Ungave uine nhengo yemhuri, shamwari, kana iwe pachako uri kurapwa kenza yemazamu . Dzimwe nguva dzakadai, vanachiremba vanokurudzira mishonga yakasiyana-siyana. Pakati payo, imwe inowanzo nzwikwa nevanhu vazhinji nezvayo, kunyanya yekenza yemazamu inoitika mushure mekuguma kwemwedzi, iExemestane. Ungave uchiiziva nezita rekuti Aromasin. Nhasi, tichangotaura nezvemushonga uyu, zvaunoita, kuti unoshanda sei, uye zvekungwarira paunenge uchiushandisa.
Exemestane inoderedza sei kukura kwemasero ekenza yemazamu?
Zvichitaurwa zviri nyore, kune mamwe marudzi ekenza yemazamu anobatsirwa kukura nehomoni inonzi estrogen mumiviri yedu. Iyi ndiyo yatinodaidza kuti kenza ye 'hormone-receptor-positive'. Funga nezvemasero ekenza semuti unodya 'chikafu' chinonzi estrogen.
Exemestane inoshanda nekumisa kugadzirwa kwehormone yeestrogen mumuviri wedu. Zvakafanana nekumisa chikafu chinopihwa chirimwa. Ipapo masero ekenza anorasikirwa nezvinovaka muviri zvaanoda kuti akure. Nenzira iyi, mushonga uyu unobatsira zvikuru mukudzivirira kenza kuti isadzoke.
Izvi zvakaratidzwa neongororo. Muongororo yemakore matatu, vakadzi vaiva nekenza yemazamu mushure mekupedza kuenda kumwedzi vakapihwa exemestane, uye njodzi yavo yekudzoka kwekenza yakaderedzwa ne65% zvichienzaniswa nevakadzi vasina kuipiwa. Uyewo, kunze kwezviratidzo zvemazuva ese zvekupedza kuenda kumwedzi, zvakaita sekupisa, hapana migumisiro yakakomba yakaonekwa.
Inogona kushandiswa pamwe chete nemimwe mishonga here?
Ehe, zvechokwadi. Kurapa kenza hakungogumiri pamushonga mumwe chete. Dzimwe nguva zvinodikanwa kunanga nzira dzakasiyana dzekuuraya masero ekenza. Ndosaka vanachiremba vachironga kurapwa nekubatanidza mishonga yakati wandei.
Tsvagiridzo yakaratidza kuti mushonga we exemestane unogona kupihwa pamwe chete nemimwe mishonga yakaita seribociclib ne everolimus (inozivikanwawo se 'triplet therapy'). Musanganiswa wemishonga uyu unoderedza mikana yekuti masero ekenza ararame uye unoderedzawo njodzi yekuti kenza idzoke. Kurapa uku kwakaonekwawo kuti kwakachengeteka zvikuru.
Muongororo yakaitwa munguva pfupi yapfuura, murwere ane makore makumi mana nemasere ekuberekwa ane kenza yemazamu akarapwa chemotherapy) Gare gare, mishonga miviri inonzi Exemestane ne everolimus yakapihwa pamwe chete. Mishonga miviri iyi yakashanda pamwe chete kuparadza masero ekenza nekudzivirira kenza kuti isadzoke. Murwere paakaongororwa kwemakore mashanu, hapana kukura kwekenza kwakaonekwa mumuviri wake. Izvi zvinoratidza kuti kurapa uku kunobudirira sei.
Zvinhu zvaunofanira kuziva nezveExemestane
| Chokwadi | Tsananguro |
|---|---|
| Kushandiswa kukuru | Kudzivirira kudzoka kwekenza yemazamu ine hormone-receptor-positive mushure mekuguma kuenda kumwedzi. |
| Mashandiro | Inodzivisa kugadzirwa kwehomoni inonzi estrogen mumuviri uye inomisa kukura kwemasero ekenza. |
| Migumisiro yakajairika | Zviratidzo zvinowanzoonekwa panguva yekuenda kumwedzi zvinosanganisira kupisa muviri, kurwadziwa kwemajoini, uye kuneta. |
| Hazvina kukodzera ani? | Hazvina kukodzera vakadzi vasati vasvika nguva yekuenda kumwedzi, avo vane pamuviri kana vari kuedza kubata pamuviri, uye vanaamai vanoyamwisa. |
Zvinhu zvakakosha pakutora mushonga uyu
Pane zvinhu zvishoma zvaunofanira kuziva kana uchishandisa mushonga uyu. Izvi zvakakosha zvikuru .
Yeuka, kurapwa kwegomarara ibasa rekubatana pakati pako nachiremba wako, saka zvakanaka kuti utaure pachena nezvezvinhu zvese.
- Tevedzera mirairo yachiremba nemazvo: Mushonga uyu ndewakoZvakakosha zvikuru kutora mushonga uyu sezvakakurudzirwa nachiremba wako , nechiyero chakakodzera, panguva yakakodzera. Usambofa wakachinja chiyero kana kurega kutora mushonga wega. Kana uine zvinokunetsa, taura nachiremba wako nezvazvo.
- Njodzi kana usati wasvika panguva yekuguma kwemwedzi: Mushonga uyu hauwanzopihwa vakadzi vasati vasvika panguva yekuguma kwemwedzi nekuti unogona kukanganisa kubereka. Chiremba wako achakurukura newe zvakawanda.
- Usashandise panguva yekuzvitakura: Usashandise mushonga uyu kana uine pamuviri, uchiedza kuva nepamuviri, kana kuti uchiyamwisa. Unofanirawo kudzivirira kuva nepamuviri paunenge uchitora mushonga. Bvunza chiremba wako kuti akupe mazano panyaya iyi.
- Chenjererai nemimwe mishonga: Musatore mimwe mishonga ine estrogen (semuenzaniso, hormone replacement therapy ) neExemestane. Mishonga miviri iyi inoshanda zvakasiyana, izvo zvinogona kukonzera migumisiro yakaipa. Kana muri kutora mimwe mishonga, mavhitamini, kana mishonga yemiti, taurirai chiremba wenyu nezvazvo.
Mharidzo Yekuenda Nayo Kumba
- Exemestane mushonga unoshanda kudzivirira kudzoka kwekenza yemazamu ine mahormone-receptor-positive inoitika mushure mekuguma kuenda kumwedzi.
- Izvi zvinoshanda nekumisa kugadzirwa kwehomoni inonzi estrogen mumuviri, zvichidzora kukura kwemasero ekenza.
- Mhedzisiro iri nani inogona kuwanikwa nekushandisa mushonga uyu pamwe chete nemimwe mishonga yekurwisa kenza.
- Mushonga uyu haufanirwe kutombotanga kana kumira pasina kupiwa mazano nachiremba.
- Kana muine mibvunzo kana zvinokunetsai nezvemushonga uyu kana kurapwa, taurai nachiremba wenyu pachena nezvazvo. Musatya.
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