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Malunga neLymphoma

Isiseko sovavanyo lomsebenzi welungu

Kukho inani leemvavanyo kunye neskeni ekuya kufuneka ube nazo phambi kokuba uqalise unyango lomhlaza. Kubalulekile ukuba iqela lakho lezonyango lenze olu vavanyo ukujonga ukuba amalungu akho abalulekileyo asebenza njani ngoku (asebenza). Ezi zaziwa njenge 'baseline' yovavanyo lomsebenzi welungu kunye nezikena. Amalungu akho abalulekileyo omzimba aquka intliziyo yakho, izintso kunye nemiphunga.

Kweli phepha:

uninzi unyango lomhlaza kunokubangela ezahlukeneyo imiphumela. Ezinye zezi ziphumo bezingalindelekanga zinokubangela ubungozi bexesha elifutshane okanye elide kumalungu akho abalulekileyo omzimba. Ingakumbi abanye chemotherapy kunokubangela ingozi kumalungu omzimba ahlukeneyo. Uvavanyo kunye nezikena eziya kufuneka zixhomekeke kuhlobo lonyango lomhlaza olunikwayo.

Uninzi lwezi scan ziya kuphindwa ngexesha nasemva konyango ukuqinisekisa ukuba unyango alonakalisi la malungu abalulekileyo. Ukuba ngaba unyango luyawachaphazela amalungu, unyango lunokuthi ngamanye amaxesha luhlengahlengiswe okanye ngamanye amaxesha lutshintshwe. Oku kuzama nokuqinisekisa ukuba amalungu abalulekileyo awachaphazeleki ngokusisigxina.

Iimvavanyo zomsebenzi wentliziyo (intliziyo).

Olunye unyango lwe-chemotherapy luyaziwa ngokubangela ingozi entliziyweni kunye nendlela esebenza ngayo. Kubalulekile ukuba oogqirha bazi ukuba intliziyo yakho isebenza njani phambi kokuba unyango luqale. Ukuba sele unentliziyo engasebenzi kakuhle njengoko kufanele, oku kunokugqiba uhlobo lwechemotherapy enokunikelwa.

Ukuba umsebenzi wentliziyo wehla ukuya kwinqanaba elithile ngexesha lonyango, idosi yonyango inokuncipha okanye iyekwe. I-Chemotherapy esetyenziswa kwezinye iindlela zonyango ze-lymphoma ezinokubangela ingozi ezifana yomsoxin (adriamycin), i-daunorubicin kwaye epirubicin, zaziwa ngokuba zii-anthracyclines.

Zeziphi iintlobo zovavanyo lomsebenzi wentliziyo?

I-Electrocardiogram (ECG)

I-electrocardiogram (ECG) luvavanyo olunceda ukufumana iingxaki kwisihlunu sentliziyo, iivalvu, okanye isingqisho. I-ECG luvavanyo olungenazintlungu olujonga ukusebenza kwentliziyo yakho ngaphandle kokuphazamisa. Irekhoda umsebenzi wombane wentliziyo njengemigca ephepheni.
Olu vavanyo lwenziwa kwiofisi kagqirha okanye esibhedlele. Abahlengikazi okanye amagcisa ezonyango bahlala besenza iECG. Ugqirha ke uphonononga iziphumo zovavanyo.

Ngaphambi kokuba wenze i-ECG xelela iqela lakho lezempilo malunga nawo onke amayeza owathathayo. Buza ukuba ngaba kufuneka uwathathe na ngomhla wovavanyo kuba amanye amayeza anokuchaphazela iziphumo.

