Kana ukaona kuti iwe kana mumwe munhu waunoziva ane kenza, zvakajairika kunzwa kutya kukuru uye kuzvidya mwoyo paunonzwa mazwi ekuti 'chemo'. Izwi rekuti 'chemo' rinobva ratiyeuchidza nezvemunhu ari kurasikirwa nebvudzi rake, ari kudzikira huremu, uye ari kutambura. Zvisinei, kana tikanzwisisa chaizvo kuti chemotherapy chii, mishonga ipi inoshandiswa pairi, uye kuti inokanganisa sei muviri, kutya uku kunogona kuderedzwa zvakanyanya. Saka nhasi, ngatitaurei nezvazvo nenzira yeushamwari.
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Chii chinonzi chemotherapy muchidimbu?
Zvichitaurwa zviri nyore, chemotherapy mushonga unoshandisa mishonga ine simba kwazvo kurapa kenza. Uku ndiko kwatinoti 'chemotherapy' muchidimbu. Ndiyo imwe yemishonga inoshanda zvikuru yekurapa kenza.
Kuti tinzwisise mashandiro anoita izvi, tinofanira kutanga taziva zvishoma nezvemasero ari mumuviri wedu. Miviri yedu inoumbwa nemabhiriyoni emasero. Masero ane hutano anopatsanuka kana achidikanwa, anogadzira masero matsva, uye anofa kana asisadiwi. Izvi zvinonzi kutenderera kwemasero. Asi masero ekenza haadaro. Anopatsanuka uye anowanda nekukurumidza, pasina kudzora, achigadzira bundu.
Zvinoitwa nechemotherapy zvinoparadza masero ekenza aya anopararira nekukurumidza uye zvinoamisa kuti asapararire. Kureva kuti, zvinodzora kukura kwekenza.
Ko chemotherapy inoshandiswa chete pakurapa kenza here?
Kazhinji, hongu. Kurapa nemakemikari kunonyanya kushandiswa kurapa kenza. Vanachiremba vekenza vanokurudzira kurapwa nemakemikari pamwe chete nedzimwe nzira dzekurapa dzakadai sekuvhiyiwa nemwaranzi.
Asi dzimwe nguva chemotherapy inoshandiswawo kune mamwe mamiriro asina kenza.
- Zvirwere zveAutoimmune: Muzvirwere izvi, masero emuviri wedu anorwisa nhengo dzedu dzine hutano. Chemotherapy inogona kudzora masero aya anokurumidza kupatsanurana uye kuderedza kukuvara kwaanokonzera mumuviri.
- Matambudziko Eropa: Mune mamwe madambudziko eropa, mupfupa unogadzira masero eropa asina kujairika. Muzviitiko zvakadaro, chemotherapy inopihwa kuparadza masero aya asina kujairika mupfupa uye kugadzira nzira yemasero matsva ane hutano usati waisa stem cell.
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Check Availability →Mhando dzemishonga yechemotherapy uye mashandiro ayo
Mishonga yechemotherapy haisi yerudzi rumwe chete. Inowira muzvikamu zvikuru zvakasiyana zvichienderana nekugadzirwa kwayo kwemakemikari uye nzira yainouraya nayo masero ekenza. Chiremba wako ndiye achasarudza kuti ndeipi mushonga kana musanganiswa wemishonga yakakunakira zvichienderana nerudzi rwekenza yaunayo, kuti yapararira kusvika papi (danho), uye hutano hwako hwese.
Dzimwe nguva, panzvimbo pemushonga mumwe chete, mishonga yakati wandei inopihwa pamwe chete. Izvi zvinonzi combination chemotherapy. Kupa mishonga yakasiyana pamwe chete kunowedzera kubudirira kwekurapa nekuti mushonga wega wega unorwisa masero ekenza nenzira dzakasiyana.
Ngatitarisei mamwe emhando huru dzemishonga yechemotherapy.
| Rudzi rwemishonga | Mashandiro azvinoita | Mienzaniso yakajairika |
|---|---|---|
| Mishonga yeAlkylating | Zvinokuvadza DNA yemasero ekenza uye zvinoamisa kupatsanuka. Idzi ndidzo dzaive mhando dzekemo dzekutanga kuwanikwa. | Carboplatin, Cisplatin, Cyclophosphamide |
| Antimetabolites | Zvinodzivirira masero egomarara kuti asagadzire majini (DNA) anodiwa pakugadzira masero matsva. Zvakafanana nekumisa zvinhu zvekuvaka zvinodiwa pakuvaka imba itsva. | 5-fluorouracil, Methotrexate, Gemcitabine |
| Zvinodzivirira Topoisomerase | Inovhara enzyme (topoisomerase) inobatsira sero rekenza kutevedzera DNA yaro. Izvi zvinomisa sero kuti risapatsanuke. | Etoposide, Irinotecan, Topotecan |
| Mitotic Inhibitors | Izvi zvinhu zvinowanzobva mumiti uye zvinokanganisa maitiro ekupatsanurwa kwemasero ekenza (mitosis). | Paclitaxel, Docetaxel, Vincristine |
| Mishonga Inorwisa Bundu | Zvinomisa kuunganidzwa kweDNA mumasero ekenza, zvichida zvichikanganisa DNA. | Doxorubicin, Bleomycin, Mitomycin-C |
Ko corticosteroids mushonga we chemotherapy zvakare here?
