Icyo Talc ari cyo (Uburyo bwo kuyinjiza mu gatuza): Ibyo ikoreshwa, urugero rwayo, ingaruka zayo n'ibindi

Talc itangwa hakoreshejwe inzira yo kuyinjiza mu gatuza ni uburyo bwa muganga aho ifu ya talc yatewe imiti yinjizwa mu mwanya uri hagati y'ibihaha byawe n'urukuta rw'igituza. Ubu buvuzi bufasha kwirinda ko amazi yongera kwibumbira muri uwo mwanya, ibyo bishobora korohereza abantu guhumeka neza bafite indwara zimwe na zimwe z'ibihaha.

Ubu buryo bushobora kumvikana buteye ubwoba, ariko bumaze imyaka myinshi bukoreshwa mu buryo bwizewe mu gufasha abantu guhumeka neza no kumva bameze neza. Itsinda ryawe ry'abaganga rizaguyaho mu ntambwe zose, rikwemeza ko usobanukirwa ibiri kuba n'impamvu iyi mvura ishobora kuba ingirakamaro cyane ku miterere yawe yihariye.

Icyo Talc ari cyo (Uburyo bwo kuyinjiza mu gatuza)?

Ubuvuzi bwa talc intrapleural bukubiyemo gushyira ifu ya talc y'ubuvuzi mu mwanya wa pleural, ari wo mwanya muto uri hagati y'igihaha cyawe n'urukuta rw'imbere rw'igituza. Uyu mwanya ubusanzwe urimo amazi make afasha ibihaha byawe kugenda neza iyo uhumeka.

Talc ikora itera umuvumo ugenzurwa utuma uduce tubiri tw'umubiri dufatana, bikabuza amazi kongera kwibumbira. Tekereza nk'uko birema ikimenyetso kibuza amazi atifuzwa kwibumbira no gukanda ku gihaha cyawe.

Ubu buvuzi butandukanye n'ifu ya talc isanzwe ushobora kubona mu maduka. Talc y'ubuvuzi itegurwa by'umwihariko, igaterwa imiti kandi igapimwa kugira ngo hemeze ko itekanye gukoreshwa imbere mu mubiri wawe.

Talc (Uburyo bwo kuyinjiza mu gatuza) ikoreshwa mu iki?

Ubu buvuzi bukoreshwa cyane cyane mu kurinda pleural effusions, bibaho iyo amazi menshi yibumbira hagati y'igihaha cyawe n'urukuta rw'igituza. Amazi yarenze urugero ashobora gutuma bigorana guhumeka no gutera ububabare mu gituza cyangwa kutumva umeze neza.

Dore indwara nyamukuru aho muganga wawe ashobora kugusaba ubu buvuzi:

• Umutsi w'amazi mabi (amazi yiyongera aterwa na kanseri)
• Umutsi w'amazi ugaruka kenshi
• Pneumothorax (igihaha cyaguye) kibaho kenshi
• Umutsi w'amazi uterwa n'umutima udakira n'ubundi buvuzi

Intego ni ukubuza ibi bibazo kongera kubaho, kugirango ushobore guhumeka neza kandi wumve umeze neza mu buzima bwawe bwa buri munsi.

Talc (inzira yo mu gatuza) ikora ite?

Talc ikora ituma habaho uburyo bwise pleurodesis, aho ibice bibiri by'imyenda bizenguruka igihaha cyawe bifatana burundu. Ibi ni igisubizo cyiza kandi kigenzurwa cyo gukira kibuza amazi kongera kwegerana muri icyo cyumba.

Iyo talc yinjijwe, itera kubyimba guto bituma imyenda ikura igafatana. Ibi bituma habaho ikimenyetso gihagarika icyumba aho amazi yashoboraga kwegerana, nk'uko biba iyo ufunze icyuho kugirango wirinde amazi kwegerana aho.

Ibi bifatwa nk'ubuvuzi bukomeye kandi bwiza kuko busanzwe butanga igisubizo kirambye. Abantu benshi bagira impinduka zigaragara mu guhumeka kwabo kandi ntibakeneye gukora ibikorwa byinshi byo kuvana amazi.

Nkwiriye gufata Talc (inzira yo mu gatuza) nte?

Ibi si ikintu ufata mu rugo nk'umuti usanzwe. Iki gikorwa gikorerwa mu bitaro n'abantu b'inzobere mu by'ubuvuzi, akenshi umuganga w'ibihaha cyangwa umuganga ubaga mu gituza.

