Adstiladrin
I-Nadofaragene Firadenovec-vncg isetshenziswa ekwelapheni kwabaguli abane-Bacillus Calmette-Guerin (BCG) engozi enkulu engaphendukiyo, umdlavuza we-bladder ongaphakathi kwemisipha (NMIBC) onohlobo lomdlavuza oluthi carcinoma in situ (CIS) ngokunye noma ngaphandle kwama-papillary tumors. Lolu lwelapha kufanele lusetshenziswe kuphela ngudokotela noma ngaphansi kokunakekelwa kwakhe okuqondile. Lo mkhiqizo utholakala ngezindlela zokulinganisa ezilandelayo:
Uma kunqunywe ukuthi kusetshenziswe iyeza, izingozi zokuthatha leliyeza kufanele ziqhathaniswe nezinzuzo elizoletha. Lo ngumqulu ozothathelwa wena nodokotela wakho. Kuleliyeza, okulandelayo kufanele kucabangelwe: Tshela udokotela wakho uma uke waba nakho ukungezwani noma ukutholakala okungavamile kuleliyeza noma kwezinye izidakamizwa. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo zokungezwani, njengokudla, izibhebhe, izigcini, noma izilwane. Ngomkhiqizo ongenayo iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele azikwenzelwanga ubuhlobo bobudala nemiphumela ye-Adstiladrin® kubantwana. Ukuphepha nokuphumelela akukaqiniswa. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zabantu abadala ezingalinda ukusetshenziswa kwe-Adstiladrin® kubantu abadala. Ayikho izifundo ezifanele kubesifazane zokunquma ingozi yengane uma kusetshenziswa leliyeza ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokuthatha leliyeza ngesikhathi sokuncelisa. Nakuba ezinye izidakamizwa kufanele zingasetshenziswa ndawonye, kwezinye izimo izidakamizwa ezimbili ezahlukene zingasetshenziswa ndawonye ngisho noma kungenzeka ukuthi kube khona ukusebenzisana. Kulezi zimo, udokotela wakho angase afune ukushintsha umthamo, noma ezinye izinyathelo zokuphepha kungadingeka. Tshela ochwepheshe bakho bezempilo uma uthatha eminye imithi yesikripthi noma engekho esikripthi (over-the-counter [OTC]). Ezinye izidakamizwa akufanele zisetshenziswe ngesikhathi sokudla noma eduze kwesikhathi sokudla noma ukudla izinhlobo ezithile zokudla njengoba kungenzeka kube khona ukusebenzisana. Ukusebenzisa utshwala noma utshaba nezinye izidakamizwa kungabangela ukusebenzisana. Xoxa nochwepheshe bakho bezempilo ngokusetshenziswa kweyeza lakho ngokudla, utshwala, noma utshaba. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kwaleliyeza. Qiniseka ukuthi utshela udokotela wakho uma unezinye izinkinga zezokwelapha, ikakhulukazi:
Umshula wesibeletho noma omunye ochwepheshe bezempilo oqeqeshwe uzohlinzeka ngale miyekezo esibhedlela noma ekliniki. Le miyekezo inikezwa ngommese (ikhathetha) ofakwe esibindini sakho kanye ngenyanga ezintathu. Le miyekezo iza nephepha lokwazisa iziguli. Funda bese ulandela imiyalo ngokucophelela. Buza udokotela wakho uma unemibuzo. Udokotela wakho uzohlinzeka ngeminye imithi (isib. i-anticholinergic) ngaphambi kokuthola le miyekezo.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.