  • Ngokuqhelekileyo akufuneki ukuba uthintele ukutya okanye isiselo sakho ngaphambi kwe-ECG yakho.
  • Kuya kufuneka ukuba uyisuse impahla yakho ukusuka esinqeni ukuya phezulu ngexesha le-ECG yakho.
  • IECG ithatha malunga nemizuzu emi-5 ukuya kweli-10 ukuyigqiba. Ngexesha le-ECG, umongikazi okanye uchwepheshe wezonyango uya kubeka izitikha ezibizwa ngokuba zii-lead okanye i-electrode esifubeni sakho nasemilenzeni (iingalo nemilenze). Emva koko, baya kudibanisa iingcingo kubo. Ezi zikhokhelo ziqokelela iinkcukacha malunga nomsebenzi wombane wentliziyo yakho. Kuya kufuneka uhlale uthule ngexesha lovavanyo.
  • Emva kovavanyo, unokubuyela kwimisebenzi yakho yesiqhelo, kuquka ukuqhuba.
 
I-Echocardiogram (echo)

An i-echocardiogram (i-echo) luvavanyo olunceda ukufumana iingxaki kwisihlunu sentliziyo, iivalvu, okanye isingqisho. I-echo yi-ultrasound yentliziyo yakho. Ii-Ultrasounds zisebenzisa amaza esandi aphezulu ukuthatha umfanekiso wamalungu angaphakathi emzimbeni. Isixhobo esifana ne-wand esibizwa ngokuba yi-transducer sithumela amaza esandi. Emva koko, amaza omsindo "echo" emva. Uvavanyo alunantlungu kwaye aluphazamisi.

  • I-echo yenziwa kwiofisi kagqirha okanye esibhedlele. Iingcali zesonographer, eziqeqeshwe ngokukhethekileyo ukusebenzisa oomatshini be<em>ultrasound, zidla ngokwenza i-echo. Ugqirha ke uphonononga iziphumo zovavanyo.
  • Ngaphambi kokuba ube ne-echo yakho, xelela iqela lakho lezempilo malunga nawo onke amayeza owathathayo. Buza ukuba ngaba kufuneka uwathathe na ngomhla wovavanyo kuba amanye amayeza anokuchaphazela iziphumo.
  • Ngokuqhelekileyo akufuneki ukuba uthintele ukutya kwakho okanye isiselo sakho ngaphambi kwe-echo yakho.
  • Kuya kufuneka ukuba ususe iimpahla zakho ukusuka esinqeni ukuya phezulu ngexesha le-echo yakho.
  • I-echo ithatha malunga nemizuzu engama-30 ukuya kwiyure enye ukuyigqiba. Ngexesha le-echo, uya kulala ngecala lakho etafileni kwaye ucelwe ukuba uhlale. Uchwepheshe we-ultrasound uya kusebenzisa i-gel encinci kwisifuba sakho. Emva koko baya kuhambisa i-wand-like transducer ejikeleze isifuba sakho ukwenza imifanekiso yentliziyo yakho.
  • Emva kovavanyo, unokubuyela kwimisebenzi yakho yesiqhelo, kuquka ukuqhuba.

 

Multigated acquisition (MUGA) scan

Ikwaziwa ngokuba 'yi-cardiac blood pooling' yokucinga okanye 'i-gated blood pool scan'. I-multigated acquisition (MUGA) scan yenza imifanekiso yevidiyo yamagumbi asezantsi entliziyo ukujonga ukuba ampompa igazi ngokufanelekileyo na. Ibonisa nakuphi na ukungaqhelekanga kubukhulu bamagumbi entliziyo kunye nokuhamba kwegazi entliziyweni.

Oogqirha ngamanye amaxesha basebenzisa iskeni se-MUGA njengokhathalelo olulandelelweyo lokufumana iziphumo ebezingalindelekanga zentliziyo yexesha elide, okanye iziphumo zamva. Iziphumo zasemva kwexesha zingenzeka ngaphezulu kweminyaka emi-5 emva konyango. Amaxhoba omhlaza anokufuna ulandelelwaniso lwe-MUGA scan aquka:

  • Abantu abaye bafumana unyango lwemitha esifubeni.
  • Abantu abaye bafumana umongo wethambo / ukufakelwa kwe-stem cell okanye iintlobo ezithile zechemotherapy.