Kwete. Corticosteroids haisi mishonga yechemotherapy. Zvisinei, vanhu vazhinji vanorapwa nechemotherapy vanopihwa mishonga iyi kudzora migumisiro yakadai sekurutsa uye kuda kurutsa. Zvakare, mamwe Corticosteroids ane simba rekuuraya masero ekenza. Dexamethasone nePrednisolone mienzaniso yeizvi.
Migumisiro inotyiwa nemunhu wese
Chinhu chikuru chinonetsa munhu wese kana achitaura nezve chemotherapy imhedzisiro yazvo. Ichokwadi kuti chemotherapy ine mhedzisiro yazvo. Chikonzero cheizvi ndechekuti mishonga ye chemotherapy haigone kusiyanisa masero ekenza nemasero ane hutano. Mishonga iyi inorwisa chero sero rinokurumidza kupatsanuka. Kuwedzera kumasero ekenza, kunewo masero ane hutano mumuviri wedu anopatsanuka nekukurumidza.
Semuyenzaniso:
- Masero ari mumidzi yebvudzi (ndosaka bvudzi richikura)
- Masero ari mukati memuromo nepahuro (ndosaka maronda emuromo achiitika)
- Masero emudumbu (ndizvo zvinokonzera kuda kurutsa, kurutsa, uye kurwadziwa kwemudumbu)
- Masero anogadzira masero eropa mumongo wemapfupa (ndosaka anemia ichiitika uye kuramba kurwara kuderera)
Migumisiro inowanzoitika inogona kuitika nekuda kweizvi ndeiyi:
- Kuneta kwakanyanya
- Kusvotwa nekurutsa
- Manyoka kana kuvimbiwa
- Kudonha kwebvudzi
- Maronda emuromo
- Kuda kudya
- Kuderera kwemasero eropa kunokonzera kupererwa neropa uye kuwedzera kwenjodzi yezvirwere (neutropenia).
Chinhu chakakosha ndechekuti havasi vese vanozosangana nematambudziko aya ese. Zvakare, chiremba wako achakupa mimwe mishonga yekudzora akawanda ematambudziko aya nekuderedza matambudziko awo. Saka usarega kurapwa nekuda kwematambudziko. Taura pachena nachiremba wako nezvekusagadzikana kwaunonzwa.
Ndinofanira kuona chiremba rini?
Zvakakosha kuudza chiremba wako kana ukasangana nematambudziko panguva yechemotherapy. Zvikuru sei, usazvitore sezvisina basa kana ukasangana nechimwe chezvinotevera:
- Fivha yakanyanya (kazhinji inodarika 38°C / 100.4°F)
- Kurutsa kana manyoka zvisingadzivisiki
- Kuoma kufema kana kurwadziwa pachipfuva
- Kubuda ropa nguva dzose kubva chero kupi zvako mumuviri
- Kusakwanisa kudya kana kunwa nekuda kwekukuvara kwakakomba mumuromo
Kana zvakadaro, fonera chipatara chegomarara nekukurumidza, kana kuenda kuchipatara chiri pedyo newe (ETU). Izvi hazvisi zvekumirira. Chiremba wako angangoda kuchinja mushonga, kuchinja nguva yekurapwa, kana kukupa mimwe mishonga yemigumisiro yakaipa.
Mharidzo Yekuenda Nayo Kumba
- Kurapa nemakemikari (chemotherapy) inzira ine simba uye inoshanda inoparadza masero ekenza. Usazvitya zvisina kufanira.
- Kune mhando dzakawanda dzemishonga yechemotherapy. Chiremba wako ndiye achasarudza mushonga wakanakira kenza yako nehutano hwako.
- Migumisiro inogona kuitika, asi yakawanda yacho inogona kudzorwa. Taura nachiremba wako nezve chero kusagadzikana kwaunonzwa.
- Panguva yekurapwa, zvakakosha zvikuru kutora mishonga yako nenguva uye kuenda kukiriniki.
- Hausi wega. Mhuri yako, shamwari, uye timu yezvekurapa varipo kuti vakubatsire. Usambozeza kuvakumbira rubatsiro.
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