Ibi nibyo bikunda kubaho mugihe cy'iki gikorwa:

1. Uzakira imiti ituma utagira ububabare ndetse n'imiti igabanya ubwoba kugirango ugume umeze neza
2. Agatubuzo gato (agatuza) gashyirwa hagati y'imvune zawe mu cyumba cy'amazi
3. Amazi yose yarenze arasohorwa mbere
4. Talc yatewe imiti yinjizwa hanyuma binyuze muri ako gatubuzo
5. Agatubuzo gashobora kuguma ahantu iminsi mike kugirango hakurikiranwe isohoka ry'amazi

Ntabwo ukeneye kwitegura ufata ibiryo cyangwa ibinyobwa byihariye, ariko muganga wawe azaguha amabwiriza yihariye yerekeye kurya no kunywa mbere y'igikorwa. Abantu benshi bashobora gusubira mu bikorwa bisanzwe mu minsi mike kugeza ku cyumweru.

Nzamara Igihe Kingana Iki Ndafashe Talc (Uburyo bwo mu Gituza)?

Ubusanzwe iki ni igikorwa kimwe gusa aho kuba ubuvuzi burambye. Iyo talc ishyizweho kandi pleurodesis ikabaho, ingaruka zikunze kuba zihoraho.

Uburyo bwo gukira bufata hafi ibyumweru 2-4 kugira ngo imitsi ifatane neza. Muri iki gihe, ushobora kugira ibibazo byo mu gituza cyangwa kubabara gake, ibyo bisanzwe kandi byerekana ko ubuvuzi burimo gukora.

Muganga wawe azakurikiza iterambere ryawe afatanyije n'amasaha yo gukurikirana ndetse n'ibishobora kuba byerekana X-ray kugira ngo yemeze ko ubuvuzi bwagenze neza. Abantu benshi ntibasaba ko igikorwa gisubirwamo, nubwo mu bihe bidasanzwe, ubuvuzi bwongereweho bushobora kuba ngombwa.

Ni Iyihe Ngaruka Ziterwa na Talc (Uburyo bwo mu Gituza)?

Kimwe n'ubundi buvuzi, talc pleurodesis ishobora gutera ingaruka, nubwo abantu benshi babasha kubyakira neza. Kumva icyo witegura bishobora kugufasha kumva witeguye kandi kumenya igihe cyo kuvugana n'ikipe yawe y'ubuzima.

Ingaruka zisanzwe ushobora guhura nazo zirimo:

• Kubabara mu gituza cyangwa kutumva neza mu minsi myinshi nyuma y'igikorwa
• Urubore, akenshi rworoshye kandi rw'agateganyo
• Kugufiha guhoraho bigenda birushaho gukira
• Kunanirwa igihe umubiri wawe ukira
• Inkorora ishobora gutanga amazi make

Ibi bimenyetso mubisanzwe birashobora gucungwa hifashishije imiti igabanya ububabare no kuruhuka. Muganga wawe azatanga amabwiriza yihariye yo gucunga ibibazo mugihe cyo gukira.

Ibibazo bikomeye ni bike ariko bishobora kwirimo:

• Udukoko ahakorewe igikorwa
• Gushiramo amaraso menshi
• Umuvumo
• Kugorana guhumeka bisaba ubufasha bwihuse bw'ubuvuzi
• Gahoro cyane, indwara yo guhumeka ikaze (ARDS)

Itsinda ryawe ry'abaganga rizakurikirana hafi nyuma y'igikorwa kugira ngo bamenye ibibazo byose hakiri kare. Abantu benshi barakira nta bibazo bikomeye kandi bumva bameze neza cyane igihe gukira kurangira.

Ninde Utagomba Gufata Talc (Uburyo bwo mu mpande z'ibihaha)?

Nubwo ubu buvuzi bushobora gufasha cyane, ntibukwiriye kuri buri wese. Muganga wawe azasuzuma neza niba uri umukandida mwiza ashingiye ku buzima bwawe muri rusange n'imimerere yawe y'ubuvuzi.

Ushobora kutaba ukwiriye kuri iki gikorwa niba ufite:

• Indwara ikomeye y'ibihaha ituma iki gikorwa kigira akaga gakabije
• Udukoko dukora mu gituza cyawe cyangwa mu mwanya wa pleural
• Kunanirwa k'umutima gukabije kudagenzurwa neza
• Uburwayi bwo gushyira amaraso hamwe butuma amaraso ava cyane
• Uburwayi bukomeye bwo kwibasirwa na talc
• Ubuzima butameze neza muri rusange butuma igikorwa icyo aricyo cyose kigira akaga

Muganga wawe azatekereza kandi ku byiringiro byawe by'ubuzima n'intego z'ubuzima bwawe igihe afata icyemezo niba ubu buvuzi bukwiye. Icyemezo gifatwa buri gihe hamwe, hakitwa ku kintu cy'ingenzi kuri wowe n'umuryango wawe.