 

Iskena se-MUGA senziwa kwisebe le-radiology esibhedlele okanye kwiziko lokujonga izigulana ezingaphandle.

  • Usenokungakwazi ukutya okanye ukusela iiyure ezi-4 ukuya kwezi-6 phambi kovavanyo.
  • Usenokucelwa ukuba uphephe icaffeine kunye necuba ukuya kuthi ga kwiiyure ezingama-24 phambi kovavanyo.
  • Uya kunikwa imiyalelo phambi kovavanyo lwakho. Yiza noluhlu olupheleleyo lwawo onke amayeza okuwo.
  • Xa ufika kwi-scan yakho ye-MUGA, kunokufuneka uyisuse impahla yakho esinqeni ukuya phezulu. Oku kubandakanya ubucwebe okanye izinto zentsimbi ezinokuphazamisana neskeni.
  • Ukuskena kungathatha ukuya kwiiyure ezi-3 ukugqiba. Ixesha lixhomekeke ekubeni mingaphi imifanekiso efunekayo.
  • Itekhnoloji iya kubeka izincamathelisi ezibizwa ngokuba zii-electrode esifubeni sakho ukujonga ukusebenza kombane wentliziyo yakho ngexesha lovavanyo.
  • Isixa esincinci semathiriyeli ye-radioactive iya kutofwa kumthambo ongalweni wakho. Isixhobo se-radioactive kuthiwa yitracer.
  • I-teknoloji iya kuthatha inani elincinci legazi kwingalo yakho kwaye lixube kunye ne-tracer.
  • Emva koko itekhnoloji iya kubuyisela umxube emzimbeni wakho ngomgca we-intravenous (IV) ofakwe ngqo kwi-vein.

 

Umkhondo ufana nedayi. Ibophelela kwiiseli zakho ezibomvu zegazi, ezithwala ioksijini kuwo wonke umzimba wakho. Ibonisa indlela igazi elihamba ngayo entliziyweni yakho. Awuyi kukwazi ukuva umkhondo uhamba emzimbeni wakho.

I-teknoloji iya kukucela ukuba ulale etafileni kwaye ubeke ikhamera ekhethekileyo ngaphezu kwesifuba sakho. Ikhamera imalunga neenyawo ezi-3 ububanzi kwaye isebenzisa imitha ye-gamma ukulandelela umkhondo. Njengoko umkhondo uhamba egazini lakho, ikhamera iya kufota ukuze ibone ukuba igazi limpompa kangakanani na emzimbeni wakho. Imifanekiso iya kuthathwa kwiimbono ezininzi, kwaye nganye ithatha malunga nemizuzu emi-5.

Unokucelwa ukuba wenze umthambo phakathi kwemifanekiso. Oku kunceda ugqirha abone indlela intliziyo yakho esabela ngayo kuxinzelelo lomthambo. I-teknoloji inokukucela ukuba uthathe i-nitro-glycerine ukuvula imithwalo yegazi kwaye ubone indlela intliziyo yakho ephendula ngayo kumayeza.

Unokulindela ukubuyela kwimisebenzi yakho yesiqhelo ngokukhawuleza emva kovavanyo. Sela ulwelo oluninzi kwaye uchame rhoqo kangangeentsuku ezi-1 ukuya kwezi-2 emva kokuskena ukunceda umkhondo ukuba awushiye umzimba wakho.

Uvavanyo lomsebenzi wokuphefumla

Kukho unyango lwe-chemotherapy olusetyenziswa kunyango lwe-lymphoma olunokuchaphazela umsebenzi wemiphunga yakho kunye nokuchaphazela ukuphefumla. IBleomycin yichemotherapy eqhelekileyo esetyenziswa kunyango lwe-Hodgkin lymphoma. Uvavanyo olusisiseko lwenziwa ukubona ukuba unjani umsebenzi wakho wokuphefumla phambi kokuba unyango, kwakhona ngexesha lonyango kwaye kaninzi emva konyango.

