Iingenelelo kunye neentsilelo zeZinyango ezibini ezisetyenziswa rhoqo
I-Chemotherapy inokubangela ukuba iseli lakho elimhlophe lihlawule, libeka engozini yokusuleleka. I-Neutropenia (inqanaba eliphantsi lenye yeentlobo zeeseli ezimhlophe zegazi) iphathwa ngeNeulasta okanye i-Neupogen, kodwa yintoni umehluko, kwaye ugqirha wakho ukhetha njani phakathi kwabo?
Ulwahluko phakathi kweNeulasta neNeupogen
I-Neulasta ne- Neupogen zombini zenziwe ngeprotheni yendalo ebizwa ngokuba yi-granulocyte -colon stimulating factor (okanye "G-CSF").
I-Pegfilgrastim (i-Neulasta) ine-polyethylene glycol, "i-PEG," iyunithi eyongeziweyo kuyo, eyenza i-molecule ikhudlwana ukuze ihlale kwinkqubo yakho ixesha elide kune-filgrastim (Neupogen).
Zingaphi izigulane ngeChemo Cycle Ngaba Ndiyidingayo?
I-Neulasta inikezelwa kanye ngomjikelezo ngamnye we-high-dose chemotherapy, ubuncinane ubuncinane emva kweeyure ezingama-24 emva kokunyuswa kwamakhemikhali, kwaye kungekudala emva kweentsuku ezili-14 ngaphambi kokunyuswa kwakho okulandelayo. I-Neupogen inikezwa ngeeyunithi eziliqela imihla ngemihla de ukuba i-neutrophil yakho ibone ukubuyela kumanqanaba aqhelekileyo. Unokudinga ezintathu okanye ezine izibhengezo ze-Neupogen, okanye ezininzi ezili-10, kuxhomekeka kwindlela yakho inkqubo ephendula ngayo kwisilwanyana.
Impumelelo kunye neempembelelo ezingasemva
Kwizilingo zonyango, zombini iziyobisi zifaniswa kakuhle ngokuphathelele:
- Ukusebenza ekuphuculeni ukuveliswa kwe-neutrophil
- Ukunyanzeliswa kwezigulane
- Khu seleko
Nangona zonke iyeza zisebenza kakuhle, uvavanyo luka-2015 lufumene ukuba i-neutropenia enzima (inani eliphantsi kakhulu le-neutrophil count) laliphantsi kakhulu kubantu abaye baphathwa nge-Neulasta ngexesha le-chemotherapy yomhlaza webele.
Abo bafumana i-Neulasta babengenakukwazi ukunciphisa ukunciphisa i-chemotherapy dose okanye ukulibaziseka phakathi kweengxaki zokugonywa.
Imiphumo emihle ifana nayo. Intlungu yesifo yinto echaphazelekayo yecala yezilwanyana zombini, ezifumana ama-31 ekhulwini ukuya kuma-26 ekhulwini kubantu baseNeulasta kunye neepesenti ezingama-24 zabantu baseNeupogen.
Abo baxhatshazwa yintlungu, ngamanye amaxesha bakhetha i-Neupogen phezu kwe-Neulasta ngenxa yesi sizathu (nangona kunzima ukusetyenziswa).
Iindleko Nge-Injection ye-Neulasta ne-Neupogen
I-Neulasta ibiza ngaphezu kwe-Neupogen, kodwa inani lamanani e-Neupogen lifunekayo linganciphisa umahluko phakathi kweendleko zala mayeza. Kwakhona kubalulekile ukugcina ingqalelo kwiindleko zokulaliswa kwezibhedlele kwi-neutropenia enzima (kunye nomngcipheko osulelayo wokusuleleka kwezifo) oqhelekileyo phakathi kwabo bafumana i-Neupogen.
- I-6 mg injection ye-Neulasta iya kuxabisa phakathi kwe-$ 5,000 ukuya kwi-7000, ngokuxhomekeke kumthengisi.
- Elinye i-microgram ye-300 microgram ye-Neupogen injini iya kuxabisa phakathi kwe-$ 300 ukuya kuma-350.
- Inye ye-6 mg ye-Neulasta iindleko ezifana ne-10.4 300 ze-microgram iinjongo ze-Neupogen.
- U-Amgen unikela ngeNkqubo yokuQala yokuQala iNkqubo yokunciphisa iindleko zokuhlawula ngokubambisana kwezi nkunkuma kulabo abane-inshurensi yempilo yabucala.
Ingaba Umshuwalense uya kuGubungela iindleko
Akuyiyo yonke isicwangciso se-inshurensi yezempilo enika izibonelelo zonyango ezichanekileyo ziza kuhlanganisa iindleko ze-Neulasta. Ngaphambi kokuba uqale i-chemotherapy, cela i-oncologist yakho ukuba ungadinga i-Neupogen okanye i-Neulasta. Unokucelwa ukuba usayine ifom efuna ukuba uhlawule iindleko zala mayeza ukuba i-inshurensi yakho ayiyi kulihlawula.
