Ukunyuka kwamaFlu kwiZigulane zeGciwane leCarcer kunye neeNxibelelwano
Ngaba kufuneka ufumane isifo somkhuhlane xa unayo i-leukemia okanye i-lymphoma? Kuthiwani ngomntu odibana naye? Yintoni eyenzekayo xa unobungozi? Le mibuzo efanelekileyo kakhulu ekufuneka ibuze yona, enokudlala indima enkulu ekugcineni uphilile!
I-Flu ingaba yingozi
I-Influenza yisifo esifanayo ngexesha lokuwa neenyanga zasebusika. Unyaka ngamnye eNyakatho Melika, amakhulu amabili abantu abhedlele okanye bafa ngenxa yezixinzelelo ezivela kumkhuhlane.
Ukuba wena okanye umntwana wakho unomdlavuza wegazi, unakho okanye ungekho emngciphekweni ophezulu wokukhulelwa komkhuhlane, kodwa ngokucacileyo ubeka umngcipheko ophezulu wokuba neengxaki ezinzulu ukuba ufanele ufumane umkhuhlane. Umngcipheko wokuba nomkhuhlane uphezulu kwizigulane zomhlaza, kwaye amanqanaba okukhusela umntu okhuselekileyo athambekele ekunciphiseni kwizigulane ezine-hematological malignancy, okanye umdlavuza wegazi.
Amaninzi amaninzi omkhuhlane anqandekile ngokugonywa ngonyaka. I-CDC ikhuthaza ukutshutshiswa komkhuhlane kumntu onomngcipheko ophezulu, kwaye akubandakanyi nje abantu abanomhlaza, kodwa abo badibanisa nabantu abanomdlavuza, mhlawumbi kwiintsapho zabo okanye kwizonyango zempilo.
Uhlobo lwe-Flu Shot luyimfuneko
Iimpawu zokugoma ze-Flu zivela kwiifom ezahlukeneyo, kwaye kukho enye ifom, ngokukodwa, engaphakanyiswa kulo nyaka, ixesha: I- Flumist - isitofu sokugonya umkhuhlane wegazi, isitofu sokugonywa esichengileyo.
Akufanele ufumane i-Flumist nasal spray xa ufumana unyango lomhlaza. I-vacal vacray vacill is a vaccine live, oku kuthetha ukuba intsholongwane "iyancitshiswa" okanye ingasebenzi.
Ekubeni i-vaccine ephilayo, abantu abangenakuxilongwa nge-immunosuppressed ezifana nalabo abanomdlavuza kwi-chemotherapy bangakwazi ukuvelisa isifo kwisitofu. Ngoko ke, esi sigulane asikhuthazelwanga kwizigulane ezinomdla ngenxa yokuba kukho idatha encinci yokhuseleko.
I-Flumist spray spray nayo ayikhuthazwa konyaka kuluntu, ngokubanzi. Esi sitofu asikwacetyiswa ngethuba le-2017-2018 kuluntu jikelele-nokuba unesistim somzimba esinamandla okanye kungekhona-ngenxa yokukhathazeka malunga nokuba kuya kusebenza njani.
Isitofu sokugonywa sisagunyaziwe yi-FDA kunye nakwiimarike, nangona kunjalo, kusenokwenzeka ukuba kusekhona, nangona isinconywa singasetyenziswanga.
Izigulane zeCancer zibhekiselwe njengabantu abakhethekileyo
Kwizigulane ezininzi ezine-leukemia okanye i-lymphoma, ukugonywa komkhuhlane kunceda kwaye ngoko ke kucetyiswa ngamandla. Ukugonywa kwe-Influenza kufuneka kuhanjiswe kuzo zonke izigulane zomhlaza ngaphandle kwabafumana i-chemotherapy enamandla. Ekugqibeleni, kukulungele ukunika ugqirha wakho, nangona kunjalo, ukuba unesifo sengculaza kwaye awuqinisekanga malunga nomfundi wakho wokugonya umkhuhlane.
- Ngokuqhelekileyo, izitofu ezingasebenzi zibonakala zisebenza kangcono xa zinikezwa ubuncinane iiveki ezi-2 ngaphambi kokuqaliswa kwe-chemotherapy okanye olunye unyango olungagciniyo lokuzikhusela.
- Iingcali zithi ziphephe ukugonywa ngexesha lokuchithwa kwe-chemotherapy okanye unyango lwe-radiation kuba iimpendulo ze-antibody zilungile. Nangona kunjalo, ugonyo ngeentsholongwane ezingenakwenziwa ngexesha eli libi kwaye libonakala libonelela ukunika ubuncinane ukukhuselwa kwezinye izigulane.
