Aw ka kan ka min dɔn R-CHOP kan, o ye kansɛri furakɛli ye (R-CHOP) .

Ni kansɛri sɔrɔla aw walima aw ka mɔgɔ kanulen dɔ la, a ka ca a la aw bɛ siran dɔɔni ani ka siran ni aw ka dɔgɔtɔrɔ bɛ kuma furakɛli kan i n’a fɔ R-CHOP. Ɲininkali caman bɛ na an hakili la, i n’a fɔ nin kumasenw kɔrɔ ye min ye, furakɛli in bɛ cogo min na, ani min bɛna kɛ o nɔ na. O de kama, i n’a fɔ i terikɛ b’a fɔ i ye cogo nɔgɔman na, an bɛna kuma fɛn bɛɛ kan R-CHOP furakɛli kan bi.

N’an y’a fɔ cogo nɔgɔman na, R-CHOP ye mun ye?

R-CHOP ye kansɛri fura ye. Ni an b’a fɛ k’a fɔ tigitigi, fura duuru faralen ɲɔgɔn kan. A bɛ kɛ kɛrɛnkɛrɛnnenya la ka kansɛri suguya dɔ furakɛ min bɛ wele ko Non-Hodgkin Lymphoma . Nin fura ninnu faralen ɲɔgɔn kan, o ye chimiothérapie fura saba ye, furakɛli laɲinilen fura ani kɔritikositɛri.

Sɛbɛn kelen-kelen minnu bɛ o tɔgɔ in na, olu bɛ fura sugu dɔ jira. A ka nɔgɔn kosɛbɛ, a filɛ.

Ikomi nin fura ninnu fanba ye chimiothérapie furaw ye, mɔgɔ dɔw fana bɛ o furakɛli wele ko "R-CHOP chimio." Nka barisa fura Rituximab bɛ an ka farikolo tangacogo dɛmɛ, aw ka dɔgɔtɔrɔ bɛ se k’a wele fana ko “immuno-chimiothérapie”.

R-CHOP furakɛli bɛ kɛ bana suguya jumɛnw na?

Dɔgɔtɔrɔw bɛ R-CHOP kɛ kosɛbɛ walasa ka kansɛri suguya dɔ furakɛ min bɛ wele ko non-Hodgkin lymphoma . A fana ye fura ye min bɛ se ka kɛ kosɛbɛ ɲɛgɛnɛsira suguya dɔ la min ka teli ka kɛ, n’o ye banakisɛfagalan belebeleba ye min bɛ wele ko diffuse large B-cell lymphoma (DLBCL) .

Ka fara o kan, R-CHOP fana bɛ kɛ nin ko ninnu na:

• Follicules lymphome (banakisɛfagalan) min bɛ taa ɲɛ
• Manto selilɛriw ka lanpomisɛnni
• Waldenstrom makɔrɔglobulinemie (banakisɛfagalan) min bɛ wele ko macroglobulinemie

Furakɛli bɛ kɛ cogo di? (Furakɛcogo sɛgɛsɛgɛli) .

Aw bɛna R-CHOP furakɛli sɔrɔ siɲɛ kelen-kelen bɛɛ la. A ka ca a la, jiginni kelen kelen bɛɛ bɛ kɛ dɔgɔkun saba kɔnɔ (tile 21). O sɛrɛkili in tilalen don yɔrɔ fila ye:

1. Furakɛli donw : Fura bɛ di aw ma don minnu na.

2. Lafiɲɛ donw : Tile minnu b’a to i farikolo ka kɛnɛya, o kɔrɔ ye ko a ka kɛnɛya, sani a ka taa ɲɛ.

Furakɛli donw bɛ taa cogo di?

Aw bɛna a ɲini ka fura ta tile duuru kɔnɔ. Stɛroyi min bɛ wele ko Prednisone (P) o bɛ ta ka kɛ furakisɛ ye. Fura naani tɔw (R, C, H, O) bɛ di aw ma jolisira fɛ (IV). O kɔrɔ ye k’u bɛ di jolisira dɔ la i n’a fɔ saline. Aw bɛna a ɲini ka taa dɔgɔtɔrɔso la walima dɔgɔtɔrɔso la o kama.

