile, umchamo onombala omnyama, noma ukuphuzi kwesikhumba noma amehlo (i-jaundice). |
| Ukulimala kwemisipha | Ukukhathala okungajwayelekile, ubuhlungu bemisipha, umchamo onombala omnyama, noma ukuncipha kokuchama. |
| Ukopha noma ukuklwebheka okungavamile | Ukopha okungapheli ngenxa yokusikeka okuncane, noma ukuphuka okungachazeki ngaphansi kwesikhumba. |
| Ubuhlungu endaweni yomjovo | Ukubomvu, ukuvuvukala, ukufudumala, ubuhlungu, noma ukuqubuka komthambo lapho kunikezwa khona umuthi. |
| Imiphumela emibi evamile okufanele ibikwe uma iqhubeka noma iba yinkinga | |
| Izinkinga zokugaya ukudla | Ukuqunjelwa, uhudo, isicanucanu, ukuhlanza. |
| Okunye ukungakhululeki okuvamile | Ukukhathala, ikhanda elibuhlungu, ukulahlekelwa yisifiso sokudla. |
Izinto Ezibalulekile Okufanele Uzicabangele Ngokwelashwa Kwakho
- I-Trabectedin umuthi onamandla osetshenziselwa ukwelapha ama-sarcoma. Sicela ukhumbule ukuthi lokhu kwelashwa kunikezwa kuphela esibhedlela ngaphansi kokuqashwa okuqinile kwezokwelapha.
- Ngaphambi kokuqala ukwelashwa kwakho eNirogi Lanka noma kunoma yisiphi esinye isikhungo, sicela unikeze udokotela wakho uhlu oluphelele lwanoma yiziphi ezinye izimo zempilo, imithi (kufaka phakathi izithako zemifino noma zendabuko), kanye nokungezwani komzimba okwaziwayo.
- Uma uba nomkhuhlane, izimpawu zokutheleleka, ukopha okungavamile, noma uhlangabezana nanoma yimiphi eminye imiphumela emibi ngenkathi welashwa, sicela ufune usizo lwezokwelapha ngokushesha noma ushayele izinsizakalo eziphuthumayo ze-911/emergency.
- Kubalulekile ukuthi abesilisa nabesifazane basebenzise izindlela zokuvimbela inzalo ezinokwethenjelwa kakhulu ngesikhathi sokwelashwa kwakho kanye nesikhathi esithile ngemva kwalokho, njengoba lo muthi ungase ube yingozi enganeni engakazalwa.
- Sicela uzizwe ukhululekile ukukhuluma ngokukhululekile nethimba lakho lezokunakekelwa kwempilo nganoma yimiphi imibuzo, ukwesaba, noma ukukhathazeka mayelana nokwelashwa kwakho. Silapha ukukusekela kuzo zonke izinyathelo zendlela.
I-Trabectedin, i-Yondelis, imithi yomdlavuza, ukwelashwa komdlavuza, i-sarcoma, i-chemotherapy, imiphumela emibi yomdlavuza, i-Nirogi Lanka
