Zvakaoma kutsanangura nemashoko kutya nekuzvidya mwoyo kunouya nekuonekwa uine kenza yemazamu. Zvisinei, nekufambira mberi kwesainzi yezvekurapa, ikozvino kune nzira dzakawanda dzekurapa nekudzivirira kenza. Orserdu imwe yetariro itsva, mushonga unonyanya kurwisa masero ekenza. Ngatitaurei nezvazvo zviri nyore uye zvakajeka nhasi.
Orserdu mushonga werudzii?
Zvichitaurwa zviri nyore, Orserdu
imishonga inorapwa nemahormone . Zvino ungave uchishamisika kuti, "Chii ichocho?" Mukurapa
kwechemotherapy kwatinowanzo kunzwa nezvako, masero ese anokamuka nekukurumidza anogona kukanganiswa. Izvi zvinoreva kuti kwete masero ekenza chete, asiwo masero ane hutano mumuviri wedu anogona kukuvara. Asi mukurapa kwakanangwa, chimwe chinhu chakasiyana chinoitika. Mishonga iyi yakangwara kwazvo, ichiratidza chimwe chinhu, senge protein chaiyo kana gene, inobatsira masero ekenza kukura, uye ichiarwisa. Orserdu inotenderwa zvakananga kune:
- Estrogen Receptor -positive (ER-positive ) uye
- Chinopa receptor 2-negative ye epidermal growth factor muvanhu ( HER2-negative ),
- Kune kenza yemazamu yakapararira kune dzimwe nhengo dzemuviri (yakakwira kana kuti yakapararira).
Pamusoro pezvo, mushonga uyu unopiwa kuvanhu vane
shanduko dzemajini (mutations) mujini rinonzi ESR1 . Mushonga uyu unowanzo kurudzirwa kune vanhu vakamborapwa mamwe mahormone uye vane kenza isina kupindura zvakanaka uye yakadzoka. Unouya sepiritsi rinotorwa kamwe chete pazuva.
Mushonga uyu unoshanda sei mumuviri?
Kuti tinzwisise izvi, ngatitangei tatarisa kenza ine ER-positive. Rudzi urwu rwesero rekenza rwakafanana nemuti mudiki. Chirimwa ichocho chinoda hormone inonzi 'estrogen' yakaita semvura kuti ikure. Saka, kurapwa kwemahormone mazhinji kunomisa estrogen iyi kuti isapinde musero rekenza. Asi dzimwe nguva, paunotora mushonga uyu kwenguva yakati,
jini rinonzi ESR1 mumasero ekenza rinochinja . Nekuda kwekuchinja uku, mishonga yemahormone yaimbopihwa haichakwanisi kudzora kenza. Kenza inotanga kukura zvakare.
Fungidzira kuti sero rekenza rine chinhu chakakosha chinogona kubatwa nehomoni inonzi estrogen. Orserdu inoshanda nekutarisa masero ekenza ayo aimbove asingachadi mishonga nekuda kwekuchinja kwemajini.Pfungwa yacho ndeyekusvika pamusuwo iwoyo uri mugomba, kusvika pauri usati waisa estrogen, wovhara musuwo iwoyo. Ipapo hormone yeestrogen haichawani mukana wekukura kwesero rekenza.
Ndingaziva sei kana Orserdu yakandikodzera?
Uyu mubvunzo unokosha zvikuru. Orserdu haisi mushonga unopiwa varwere vese vane kenza yemazamu. Chiremba wekenza ndiye munhu akakodzera kusarudza izvi. Kazhinji, kurapwa uku kunotarisirwa varwere vanozadzisa zvinotevera:
Mamiriro ezvinhu aunogona kutarisirwa kurapwa neOrserdu
| Mamiriro emurwere | Unofanira kunge uri mukadzi apedza kuenda kumwedzi kana kuti murume mukuru. |
| Rudzi rwegomarara | Kenza inofanira kunge iri ER-positive uye HER2-negative. |
| Kupararira kwegomarara | Kenza inofanira kunge yakura kana kuti yapararira kune dzimwe nhengo dzemuviri (metastatic). |
| Kuongororwa kwemajini | Kuongororwa kwakananga kunofanira kunge kwakaratidza kuti kenza yako ine ESR1 gene mutation . |
| Kurapwa kusati kwaitwa | Unofanira kunge wakagamuchira kanenge rudzi rumwe chete rwekurapwa kwemahormone usati watanga uye kenza inofanira kunge yakadzoka panguva yekurapwa ikoko kana kuti mushure menguva iyoyo. |
Chiremba wako ndiye achaita sarudzo yekupedzisira yekuti mushonga uyu wakakunakira here mushure mekuongororwa majini uye kuongorora zvinyorwa zvako zvese zvehutano.
