Chithandizo cha khansa ya m'mawere pogwiritsa ntchito mankhwala a chemotherapy... kodi tikambirane za izi?

Dokotala akakuuzani kuti muli ndi khansa ya m'mawere, nthawi zambiri mumamva mantha komanso kudabwa kwambiri mukamva mawu oti 'chemotherapy'. Tikamanena kuti "chemotherapy" timakhala ndi chithunzi chovuta m'maganizo mwathu. Koma ngati tikudziwa bwino za njira iyi yochiritsira, mudzapeza mphamvu zambiri zothanirana ndi ulendowu. Lero, tiyeni tikambirane za chemotherapy, zomwe zimachitika nayo, komanso momwe mungathanirane nayo.

Mwachidule, kodi chemotherapy ndi chiyani?

Chemotherapy ndi mankhwala amphamvu kwambiri omwe amagwiritsidwa ntchito kupha maselo a khansa. Ali ngati mankhwala apadera omwe amalowa mkati mwa thupi lanu, kufunafuna ndi kupha maselo a khansa. Dokotala wanu angagwiritse ntchito chithandizochi pamodzi ndi mankhwala ena, monga opaleshoni, chithandizo cha radiation, ndi chithandizo cha mahomoni.

Pali zolinga zitatu zazikulu za chemotherapy pochiza khansa ya m'mawere:

• Kuletsa khansa kuti isabwererenso pambuyo pa opaleshoni: Khansa ikachotsedwa kudzera mu opaleshoni, chithandizochi chimaperekedwa kuti khansa isabwererenso mwa kuwononga maselo aliwonse a khansa omwe angakhalebe m'thupi, omwe sangawonekere ndi maso. Izi zimatchedwa 'Adjuvant Therapy' m'mankhwala.
• Chepetsani chotupa musanachite opaleshoni: Nthawi zina, ngati khansa ndi yayikulu, mankhwala a chemotherapy amaperekedwa musanachite opaleshoni kuti achepe. Izi zimapangitsa kuti zikhale zosavuta kuchotsa chotupacho kwathunthu panthawi ya opaleshoni. Izi zimatchedwa 'Neo-adjuvant therapy'.
• Wonongani maselo a khansa omwe afalikira ku ziwalo zina za thupi: Ngati khansa yafalikira (yomwe yafalikira) kuchokera m'mawere kupita ku ziwalo zina za thupi, monga chiwindi, mapapo, kapena mafupa, chemotherapy imagwiritsidwanso ntchito kuwononga maselo amenewo.

Inu ndi dokotala wanu mudzasankha limodzi nthawi yoyenera kuyamba kulandira mankhwala a chemotherapy, mankhwala oti mugwiritse ntchito, ndi nthawi yanu yolandira chithandizo. Choncho onetsetsani kuti mwafunsa mafunso aliwonse omwe muli nawo.

Kodi chemotherapy imaperekedwa bwanji?

Mankhwala a chemotherapy angaperekedwe m'njira ziwiri zazikulu: Njira yoyamba ndi kumeza mapiritsi . Njira ina, yomwe imachitika kwambiri m'dziko lathu, ndi kuwalowetsa m'thupi kudzera mu mtsempha monga saline (yomwe imalowetsedwa m'mitsempha kapena m'mitsempha) .

Nthawi zina, kuti mupewe vuto lopeza mtsempha m'dzanja lanu ndikuyika cannula nthawi iliyonse mukalandira chithandizo, dokotala wanu angakulangizeni kuti muyike chipangizo chaching'ono (cholowera chapakati) pansi pa khungu pachifuwa chanu chapamwamba. Izi zidzakuthandizani kupereka mankhwala ndikutulutsa magazi mosavuta kudzera mmenemo. Chidzachotsedwa chithandizo chanu chikatha.

