Kurwisa kenza idambudziko guru zvechokwadi, handiti? Kuti tikubatsirei parwendo urwu, kune nzira dzakasiyana-siyana dzekurapa dziripo. Imwe yenzira dzakadaro yekurapa iCarmustine , yawakanzwawo ichinzi (BCNU) . Zvakajairika kunzwa kutya zvishoma paunonzwa zita idzva remushonga, asi ngatikurukurei mushonga uyu zviri nyore, sekunge tiri shamwari dziri kutaura, kuti muve nekunzwisisa kwakajeka kwezvinotarisirwa.
Carmustine mushonga werudzii, uye unoshandisirwei?
Muchidimbu, Carmustine mushonga unoshandiswa kurwisa masero ekenza . Zvikuru sei, imhando yechemotherapy . Mamwe masero ari mumiviri yedu, kunyanya masero ekenza , anopatsanuka uye anowanda nekukurumidza. Mushonga uyu unoshanda nekuvhiringidza kukura kwemasero iwayo anopatsanuka nekukurumidza uye kuadzora.
Ngatitarisei zvirwere zvikuru zvegomarara zvinoshandiswa mushonga uyu:
- Matumbu emuuropi : Anoshandiswa pamhando dzakasiyana dzematumbu kana matumbu anoitika muuropi.
- Multiple myeloma: Kenza inotangira mumongo wemapfupa.
- Chirwere cheHodgkin: Kenza inokanganisa lymphatic system .
- MaNon-Hodgkin's lymphomas: Rimwe boka regomarara rinokanganisa lymphatic system.
Kunze kwemamiriro ezvinhu aya, chiremba wako anogona dzimwe nguva kushandisa mushonga uyu kune zvimwe zvinetso zvehutano. Saka, kana ukanyorerwa mushonga uyu, zvakanaka kubvunza chiremba wako kana wemishonga kuti akutsanangurire chikonzero chaicho uye kuti uchapiwa sei munyaya yako chaiyo.
Chii chaunofanira kuudza chiremba wako usati watanga mushonga uyu?
Usati watanga kurapwa neCarmustine, zvakakosha kuti ugovane ruzivo rwakati nechikwata chako chekutarisira. Chikwata chako chekurapa chinoda ruzivo urwu kuti chione kana kurapwa uku kwakakunakira, kuti chiverengere mwero wakakodzera, uye kuti chione kuti chii chinoda kutariswa zvakanyanya.
Heano mamwe mapoinzi akakosha ekuburitsa pachena:
- Kana uine hutachiona huripo: Kunyanya hutachiona hwemavhairasi hwakaita sechicken pox kana herpes, kana kana uine dzihwa kana fivha.
- Chirwere cheitsvo : Chero matambudziko ane chekuita neitsvo dzako.
- Chirwere chechiropa : Chero zvinonetsa nezvekushanda kwechiropa .
- Kuverengwa kwemasero eropa mashoma: Zvakadai semaplatelet akaderera, masero matsvuku eropa akaderera (anemia), kana masero machena akaderera. Chiremba wako anofanira kuziva izvi.
- Chirwere chemapapu: Kana uine matambudziko ekufema kana kufema zvakaoma.
- Kurwara neAllergy: Unofanira kutaura kana wakamborwara neCarmustine, BCNU, mimwe mishonga yechemotherapy, kana mimwe mishonga, chikafu, madhayi, kana zvinochengetedza.
- Kana uine pamuviri kana kuti uri kuedza kubata pamuviri: Izvi zvakakosha zvikuru.
- Kana uchiyamwisa.
Kubudirana pachena nachiremba wako nezvezvinhu izvi kwakakosha kuti uchengetedzeke uye kuti utarisirwe zvakanaka kuNirogi Lanka.
Carmustine inopihwa sei?
Mushonga uyu unopihwa semushonga unoiswa mutsinga kana jekiseni. Uyu hausi mushonga waunotora kumba; uchapihwa nenyanzvi yehutano yakadzidziswa muchipatara kana kiriniki.
Zvakakosha: Kana mushonga uyu wakanyorerwa mwana, unoitirwa pasi pekutarisirwa kwachiremba wevana.
Ko kana ukanwa mushonga wakawandisa?
Kana muchifungidzira kuti madhaka akawandisa, ndapota taurai nevanopa rubatsiro rwekukurumidzira vemunharaunda yenyu kana kuti endai kuchipatara chekukurumidzira chiri pedyo nekukasika.
Ndapota yeukai: Mushonga uyu wakanyorerwa imi chete. Musambougovera kune mumwe munhu.