Ukuba umsebenzi wakho wokuphefumla uyancipha, eli chiza linokumiswa. Kukho amalingo onyango amaninzi ngoku ajonge ukumisa eli chiza emva kwemijikelo emi-2 ukuya kwemi-3 ukuba izigulane zinoxolelo olupheleleyo. Oku kukunciphisa umngcipheko wemiba yokuphefumla.

Yintoni uvavanyo lomsebenzi wokuphefumla (umphunga)?

Iimvavanyo zokusebenza kwemiphunga liqela lovavanyo olujonga ukuba imiphunga isebenza kangakanani na. Bajonga ukuba ungakanani na umoya onokuthi imiphunga yakho iwubambe kunye nokuba ungawukhupha kangakanani na umoya emiphungeni yakho.

  • I-Spirometry ilinganisa ukuba ungakanani na umoya onokuwuphefumla kwimiphunga yakho kunye nokuba ungayenza ngokukhawuleza kangakanani.
  • I-Lung plethysmography ilinganisa ukuba ungakanani umoya kwimiphunga yakho emva kokuba uphefumle kakhulu kwaye ungakanani umoya oseleyo kwimiphunga yakho emva kokuba uphefumlele ngaphandle kangangoko unako.
  • Uvavanyo lokusasazeka kwemiphunga kulinganisa indlela ioksijini ehamba ngayo ukusuka kwimiphunga yakho ukuya egazini lakho.

 

Uvavanyo lokusebenza kwemiphunga ludla ngokwenziwa kwisebe elikhethekileyo lesibhedlele ngugqirha oqeqeshelwe ukuphefumla.

Xelela iqela lakho lezempilo malunga nawo onke amayeza kagqirha kunye namayeza angakhutshwanga owathathayo. Udla ngokuxelelwa ukuba ungatshayi iiyure ezi-4 ukuya kwezi-6 phambi kokuba wenze uvavanyo lokusebenza kwemiphunga.

Nxiba impahla ekhululekileyo ukuze ukwazi ukuphefumla kakuhle. Kuphephe ukutya isidlo esinzima phambi kovavanyo lomsebenzi we-pulmonary - kunokukwenza kube nzima ukuba uphefumle kakhulu.

Uvavanyo lweSpirometry

Uvavanyo lwe-Spirometry lolunye lovavanyo oluqhelekileyo lwemiphunga esetyenziselwa ukumisela umthamo womoya onokuthi imiphunga iwuphefumlele kwaye uwukhuphe, kunye nesantya apho umoya unokuphefumlelwa kwaye ukhutshwe. Isixhobo esisetyenzisiweyo sibizwa ngokuba yi-spirometer, kwaye uninzi lwee-spirometers zanamhlanje ziqhagamshelwe kwikhompyuter edibanisa ngoko nangoko idatha evela kuvavanyo.

Uya kucelwa ukuba uphefumle usebenzisa ityhubhu ende enomlomo wekhadibhodi. Umbhobho omde uncanyathiselwe kwikhompyutha ekala ubungakanani bomoya ophefumlwayo ngokuhamba kwexesha.

Uza kuqala ucelwe ukuba uphefumle ngobunono ngomlomo. Emva koko uya kucelwa ukuba uthathe umoya omkhulu onokuthi uwukhuphe ngokukhawuleza, ngokukhawuleza, kwaye ixesha elide njengoko unako.

Uvavanyo lwe-lung plethysmography

Olu vavanyo lumisela:

  • Umthamo wemiphunga uwonke. Lo ngumthamo womoya kwimiphunga emva kokuphefumlelwa okukhulu.
  • Umthamo oshiyekileyo wokuSebenza (FRC). I-FRC ngumthamo womoya emiphungeni ekupheleni kokuphumla okuthe cwaka
  • Umthamo wentsalela engumthamo womoya oshiywe emiphungeni emva kokuphelelwa ngamandla.

