Ukufakelwa komnkantsha wethambo ezinganeni - ukukhipha

Ingane yakho yafakelwa umnkantsha wethambo. Kuzothatha izinyanga eziyisithupha kuye kweziyishumi nambili noma ngaphezulu ukubalwa kwegazi lengane yakho namasosha omzimba ukuthi alulame ngokuphelele. Ngalesi sikhathi, ubungozi bokutheleleka, ukopha, nezinkinga zesikhumba kuphakeme kunangaphambi kokufakelwa. Landela imiyalelo evela kumhlinzeki wezokunakekelwa kwempilo yengane yakho ngokuthi uyinakekela kanjani ingane yakho ekhaya.

Umzimba wengane yakho usabuthakathaka. Kungathatha unyaka ukuthi ingane yakho izizwe sengathi yenze ngaphambi kokufakwa kwayo. Ingane yakho cishe izokhathala kalula futhi ingahle ibe nesifiso esibi.

Uma ingane yakho ithole umnkantsha komunye umuntu, bheka izimpawu zesifo se-graft-versus-host (GVHD). Cela umhlinzeki akutshele ukuthi yiziphi izimpawu ze-GVHD okufanele uzibuke.

Qaphela ukunciphisa ingozi yokuthi ingane yakho ithole izifo njengoba kuphakanyiswe iqembu lakho lokunakekelwa kwezempilo.

• Ukugcina indlu yakho ihlanzekile kubalulekile ukusiza ukuvikela ukutheleleka. Kodwa musa ukugeza noma ukuhlanza lapho ingane yakho isekamelweni.
• Gcina ingane yakho kude nezixuku.
• Cela izivakashi ezinomkhuhlane ukuthi zigqoke imaski, noma zingavakasheli.
• Ungavumeli ingane yakho idlale egcekeni noma iphathe inhlabathi kuze kube umhlinzeki wakho uthi amasosha omzimba wengane yakho alungile.

Qinisekisa ukuthi ingane yakho ilandela imihlahlandlela yokudla nokuphuza okuphephile ngesikhathi sokwelashwa.

• Ungavumeli ingane yakho idle noma iphuze noma yini engaphuzwa noma ekonakele ekhaya noma lapho idla ngaphandle. Funda ukupheka nokugcina ukudla ngokuphephile.
• Qiniseka ukuthi amanzi aphephile ukuwaphuza.

Qiniseka ukuthi ingane yakho igeza izandla zayo ngensipho namanzi kaningi, kufaka phakathi:

• Ngemuva kokuthinta uketshezi lomzimba, njengamafinyila noma igazi
• Ngaphambi kokuphatha ukudla
• Ngemuva kokuyogeza
• Ngemuva kokusebenzisa ucingo
• Ngemuva kokuba ngaphandle

Buza udokotela ukuthi imiphi imigomo ingane yakho engayidinga nokuthi uyithole nini. Imithi yokugoma ethile (imigomo ebukhoma) kufanele igwenywe kuze kube yilapho amasosha omzimba wengane yakho ekulungele ukuphendula ngokufanele.

Amasosha omzimba wengane yakho abuthakathaka. Ngakho-ke kubalulekile ukuyinakekela kahle impilo yomlomo yengane yakho. Lokhu kuzosiza ekuvikeleni ukutheleleka okungaba kubi futhi kusabalale. Tshela udokotela wamazinyo wengane yakho ukuthi ingane yakho ifakelwe umnkantsha wethambo. Ngaleyo ndlela ningasebenzisana ukuqinisekisa ukunakekelwa okungcono ngomlomo kwengane yakho.

• Cela ingane yakho ukuthi ibhulashe amazinyo nezinsini izikhathi ezimbili kuya kwezintathu ngosuku imizuzu emi-2 kuya kwemi-3 isikhathi ngasinye. Sebenzisa isixubho ngamabhulashi athambile. Floss ngobumnene kanye ngosuku.
• Umoya oma ibhulashi lamazinyo phakathi kokuxubha.
• Sebenzisa umuthi wokuxubha nge-fluoride.
• Udokotela wengane yakho angakuyala ukuthi ugeze umlomo. Qiniseka ukuthi ayinabo utshwala.
• Nakekela izindebe zengane yakho ngemikhiqizo eyenziwe nge-lanolin. Tshela udokotela uma ingane yakho iba nezilonda ezintsha zomlomo noma ubuhlungu.
• Ungavumeli ingane yakho idle ukudla neziphuzo ezinoshukela omningi kuzo. Banikeze izinsini ezingenashukela noma ama-popsicles angenashukela noma amaswidi aqinile angenashukela.

Nakekela izinsimbi zokubopha ingane yakho, izinto ezigcina, noma eminye imikhiqizo yamazinyo:

• Izingane zingaqhubeka nokugqoka izinto zomlomo ezinjengezigcina inqobo nje uma zilingana kahle.
• Ama-retainers ahlanzekile namacala wokugcina nsuku zonke ngesisombululo se-antibacterial. Buza udokotela wakho noma udokotela wamazinyo ukuthi akuncome.
• Uma izingxenye zezinsimbi zicasula izinsini zengane yakho, sebenzisa onogada bomlomo noma i-wax yamazinyo ukuvikela izicubu zomlomo ezibucayi.

Uma ingane yakho inomugqa we-venous ophakathi nendawo noma ulayini we-PICC, qiniseka ukuthi ufunde ukuthi ungayinakekela kanjani.

