Musaope kulandira chithandizo cha chemotherapy cha khansa ya m'mawere! Tiyeni tidziwe zonse

Inu kapena munthu amene mumamudziwa akapezeka ndi khansa ya m'mawere, n'zachibadwa kumva mantha ndi nkhawa zambiri dokotala akanena kuti, "Ndikufunika kulandira mankhwala a chemotherapy." Tikamva mawu akuti "chemotherapy," nthawi zambiri timaganiza za vuto lovuta komanso lopweteka. Koma ngati tikudziwa bwino za chithandizochi, mantha amenewo amatha kuchepa kwambiri. Chifukwa chake lero, tiyeni tikambirane za chemotherapy yeniyeni ya khansa ya m'mawere, chifukwa chake imachitidwa, komanso momwe tiyenera kuthana nayo.

Kodi mankhwala a chemotherapy ndi chiyani?

Mwachidule, chemotherapy ndi mtundu wa mankhwala amphamvu omwe amaperekedwa kuti aphe maselo a khansa. Mankhwalawa amapha maselo a khansa m'mawere mwanu, kapena maselo a khansa omwe afalikira kuchokera m'mawere mwanu kupita ku ziwalo zina za thupi lanu. Madokotala a khansa nthawi zambiri amapereka chithandizochi asanayambe opaleshoni ya khansa ya m'mawere kapena atangomaliza .

Nthawi zina mtundu umodzi wokha wa mankhwala a chemotherapy umagwiritsidwa ntchito, nthawi zina mankhwala angapo amaperekedwa pamodzi. Mankhwala a chemotherapy angaperekedwenso pamodzi ndi mankhwala ena.

Mankhwalawa amayambitsa zotsatirapo zoyipa. Koma musadandaule nazo. Dokotala wanu adzakupatsani mankhwala ndi upangiri wofunikira kuti muthane ndi zotsatirapo zoyipazo. Zotsatirapo zina zitha kupitirira kwa nthawi chithandizo chitatha, ndipo dokotala wanu adzakudziwitsaninso za izo.

Kodi ndi nthawi ziti pamene chemotherapy imagwiritsidwa ntchito pa khansa ya m'mawere?

Mankhwala a chemotherapy amagwiritsidwa ntchito m'njira zosiyanasiyana komanso pazifukwa zosiyanasiyana. Tiyeni tiwone zomwe zili.

Kodi mankhwala a chemotherapy omwe amagwiritsidwa ntchito kwambiri ndi ati?

Pali mitundu yambiri ya mankhwala a chemotherapy omwe amagwiritsidwa ntchito pa khansa ya m'mawere. Dokotala wanu adzasankha mankhwala oyenera kwambiri kapena kuphatikiza mankhwala kutengera mtundu ndi gawo la khansa yanu, komanso thanzi lanu.

Magulu ena a mankhwala omwe amagwiritsidwa ntchito kwambiri ndi awa:

• Anthracyclines: Mwachitsanzo, mankhwala monga `doxorubicin (Adriamycin®)` ndi `epirubicin (Ellence®)`.
• Taxanes: Mankhwala monga `paclitaxel (Taxol®)` ndi `docetaxel (Taxotere®)`.
• Mankhwala ena: Mankhwala monga `5-fluorouracil (5-FU®)`, `capecitabine (Xeloda®)`, `cyclophosphamide (Cytoxan®)` ndi `carboplatin (Paraplatin®)`.

Kuphatikiza apo, mankhwala ena monga gemcitabine (Gemzar®) ndi vinorelbine (Navelbine®) amagwiritsidwanso ntchito pa khansa ya m'mawere yomwe yafalikira.

Kodi zotsatirapo za mankhwala a chemotherapy ndi ziti?

Zotsatira zoyipa za mankhwala a chemotherapy zimasiyana malinga ndi mtundu wa mankhwala omwe mwapatsidwa, mlingo, ndi nthawi ya chithandizo. Zotsatira zoyipa zambiri zimatha chithandizo chitatha, koma zina zimatha kwa milungu kapena miyezi.

Zotsatira zoyipa kwambiri

• Chifunga cha ubongo cha Chemo: Kuvutika kukumbukira ndikumva ngati simungathe kuganizira bwino. Izi zitha kukhalapo kwa miyezi 6 mpaka 12 chithandizo chitatha.
• Kutopa: Mungamve kutopa kwambiri panthawi yonse ya chithandizo komanso kwa miyezi 3-6 pambuyo pake.
• Kusanza ndi kusanza: Izi zitha kuyamba panthawi ya chithandizo ndipo zimatha kwa milungu iwiri kapena itatu pambuyo pake. Koma tsopano pali mankhwala abwino kwambiri oletsa vutoli.

