E tino mārama ana ahau ki te wehi, te manukanuka, me te koretake o te whakaaro ka pā ki a koe, ki tō hoa aroha rānei, i muri i te rongonga i te tātaritanga mate pukupuku. Ina whakahuatia e tō tākuta tētahi maimoatanga e kiia nei ko te "R-CHOP," tera pea he maha āu pātai pēnei i te, "He aha tēnei?" "He aha ka tupu?" Kaua e manukanuka. I tēnei rā, me kōrero tātou mō te aha te R-CHOP, me pēhea tana mahi, me pēhea hoki e taea ai e koe te whakahaere i tēnei maimoatanga i roto i ngā kupu māmā, mārama hoki.
He aha te R-CHOP i ngā kupu māmā noa iho?
Ko te R-CHOP he huinga o ngā rongoā e rima e whakamahia ana hei whakangaro i ngā pūtau matepukupuku . He maimoatanga paerewa tino whai hua tēnei mō tētahi momo matepukupuku e mōhiotia ana ko te lymphoma non-Hodgkin. Ko ia reta i roto i te ingoa e tohu ana i tētahi o ngā rongoā e whakamahia ana i roto i tēnei tikanga.
| Reta | Rongoā me te Mahi |
|---|---|
| R | Rituximab: He rongoā arotahi tēnei. Ka herea ki tētahi pūmua motuhake kei te mata o ngā pūtau matepukupuku, ka āwhina i tō pūnaha ārai mate ki te kite me te whakangaro i a rātou. |
| C | Cyclophosphamide: He rongoā chemotherapy tēnei i hangaia hei patu i ngā pūtau e tere wehewehe ana, pērā i ngā pūtau matepukupuku. |
| H | Doxorubicin hydrochloride (Hydroxydaunomycin): Tētahi atu rongoā chemotherapy kaha. |
| Ā | Vincristine sulfate (Oncovin): He rongoā chemotherapy e whakamahia ana hei whakararuraru i te tipu o ngā pūtau matepukupuku. |
| P | Prednisone: He corticosteroid e āwhina ana ki te whakangaro i ngā pūtau matepukupuku me te whakaiti i te tūponotanga o ngā urupare mate pāwera ki ētahi atu rongoā R-CHOP. |
E kite ana koe, kei roto i tēnei maimoatanga ngā rongoā chemotherapy me te rongoā e aro ana ki te pūnaha ārai mate (Rituximab). Nā reira, he maha ngā tākuta e kī ana ko te "immuno-chemotherapy".
Mō ēhea mate pukupuku e whakamahia ana te R-CHOP?
Ko te tikanga matua o tēnei maimoatanga he rongoā mō te lymphoma kore-Hodgkin . He tino whai hua mō te momo lymphoma pūtau-B nui e horapa ana (DLBCL) te mea tino noa. Hei tāpiri, ka taea te whakamahi i te R-CHOP mō ētahi atu momo mate pukupuku , tae atu ki:
- Te lymphoma follicular matatau
- Te mate pukupuku pūtau mantle
- Te macroglobulinemia o Waldenstrom
I ētahi wā, ka whakatau pea tō tākuta ki te whakauru i te R-CHOP hei wāhanga o tētahi mahere maimoatanga whānui mō ētahi atu momo matepukupuku.
Me pēhea te whakahaere i te maimoatanga?
Ka hoatu te R-CHOP i roto i ngā "huringa". E toru wiki te roa o ia huringa (21 rā) ā, e rua ngā wāhanga:
1. Ngā Rā Maimoatanga: Ngā rā ka whiwhi koe i tāu rongoā.
2. Ngā Rā Whakaora: Te wā e wātea ai tō tinana ki te ora me te ora ake i mua i te huringa e whai ake nei.
Ngā Rā Maimoatanga
Tērā pea ka hoatu he rongoā i roto i ētahi rā. Ko te Prednisone ( he corticosteroid ) ka tangohia hei pire. Ko ētahi atu rongoā e whā ka tukuna mā te werohanga ā-uaua (IV). Ka toro atu koe ki tētahi hōhipera, ki tētahi whare hauora rānei, ka taea e koe te noho humarie i te wā e tukuna ana te rongoā mā roto i tētahi uaua i roto i tō ringa, i tō uma rānei. Mena ka tukuna te maimoatanga mā roto i te uma, ka taea te whakatakoto i tētahi taputapu iti e kiia nei ko te "port-a-cath" (chemo port) ki raro i tō kiri.
