Muviri wedu wakafanana nefekitori yakaoma uye inoshamisa. Kune boka revatumwa vanopanana ruzivo pakati pezvikamu zvakasiyana zvefekitori iyi uye vanoshanda pamwe chete. Zvichitaurwa zviri nyore, ava vatumwa ndivo vatinodaidza kuti mahormone . Muviri wedu haugone kushanda pasina mahormone. Zvisinei, dzimwe nguva mahormone aya anopa mamwe masero ekenza, achiabatsira kukura nekupararira. Ndipo panotanga kukosha kurapwa nemahormone kwatiri.
Saka chii chinonzi hormone therapy iyi?
Zvichitaurwa zviri nyore, kurapwa nemahormone kunomisa masero ekenza kuti asawane mahormone aanoda kuti akure. Kana masero ekenza akashaikwa mahormone aya, anorasikirwa nekukwanisa kwawo kukura, kupatsanurana, uye kupararira.
Dzimwe nguva vanachiremba vanoshandisa mushonga uyu vega. Vanoushandisawo pamwe chete nedzimwe nzira dzekurapa, dzakadai sekuvhiyiwa, chemotherapy, kana radiation therapy. Dzimwe nguva, mushure mekunge kurapwa kukuru kwapera, kurapwa kwemahormone kunopihwawo kuderedza njodzi yekuti kenza idzoke zvakare.
Kurapa uku kunoshanda sei?
Kune nzira nhatu huru dzekurapa uku:
1. Kumisa kugadzirwa kwemahormone: Mishonga inopiwa kudzivirira miviri yedu kugadzira mahormone anodiwa nemasero ekenza. Mune zvimwe zviitiko, mahormone anogadzira mahormone iwayo (semuenzaniso, machende evarume) anogonawo kubviswa nekuvhiyiwa.
2. Kuvhara mashandiro emahormone: Izvi zvinosanganisira kuvhara nzira yekuti mahormone asvike uye abatanidzwe kumasero ekenza. Kana mahormone asingakwanise kusvika uye abatanidzwe kumasero, sero harigamuchire meseji yekukura.
3. Kutsiva mahormone ekugadzira: Dzimwe nguva, mahormone akafanana akagadzirwa murabhoritari anopiwa mumuviri. Kunyange zvazvo mahormone aya ekugadzira achitaridzika semahormone echisikigo, masero ekenza haakwanise kuashandisa kukura. Saka kana aya achitsiva mahormone echisikigo, kukura kwemasero ekenza kunomira.
Ndeapi marudzi ekenza anoshandiswa pakurapa nehomoni?
Haasi ese magomarara anorapwa nemahormone. Kurapa uku kunonyanya kushandiswa kune magomarara anokonzerwa nemahormone, zvichireva kuti anoda mahormone kuti avabatsire kukura.
| Rudzi rwegomarara | Tsananguro |
|---|---|
| Kenza yeprostate | Inoshandiswa kudzora kukura kwemasero ekenza anoenderana nemahormone echirume (androgens). |
| Kenza yemazamu | Inoshandiswa kudzora masero ekenza anonzwa estrogen (ER-positive). |
| Kenza yeOvarian | Inoshandiswa kune dzimwe mhando dzisingawanzoitiki dzekenza yemazamu. |
| Kenza yechibereko | Inoshandiswa kudzora kukura kwegomarara kana rapararira kana kudzoka. |
Kurapa kenza yeprostate nehomoni
Masero ekenza yeprostate anowanzo kurudzirwa nemahormone echirume (androgens) akadai se testosterone. Saka chinangwa chekurapa ndechekuderedza huwandu hwemahormone aya kana kuti kudzivirira kushanda kwawo. Dzimwe nguva, kubviswa kwechende rimwe chete kana ese ari maviri (orchiectomy) kunotoitwa.
Mishonga inonyanya kushandiswa:
- Abiraterone acetate: Mushonga uyu unomisa kugadzirwa kwemahormone echirume mumasero ekenza yeprostate.
- LHRH agonists: Mishonga iyi inozivisa kuti pituitary gland iri muuropi hwedu kuti isagadzire imwe hormone (luteinizing hormone) inobatsira kugadzira testosterone.
