Zifukwa Zogwiritsa Ntchito Chemotherapy ndi Zotsatira Zovuta
Intrathecal chemotherapy ndi mtundu wa chemotherapy umene umagwiritsidwa ntchito mkati mwa madzi pakati pa nembanemba zomwe zimagwirizanitsa ubongo wanu ndi msana. Madzi amene amatsitsa malowa amapangidwa kuchokera mu ubongo wanu ndipo amatchedwa cerebrospinal fluid kapena CSF. Madzi amadzimadzi amadzimadzi amatetezera, amateteza ubongo wanu ndi msana pamsinkhu.
Mwachidule
Pali mitundu ya khansa ya m'magazi ndi lymphoma yomwe imafalikira kwa CSF ndi manjenje. Mwatsoka, mankhwala ambiri a chemotherapy sangathe kufika kudera lino kuchokera m'magazi. Pakati pa ubongo ndi thupi lonse lapansi ndizomwe zimatchedwa memphane . Cholepheretsa ichi chikupezeka kuti asunge poizoni zomwe zingasokoneze ubongo. Mwatsoka, imatulutsanso mankhwala ambiri a mankhwala a chemotherapy.
Mungagwiritse ntchito intrathecal chemotherapy:
- Kuchiza khansara yomwe yafalikira kwa CSF
- Kuteteza khansa kufalitsa kwa CSF
Zizindikiro za khansa Zimafalikira kwa CSF
Zizindikiro zomwe khansara yanu yafalikira kwa CSF yanu ingaphatikizepo izi:
- Mutu
- Zovuta za kulankhula
- Kugonjetsa
- Kusintha mu masomphenya anu, monga masomphenya awiri
- Kusintha kuganiza
Zimene muyenera kuyembekezera
Mankhwala a intrathecal chemotherapy angaperekedwe kupyolera pamphepete wamaginja (kutsekedwa kwapopu) kapena kupyolera mu gombe lopangidwa mu khungu lanu.
Kutaya kwa Lumbar - Ngati muli ndi mtundu wa khansa ya m'magazi kapena ya lymphoma yomwe imakonda kufalikira ku mitsempha ya mitsempha, mwinamwake munalandira kupopera kwa mimba , kapenanso pampopu pamtundu wanu.
Izi ndi zofanana kwambiri ndi zomwe mungapeze pamene mukupeza intrathecal chemotherapy. Katswiri wanu wamagetsi kapena odwala matenda a shuga adzapangika khungu, ndipo jekesani chemotherapy mwachindunji mu CSF yanu kuti muphe maselo alionse a khansa.
Gombe la Ommaya - Ngati mukufuna mankhwala amodzi awa, dokotala wanu angasankhe kuyika "gombe la Ommaya" mu khungu lanu.
Gombeli liri ndi kathethala kakang'ono kamene kamalowa mumtundu wa ubongo wanu. Mankhwala a chemotherapy angaperekedwe kudzera mu gombe la Ommaya, ndipo simudzasowa pctures. Malo osungira Ommaya amasiyidwa m'malo mwa mankhwala anu ndipo ali otetezeka kupita nawo kunyumba.
Pambuyo pa Chithandizo Chake
Pamene jekeseni lanu lakwanira, dokotala wanu adzakugonetsani pansi kwa nthawi ndithu kuti mulole mankhwala a chemotherapy afike kumadera onse omwe CSF imayenda. Ngati mwakhala ndi mphuno yamtunduwu, mudzakhalanso pakhomo kumbuyo kwanu kwa kanthawi kuti mupewe mwayi wopanga mutu wam'mimba pambuyo pa ndondomekoyi.
Kodi Muyenera Kuitanira Dokotala Nthawi Yanji?
Ngati mwalandira chithandizochi monga wodwalayo, muyenera kuonana ndi wothandizira zaumoyo wanu ngati mukukula:
- Malungo omwe ali ndi nthawi yoposa 100F kapena 38C
- Chizungulire kapena kupweteka mutu komwe sikudzatha
- Ululu wanu msana
- Kunjenjemera, kugwedezeka, kapena kusinthika m'maganizo mwanu
- Kuvuta kuyenda
Mfundo Yofunika Kwambiri
Mitundu ya khansa ya m'magazi ndi lymphoma yomwe imafalitsa dongosolo lamanjenje ingakhale yovuta kuchiza. Maselo a khansa akhoza kukhala ndi kuchulukana, mwinamwake osadziwika mu CSF kumene chikhalidwe cha chemotherapy sichitha kuwafikira. Pofuna kuchiza ndi kupeĊµa izi kuti zisadzachitike, madokotala amachititsa mankhwala osokoneza bongo kuti aphe khansa iliyonse.
> Zotsatira:
> Cheah, C., Herbert, K., O'Rourke, K. et al. Kuwonetsera Kwambiri Kwambiri Kuyerekezera Njira Zamkatikati Zamadzimadzi Momwe Mungagwiritsire Ntchito Njira Zophatikizapo Pakati pa Odwala Amene Ali ndi Vuto Lalikulu Lomwe Lalikulu Lalikulu B-cell Lymphoma. British Journal ya Cancer . 2014. 111 (6): 1072-9.
> Ferreri, A., Bruno-Ventre, M., Donadoni, G. et al. CNS Prophylaxis yokhazikika pamtundu wa Mono-institutional Series wa Odwala 200 Amene Ali ndi Matenda Aakulu A-L-Lymphoma Opangidwa M'madera a Era. British Journal ya Hematology . 2015. 168 (5): 654-62.
> Goodman, M. Chemotherapy: Mfundo Zothandiza. Ku Yarbro, C., Frogge, M., Goodman, M., Groenwald, S. eds (2000) Nursing Career: Mfundo ndi Zochita 5 Ed Jones ndi Bartlett: Sudbury, MA.
> Norden A., Hocherg, E., ndi E. Hocherb. Kuchiza, Prognosis, ndi Prophylaxis Ngati Chipatala Chachikulu Chakumva Lymphoma. Zaposachedwa. Kusinthidwa 02/03/16.
> Sekiguchi, Y., Shimada, A., Imai, H. et al. Mitsempha Yambiri ya B-Cell Lymphoma Yophatikizidwa ndi Pontine Mwachidwi Imayang'aniridwa ndi R-CHOP Thandizo ndi Utsogoleri wa intrathecal: Nkhani Yokambirana ndi Kuwonanso kwa Mabuku. International Journal of Clinical and Experimental Pathology . 2014. 7 (6): 3363-9.