Tose tinoziva kutya nekuvhunduka kunobva pakunzwa kubva kuna chiremba kuti mudiwa ane kenza yakapararira mudumbu rese, ndiko kuti, mukati memudumbu. Zvisinei, nekufambira mberi kwesainzi yezvekurapa, ikozvino kune marapirwo anogona kupa tariro kunyangwe mumamiriro ezvinhu akaoma kudaro. Nhasi, tichataura nezveimwe nzira yakakosha uye yepamusoro yekurapa. Iyi inonzi HIPEC.
Zvichitaurwa zviri nyore, chii chinonzi HIPEC?
Izwi rekuti HIPEC rinomiririra Hyperthermic Intraperitoneal Chemotherapy . Kunyange zvazvo zita racho richinzwika serakaoma, zvinoitika munyaya iyi zviri nyore kwazvo. Ngatitsanangure mazwi aya toanzwisisa.
- Hyperthermic - zvinoreva "kupisa" .
- Intraperitoneal - zvinoreva "mukati medumbu." Zvichitaurwa zviri nyore, dumbu remukati inzvimbo isina chinhu mukati medumbu redu umo nhengo dzakadai sechiropa, dumbu, uye ura dziri.
- Kurapa nemakemikari (chemotherapy) - zvinoreva mishonga inopihwa kuparadza masero ekenza, sezvatinozviziva tese, "chemotherapy".
HIPEC inzira yekurapa iyo mishonga yemakemikari inodziya inobayiwa zvakananga mudumbu remurwere mushure mekuvhiyiwa, uye mukati mogezwa zvakanaka, zvichiparadza masero ekenza. Kungofanana nekusuka kwatinoita sinki nesipo, nzira iyi inoshandisa makemikari inodziya kuparadza kunyange masero madiki ekenza angasara mudumbu.
Mhando dzipi dzekenza dzakakodzera kurapwa uku?
Kurapa kweHIPEC kunowanzo shandiswa kune kenza dzakapararira (dzakapararira) kuenda mudumbu kubva kune dzimwe nzvimbo mumuviri. Inoshandiswawo kune dzimwe kenza dzinotangira mudumbu pacharo.
| Mhando dzegomarara dzinofungidzirwa kurapwa neHIPEC | |
|---|---|
| Kenza yakapararira ichienda mudumbu ichibva kune dzimwe nhengo dzemuviri: | |
| Kenza yeadrenal | Kenza yekuwedzera |
| Kenza yemudumbu | Kenza yechiropa |
| Kenza yemudumbu | Kenza yemudumbu |
| Kenza dzinokura mudumbu: | |
| Kenza yepakutanga ye peritoneal | Mesothelioma yePeritoneal |
| Pseudomyxoma peritonei | |
Zvakakosha: Kurapa kweHIPEC hakupedzi kenza zvachose. Zvisinei, kunogona kubatsira varwere kurarama kwenguva yakareba, kuderedza zviratidzo, uye kurarama hupenyu huri nani . Chiremba wako achakutsanangurira zvakadzama kana kurapwa uku kwakakunakira uye zvakanakira nezvakaipira.
Unogadzirira sei kuvhiyiwa uku kukuru?
Uku kurapwa kwakaoma uye kwakaoma. Saka, zvakakosha kuti uzvigadzirire nepaunogona napo, mumuviri nemupfungwa, zvisati zvaitika. Chikwata chako chekurapa chichakubatsira neizvi. Zvinhu zvinotevera zvingave zvakakosha pakugadzirira:
- Kana uchisvuta, rega zvachose .
- Kurega kushandisa doro.
- Kurovedza kufema uchishandisa mudziyo wakakosha (incentive spirometer) kusimbisa mapapu.
- Joyina boka rekutsigira varwere vegomarara kana kutsvaga rubatsiro kubva kune chiremba wepfungwa.
Maitiro ese ekurapwa ari sei?
HIPEC chikamu chechipiri chemaitiro ane zvikamu zviviri. Maitiro ese anogona kutora pakati pemaawa mashanu kusvika gumi.
Danho rekutanga: Kuvhiyiwa kweCytoreductive (CRS)
Danho rekutanga kuvhiyiwa. Unorapwa nehope, zvichireva kuti warara zvachose. Vanachiremba vanovhura mudumbu mako vobvisa bundu rese rekenza rinoonekwa pamwe nenyama dzine chirwere .
Danho Rechipiri: Kurapwa neHIPEC
Kurapa kweHIPEC kunoshandiswa kuparadza masero madiki ekenza asingaonekwe nemaziso mushure mekunge bundu rekenza rabviswa nekuvhiyiwa.
1. Kuisa mushonga wekurapa nechando: Vanachiremba vanoisa machubhu akati wandei (macatheter) mudumbu mako. Machubhu aya akabatana nemuchina unopisa mishonga yechemotherapy.
2. Kupa mishonga yekurapa inodziya: Muchina uyu unodziisa mishonga yekurapa kusvika pa41-42 degrees Celsius (108°F) woipomba mudumbu nepachubhu.
