Koj tus kws kho mob puas tau qhia koj lossis ib tus neeg koj paub tias yuav tsum tau phais mob qog noj ntshav? Thaum lawv hais li ntawd, tej zaum lawv kuj qhia koj txog 'kev kho mob ua ntej phais'. Qhov no hu ua Neoadjuvant Therapy . Thaum lawv hnov lub npe no, ntau tus neeg yuav ntxhov siab me ntsis, xav tias, "Kuv yuav phais, yog li kuv puas yuav tsum tau kho mob ua ntej ntawd?" Tab sis qhov no yog ib yam dab tsi uas tuaj yeem pab koj ntau thiab coj kev cia siab rau koj. Cia peb tham txog qhov no yooj yim, tshem tawm tag nrho cov kev ntshai thiab kev tsis ntseeg uas koj muaj txog nws.
Kev kho mob neoadjuvant yog dab tsi?
Hais yooj yim xwb, Neoadjuvant Therapy yog ib txoj kev kho mob uas cia lub qog me dua, uas yog, me dua, ua ntej phais kom tshem nws tawm. Xav txog nws, muaj ib yam dab tsi uas nyuaj rau tshem tawm, zoo li lub pob zeb loj. Nws yooj yim rau kev tsoo nws, tsoo nws, thiab tshem nws tawm, puas yog? Qhov no yog tib yam. Yog tias lub qog loj, nws yuav nyuaj rau tus kws phais kom tshem nws tawm tag nrho. Tab sis thaum lub qog me dua nrog cov kev kho mob no, kev phais yuav yooj yim dua thiab ua tiav ntau dua.
Qee zaum cov kev kho mob no ua tau zoo heev ua rau lub qog ploj mus tag thiab tsis tas yuav phais. Koj tus kws kho mob kuj tseem yuav hu qhov no ua "perioperative therapy" lossis "induction therapy." Cov no yog tib yam nkaus.
Cov kev kho mob no yog dab tsi?
Txoj kev kho mob 'neoadjuvant' no siv ntau yam sib txawv. Koj tus kws kho mob yuav txiav txim siab seb yam twg zoo tshaj plaws rau koj raws li hom thiab qhov xwm txheej ntawm koj tus mob qog noj ntshav. Cia peb saib cov txheej txheem tseem ceeb.
| Hom Kev Kho Mob | Nws ua dab tsi? |
|---|---|
| Kev kho mob qog noj ntshav | Qhov no ua haujlwm los ntawm kev rhuav tshem cov hlwb qog noj ntshav los ntawm kev tiv thaiv lawv kom tsis txhob faib, loj hlob, thiab ua rau cov qog loj hlob. |
| Kev Kho Mob Hormone | Qee hom mob qog noj ntshav (piv txwv li lub mis, prostate) raug cov tshuaj hormones ua kom lub cev ua haujlwm. Kev kho mob no thaiv cov tshuaj hormones no. Qhov no tiv thaiv qhov mob qog noj ntshav kom tsis txhob loj hlob. |
| Kev kho mob tiv thaiv kab mob | Qhov no ua rau peb lub cev tiv thaiv kab mob ua haujlwm zoo, ua rau nws tawm tsam cov hlwb qog noj ntshav. |
| Kev Kho Mob Hluav Taws Xob | Qhov no ua tiav los ntawm kev siv hluav taws xob, xws li cov duab X-ray muaj zog, los rhuav tshem cov hlwb qog noj ntshav. |
Qee zaum koj pab neeg yuav muab ob txoj kev kho mob no ua ke. Piv txwv li, kev kho mob chemotherapy thiab kev kho mob hluav taws xob raug muab ua ke (neoadjuvant chemoradiation). Kev kho mob no tuaj yeem kav ntev li ob peb lub lis piam mus rau ob peb lub hlis, lossis txawm tias ib xyoos. Kev phais feem ntau ua tiav hauv ib hlis tom qab ua tiav kev kho mob.
Cov kev kho mob no siv rau hom mob qog noj ntshav twg?
Cov kws kho mob oncologists siv txoj kev kho mob no rau ntau tshaj kaum ob hom mob qog noj ntshav, suav nrog:
- Mob Cancer Mis: Rau qee hom mob cancer mis, kev siv tshuaj chemotherapy, tshuaj hormones, lossis kev kho mob tiv thaiv kab mob yuav muab ua ntej phais.
- Mob Qog Ncauj Tsev: Yog tias mob qog tau kis mus rau lub siab, kev siv tshuaj chemotherapy yuav raug muab ua ntej phais.
- Mob Qog Ntsws: Feem ntau siv tshuaj kho mob qog nqaij hlav rau qee hom mob qog nqaij hlav uas tau kis mus rau lwm qhov.
- Mob Qog Ntsws Prostate: Mob qog no yog los ntawm cov tshuaj hormone testosterone txiv neej. Nws raug tswj los ntawm kev kho mob hormone.
- Mob Cancer ntawm lub qhov quav: Nws kuj yog ib qho uas feem ntau yuav muab ua ke nrog kev kho mob hluav taws xob thiab kev kho mob chemotherapy.
Cov txiaj ntsig ntawm txoj kev kho mob no yog dab tsi?
Muaj ntau yam zoo rau qhov no. Kev paub txog cov no yuav pab koj kov yeej koj qhov kev ntshai ntawm kev kho mob no.
