Ina kitea koe, tetahi rānei e mōhiotia ana e koe he mate pukupuku koroni, ko tētahi o ngā kupu tuatahi ka rongo pea koe i tō tākuta ko te 'chemotherapy' ( chemotherapy ). Ki te tini, ka ahua taumaha, ka mataku rānei te rongo noa i tēnei ingoa. Engari he aha tonu te ingoa? He pēhea te mahi? He tino whakamataku pērā i te tangi? Me waiho te koretake ki te taha, ka kōrero ngāwari, tuwhera, aroha hoki mō ngā mea e hiahia ana koe ki te mōhio.
He aha tonu te Chemotherapy?
I roto i ngā kupu māmā noa iho, ko te chemotherapy e pā ana ki ngā rongoā kaha e whakamahia ana hei whakangaro i ngā pūtau matepukupuku . Whakaarohia he whakarewa i tētahi parenga ā-tinana ki tētahi hoariri i roto i tō tinana. He maha ngā huarahi ka taea te tuku i ēnei rongoā; i ētahi wā ka tukuna mā roto i te uaua (mā roto i te uaua, pērā i te maturuturunga IV), ā, i ētahi wā ka tangohia hei papa waha. Mā tō tākuta e whakatau te rongoā tika, te horopeta, me te wātaka e pai ana mō tō take.
He rerekē ngā whāinga e whakamahia ana e ngā tākuta mō te rongoā mate pukupuku. Me titiro tātou ki ērā.
Te Matū Whakaora Neoadjuvant (I mua i te Pokanga)
Mena he nui te pukupuku, he uaua pea te tango ma te pokanga. I ēnei wā, ka whakamahia te chemotherapy hei whakaiti i te pukupuku i mua i te pokanga . Kia iti ake te pukupuku, ka taea e tō taote pokanga te tango atu me te whai hua ake, me te iti ake o ngā raruraru. I ētahi wā ka honoa tēnei me te rongoā irahiko ( irahiko ) kia angitu ake ai te mahere maimoatanga whānui.
Te Whakaora Matepukupuku Āwhina (I Muri i te Pokanga)
Ahakoa kua tangohia te pukupuku mā te pokanga, tera pea ka toe tonu ngā pūtau matepukupuku iti, mōkito rawa, kāore e kitea e te kanohi tahanga. Ka whakamahia te rongoā chemotherapy hei whakangaro i ngā pūtau e toe ana , hei horoi whakamutunga kia horoia katoatia ai ngā mea e taea ana. He mea nui tēnei hei ārai i te hokinga mai o te matepukupuku .
Te Whakaora Matepukupuku Whakamarie (Hei Whakahaere i ngā Tohumate)
I ngā wā kua horapa te mate pukupuku ki ētahi atu okana, pērā i te ate, kāore pea e ranea te pokanga anake hei whakaora i te mate. I ēnei āhuatanga, ka whakamahia te chemotherapy hei whakaiti i ngā pukupuku, hei whakahaere i ngā tohu pēnei i te mamae, me te whakapai ake i te kounga o tō oranga whānui , hei āwhina i a koe kia noho whakamarie mō te wā roa e taea ai.
Kia tino mārama ai koe ki te huarahi maimoatanga e tika ana māu, ko te mea pai rawa atu ko te kōrero tuwhera, pono hoki ki tō tākuta.
Ngā Rongoā Noa mō te Mate Pukupuku o te Repeure
He maha ngā momo rongoā e whakamahia ana hei rongoā i te mate pukupuku koroni. Anei ētahi o ngā rongoā noa me te āhua o te hoatutanga.
| Ingoa Rongoā | Whakahaere me te Tirohanga Whānui |
|---|---|
| 5-fluorouracil (5-FU) | He maimoatanga taketake kua whakamahia mō ngā tau maha. Ka hoatu mā roto i te uaua, ā, he maha ngā wā ka whai hua ake ina honoa ki te huaora e kiia nei ko te leucovorin . |
| Capecitabine (Xeloda) | Ka tangohia hei pire. Kia uru ki roto i tō tinana, ka huri hei 5-FU. He maha ngā wā ka whakamahia mō ngā mate pukupuku o te rectum i mua atu, i muri rānei i te pokanga. |
| Irinotecan (Camptosar) me te Oxaliplatin (Eloxatin) | E whakamahia ana i muri i te pokanga, i ngā āhuatanga uaua rānei, ā, ka honoa ki te 5-FU, ki te Xeloda rānei. |
| Trifluridine me te tipiracil (Lonsurf) | He huinga o ngā rongoā e rua e tangohia ana i te āhua pire. |
Ko te tikanga ka tukuna ēnei maimoatanga i roto i ngā huringa . Ko te tikanga ka whiwhi koe i te rongoā mō ētahi rā, wiki rānei, ā, whai muri iho ka whai wā okioki mō te wiki, e rua rānei kia ora ai tō tinana. E ono marama pea te roa o tēnei tukanga.