- Mishonga inorwisa maandrogens: Izvi zvinodzivirira zvakananga testosterone kubva pakusungana nemasero ekenza.
Zvakakosha: Migumisiro yekurapwa uku inosiyana kubva pamunhu kusvika pamunhu. Kurukura izvi pachena nachiremba wako.
Migumisiro inowanzoonekwa:
- Kuwedzera uremu.
- Kuderera kana kurasikirwa nechido chebonde.
- Kusashanda zvakanaka kwenhengo dzesikarudzi.
- Kuderera kwehuwandu hwemapfupa (Osteoporosis).
Kurapa kenza yemazamu nehomoni
Inenge 80% yekenza yemazamu inonzwa mahormone. Izvi zvinoreva kuti masero ekenza anopindura kuhormone yechikadzi inonzi estrogen. Idzi dzinonzi ER-positive cancers . Saka chinangwa chekurapa ndechekuderedza huwandu hweestrogen mumuviri kana kudzivirira estrogen kuti isasungane nemasero ekenza.
Kurapa uku kunowanzoitwa mushure mekuvhiyiwa kuderedza njodzi yekudzoka kwegomarara. Zvisinei, kunoshandiswawo usati wavhiyiwa kuderedza bundu kana kurapa gomarara rakapararira kune dzimwe nhengo dzemuviri.
| Rudzi rwemushonga | Mashandiro |
|---|---|
| Zvinodzivirira Aromatase | Inovhara enzyme (Aromatase) inogadzira estrogen mumuviri, ichideredza huwandu hweestrogen (inowanzopihwa vakadzi mushure mekuguma kuenda kumwedzi). |
| MaSelective Estrogen Receptor Modulators (SERMs) | Homoni inonzi estrogen inodzivirira masero ekenza yemazamu kuti asanamatira pairi. |
| Zvinoderedza Estrogen Receptor Regulators (ERDs) | Izvi zvinovhara ma estrogen receptors uye zvinoderedza huwandu hwazvo. |
Migumisiro inowanzoonekwa:
- Muviri, kurwadziwa kwemajoini kana kuomarara.
- Ndaneta.
- Kusvotwa nekurutsa.
- Kuwedzera uremu.
- Kuderera kwechido chepabonde.
- Kunzwa kupisa kwakanyanya mumuviri (kupisa kwakanyanya).
- Kurwadziwa kwezamu kana kuzvimba.
Kurapwa uku kunopiwa sei? Ndezvipi zvakanakira uye njodzi dzacho?
Kurapa nemahormone kunowanzoitwa sepiritsi raunotora zuva nezuva. Mimwe mishonga inowanikwawo semajekiseni aunotora panguva dzakatarwa. Izvi zvinosarudzwa nachiremba wako.
Chinhu chikuru ndechekuti, kana ikasanganiswa nedzimwe nzira dzekurapa, inogona kunonotsa kana kumisa zvachose kukura kwemasero ekenza.
NjodziIzvi zvinokanganisa muviri. Asi yeuka kuti havasi vese vanowana zvese. Kunewo nzira dzekugadzirisa matambudziko aya. Zvakakosha kuudza chiremba wako nezvekusagadzikana kwaunosangana nako. Matambudziko anogona kusiyana zvichienderana nehutano hwako uye kurapwa kwauri kuwana.
Mharidzo Yekuenda Nayo Kumba
- Kurapa nehomoni inzira yekurapa inodzikisa huwandu hwemahomoni anodiwa nemasero ekenza kuti akure.
- Kurapa uku kunoshandiswa pakurapa kenza dzinoenderana nemahormone dzakadai sekenza yeprostate, yezamu, yechibereko, uye yechibereko.
- Nzira dzekurapa, mishonga, uye migumisiro inosiyana kubva pamunhu kuenda kumunhu uye zvichienderana nerudzi rwegomarara.
- Kurapwa uku kunogona kukonzera mimwe migumisiro yakaipa, asi unogona kuwana rubatsiro rwekuidzora.
- Zvakakosha kutaura pachena uye zvakajeka nachiremba wako nezvekuti ndeipi nzira yekurapa yakakunakira iwe uye zvakanakira nezvayakaipira.
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