I te rā tuatahi o te maimoatanga, ka whiwhi koe i ngā rongoā hei ārai i te whakapairuaki me ngā mate pāwera. Ina tīmata koe i te Rituximab , he mea noa te ahua pōuri, te mahana rānei; koinei te take e tīmata pōturi ai te werohanga. Ka whiwhi koe i ngā rongoā hei whakahaere i ēnei tohu, nō reira kāore he take e mataku ai koe.
Ngā Rā Whakaora
I muri i ō rā maimoatanga, e 16 ngā rā e ora ai koe. Nā te kaha o te R-CHOP, he mea noa te ngenge me te ngenge . I tēnei wā, ka tino taunaki ahau kia tono āwhina koe ki te whānau, ki ngā hoa rānei mō ō mahi o ia rā.
Mena he nui tō kaha, ka akiaki pea tō tākuta i a koe ki te mahi māmā, pērā i te hikoi. He mea nui anō hoki te noho wai me te kai i ngā kai totika, taurite hoki, hei oranga mōu.
He aha ngā mōrearea me ngā pānga taha?
Pērā i ngā maimoatanga hauora katoa, ka pāngia pea koe e ngā pānga taha o te R-CHOP. Heoi, kia mahara mā tō tīma hauora o Nirogi Lanka e whakarato ngā rongoā hei ārai, hei whakahaere rānei i ēnei āhuatanga. He rerekē ngā pānga taha i ia tangata, i ia tangata; ehara i te katoa ka pāngia e ēnei pānga katoa. Me titiro tātou ki ngā pānga taha tino noa ka pā pea ki a koe.
| Ngā Pānga Taha Noa | Ngā Mea Me Mōhio Koe, Me Mahi Hoko |
|---|---|
| Mimi Whero/Māwhero | He whero tūturu te tae o te Doxorubicin. Tērā pea ka kite koe i tō mimi he whero, he māwhero rānei tae atu ki te 48 hāora i muri i te maimoatanga. He mea noa tēnei, nō reira kaua e mataku. |
| Whakapairuaki me te Ruaki | Ahakoa te rongoā ārai whakapairuaki, tera pea ka pāngia tonu koe e ngā kare ā-roto ngawari o te ruaki. Whakamātauria te kai i ngā kai iti, auau, kaua i ngā kai nui, hinuhinu, kakara rānei. |
| Ngaronga o te Makawe | He pānga taha noa tēnei o te chemotherapy. Tērā pea ka tīmata te ngaro o ō makawe i roto i ngā wiki e toru o tō wā tuatahi. Heoi, kia mahara ka tupu anō ō makawe i muri i te otinga o tō maimoatanga. |
| Te makariri me te kirika | Ka taea e te rongoā matū te whakaiti i te maha o ngā toto toto mā, ka piki ake te tūponotanga o te mate. Tērā pea ka tohua he werohanga G-CSF hei āwhina i te whakanui ake i tō maha. Ahakoa pēhea, ki te pāngia koe e te kirika, whakapā atu ki tō tākuta tonu. |
| Ngenge | Ka taea e te maimoatanga te arahi ki te anemia nā te iti o te maha o ngā toto toto whero. Whakarongo ki tō tinana, ā, okioki ina ngenge koe. Kaua e mangere ki te tono āwhina mō āu mahi o ia rā. |
| Ngāwari te Marumaru/Te Toto | Tērā pea ka puta tēnei nā te hekenga o te maha o ō pereti toto. Kia tūpato kei whara koe, ā, me whakamōhio atu ki tō tākuta mēnā ka kite koe i ngā marō kāore i te mārama. |
| Te ngenge/te wiri o ngā waewae | E mōhiotia ana tēnei mate ko te neuropathy peripheral. Mēnā ka pāngia koe e te māuiui, te ngau, te wera rānei o ō ringaringa, o ō waewae rānei, tena koa whakamōhio atu ki tō tākuta. |
Kia maumahara tonu: he tohu pea te kirika mō tētahi mate kino. Mena he 100.4°F (38°C) neke atu rānei tō pāmahana, whakapā atu ki tō tākuta, haere rānei ki te wāhanga ohorere tata tonu.