Amazina ya Talc Brand

Talc yo mu buvuzi ikoreshwa mu bikorwa byo mu mpande z'ibihaha akenshi itangwa nk'ifu ya talc yoroshye aho kuba munsi y'amazina yihariye ya marike. Imyiteguro ikoreshwa cyane irimo ifu ya talc yoroshye yujuje ibisabwa by'ubuvuzi bikomeye.

Ibitaro bimwe bishobora gukoresha ibicuruzwa bya talc by'ubuvuzi nk'urugero rwa Steritalc cyangwa izindi myiteguro ya farumasi. Ariko, ikintu cy'ingenzi si izina rya marike, ahubwo ni uko talc yoroshye neza kandi yujuje ibisabwa by'umutekano byo gukoreshwa mu buvuzi.

Itsinda ryawe ry'ubuzima rizakoresha talc yo mu buvuzi iboneka mu bitaro byawe, kandi imyiteguro yose yemewe ikora kimwe kugira ngo igere ku pleurodesis.

Uburyo bwo gusimbuza Talc

Niba talc pleurodesis itagukwiriye, hari ubundi buryo bwo kuvura bushobora kugufasha gucunga amazi mu gatuza no guhangana n'ibibazo byo guhumeka bifitanye isano nabyo. Muganga wawe azaganira kuri izi nzira zindi bitewe n'uko ubuzima bwawe bumeze.

Izindi nzira zikoreshwa muri pleurodesis zikora kimwe na talc zirimo:

• Bleomycin (umuti ukomoka kuri antibiyotike utuma imitsi ifatana)
• Doxycycline (indi antibiyotike yatoranywa)
• Ibisubizo bishingiye kuri iodine

Uburyo butakoresha imiti burimo:

• Pleurodesis ikoresha imashini (gukoresha uburyo bwo kubaga kugirango imitsi ifatane)
• Catheter ya pleural ikoreshwa mu gukuramo amazi buri gihe
• Thoracentesis ikorwa kenshi (gukuramo amazi) uko bibaye ngombwa
• Kubaga hifashishijwe amashusho (VATS) ku byemezo bigoye kurushaho

Icyemezo cyiza giterwa n'ibintu nk'ubuzima bwawe muri rusange, icyateye amazi mu gatuza, n'uko wowe ubwawe ubyumva ku bijyanye n'uburyo bwo kuvurwa.

Ese Talc iruta Bleomycin?

Talc na bleomycin ni imiti ikora neza mu gukumira amazi mu gatuza, ariko buri imwe ifite ibyiza byayo. Guhitamo hagati yazo biterwa n'uko ubuzima bwawe bumeze n'icyo muganga wawe atekereza ko kizakora neza kuri wowe.

Akenshi talc irahabwa agaciro kuko ikunda kugira akamaro mu gukumira amazi gusubira. Ubushakashatsi bwerekana ko talc pleurodesis ifite amanota yo gutsinda agera kuri 90-95%, mu gihe bleomycin isanzwe igira amanota yo gutsinda ya 80-85%.

Ariko, bleomycin ishobora guhitwamo niba ufite uburwayi runaka butuma talc itakwiriye. Bleomycin kandi irashobora kuba idateza ibibazo byinshi byo mu myanya y'ubuhumekero bikunda kubaho cyane iyo hakoreshejwe talc.

Muganga wawe azatekereza ibintu nk'imyaka yawe, imikorere y'ibihaha byawe muri rusange, icyateye amazi mu gatuza, n'ubundi burwayi ufite igihe agushakira uburyo bwiza bwo kuvurwa.

Ibibazo Bikunze Kubazwa Kuri Talc (inzira ya Intrapleural)

Ese Talc ifitiye umutekano abarwayi ba kanseri?

Yego, talc pleurodesis ikoreshwa cyane kandi ifatwa nk'ifitiye umutekano abarwayi ba kanseri bafite pleural effusions. Mubyukuri, malignant pleural effusion ni imwe mu mpamvu zisanzwe zituma iki gikorwa gikorwa.

Iki gikorwa gishobora gufasha cyane mu kunoza imibereho y'abarwayi ba kanseri mu kubuza amazi yongera kwiyongera bikagora guhumeka. Itsinda ryawe rya onkologiya rizakorana na pulmonologist kugirango barebe ko igihe cyiza kandi ko ufite imbaraga zihagije zo gukora iki gikorwa.

