E mārama ana ahau ki te wehi, te manukanuka, me te koretake o tō hinengaro ina kī mai tō tākuta ki a koe, ki tētahi rānei o tō whanaunga he mate pukupuku tōu. I taua wā anō, ina kī mai tō tākuta mō tētahi maimoatanga e kiia nei ko te "R-CHOP," tera pea he maha ngā pātai e puta ake ana i roto i tō hinengaro, pērā i te, "He aha tēnei? He aha tāna mahi?" Kaua e manukanuka. I tēnei rā, ka kōrero tātou mō te aha te R-CHOP, āna mahi, me pēhea te whakatau i tēnei i roto i tētahi huarahi tino māmā ka taea e koe te mārama.
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He aha te R-CHOP?
He huinga rongoā e rima a R-CHOP hei patu i ngā pūtau matepukupuku . He rongoā tino whai hua tēnei mō tētahi momo matepukupuku e kiia nei ko te lymphoma non-Hodgkin. Ko ia reta i roto i te ingoa e tohu ana i tētahi rongoā e whakamahia ana i roto i tēnei maimoatanga.
| Reta | Te rongoā me tana mahi |
|---|---|
| R | Rituximab: He rongoā arotahi tēnei. Ina koa, ka piri tēnei rongoā ki tētahi pūmua motuhake kei runga i te mata o ngā pūtau matepukupuku. Mā tēnei ka taea e te pūnaha ārai mate o te tinana te kite me te whakangaro i ēnei pūtau matepukupuku. |
| C | Cyclophosphamide: He rongoā chemotherapy tēnei. Ka mahi ngā rongoā chemotherapy mā te whakangaro i ngā pūtau e tere wehewehe ana, pērā i ngā pūtau matepukupuku. |
| H | Doxorubicin hydrochloride (Hydroxydaunomycin): He rongoā chemotherapy anō hoki tēnei. |
| Ā | Vincristine sulfate (Oncovin): He rongoā chemotherapy anō tēnei. |
| P | Prednisone: He momo steroid (corticosteroid) tēnei. Ka patu hoki i ngā pūtau matepukupuku. Ka āwhina hoki ki te whakaiti i ngā uruparenga mate pāwera ka puta mai me ētahi atu rongoā R-CHOP. |
E kite ana koe, kei roto i tēnei ko ngā rongoā chemotherapy me te rongoā ārai mate (Rituximab). Koia te take e kīia ai tēnei maimoatanga e ngā tākuta i ētahi wā ko te "immuno-chemotherapy".
He aha ngā momo mate pukupuku e whakamahia ana te maimoatanga R-CHOP?
Ko te nuinga o tēnei maimoatanga e hoatu ana mō tētahi momo mate pukupuku e kiia nei ko te lymphoma non-Hodgkin . He tino whai hua hoki mō te momo lymphoma pūtau-B nui e tino kitea ana (DLBCL) . Hei tāpiri, ka whakamahia hoki a R-CHOP mō ēnei momo mate pukupuku e whai ake nei:
- Te lymphoma follicular matatau
- Te mate pukupuku pūtau mantle
- Te macroglobulinemia o Waldenstrom
I ētahi wā, ka whakatau pea tō tākuta ki te hoatu i te R-CHOP me ngā maimoatanga mō ētahi atu momo mate pukupuku.
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Check Availability →Me pēhea te mahi a te maimoatanga?
Ka tukuna te maimoatanga R-CHOP i roto i ngā "huringa". E toru wiki te roa o ia huringa (21 rā). E rua ngā wāhanga o tēnei huringa:
1. Ngā rā maimoatanga: Ngā rā e hoatu ana he rongoā ki a koe.
2. Ngā rā okiokinga: Ngā rā hei whakaora i tō tinana i mua i te rauna e whai ake nei.
Ngā rā maimoatanga
Ka taea te hoatu i te rongoā mō ngā rā e rima. Ko te Prednisone (te steroid ) he pire ka horomia e koe. Ko ngā rongoā e whā e toe ana ka hoatu hei wai tote ki roto i te uaua ( infused intravenous – IV). Mā tēnei ka hiahia koe ki te haere ki te hōhipera, ki te whare hauora rānei. I reira ka noho koe i runga i te tūru i te wā e werohia mārire ana te rongoā e te mīhini ki roto i te uaua o tō tinana. Tērā pea kei roto i tō ringa, ringaringa, uma rānei tēnei uaua. Mena ka hoatu te maimoatanga mā roto i te uma, ka taea te whakatō i tētahi taputapu iti e kiia nei ko te 'port-a-cath' (chemo port) ki raro i te kiri.
