Thaum tham txog kev kho mob qog noj ntshav, tej zaum koj yuav tau hnov cov lus zoo li 'Adjuvant Chemotherapy' thiab 'Neoadjuvant Chemotherapy'. Cov lus no yuav zoo li nyuaj me ntsis thiab tej zaum yuav ua rau koj ntshai. Tab sis lawv yeej tsis nyuaj heev. Hnub no, peb yuav tham txog ob txoj kev kho mob no hauv txoj kev yooj yim heev uas koj tuaj yeem nkag siab.
'Adjuvant Chemotherapy' yog dab tsi?
Hais yooj yim xwb, kev kho mob qog noj ntshav adjuvant yog kev kho mob qog noj ntshav uas muab tom qab koj txoj kev kho mob qog noj ntshav tseem ceeb (xws li kev phais). Qee zaum nws hu ua "kev kho mob qog noj ntshav tiv thaiv."
Xav txog nws li no. Koj siv rab hlau los txiav qee cov nroj tsuag loj hauv koj lub vaj. Tab sis tej zaum tseem muaj cov nroj tsuag me me thiab cov noob nroj tsuag uas lub qhov muag tsis pom hauv av, puas yog? Yog tias koj tso lawv tseg, cov nroj tsuag tuaj yeem rov qab loj hlob tom qab ib pliag.
Kev kho mob qog noj ntshav uas tsis tas siv tshuaj kho mob kuj zoo li ntawd. Cia peb hais tias koj tau tshem tawm cov qog noj ntshav tag nrho los ntawm koj lub cev los ntawm kev phais. Txawm li cas los xij, qee zaum yuav muaj ob peb lub qe me me uas tseem tshuav nyob hauv lub cev uas tsis pom los ntawm lub qhov muag liab qab lossis txawm tias pom los ntawm kev luam theej duab. Lub hom phiaj ntawm kev kho mob no yog nrhiav thiab rhuav tshem cov qe uas tseem tshuav, yog li ntawd txo qhov kev pheej hmoo ntawm kev rov qab los ntawm qog noj ntshav (rov tshwm sim) ntau li ntau tau.
Yog li 'Neoadjuvant Chemotherapy' yog dab tsi?
Qhov no yog qhov txawv ntawm qhov tau hais ua ntej. Neoadjuvant chemotherapy yog chemotherapy uas tau muab *ua ntej* kev kho mob tseem ceeb, uas yog, phais.
Qhov no muaj ntau lub hom phiaj tseem ceeb:
- Ua kom lub qog nqaij hlav me dua: Thaum muab tshuaj chemotherapy ua ntej phais kom lub qog nqaij hlav me dua, nws yuav yooj yim dua rau tus kws phais kom tshem nws tawm thaum phais.
- Kev phais kom txo qhov loj ntawm lub qog: Qee zaum, yuav tsum tau phais loj vim tias lub qog loj. Piv txwv li, thaum muaj mob qog noj ntshav hauv lub mis, yog tias tag nrho lub mis raug tshem tawm (mastectomy), thiab lub qog raug me dua los ntawm kev kho mob neoadjuvant, tej zaum yuav ua tau kom tiav cov txheej txheem nrog kev phais me dua uas tsuas yog tshem tawm lub qog (lumpectomy).
- Kev txhim kho cov txiaj ntsig kev kho mob: Kev phais tshem tawm cov qog nqaij hlav tuaj yeem ua rau kev kho mob vam meej ntxiv.
Saib daim ntawv teev lus no kom yooj yim siv.
| Feature | Kev Kho Mob Chemotherapy Adjuvant | Kev Kho Mob Chemotherapy Neoadjuvant |
|---|---|---|
| Lub sijhawm los muab | Tom qab kev kho mob tseem ceeb (phais mob) | Ua ntej kev kho mob tseem ceeb (phais mob) |
| Lub hom phiaj tseem ceeb | Tua cov hlwb qog nqaij hlav uas tseem tshuav thiab tiv thaiv kom tsis txhob rov qab los ntawm qog nqaij hlav | Ua kom lub qog me me kom yooj yim dua rau kev phais |
Cov kev mob tshwm sim feem ntau ntawm cov kev kho mob no yog dab tsi?
Ib qho uas ntau tus neeg ntshai thaum tham txog kev kho mob chemotherapy yog cov kev mob tshwm sim. Vim tias cov tshuaj siv rau hauv ob qho kev kho mob (piv txwv li 5-FU, Taxanes, Anthracyclines) feem ntau zoo ib yam, cov kev mob tshwm sim kuj zoo sib xws heev.
