Koj txhais tes thiab koj txhais taw puas liab thiab o? Tej zaum yuav yog "Tes-Kab Mob"!

Yog tias koj tab tom kho mob qog noj ntshav, lossis paub ib tus neeg uas yog, tej zaum koj yuav muaj kev hloov me ntsis, liab, o, lossis mob hauv koj txhais tes thiab txhais taw. Rau qee tus, qhov no tuaj yeem yog qhov kev paub tsis zoo. Tsis txhob txhawj, qhov no yog qhov tshwm sim ntau zaus. Hnub no peb yuav tham txog qhov mob no hu ua "Tes-Foot Syndrome - HFS" , lossis raws li cov kws kho mob hu ua "Palmar-Plantar Erythrodysesthesia" .

"Tes-Kab Mob Tes-Kab Mob Taw" yog dab tsi? Cia peb nkag siab yooj yim!

Hais yooj yim xwb, "Tes-Kos Taw Syndrome" yog ib qho kev tsis haum tshuaj ntawm daim tawv nqaij uas tshwm sim los ntawm qee yam tshuaj "chemotherapy". Tshwj xeeb, koj txhais tes thiab txhais taw yuav liab, o, thiab qee zaum mob. Qhov no yog ib qho kev phiv tshwm sim ntawm kev kho mob qog noj ntshav. Yog li nws tseem ceeb heev uas yuav tsum paub txog qhov no.

Cov tshuaj chemotherapy hom twg ua rau muaj mob Hand-Foot Syndrome?

Tsis yog txhua yam tshuaj kho mob ua rau muaj tus mob no. Txawm li cas los xij, muaj qee cov tshuaj uas tau pom tias muaj feem ntau dua rau qhov mob no. Qhov "Tes-Taw Syndrome" no tau raug txheeb xyuas thawj zaug thaum cov neeg mob leukemia tau txais cov tshuaj "cytarabine" ntau heev.

Cov tshuaj chemotherapy feem ntau uas ua rau HFS yog:

• `(Capecitabine)`
• `(Docetaxel)`
• `(Pegylated liposomal doxorubicin - PLD)`
• `(5-fluorouracil)`

Muaj lwm hom kev kho mob chemotherapy uas tuaj yeem ua rau HFS, txawm tias tsawg dua:

• `(Bleomycin)`
• `(Cisplatin)`
• `(Cyclophosphamide)`
• `(Daunorubicin)`
• `(Doxifluridine)`
• `(Etoposide)`
• `(Fludarabine)`
• `(Gemcitabine)`
• `(Hydroxyurea)`
• `(Idarubicin)`
• `(Ixabepilone)`
• `(Methotrexate)`
• `(Mitotane)`
• `(Paclitaxel)`
• `(Tegafur)`
• `(Thiotepa)`
• `(Vinorelbine)`

Yog koj noj cov tshuaj no, nws yog ib lub tswv yim zoo kom ceev faj me ntsis txog "(HFS)". Tab sis nco ntsoov, tsis yog txhua tus neeg uas noj cov tshuaj no yuav mob.

Cov yam ua rau muaj tus kab mob "Tes-Khau Syndrome" yog dab tsi?

Qhov tseem ceeb tshaj plaws yog qhov ntau npaum li cas ntawm cov tshuaj '(chemotherapy)' uas koj tau txais thiab txoj kev siv . Xav txog nws, yog tias qhov ntau npaum li cas ntawm cov tshuaj '(chemotherapy)' uas koj tau txais yog siab, lossis yog tias koj noj cov tshuaj tas li, qhov muaj feem yuav mob no yog siab. Yog li ntawd, yog tias koj muaj ntau cov tshuaj '(chemotherapy)' hauv koj lub cev ntev, qhov muaj feem yuav mob '(HFS)' yog siab.

Cov tsos mob ntawm "Tes-Kos" yog dab tsi? Peb yuav paub nws li cas?

