"Okuvamile" I-Urine Ebomvu kusuka ku-Adriamycin vs Hemorrhagic Cystitis
Ingabe kuvamile ukuba nomchamo obomvu ngemuva kokuba une-chemotherapy? Yikes! Kodwa uma ubonile umchamo obomvu ngobusuku be-chemotherapy, ungesabi okwamanje. Ungase ukhululeke kakhulu uma uzwa ukuthi kungase kube yinto engezansi kodwa isisusa esikhundleni sokuthi isibonakaliso sokuxwayisa.
Izizathu Zakho U-Urine Wakho Ungabonakala Olubomvu Ngemva Kemotherapy
Kunezizathu ezimbalwa izizathu zokuthi umchamo wakho ubomvu ngokulandela i-chemotherapy.
Ngokuvamile lokhu kuhlobene nje nombala wezidakamizwa, ngakho-ke, akuyona inkinga. Ngezinye izikhathi kungase kube inkinga. Ake sikhulume ngalezi zindlela, futhi ngethemba lokuthi, lula umqondo wakho.
I-Anthracycline ne-Red Urine: i-Doxorubicin, i-Daunorubicin, ne-Idarubicin
Uma uthola i- CHOP-R chemotherapy noma iseshini sakho sokuqala ye-chemo yomdlavuza webele ne-Adriamycin , isizathu esiningi kakhulu sokuba umchamo wakho obomvu umane nje umbala wesidakamizwa (kodwa qiniseka ukuthi uqhubeka ufunda uma unayo i-Cytoxan).
Isizathu esikhulu salokhu yi-doxorubicin yemithi, i- "H" ku-protocol ye-CHOP. I-Doxorubicine ongayibona ngegama le-Adriamycin ibizwa ngokuthi "uDeveli obomvu." Uma uqaphele ukuthi umthamo obomvu ungena emithanjeni yakho, lokhu kungenxa yedayi elibomvu elifanayo elikhishwe emcinini wakho, okwenza libukeke libomvu. Nakuba kungase kusabe ekuqaleni, lokhu kujwayelekile. Ungalindela ukuthi lokhu kuzokhipha emahoreni angu-48 alandelayo noma kunjalo.
I-Doxorubicin akuyona yodwa imithi yokwelashwa engakwazi ukuguqula umchamo wakho. Eminye imithi esetshenziselwa ukwelashwa kwegazi kanye nomrhodlavuza ongakwazi ukuguqula umchamo wakho ubomvu yiCerubidine (daunorubicin) no-Idamycin (i-idarubicin), isigaba semithi ye-chemotherapy ebizwa ngokuthi i-anthracycline.
Cabanga ukuthi lokho kuyinqaba?
I-Novantrone (i-mitoxantrone), enye imithi esetshenziselwa ukwelashwa kwegazi, ingakwazi ukuguqula umchamo wakho umbala ohlaza okwesibhakabhaka!
I-Cystitis ene-Hemorrhagic Kusuka ku-Chemotherapy
Ngaphambi kokugijima ekusizeni okuphelele, funda kancane kancane. Igazi emcimbini lingabangela ukuthi libukeke libomvu. Kunezimbangela eziningi zegazi emcimbini, kuhlanganise nesimo esibizwa ngokuthi i-cymritic hemorrhagic. Nakuba kungenakwenzeka ukuthi lokhu kuzokwenzeka ngosuku lwe-chemo yakho, imithi ye- Cytoxan (i-cyclophosphamide), i- "C" ku-protocol ye-CHOP, noma umuthi ngokuvamile osebenzisana no-Adriamycin (doxorubicine) ngesikhathi sokuqala komdlavuza wesifuba i-chemotherapy, ingabangela i-cystitis enamandla.
