Nakuba kudingekile, ezinye izindlela zokwelapha i-lymphoma zingabangela imiphumela emibi engase ithinte inhliziyo yakho. Isifo senhliziyo yigama elibanzi elichaza izimo eziningi ezahlukene ezithinta inhliziyo. Kwezinye izimo, isifo senhliziyo singase sibe sesikhashana kodwa esinye sizohlala impilo yakho yonke. Ungase udinge ukubona omunye udokotela (Udokotela Wenhliziyo) onguchwepheshe ekulawuleni isifo senhliziyo.
Ukwelashwa ngemisebe endaweni eseduze nenhliziyo yakho, ukwelapha ngamakhemikhali athile, amanye amasosha omzimba e-monoclonal kanye nezinye izindlela zokwelapha ezihlosiwe konke kungabangela isifo senhliziyo.
Yiziphi izindlela zokwelapha ezingabangela isifo senhliziyo?
Izinhlobo zezinguquko ongase ube nazo zizoncika ohlotsheni lokwelashwa obunalo. Chofoza izihloko ezingezansi ukuze ufunde mayelana nezinhlobo zezinguquko ezingenzeka.
Ukwelashwa ngemisebe endaweni emaphakathi, noma kwesokunxele sesifuba sakho kungathinta inhliziyo yakho. Izindlela ezintsha zokwelashwa ngemisebe zinganciphisa inani lemisebe elifika enhliziyweni yakho, kodwa zingase zingayiqedi ngokuphelele ingozi.
Imithelela enhliziyweni yakho ingenzeka phakathi namasonto noma izinyanga zokwelashwa, nokho ingozi yoshintsho lwenhliziyo iyanda ngokuhamba kwesikhathi. Ungase ungabi nazo izimpawu zesifo senhliziyo iminyaka eminingi ngemva kokuqeda ukwelapha ngemisebe.
Ukulimala kwenhliziyo yakho kungase kubangele ukuvuvukala kanye nezibazi ku:
- ulwelwesi oluncane oluhlanganisa ingaphandle lenhliziyo yakho ukuvimbela ukungqubuzana njengoba inhliziyo yakho ishaya (i-pericarditis).
- imisipha yenhliziyo yakho (myocarditis).
- izakhiwo zangaphakathi zenhliziyo yakho njengemisipha ejulile namavalvu agcina igazi ligeleza ngendlela efanele (endocarditis).
- ulwelwesi lwenhliziyo yakho (i-endocarditis).
Akuwona wonke ama-chemotherapy azothinta inhliziyo yakho. Kodwa-ke, kukhona ama-chemotherapies athile ajwayelekile kumaphrothokholi okwelapha anamandla okubangela isifo senhliziyo. Kungenzeka ukuthi ube nesifo senhliziyo njengomphumela ongemuhle uma unezinto eziyingozi ezikhona ezifana nesifo sikashukela, umfutho wegazi ophakeme, noma usebenzisa i-radiotherapy esifubeni sakho.
- i-daunorubicin
- i-doxorubicin
- i-epirubicin
- idarubicin
- mitoxantrone
- umabhebhana
- i-cyclophosphamide
- ifosphamide.
Ama-immune checkpoint inhibitors awuhlobo lwe-monoclonal antibody olusebenza ngokuvimbela amaprotheni kumaseli akho e-lymphoma. Lawa maprotheni enza i-lymphoma ibukeke ijwayelekile kumasosha omzimba wakho ukuze amasosha akho omzimba awavumele ukuthi aqhubeke nokukhula. Ngokuvimbela amaprotheni, amasosha akho omzimba angabona i-lymphoma njengomdlavuza futhi alwe futhi ayiqede.
Ngeshwa, la maprotheni afanayo atholakala kumaseli akho avamile - kuhlanganise namaseli enhliziyo yakho. Ngakho lapho la maprotheni evimbekile enhliziyweni yakho, amasosha akho omzimba angaqala ukuhlasela inhliziyo yakho okubangela ukuvuvukala kanye nezibazi.
Izindawo zokuhlola amasosha omzimba angabangela imiphumela emibi ethinta inhliziyo yakho ihlanganisa:
- nivolumab
- pembrolizumab
- i-durvalumab
- avelumab
- atezolizumab
- ipilimumab.
Ezinye izindlela zokwelapha ezihlosiwe zingabangela i-arrythmia. I-arrythmias izinguquko esigqini sokushaya kwenhliziyo yakho. Lokhu kungase kuhlanganise ukushaya kwenhliziyo okusheshayo noma okunensa kunokujwayelekile, futhi ngezinye izikhathi ukushaya kwenhliziyo okungajwayelekile.
