Kana iwe kana mumwe munhu waunoziva akaonekwa aine kenza yemazamu, zvakajairika kunzwa kutya kukuru uye kuzvidya mwoyo kana chiremba akati, "Ndinofanira kupiwa chemotherapy." Patinonzwa izwi rekuti "chemotherapy," tinowanzo fungidzira chiitiko chakaoma uye chinorwadza. Asi kana tichinyatsoziva nezvekurapa uku, kutya ikoko kunogona kuderedzwa zvakanyanya. Saka nhasi, ngatitaurei nezvekuti chemotherapy chii chaizvo pakenza yemazamu, nei ichiitwa, uye kuti tinofanira kuibata sei.
Chii chinonzi chemotherapy?
Zvichitaurwa zviri nyore, chemotherapy imhando yemushonga une simba unopihwa kuuraya masero egomarara. Mishonga iyi inouraya masero egomarara ari muzamu rako, kana masero egomarara akapararira kubva zamu rako kuenda kune dzimwe nhengo dzemuviri wako. Vanachiremba vegomarara vanowanzopa mushonga uyu vasati vavhiyiwa kenza yemazamu kana mushure mekuvhiyiwa .
Dzimwe nguva mhando imwe chete yemushonga wechemotherapy inoshandiswa, dzimwe nguva mishonga yakati wandei inopihwa pamwe chete. Chemotherapy inogonawo kupihwa pamwe chete nemimwe mishonga.
Kurapa uku kunokonzera migumisiro yakaipa. Asi musazvidya mwoyo nazvo. Chiremba wenyu achakupai mishonga inodiwa uye mazano ekugadzirisa migumisiro iyoyo. Mimwe migumisiro inogona kuramba iripo kwenguva yakati mushure mekunge kurapwa kwapera, uye chiremba wenyu achakuudzaiwo nezvazvo.
Muzviitiko zvipi chemotherapy inoshandiswa pakurapa kenza yemazamu?
Kurapa nemakemikari kunoshandiswa mumamiriro ezvinhu akasiyana uye nezvinangwa zvakasiyana. Ngationei kuti chii.
| Mukana wekupa kurapwa | Chinangwa chikuru chekurapa |
|---|---|
| Usati wavhiyiwa (Neoadjuvant Chemotherapy) | Kuderedza bundu kunobatsira chiremba kuribvisa zviri nyore. Kuderedza kubviswa kwenyama yezamu ine hutano. Zvinobatsirawo kuziva pachine nguva kuti mishonga inopihwa inoshanda sei pagomarara. |
| Mushure mekuvhiyiwa (Adjuvant Chemotherapy) | Kuparadza masero ekenza asingaonekwe zvakanaka anogona kuramba ari mumuviri mushure mekuvhiyiwa, zvichideredza njodzi yekudzoka kwekenza. |
| Kune kenza yakapararira kune dzimwe nhengo dzemuviri (Metastatic Breast Cancer) | Kana gomarara rapararira kupfuura zamu kuenda kune dzimwe nhengo mumuviri, chemotherapy inogona kushandiswa senzira huru yekurapa gomarara iri. |
| Kune mhando dzakasiyana dzegomarara |
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Ndeipi mishonga inonyanya kushandiswa yechemotherapy?
Kune mhando dzakawanda dzemishonga yechemotherapy inoshandiswa pakurapa kenza yemazamu. Chiremba wako achasarudza mushonga wakakodzera kana musanganiswa wemishonga zvichienderana nerudzi uye nhanho yekenza yako, uye mamiriro ehutano hwako.
Mamwe emakirasi emishonga anonyanya kushandiswa ndeaya:
- Anthracyclines: Semuenzaniso, mishonga yakaita se `doxorubicin (Adriamycin®)` uye `epirubicin (Ellence®)`.
- Taxanes: Mishonga yakaita se `paclitaxel (Taxol®)` uye `docetaxel (Taxotere®)`.