I te rā tuatahi o te maimoatanga, ka hoatu he rongoā ki a koe hei ārai i te whakapairuaki. Ka hoatu hoki he rongoā ki a koe hei ārai i ngā mate pāwera. RituximabHe mea noa te pāngia e te pōuri me te mahana ina hoatu te rongoā. Koia te take e hoatu ai tēnei rongoā me te tino tupato i te tīmatanga. Engari kāore he mea e manukanuka ai, nā te mea ka hoatu ki a koe te rongoā e tika ana i mua i te wā hei ārai i ngā mate pāwera kino.
Ngā rā okiokinga
I roto i te huringa noa, ka okioki koe mō te 16 rā i muri i te maimoatanga. Ka tino ngenge te tinana i te mea ka whakangaromia e te maimoatanga R-CHOP ngā pūtau matepukupuku. Nō reira , he mea noa te tino ngenge i ēnei rā. I tēnei wā, he mea tino pai te tono āwhina ki te whānau me ngā hoa mō ngā mahi o ia rā.
I ēnei rā okiokinga, ki te mea kei te hiahia koe ki te mahi pera, ka tūtohu te tākuta kia mahi koe i ētahi mahi whakakori tinana māmā, pērā i te hikoi. He mea nui anō hoki kia inu nui i te wai me te kai i ngā kai totika .
He aha ngā mōrearea me ngā pānga taha o tēnei maimoatanga?
Pērā i ngā maimoatanga katoa, ka pā mai pea ngā pānga taha o te R-CHOP. Engari kia maumahara, ka hoatu e tō tākuta ngā rongoā e hiahiatia ana e koe hei ārai, hei whakahaere rānei i te nuinga o ēnei pānga taha. Kāore te katoa e pāngia e ēnei pānga taha katoa. He rerekē i ia tangata, i ia tangata. Me titiro tātou ki ētahi o ngā pānga taha e tino kitea ana.
| Ngā pānga taha noa | He aha te mea hei mōhio me te aha hei mahi |
|---|---|
| Mimi whero/māwhero | He whero te tae o te Doxorubicin. Tērā pea ka whero/māwhero tō mimi mō te 48 hāora i muri i te maimoatanga. He mea noa tēnei, kaua e manukanuka. |
| Whakapairuaki me te ruaki | Ahakoa te tango rongoā mō te whakapairuaki, tera pea ka paku whakapairuaki tonu koe. Engari i te kai i ngā kai nui, momona, raukikī, me kai i ngā kai iti, auau hoki. |
| Te ngaro o te makawe | He mea noa tēnei mō te chemotherapy. Ka tīmata pea te ngaronga o te makawe i roto i ngā wiki e toru o te horopeta tuatahi. Heoi, ka tupu anō te makawe i muri i te otinga o te maimoatanga. |
| Te makariri me te kirika | Ka taea e te rongoā matū te whakaiti i te maha o ngā toto toto mā, ka nui ake ai te tūponotanga o te mate. Ka hoatu he werohanga ki a koe e kīia nei ko te G-CSF, hei āwhina i te tipu o ō toto toto mā. Heoi, ki te pāngia koe e te kirika, me kōrero tonu atu ki tō tākuta. |
| Ngenge rawa (Te ngenge nui) | Ka taea e te maimoatanga te whakaiti i te nui o ngā toto whero, ka puta ai te anemia. Ki te ngenge koe, okioki. Tonoa he āwhina mō ngā mahi o ia rā. |
| Ngāwari te toto/maru | Ka puta pea tēnei āhuatanga nā te hekenga o ngā pereti toto. Kia tūpato kei whara. Kōrero atu ki tō tākuta mēnā ka kite koe i te nui o ngā marō i tō tinana. |
| Te ngenge/te wiri o ngā peka | Ko te neuropathy peripheral tēnei e kiia ana. Mēnā ka rongo koe i te ngau, i te wera rānei i ō ringaringa, i ō waewae rānei, me kōrero ki tō tākuta. |
Kia maumahara, he tohu pea te kirika mō tētahi mate kino. Mena kei runga ake tō kirika i te 100.4°F (38°C), waea atu ki tō tākuta, ki te hōhipera rānei i taua wā tonu.
