Peb txhua tus paub tias kev kho mob qog noj ntshav yog ib qho kev paub nyuaj heev thiab nyuaj heev. Qee cov tshuaj uas tau muab thaum lub sijhawm kho mob no (chemotherapy) rhuav tshem cov hlwb qog noj ntshav hauv peb lub cev, tab sis lawv kuj tuaj yeem muaj qee qhov cuam tshuam rau cov hlwb noj qab haus huv. Yog li, muaj cov tshuaj tshwj xeeb uas tau muab los txo cov teebmeem tsis zoo, lossis ua kom kev kho mob qog noj ntshav ua tiav zoo dua. Niaj hnub no peb tab tom tham txog ib qho tshuaj tiv thaiv tseem ceeb, uas yog Levoleucovorin.
Cov tshuaj no siv rau dab tsi?
Hais yooj yim xwb, cov tshuaj tiv thaiv kab mob Levoleucovorin no siv rau ob lub hom phiaj tseem ceeb.
1. Txo cov teebmeem tsis zoo ntawm cov tshuaj tiv thaiv kab mob qog noj ntshav:
Xav txog seb, thaum koj muab tshuaj tua kab mob qog noj ntshav zoo li methotrexate, nws tsis yog tsuas yog ua rau cov hlwb qog noj ntshav puas tsuaj xwb, tab sis kuj ua rau peb cov hlwb zoo puas tsuaj thiab. Yog li cov tshuaj no hu ua levoleucovorin yog tsim los tiv thaiv cov hlwb zoo ntawd. Nws zoo li "lub hom phiaj cawm" rau cov hlwb zoo uas yuav raug puas tsuaj. Qhov no tuaj yeem txo cov kev phiv los ntawm kev kho mob qog noj ntshav.
2. Ua kom kev kho mob qog noj ntshav zoo dua:
Lwm yam kev siv tseem ceeb yog kho mob qog noj ntshav hauv plab hnyuv nrog rau cov tshuaj hu ua 5- fluorouracil (5-FU). Hauv qhov no, cov tshuaj hu ua levoleucovorin ua rau 5-FU muaj peev xwm tua mob qog noj ntshav zoo dua. Hauv lwm lo lus, ob hom tshuaj no ua haujlwm ua ke los tawm tsam mob qog noj ntshav kom zoo dua.
Cov kws kho mob yuav sau ntawv kom noj cov tshuaj no rau lwm yam mob uas tsis yog cov uas tau hais los saum toj no. Yog tias koj muaj lus nug txog qhov no, nug koj tus kws kho mob.
Ua ntej kuv noj cov tshuaj no, kuv yuav tsum qhia rau tus kws kho mob li cas?
Ua ntej koj pib kho mob no, nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau pab pawg kho mob txog qee qhov tseeb txog koj tus mob.
- Kev Ua Xua: Nco ntsoov qhia rau koj tus kws kho mob yog tias koj muaj kev ua xua rau levoleucovorin, leucovorin, folic acid, lossis lwm yam tshuaj, khoom noj, lossis xim .
- Kab mob ntshav tsis txaus vim tsis muaj vitamin B-12 txaus: Yog tias koj muaj hom kab mob ntshav tsis txaus no, qhia rau koj tus kws kho mob, vim tias cov tshuaj no yuav ua rau nws nyuaj rau kuaj mob.
- Cev xeeb tub thiab pub niam mis: Qhia rau koj tus kws kho mob paub txog seb koj cev xeeb tub, tab tom sim xeeb tub, lossis pub niam mis . Kev txiav txim siab txog kev kho mob lub sijhawm no yog ua los ntawm kev xav txog koj thiab koj tus menyuam txoj kev nyab xeeb.
Koj siv cov tshuaj no li cas?
Cov tshuaj no tsis yog cov tshuaj uas koj coj mus tsev tau. Cov tshuaj no yog cov tshuaj txhaj rau hauv cov leeg ntshav . Cov kws kho mob uas tau kawm tiav hauv tsev kho mob lossis chaw kho mob muab rau nws. Yog li koj tsis tas txhawj txog dab tsi.
Koj puas muab cov tshuaj no rau menyuam yaus?
Yog, qee zaum, cov tshuaj no tuaj yeem muab rau cov menyuam yaus hnub nyoog tshaj 6 xyoo. Tab sis nws ua nrog kev saib xyuas tshwj xeeb. Yog li ntawd, yog tias koj muab cov tshuaj no rau koj tus menyuam, tham nrog koj tus kws kho mob menyuam yaus txog nws kom zoo thiab nrhiav cov ntsiab lus.
Yog tias cov tshuaj ntau dhau lawm ces yuav ua li cas?