I-cystitis eyimvelo evela kumakhemikhali eyenzeka lapho i- acrolein ebizwa ngokuthi i- acrolein icasula umbhede wesisu sakho futhi ibangele isilonda nesisu. I-Ifex (i-ifofsamide) ingenye imithi yokwelapha i-chemotherapy esetshenziselwa ukwelapha umdlavuza we-hematologic ongabangela i-cystitis enamandla. Ukwelashwa kwezidakamizwa esikhwameni kungabangela futhi i-cystitis enamandla, ikakhulu uma isetshenziselwa ukuhambisana nalezi zidakamizwa ze-chemotherapy.
I-cystitis ene-hemorrhagic ingumphumela omubi kakhulu wokuphathwa kokwelashwa. Uma ucabanga ukuthi ungase ube negazi emcinini wakho, kufanele uxhumane nomhlinzeki wakho wezempilo ngokushesha.
Izimpawu ezibonisa ukuthi kukhona okuthile okuqhubekayo zingabandakanya ubuhlungu lapho uchama, ukuphumula esiswini, ukuvuthwa njalo, ukuphuthuma noma ngezikhathi ezithile ngisho nezingozi.
Ingabe idayi noma into ebaluleke nakakhulu?
Ungatshela kanjani ukuthi kubangela ukubomvu? Kungaba nzima ukuhlukanisa. Igazi emcimbini lingase libonwe pink, elibomvu noma i-hue brownish, njengombala wetiyi. Ungadlulela ngisho nama-clots amancane. Kuthatha kuphela inani elincane legazi emcimbini ukuze libonakale. Lolu hlobo lomchamo obomvu ngokuvamile lubonakala njengombala wegazi. Ngokuvame ukuphikelela okungaphezu kwamanyathelo okugeza okuncane, futhi kuvame ukuhambisana nezinye izimpawu, ezifana nokungahambi kahle kwesinye nesisindo "sokudinga ukuhamba."
Umchamo obomvu obangelwa amadayi e-chemotherapy ngokuvamile obomvu obomvu noma obomvu, njengombala wemithi e-syringe lapho umhlengikazi wakho ekunike yona. Kuzovame ukuphela emva kwezikhathi ezimbalwa ukuya endlini yokugezela. Ngeke ube nenye izimpawu zesibindi ngaphezu kombala obomvu uma lokhu kuyimbangela.
Uma ungakwazi ukutshela umehluko, umqondo omuhle ukubiza umhlinzeki wakho wezempilo ukuze uthole iseluleko esengeziwe. Phakathi naleso sikhathi, uphuze amanzi amaningi futhi uvame ukusiza ukusula isikhumba sakho.
Imithombo:
I-Camp- Sorrel, i-D. Chemotherapy: Ukuphathwa Kwezokwelapha. E-Yarbro, C., Frogge, M., Goodman, M., Groenwald, S. (eds.) (2000) Ukwelashwa komdlavuza: Izimiso nezenzo. UJones noBartlett: Sudbury, MA. (iphe.444-486.)
Gonella, S., di Pasquale, T., no-A. Palese. Izinyathelo zokuvimbela i-cystitis enegazi ehlobene ne-cyclophosphamide egazini kanye nokuthuthwa komnyosa wamathambo: isifundo se-Italy esiningi sokuphindaphindiwe. I-Clinical Journal of Oncology Nursing . 2015. 19 (1): E8-E14.
UMendenhall, W., Henderson, R., Costa, J. et al. I-radistrocymic radiation. I-American Journal of Clinical Oncology . 2015. 38 (3): 331-6.
Moy, B. Cystitis ezigulini ezine-cancer. Kusesikhathini. Kubuyekezwe ngo-10/15/15. http://www.uptodate.com/contents/cystitis-in-patients-with-cancer
Riberiro, R., Lima-Junior, R., Leite, C. et al. I-cystitis eyingozi kakhulu eyenziwa yi-chemotherapy: i-pathogenesis, izindlela zokwelapha kanye nokuqonda okusha. Journal of Medicine yokuhlola kanye Integrative . 2012. 2 (2): 95-112.