"Oqhelekileyo" I-Urine ebomvu esuka ku-Adriamycin vs Hemorrhagic Cystitis
Ngaba kuyinto evamile ukuba nomchamo obomvu emva kokuba unokhemotherapy? Yikes! Kodwa ukuba ubonile umchamo obomvu ngobusuku be-chemotherapy, ungakhathazeki okwamanje. Unokukhululeka kakhulu ukuva oko kungabi nto ngaphandle kwenkathazo endaweni yesibonakaliso sesilumkiso.
Izizathu Zokuba Umlambo Wakho Ungabonakala Olubomvu Emva kweKhemotherapy
Kukho izizathu ezimbalwa umchamo wakho ungabomvu emva kwekhemotherapy.
Ngokuqhelekileyo oku kuhambelana nombala weliza, kwaye ke, kungekhona ingxaki. Ngamanye amaxesha kunokuba yingxaki. Makhe sithethe ngale ndlela, kwaye sinethemba lokuba, nciphisa ingqondo yakho.
I-Anthracyclines kunye ne-Red Urine: i-Doxorubicin, i-Daunorubicin, ne-Idarubicin
Ukuba ufumene i- CHOP-R ikhemotherapy okanye iseshoni yokuqala yokuqala ye-chemo yomhlaza wesifuba kunye no-Adriamycin , isizathu esona sizathu sokuba umchamo wakho obomvu umane nje ngumbala weziyobisi (kodwa qiniseka ukuba uqhubeke ufunda ukuba unayo i-Cytoxan).
Isizathu esona sizathu salona liyeza doxorubicin, "H" kwi protocol ye-CHOP. I-Doxorubicine enokuthi uyiqaphele igama elithi Adriamycin libizwa ngokuba ngu "devil". Ukuba ubonile umbane obomvu ungena emithanjeni yakho, oku kungenxa yombala obomvu obomvu owenziwe kumchamo wakho, okwenza ubonakale obomvu. Nangona oko kusenokubakhokisayo ekuqaleni, oku kuqhelekileyo. Unokulindela ukuba oku kuya kuvela kwiiyure ezingama-48 ezilandelayo okanye kunjalo.
I-Doxorubicin ayiyona yodwa imithi yonyango ekwazi ukuguqula umchamo wakho obomvu. Amanye amayeza asetyenziselwa kunyango lwegazi kunye nomongo weengqungquthela ezinokuguqula umchamo wakho obomvu yiCerubidine (daunorubicin) kunye ne-Idamycin (idarubicin), iklasi yeyeza e-chemotherapy ebizwa ngokuba yi-anthracyclines.
Ngaba ucinga ukuba
I-Novantrone (i-mitoxantrone), enye iyeza esetyenziselwa unyango lwegazi, ingenza umchamo wakho ube ngumbala ohlaza okwesibhakabhaka!
I-Hemorrhagic Cystitis esuka kwi-Chemotherapy
Ngaphambi kokuba ubalekele ekuphumuleni okupheleleyo, funda nje kancane. Igazi kumchamo linokubangela ukuba libukeke libomvu. Kukho ezininzi ezibangela igazi kumchamo, kubandakanywa nemeko ebizwa ngokuba yi-cystitis. Nangona kungenakwenzeka ukuba oku kuya kwenzeka ngosuku lwakho lwe-chemo, i- Cytoxan (i-cyclophosphamide) yonyango, i-"C" kwiprothokholi ye-CHOP, okanye isilwanyana esetyenziswa rhoqo kunye no-Adriamycin (doxorubicine) ngethuba lokuqala lomhlaza wesisu i-chemotherapy, inokubangela i-cystitis ephazamisayo.
I-hemorrhagic cystitis evela kwi-chemotherapy iyenzeka xa iproduct yeyeza elibizwa ngokuba yi- acrolein inomsindo wesibindi sakho kwaye ibangela isilonda kunye nokuphuma kwamanzi. I-fax (ifofsamide) yinye imithi ekhemotherapy esetyenziselwa ukunyanga i-hematologic cancers engabangela i-cystitis eyingozi. Ukunyanga kwamayeza emagqabini kungabangela ukuba i-cystitis ephazamisekile, ngakumbi xa isetyenziswe ngokudibanisa nalezi ziyobisi zamakhemikhali.
I-cystitis ye-Hemorrhagic iyimpembelelo embi yonyango lomhlaza. Ukuba ucinga ukuba unayo igazi kumchamo wakho, kufuneka uqhagamshelane nomboneleli wakho wezempilo.
Iimpawu ezibonisa ukuba kukhona into eyenzekayo kunokubandakanya intlungu xa uchama, ukuphuphuma kwesisu, ukuvuthwa rhoqo, ukuphuthuma okanye ngezinye izihlandlo.
Ingaba iDeyi okanye into enzulu kakhulu?
Ungayichazela njani ibangela ubomvu? Kunokuba nzima ukuhlula. Igazi kumchamo lingabonakala libhinki, libomvu okanye i-hue e-brown, njengombala weeyi. Unokuba usenokugqithisa amashishini amancinci. Kuthatha kuphela inani elincinci legazi kumchamo ukuze kubonakale. Olu hlobo lomchamo obomvu lubukeka lufana nombala wegazi. Ngokuqhelekileyo ziqhubeka zihamba ngaphezu kweendlela zokuhlambela ezimbalwa, kwaye zihlala zihamba kunye nezinye iimpawu, ezifana nokungahambi kakuhle kwesantya kunye nokuvakalelwa rhoqo "kokufuna ukuhamba."
Umchamo obomvu obangelwa idayi kwi-chemotherapy ngokuqhelekileyo ibomvu okanye i-red, njengombala weyeza kwi syringe xa umongikazi enike lona. Kuya kufuma emva kwamaxesha ambalwa ukuya kwindawo yokuhlambela. Awunaso nayiphi na impawu yebladder ngaphezu kwimibala ebomvu ukuba le yeso sizathu.
Ukuba awukwazi ukuxelela umahluko, kuyilungileyo ukubiza umnakekeli wakho wezempilo ukuze afumane iingcebiso ezingaphezulu. Okwangoku, uphuze amanzi amaninzi kwaye unqabile ukuba uncede ukucima i-bladder yakho.
Imithombo:
I-Camp- Sorrel, D. I-Chemotherapy: Ulawulo lwezobisi. EYarbro, C., Frogge, M., Goodman, M., Groenwald, S. (eds.) (2000) Ubunakekeli beCans: Imigaqo kunye nokuSebenza. UJones noBartlett: uSudbury, MA. (iphe .444-486.)
Gonella, S., di Pasquale, T., noAlese. Amanyathelo okukhusela i-cystitis ehlobene ne-cystitis egazini kunye nokuthuthwa komnxeba wethambo: i-Italian itekisi yokufunda ngokuphindaphindiweyo. I-Clinical Journal ye-Oncology Nursing . 2015. 19 (1): E8-E14.
Mendenhall, W., Henderson, R., Costa, J. et al. I-cystitis yemisebe yomsindo. I-American Journal ye-Clinical Oncology . 2015. 38 (3): 331-6.
Moy, B. Cystitis kwizigulane ezinomdlavuza. Isemgangathweno. Updated 10/15/15. http://www.uptodate.com/contents/cystitis-in-patients-with-cancer
Riberiro, R., Lima-Junior, R., Leite, C. et al. I-cystitis-eyabangela i-cystitis ephazamisayo: i-pathogenesis, iindlela ze-pharmacological kunye nolwazi olutsha. Umbhalo weNzululwazi kunye noPhuhliso lweMithi . 2012. 2 (2): 95-112.