3. Kuendeswa kwemishonga yemakemikari: Chikwata chekurapa chichabva chatenderera muviri wako zvishoma nezvishoma kubva kune rumwe rutivi kuenda kune rumwe, chichiita kuti mushonga wemishonga yemakemikari usvike pakona yega yega yedumbu rako. Izvi zvinotora maminetsi makumi matatu kusvika maawa maviri.
4. Kubviswa kwemakemikari: Mushure menguva yakatarwa, mvura yemakemikari inopombwa mudumbu inobviswa zvachose. Nzvimbo yacho inozosukwa zvakare nesaline kuti icheneswe.
5. Kusunga maronda: Pakupedzisira, maronda ese akaitwa pakuvhiyiwa anosonerwa akavharwa.
Ndezvipi zvakanakira kurapwa kweHIPEC?
Kana chemotherapy ikapihwa kuburikidza netsinga, inofamba mumuviri wese neropa. Zvisinei, nekuda kwe membrane barrier inonzi peritoneum inopoteredza dumbu, zvinonetsa kuti mishonga ye chemotherapy ipinde zvakanaka mudumbu.
Asi mukurapa kweHIPEC, nekuti tinoisa chemo zvakananga mudumbu, inogona kupfuura chipingamupinyi ichocho yoenda kune masero ekenza yoaparadza.
Zvimwe zvakanakira:
- Kurapa kwechemotherapy kune simba guru: Nekuti mishonga iyi inodziya, ine simba guru pamasero ekenza. Zvakare, nekuti inobaya masero ekenza zvakananga, inoshanda zvakanyanya mukuuraya masero ekenza.
- Kurapwa kushoma: Hapana chikonzero chekupa mishonga yakawanda sekurapa chemotherapy nguva dzose. Kurapwa uku kunogona kuitwa nekuvhiyiwa kumwe chete.
- Kuderedzwa kwemigumisiro yakaipa: Sezvo mishonga yekemo ichinyanya kuganhurirwa mudumbu, migumisiro yakaipa inokanganisa muviri wese (kurasikirwa nebvudzi, kurutsa zvakanyanya) inoitika nekurapwa kwekemotherapy nguva dzose inogona kuderedzwa.
Chii chinoitika mushure mekurapwa? Zvinotora nguva yakareba sei kuti munhu apore?
Zvichienderana nemamiriro ako ezvinhu mushure mekurapwa neHIPEC, ungangoda kugara muchikamu chevarwere vanorwara zvakanyanya (ICU) kwemazuva mashoma. Unogona zvakare kubatanidzwa nemuchina we "ventilator" kuti ukubatsire kufema.
Nekuti kurapwa uku kunoshandisa mishonga yakasimba yechemotherapy, unogona kupihwa chikafu kuburikidza nechubhu yekudyisa kusvika ura hwako hwadzoka pahunhu hwakajairika.
Migumisiro inotevera inogona kuitika panguva yekupora:
- Kuzadza dumbu
- Kuzvimba kana manyoka
- Kuneta
- Kusvotwa nekurutsa
- Marwadzo panzvimbo yekuvhiyiwa
- Kuzvimba kwemuviri (nekuda kwemunyu unoshandiswa pakurapa)
Zvinogona kutora mavhiki mana kusvika gumi nemaviri kuti munhu apore zvizere. Izvi zvinosanganisira vhiki imwe kusvika mbiri muchipatara.
Kana uchida kutaura nachiremba nekukurumidza
Kana ukaona chimwe chezviratidzo izvi mushure mekudzokera kumba, unofanira kufonera chiremba wako nekukasika .
- Kana fivha iri pamusoro pe38.3°C (101°F)
- Kusvotwa uye kurutsa zvisingaregi
- Kuzvimba kwakanyanya, kutsvuka, kana kuti urwa hwakakomberedza ronda rekuvhiyiwa
- Kana kurwadziwa kuri kuwedzera
Izvi zvinogona kuva zviratidzo zvehutachiona kana ronda risiri kupora zvakanaka, saka zvakakosha kutsvaga kurapwa nekukurumidza.
Mharidzo Yekuenda Nayo Kumba
- HIPEC mushonga wepamusoro-soro wekurapa kenza yakapararira mudumbu.
- Pano, masero ekenza anoonekwa anotanga abviswa kuburikidza nekuvhiyiwa, uye mishonga yechemotherapy inodziya inoshandiswa kuparadza masero ekenza asingaonekwe.
- Kunyangwe iyi isiri nzira yekurapa kenza zvachose, inobatsira zvikuru kuwedzera hupenyu hwemurwere uye kuderedza zviratidzo.
- Uku kuvhiyiwa kwakaoma zvikuru, uye kupora kunotora mavhiki akati wandei.
- Kana mushonga uyu ukakurudzirwa kwauri kana mumwe munhu ari pedyo newe, zvakakosha kuti muve nehurukuro yakavhurika uye yakakwana nachiremba wenyu nezvemabhenefiti awo, njodzi, uye mhedzisiro yawo.
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