Cov tsos mob no feem ntau pib tshwm sim ob mus rau peb lub lis piam tom qab pib kho mob chemotherapy. Thaum xub thawj, koj yuav hnov ​​​​​​me ntsis loog hauv koj txhais tes thiab ko taw. Tom qab ntawd, koj yuav pom cov tsos mob zoo li:

• Tes thiab taw o thiab hloov xim: Cov neeg uas muaj daim tawv dawb, lossis cov neeg uas muaj melanin tsawg, yuav pom tias xib teg thiab taw liab (zoo ib yam li raug tshav kub). Cov neeg uas muaj daim tawv xim av lossis dub, lossis cov neeg uas muaj melanin ntau, yuav pom tias daim tawv ntawm xib teg thiab taw tsaus zuj zus.
• Kev o ntawm cov ntiv tes: Kev o tuaj yeem pom tseeb dua, tshwj xeeb tshaj yog nyob rau hauv cov cheeb tsam zoo li cov ntaub qhwv ntawm cov ntiv tes.
• Tawv nqaij nruj, mob, lossis mob thaum kov: Tawv nqaij yuav hnov ​​​​​​mob lossis nruj thaum kov.
• Tawv nqaij tawg ua pob los yog tev tawv: Qee zaum tawv nqaij yuav tawg ua pob thiab tev tawv.
• Mob thaum koj xib teg lossis koj txhais taw ntaus ib yam dab tsi: Piv txwv li, koj yuav hnov ​​​​​​mob thaum taug kev lossis kov ib yam dab tsi.

Cov tsos mob no tej zaum yuav tsis mob heev rau qee tus, thaum lwm tus yuav mob hnyav heev uas ua rau nws ua tsis tau tej yam txhua hnub.

Cov kws kho mob kuaj mob "Tes-Khau Syndrome" li cas?

Yog koj tus kws kho mob lossis tus nais maum pom cov tsos mob no thaum koj tab tom kho mob chemotherapy, lawv yuav xav tias nws yog Hand-Foot Syndrome.

Txawm li cas los xij, yog tias koj kuj noj ib hom tshuaj kho mob qog noj ntshav hu ua '(multikinase inhibitors)', koj tus kws kho mob yuav tsum xav txog lwm yam. Qhov ntawd yog ib qho mob hu ua '(Tes-Foot Skin Reaction - HFSR)'. Qhov no kuj yog ib qho kev phiv ntawm '(multikinase inhibitors)'. '(HFSR)' kuj ua rau muaj kev hloov pauv ntawm daim tawv nqaij. Piv txwv li, daim tawv nqaij mob, tuab, daj yuav tshwm sim hauv thaj chaw xws li cov pob qij txha, hauv qab taw, thiab xib teg.

Vim li no, qee zaum tus kws kho mob tuaj yeem coj cov hlwb tawv nqaij ntawm koj thiab saib lawv hauv qab lub tshuab microscope kom paub tseeb tias koj puas muaj HFS lossis HFSR.

Puas muaj ib txoj kev los ntsuas qhov hnyav ntawm "Tes-Kos Syndrome"?

Yog lawm, Lub Koom Haum Kab Mob Cancer Hauv Tebchaws tau tsim ib txoj kev los faib qhov hnyav ntawm tus mob no, hu ua qhov system grading . Koj tus kws kho mob yuav txiav txim siab yuav kho koj li cas raws li koj qib HFS.

• `(Qib 1) Kab Mob Tes-Khau`: Tej zaum yuav muaj o thiab hloov xim (liab lossis dub) ntawm xib teg thiab taw, tab sis tsis mob .
• `(Qib 2) Kab Mob Tes-Khau`: Ntxiv rau cov tsos mob ntawm `(Qib 1)`, tej zaum yuav muaj cov pob khaus, los ntshav, thiab tawv nqaij tawv. Tej zaum yuav muaj mob uas ua rau nws nyuaj rau ua tej yam txhua hnub .
• `(Qib 3) Mob Tes-Kos Taw`: Cov tsos mob hnyav dua li cov ntawm `(Qib 2)`. Qhov mob tuaj yeem hnyav heev uas txawm tias cov haujlwm ib txwm ua tsis tau . Nws tuaj yeem nyuaj rau hnav khaub ncaws, da dej, lossis mus rau chav dej.