Zotsatira zina zoyipa

• Mavuto a m'mimba: Kudzimbidwa ndi kutsegula m'mimba kungachitike.
• Kusintha kwa tsitsi: Tsitsi limatha kutayika panthawi ya chithandizo. Anthu ambiri amakumana ndi izi, koma kumbukirani kuti izi zimachitika kwakanthawi kochepa. Tsitsi lidzameranso chithandizo chitatha. Likhoza kukhala ndi mtundu kapena kapangidwe kosiyana ndi kale.
• Chilakolako cha chakudya: Chilakolako chanu cha chakudya chingachepe panthawi ya chithandizo. Izi zidzabwerera mwakale chithandizo chikatha.
• Kusintha kwa khungu ndi misomali: Khungu likhoza kuuma ndi kuyabwa. Misomali imatha kusweka mosavuta.
• Matenda a mitsempha ya m'mitsempha: Izi zingayambitse dzanzi ndi ululu m'manja ndi m'mapazi. Izi nthawi zambiri zimatha chithandizo chikatha.

Kodi chemotherapy imaperekedwa bwanji?

Chemotherapy imaperekedwa m'njira zingapo zazikulu.

1. Mankhwala omwa: Mankhwala omwe amamwedwa mkamwa ngati mapiritsi kapena makapisozi.

2. Kulowetsa m'mitsempha (IV): Kupereka mankhwala mwachindunji mumtsempha kudzera mu chubu cha saline.

Pofuna kupewa kubaya mitsempha mobwerezabwereza, madokotala nthawi zina amagwiritsa ntchito zipangizo zapadera.

• Mzere Wapakati: Chubu chapulasitiki chachitali, chopyapyala chomwe chimayikidwa mumtsempha waukulu pakhosi, pachifuwa, kapena padzanja.
• Mzere wa PICC: Chubu cholowetsedwa kudzera mu mtsempha womwe uli m'dzanja ndikupita ku mtsempha waukulu pafupi ndi mtima.
• Chemo Port: Kachipangizo kakang'ono komwe kamayikidwa pansi pa khungu la pachifuwa. Kangagwiritsidwe ntchito popereka mankhwala mosavuta poika singano mkati mwake.

Kodi chithandizocho chimatenga nthawi yayitali bwanji?

Izi zimasiyana malinga ndi dongosolo lanu la chithandizo. Nthawi zambiri, mankhwala a khansa ya m'mawere amatha miyezi itatu mpaka isanu ndi umodzi . Nthawi zina amatha kukhala chaka chimodzi.

Chithandizo chimaperekedwa mu "cycles" .

• Kawirikawiri muyenera kulandira chithandizo chamankhwala angapo.
• Gawo limodzi likhoza kuphatikizapo masiku awiri kapena atatu a chithandizo.
• Magawo a chithandizo awa akhoza kuchitika kamodzi pa sabata, kamodzi pa milungu iwiri iliyonse, kapena kamodzi pa milungu itatu kapena inayi iliyonse.
• Pambuyo pa gawo lililonse, thupi lanu limapatsidwa nthawi yopumula ndikuchira. Izi zimatchedwa "nthawi yopumula."

Kodi mumakonzekera bwanji musanalandire chithandizo?

Musanayambe kulandira chithandizo, dokotala wanu adzakuuzani kuchuluka kwa mankhwala omwe mukufuna, poganizira zinthu monga mtundu ndi gawo la khansa yanu, zotsatira za mayeso anu, ndi index yanu ya body mass (BMI).

Ino ndi nthawi yabwino yofunsa dokotala mafunso onse omwe muli nawo. Muwafunse momveka bwino za chithandizocho, zotsatira zake, ndi zomwe angakuchitireni.

Pali zinthu zingapo zomwe mungachite kuti mukonzekere masiku anu ochizira:

• Pemphani wina kuti akuthandizeni ndi ntchito zapakhomo kwa tsiku limodzi kapena awiri mutalandira chithandizo.
• Konzani kuti wina akuperekezeni popita ndi kubwera kuchipatala.
• Sankhani zovala zomasuka komanso zomasuka zoti muzivala panthawi ya chithandizo.
• Bweretsani china chake chomwe chingakusokonezeni , monga buku kapena mahedifoni kuti mumvetsere nyimbo.
• Imwani madzi owonjezera tsiku lisanafike chithandizo, chifukwa chemotherapy imatha kuwononga madzi m'thupi.

Nthawi yoti muwone dokotala wanu nthawi yomweyo

Mudzaonana ndi dokotala wanu nthawi zonse mukalandira chithandizo. Komabe, ngati mukumana ndi zizindikiro zotsatirazi, imbani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) ya chipatala chapafupi.