Isikhathi esiningi lawa ma-arrythmia anganakwa futhi angabi nawo umphumela olimazayo. Nokho, ngezinye izikhathi zingase zibe yingozi kakhulu futhi kuyaqabukela zibeke ukuphila engozini. Izinkinga ezibucayi zivame kakhulu kubantu abanesifo senhliziyo esikhona (kuhlanganise nomfutho wegazi ophakeme, noma i-arrhythmias), noma izifo ezifana nesifo sikashukela.
Bika udokotela wakho zonke izinguquko ekushayeni kwenhliziyo yakho. Bangase badinge ukushintsha umthamo wakho womuthi, noma bakuqale ngomuthi ohlukile ukusiza inhliziyo yakho ishaye njalo.
Izimpawu zesifo senhliziyo
Ezigabeni zokuqala zesifo senhliziyo ungase ungabi nazo izimpawu. Nokho, izimpawu ezivamile zingabandakanya:
- ubunzima bokuphefumula noma ukuphelelwa umoya
- ubuhlungu besifuba
- izinguquko ekushayeni kwenhliziyo yakho noma ukuzwa ukushaya kwenhliziyo yakho ngaphezu kokujwayelekile (ukushaya kwenhliziyo)
- izinguquko kumfutho wegazi lakho
- isiyezi noma ukuzwa unekhanda elilula noma ukuquleka
- ukuvuvukala ezingalweni noma emilenzeni yakho
- ukukhathala okukhulu (ukukhathala).
Uzoxhumana nini nodokotela wakho
Qiniseka ukuthi ubika noma yiziphi izimpawu ezingenhla kudokotela wakho wegazi noma unesi ngokushesha ngangokunokwenzeka. Uma ungenayo i-aphoyintimenti nodokotela wakho wegazi noma i-oncologist ezinsukwini ezi-2 noma ezintathu ezizayo ngemva kokuqala kwalezi zimpawu, bonana nodokotela wendawo (GP) ngokushesha ngangokunokwenzeka.
Bika noma yiziphi izinguquko ezintsha kudokotela wakho, ngisho noma uqede izinyanga zokwelashwa, noma iminyaka edlule. Bazise ukuthi wawunokwelashwa kwe-lymphoma esikhathini esidlule, okungase kwandise ingozi yesifo senhliziyo.
* Ukuphefumula kanzima
* Ubuhlungu besifuba noma ingcindezi esifubeni sakho
Ukuphathwa
Ukuphathwa kwesifo senhliziyo kuzoncika ohlotsheni lokwelashwa oye waba nalo nge-lymphoma yakho, kanye nohlobo lwesifo senhliziyo onaso.
Kunezinhlobo eziningi ezahlukene zesifo senhliziyo. Kwezinye izimo ungase udinge umthamo omncane womuthi obangela izinkinga. Udokotela wakho angase futhi akhethe ukususa noma ukushintsha umuthi ngendlela engase idale umonakalo enhliziyweni yakho.
Ezimweni ezithile kungase kudingeke ukuthi udluliselwe ku-Cardiologist, udokotela onolwazi ngezimo zenhliziyo. Bazokwazi-ke ukuhlola nokuphatha isifo senhliziyo yakho.
Ezinye izindlela zokwelapha isifo senhliziyo zingabandakanya:
- imithi yenhliziyo yokuthuthukisa kanye nokuzinzisa umfutho wegazi lakho noma ukushaya kwenhliziyo.
- imikhawulo yoketshezi ukuze inhliziyo yakho ingadingi ukucubungula okuningi.
- ama-diuretics, okuyimithi ekusiza ukuthi uchame (uchame) kakhulu ukuze ukhiphe uketshezi oluthe xaxa.
Isifinyezo
- Isifo senhliziyo yigama elichaza iqembu lezimo ezahlukene ezingathinta inhliziyo yakho.
- Izinhlobo eziningi ezahlukene zokwelapha i-lymphoma zingabangela isifo senhliziyo, eziningi zingase zibe okwesikhashana, kodwa ezinye zingadinga ukwelashwa impilo yonke.
- Usengozini enkulu yokuthola isifo senhliziyo njengomphumela wokwelashwa uma usuvele unesifo senhliziyo noma ezinye izifo ezinjengomfutho wegazi ophakeme noma isifo sikashukela.
- Isifo senhliziyo singaqala ngokushesha ngemva kokwelashwa kwakho, noma eminyakeni ngemva kokuphela kokwelashwa.
- Ukwelashwa kwesifo senhliziyo kuzoncika ohlotsheni lwesifo senhliziyo onaso kanye nempilo yakho iyonke.
- Bika zonke izimpawu zesifo senhliziyo kudokotela wakho ngokushesha ngangokunokwenzeka, noma ngabe ukwelashwa kwakho sekuphelile eminyakeni edlule.
- Shayela i-ambulensi ku-000 (Australia) uma unobuhlungu besifuba noma ukuphefumula kanzima.