Ngā Maimoatanga Pūnaha me ngā Maimoatanga Whaiaro
Ina tangohia te rongoā chemotherapy mā te waha, mā te uaua rānei, ka uru ki roto i tō toto ka haere puta noa i te tinana ki te kimi i ngā pūtau matepukupuku. E mōhiotia ana tēnei ko te rongoā chemotherapy pūnaha .
Heoi, ka taea e ētahi maimoatanga te aro ki ngā wāhi motuhake. Hei tauira, mēnā kua horapa te mate pukupuku ki te ate, ka taea te whakamahi i tētahi tikanga e kiia nei ko te chemoembolization o te uaua hepatic . Kei roto i tēnei ko te aukati i te rere o te toto ki te ate mō te wā poto, mō te wā roa rānei, me te werohanga tika i ngā rongoā chemotherapy ki roto i te wāhi, hei whakawhāiti i te pānga o te rongoā ki te toenga o te tinana.
Te Whakaora Whaiaro: He Huarahi Tika
Ko ngā rongoā kua arotahihia he rongoā hou, motuhake, he rerekē i ngā rongoā chemotherapy tuku iho. Engari ko te whakaeke i ngā pūtau katoa e tere wehewehe ana, ka arotahi motuhake ēnei rongoā ki ngā ira motuhake, ki ngā pūmua rānei i roto i ngā pūtau matepukupuku. Ko te kimi i tētahi 'ngoikore' i roto i te matepukupuku, me te whakaeke i taua wāhi anake, ā, he maha ngā wā ka iti ake te kino ki ngā pūtau hauora.
Ka whakamahia ēnei i ētahi wā me te chemotherapy, i ngā wā rānei kāore e whai hua ngā kōwhiringa tuku iho. Ko ētahi tauira ko te `Bevacizumab (Avastin)`, `Cetuximab (Erbitux)`, me te `Panitumumab (Vectibix)`.
Ngā Pānga Taha: Ngā Mea Me Mōhio Koe
Nā te mea ko ngā pūtau tere te wehenga e arohia ana e te chemotherapy, ka pā hoki ki ngā pūtau hauora o tō tinana e tere te wehenga, pērā i ngā mea kei roto i tō waha, i ngā pūtake makawe, me te hinu wheua. Ka puta ngā pānga taha ina pāngia ēnei pūtau hauora mō te wā poto.
| Rohe e Pāngia ana | Ngā Pānga Taha Pea |
|---|---|
| Ara Nakunaku (Waha, Whēkau) | Whakapairuaki me te ruaki, te kore hiahia kai, te mate waha (mucositis), te korere |
| Ngā Pūwero Makawe | Te ngaro o te makawe |
| Kiri | He ponana, he whero, he mamae rānei i ngā ringaringa me ngā waewae (Hand-foot syndrome) |
| Huero Wheua |
|
Kia maumahara, he rerekē ngā pānga taha i ia tangata, i runga i te rongoā e whakamahia ana me ngā āhuatanga hauora o ia tangata. Hei tauira, ka taea e te 'Oxaliplatin' te whakararu i ngā io i ētahi wā.
Ko te mea nui ko te whakamōhio tonu atu ki tō tākuta mēnā ka kite koe i ētahi pānga taha. I te nuinga o te wā, he rongoā me ngā rautaki kei te wātea hei whakahaere, hei whakaiti rānei i ēnei tohu. Kāore koe i te mokemoke i tēnei—kōrero ki tō tīma hauora.
Karere Tangohia ki te Kāinga
- He maimoatanga te chemotherapy hei whakakore i ngā pūtau matepukupuku . I runga anō i tō āhuatanga, ka taea te whakamahi i mua atu, i muri rānei i te pokanga, hei whakahaere rānei i ngā tohumate.
- Mā tō tākuta e whakarite te rongoā, te horopeta, me te wātaka e tika ana māu.
- Tērā pea ka puta ngā pānga taha , engari he maha ngā wā ka taea te whakahaere. Kaua e mangere ki te kōrero ki tō tākuta mō ngā huringa katoa ka pā ki a koe.
- Mena he wehi, he pātai rānei āu, kōrerohia ki tō tākuta mate pukupuku. Kāore koe i te haere ko koe anake i tēnei haerenga.
Matepukupuku korokoro, rongoā matepukupuku, maimoatanga matepukupuku, ngā pānga taha o te rongoā matepukupuku, 5-FU