Vim tias qhov no yog muab los ntawm kev saib xyuas ntawm kws kho mob hauv tsev kho mob, qhov kev pheej hmoo ntawm kev siv tshuaj ntau dhau yog tsawg heev. Txawm li cas los xij, yog tias koj xav tias muaj qee yam tshwm sim, hu rau Lub Chaw Qhia Txog Tshuaj Lom Hauv Tebchaws ntawm Tsev Kho Mob Colombo National , lossis mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ze tshaj plaws.
Yog tias kuv tsis nco qab noj tshuaj li cas?
Nws yog ib qho tseem ceeb heev uas yuav tsum noj koj cov tshuaj raws sijhawm thaum lub sijhawm kho mob no. Yog tias koj tuaj tsis tau rau koj qhov kev kho mob raws hnub teem tseg, nco ntsoov hu rau koj tus kws kho mob lossis chaw kho mob thiab qhia rau lawv paub.
Lwm yam uas yuav cuam tshuam nrog cov tshuaj no
Levoleucovorin tuaj yeem cuam tshuam nrog qee yam tshuaj uas koj noj, uas yuav hloov pauv cov txiaj ntsig ntawm koj txoj kev kho mob lossis ua rau muaj kev phiv ntau ntxiv.
| Pawg tshuaj | Piv txwv |
|---|---|
| Cov tshuaj fluoropyrimidines (tshuaj tiv thaiv kab mob qog noj ntshav) | 5-fluorouracil, capecitabine |
| Phenobarbital (rau kev qaug dab peg ) | Phenobarbital |
| Phenytoin (rau kev qaug dab peg ) | Phenytoin |
| Primidone ( mob qaug dab peg)rau cov kab mob) | Primidone |
| Trimethoprim-sulfamethoxazole (tshuaj tua kab mob) | Trimethoprim-sulfamethoxazole |
Daim ntawv teev npe no tsis tiav. Yog li ntawd, muab daim ntawv teev npe tag nrho ntawm txhua yam tshuaj uas koj siv (cov tshuaj uas tau sau ntawv kom noj thiab cov tshuaj uas yuav tsis tas yuav muaj ntawv yuav tshuaj), cov tshuaj ntsuab, thiab cov tshuaj noj uas koj noj . Tsis tas li ntawd, tsis txhob hnov qab qhia rau koj tus kws kho mob yog tias koj haus luam yeeb lossis haus cawv, vim tias cov no tuaj yeem cuam tshuam rau koj txoj kev kho mob.
Tej yam tshwm sim tsis zoo li cas?
Ib yam li lwm yam tshuaj, cov tshuaj no tuaj yeem ua rau muaj qee qhov kev mob tshwm sim, txawm hais tias tsis yog txhua tus neeg tau txais.
| Cov teebmeem sab | Kev piav qhia |
|---|---|
| Tej yam yuav tsum qhia rau koj tus kws kho mob tam sim ntawd | |
| Kev ua xua hnyav heev | Tej yam xws li ua pob khaus ntawm daim tawv nqaij, khaus, o ntawm lub ntsej muag, daim di ncauj, thiab tus nplaig. |
| Ua pa nyuaj | Zoo li ua pa nyuaj. |
| Mob raws plab | Raws plab hnyav lossis tsis tu ncua. |
| Mob qhov ncauj | Mob qhov ncauj sab hauv. |
| Qaug dab peg | Mob qaug dab peg tam sim ntawd. |
| Yog tias nws tseem mob lossis ua rau koj tsis xis nyob, qhia rau koj tus kws kho mob. | |
| Xeev siab thiab ntuav | Qhov no yog ib qho tshwm sim ntau zaus hauv ntau txoj kev kho mob qog noj ntshav. Tab sis yog tias koj tswj tsis tau nws, qhia rau koj tus kws kho mob . |
Daim ntawv teev npe no tsis suav nrog txhua yam kev mob tshwm sim uas yuav tshwm sim. Yog tias koj pom muaj dab tsi txawv txawv, thov hu rau koj tus kws kho mob kom tau txais kev qhia kho mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Levoleucovorin yog ib hom tshuaj tiv thaiv tseem ceeb uas tau muab los txo cov kev mob tshwm sim ntawm kev kho mob qog noj ntshav thiab ua kom muaj kev vam meej ntawm qee yam kev kho mob.
- Nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob txog koj cov kev ua xua, lwm yam mob, thiab txhua yam tshuaj uas koj noj ua ntej noj cov tshuaj no.
- Qhov no yog tshuaj tiv thaiv kab mob uas muab rau hauv tsev kho mob. Yog tias koj tsis tuaj yeem mus kho mob rau hnub teem tseg, nco ntsoov qhia rau tus kws kho mob paub.
- Nrhiav kev kho mob tam sim ntawd yog tias koj muaj tej yam kev mob tshwm sim loj xws li ua pa nyuaj, ua xua hnyav, mob qhov ncauj, lossis qaug dab peg.
- Tsis txhob ntshai tham nrog koj tus kws kho mob txog tej lus nug lossis kev txhawj xeeb uas koj muaj. Lawv yeej npaj txhij los pab koj.
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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