Cancer enkawlna (R-CHOP) R-CHOP chungchanga hriat tur awmte

Nangmah emaw, i hmangaih tak emaw cancer vei nia hriat a nih chuan i doctor-in R-CHOP ang damdawi a sawi hian tlem a hlauhthawn leh hlauhthawn hi thil pangngai tak a ni. Zawhna tam tak rilruah a lo lang a, chung thute chu eng nge a awmzia, he enkawlna hi eng ang nge a nih, a rah chhuah chu eng nge ni ang tih te hi a ni. Chuvangin, i thianpain thu awlsam takin a hrilh che ang maiin vawiin hian R-CHOP enkawlna chungchang zawng zawng kan sawi dawn a ni.

A awlsam zawngin, R-CHOP chu eng nge ni?

R-CHOP hi cancer damdawi a ni. A dik tak chuan damdawi panga inzawmkhawm a ni. A bik takin cancer chi khat Non-Hodgkin Lymphoma tih enkawlna atan hman a ni. He damdawi inzawmkhawm hian chemotherapy damdawi pathum, targeted therapy damdawi leh corticosteroid a huam a ni.

He hminga letter tin hian damdawi chi khat a entir a ni. A awlsam hle mai, en teh.

Heng damdawi tam zawk hi chemotherapy damdawi a nih avangin mi thenkhat chuan he enkawlna hi "R-CHOP chemo" an ti bawk. Mahse damdawi Rituximab hian kan immune system a puih avangin i doctor pawhin "immuno-chemotherapy" a ti mai thei bawk.

R-CHOP enkawlna hi eng natna chi hrang hrangah nge hman?

Doctor-te chuan R-CHOP hi cancer chi khat non-Hodgkin lymphoma tih enkawlna atan an hmang ber a ni. Lymphoma chi khat, diffuse large B-cell lymphoma (DLBCL) tan pawh damdawi tha tak a ni bawk.

Tin, R-CHOP hi a hnuaia thil awm danah pawh hman a ni bawk.

• Follicular lymphoma natna hmasawn tak a ni
• Mantle cell lymphoma natna a ni
• Waldenstrom natna hrik (macroglobulinemia) a awm

Engtin nge a enkawl dan chu a lo awm? (Enkawlna Cycle) 1.1.

Cycle hrang hrangah R-CHOP treatment i dawng ang. Cycle tin hi kar thum (ni 21) chhung a ni tlangpui. He cycle hi hmun hnih ah then a ni a:

1. Enkawlna ni: Damdawi pek i nih ni.

2. Chawlh ni: I taksa a dam leh theihna tur ni, chu chu a dam leh theihna tur, a round leh tur hmaa ni.

Engtin nge enkawlna ni te hi a kal zel?

Ni nga chhung damdawi i ei a ngai dawn a ni. Steroid Prednisone (P) an tih hi pill angin an ei thin. Damdawi dang pali (R, C, H, O) te hi thisen kal tlanga infusion (IV) hmanga pek che a ni. Hei hian saline ang chi vein-ah an pe tihna a ni. Hemi atan hian damdawi in emaw clinic emaw pan a ngai dawn a ni.

He enkawl chhung hian chair-ah i thu ang. Machine chuan damdawi chu plastic tube hmangin i kut, kut emaw, i rilru chhunga vein pakhatah a pe ang che. A châng chuan enkawlna dawng chhunzawm zel awlsam zawk nan i rilru vun hnuaiah chemo port an tih hmanraw te tak te an dah thin.Pakhat an ti bawk.

Enkawlna round hmasa ber chu hetiang hian a kal tlangpui:

• Enkawlna i tan hmain, i luak chhuak leh luak chhuak tawh lo tur damdawi pek i ni ang .
• Tin, allergy venna atan damdawi pek a ni bawk . Rituximab (R) damdawi pek i nih hian thil tenawm (e.g., lum, luak chhuak) i neih fo thin. Mahse, a hmaa damdawi hman tawh khan a tam zawkah chuan natna khirh tak tak a veng thei a ni.

Chawlh ni pawimawhna

R-CHOP cycle pangngaiah chuan ni nga chhung enkawl hnuah ni 16 chhung chawlh i hmu thin. He hun hi a pawimawh hle. A chhan chu R-CHOP hian cancer cell a tihchhiat hian taksa tan pawh a hahthlak hle bawk. Chuvangin enkawl hnua chau lutuka inhriat hi thil pangngai a ni. Heng chawlh hahdam lai hian i chhungte emaw, i thian emaw hnenah nitin hna thawk tura pui turin ngen a tha.

I dam chhoh chhung hian taksa chakna i neih chuan i doctor chuan thil tenawm tak tak, kea kal te, tui tam tak in te, leh ei tur tha tak tak ei te hi tihsak turin a rawt thei che a ni.

He enkawlna hi eng chen nge tih tur?