Ukuba awukwazi ukuba i-inshurensi yakho ihlanganisa i-Neupogen okanye i-Neulasta, fowuna inkampani ngaphambi kokuba uqale i-chemotherapy ukuze ufumane umgaqo-nkqubo wokubhengezwa. Banganceda ngeendleko ze-Neupogen, kodwa kungekhona i-Neulasta. Uyakwazi ukufumana unyango, kodwa unokuba unamathele nge-Neupogen (iinjenge ezingaphezulu) ukuba i-inshorensi yakho ayiyi kuhlanganisa i-Neulasta. Ukuba i-oncologist yakho ivakalelwa ngamandla ukuba elinye iyeza lisebenza kangcono kunomnye ongagqitywanga, unokufuna ukusebenza kunye nenkampani yakho yomshuwalense ukulungiselela ukuhanjiswa. Kubalulekile ukuba ngummeli wakho ekunyamekelweni komhlaza wakho . Buza imibuzo, ubuze kwakhona ukuba kuyimfuneko.
Ngamanye amaxesha isigulane sogulane singakunceda ukuxazulula ubunzima ukuba kuvela.
Esi sigqibo senziwe njani?
Isigqibo sokusebenzisa i-Neulasta okanye i-Neupogen iqhutywa yinyango. Ezi zi yobisi azikho nje "ukucwenga kwikhekhe" okanye into encinane into eyongezelelweyo; xa une-neutropenia, kufuneka uphathwe ngayo. Buza ugqirha wakho kukunceda egameni lakho ukuba inkampani yakho ye-inshorensi ayivumelani ukufihla nayiphi na isilwanyana oyifunayo.
I-Weekly Chemotherapy ne-Neupogen
Ukuba unayo i-weekly dose chemotherapy, i-Neulasta ayinayo inketho. Ekubeni i-Neulasta kufuneka inikwe iiyure ezingama-24 emva kwe-chemo kunye neentsuku ezili-14 ngaphambi komjikelezo olandelayo, ayiyi kusebenza kunye neentsuku zentsuku. I-Neupogen iya kusebenza kakuhle nge-chemo yeveki kuba icacisa inkqubo yakho ngokukhawuleza kwaye inokunikezwa kaninzi njengoko uyayidinga phakathi kwemijikelezo ye-chemo.
Gcina kwi-Administrative, i-Copayments, kunye neendleko zezothutho
Ukuba unayo i-chemo yeveki kwaye ufuna isidla seNupogen rhoqo, ungasindisa ngeendlela ezininzi. Buza umongikazi wakho ukuba unokuthatha i-Neupogen shots ekhaya, kwaye ukuba kunjalo, baqeqeshe wena okanye ilungu lentsapho ngendlela efanelekileyo yokunika injola.
Qinisekisa ukuba ulandele ngokuthobela imiyalelo yokugcina, ukulungiselela, kunye nejoyi. Oku kuya kukugcina iindleko zokulawula, kwakunye neepayilimente zokutyelela nganye kwiofisi, kunye neendleko zokuthutha ezihambelana nefowuni nganye. Uyakuza kufuneka u tyelele ikliniki yakho kwiCBC rhoqo, ukujonga iibalo zakho zegazi , ingqalelo ngokukhethekileyo kumanqanaba akho e- neutrophil .
Ukukhusela izifo
Kubalulekile ukugcina engqondweni ukuba, nangona ufumana i-Neulasta okanye i-Neuopogen, usenokuba usengozini yokwanda kwesulelo. I-Chemotherapy inokunciphisa kakhulu inani lamaseli ezimhlophe egazini lakho (injongo yokusebenzisa la machiza), kodwa iiseli ezimhlophe zegazi ezikhoyo zingenakusebenza kunye neeseli zamhlophe zegazi ezimhlophe. Ukufunda indlela yokunciphisa umngcipheko wokusulela unyango ngexesha le-chemotherapy kubalulekile ukuba abantu abaninzi abazi izinto ezithile ezinokuzenza ukuze banciphise umngcipheko wabo.
Ngezantsi kwiNeulasta okanye Neupogen
Bobabili i-Neulasta ne-Neupogen banokunciphisa ingozi yokusuleleka kwi-chemotherapy, kwaye ezi ziyobisi zivumela abantu ukuba bafumane i-dose ephezulu (nangaphezulu) kwezi zi yobisi kunokuba kwakunokwenzeka ngaphambili. Kukho iintlobo ezimbalwa, kubandakanywa nezinga eliphezulu le-neutropenia kunye ne-Neupogen (ubuncinane kubantu abanomdlavuza wesibeleko) kunye nesifo esikhulu seentlungu kwi-Neulasta.
> Imithombo:
> Brett Hauber, A., Mange, B., Ixabiso, M. et al. Izinketho zoLawulo lwePegfilgrastim Prophylaxis: IziPhepha zeMpilo kunye noGqirha kwi-Survey-Sectional Survey. Unonophelo loNcedo kwiCancer . 2018. 26 (1): 251-260.
> Kourlaba, G., Dimopoulos, M., Pectasides, D. et al. Ukuthelekiswa kweFiligrastim kunye nePegfilgrastim ukuVimbela i-Neutropenia kunye nokugcina i-Dose Ubungakanani be-Adjuvant Chemotherapy kwizigulane ezineCarcer Breast. Unonophelo loNcedo kwiCancer . 2015. 23 (7): 2045-51.