Migumisiro yeOrserdu uye maitiro ekugadzirisa nayo?
Kufanana nemushonga upi zvawo, Orserdu inogona kukonzera mimwe migumisiro yakaipa. Zvisinei, yakawanda yacho inowanzova isina kuoma uye inorapika.
Chinhu chakakosha ndechekuudza chiremba wako nekukurumidza nezvezviratidzo zvitsva zvaunoona.| Migumisiro yakajairika | Mazano ekugadzirisa |
|---|
| Kurwadziwa kwetsandanyama nemajoini, musoro | Taura nachiremba wako nezvekuwana mushonga wekuderedza marwadzo wakakodzera weizvi. |
| Kusvotwa, kurutsa, kurwadziwa mudumbu, manyoka, kana kuvimbiwa | - Idya zvikafu zvidiki kakawanda pazuva. - Dzivisa kudya zvine mafuta nemafuta. - Wedzera mimwe miriwo nemichero. |
| Kushaya hope | - Idya zvikafu zvidiki zuva rese kana uchinzwa nzara. - Edza kudya zvine hutano kana zvekudya zvine mvura. |
| Kupisa kwemvura | - Pfeka mbatya dzakareruka, dzisina kusimba. - Deredza kushushikana. Kurovedza muviri kufema zvakadzika kunogona kubatsira. |
| Kuneta | Zorora zvakanyanya sezvinobvira. Kuronga mabasa ezuva rako kunogona kukubatsira kuchengetedza simba. |
Pamusoro pezvo, Orserdu inogona kuwedzera cholesterol muropa uye triglyceride mazinga. Inogonawo kukanganisa mashandiro echiropa neitsvo. Saka, chiremba wako acharamba achiongorora izvi nekuongororwa ropa nguva dzose.
Orserdu inobatanidzwa sei nemimwe mishonga nezvikafu?
Izvi zvakakosha zvikuru. Usati watanga kushandisa Orserdu, unofanira kuudza chiremba wako wekenza nezvemishonga
yese yauri kutora (kusanganisira mishonga yemamwe matambudziko, mavhitamini, uye mishonga yemiti) . Izvi zvinodaro nekuti mimwe mishonga nezvikafu zvinogona kukanganisa mashandiro anoita Orserdu mumuviri.
- Mishonga inodzivirira CYP3A: Iyi mhando yemishonga kana chikafu inogona kunonotsa kubviswa kweOrserdu mumuviri. Izvi zvinogona kuwedzera huwandu hwemushonga mumuviri,Migumisiro inogona kuwedzera. Mienzaniso: Mimwe mishonga inorwisa mabhakitiriya, mishonga inouraya fungus, uye michero yakaita segrapefruit ne pomelos.
- Zvinokonzera CYP3A: Rudzi urwu rwemishonga runoita kuti Orserdu ibviswe mumuviri nekukurumidza. Izvi zvinogona kuderedza kushanda kwemushonga. Mienzaniso: Mimwe mishonga yepfari, mimwe mishonga inorwisa mabhakitiriya.
Saka,
iva nechokwadi chekubvunza chiremba wako usati watanga kana kurega chero mushonga mutsva paunenge uchitora Orserdu. Mharidzo Yekuenda Nayo Kumba
- Orserdu (elacestrant) mushonga mutsva wekurapa kenza yemazamu ine ER-positive, HER2-negative.
- Kurapa uku kunokurudzirwa zvikuru kune varwere vane ESR1 gene mutation uye vasingapindure kune mamwe mahormone treatments .
- Tsvagiridzo yakaratidza kuti mushonga uyu unogonesa kurarama pasina kufambira mberi kwechirwere (nguva iyo kenza inogona kudzorwa pasina kuipa).
- Migumisiro yakadai sekusvotwa, kurwadziwa kwemajoini, uye kuneta inogona kuitika, asi inogona kugadziriswa. Taura nezvemigumisiro yese kuna chiremba wako.
- Zvakakosha zvikuru kuzivisa chiremba wako nezvemimwe mishonga yese, mavhitamini, uye zvimwe zvinovaka muviri zvauri kutora.
- Chiremba wekenza achaona kana kurapwa uku kwakakunakira mushure mekuongororwa.
Kenza, kenza yemazamu, Orserdu, elacestrant, kurapa nemahormone, kurapwa kwakanangana, mushonga wekenza
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