Nangona kuyimfuneko, olunye unyango lwe-lymphoma lunokubangela iziphumo ezichaphazelekayo ezinokuchaphazela intliziyo yakho. Isifo senhliziyo ligama elibanzi ukuchaza iimeko ezininzi ezahlukeneyo ezichaphazela intliziyo. Kwezinye iimeko, isifo sentliziyo sinokuba sesokwexeshana kodwa ezinye ziya kuhlala ubomi bakho bonke. Unokufuna ukubona omnye ugqirha (i-Cardiologist) ojongene nokulawula isifo senhliziyo.
Ukufumana unyango lwemitha kwindawo ekufutshane nentliziyo yakho, ichemotherapy, ezinye izilwa-buhlungu ze-monoclonal kunye nonyango olujoliswe kuyo zonke zinokubangela ukuba isifo sentliziyo siphuhle.
Loluphi unyango olunokubangela isifo sentliziyo?
Iindidi zotshintsho onokuzifumana ziya kuxhomekeka kuhlobo lonyango obunalo. Cofa kwizihloko ezingezantsi ukuze ufunde malunga neentlobo zotshintsho olunokwenzeka.
Unyango lwemitha kwindawo ephakathi, okanye kwicala lasekhohlo lesifuba sakho kunokuchaphazela intliziyo yakho. Ubuchule obutsha bonyango lwemitha bunokunciphisa ubungakanani bemitha efika entliziyweni yakho, kodwa busenokungayiphelisi ingozi ngokupheleleyo.
Iziphumo entliziyweni yakho zingenzeka kwiiveki okanye iinyanga zokufumana unyango, nangona kunjalo ingozi yokutshintsha kwentliziyo iyanda ngokuhamba kwexesha. Usenokungabi nazimpawu zesifo sentliziyo iminyaka emininzi emva kokugqiba unyango lweradiation.
Umonakalo wentliziyo yakho unokubangela ukudumba kunye nokonakala:
- inwebu ebhityileyo etsala umphandle wentliziyo yakho ukuthintela ukungqubana njengoko intliziyo yakho ibetha (pericarditis).
- isihlunu sentliziyo yakho (myocarditis).
- izakhiwo zangaphakathi zentliziyo yakho ezifana nezihlunu ezinzulu kunye neevalvu ezigcina igazi lihamba kwicala elifanelekileyo (endocarditis).
- udonga lwamagumbi entliziyo yakho (endocarditis).
Ayiyiyo yonke ichemotherapy eya kuchaphazela intliziyo yakho. Nangona kunjalo, kukho ii-chemotherapies ezithile eziqhelekileyo kwiiprotocol zonyango ezinokuthi zibangele isifo senhliziyo. Kunokwenzeka ukuba ube nesifo sentliziyo njengeziphumo ebezingalindelekanga ukuba unemingcipheko ekhoyo efana nesifo seswekile, uxinzelelo lwegazi oluphezulu, okanye utyalwa ngeradiotherapy esifubeni sakho.
- i-daunorubicin
- yomsoxin
- epirubicin
- idarubicin
- mitoxantrone
- cisplatin
- cyclophosphamide
- ifosphamide.
I-immune checkpoint inhibitors luhlobo lwe-antibody ye-monoclonal esebenza ngokuthintela iiprotheni kwiiseli zakho ze-lymphoma. Ezi proteni zenza i-lymphoma ibonakale iqhelekile kumajoni akho omzimba ukuze amajoni akho omzimba awavumele aqhubeke nokukhula. Ngokuthintela iiproteni, amajoni akho omzimba anokubona i-lymphoma njengomhlaza kwaye alwe kwaye ayiphelise.
Ngelishwa, ezi proteni zifanayo zifumaneka kwiiseli zakho eziqhelekileyo - kubandakanywa neeseli zentliziyo yakho. Ke xa ezi proteni zivaliwe entliziyweni yakho, amajoni akho omzimba anokuqala ukuhlasela intliziyo yakho ebangela ukudumba kunye namanxeba.
Iindawo zokujonga amajoni omzimba anokubangela iziphumo ebezingalindelekanga ezichaphazela intliziyo yakho ziquka:
- umyovi
- fumanisumab
- durvalumab
- avelumab
- mzantsiweb
- ipilimumab.
Ezinye iindlela zonyango ezijoliswe kuzo zinokubangela i-arrythmias. I-arrythmias lutshintsho kwisingqi sentliziyo yakho. Oku kunokuquka ukubetha kwentliziyo ekhawulezayo okanye kancinane kunesiqhelo, kwaye ngamanye amaxesha ibe kukubetha kwentliziyo okungaqhelekanga.