Ukuba ungumviwa, kwaye ixesha lichanekile, ezinye (iintlobo ezingabonakaliyo ezihlaziyiweyo) iintlobo zokukhupha umkhuhlane ziquka:
- Ukusulela rhoqo umkhuhlane: I-CDC incoma ukugonya ngesitofu sokugonywa ngumkhuhlane kumntu wonke kwiinyanga ezi-6 nangaphezulu ngaphambi kokuphela kwe-Oktobha, ukuba kunokwenzeka.
- Intradermal umtsalane wesibhobho - ukusetyenziswa kubantu abadala abaneminyaka engama-18 ukuya kuma-64 ubudala ubudala
- I-Flu-Zone High Dose - eyenzelwe ngokukhethekileyo abantu abaneminyaka engama-65 nangaphezulu
Ngokuxhomekeke kwimeko apho unyango lwakho, i-oncologist yakho inokuncoma ukuba uqhutywe ngumkhuhlane okanye umkhuhlane we-Flu-Zone shot. I-Flu-Zone yenzelwe abantu abanamasosha omzimba angaphantsi kwaye banokuthi banokugonya. Ekubeni ezi "zibulewe" zintsholongwane, aziyi kuba nomngcipheko wokubangela umkhuhlane. Oko kwathiwa, ekubeni izitofu zisebenza ukudala izifo ezikhuselekileyo, zingenakusebenza xa isistim somzimba sakho siphephelwa ngenxa yonyango.
Ngaba Ndiyakwazi Ukutshatyalaliswa Kwemvula ngexesha leKhemotherapy?
I-chemotherapy esetyenziselwa ukunyanga umhlaza wakho inokukwenza buthathaka kumzimba wakho.
Ngenxa yoko, isistim somzimba sakho sokuzivikela singenako ukunyuka njengempendulo ekhuselekileyo kwisitofu sokugonywa njengabantu abaphilileyo xa unyango. Umhlaza wakho, kuba uchaphazela nesistim somzimba wakho, kwakhona unokunciphisa impendulo yakho. Nangona kunjalo, izigulane ezinegazi zegazi ziyakwazi ukufumana izibonelelo ezikhuselekileyo ekukhutsheni umkhuhlane xa zinikwe ngexesha elifanelekileyo.
Ukuze ufumane impendulo engcono, kufuneka uzame ukufumana intsholongwane yeentsuku ezimbini phambi kwe-chemotherapy, iiveki ezi-4 emva kokuba i-chemotherapy igqityiwe, okanye emva kokuba i-white cell cell count yakho ibuyisele kuma-cell cell / 1,000. Ukuba uphakathi kwe-regimen ye-chemotherapy, ufanele ufumane umkhuhlane wakho udutshulwa kwindawo ephezulu kakhulu kwithuba lokunyanga kumjikelezo wakho. Kubalulekile ukuthetha ne-oncologist yakho ngaphambi kokufumana ukutshatyalaliswa komkhuhlane ngenxa yokuba kunokube ngcono okanye ixesha elibi lokufumana isitofu sokugonya ngokuxhomekeke kwiprotokholi ethile kunye nokuphendula unyango.
Rituxan (Rituximab) kunye ne-Flu Shot
Abaphandi baye bafumanisa ukuba ezinye iziyobisi, ezifana ne-rituximab kunye ne-alemtuzumab, zibonakala zenza impendulo yomzimba kwi-vaccine ingasebenzi kakuhle. Thetha ugqirha wakho malunga nento efanelekileyo kuwe ukuba ufumana ezi okanye ezinye izifo zamanqwelana .
IziTshintsho zeeStramu zeStem kunye ne-Vaccill Vaccine
Nangona ikhuselekile ngokupheleleyo ukuba ufumane ifom ekhutshiweyo yokugonywa, uphando lubonise ukuba abafumene i- stem cell transplant receptors abazange bafumane nayiphi na inzuzo evela kumkhuhlane wadutshulwa kwiinyanga ezi-6 zokuqala emva kokutshintshwa. Ngoko, nangona ugonyo lunconywa kweli qela lezigulane, kukulungele ukulinda iinyanga ezi-3 ukuya kwezi-4 okanye ngaphezulu kokulandela ukufakelwa kwakho ngaphambi kokuba ufumane.
Kuthiwani Ngomndeni Wam kwaye Ndibathande?
I-CDC icebisa ukuba nabani na onakekelayo okanye abahlala nomngcipheko omkhulu, njengomntu one-leukemia okanye i-lymphoma, kufuneka afumane umkhuhlane. Ingcamango kukuba abaninzi bethu banokugonywa, bancinci bethu bayagula kwaye basasaza intsholongwane. Akukaqinisekanga ukuba umntu ofumana i-flumist vaccine "unokukhawulela" intsholongwane aze aveze umntu ongenasigxina. Thetha ugqirha malunga neengcebiso zakhe kwintsapho yakho kunye nabathandekayo.