Chithandizo chimaperekedwa mu 'cycles'.Kapena mu nthawi yozungulira. Izi zikutanthauza kuti mumapereka mankhwala kwa masiku angapo, kenako muyime kwa masiku angapo kapena milungu ingapo kuti thupi lanu lipumule. Kenako yambaninso nthawi yotsatira. Ndondomeko iyi ya chithandizo ndi yosiyana kwa aliyense. Zimatengera mtundu wa khansa yomwe muli nayo.

Mankhwala omwe amagwiritsidwa ntchito kwambiri pa khansa ya m'mawere

Madokotala nthawi zambiri amapereka osati imodzi mwa mankhwala awa okha, koma angapo mwa iwo 'mosakanikirana'. Zili ngati 'recipe' yapadera yopangidwira kuti ipeze zotsatira zabwino kwambiri. Amagwiritsa ntchito mayina afupiafupi kwa iwo. Ngati dokotala wanu akutchulani mayina awa, tsopano mutha kudziwa pang'ono za izi.

Zotsatirapo zomwe zingachitike panthawi ya chithandizo

Pamene mankhwala a chemotherapy amapha maselo a khansa, amathanso kukhudza maselo ena athanzi m'thupi lathu omwe amagawikana mofulumira (monga maselo a tsitsi, maselo omwe ali m'kamwa mwathu, ndi maselo a magazi). Ndicho chifukwa chake zotsatirapo zake zimachitika. Koma kumbukirani, zotsatirapo zambirizi ndi zakanthawi kochepa. Ndipo tsopano pali mankhwala abwino kwambiri oletsa matendawa.

Zotsatirapozi sizikhudza aliyense mofanana. Anthu ena angakumane ndi zovuta zambiri, ena zochepa. Ndikofunikira kwambiri kuuza dokotala wanu za vuto lililonse lomwe mukukumana nalo.

Kodi mumakonzekera bwanji mankhwala a chemotherapy?

Ndikofunikira kwambiri kuti thupi lanu likhale lolimba momwe mungathere musanayambe kulandira chithandizo.

• Pumulani bwino.
• Idyani zakudya zopatsa thanzi. Muzidya zipatso, ndiwo zamasamba, nyemba, ndi tirigu wambiri.
• Imwani madzi ambiri momwe mungathere.
• Pitani kwa dokotala wa mano. Yang'anani ngati muli ndi matenda aliwonse m'mano ndi m'kamwa mwanu ndipo muwachiritse musanayambe kulandira chithandizo.
• Chepetsani nkhawa. Chitani chinthu chomwe mumakonda, sinkhasinkhani, lankhulani ndi munthu amene mumamudalira.
• Kayezetseni magazi omwe dokotala wanu wakupatsani kuti muwone ngati mtima wanu, chiwindi, ndi impso zanu zikugwira ntchito bwino.

Kodi mungazindikire bwanji zadzidzidzi?

Ichi ndi gawo lofunika kwambiri. Popeza chitetezo cha mthupi lanu chimafooka panthawi ya chithandizo cha chemotherapy, pali zizindikiro zina zomwe muyenera kuzidziwa bwino. Ngati muli ndi chimodzi mwa izi, uzani dokotala wanu nthawi yomweyo.

• Ngati malungo ali pamwamba pa 38°C (100.4°F).
• Ngati muli ndi malungo chifukwa cha shock. (Ngati simungathe kuonana ndi dokotala, pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) ya chipatala chapafupi nthawi yomweyo. )
• Zilonda zatsopano kapena mawanga oyera mkamwa, lilime lotupa.
• Kuuma, kupsa, ndi kukanda pakhosi.
• Kupsa kwambiri mukamakodza, kufunikira kukodza pafupipafupi, magazi mu mkodzo.
• Kusanza, kusanza, kupweteka m'mimba, kapena kutsegula m'mimba komwe kumatenga masiku opitilira awiri kapena atatu.
• Magazi mu chopondapo.

Ngakhale chithandizo chitatha, dokotala wanu adzapitiriza kukuyang'anirani nthawi zonse (kutsatira). Nthawi zambiri mudzaonana ndi dokotala wanu kamodzi pa miyezi 4-6 iliyonse kwa zaka 5 zoyambirira.