Tinoziva kuti kurapwa kenza kunogona kuva basa rakaoma. Zvakajairika kuti mibvunzo iuye mupfungwa kana chiremba wako akataura nezvemushonga mutsva. Nhasi, tichataura nezvemushonga wekurwisa kenza, Aldesleukin. Dzimwe nguva unonziwo IL-2. Ngatitarisei kuti mushonga uyu chii, unoita sei, uye zvaunofanira kuziva nezvawo paunenge uchiutora.
Mushonga werudzii Aldesleukin?
Muchidimbu, Aldase mushonga wekenza. Asi hazvina kufanana nemishonga yechemotherapy yatinowanzo kunzwa nezvayo. Chaizvoizvo mushonga wekudzivirira muviri . Izvi zvinoreva kuti pane kuuraya zvakananga masero ekenza, inosimudzira masoja ako emuviri uye inoapa simba rekurwisa masero ekenza . Zvakafanana nekudzidzisa "masoja" (masero ekudzivirira muviri) mumiviri yedu uye kuatuma kuhondo nemuvengi anonzi kenza.
Mushonga uyu (zita rechiratidzo: Proleukin) unonyanya kushandiswa pa:
- Kune kenza yemasero eitsvo isina kunyanya kuoma kana kuti yakanyanya kukura .
- Kune melanoma yakakwira, kenza yeganda yakakomba.
Mune zvimwe zviitiko, vanachiremba vanogonawo kukurudzira mushonga uyu kune mamwe marudzi ekenza.
Zvinhu zvinonyanya kukosha zvekuudza chiremba wako usati watanga kurapwa
Usati wasarudza kana kurapwa uku kwakakunakira, zvakakosha kuzivisa chiremba wako nezvenhoroondo yako yese yehutano. Iva nechokwadi chekuvaudza nezvechero chezvirwere zvinotevera, kunyanya:
- Kana uine matambudziko eropa (semuenzaniso matambudziko ekugwamba kweropa, anemia).
- Kana uchinzwa kuneta kana kuneta nguva dzose.
- Kana uchitova nefivha kana chimwe chirwere chinotapukira mumuviri.
- Kana uine chirwere chemwoyo, mapapu, itsvo kana chiropa .
- Kana uine mamwe matambudziko emuviri wako .
- Kana uine chirwere chepfungwa (semuenzaniso kuora mwoyo) kana kuti uri kutora mishonga yacho.
- Kana wakamboisirwa nhengo yemuviri kare.
- Kana uine pfari .
- Kana uine matambudziko emudumbu kana zvirwere zvekugaya chikafu.
- Kana uine matambudziko e thyroid .
- Kana uine allergy ne aldesleukin kana chero imwe mishonga, chikafu, kana dhayi .
- Kana uine pamuviri, uri kuedza kubata pamuviri, kana kuti uri amai vanoyamwisa .
Ruzivo urwu rwakakosha zvikuru pakuchengetedza kwako, nekuti zvichibva paruzivo urwu ndipo pachasarudzwa chiremba nzira yakakodzera uye yakachengeteka yekurapa kwako.
Mushonga uyu uchapihwa sei kwauri?
Uyu hausi mushonga waunogona kutora kumba. Aldase inopihwa muchipatara kana kiriniki, pasi pekutarisirwa kwakasimba kwevanachiremba nevanamukoti . Inowanzopihwa seijekiseni mutsinga (inopinzwa mutsinga kana kuti mutsinga yeropa) . Dzimwe nguva inogonawo kupihwa seijekiseni pasi peganda (jekiseni remudumbu).
Sezvo kurapwa uku kuchiitwa muchipatara, haufanirwe kunetseka nezvekurasikirwa nedosi kana kuwedzerwa mushonga zvakanyanya. Chikwata chekurapa chichanyatsoongorora.
Kana uchifunga kuti wakatora zvinodhaka zvisina mwero netsaona, zivisa chiremba kana mukoti nekukasika. Kana paine dambudziko rekukurumidza, unogona kuenda kuEmergency Treatment Unit (ETU) yechipatara, uye kana paine dambudziko rechepfu, unogona kufonera National Poisons Information Centre kuColombo National Hospital .
Chenjerera nezvemimwe mishonga yaunotora.