Akamaro kenshi karusha ibyago, cyane cyane iyo pleural effusions itera ibibazo bikomeye byo guhumeka bigira ingaruka ku bikorwa byawe bya buri munsi n'imibereho yawe.

Nkwiriye gukora iki niba ngize ububabare bukomeye mu gituza nyuma y'iki gikorwa?

Ububabare bumwe mu gituza ni ibisanzwe nyuma ya talc pleurodesis, ariko ububabare bukomeye cyangwa bwiyongera bugomba gusuzumwa vuba. Vugana n'ikipe yawe y'ubuzima ako kanya niba wumva ububabare bukaze, butera urujijo mu gituza, kugorwa cyane guhumeka, cyangwa ububabare butagabanuka n'imiti yandikiwe.

Muganga wawe azaba yaraguhaye amabwiriza yihariye yerekeye urwego rw'ububabare witeguye kandi igihe ugomba guhamagara kugirango ufashwe. Ntukazuyaze kuvugana niba ufite impungenge kubijyanye n'ibimenyetso byose.

Ibimenyetso byihutirwa bisaba ubufasha bwihuse bw'ubuvuzi birimo guhumeka cyane, ububabare mu gituza hamwe n'isazi, cyangwa ibimenyetso byose bisa nkaho birushaho kuba bibi aho kuba byiza.

Nkwiriye gukora iki niba ngize umuriro nyuma yo kuvurwa?

Umuriro woroshye (kugera kuri 101 ° F cyangwa 38.3 ° C) ni ibisanzwe muminsi mike ya mbere nyuma ya talc pleurodesis mugihe umubiri wawe usubiza ibikorwa. Ibi mubisanzwe ni ibisanzwe kandi byerekana ko uburyo bwo gukira buri gukora.

Ariko, vugana na muganga wawe niba umuriro wawe uri hejuru ya 101 ° F, umaze iminsi irenga 3-4, cyangwa uherekejwe n'ubukonje, umunaniro ukabije, cyangwa ibibazo byo guhumeka birushaho kuba bibi. Ibi bishobora kuba ibimenyetso by'indwara ikeneye kuvurwa.

Itsinda ryawe ryo kwita ku buzima rizagutanga amabwiriza yihariye yerekeye ubushyuhe ugomba kwitaho n'igihe cyo kubahamagara. Kora urutonde rw'ubushyuhe bwawe n'izindi nkorora zose zo gutanga raporo mu gihe cyo guhamagarwa nyuma y'ubuvuzi.

Nshobora gusubira mu bikorwa bisanzwe ryari?

Abantu benshi bashobora gusubira buhoro buhoro mu bikorwa byoroheje mu minsi mike kugeza ku cyumweru nyuma ya talc pleurodesis. Ariko, gukira neza no gusubira mu bikorwa byose bisanzwe mubisanzwe bifata ibyumweru 2-4.

Tangira n'ibikorwa byoroheje nk'urugendo rugufi n'imirimo yoroheje yo mu rugo. Irinda kuzamura ibintu biremereye, imyitozo ikomeye, cyangwa ibikorwa bitera kutumva neza mu gituza byibuze mu byumweru 2-3 cyangwa kugeza mugihe muganga wawe akwemereye.

Igihe cyo gukira kwawe gishobora gutandukana bitewe n'ubuzima bwawe muri rusange, indwara ivurwa, n'uburyo ukira neza. Muganga wawe azatanga ubuyobozi bwihariye bushingiye ku miterere yawe bwite.

Ese nkeneye gukora X-ray yo mu gituza yo gukurikirana?

Yego, muganga wawe mubisanzwe azategeka X-ray yo mu gituza mu gihe gito kugirango akurikirane intsinzi y'inzira no kumenya ko nta ngorane zigaragara. X-ray ya mbere ikunze gukorwa mu minsi mike nyuma y'inzira.

Uburyo bwo gukurikirana bufasha kwemeza ko pleurodesis ikora kandi ko amazi atongera kwiyongera. X-ray zinyongera zishobora gutegurwa mu byumweru 1-2, ukwezi 1, hanyuma rimwe na rimwe uko bikwiye.

Izi gahunda zo gukurikirana ni ngombwa kugirango zemeze umusaruro mwiza kandi zifate ibibazo kare niba bibaye. Muganga wawe azasobanura gahunda yo gukurikirana n'icyo wakwitega kuri buri rugendo.