Hei tāpiritanga, tera pea ka pāngia koe e ngā mate waha, ngā ponana kiri, ngā ānini, te mate kōroke, te mate puku rānei, te mamae o te uma, te kore moe, te huringa rānei o te wairua. Kōrerohia whānuitia ēnei tohu ki tō tīma hauora.
Āhea ahau me whakapā atu ki taku tākuta?
Whakamōhio atu ki tō kaiwhakarato hauora mēnā ka puta he tohu hou, ka kino rānei ngā tohu o mua i te wā e rongoatia ana koe. He mea tino nui kia ripoatahia tonutia mēnā he kirika tōu.
Mēnā he āhuatanga ohorere, pērā i te poto ohorere o te manawa, te mamae nui rānei o te uma, haere tika ki te rūma ohorere o te hōhipera e tata ana.
Me pēhea taku whakangawari ake i tēnei wā maimoatanga?
Kāore koe i te mokemoke i tēnei haerenga. Anei ētahi huarahi hei whakahaere i tēnei wā:
- Kia Mōhio Tonu: Kōrero mārama ki tō tākuta mō tō mahere maimoatanga me ngā pānga taha pea. Kaua e mangere ki te pātai.
- Inoi mō te Āwhina: Whakawhirinaki ki ngā hoa me te whānau mō ngā mahi o te whare, mō ngā kai, mō te kawe waka rānei ki ō wā whakarite.
- Kai Pai, ā, Kia Wai Matū: Arotahi ki ngā kai totika, kia nui hoki te wai e inumia ana e koe.
- Rapua te Tautoko: Pātai atu ki tō tākuta mō ngā rōpū tautoko mō ngā tāngata e pāngia ana e ngā maimoatanga mate pukupuku ōrite. Mā te whakapuaki i ō wheako ka nui te whakamarie i ngā kare ā-roto.
He uaua pea ngā wiki e pau ana i te R-CHOP, nā te mea he roa pea ngā rā maimoatanga, ā, me tino tupato te whakahaere i ngā pānga taha. Heoi, mō te tini, he pai te hua o tēnei mahi nā te R-CHOP. He tino whai hua te whakakotahitanga o ēnei momo rongoā e toru (te rongoā arotahi, te chemotherapy, me ngā steroids) ki te whakangaro i ngā pūtau matepukupuku. I runga i tō mate, ka tukuna e tēnei maimoatanga he tūponotanga nui kia ora katoa.
Karere Tangohia ki te Kāinga
- He tino whai hua te R-CHOP, he huinga rongoā e rima e ahu mai ana i ngā taunakitanga 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, ko te ngenge, te whakapairuaki, me te ngaro o te makawe ētahi o ngā pānga taha e tumanakohia ana.
- Ka taea te whakahaere i te nuinga o ngā pānga taha. Kōrerohia mahorahora, me te kōrero pinepine ki tō tīma hauora o Nirogi Lanka.
- Ki te pāngia koe e te kirika i te wā e rongoatia ana, me whakaaro he āhuatanga ohorere hauora tēnei , ā, me rapu awhina tonu atu.
- Kāore koe e hiahia ki te hikoi i tēnei ara ko koe anake. Whakawhirinaki ki tō whānau, ki ō hoa, me tō tīma hauora. He kaha koe, ā, ka taea e koe te wikitoria i tēnei.
R-CHOP, Matepukupuku, Lymphoma Non-Hodgkin, chemotherapy, rongoā arotahi, maimoatanga matepukupuku, ngā pānga taha
