Sargramostim (indlela yokugcoba)
Imikhiqizo etholakalayo
Leukine
Mayelana naleli khambi
Isikhubekiso seSargramostim sisetshenziswa ukusiza ubuhlwempu lwamathambo ukwenza amangqamuzana amhlophe amasha. Yifomu elenziwe ngumuntu (elenziwe ngabantu) lesisindo esikhiqizwa ngokwemvelo emzimbeni wakho esibizwa ngokuthi yi-colony stimulating factor. Uma imithi ethile yomdlavuza isebenziswa ukulwa namangqamuzana omdlavuza, iphinde ithonye amangqamuzana amhlophe alwa nokutheleleka. I-Sargramostim isetshenziswa ukuvimbela noma ukunciphisa ingozi yokutheleleka ngesikhathi uphathwa ngemithi yomdlavuza. Isetshenziswa futhi ukusiza ubuhlwempu lwamathambo ukubuyela ngokushesha ngemuva kokudluliswa kwebone marrow noma ngemuva kokubuthelwa kwamaseli e-peripheral blood progenitor kubantu abane-cancer abenza ukudluliswa kwamaseli estem. Lona umuthi ubuye usetshenziswe ukuthuthukisa ukuphila kwabantu abane-cancer abaye bavulelwa ukukhanya. Lona umuthi utholakala kuphela ngesikripthi sodokotela wakho. Lo mkhiqizo utholakala ngezindlela zokulinganisa ezilandelayo:
Ngaphambi kokusebenzisa leli khambi
Ekucatshangeni kokusebenzisa imithi, izingozi zokuthatha imithi kufanele ziqhathaniswe nezinzuzo ezizoletha. Lo ngumqulu ozothatha wena nodokotela wakho. Kule mithi, okulandelayo kufanele kucabangelwe: Tshela udokotela wakho uma uke waba nanoma iyiphi impendulo engavamile noma ebangelwa uketshezi kule mithi noma kunoma iyiphi eminye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo zoketshezi, njengokudla, izibenge, izigcini, noma izilwane. Ngomkhiqizo ongenamibhalo, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele azikwenzelwanga ubuhlobo bobudala nemiphumela yokugonywa kwe-sargramostim kubantwana abaneminyaka engaphansi kwengu-2. Ukuphepha nokuphumelela akukaqiniswa, ngaphandle kokusetshenziswa kubantwana abaveliwe yigciwane. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zabantu abadala ezingakhawulela ukusetshenziswa kokugonywa kwe-sargramostim kubantu abadala. Ayikho izifundo ezifanele kubesifazane zokunquma ingozi yengane uma usebenzisa le mithi ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokuthatha le mithi ngesikhathi sokuncelisa. Nakuba ezinye izidakamizwa kufanele zingasetshenziswa ndawonye nhlobo, kwezinye izimo imithi emibili ehlukene ingasetshenziswa ndawonye ngisho noma kungenzeka ukuhlangana. Kulezi zimo, udokotela wakho angafuna ukushintsha umthamo, noma ezinye izinyathelo zokuphepha zingadingeka. Uma uthatha le mithi, kubalulekile kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma iyiphi imithi ehlwini elingezansi. Ukuhlangana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ngokuvamile ayinconywa, kodwa kungadingeka kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyayisebenzisa kangakanani enye noma zombili imithi. Ezinye izidakamizwa akufanele zisetshenziswe ngesikhathi sokudla noma eduze kwesikhathi sokudla noma ukudla izinhlobo ezithile zokudla ngoba ukuhlangana kungase kwenzeke. Ukusebenzisa utshwala noma utshaba nezinye izidakamizwa kungabangela ukuhlangana. Xoxa nochwepheshe bakho bezempilo ngokusetshenziswa kwemithi yakho ngokudla, utshwala, noma utshaba. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kwale mithi. Qiniseka ukuthi utshela udokotela wakho uma unezinye izinkinga zezokwelapha, ikakhulukazi:
Indlela yokusebenzisa leli khambi
Udokotela noma omunye ochwepheshe bezempilo oqeqeshwe angakunika le miyeke. Inikezwa ngenhlanzi ebekwe kwenye yezinzwa zakho noma njengesiphuzo phansi kwesikhumba sakho (ngokuvamile esiswini, emadolweni, noma engxenyeni yangaphandle yesandla esiphezulu). Ungafundiswa ukuthi ungayinika kanjani le miyeke ekhaya. Qiniseka ukuthi uyayiqonda yonke imiyalo ngaphambi kokuzinika wena uqobo isiphuzo. Ungasebenzisi imithi eminingi noma uyisebenzise kaningi kunalokho udokotela akutshele khona. Le miyeke kufanele ifike nepheshana lolwazi lwabaguli. Funda futhi ulandele le miyalo ngokucophelela. Buza udokotela wakho noma umthengisi wemithi uma unemibuzo. Le miyeke itholakala ngendlela yophuli. Kumele uhlanganise uthuli olunye utshwala ngaphambi kokusebenzisa. Ukusebenzisa le miyeke njengesiphuzo phansi kwesikhumba: Inani le miyeke lizohluka kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esitikhwini. Ulwazi olulandelayo luhlanganisa kuphela amanani aphakathi ale miyeke. Uma inani lakho lihlukile, ungalishintshi ngaphandle kokuthi udokotela wakho akutshele ukuba wenze njalo. Inani lemiyeke oyithatha lixhomeke emandleni wemithi. Futhi, inani lezingxenye ozithatha nsuku zonke, isikhathi esivunyelwe phakathi kwezingxenye, nobude besikhathi othatha imithi kuya ngenkinga yezokwelapha oyisebenzisela imithi. Le miyeke kufanele inikezwe ngesikhathi esibekiwe. Uma uphuthelwa yingxenye noma ukhohlwe ukusebenzisa imithi yakho, shayela udokotela wakho noma umthengisi wemithi ukuze uthole imiyalo. Gcina ungafinyeleleki kubantwana. Ungagcini imithi esele iphelile noma imithi engasasetshenziswa. Buza ochwepheshe bezempilo bakho ukuthi kufanele uyilahule kanjani noma iyiphi imithi ongayisebenzisi. Gcina esihlalweni esiqandayo. Ungayiqandi. Gcina le miyeke esitsheni sayo sokuqala. Uthuli oluhlanganisiwe lunamanye imiyalo yokugcina ngokuya ngohlobo lwetswala oluhlanganisiwe nalo. Lahla izinhlanzi ezisetshenzisiwe esitsheni esiqinile, esivalekile lapho izinhlanzi zingakwazi ukugqobhoza khona. Gcina lesi sitsha kude nezingane nezilwane ezifuywayo.
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.