Ukuqhuma Kwemfudu Emagulini Wegazi Legazi
Ingabe kufanele uthole ukuguzwa komkhuhlane uma une-leukemia noma i-lymphoma? Kuthiwani ngomuntu oxhumana naye? Kwenzekani uma ubhekene nomkhuhlane? Lezi imibuzo ezinhle kakhulu okufanele zibuze, ezingadlala indima enkulu ekukugcineni unempilo!
I-Flu ingaba yingozi
I-Influenza yisifo esivamile ngesikhathi sokuwa nezinyanga zasebusika. Unyaka ngamunye eNyakatho Melika, amakhulu ezinkulungwane zabantu abanjwe esibhedlela noma abulawa ngenxa yezifo ezibangelwa umkhuhlane.
Uma wena noma ingane yakho unomdlavuza wegazi, kungenzeka noma ungenayo ingozi ephezulu yokuthola umkhuhlane, kodwa kusobala ukuthi usengozini enkulu yokudala izinkinga ezinkulu uma kufanele ubambe umkhuhlane. Ingozi yokuthola i-influenza iphakeme kakhulu kwizigulane zomdlavuza, futhi amazinga e-antibody okuzivikela avame ukuba ngaphansi kweziguli ezine-hematological malignancy, noma umdlavuza wegazi.
Amacala amaningi e-influenza angavinjelwa ngokugoma ngonyaka. I-CDC iphakamisa ukudubula komkhuhlane kumuntu onengozini enkulu, futhi lokho akubandakanyi nje kuphela abantu abanomdlavuza, kodwa labo abaxhumana nabantu abanomdlavuza, kungaba emindenini yabo noma emisebenzini yezempilo.
Uhlobo lwe-Flu Shot luyimfuneko
Imishanguzo yeflu ivela ngezindlela ezihlukene, futhi kukhona uhlobo olulodwa, ikakhulukazi, olungavunyelwe kulo nyaka, isikhathi: Flumist - umgomo wokugoma komkhuhlane , umuthi wokugoma ophikisiwe.
Akufanele uthole i-Flumist ye-nasal spray uma uthola ukwelashwa komdlavuza. Umuthi wokugoma womkhuhlane wamanzi umuthi wokugoma ophilayo, okusho ukuthi igciwane "liyancipha" noma lingasebenzi.
Njengoba kuwukugonywa okuphilayo, abantu abangenasifo sengculazi njengalabo abanomdlavuza ekhemotherapy bangase bahlakulele ukutheleleka emithonjeni. Ngakho-ke, lo mgomo awukhuthazwa iziguli ezinomdlavuza ngoba kukhona idatha elula ekuphepha.
I-Flumist ye-spray ye-spray nayo ayinconywa ngalonyaka kulomphakathi, ngokujwayelekile. Lo mgomo awunconywa ngenkathi ka-2017-2018 yomphakathi jikelele-kungakhathaliseki ukuthi unamandla omzimba omzimba noma cha-ngenxa yezikhathazo mayelana nokuthi uzosebenza kanjani kahle.
Umgomo usagunyaziwe yi-FDA futhi emakethe, noma kunjalo, ngakho-ke kungenzeka usatholakala, naphezu kokuncoma ukuthi angasetshenziswa.
Iziguli ze-Cancer zibhekwa njengabantu abakhethekile
Iziguli eziningi ezine-leukemia noma i-lymphoma, ukugoma komkhuhlane kuyasiza futhi ngakho-ke kunconywa kakhulu. Ukugonywa kwe-Influenza kufanele kuhlinzekwe ngokujwayelekile kuzo zonke iziguli zomdlavuza ngaphandle kwalabo abathola imithi ebizwa ngokuthi i-chemotherapy enamandla. Ekugcineni, kungcono ukukhuluma nodokotela wakho, noma kunjalo, uma uthola ukwelashwa komdlavuza futhi awuqiniseki ngokuthi uyagula yini umgomo wokugoma.
- Ngokuvamile, imishanguzo engasebenziyo ibonakala isebenza kangcono uma inikezwa okungenani amasonto amabili ngaphambi kokuqaliswa kwe-chemotherapy noma enye imithi yokuzivikela ekukhuliseni ukuphendula komzimba.
- Ochwepheshe bathi ukugwema ukugoma ngesikhathi se-chemotherapy noma ukwelapha imishanguzo ngoba izimpendulo ze-antibody azilungile. Kodwa-ke, ukugoma nge-vaccination engavumelekile ngalesi sikhathi akuyona eyingozi futhi kubonakala ukunikeza okungenani ukuvikelwa kwezinye iziguli.