Mi tam zawk chuan R-CHOP cycle ruk an dawng thin. Cycle tin hi kar thum chhung a ni a, chuvangin enkawlna hun zawng zawng chu kar 18 vel a ni. Mahse, cycle i mamawh zat chu i dinhmun a zirin a ni. Mi thenkhat chuan cycle riat an mamawh mai thei. Doctor thenkhat chuan kar thum chhung cycle hmang lovin kar hnih chhung cycle an rawt mai thei.

R-CHOP enkawlna hian eng hlawkna nge a neih?

Hei hi a thatna lian ber chu damdawi pakhat ni lovin, damdawi panga inzawmkhawm a ni. Heng damdawi tin hian cancer cell te chu kawng hrang hrangin a that thin. Chuvangin, sipai pakhat indo ai chuan sipai pum pui cancer do tura an inkhawm ang mai a ni.

R-CHOP enkawlna hlawhtlinna hi a sang hle . Entirnan, DLBCL an tih cancer chi khat vei zinga 70% thlengin remission kimchang an nei thei. Chumi awmzia chu symptom zawng zawng a bo vek tihna a ni. Kum nga chhung chu natna a lo lang leh lo a nih chuan cancer hi a lo lang leh tawh lo anga ngaih a ni tlangpui.

Dik tak chuan he enkawlna hian cancer chu a ti bo vek ang tih emaw, mi zawng zawngah a lo kir leh tawh loh nan emaw a titawp thei lo. Mahse, R-CHOP hi non-Hodgkin lymphoma enkawlna atana hman theih zingah chuan a him ber leh a hlawk ber pawla ngaih a ni.

Side Effect leh Risk awm thei te

Treatment dang ang bawkin R-CHOP hian side effect a nei a. Mahse, lungngai suh. I doctor chuan heng side effect lian tak tak (riltam ang chi) te ven nan leh thisen var tlahniam ang chi thil control nan damdawi a pe ang che. Enkawlna i tan hmain heng hlauhawmnate hi doctor nen zalen taka sawipui a pawimawh.

Infusion hmanga thil tih dan

Mi tam tak chuan an enkawl hmasak ber ṭumin Rituximab hi an ei lo thei a ni. Hei vang hian doctor-te chuan a tir lamah chuan damdawi hi an pe tlem hle a ni. Luak chhuak emaw, lum emaw tih hi thil awmdan pangngai a ni a, rei vak lo hnuah a reh mai ang. Mahse, natna khirh tak i neih chuan damdawi lam pan nghal tur a ni . Heng symptoms te hi:

• Vun a hring chhuak
• Itching a ni
• Kawng emaw hmui emaw a hring chhuak
• I rilru a buai ang maia hriat

Damdawi pek i nih chhung hian medical staff ten an lo vil reng ang che. Amaherawhchu, i haw hnua heng symptoms zinga pakhat tal i neih chuan damdawi in Emergency Department (ETU) ah kal nghal tur a ni.

Side effect awm fo thin

R-CHOP-a damdawi awm zawng zawng hian side effect a nei vek thei. Mahse, mi zawng zawngin an hmu vek lo. Mi tin a inang lo. Side effect awm tam ber leh a hmachhawn dan tur i lo en ang u.

Tin, side effect dang pawh a awm thei bawk:

• Kawngkhar natna
• Lu na
• Constipation emaw riltam emaw
• Lungchhung natna
• Muscle chak lohna
• Mu thei lo
• Mood a inthlak danglam thin
• Lung na tak tak

Enkawlna hnua hun rei tak chhunga nghawng awm thei

Side effect tam zawk hi enkawlna a tawp hnuah hun kal zelah a bo thin.

Mahse, damdawi i dawn chak dan ang chi thil a zirin R-CHOP enkawlna hian nakin lawkah thinlung natna emaw cancer chi dang emaw i vei theihna tur a tipung deuh thei a ni. Nau neih theihna pawh a nghawng thei bawk . Chumi awmzia chu nakin lawka fa neih i tum a nih chuan hemi chungchang hi i doctor nen inbia hmasa phawt ang che. I egg emaw sperm emaw freeze ang chi option hrang hrang i sawiho thei mai thei.

R-CHOP leh CHOP hi eng nge an danglamna?

A awlsam zawngin sawi ila, R-CHOP hi CHOP enkawlna tha zawk a ni. CHOP hi kum 1990 chho vela hman tan a ni a, chutih laia non-Hodgkin lymphoma enkawlna tha ber a ni.

Mahse kum 2000 chho tir lam khan zirchiangtute chuan CHOP regimen-ah hian targeted therapy drug Rituximab (R) chu an dah belh ta a ni. He addition hian damna rate a tisang lehzual a ni. Tunah chuan R-CHOP hi enkawlna tha ber a ni a, CHOP thlaktu a ni.