- Mimwe mishonga: Mishonga yakaita se `5-fluorouracil (5-FU®)`, `capecitabine (Xeloda®)`, `cyclophosphamide (Cytoxan®)` uye `carboplatin (Paraplatin®)`.
Pamusoro pezvo, mimwe mishonga yakaita segemcitabine (Gemzar®) uye vinorelbine (Navelbine®) inoshandiswawo pakurapa kenza yemazamu yakapararira.
Chinhu chinonyanya kukosha ndechekuti mushonga waunopiwa unotsanangurwa nachiremba wako wekenza. Saka usakurumidza kufunga nezvemushonga wako zvichibva pane zvaunoverenga pa internet kana zvinotaurwa nevamwe vanhu. Bvunza chiremba wako mibvunzo yako yese.
Ndezvipi migumisiro yechemotherapy?
Migumisiro yechemotherapy inosiyana zvichienderana nerudzi rwemushonga waunopiwa, dose, uye nguva yekurapwa. Migumisiro yakawanda inopera mushure mekunge kurapwa kwapera, asi mimwe inogona kugara kwemavhiki kana mwedzi.
Migumisiro yakajairika
- Kukanganisika kwepfungwa nemakemikari: Kunetseka kuyeuka uye kunzwa sekunge haugone kunyatsoisa pfungwa dzako pane chimwe chinhu. Izvi zvinogona kugara kwemwedzi mitanhatu kusvika gumi nemiviri mushure mekunge kurapwa kwapera.
- Kuneta: Unganzwa kuneta zvakanyanya munguva yese yekurapwa uye kwemwedzi 3-6 mushure meizvozvo.
- Kusvotwa nekurutsa: Izvi zvinogona kutanga panguva yekurapwa uye zvinotora mavhiki maviri kusvika matatu mushure mekunge zvapera. Asi ikozvino kwava nemishonga yakanaka kwazvo yekudzora.
Mimwe migumisiro yakaipa
- Matambudziko ekugaya chikafu: Kuzvimba uye manyoka zvinogona kuitika.
- Kuchinja kwebvudzi: Kurasikirwa nebvudzi kunogona kuitika panguva yekurapwa. Vanhu vazhinji vanotambura neizvi, asi yeukai kuti izvi ndezvenguva pfupi. Vhudzi richakura zvakare mushure mekunge kurapwa kwapera. Rinogona kunge rakasiyana neruvara kana kuti magadzirirwo aro ekare.
- Chido: Chido chako chekudya chinogona kudzikira panguva yekurapwa. Izvi zvinodzokera pazvakajairika kana kurapwa kwapera.
- Kuchinja kweganda nenzara: Ganda rinogona kuoma uye kuvaviwa. Nzara dzinogona kutyoka uye kutyoka nyore nyore.
- Kurwara kwetsinga dzemusana: Izvi zvinogona kukonzera kusanzwa uye kurwadziwa mumaoko nemakumbo. Izvi zvinowanzopera mushure mekunge kurapwa kwapera.
Mishonga yechemotherapy inopiwa sei?
Chemotherapy inopiwa nenzira dzakawanda huru.
1. Mushonga wemuromo: Mishonga inonwiwa nemuromo iri muchimiro chemapiritsi kana makapisi.
2. Kupinzwa netsinga (IV): Kupa mushonga zvakananga mutsinga kuburikidza nechubhu yemunyu.
Kuti vasabaya tsinga kakawanda, vanachiremba dzimwe nguva vanoshandisa michina yakakosha.
- Mutsetse wepakati: Chubhu refu, yakatetepa yepurasitiki yakaiswa mutsinga huru mumutsipa, pachipfuva, kana paruoko.
- Mutsetse wePICC: Chubhu inopinzwa nepatsinga iri paruoko yoenda kutsinga hombe iri pedyo nemoyo.
- Chemo Port: Mudziyo mudiki unoiswa pasi peganda rechipfuva. Unogona kushandiswa kupa mushonga zviri nyore nekuisa tsono mairi.
Kurapwa kunotora nguva yakareba sei?