Cov kev kho mob rau '(Tes-Foot Syndrome)' yog dab tsi?

Tam sim no cia peb saib seb qhov no ua tau dab tsi. Yog tias koj cov tsos mob hnyav heev, txhais tau tias lawv cuam tshuam rau koj lub neej ntau heev uas koj tsis tuaj yeem nyob li qub, koj cov kws kho mob yuav txiav txim siab tso tseg kev kho mob chemotherapy ib ntus, txo qhov koob tshuaj, lossis hloov koj mus rau lwm yam tshuaj.

Txawm li cas los xij, qee zaum kev hloov pauv no tuaj yeem muaj feem cuam tshuam me ntsis rau kev kho mob qog noj ntshav kom zoo. Yog tias koj cov tsos mob tsis hnyav dhau, koj tus kws kho mob yuav pom zoo cov hau kev los tswj cov kev mob tshwm sim.

Peb ua tau dab tsi los tswj cov tsos mob?

Muaj ntau tus neeg uas muaj mob Hand-Foot Syndrome no lawv tuaj yeem tswj tau cov tsos mob los ntawm kev hloov pauv lawv txoj kev ua neej yooj yim. Tej zaum koj yuav pom kev pab los ntawm kev ua cov hauv qab no:

• Siv cov tshuaj pleev corticosteroid: Tus kws kho mob yuav sau ntawv kom siv hom tshuaj pleev no kom txo qhov o thiab o.
• Siv cov tshuaj pleev kom noo noo - cov tshuaj ua kom noo noo: Yuav kom tiv thaiv koj daim tawv nqaij kom tsis txhob qhuav thiab ua kom nws noo noo zoo, nws yog ib qho tseem ceeb uas yuav tsum siv cov tshuaj pleev kom noo noo. Cov no kuj hu ua cov tshuaj ua kom noo noo. Siv lawv ntau zaus hauv ib hnub.
• Siv cov tshuaj tua kab mob: Koj tuaj yeem noj cov tshuaj noj lossis cov tshuaj pleev rau qhov mob, raws li koj tus kws kho mob tau hais.
• Tiv thaiv koj daim tawv nqaij ntawm cua sov: Piv txwv li, txo qhov kev raug tshav ntuj, da dej kub, thiab muab koj txhais taw tso rau hauv cov pas dej kub.
• Siv cov pob dej khov los yog daim ntaub txias: Yuav kom txo cov ntshav ntws mus rau koj txhais tes thiab taw, muab cov pob dej khov los yog daim ntaub huv uas ntub dej txias rau ntawm koj lub dab teg thiab pob luj taws li 15-20 feeb. Tab sis tsis txhob muab cov dej khov rau ntawm koj daim tawv nqaij ncaj qha, qhwv nws nrog daim ntaub.
• Khaws koj ob txhais caj npab thiab ob txhais ceg kom siab: Thaum zaum hauv lub rooj zaum, khaws koj ob txhais ceg kom siab, thiab thaum pw tsaug zog, khaws ib lub hauv ncoo hauv qab koj ob txhais ceg. Tib yam li ntawd rau koj ob txhais caj npab.
• Maj mam zaws koj daim tawv nqaij: Txawm koj siv tshuaj pleev lossis so koj daim tawv nqaij nrog phuam, tsis txhob txhuam koj daim tawv nqaij hnyav dhau, maj mam kov nws.
• Hnav cov thom khwm thiab khau uas tsis nruj thiab xoob: Hnav cov thom khwm uas tsis nruj, ua los ntawm cov ntaub zoo li paj rwb. Ib yam li ntawd rau cov khau, thiab feem ntau, ib yam khoom uas tsis nruj xws li khau khiab yog qhov zoo tshaj plaws.