- Cov qog me dua: Raws li peb tau tham ua ntej, cov qog loj dua yuav me dua , ua rau kev phais yooj yim dua. Piv txwv li, yog tias ib qho qog me dua hauv cov neeg mob qog noj ntshav hauv lub mis, es tsis yog kev phais mastectomy, uas tshem tawm tag nrho lub mis, kev phais me dua hu ua lumpectomy tuaj yeem ua tau, uas tsuas yog tshem tawm cov qog.
- Poob tag nrho qee cov qog nqaij hlav: Qee zaum cov qog nqaij hlav me me yuav yaj tag thiab tej zaum yuav tsis tas yuav phais.
- Lub sijhawm kho mob luv dua:Thaum qhov kev phais me me, cov qhov txiav hauv koj lub cev yuav me dua. Yog li koj tuaj yeem rov zoo sai thiab rov qab mus rau koj lub neej ib txwm.
- Kev kho mob ua tiav tuaj yeem ntsuas tau: Thaum kho ua ntej phais, cov kws kho mob tuaj yeem pom tias tus mob qog noj ntshav teb li cas rau kev kho mob thiab qhov mob qog noj ntshav me me sai npaum li cas. Qhov no tso cai rau lawv txiav txim siab zoo dua txog kev kho mob yav tom ntej.
- Tua cov hlwb qog nqaij hlav uas zais cia: Qee zaum, cov hlwb qog nqaij hlav me me uas tawg tawm ntawm lub qog tseem ceeb, tsis pom los ntawm lub qhov muag liab qab, thiab tsis tuaj yeem pom los ntawm kev ntsuas, thiab tuaj yeem mus rau lwm qhov ntawm lub cev (micrometastases). Cov hlwb zais cia no kuj raug tua los ntawm kev kho mob xws li chemotherapy, uas cuam tshuam rau tag nrho lub cev.
- Txo qhov kev pheej hmoo ntawm kev rov qab mob qog noj ntshav: Qee qhov kev tshawb fawb tau pom tias kev kho mob neoadjuvant txo qhov kev pheej hmoo ntawm kev rov qab mob qog noj ntshav tom qab nws kho tau zoo lawm.
Puas muaj tej yam tshwm sim tsis zoo?
Ib yam li kev kho mob qog noj ntshav, cov kev mob tshwm sim tuaj yeem tshwm sim. Tab sis lawv yog dab tsi nyob ntawm hom kev kho mob uas koj tau txais. Qee qhov feem ntau yog:
- Kev ntshaw noj mov
- Mob raws plab
- Kev qaug zog
- Tsis saj ntawm tus nplaig (ageusia)
- Xeev siab thiab ntuav
Tiamsis tsis txhob ntshai cov kev mob tshwm sim no. Qhov tseem ceeb tshaj plaws yog tham nrog koj tus kws kho mob txog txhua yam no. Nws yuav muab cov tshuaj thiab cov lus qhia tsim nyog rau koj kom txo cov kev mob tshwm sim no. Tsis tas li ntawd, muaj kev kho mob tshwj xeeb (palliative care) uas tuaj yeem pab koj tswj cov teeb meem thiab ua rau koj xis nyob thaum kho mob.
Qhov txawv ntawm Neoadjuvant thiab Adjuvant Therapy yog dab tsi?
Tej zaum koj kuj tau hnov txog 'Adjuvant Therapy'. Ob qho tib si yog kev kho mob uas muab los pab txhawb rau kev phais mob qog noj ntshav. Qhov txawv yog nyob rau lub sijhawm ntawm kev kho mob.
| Yam ntxwv | Kev Kho Mob Neoadjuvant | Kev Kho Mob Ntxiv |
|---|---|---|
| Lub sijhawm | Ua ntej phais | Rau kev phais mobTom qab |
| Lub Hom Phiaj Tseem Ceeb | Ua kom tus mob qog noj ntshav me dua thiab yooj yim dua rau kev phais. | Tua cov hlwb qog nqaij hlav uas tseem tshuav tom qab phais. |
Yog koj xav qhov no zoo li kev sib tw khiav marathon, 'Neoadjuvant therapy' zoo li 'kev sov so' ua ntej kev sib tw. Nws npaj koj zoo rau kev sib tw. 'Adjuvant therapy' zoo li 'kev txias-down' tom qab kev sib tw, nws tshem tawm cov teeb meem uas tseem tshuav thiab ua rau koj zoo tag nrho.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev kho mob Neoadjuvant yog kev kho mob ua ntej phais mob qog noj ntshav. Tsis txhob ntshai thaum koj hnov txog qhov no.
- Qhov no yog ua los ua kom lub qog me dua, ua rau kev phais yooj yim dua thiab ua tiav zoo dua.
- Txoj kev kho mob no yuav tso cai rau kev phais me me es tsis yog kev phais loj, lossis nws yuav tso cai rau kev kho mob yam tsis tas phais.
- Tej zaum yuav muaj tej yam tsis zoo tshwm sim, tab sis koj tus kws kho mob yuav pab koj tswj hwm lawv. Tham nrog nws txog tej yam tsis xis nyob.
- Saib qhov kev kho mob no ua ib kauj ruam tseem ceeb thiab muaj kev cia siab hauv koj txoj kev sib ntaus sib tua mob qog noj ntshav.
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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