Vim li cas cov kev mob tshwm sim no thiaj tshwm sim? Hais yooj yim xwb, cov tshuaj chemotherapy tsom mus rau cov hlwb uas faib sai . Cov hlwb mob qog noj ntshav yog ib hom hlwb uas faib sai heev. Tab sis qee cov hlwb noj qab haus huv hauv peb lub cev, piv txwv li, cov hlwb plaub hau, cov hlwb uas kab sab hauv peb lub qhov ncauj, cov hlwb ntshav, thiab cov hlwb tiv thaiv kab mob, kuj faib sai. Yog li cov tshuaj chemotherapy kuj tseem tuaj yeem ua rau qee qhov kev puas tsuaj rau cov hlwb noj qab haus huv no. Yog vim li cas cov kev mob tshwm sim.
Nov yog qee cov kev mob tshwm sim feem ntau:
- Kev nkees nkees
- Kev poob plaub hau
- Mob qhov ncauj
- Xeev siab thiab ntuav
- Raws plab los yog cem quav
- Kev kis tau kab mob
- Teeb meem ntawm cov hlab ntsha, xws li loog ntawm ob txhais ceg
- Teeb meem kev tsom ntsoov
Qhov tseem ceeb tshaj plaws yog tsis txhob ntshai cov kev mob tshwm sim no. Koj pab neeg kho mob nyob ntawd los pab koj tswj hwm lawv thiab txo lawv cov kev cuam tshuam. Tsis tas li ntawd, tsis yog txhua tus neeg yuav ntsib txhua yam kev mob tshwm sim no. Tsuas yog vim qee tus neeg tsis muaj kev mob tshwm sim tsis tau txhais hais tias kev kho mob tsis ua haujlwm.
Cov lus nug uas koj yuav tsum nug koj tus kws kho mob
Yog koj tus kws kho mob pom zoo kom kho hom kev kho mob no, nws yog koj txoj cai kom meej meej txog nws. Tsis txhob zais dab tsi. Nov yog qee cov lus nug tseem ceeb uas koj tuaj yeem nug.
| Nug txog Adjuvant Chemotherapy (tom qab phais) | Nug txog Neoadjuvant Chemotherapy (ua ntej phais) |
|---|---|
| Kuv yuav tau txais kev kho mob no li cas? (Siv rau hauv cov hlab ntsha? Ua tshuaj?) | Kuv yuav muab tshuaj hom twg rau qhov kev kho mob no? |
| Kev kho mob no yuav siv sijhawm ntev npaum li cas? | Kev kho mob no yuav siv sijhawm ntev npaum li cas? |
| Yog tias tsis kho qhov kev kho mob no, qhov kev pheej hmoo ntawm tus mob qog noj ntshav rov qab los yog dab tsi? | Txoj kev kho mob no yuav cuam tshuam li cas rau kuv qhov kev phais? |
| Tej yam mob uas yuav tshwm sim yog dab tsi? Lawv yuav kav ntev npaum li cas? | Tej yam mob uas yuav tshwm sim yog dab tsi? Lawv yuav kav ntev npaum li cas? |
| Koj tswj cov kev mob tshwm sim li cas? | Koj ua li cas txog cov kev mob tshwm sim ntawd? |
| Puas muaj lwm txoj kev kho mob rau qhov kev kho mob no? | Puas muaj lwm yam uas ua tau hloov qhov kev kho mob no? |
Nco ntsoov, tham txog qhov no nrog koj tus kws kho mob. Nws yuav mloog koj txhua yam kev ntshai thiab kev ua xyem xyav. Nws yog koj txoj cai, thiab nws yuav muab lub zog rau koj kom daws tau koj txoj kev kho mob zoo.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev kho mob qog noj ntshav ntxiv yog kev kho mob qog noj ntshav uas muab tom qab kev kho mob loj, xws li kev phais. Lub hom phiaj tseem ceeb yog rhuav tshem cov hlwb qog noj ntshav uas tseem tshuav thiab tiv thaiv kom tsis txhob rov qab los.
- Kev siv tshuaj kho mob neoadjuvant yog kev siv tshuaj kho mob ua ntej kev kho mob loj, xws li kev phais. Lub hom phiaj tseem ceeb yog ua kom lub qog me dua, ua rau kev phais yooj yim dua thiab ua tiav zoo dua.
- Ob qho kev kho mob no tuaj yeem ua rau muaj kev phiv, tab sis muaj ntau txoj hauv kev thiab tshuaj los tswj lawv thiab txo lawv cov teebmeem.
- Tham nrog koj tus kws kho mob kom nkag siab meej txog kev kho mob twg zoo tshaj plaws rau koj, thiab nws cov txiaj ntsig thiab qhov tsis zoo yog dab tsi.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus