Kana chiremba akakuudza iwe kana mumwe munhu waunoziva ane kenza yemudumbu, shoko rinotevera raunonzwa nderekuti '
chemotherapy .' Vanhu vazhinji vanotya uye vanonzwa mutoro unorema pavanonzwa zita iri. Asi chii chaizvo? Chii chichaitika kwariri? Chinhu chekutya here zvechokwadi? Ngatisiyei mibvunzo yese yatinayo nezveizvi totaura nezvazvo zviri nyore uye zvechokwadi.
Chii chinonzi chemotherapy?
Zvichitaurwa zviri nyore,
chemotherapy mushonga une simba unopihwa kuuraya masero ekenza . Zvakafanana nekuzivisa hondo pamuvengi ari mumuviri wedu. Kune nzira dzakasiyana dzekupa mushonga uyu mumuviri. Dzimwe nguva unopihwa netsinga semushonga wesaline, uye dzimwe nguva unopihwa sepiritsi. Chiremba wako ndiye achasarudza kuti ndeupi mushonga wakakunakira, chiyero, uye nguva yekurapa. Vanachiremba vanoshandisa chemotherapy iyi pazvinangwa zvakasiyana. Ngatitarisei kuti ndeapi.
Neoadjuvant Chemotherapy (chemotherapy inopiwa vasati vavhiyiwa)
Fungidzira kuti une bundu rekenza, uye rakakura zvishoma. Zvadaro zvinogona kuoma kuribvisa zvachose nekuvhiyiwa. Muzviitiko zvakadaro, usati wavhiyiwa, mushonga uyu
wechemotherapy unopihwa
kuti uderedze bundu, kureva kuti, kuti riite diki . Kana bundu riri diki, chiremba wekurapa anogona kuribvisa zvachose zviri nyore uye nematambudziko mashoma. Dzimwe nguva chemotherapy iyi inopihwa pamwe chete
neradiation therapy, nekuti ipapo radiation therapy inobudirirawo.
Adjuvant chemotherapy (chemotherapy inopiwa mushure mekuvhiyiwa)
Mushure mekuvhiyiwa kubvisa bundu rekenza, dzimwe nguva panogona kunge paine masero madiki ekenza rimwe kana maviri asara mumuviri asingaonekwe nemaziso edu. Chemotherapy inopiwa mushure mekuvhiyiwa
kuti iparadze zvachose masero asara . Izvi zvakafanana nekutsvaira imba zvakanaka wozoipukuta kuti ubvise guruva rekupedzisira. Izvi zvinobatsira zvikuru mukudzivirira
kenza kuti isadzoke zvakare.
Kurapa kwepalliative chemotherapy (chemotherapy inopiwa kudzora zviratidzo)
Mune zvimwe zviitiko zvakanyanya kuipa, kenza inogona kunge yapararira kune dzimwe nhengo dzemuviri (semuenzaniso, chiropa). Muzviitiko zvakadaro, kuvhiyiwa chete kungasakwanisa kurapa kenza zvachose. Muchiitiko ichocho, chemotherapy inopihwa
kuderedza kenza, kuderedza zviratidzo (sekurwadziwa), uye kuwedzera hupenyu hwemurwere uye kuita kuti hupenyu hwezuva nezuva huve nyore .
Kuti uzive kuti ndeipi nzira chaiyo yekurapa yakakunakira, zvakanaka kutaura nachiremba wako pachena.
Mishonga mikuru inoshandiswa pakurapa kenza yemuura
Kune mhando dzakasiyana dzemishonga inoshandiswa kurapa gomarara remuura. Ngatitarisei mimwe yacho uye kuti inopihwa sei.
| Zita reMushonga | Maitiro ekupa uye ruzivo rwakawanda |
|---|
| 5-fluorouracil (5-FU) | Mushonga unokosha wave uchishandiswa kwemakore mazhinji. Unopinzwa netsinga uye unoshanda zvakanyanya kana uchipiwa pamwe chete nevhitamini inonzi leucovorin . |
| Capecitabine (Xeloda) | Inotorwa sepiritsi. Mushonga uyu unoshandurwa kuita 5-FU mumuviri. Unopihwa kenza yemudumbu usati wavhiyiwa kana kuti mushure mekuvhiyiwa. |
| Irinotecan (Camptosar) uye Oxaliplatin (Eloxatin) | Izvi zvinowanzopihwa pamwe chete ne5-FU kana Xeloda mushure mekuvhiyiwa kana muzviitiko zvakura apo kenza yapararira. |
| Trifluridine netipiracil (Lonsurf) | Musanganiswa wemishonga miviri inouya muchimiro chemapiritsi. |
Kurapa uku kunowanzoitwa
mumatanho akasiyana-siyana . Kureva kuti, mushonga uyu unopihwa kwemazuva mashoma kana vhiki imwe kana maviri, wozoteverwa nevhiki imwe kana maviri okuzorora. Kurapa kunoenderera mberi nenzira iyi kwemwedzi inenge mitanhatu.
Kurapa kunokanganisa muviri uye kunongopihwa kunzvimbo yakatarwa chete.
Kana mishonga yekemo ikatorwa semapiritsi kana kupihwa mutsinga, inopinda muropa uye inofamba mumuviri wese kuuraya masero ekenza. Izvi zvinonzi
systemic chemotherapy . Asi dzimwe nguva, kurapwa kunogona kunangidzirwa kune imwe nhengo iyo kenza yakapararira. Semuenzaniso, kana kenza yakapararira kuchiropa,
chemoembolization yetsinga yeropa.Izvi zvinosanganisira kuvharira kwenguva pfupi kana zvachose tsinga huru inopa ropa kuchiropa (hepatic artery), uye kubaya jekiseni rechemotherapy pakati pekuvharika kwechiropa nechiropa. Izvi zvinobvumira mushonga kuenda zvakananga kuchiropa, zvichideredza zvikuru njodzi yekuti usvike kune dzimwe nhengo dzemuviri.
Kurapa kwakakosha kunonzi Targeted Therapy
Iyi mishonga mitsva yakasiyana zvishoma nechemotherapy yenguva dzose. Mishonga iyi
inotarisa majini chaiwo kana mapuroteni ari mumasero ekenza uye inoarwisa . Nemamwe mashoko, yakafanana nekutsvaga nzvimbo isina simba yemuvengi woirwisa. Izvi zvinoreva kuti masero ane hutano haanyanyi kukuvara. Dzimwe nguva anopiwa pamwe chete nechemotherapy. Dzimwe nguva, anoshandiswa kana chemotherapy yenguva dzose isingachashandi. Mienzaniso inosanganisira Bevacizumab (Avastin), Cetuximab (Erbitux), uye Panitumumab (Vectibix).
Ndezvipi migumisiro yemishonga yekurapa chemo?
Kurapa nemakemikari kunouraya masero egomarara anokamura nekukurumidza. Asi kunogonawo kukanganisa
masero ane hutano anokamura nekukurumidza mumiviri yedu. Semuenzaniso, masero ari mumuromo medu, masero anokura bvudzi, uye masero ari mumongo medu. Migumisiro yacho inoitika nekuti masero iwayo ane hutano anokuvadzwa.
| Nhengo yemuviri yakakanganiswa | Migumisiro inogona kuitika |
|---|
| Masero enzira yekudya (muromo, ura) | Kusvotwa nekurutsa, kurasikirwa nechido chekudya, maronda mumuromo (mucositis), manyoka |
| Mafori ebvudzi | Kudonha kwebvudzi |
| Ganda | Mapundu, kutsvuka, uye kurwadziwa pamaoko netsoka (Hand-foot syndrome) |
| Mupfupa | |
Migumisiro iyi haiitike kune munhu wese nenzira imwechete. Inosiyana kubva pamushonga kuenda kumushonga uye kubva kumurwere kuenda kumurwere. Semuenzaniso, mushonga we 'Oxaliplatin' unogona kukonzera kukuvara kwetsinga mune vamwe vanhu.
Chinhu chinonyanya kukosha ndechekuudza chiremba wako nekukasika kana ukasangana nemhedzisiro iyi. Kazhinji, kune mishonga nedzimwe nzira dzekudzora nekuderedza izvi. Saka usavhunduke. Taura nachiremba wako nezvese.
Mharidzo Yekuenda Nayo Kumba
- Chemotherapy inzira yekurapa inouraya masero ekenza . Inoshandiswa usati wavhiyiwa, kana kuti mushure mekuvhiyiwa, zvichienderana nemamiriro ako ezvinhu.
- Rudzi rwemushonga, mapirwo aunopiwa, uye nguva yekurapwa zvinosarudzwa nachiremba wako. Hazvina kufanana kune wese munhu.
- Migumisiro inogona kuitika, asi yakawanda inogona kudzorwa. Usatya kuudza chiremba wako nezvekuchinja kwaunonzwa.
- Ndapota kurukurai mibvunzo kana zvinokunetsai nezvekurapa uku nachiremba wenyu. Hamusi parwendo urwu mega.
Kenza yemudumbu, kenza yemudumbu, chemotherapy, kurapwa nekenza, migumisiro yechemotherapy, 5-FU
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