Kuthekani ukuba ndibonakaliswe kwi-Flu okanye Hlaziya iimpawu
Ukuba uvelele kumntu onomkhuhlane, okanye ukuba uhlakulela nayiphi na impawu yomkhuhlane, biza ugqirha wakho ngokukhawuleza. Kukho imishanguzo yemilenze enganciphisa ubunzima bomkhuhlane kwaye mhlawumbi uyakukhusela, kodwa kufuneka iqaliswe ngokukhawuleza emva kokubonakala okanye xa iimpawu ziqala.
Yintoni enye Ndingayenza Ukukhusela I-Flu?
Ukongeza kokufumana isitofu sokugonya umkhuhlane, unokukunceda ukukhusela i-influenza ngala ma nyathelo:
- Gweba abantu abagulayo, kwaye ugweme abanye xa ugula.
- Sebenzisa iisuncu okanye i-shirt sleeve ukugubungela umlomo xa ukhwehlela okanye udibanise.
- Sebenzisa rhoqo, ukuhlamba izandla kakuhle.
- Gwema ukuthinta amehlo akho, impumlo, nomlomo. Ukuba sele uthathe iigciwane okanye iintsholongwane ezandleni zakho, ezi ziindawo apho zingangena khona umzimba wakho kwaye zigule.
- Hlala uphilile! Fumana ubuthongo obuninzi, ukutya okulungileyo, kunye nokuzilolonga okunomzimba ukuze ugcine umzimba wakho ngendlela ekhulayo.
Ziziphi iimpembelelo eziMnandi ondikwazi ukuzenza kwiFlu Shot?
Imiphumo echaphazelekayo yokutshatyalaliswa komkhuhlane ibandakanya:
- Ukuphazamiseka apho uphunyelwa khona
- Umkhuhlane ophantsi
- Iqumrhu lisebenza
Ezi ziphumo zihlala ziphela kuphela iintsuku ezimbalwa. Kwiimeko ezinqabileyo, izigulane zineempembelelo eziyingozi kwi-injection.
Ezinye iiNgcaciso kunye nokuCetyiswa ngeCarcer
Kukho ezinye ugonywa ugqirha wakho unokuncoma ngexesha lotyando lwemhlaza, ngakumbi ukukhusela i-pneumonia. Ngethuba elifanayo kukho ukugonywa okunokuba yingozi kuwe ukuba ufumane, okanye inobungozi kuwe nangona unikwe abantu ojikelezile. Funda kabanzi malunga nawaphi amahlumela okufumana kunye nokuya kukuphepha ngexesha lotyando lomhlaza .
ILizwi elivela:
Nangona kunjalo ukuba izigulane ezinegazi legazi ezinjenge-leukemia kunye ne-lymphoma zingenako ukufumana impendulo kwintlupheko edutshulwa njengabantu abaphilileyo, bafumana impendulo. Ukuba uthelekisa ingozi kwimpilo yakho ukuba ufumana umkhuhlane ngokumalunga nemiphumo engathandekiyo yesigontsho, imfesane yokutshulwa komkhuhlane iya kukhulula amaninzi.
Ngamafutshane, umkhuhlane usuphephile, ungabizi, kwaye ungasindisa ubomi bakho. Ukuba wena okanye umntwana wakho unesistim somzimba sokukhutshwa ngumzimba ngenxa ye-leukemia okanye i-lymphoma, okanye unyango lomhlaza wegazi, nceda uthethe kwi-hematologist yakho okanye kwi-oncologist malunga nokukhethwa komkhuhlane wakho.
> Imithombo:
> Ariza-Heredia EJ, uKomaly RF. Uhlolo oluSebenzayo lweMigcino kwiMidala yabantu abadala abaneCarcer. Hum Vaccin Immunother . 2015; 11 (11): 2606-2614.
> Amacandelo okuLawula nokuLawula izifo. Iinkcukacha eziphambili Ngomkhuhlane we-Flu vaccine. Ukuhlaziywa kweSeptemba 11, 2017.
> La Torre G, Mannocci A, Colamesta V, et al. Influenza. Umkhuhlane we-Influenza ne-Pneumococcal Vaccination kwi-Hematological Malignancies: uVavanyo oluCwangcisiweyo loPhuculo, ukuSebenza, kunye noKhuseleko. IMediterra J Hematol Dis 2016; 8 (1): e2016044.