 

Ngexesha lovavanyo uya kucelwa ukuba uhlale kwibhokisi evaliweyo efana nebhokisi yefowuni. Kukho umlomo ngaphakathi kwebhokisi oya kufuna ukuba uphefumle ngaphakathi nangaphandle ngexesha lovavanyo.

Umsebenzisi uya kukuxelela indlela yokuphefumla ngaphakathi nangaphandle komlomo ngelixa imilinganiselo ithathwa. I-shutter ngaphakathi emlonyeni iya kuvula kwaye ivale ukuvumela ukufundwa okuhlukeneyo ukuba kuthathwe. Ngokuxhomekeke kwiimvavanyo ezifunekayo, unokufuna ukuphefumla ezinye (ezingenayo kunye nezingenabungozi) iigesi kunye nomoya. Uvavanyo lonke ngokubanzi aluthathi ngaphezu kwemizuzu emi-4-5.

Yazisa ugqirha ukuba ngaba uthatha nawaphi na amayeza, ngakumbi ukuba anxulumene nobunzima bokuphefumla, njengoko unokufuna ukuyeka ukuwasela phambi kovavanyo. Ukuba ufumene umkhuhlane okanye esinye isigulo esinokuthi sikuthintele ukuba uphefumle kakuhle, kunokufuneka uluhlengahlengise uvavanyo xa ungcono.

Musa ukunxiba naziphi na iimpahla ezinokukuyekisa ukuphefumla ngaphakathi nangaphandle ngokupheleleyo kwaye ukuphephe ukutya isidlo esikhulu kwiiyure ezimbini zovavanyo, okanye ukusela utywala (kwiiyure ezine) okanye ukutshaya (kwisithuba seyure) yovavanyo. Kananjalo akufanele wenze nawuphi na umthambo onzima kwimizuzu engama-30 phambi kovavanyo.

Uvavanyo lokusasazeka kwemiphunga

Ilinganisa indlela ioksijini ehamba ngayo ukusuka kwimiphunga yakho ukuya egazini lakho.

Ngexesha lokuvavanywa kokusasazwa kwemiphunga, uphefumla irhasi encinci ye-carbon monoxide ngomlomo okwityhubhu. Emva kokubamba umoya wakho malunga nemizuzwana ye-10, emva koko uvuthela igesi.

Lo moya uqokelelwa kwi-tube kwaye uhlolwe.

Akufanele utshaye okanye usele utywala kwisithuba seeyure ezi-4 phambi kovavanyo. Nxiba impahla ekhululekileyo ukuze ukwazi ukuphefumla kakuhle ngexesha lovavanyo.

Yazisa ugqirha wakho ukuba ngawaphi amayeza owathathayo kunye nokuba uyeke ukuwasela phambi kovavanyo.

Iimvavanyo zomsebenzi wezintso (izintso).

Kukho unyango lwe-chemotherapy olunokuthi luchaphazele ukusebenza kwezintso zakho. Kubalulekile ukujonga ukusebenza kwezintso zakho phambi kokuba unyango luqale, ngexesha lonyango kwaye ngamanye amaxesha emva konyango. Umsebenzi wakho wezintso unokujongwa ngovavanyo lwegazi phambi komjikelo ngamnye wechemotherapy. Olu vavanyo lulandelayo lufumana ujongo oluchanekileyo kwindlela izintso zakho zisebenza ngayo.