Ko kana ukarasikirwa nedosi?
Zvakakosha kutevedzera hurongwa hwenyu hwekurapwa. Kana musingakwanise kuronga nguva yenyu yekusangana, ndapota fonerai chiremba wenyu kana nyanzvi yehutano nekukasika kuti muvazivise. Vachakutungamirai pamatanho anotevera.
Pane mimwe mishonga inogona kukanganisa kurapwa uku here? (Kudyidzana Kwemishonga)
Ehe, mimwe mishonga inogona kukanganisa Carmustine, izvo zvinogona kuchinja kushanda kwayo kana kuwedzera njodzi yemigumisiro yakaipa.
Mienzaniso inosanganisira:
- Cimetidine (inoshandiswa pakurapa chirwere chemudumbu)
- Phenobarbital (inoshandiswa pakurapa mamwe matambudziko epfari)
- Phenytoin neFosphenytoin (zvinoshandiswawo pakurapa pfari)
Rondedzero iyi haina kukwana. Saka, unofanira kuzivisa chiremba wako nezvemishonga yese yaunotora—kusanganisira mimwe mishonga inonyorerwa nachiremba, mavhitamini, mishonga yemishonga inogadzirwa nemiti, mishonga inotengeswa musiri muchipatara, uye mishonga yekudya. Pamusoro pezvo, ndapota zivisa chiremba wako kana uchisvuta kana kunwa doro, sezvo izvi zvinogona kukanganisawo kurapwa kwako.
Chii chaunofanira kungwarira panguva yekurapwa?
Munguva yekurapwa kwako neCarmustine, chiremba wako achakutarisa nguva nenguva kuti aone kufambira mberi kwako uye hutano hwako hwese.
- Kunzwa kusagadzikana: Zvakajairika kunzwa usina simba rekunze paunenge uri pamushonga uyu. Nekuti chemotherapy inotarisa masero anokamura nekukurumidza, inogona kukanganisa masero ane hutano pamwe chete nemasero ekenza. Izvi zvinotarisirwa. Ndapota taura nezvemigumisiro yakaipa kuna chiremba wako. Kunyangwe kana uchinzwa kusagadzikana, ramba uchirapwa sezvakarairwa kusvika chiremba wako akuudza zvakasiyana.
- Mishonga inotsigira: Dzimwe nguva, chiremba wako anogona kukupa mimwe mishonga yekubatsira kudzora migumisiro yakaipa. Ndapota iva nechokwadi chekuti watevedzera mirairo yemishonga iyi yekuwedzera sezvakataurwa.
- Kudzivirira kubva kuzvirwere: Kana ukatanga fivha, dzihwa, pahuro, kukosora, kana zviratidzo zvechikosoro , taura nachiremba wako kana mupi wehutano nekukasika kuti akubatsire. Usaedze kuzvirapa wega. Mushonga uyu unogona kuderedza simba remuviri wako, zvichiita kuti uve nyore kubatwa nezvirwere. Edza kudzivirira kusangana nevanhu vanorwara.
- Kuongororwa kwekubuda ropa kana mavanga: Mushonga uyu unogona kuwedzera njodzi yekubuda ropa kana mavanga zviri nyore. Kana ukaona kubuda ropa kusingawanzoitiki (semuenzaniso, kubuda ropa mumhino, kubuda ropa mumatadza, ropa mutsvina yako) kana mavanga asina kutsanangurwa, zivisa chiremba wako nekukasika.
- Njodzi yekenza yechipiri: Kushandisa mushonga uyu kwenguva refu kunogona kuva nenjodzi diki yekubatwa nemamwe marudzi ekenza. Kurukurai chero zvinokunetsai nachiremba wenyu.
- Kukanganisa Kubereka: Mushonga uyu unogona kukanganisa kubereka kwevarume (kukwanisa kubereka mwana). Kana muine zvinokunetsai nezveizvi, ndapota taurai nachiremba wenyu kana nyanzvi yehutano.
- Kubata pamuviri nekuyamwisa:
- Usabata pamuviri panguva yekurapwa uye kwemwedzi mitanhatu mushure mekurega mushonga uyu. Kana uchironga kubata pamuviri kana kuti uchifungidzira kuti ungave nepamuviri, zivisa chiremba wako nekukasika.
- Varume havafaniri kuedza kubereka mwana pavanenge vachitora mushonga uyu uye kwemwedzi mitatu mushure mekumira kurapwa.