Qhov tseem ceeb tshaj plaws yog kom txo qhov kev sib txhuam ntawm koj txhais tes thiab koj txhais taw.

Tsis txhob ua tej yam no, tsawg kawg yog ib ntus:

• Khiav: Vim tias koj txhais taw yeej ib txwm ntaus hauv av.
• Ua haujlwm thaum tuav cov khoom siv kom nruj:
• Tuav riam kom ruaj thaum txiav zaub.
• Siv cov cuab yeej xws li rab hoe thiab rab spade thaum ua haujlwm hauv lub vaj.
• Siv riam phom thaum kho vaj kho tsev (piv txwv li tuav rauj thaum tsav ntsia hlau).
• Nqa cov hnyav.

Cov tshuaj pleev zoo tshaj plaws rau '(Tes-Foot Syndrome)' yog dab tsi?

Ib qho tshuaj pleev uas tsis muaj ntxhiab tsw qab thiab tsis muaj cawvXaiv. Cawv tuaj yeem ua rau daim tawv nqaij qhuav ntxiv, uas tuaj yeem ua rau cov tsos mob hnyav dua. Qee qhov kev tshawb fawb qhia tias kev siv tshuaj pleev uas muaj 10% urea peb zaug hauv ib hnub tuaj yeem pab txo qhov mob thiab ua kom nws noo. Txawm li cas los xij, nws yog qhov zoo tshaj plaws los sab laj nrog kws kho mob ua ntej siv cov tshuaj pleev.

Kuv yuav zoo sai npaum li cas tom qab kuv tsum tsis kho mob lawm?

Qhov no yuav txawv ntawm ib tus neeg mus rau ib tus neeg. Txawm li cas los xij, cov tsos mob no feem ntau maj mam ploj mus li ntawm ob mus rau tsib lub lis piam tom qab tso tseg kev kho mob chemotherapy. Nws yuav siv sijhawm ob peb hnub ntxiv kom rov zoo tag nrho.

Puas muaj txoj hauv kev los tiv thaiv tus kab mob Hand-Foot Syndrome?

Txawm hais tias nws tsis tuaj yeem tiv thaiv tau tag nrho los xij, muaj tej yam koj tuaj yeem ua tau los txo qhov kev pheej hmoo thiab tiv thaiv kom tus mob tsis txhob hnyav zuj zus yog tias nws tshwm sim.

• Yog tias koj muaj teeb meem ntawm daim tawv nqaij (piv txwv li daim tawv nqaij qhuav, daim tawv nqaij tawg), nws yog ib qho zoo kom kho ua ntej pib kho mob chemotherapy.
• Ntau txoj hauv kev los tswj cov tsos mob uas peb tau tham ua ntej kuj pab tiv thaiv qhov pib ntawm '(HFS)'.
• Piv txwv li, tus kws kho mob yuav qhia koj kom siv cov tshuaj pleev kom noo noo txij hnub koj pib kho mob chemotherapy.
• Tej yam koj ua tau ua ntej suav nrog kev tiv thaiv koj daim tawv nqaij ntawm qhov kub thiab zam kev ua ub no uas ua rau muaj kev nyuaj siab thiab kev sib txhuam tsis tsim nyog rau koj txhais tes thiab ko taw.

Ib tug neeg uas muaj tus kab mob "Tes-Khau Syndrome" muaj teeb meem dab tsi?

Qhov tseeb, tsis yog txhua tus neeg raug kev txom nyem los ntawm tus kab mob "Tes-Kos Taw" no tib yam. Txawm tias lawv noj tib yam tshuaj "(chemotherapy)" los xij, txoj kev uas ib tus neeg xav txawv ntawm txoj kev uas lwm tus neeg xav. Rau qee tus, nws tsuas yog qhov tsis yooj yim me ntsis xwb, thaum rau lwm tus, nws yuav hnyav heev uas lawv yuav tsum hloov lawv txoj kev kho mob qog noj ntshav.