Haunga ēnei, tera pea ka pāngia koe e ngā mate waha, ngā ponana kiri, ngā ānini, te mate kōroke, te mate korere rānei, te mamae o te uma, te kore moe, me ngā huringa wairua. Kōrero ki tō tākuta mō tētahi o ēnei.
Āhea ahau me waea atu ki te tākuta?
Me kōrero tonu atu ki tō tākuta mēnā ka puta he tohu hou ki a koe, mēnā rānei ka kino haere tētahi o ō tohu i te wā e rongoatia ana, inā koa mēnā ka pāngia koe e te kirika.
Mēnā ka pā mai he āhuatanga ohorere pēnei i te uaua ki te manawa, te mamae ohorere rānei o te uma, haere tonu ki te Tari Ohorere (ETU) o te hōhipera tata.
Me pēhea taku whakahaere i tēnei wā maimoatanga kia māmā ake ai māku?
Ehara tēnei pakanga i te pakanga me whawhai ko koe anake. He iti noa ngā mea ka taea e koe te mahi hei whakangawari ake i tēnei wā.
- Kia mōhio: Kōrero ki tō tākuta mō tō maimoatanga me ngā mea ka taea e koe te tumanako. Kaua e wehi ki te pātai.
- Inoi āwhina: Inoi āwhina i te whānau me ngā hoa mō ngā mahi o te whare, te taka kai, me te haere ki te hōhipera.
- Kai me inu pai: Kai i ngā kai whai kiko. Inuhia he nui te wai me ngā wai.
- Rapua he tautoko: Pātai atu ki tō tākuta mō ngā rōpū tautoko kei reira ētahi atu e pāngia ana e te mate pukupuku e te maimoatanga kotahi ki a koe. He kaha nui te whai i tētahi hei whakapuaki i ō wheako.
He wā uaua pea ngā wiki tuatahi o te maimoatanga R-CHOP. Ka roa pea ngā rā e rongoā ana, ā, he uaua hoki te aro atu ki ngā pānga taha. Engari mō te tini o te tangata, he pai ake ngā hua o te R-CHOP. Ko te whakakotahitanga o ēnei rongoā e toru (te rongoā arotahi, te rongoā chemo, me ngā steroids) ka tino whai hua ki te patu i ngā pūtau matepukupuku. I runga i tō tātaritanga, ka taea e tēnei te arahi ki te murunga katoa o te matepukupuku.
Karere Tangohia ki te Kāinga
- He huinga tino whai hua te R-CHOP o ngā rongoā e 5 e whakamahia ana hei rongoā i ngā mate pukupuku pēnei i te lymphoma non-Hodgkin.
- Ka tukuna te maimoatanga i roto i ngā "huringa". I tēnei wā, he mea noa te pāngia e ngā pānga taha pērā i te ngenge, te whakapairuaki, me te ngaro o te makawe.
- He maha ngā pānga taha ka taea te whakahaere. Kōrero tonu ki tō tīma hauora mō ēnei.
- Ki te pāngia koe e te kirika i te wā e rongoatia ana, me whakaaro he āhuatanga ohorere tēnei , ā, me rapu tohutohu hauora tonu atu.
- Kāore koe e hiahia ki te haere ko koe anake i tēnei haerenga. Rapua te tautoko mai i te whānau, i ngā hoa, me tō tīma hauora. He kaha koe. Ka taea e koe tēnei.
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