• Uma umhlinzeki wengane yakho ekutshela ukuthi inani leplatelet yengane yakho liphansi, funda ukuthi ungakuvimbela kanjani ukopha ngesikhathi sokwelashwa.
• Nikeza ingane yakho amaprotheni namakhalori anele ukugcina isisindo saso sikhuphukile.
• Buza umhlinzeki wengane yakho ngezithako zokudla eziwuketshezi ezingabasiza bathole ama-calories nezakhi ezanele.
• Vikela ingane yakho elangeni. Qinisekisa ukuthi bagqoka isigqoko esinomphetho obanzi nelanga eline-SPF engama-30 noma ngaphezulu kunoma yisiphi isikhumba esidaluliwe.

Qaphela lapho ingane yakho idlala ngamathoyizi:

• Qiniseka ukuthi ingane yakho idlala kuphela ngamathoyizi angahlanzwa kalula. Gwema amathoyizi angagezwa.
• Geza amathoyizi aphephile wokuwasha izitsha ku-washwashi. Hlanza amanye amathoyizi emanzini ashisayo anensipho.
• Ungavumeli ingane yakho ukuthi idlale ngamathoyizi ezinye izingane eziwafake emlonyeni wazo.
• Gwema ukusebenzisa amathoyizi okugeza agcina amanzi, njengezibhamu zesikwele noma amathoyizi afinywayo angadonsa amanzi ngaphakathi.

Qaphela izilwane ezifuywayo nezilwane:

• Uma unekati, ligcine ngaphakathi. Musa ukuletha izilwane ezifuywayo ezintsha.
• Ungavumeli ingane yakho idlale nezilwane ezingaziwa. Ukuklwebheka nokulunywa kungatheleleka kalula.
• Ungavumeli ingane yakho isondele eduze kwebhokisi lokungcola lekati lakho.
• Khuluma nomhlinzeki wakho uma unesilwane futhi ufunde ukuthi umhlinzeki wakho ucabanga ukuthi kuphephile enganeni yakho.

Ukuqala kabusha umsebenzi wesikole nokubuyela esikoleni:

• Iningi lezingane lizodinga ukwenza umsebenzi wesikole ekhaya ngesikhathi sokululama. Khuluma nothisha wabo ngokuthi ingane yakho ingaqhubeka kanjani nomsebenzi wesikole futhi ihlale ixhumana nabantu ofunda nabo.
• Ingane yakho ingakwazi ukuthola usizo olukhethekile nge-Individual with Disability Education Act (IDEA). Khuluma nosonhlalakahle wasesibhedlela ukuze uthole okwengeziwe.
• Uma ingane yakho isikulungele ukubuyela esikoleni, hlangana nothisha, abahlengikazi nabanye abasebenzi besikole ukuze bayisize iqonde isimo sezempilo sengane yakho. Hlela noma yiluphi usizo olukhethekile noma ukunakekelwa njengoba kudingeka.

Ingane yakho izodinga ukunakekelwa okulandelayo okulandelayo kusuka kudokotela wokufakelwa kanye nomhlengikazi okungenani izinyanga ezintathu. Ekuqaleni, ingane yakho ingadinga ukubonwa masonto onke. Qiniseka ukuthi ugcina wonke ama-aphoyintimenti.

Uma ingane yakho ikutshela nganoma imiphi imizwa emibi noma izimpawu, shayela iqembu lezokunakekelwa kwempilo yengane yakho. Uphawu kungaba yisixwayiso sesifo. Bheka lezi zimpawu:

• Imfiva
• Uhudo olungapheli noma olunegazi
• Ukucanuzela kwenhliziyo, ukuhlanza, noma ukulahlekelwa isifiso sokudla
• Ukungakwazi ukudla noma ukuphuza
• Ubuthakathaka
• Ububomvu, ukuvuvukala, noma ukukhipha kunoma iyiphi indawo lapho kufakwe khona umugqa we-IV
• Ubuhlungu esiswini
• Imfiva, ukubanda, noma ukujuluka, okungaba yizimpawu zokutheleleka
• Ukuqhuma okusha kwesikhumba noma amabhamuza
• I-jaundice (isikhumba noma ingxenye emhlophe yamehlo ibukeka iphuzi)
• Ikhanda elibuhlungu kakhulu noma ikhanda elingapheli
• Ukukhwehlela
• Inkinga yokuphefumula lapho uphumule noma wenza imisebenzi elula
• Ukushisa lapho uchama

Ukufakelwa kabusha - umnkantsha - izingane - ukukhipha; Ukufakelwa kwe-stem cell - izingane - ukukhishwa; Ukufakelwa kwe-stem cell ye-hematopoietic - izingane - ukukhishwa; Ukwehla kwamandla, ukufakelwa okungeyona i-myeloablative - izingane - ukukhishwa; Ukufakelwa okuncane - izingane - ukukhishwa; Ukufakelwa komnkantsha we-Allogenic - izingane - ukukhishwa; Ukufakelwa komnkantsha we-Autologous - izingane - ukukhishwa; Ukufakelwa kwegazi kwe-umbilical cord - izingane - ukukhipha

I-Huppler AR. Izinkinga ezithathelwanayo ze-hematopoietic stem cell transplantation. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 164.

Ngingu-A A, Pavletic SZ. Ukufakelwa kabusha kwe-stem cell ye-hematopoietic. Ku: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, abahleli. I-Abeloff’s Clinical Oncology. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2020: isahluko 28.

Iwebhusayithi yeNational Cancer Institute. Ukufakelwa Kwezingqamuzana Zobuntwana Hematopoietic (PDQ®) - Health Professional Version. www.cancer.gov/types/childhood-cancers/child-hct-hp-pdq. Kubuyekezwe uJuni 8, 2020. Kufinyelelwe ngo-Okthoba 8, 2020.

• Ukufakelwa Kwamathambo Emathanjeni