Amaxesha amaninzi ezi arrythmias zinokungaqatshelwa kwaye zingabi nasiphumo esiyingozi. Nangona kunjalo, ngamanye amaxesha zinokuba yingozi ngakumbi kwaye kunqabile kakhulu ukuba zibeke ubomi esichengeni. Iingxaki ze-serous zixhaphake kakhulu kubantu abanesifo senhliziyo esikhoyo (kubandakanywa uxinzelelo lwegazi oluphezulu, okanye i-arrhythmias), okanye izifo ezifana nesifo sikashukela.
Xela ugqirha wakho lonke utshintsho kwintliziyo yakho. Basenokufuna ukutshintsha idosi yakho yeyeza, okanye bakuqalise ngeyeza elahlukileyo ukunceda intliziyo yakho ibethe rhoqo.
Iimpawu zesifo senhliziyo
Kwinqanaba lokuqala lesifo senhliziyo usenokungabi nazimpawu. Nangona kunjalo, iimpawu eziqhelekileyo zinokubandakanya:
- ubunzima bokuphefumla okanye ukuphefumla nzima
- iintlungu zesifuba
- utshintsho kwisantya sentliziyo yakho okanye ukuva ukubetha kwentliziyo yakho ngaphezu kwesiqhelo (ukubetha kwentliziyo)
- utshintsho kuxinzelelo lwegazi lakho
- isiyezi okanye ukuziva unentloko elula okanye isiqaqa
- ukudumba ezingalweni okanye emilenzeni yakho
- ukudinwa ngokugqithiseleyo (ukudinwa).
Uqhagamshelane nini nogqirha wakho
Qinisekisa ukuba uxela nayiphi na kwezi mpawu zingentla kwi-hematologist okanye unesi wakho ngokukhawuleza. Ukuba ngaba akukhange udibane nogqirha wakho wegazi okanye i-oncologist kwiintsuku ezi-2 okanye ezi-3 ezizayo emva kokuba ezi mpawu ziqalile, bonana nogqirha wakho wengingqi (GP) ngokukhawuleza.
Xela naluphi na utshintsho olutsha kugqirha wakho, nokuba ugqibe iinyanga zonyango, okanye kwiminyaka eyadlulayo. Bazise ukuba unonyango lwe-lymphoma kwixesha elidlulileyo, oko kunokunyusa umngcipheko wesifo senhliziyo.
* Ukuphefumla kakhulu
• Iintlungu zesifuba okanye uxinzelelo esifubeni sakho
ulawulo
Ulawulo lwesifo senhliziyo luya kuxhomekeka kuhlobo lonyango oye waba nalo kwi-lymphoma yakho, kunye nohlobo lwesifo senhliziyo onayo.
Kukho iintlobo ezininzi ezahlukeneyo zesifo senhliziyo. Kwezinye iimeko usenokufuna ithamo elincinane leyeza elibangela iingxaki. Ugqirha wakho usenokukhetha ukulisusa okanye ukutshintshisa iyeza ukuze libe nelona lingenakukwenza umonakalo entliziyweni yakho.
Kwiimeko ezithile kusenokufuneka ukuba uthunyelwe kwi-Cardiologist, ugqirha onobuchule kwiimeko zentliziyo. Baya kuthi ke bahlole kwaye balawule isifo sentliziyo yakho.
Olunye unyango lwesifo senhliziyo lunokubandakanya:
- amayeza entliziyo ukuphucula kunye nokuzinzisa uxinzelelo lwegazi okanye izinga lentliziyo.
- Izithintelo zolwelo ukuze intliziyo yakho ingadingi kucutshungulwa kakhulu.
- diuretics, angamayeza okukunceda ukuba ukhuphe (uchame) ngakumbi ukukhupha ulwelo olongezelelweyo.
isishwankathelo
- Isifo senhliziyo ligama lokuchaza iqela leemeko ezahlukeneyo ezinokuchaphazela intliziyo yakho.
- Iindidi ezininzi ezahlukeneyo zonyango lwe-lymphoma zinokubangela isifo senhliziyo, uninzi lunokuba lwexeshana, kodwa abanye banokufuna unyango lobomi.
- Usemngciphekweni omkhulu wokufumana isifo sentliziyo njengesiphumo sonyango ukuba sele unemeko yentliziyo okanye ezinye izigulo ezifana noxinzelelo lwegazi okanye isifo seswekile.
- Isifo senhliziyo sinokuqala ngokukhawuleza emva kokuba unyango lwakho luphelile, okanye iminyaka emva kokuba unyango luphelile.
- Unyango lwesifo sentliziyo luya kuxhomekeka kuhlobo lwesifo sentliziyo onalo kunye nempilo yakho iyonke.
- Xela zonke iimpawu zesifo senhliziyo kugqirha wakho ngokukhawuleza, nokuba unyango lwakho lugqityiwe kwiminyaka eyadlulayo.
- Biza i-ambulensi kwi-000 (e-Australia) ukuba unentlungu yesifuba okanye ukuphefumula kakhulu.
