Thaum tus kws kho mob qhia rau koj lossis ib tus neeg koj paub tias muaj mob qog nqaij hlav plab hnyuv, lo lus tom ntej uas koj hnov yog '
chemotherapy .' Muaj ntau tus neeg ntshai thiab xav tias lawv lub nra hnyav thaum lawv hnov lub npe no. Tab sis nws yog dab tsi tiag? Yuav muaj dab tsi tshwm sim rau nws? Puas yog nws yog ib yam dab tsi uas yuav tsum ntshai tiag? Cia peb tso tag nrho cov lus nug uas peb muaj txog qhov no tseg thiab tham txog nws yooj yim thiab ncaj ncees.
Kev kho mob chemotherapy yog dab tsi tiag?
Hais yooj yim xwb,
kev kho mob qog noj ntshav yog ib yam tshuaj muaj zog uas muab los tua cov hlwb qog noj ntshav . Zoo li tshaj tawm kev ua tsov rog rau tus yeeb ncuab hauv peb lub cev. Muaj ntau txoj hauv kev sib txawv los muab cov tshuaj no rau lub cev. Qee zaum nws muab rau hauv cov hlab ntsha ua cov kua ntsev, thiab lwm lub sijhawm nws muab ua cov tshuaj ntsiav. Koj tus kws kho mob yuav txiav txim siab seb cov tshuaj twg yog qhov zoo rau koj, qhov ntau npaum li cas, thiab lub sijhawm. Cov kws kho mob siv cov tshuaj kho mob qog noj ntshav no rau ntau lub hom phiaj sib txawv. Cia peb saib seb lawv yog dab tsi.
Neoadjuvant Chemotherapy (kev kho mob chemotherapy ua ntej phais)
Xav txog tias koj muaj ib lub qog nqaij hlav, thiab nws loj me ntsis. Ces nws yuav nyuaj me ntsis rau kev phais kom tshem nws tawm tag nrho. Hauv cov xwm txheej zoo li no, ua ntej phais, cov tshuaj
chemotherapy no raug muab
los ua kom lub qog me dua, uas yog, ua kom nws me dua . Thaum lub qog me dua, tus kws phais tuaj yeem tshem nws tawm tag nrho yooj yim thiab muaj teeb meem tsawg dua. Qee zaum cov tshuaj chemotherapy no raug muab nrog rau kev kho mob
hluav taws xob , vim tias kev kho mob hluav taws xob kuj ua tau zoo dua.
Kev kho mob chemotherapy adjuvant (kev kho mob chemotherapy tom qab phais)
Tom qab phais mob kom tshem tawm cov qog nqaij hlav, qee zaum yuav muaj ib lossis ob lub qe me me uas tseem tshuav nyob hauv lub cev uas peb lub qhov muag tsis pom. Kev kho mob chemotherapy yog muab tom qab phais mob
kom rhuav tshem cov qe uas tseem tshuav . Qhov no zoo li cheb tsev kom huv si thiab tom qab ntawd so nws kom tshem tawm cov hmoov av kawg. Qhov no pab tau ntau yam hauv kev tiv thaiv
kab mob qog nqaij hlav kom tsis txhob rov qab los.
Kev kho mob chemotherapy rau cov tsos mob (palliative chemotherapy)
Hauv qee kis mob hnyav heev, tus mob qog noj ntshav yuav kis mus rau lwm qhov ntawm lub cev (piv txwv li, lub siab). Hauv cov xwm txheej zoo li no, kev phais ib leeg xwb yuav tsis kho tau tus mob qog noj ntshav kom zoo. Hauv cov xwm txheej ntawd, kev siv tshuaj chemotherapy yuav
ua rau tus mob qog noj ntshav me dua, txo cov tsos mob (xws li mob), thiab ua kom tus neeg mob lub neej ntev dua thiab ua kom lub neej txhua hnub yooj yim dua .
Yuav kom paub tseeb tias txoj kev kho mob twg zoo tshaj plaws rau koj, nws yog qhov zoo tshaj plaws los tham nrog koj tus kws kho mob.
Cov tshuaj tseem ceeb siv rau mob qog nqaij hlav
Muaj ntau hom tshuaj siv los kho mob qog nqaij hlav plab hnyuv. Cia peb saib qee cov tshuaj thiab seb lawv muab li cas.
| Lub Npe Tshuaj | Yuav muab li cas thiab cov ntaub ntawv dav dav |
|---|
| 5-fluorouracil (5-FU) | Ib yam tshuaj tseem ceeb uas tau siv ntau xyoo. Nws yog muab rau hauv cov hlab ntsha thiab nws muaj txiaj ntsig zoo tshaj plaws thaum muab nrog cov vitamin hu ua leucovorin . |
| Capecitabine (Xeloda) | Noj ua ib lub tshuaj ntsiav. Cov tshuaj no hloov mus ua 5-FU hauv lub cev. Muab ua ntej lossis tom qab phais mob qog noj ntshav hauv qhov quav. |
| Irinotecan (Camptosar) thiab Oxaliplatin (Eloxatin) | Feem ntau cov no muab ua ke nrog 5-FU lossis Xeloda tom qab phais lossis thaum mob hnyav heev uas mob qog noj ntshav tau kis mus rau lwm qhov chaw. |
| Trifluridine thiab tipiracil (Lonsurf) | Kev sib xyaw ua ke ntawm ob hom tshuaj uas muaj nyob rau hauv daim ntawv tshuaj ntsiav. |
Kev kho mob no feem ntau yog muab
ua voj voog . Uas yog, cov tshuaj raug muab rau ob peb hnub lossis ib lossis ob lub lis piam, tom qab ntawd so ib lossis ob lub lis piam. Kev kho mob txuas ntxiv mus li no rau li 6 lub hlis.