- Mushonga uyu unogona kukonzera kukuvara kukuru kumwana asati aberekwa. Taura zvakawanda nachiremba wako kana wemishonga.
- Musayamwisa mwana panguva yekurapwa nemushonga uyu.
Ndezvipi zvingakonzera migumisiro yemushonga uyu?
Kufanana nemishonga chero ipi zvayo, Carmustine inogona kukonzera migumisiro yakaipa. Zvisinei, havasi vese vanoiwana. Mimwe inoda kutarisirwa nachiremba nekukurumidza, nepo mimwe isinganyanyi kuoma uye inowanzopera nekufamba kwenguva.
Migumisiro inoda kurapwa nekukurumidza:
Kana ukasangana nechimwe chezvinotevera, taura nachiremba wako kana mupi wehutano nekukurumidza sezvinobvira:
- Kurwara nepfungwa: Mapundu eganda, kuvaviwa, mapundu, kana kuzvimba kwechiso, miromo, kana rurimi.
- Kunetseka nekufema.
- Kurwadziwa kwemajoini.
- Kuwanda kweropa: Mushonga uyu unogona kuderedza huwandu hwemasero machena eropa, masero matsvuku eropa, uye maplatelet, zvichiwedzera njodzi yako yekutapukirwa uye kubuda ropa.
- Kurwadziwa kwetsandanyama.
- Kubatwa nepfari.
- Zviratidzo zvehutachiona: Fivha, dzihwa, kukosora, kurwadziwa pahuro, kana kurwadziwa/kuoma panguva yekuzviitira weti.
- Zviratidzo zvemaplatelet akaderera kana kubuda ropa: Mavanga asina kutsanangurwa, mavara matsvuku anowanikwa paganda, tsvina nhema kana kuti yakamira, kana ropa muweti.
- Zviratidzo zvekukuvara kweitsvo: Kuomerwa nekuita weti kana kuchinja kwehuwandu hweweti.
- Kudzikira uremu kusingatsananguriki.
Migumisiro isinganyanyi kuoma asi inofanira kutaurwa kana ikaramba iripo:
Migumisiro inotevera inowanzova isingaurayi asi inofanira kutaurwa kana ikava inonetsa kana kuti inogara iripo:
- Musoro.
- Kurasikirwa nechido chekudya.
- Kusvotwa kana kurutsa.
- Kurwadziwa, kutsvuka, kana kushatirwa panzvimbo yekubaiwa jekiseni.
Rondedzero iyi haisanganisiri mimwe migumisiro yese inogona kuitika. Kana ukasangana nechimwe chinhu chisingawanzoitika, ndapota bvunza timu yako yehutano.
Mushonga uyu unochengetwa sei?
Nekuti mushonga uyu unopihwa muchipatara kana kukiriniki, haufanirwe kuuchengeta kumba. Vashandi vechipatara ndivo vane basa rekutarisira uye kuachengeta nemazvo.
Mharidzo Yekuenda Nayo Kumba
Takurukura zvinhu zvakawanda nezvekurapa Carmustine. Yeuka:
Chinhu chinonyanya kukosha ndechekukurukura pachena mibvunzo, kusava nechokwadi, kana kunetseka kwaungave nako nachiremba wako, nesi, kana wemishonga. Varipo kuti vakutsigire.
- Carmustine mushonga we chemotherapy wakagadzirirwa kudzora kukura kwemasero ekenza.
- Usati watanga kurapwa, zivisa chiremba wako nezvenhoroondo yako yese yehutano pamwe nemimwe mishonga yese yauri kutora.
- Pinda muzvirongwa zvako zvekurapwa sezvakarongwa. Kana ukasasangana nenguva, zivisa chiremba wako nekukasika.
- Gara wakangwarira kana paine migumisiro yakaipa. Taura zviratidzo zvakakomba kuna chiremba wako nekukurumidza.
- Ita hutsanana hwakanaka kudzivirira hutachiona uye ramba wakangwarira zviratidzo zvekubuda ropa.
- Tevedzerai mazano echiremba zvakanyanya maererano nepamuviri nekuyamwisa.
Yeuka, hausi wega uri parwendo urwu. Une timu yekurapa yakazvipira kuNirogi Lanka kuti ikutarisire. Ramba wakasimba, tevera hurongwa hwako hwekurapa, uye tinokushuvira kuti upore nekukurumidza!
Mashoko akakosha: Carmustine, BCNU, kurapwa kwekenza, chemotherapy, kenza yeuropi, multiple myeloma, lymphoma, mishonga yekenza, migumisiro yakaipa