Nin furakɛli in senfɛ, aw bɛna sigi sigilan kan. Masina dɔ bɛna fura di aw ma plastiki tubabufura dɔ fɛ ka don jolisira dɔ la aw bolo, aw bolo walima aw disi la. Tuma dɔw la, walasa furakɛli ka taa a fɛ ka nɔgɔya, minɛn fitinin dɔ bɛ don aw disi fari kɔrɔ min bɛ wele ko chimio port .A bɛ Weele fana ko kelen.

A ka ca a la furakɛli fɔlɔ bɛ kɛ nin cogo la:

• Sani furakɛli ka daminɛ, fura bɛna di aw ma walasa ka fɔɔnɔ ni kɔnɔboli dabila .
• Ani fana, furaw bɛ di walasa ka faritanabana bali . A ka ca a la, faritanabana fitini dɔ bɛ a la (misali la, farigan, ɲɛnamini) ni aw ye fura Rituximab (R) di aw ma. Nka, fura tɛmɛnenw bɛ faritanabana jugumanw bali kosɛbɛ.

Lafiɲɛ donw nafa

R-CHOP taamasiɲɛw la, aw bɛ lafiɲɛ tile 16 furakɛli kɔfɛ tile duuru. Nin waati in nafa ka bon kosɛbɛ. Sabula ni R-CHOP ye kansɛribanakisɛw tiɲɛ, o fana bɛ farikolo sɛgɛn kosɛbɛ. O la, a bɛnnen don ka sɛgɛn kosɛbɛ furakɛli kɔfɛ. O lafiɲɛ donw na, a ka ɲi aw ka a ɲini aw somɔgɔw walima aw terikɛ dɔ fɛ a ka aw dɛmɛ aw ka don o don baaraw la.

Aw ka kɛnɛya waati la, ni aw farikolo bɛ se, dɔgɔtɔrɔ bɛ se ka a fɔ aw ye ko aw ka baara misɛnniw kɛ, i n’a fɔ taama, ji caman min, ani dumuni nafama dunni.

Nin furakɛli in ka kan ka kɛ fo waati joli?

Mɔgɔ fanba bɛ R-CHOP cycle wɔɔrɔ sɔrɔ. Sɔgɔsɔgɔninjɛ kelen kelen bɛɛ bɛ kɛ dɔgɔkun saba kɔnɔ, o la furakɛli waati bɛɛ bɛ se dɔgɔkun 18 ɲɔgɔn ma. Nka, aw mago bɛ sɛgɛsɛgɛli hakɛ min na, o bɛ bɔ aw ka cogoya la. Mɔgɔ dɔw mago bɛ se ka kɛ siɲɛ 8 ye. Dɔgɔtɔrɔ dɔw bɛ se ka dɔgɔkun fila kɔnɔta fɔ dɔgɔkun saba kɔnɔ.

R-CHOP furakɛli nafa ye jumɛnw ye?

O nafa ka bon kosɛbɛ, o ye ko a tɛ fura kelen ye, nka fura duuru faralen don ɲɔgɔn kan. Nin fura ninnu kelen kelen bɛɛ bɛ kansɛribanakisɛw faga cogoya wɛrɛw la. O la, sanni sɔrɔdasi kelen ka kɛlɛ kɛ, a bɛ i n’a fɔ kɛlɛbolo bɛɛ bɛ na ɲɔgɔn fɛ ka kansɛri kɛlɛ.

R-CHOP furakɛli ɲɛtaa hakɛ ka ca kosɛbɛ . Misali la, kansɛri suguya dɔ bɛ mɔgɔ minnu na, n’o bɛ wele ko DLBCL, olu bɛ se ka yafa pewu, fo ka se 70% ma. O kɔrɔ ye ko bana taamasiɲɛw bɛɛ bɛ tunun. Ni bana ma kɔsegin san duuru kɔnɔ, a ka ca a la, a bɛ jate kansɛri in tɛ kɔsegin.

Tiɲɛ don, nin furakɛli in tɛ se ka kɛ sababu ye ka kansɛri ban pewu walima k’a bali ka segin ka na bɛɛ la. Nka, R-CHOP jatera furaw dɔ ye minnu farati ka bon ani minnu bɛ se ka kɛ furakɛli la min tɛ Hodgkin ye.