Qhov zoo tshaj plaws yog, feem ntau cov tsos mob no yuav ploj mus thaum kev kho mob chemotherapy tiav lawm . Yog tias koj saib xyuas koj daim tawv nqaij zoo, koj tuaj yeem tiv thaiv cov teeb meem mus sij hawm ntev xws li qhov caws pliav.

Kab mob Hand-Foot Syndrome puas ua rau muaj lwm yam teeb meem?

Muaj ib qho yog tias qee tus neeg poob lawv cov ntiv tes ib ntus. Qhov no tuaj yeem ua rau muaj teeb meem me ntsis. Piv txwv li, thaum koj xav tau cov ntiv tes thaum koj mus txawv teb chaws, zoo li thaum thov daim visa. Tab sis tsis txhob txhawj, koj cov ntiv tes yuav loj hlob rov qab los hauv ob peb lub hlis tom qab kev kho mob tiav lawm.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob txog tej tsos mob uas koj muaj thaum koj siv tshuaj chemotherapy, txawm tias me me los xij. Tshwj xeeb, nco ntsoov qhia rau koj tus kws kho mob yog tias:

• Yog tias cov tsos mob maj mam nce ntxiv.
• Yog daim tawv nqaij tawg, daim tawv nqaij yuav tev tawm thiab los ntshav.
• Yog tias koj cov tsos mob ua rau nws nyuaj rau ua koj cov dej num txhua hnub.

Thaum lub sijhawm zoo li no, thaum koj qhia tus kws kho mob , nws tuaj yeem muab kev kho mob uas koj xav tau, lossis hloov koj txoj kev kho mob chemotherapy.

Kuv yuav tsum nug tus kws kho mob li cas?

Nws yuav pab tau heev rau koj nug koj tus kws kho mob lossis tus kws saib mob cov lus nug zoo li no:

• Kuv yuav xav tau cov kev mob tshwm sim dab tsi thaum noj tshuaj chemotherapy?
• Kuv yuav tsum qhia rau koj paub txog tej yam tshwm sim tsis zoo li cas?
• Kuv yuav tsum mus ntsib kws kho mob lossis mus rau tsev kho mob kom paub txog tej yam tshwm sim dab tsi?
• Puas muaj tej yam uas kuv ua tau los tiv thaiv qee yam kev mob tshwm sim?
• Puas muaj cov khoom tshwj xeeb (xws li tshuaj pleev, tshuaj pleev) uas koj pom zoo kom tiv thaiv lossis tswj tus kab mob "Tes-Khau Syndrome" no?

Thaum kawg, yuav tsum nco ntsoov li cas (Cov Lus Coj Mus Tsev)

Yog li ntawd, '(kev kho mob qog noj ntshav)' yog ib qho kev kho mob tseem ceeb heev, uas cawm tau txoj sia rau mob qog noj ntshav. Txawm li cas los xij, peb kuj yuav tsum nkag siab tias cov kev mob tshwm sim no tuaj yeem tshwm sim. '(Tes-Foot Syndrome)' kuj yog ib qho mob uas tshwm sim ntau, tab sis feem ntau tuaj yeem tswj tau.

Yog tias koj muaj cov tsos mob no , tsis txhob ntshai lossis ntshai heev . Qhov tseem ceeb tshaj plaws yog tham txog qhov no nrog koj pab neeg saib xyuas kev noj qab haus huv. Lawv yuav pab koj tswj koj tus mob thiab hloov pauv koj txoj kev npaj kho mob yog tias tsim nyog. Koj tsis nyob ib leeg, thiab koj muaj pab neeg saib xyuas kev noj qab haus huv ntawm cov kws kho mob, cov kws tu mob, thiab lwm tus kws tshaj lij los pab koj ntawm txoj kev no. Yog li, nrhiav lawv txoj kev txhawb nqa yog tias koj muaj kev txhawj xeeb.

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