Izizathu ze-Intrathecal Chemotherapy kanye nemiphumela engase ibe khona
I-chemotherapy ye-intrathecal uhlobo lwama- chemotherapy olwenziwa ngaphakathi ketshezi phakathi kwezingqimba ezifaka ubuchopho bakho nomgogodla. Umswakama oqondisa lesi sikhala ukhiqizwa ezingxenyeni zengqondo yakho futhi ubizwa ngokuthi i-cerebrospinal fluid noma i-CSF. I-Cerebrospinal fluid isebenza njenge-buffer, ivikela ubuchopho bakho nomgogodla ngesikhathi uhamba.
Sibutsetelo
Kunezinhlobo ze- leukemia ne-lymphoma ezasakazeka ku-CSF nasesimweni sezinzwa. Ngeshwa, izidakamizwa eziningi ze-chemotherapy azikwazi ukungena kule ndawo ukusuka egazini legazi. Phakathi kobuchopho nomzimba wonke kungqimba lwezinambuzane ezibizwa ngokuthi umkhawulo wegazi-ubuchopho . Lesi sithintelo sikhona ukugcina izidakamizwa ezingahle zilimaze ubuchopho. Ngeshwa, ibuye igcine imithi eminingi ye-chemotherapy.
I-chemtherapy ye-intrathecal ingasetshenziswa:
- Ukwelapha umdlavuza osakazekile kwi-CSF
- Ukuvimbela umdlavuza ukusakazeka kwi-CSF
Izimpawu zeKhansela Zasabalalisa ku-CSF
Izimpawu ukuthi umdlavuza wakho usakaze kwi-CSF yakho ingafaka:
- Izinsizwa
- Izinkinga zokukhuluma
- Ukuzizwa
- Izinguquko embonweni wakho, njengombono ophindwe kabili
- Izinguquko ezicatshangwayo
Okufanele Ukulindele
I-chemotherapy ye-intrathecal inganikezwa ngomshini wokugulisa umgogodla (ukugqama kwesibhakela) noma ngokusebenzisa i-reservoir efakwe esikhwameni sakho.
Ukugqotshwa kwe-Lumbar - Uma unesifo se-leukemia noma i-lymphoma esivame ukusabalalisa ohlelweni lwezinzwa, kungenzeka ukuthi uthola ukukhishwa kwe-lumbar , noma umthambo womgogodla njengengxenye yokuxilongwa kwakho.
Lokhu kufana kakhulu nalokho ozothola ngesikhathi uthola i-intrathecal chemotherapy. I-oncologist yakho noma i-hematologist izokwenza ukukhishwa kwe-lumbar, futhi ujobe i-chemotherapy ngqo kwi-CSF yakho ukubulala noma yiliphi amangqamuzana omdlavuza.
I-Ommaya reservoir - Uma udinga inombolo yalezi zindlela zokwelashwa, udokotela wakho anganquma ukubeka "i-Ommaya reservoir" esikhwameni sakho.
Leli gumbi linamakhemikhali amancane afinyelela emthonjeni ozungeza ubuchopho bakho. Izidakamizwa ze-Chemotherapy zinganikezwa egodini le-Ommaya, futhi ngeke usadinga amapulctures lumbar. Izindawo zokuhlala ze-Ommaya zishiyiwe endaweni yakho yonke ukwelashwa kwakho futhi ziphephile ukuya ekhaya.
Ngemuva kokwelapha kwakho
Uma umjovo wakho usuphelile, udokotela wakho uzobe elele phansi isikhathi esithile ukuze uvumele i-chemotherapy ukuba ifinyelele kuzo zonke izindawo lapho i-CSF ihamba khona. Uma uyeke ukukhishwa kwe-lumbar, uzophinde uhlale uphephile emhlane wakho okwesikhashana ukuze unciphise ithuba lokuthuthukisa ikhanda lomkhwenyana ngemuva kokulandela inqubo.
Kufanele Ubize Udokotela Nini?
Uma uthola lokwelashwa njengesipuli, kufanele uxhumane nomhlinzeki wezempilo wakho uma uthuthukisa:
- Umkhuhlane onesidingo esingaphezu kuka-100F noma u-38C
- Ukuzondwa noma ukuphathwa ikhanda okungayikuhamba
- Ubuhlungu emgodleni wakho
- Ubumbulu, ukugubha, noma ukuguquka kokuzwa ezandleni noma emilenzeni
- Kunzima ukuhamba
Okubalulekile
Izinhlobo ze-leukemia ne-lymphoma ezisakaze isimiso sezinzwa kungaba nzima ukuphatha. Amaseli e-Cancer angaphila futhi aphindwe, mhlawumbe angatholakali ku-CSF lapho i-chemotherapy yendabuko ayinakufinyelela khona. Ukuze uphathe futhi uvimbele lokhu kungenzeki, odokotela bazophatha imithi ye-intrathecal ukuze babulale noma yiliphi amangqamuzana omdlavuza.
> Imithombo:
> Cheah, C., Herbert, K., O'Rourke, K. et al. Ukuqhathaniswa okubukeka kakhulu okulindelekileko okuqhathaniswako kwamasu weProphylaxis weNarha ekuKhulu hlangana neziguli ezinomdlavuza omkhulu okhululekile we-B-cell Lymphoma. I-British Journal of Cancer . 2014. 111 (6): 1072-9.
> Ferreri, A., Bruno-Ventre, M., Donadoni, G. et al. I-CNS Prophylaxis ene-Risk-series e-Mono-Institution Series yeziguli ezingama-200 ezine-Large-B-cell Lymphoma ehanjiswe e-Rituximab Era. I-British Journal ye-Hematology . 2015. 168 (5): 654-62.
> Goodman, M. Chemotherapy: Izimiso Zokuphatha. E-Yarbro, C., Frogge, M., Goodman, M., Groenwald, S. eds (2000) Ukwelashwa Kwemdlavuza : Izimiso Nezenzo 5 u-Ed Jones noBartlett: Sudbury, MA.
> Norden A., Hocherg, E., no-E. Hocherb. Ukwelapha, Ukuguqulwa Kwegazi, kanye Ne-Prophylaxis Uma I-Central Central yeNervous System I-Lymphoma. Kusesikhathini. Kubuyekezwe 02/03/16.
> Sekiguchi, Y., Shimada, A., Imai, H. et al. Intravascular Large B-Cell Lymphoma Nge-Pontine Ukubambisana Ngokuphumelelayo Ukuphathwa Ngokwelashwa kwe-R-CHOP nokuphathwa kwe-intrathecal: Umbiko wezehlakalo nokubukezwa kwezincwadi. I-International Journal of Clinical and Experimental Pathology . 2014. 7 (6): 3363-9.