Kɔnɔnatumuw ni faratiw

I n’a fɔ furakɛli suguya bɛɛ, R-CHOP kɔlɔlɔ bɛ a la. Nka, i kana i hakili ɲagami. Aw ka dɔgɔtɔrɔ bɛna furaw di aw ma walasa ka nin kɔlɔlɔba ninnu bali (i n’a fɔ fɔɔnɔ) ani ka fɛnw kunbɛn i n’a fɔ joli kuru finmanw dɔgɔyali. A nafa ka bon ka kuma o faratiw kan kɛnɛ kan ni dɔgɔtɔrɔ ye sani aw ka furakɛli daminɛ.

Pikiri kɛcogo minnu bɛ kɛ

Mɔgɔ caman bɛ se ka faritanabana nɔgɔman sɔrɔ Rituximab tali la u ka furakɛli siɲɛ fɔlɔ la. O de kama dɔgɔtɔrɔw bɛ fura in di dɔɔni kosɛbɛ a daminɛ na. A ka ca a la, dimi walima funteni bɛ kɛ a la, wa a bɛ ban waati dɔ kɔfɛ. Nka ni faritanabana juguman taamasiɲɛw bɛ aw la, aw ka kan ka taa dɔgɔtɔrɔso la o yɔrɔnin bɛɛ . O taamasiɲɛw ye:

• Fari kurukuruniw
• Nɔgɔ bɔli
• Da walima dawolo fununi
• A bɛ kɛ i n’a fɔ i dawolo bɛ sɔgɔsɔgɔ

Dɔgɔtɔrɔso baarakɛlaw bɛna aw kɔlɔsi ka a sɔrɔ fura bɛ di aw ma. Nka, ni nin taamasiɲɛ ninnu dɔ ye aw ye aw taalen kɔ so, aw bɛ taa dɔgɔtɔrɔso la joona dɔgɔtɔrɔso la (ETU) .

Kɔnɔnatumuw kɔlɔlɔ minnu ka teli ka sɔrɔ

Fura minnu bɛ R-CHOP kɔnɔ, olu bɛɛ bɛ se ka kɔlɔlɔ lase mɔgɔ ma. Nka bɛɛ t’u sɔrɔ. A bɛ danfara don mɔgɔ ni mɔgɔ cɛ. An ka kɔlɔlɔ minnu ka teli ka sɔrɔ, an ka olu lajɛ ani u kunbɛncogo.

Ka fara o kan, kɔlɔlɔ wɛrɛw bɛ se ka sɔrɔ:

• Da kɔnɔ joginda
• Kunkolodimi
• Kɔnɔboli walima kɔnɔboli
• Dusukunnabana
• Farikolo fanga dɔgɔyali
• Sùnɔgɔbaliya
• Dusukunnataw bɛ Changé
• Dusukun tantanni

A bɛ se ka kɛ a nɔfɛkow kuntaalajan furakɛli kɔfɛ

Kɔnɔnatumu fanba bɛ ban waati tɛmɛnen kɔfɛ furakɛli bannen kɔfɛ.

Nka, ka kɛɲɛ ni fɛnw ye i n’a fɔ aw bɛ fura min ta, o fanga, R-CHOP furakɛli bɛ se ka dɔ fara aw ka dusukunnabana walima kansɛri suguya wɛrɛw sɔrɔli kan dɔɔni don nataw la. A bɛ se ka nɔ bila den sɔrɔli la fana . O kɔrɔ ye ko ni aw b’a fɛ ka den sɔrɔ don nataw la, aw ka kɔn ka kuma aw ka dɔgɔtɔrɔ fɛ o ko la. Aw bɛ se ka baro kɛ sugandiliw kan i n’a fɔ aw bɛ aw ka kɔnɔw walima aw ka cɛya bila nɛnɛ na.

Danfara jumɛn bɛ R-CHOP ni CHOP cɛ?

N’an y’a fɔ cogo nɔgɔman na, R-CHOP ye CHOP furakɛlicogo ɲɛnabɔlen ye . CHOP daminɛna san 1990 waatiw la, wa a tun ye farikolojidɛsɛ furakɛcogo ɲuman ye min tɛ Hodgkin ye o waati la.

Nka san 2000 daminɛ na, ɲininikɛlaw ye furakɛli fura laɲininen Rituximab (R) fara CHOP furakɛli kan. O farali in ye dɔ fara furakɛli hakɛ kan ka tɛmɛ fɔlɔ kan. Bi, R-CHOP ye furakɛli ye min bɛ se ka kɛ kosɛbɛ, a bɛ CHOP nɔ na.