Tiyeni tiphunzire za mankhwala a chemotherapy a khansa ya m'matumbo.

Dokotala akakuuzani kapena munthu amene mumamudziwa kuti ali ndi khansa ya m'matumbo, mawu otsatira omwe mumamva ndi akuti ' chemotherapy .' Anthu ambiri amachita mantha ndipo amamva kulemedwa kwambiri akamva dzinali. Koma kodi kwenikweni ndi chiyani? N’chiyani chidzachitikire? Kodi ndi chinthu choopadi? Tiyeni tisiye mafunso onse omwe tili nawo okhudza izi ndikulankhula za izi mosavuta komanso moona mtima.

Kodi mankhwala a chemotherapy ndi chiyani kwenikweni?

Mwachidule, chemotherapy ndi mankhwala amphamvu omwe amaperekedwa kuti aphe maselo a khansa . Zili ngati kulengeza nkhondo ndi mdani m'thupi lathu. Pali njira zosiyanasiyana zoperekera mankhwalawa m'thupi. Nthawi zina amaperekedwa kudzera m'mitsempha ngati madzi amchere, ndipo nthawi zina amaperekedwa ngati piritsi. Dokotala wanu adzasankha mankhwala oyenera kwa inu, mlingo, ndi nthawi yogwiritsira ntchito. Madokotala amagwiritsa ntchito chithandizo cha chemotherapy ichi pazifukwa zosiyanasiyana. Tiyeni tiwone zomwe zili.

Neoadjuvant Chemotherapy (mankhwala a chemotherapy omwe amaperekedwa opaleshoni isanachitike)

Tangoganizani kuti muli ndi chotupa cha khansa, ndipo ndi chachikulu pang'ono. Kenako zingakhale zovuta pang'ono kuchichotsa kwathunthu ndi opaleshoni. Pazochitika zotere, opaleshoni isanachitike, mankhwala a chemotherapy awa amaperekedwa kuti achepetse chotupacho, kutanthauza kuti, kuti chikhale chochepa . Chotupacho chikakhala chaching'ono, dokotala wa opaleshoni amatha kuchichotsa kwathunthu mosavuta komanso popanda zovuta zambiri. Nthawi zina chemotherapy iyi imaperekedwa pamodzi ndi chithandizo cha radiation , chifukwa ndiye kuti chithandizo cha radiation chimagwiranso ntchito bwino.

Chithandizo cha mankhwala ochizira matenda (chemotherapy) chomwe chimaperekedwa pambuyo pa opaleshoni

Pambuyo pa opaleshoni yochotsa chotupa cha khansa, nthawi zina pamakhala selo limodzi kapena awiri ang'onoang'ono a khansa omwe saoneka m'thupi mwathu. Chemotherapy imaperekedwa pambuyo pa opaleshoni kuti iwononge maselo otsalawo . Izi zili ngati kusesa nyumba bwino kenako n’kuipukuta kuti ichotse fumbi lomaliza. Izi zimathandiza kwambiri kuti khansa isabwererenso.

Mankhwala ochepetsa ululu (mankhwala ochizira matenda a shuga omwe amaperekedwa kuti achepetse zizindikiro)

Nthawi zina khansa ikakula kwambiri, ikhoza kufalikira ku ziwalo zina za thupi (monga chiwindi). Nthawi zina, opaleshoni yokha singathe kuchiritsa khansa yonse. Pankhaniyi, chemotherapy imaperekedwa kuti ichepetse khansa, kuchepetsa zizindikiro (monga ululu), ndikutalikitsa moyo wa wodwalayo ndikupangitsa moyo watsiku ndi tsiku kukhala wosavuta .

Mankhwala akuluakulu omwe amagwiritsidwa ntchito pa khansa ya m'matumbo

Pali mitundu ingapo ya mankhwala omwe amagwiritsidwa ntchito pochiza khansa ya m'matumbo. Tiyeni tiwone ena mwa iwo ndi momwe amaperekedwa. Mankhwalawa nthawi zambiri amaperekedwa m'njira zosiyanasiyana . Izi zikutanthauza kuti, mankhwalawa amaperekedwa kwa masiku angapo kapena sabata imodzi kapena ziwiri, kenako ndi sabata imodzi kapena ziwiri zopumula. Mankhwalawa amapitilira motere kwa miyezi pafupifupi 6.

Mankhwala omwe amakhudza thupi ndipo amaperekedwa kudera linalake lokha.

Mankhwala a chemo akamwedwa ngati mapiritsi kapena kuperekedwa mumtsempha, amalowa m'magazi ndikuyenda m'thupi lonse kuti aphe maselo a khansa. Izi zimatchedwa systemic chemotherapy . Koma nthawi zina, chithandizo chingagwiritsidwe ntchito ku chiwalo china chake chomwe khansa yafalikira. Mwachitsanzo, ngati khansa yafalikira ku chiwindi, chemoembolization ya mtsempha wa chiwindiIzi zimaphatikizapo kutseka kwakanthawi kapena kosatha mtsempha waukulu womwe umapatsa magazi ku chiwindi (mtsempha wa chiwindi), ndikubaya mankhwala a chemotherapy pakati pa kutsekeka ndi chiwindi. Izi zimathandiza kuti mankhwalawo apite mwachindunji ku chiwindi, zomwe zimachepetsa kwambiri chiopsezo choti apite ku ziwalo zina za thupi.

Mankhwala apadera otchedwa Targeted Therapy

Awa ndi mankhwala atsopano omwe ndi osiyana pang'ono ndi mankhwala wamba a chemotherapy. Mankhwalawa amalimbana ndi majini kapena mapuloteni enaake m'maselo a khansa ndipo amawaukira . Mwanjira ina, ali ngati kupeza malo ofooka a mdani ndikuwukira. Izi zikutanthauza kuti maselo athanzi sakhala owonongeka kwambiri. Nthawi zina amaperekedwa limodzi ndi mankhwala a chemotherapy. Nthawi zina, amagwiritsidwa ntchito pamene mankhwala wamba a chemotherapy sagwiranso ntchito. Zitsanzo ndi monga Bevacizumab (Avastin), Cetuximab (Erbitux), ndi Panitumumab (Vectibix).

Kodi zotsatirapo zoyipa za mankhwala a chemo ndi ziti?

Mankhwala a chemotherapy amapha maselo a khansa omwe amagawanitsa mofulumira. Koma amathanso kukhudza maselo athanzi omwe amagawanitsa mofulumira m'thupi lathu. Mwachitsanzo, maselo omwe ali mkati mwa pakamwa pathu, maselo omwe amamera tsitsi, ndi maselo omwe ali m'mafupa athu. Zotsatirapo zake zimachitika chifukwa maselo athanziwo amawonongeka. Zotsatirapo izi sizimachitika kwa aliyense mofanana. Zimasiyana malinga ndi mankhwala ndi mankhwala komanso wodwala aliyense. Mwachitsanzo, mankhwala a `Oxaliplatin` amatha kuwononga mitsempha mwa anthu ena. Khansa ya m'matumbo, khansa ya m'matumbo, chemotherapy, chithandizo cha khansa, zotsatira zoyipa za chemotherapy, 5-FU