Uma ungumuntu ozobhapathizwa, futhi isikhathi siphezulu, ezinye (izinhlobo ezingezona bukhoma) ezifuduzelayo zihlanganisa:
- Ukushiswa komkhuhlane njalo: I-CDC itusa ukugoma ngomuthi wokugoma wegciwane ojova wonke umuntu izinyanga ezingu-6 nangaphezulu ngaphambi kokuphela kuka-Okthoba, uma kunokwenzeka.
- I-intradermal flu shot - ukusetshenziswa kubantu abadala abaneminyaka engu-18 kuya kwengu-64 ubudala
- I-Flu-Zone High Rose - eyenzelwe ngqo abantu abaneminyaka engu-65 nangaphezulu
Kuye lapho ulapha khona, i-oncologist yakho ingancoma ukuthi i-friday shot njalo noma i-Flu-Zone flu shot. I-Flu-Zone iklanyelwe abantu abanamasosha omzimba asebenza kancane futhi kungaba umgomo wokuzikhethela. Njengoba lawa "abulawe" amagciwane, awafaki ingozi yokubangela umkhuhlane. Lokho kusho ukuthi njengoba imishanguzo isebenza ukuvikela izifo, zingase zingasebenzi uma amasosha omzimba wakho egxiliwe ngenxa yokwelashwa.
Ngingayithola Yini Ukushaywa Kwemfudu Nge-Chemotherapy?
I-chemotherapy esetshenziselwa ukwelapha umdlavuza wakho ingase ifinyelele isimiso sakho somzimba omzimba.
Ngenxa yalokho, isimiso sakho somzimba samasosha omzimba angeke sikwazi ukuphakamisa okuningi kokuphendula okuvikelayo emgodini njengabantu abaphilile uma uthola ukwelashwa. Umdlavuza wakho, ngoba uthinta amasosha omzimba wakho, futhi unganciphisa impendulo yakho. Kodwa-ke, iziguli ezinegazi lomdlavuza wegazi zingakwazi ukuthola izinzuzo zokuzivikela ezivela emkhunjini uma ziphiwa ngesikhathi esifanele.
Ukuze uthole impendulo engcono kakhulu, kufanele uzame ukuthola umkhuhlane wadutshulwa amasonto amabili ngaphambi kwekhemotherapy, amaviki amane emva kokukhipha i-chemotherapy, noma ngemuva kokuthi amhlophe amangqamuzana egazini egazi abuyele kumangqamuzana angu-1 000 / mm. Uma uphakathi komuthi we-chemotherapy, kufanele uthole umkhuhlane wakho wadutshulwa endaweni ephakeme kunazo zonke esikhathini sokuphulukisa emjikelezweni wakho. Kubalulekile ukukhuluma ne-oncologist yakho ngaphambi kokuthola ukuguqulwa komkhuhlane ngoba kungenzeka kube nesikhathi esingcono noma esibi sokuthola umgomo ngokuya ngeprotocol yakho kanye nokuphendula kokwelashwa.
I-Rituxan (Rituximab) ne-Flu Shot
Abacwaningi baye baqaphela ukuthi ezinye izidakamizwa, ezifana ne-rituximab ne-alemtuzumab, kubonakala sengathi zenza impendulo yomzimba emtholampilo ingasebenzi kahle. Xoxa nodokotela wakho ngalokho okulungile kuwe uma uthola lezi noma ezinye izifo zomzimba zamonoclonal .
Ukuguqulwa KwamaStem Stem kanye Nomgomo Wokugoma
Ngenkathi iphephile ngokuphelele ukuthi uthole uhlobo olungasebenzi olwenziwayo, ucwaningo luye lwabonisa ukuthi abamukeli be- stem cell transplant abazange bathole noma yiziphi izinzuzo ezivela ekuqhumeni komkhuhlane ezinyangeni eziyisithupha zokuqala emva kokufakelwa. Ngakho-ke, nakuba ukugoma kunconywa kuleli qembu leziguli, kungcono ukulinda izinyanga ezingu-3 kuya kwezingu-4 noma ngaphezulu kokulandela ukufakelwa kwakho ngaphambi kokukuthola.
Kuthiwani Ngomndeni Wami Nathandekayo?
I-CDC incoma ukuthi noma ubani onakekela noma ohlala nomuntu onobungozi obukhulu, njengomuntu one-leukemia noma i-lymphoma, kufanele futhi athole ukuqhuma komkhuhlane. Umqondo wukuthi abaningi kithi abagonywe, abancane bethu bayagula futhi basakaze igciwane. Akukaqiniseki ukuthi umuntu othola imithi ye-flumist angahle "alahle" igciwane futhi aveze umuntu ongagciniwe. Khuluma nodokotela wakho mayelana nezincomo zakhe zomndeni wakho nabathandekayo.
Kuthiwani uma Ngibonakaliswe kuFlulu noma Ngikhumbise Izimpawu
Uma utholakala kumuntu onomkhuhlane, noma uma uthuthuka noma yiziphi izimpawu zofuzo, shayela udokotela wakho ngokushesha. Kukhona imithi yama-antiretroviral enganciphisa ukuqina komkhuhlane futhi mhlawumbe nokuyivimbela, kodwa kudingeka iqaliswe ngokushesha ngemuva kokuvezwa noma lapho izimpawu ziqala.
Yini Engingayenza Ngayo Ukuvimbela Umkhuhlane?
Ngaphandle kokuthola umgomo wokugoma, ungasiza ukuvimbela umkhuhlane ngezinyathelo:
- Gwema abantu abagulayo, futhi ugweme abanye uma ugula.
- Sebenzisa izicubu noma umkhono wehembe lakho ukumboza umlomo wakho uma ukhwehlela noma uphazamisa.
- Sebenzisa njalo, ukuwa izandla okuhle.
- Gwema ukuthinta amehlo akho, impumulo nomlomo. Uma uthathe amagciwane noma amagciwane ezandleni zakho, lezi yizindawo lapho zingangena khona emzimbeni wakho futhi zikugulise.
- Hlala uphilile! Thola okuningi ukulala, ukudla okuhle, nokuzivocavoca komzimba ukugcina umzimba wakho ufomu lokulwa nomkhuhlane.
Ngimiphi imiphumela emibi Engingayithola Ngayo Ukudubula Kwemvula?
Imithelela emibi yokwehliswa komkhuhlane ihlanganisa:
- Ukukhathazeka lapho kudutshulwe khona isibhamu
- I-low-grade fever
- Ama-body aches
Lezi zithinta ngokuvamile zihlala kuphela ezinsukwini ezimbalwa kuphela. Ezimweni ezingavamile, iziguli ziye zabhekana nesifo sengqondo.
Okunye Ukugonywa kanye nokuqapha nge Cancer
Kukhona nezinye ukugonywa udokotela wakho angase ancome ngenkathi ukwelashwa komdlavuza, ikakhulukazi ukuthi ukuvimbela i-pneumonia. Ngesikhathi esifanayo kukhona ukugoma okungaba yingozi kuwe ukuthola, noma kuyingozi kuwe noma ngabe kunikezwe abantu obazungezile. Funda kabanzi mayelana nokuthi yiziphi izibhamu ozithola futhi okufanele uzigweme ngenkathi ukwelashwa umdlavuza .
Izwi kusuka:
Naphezu kwalokhu iqiniso lokuthi iziguli ezinegazi legazi ezinjenge-leukemia kanye ne-lymphoma zingase zingabi namandla okuphendula umkhuhlane wokushona njengabantu abaphilile, basathola impendulo. Uma uqhathanisa izingozi empilweni yakho uma uthola umkhuhlane phakathi kwemiphumela emibi engalindelekile yomuthi wokugoma, izinzuzo zomkhuhlane zizokwenyusa izinkinga.
Ngamafuphi, ukuguquka komkhuhlane kuphephile, kubiza, futhi kungasindisa impilo yakho. Uma wena noma ingane yakho sinomzimba wokuzivikela omzimba ngenxa yokuvuza i-leukemia noma i-lymphoma, noma ukwelashwa komdlavuza wegazi, sicela ukhulume ne-hematologist yakho noma i-oncologist mayelana nezinketho zokuguquka komkhuhlane.
> Imithombo:
> Ariza-Heredia EJ, Chemaly RF. Ukubukezwa okuwusizo kokugonywa kweziguli ezindala ezine-cancer. I-Hum Vaccin Immunother . 2015; 11 (11): 2606-2614.
> Amasevisi Okulawula Nokuvimbela Izifo. Imininingwane Eyisisekelo Ngomuthi Wokugoma Umkhuhlane Wonyaka. Kubuyekezwe ngo-September 11, 2017.
> La Torre G, Mannocci A, Colamesta V, et al. Umkhuhlane. Umkhuhlane kanye nokugonywa kwe-Pneumococcal ku-Hematological Malignancies: Ukubuyekezwa Okuhlelekile kobuciko, ukusebenza nokuphepha. I-Mediterr J Hematol I-Dis Infect. 2016; 8 (1): e2016044.