Cov kev kho mob uas cuam tshuam rau lub cev thiab tsuas yog muab rau ib cheeb tsam tshwj xeeb xwb.
Thaum cov tshuaj chemo raug noj ua cov tshuaj lossis muab rau hauv cov leeg ntshav, lawv nkag mus rau hauv cov ntshav thiab mus thoob plaws lub cev kom tua cov hlwb qog noj ntshav. Qhov no hu ua
kev kho mob chemotherapy thoob plaws lub cev . Tab sis qee zaum, kev kho mob tuaj yeem tsom mus rau ib lub cev tshwj xeeb uas mob qog noj ntshav tau kis mus. Piv txwv li, yog tias mob qog noj ntshav tau kis mus rau lub siab,
chemoembolization ntawm cov hlab ntsha hepaticQhov no suav nrog kev thaiv ib ntus lossis mus tas li ntawm cov hlab ntsha tseem ceeb uas xa cov ntshav mus rau lub siab (hepatic artery), thiab txhaj tshuaj chemotherapy ntawm qhov txhaws thiab lub siab. Qhov no tso cai rau cov tshuaj mus ncaj qha rau lub siab, txo qhov kev pheej hmoo ntawm nws mus rau lwm qhov ntawm lub cev.
Kev kho mob tshwj xeeb hu ua Targeted Therapy
Cov no yog cov tshuaj tshiab uas txawv me ntsis ntawm cov tshuaj chemo ib txwm muaj. Cov tshuaj no
tsom mus rau cov noob caj noob ces lossis cov protein tshwj xeeb hauv cov hlwb qog noj ntshav thiab tawm tsam lawv . Hauv lwm lo lus, lawv zoo li nrhiav qhov chaw tsis muaj zog tshaj plaws ntawm tus yeeb ncuab thiab tawm tsam nws. Qhov no txhais tau tias cov hlwb noj qab haus huv tsis raug puas tsuaj ntau. Qee zaum lawv raug muab nrog rau kev kho mob chemo. Lwm lub sijhawm, lawv raug siv thaum kev kho mob chemo ib txwm tsis ua haujlwm lawm. Piv txwv li suav nrog Bevacizumab (Avastin), Cetuximab (Erbitux), thiab Panitumumab (Vectibix).
Cov kev phiv ntawm chemo yog dab tsi?
Kev kho mob chemotherapy tua cov hlwb qog nqaij hlav uas faib sai sai. Tab sis nws kuj tseem tuaj yeem cuam tshuam rau
kev faib cov hlwb noj qab haus huv hauv peb lub cev sai sai . Piv txwv li, cov hlwb hauv peb lub qhov ncauj, cov hlwb uas loj hlob cov plaub hau, thiab cov hlwb hauv peb cov pob txha pob txha. Cov kev mob tshwm sim tshwm sim vim tias cov hlwb noj qab haus huv ntawd raug puas tsuaj.
| Qhov chaw ntawm lub cev uas raug kev txom nyem | Tej zaum yuav muaj tej yam tshwm sim tsis zoo |
|---|
| Cov hlwb ntawm txoj hnyuv (qhov ncauj, txoj hnyuv) | Xeev siab thiab ntuav, tsis qab los noj mov, mob qhov ncauj (mucositis), raws plab |
| Cov plaub hau follicle | Kev poob plaub hau |
| Tawv nqaij | Mob pob khaus, liab, thiab mob rau ntawm tes thiab taw (Hand-foot syndrome) |
| Cov pob txha | |
Cov kev mob tshwm sim no tsis tshwm sim rau txhua tus tib yam. Lawv txawv ntawm ib hom tshuaj mus rau ib hom tshuaj thiab ntawm ib tus neeg mob mus rau ib tus neeg mob. Piv txwv li, cov tshuaj 'Oxaliplatin' tuaj yeem ua rau cov hlab ntsha puas tsuaj rau qee tus neeg.
Qhov tseem ceeb tshaj plaws yog qhia rau koj tus kws kho mob tam sim ntawd yog tias koj muaj cov kev mob tshwm sim no. Feem ntau, muaj cov tshuaj thiab lwm txoj hauv kev los tswj thiab txo cov no. Yog li ntawd, tsis txhob ntshai. Tham nrog koj tus kws kho mob txog txhua yam.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev kho mob qog noj ntshav yog ib txoj kev kho mob uas tua cov hlwb qog noj ntshav . Nws yog siv ua ntej, tom qab phais, lossis los tswj cov tsos mob, nyob ntawm koj tus mob.
- Koj tus kws kho mob yuav txiav txim siab seb yuav siv hom tshuaj twg, yuav muab li cas, thiab yuav siv ntev npaum li cas. Nws tsis zoo ib yam rau txhua tus.
- Tej zaum yuav muaj tej yam tshwm sim tsis zoo tshwm sim, tiam sis feem ntau yeej tswj tau. Tsis txhob ntshai qhia rau koj tus kws kho mob txog tej kev hloov uas koj pom.
- Thov tham txog tej lus nug lossis kev txhawj xeeb uas koj muaj txog txoj kev kho mob no nrog koj tus kws kho mob. Koj tsis yog nyob ntawm txoj kev no ib leeg xwb.
Mob qog noj ntshav hauv plab hnyuv, mob qog noj ntshav hauv plab hnyuv, tshuaj kho mob qog noj ntshav, kev kho mob qog noj ntshav, cov kev mob tshwm sim los ntawm kev siv tshuaj kho mob qog noj ntshav, 5-FU
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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