Ukuba ukusebenza kwezintso zakho kuyehla ngexesha lonyango, idosi yonyango lwakho inokuncitshiswa, ilibaziseke okanye iyekwe kunye. Oku kukunceda ukuthintela umonakalo ngakumbi kwizintso zakho. Ii-chemotherapies eziqhelekileyo ezisetyenziselwa i-lymphoma kwaye zingabangela umonakalo ziquka; ifosfamide, imethotrexateI-carboplatin, iradiotherapy nangaphambi kokuba ukutshintshwa kweeseli ze-stem.

Zeziphi ezinye zeemvavanyo zokusebenza kwezintso ezisetyenziswayo?

Izintso (izintso) scan

Iskena sezintso luvavanyo lokucinga olujonga izintso.

Luhlobo lovavanyo lokucinga ngenyukliya. Oku kuthetha ukuba isixa esincinci somcimbi we-radioactive uyasetyenziswa ngexesha lokuskena. I-radioactive matter (i-radioactive tracer) ifunxwa zizicubu eziqhelekileyo zezintso. Itreyi yeradioactive ithumela imitha ye-gamma. Ezi zicholwa sisikena ukuthatha imifanekiso.

Xa ubhukisha iskena, itekhnoloji iya kukubonelela ngayo nayiphi na imiyalelo efanelekileyo yokulungiselela.

Eminye imiyalelo inokuquka:

  • Ngokuqhelekileyo izigulane kufuneka zisele iiglasi ezi-2 zamanzi kwiyure enye yovavanyo.
  • Itracer yeradioactive itofwa kumthambo osengalweni yakho. Emva kokulawulwa kwee-radiotracers, kuya kuskenwa.
  • Ubude beskeni buya kuhluka ngobude ngokuxhomekeke kumbuzo weklinikhi oqwalaselwayo. Ixesha lokuskena lidla ngokuthatha iyure.
  • Unokuphinda uqalise umsebenzi wesiqhelo emva kokuskena.
  • Yongeza ulwelo oluthathwayo ukunceda ukukhupha i-tracer.

 

I-ultrasound yezintso

I-renal ultrasound luvavanyo olungahlaseliyo olusebenzisa amaza e-ultrasound ukuvelisa imifanekiso yezintso zakho.

Le mifanekiso inokunceda ugqirha wakho avavanye indawo, ubungakanani, kunye nokumila kwezintso zakho kunye nokuhamba kwegazi kwizintso zakho. I-ultrasound yezintso idla ngokubandakanya isinyi sakho.

I-Ultrasound isebenzisa amaza esandi aphezulu athunyelwa yi-transducer ecinezelwe eluswini lwakho. Amaza esandi ahamba emzimbeni wakho, ebetha amalungu abuyela kwi-transducer. Ezi echoes zirekhodwa kwaye ziguqulwe ngokwedijithali zibe yividiyo okanye imifanekiso yezicubu kunye namalungu akhethiweyo ukuba ahlolwe.

Imiyalelo malunga nendlela yokulungiselela kunye nento onokuyilindela iya kunikwa wena ngaphambi kokuba uqeshwe.

Olunye ulwazi olubalulekileyo lubandakanya;

  • Ukusela iiglasi ezi-3 zamanzi ubuncinci iyure enye phambi koviwo kwaye ungasikhupheli isinyi sakho
  • Uza kulala ngobuso phantsi kwitafile yeemviwo enokuthi ingakhululeki
  • Yiba nejeli ye-condative ebandayo efakwe kwisikhumba sakho kwindawo ehlolwayo
  • I-transducer iya kukhuhlwa kwindawo ehlolwayo
  • Inkqubo ayinabuhlungu
  • Ungabuyela kwimisebenzi eqhelekileyo emva kwenkqubo

Inkxaso kunye nolwazi

Bhalisela incwadana yeendaba

Yabelana Lo
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Ileta yeendaba Bhalisa

Qhagamshelana neLymphoma Australia Today!

Nceda uqaphele: Abasebenzi baseLymphoma Australia bayakwazi ukuphendula kuphela ii-imeyile ezithunyelwe ngolwimi lwesiNgesi.

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