Izvi zvinosiyana zvichienderana nehurongwa hwekurapa kwako. Kazhinji, chemotherapy yekenza yemazamu inotora mwedzi mitatu kusvika mitanhatu . Dzimwe nguva inogona kutora kusvika gore.
Kurapa kunoitwa mu "cycles" .
- Kazhinji uchafanirwa kurapwa kakawanda.
- Chikamu chimwe chete chinogona kusanganisira mazuva maviri kana matatu ekurapwa.
- Kurapwa uku kunogona kuitwa kamwe chete pasvondo, kamwe chete pamavhiki maviri, kana kamwe chete pamavhiki matatu kusvika mana.
- Mushure mechikamu chimwe nechimwe, muviri wako unopihwa nguva yekuzorora nekupora. Izvi zvinonzi "nguva yekuzorora."
Unogadzirira sei usati warapwa?
Chiremba wako asati atanga kurapwa, achasarudza mushonga waunoda, achifunga nezvemhando yegomarara rako, zvabuda muongororo yako, uye body mass index (BMI) yako.
Ino ndiyo nguva yakanakisisa yekubvunza chiremba wako mibvunzo yese yaunayo. Vabvunze zvakajeka nezvekurapa, migumisiro yacho, uye zvavachakuitira.
Pane zvinhu zvakati wandei zvaunogona kuita kuti ugadzirire mazuva ako ekurapwa:
- Kumbira mumwe munhu kuti akubatsire nemabasa epamba kwezuva rimwe kana maviri mushure mekurapwa kwako.
- Ronga kuti mumwe munhu akuperekedze kuenda nekudzoka kunorapwa.
- Sarudza mbatya dzakanaka uye dzisina kusimba dzekupfeka panguva yekurapwa.
- Uya nechimwe chinhu chinokukanganisa , senge bhuku kana mahedhifoni kuti unzwe mimhanzi.
- Inwa mvura yakawanda zuva risati rasvika kurapwa, sezvo chemotherapy inogona kushaisa mvura mumuviri.
Nguva yekuona chiremba wako nekukasika
Uchaona chiremba wako nguva nenguva panguva yekurapwa kwako. Zvisinei, kana ukaona chimwe chezviratidzo zvinotevera, fonera chiremba wako nekukasika kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo.
| Zviratidzo zvinoda kutarisirwa nekukurumidza | |
|---|---|
| Kupindwa nechando | Kupisa kwemuviri kuri pamusoro pe100.4 Fahrenheit (38 Celsius). |
| Kurwadziwa pachipfuva kana kuoma kufema | Kurwadziwa pachipfuva kamwe kamwe kana kushaya mweya. |
| Kunzwa kutonhorera uye kudedera | Kudedera uye kunzwa kutonhorwa pasina chikonzero chakajeka. |
| Kurasikirwa kamwe kamwe kwekuziva | Kuvhiringidzika kamwe kamwe kana kupenga. |
| Musoro wakakomba | Musoro wakanyanya uye mutsipa wakaoma. |
Mharidzo Yekuenda Nayo Kumba
- Kurapa kenza yemazamu kunoshanda zvikuru uye kunoshandiswa zvakanyanya . Usazvitya zvisina kufanira.
- Kurapa uku kunoshandiswa mumamiriro ezvinhu akasiyana-siyana, akadai seasati aitwa, mushure mekuvhiyiwa, kana kuti kenza yakapararira mumuviri wese.
- Zvakajairika kuva nemigumisiro yakaipa, asi timu yako yezvekurapa ichakubatsira kudzora nekudzivirira .
- Zvakakosha kuchengetedza kudya kwakanaka , kuita maekisesaizi akareruka zvakanyanya sezvinobvira, uye kuchengetedza hutano hwepfungwa hwakanaka munguva yese yekurapwa.
- Taura pachena nachiremba wako nezvemibvunzo, kutya, kana zvinokunetsa. Kuwana ruzivo rwakakodzera ndiyo nzira yakanakisisa yekukunda kutya kwako.
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