Paunenge uchitora aldesleukin, zvakakosha kuudza chiremba wako nezvemimwe mishonga yese yauri kutora. Mimwe mishonga inogona kukanganisa kurapwa uku. Saka, unofanira kutora:
- Mimwe mishonga yekurwisa kenza (semuenzaniso doxorubicin, methotrexate)
- Mishonga inorwisa mabhakitiriya, kunyanya aminoglycosides
- Mishonga yeBP yakakwira (semuenzaniso beta blockers)
- Mishonga yehutano hwepfungwa (yekuora mwoyo, kuzvidya mwoyo)
- Mhando dzema steroid (semuenzaniso prednisone, cortisone)
- Mishonga inouraya marwadzo, kunyanya NSAIDs (semuenzaniso ibuprofen, naproxen)
- Mapiritsi ekurara
- Mimwe mishonga inodzvinyirira masoja emuviri yakaita seinterferon alfa
Pamusoro pezvese izvi, usakanganwa kuudza chiremba wako nezvemavhitamini, mishonga yekuwedzera yaunotora, uye kana uchisvuta kana kunwa doro .
Zvinhu zvekunyatsoteerera panguva yekurapwa
- Kugara uchitarisa: Uchatariswa zvakanyanya navanachiremba nevanamukoti munguva yese yekurapwa uku.
- Kuongororwa kweropa: Uchafanirwa kuongororwa ropa nguva nenguva kuti uone kufambira mberi kwekurapwa kwako uye kuona migumisiro yacho nekukurumidza.
- Dziviriro kubva kuzvirwere: Mushonga uyu unogona kuderedza kugona kwemuviri kurwisa zvirwere kwenguva pfupi. Nokudaro,Edza kusasangana nevanhu vane dzihwa kana furuu. Kana ukaita fivha kana hutachiona paunenge uchinwa mushonga, usazvirape wega wobva waudza chiremba wako nekukasika.
- Kusagadzikana kunowanzoitika: Zvakajairika kunzwa kusagadzikana kana kurwara paunenge uchitora mushonga uyu. Ichi chikamu chekurapa. Zvisinei, zivisa chiremba wako nezvezviratidzo zvitsva kana matambudziko aunowana.
Ndezvipi zvimwe zvingakonzerwa nemishonga iyi?
Kufanana nemushonga upi zvawo, aldesleukin inogona kukonzera migumisiro yakaipa. Mimwe yeiyi inoda kurapwa nekukurumidza, asi mimwe haina kunyanya kuipa.
| Migumisiro inofanira kuziviswa kuna chiremba/mukoti nekukasika | |
|---|---|
| Chiratidzo | Tsananguro |
| Kurwara kwakanyanya | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo kana rurimi. |
| Kuoma kufema | Kutadza kufema, ruzha rwekufemera rwunobva muchipfuva. |
| Matambudziko emwoyo | Kurwadziwa pachipfuva, kurova kwemoyo nekukurumidza kana kusina kurongeka. |
| Kuchinja kwepfungwa | Kuvhiringidzika, kushaya zororo, kuzvidya mwoyo, kuona kana kunzwa zvinhu zvisiri zvechokwadi (kufungidzira zvinhu zvisipo). |
| Matambudziko eitsvo | Kudzikira kweweti, weti yero yakasviba kana yebrown. |
| Matambudziko echiropa | Kutsvuka kwemaziso neganda. |
| Zvimwe zviratidzo zvakakomba | Dzungu rakakomba, hope, kubuda ropa risingawanzoitiki kana mavanga, kuzvimba kwemuviri (kunyanya kumeso netsoka), kuneta kwakanyanya, kurutsa, fivha, kutonhora, pahuro panorwadza. |
| Zvinhu zvisingawanzove zvakakomba, asi zvinofanira kutaurwa kuna chiremba kana zvikaramba zviripo | |
|---|---|
| Kuzvimba (manyoka) | Kusvotwa |
| Kurara | Kuda kudya |
| Maronda emuromo | Kurwadziwa kwedumbu |
Kana mukaona zvimwe zviratidzo zvisingawanzo taurwa pane urongwa uhwu, ndapota zivisai chiremba wenyu kana mukoti nezvazvo zvakare.
Mharidzo Yekuenda Nayo Kumba
- Aldesleukin/IL-2 mushonga unobatsira kurwisa kenza nekukurudzira masoja emuviri wako, pane kuuraya masero ekenza zvakananga.
- Kurapwa uku kunoitirwa muchipatara, pasi pekutarisirwa nachiremba, saka haufanirwe kunetseka nezvemupimo kana kuchengetedza mushonga.
- Usati watanga kurapwa, iva nechokwadi chekuudza chiremba wako nezvezvimwe zvirwere zvaunazvo uye chero mishonga yauri kutora (kusanganisira mavhitamini nemiriwo).
- Kana ukasangana nematambudziko akakomba panguva yekurapwa, akadai sefivha, kunetseka kufema, kurwadziwa pachipfuva, kana kuzvimba kwakanyanya, zivisa vashandi vekurapa nekukasika.
- Kurapwa uku kunogona kunetsa, asi hausi wega. Chikwata chako chekurapa chakagadzirira kukubatsira nguva dzose. Usatya kutaura navo nezvemibvunzo kana zvinokunetsa.
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