Ungafungei kana chiremba akaudza mumwe munhu ari kurwisa kenza kuti, "Ngatiite kurapwa nelaser chaiyo izvozvi?" Iyi haisi laser yakajairika. Chaunoita kupa muviri mushonga wakakosha unonamatira kumasero ekenza uye unoaparadza kana chiedza chelaser chaarova. Mumwe mushonga wakadaro unonzi Porfimer. Ngatitaurei nezvazvo nenzira iri nyore uye yakajeka nhasi.
Chii chinonzi Porfimer ichi?
Zvichitaurwa zviri nyore, porfimer mushonga unonzwa chiedza. Mashandiro ayo anoshamisa. Funga nezvayo semagineti inongonamira pamasero ekenza chete.
Tinoisa mushonga uyu mumuviri kuburikidza netsinga. Zvadaro zvidimbu zvemushonga uyu zvinofamba mumuviri wese, kunyanya zvichiwana nekubatanidza masero ekenza. Hazvikanganisi masero ane hutano zvakanyanya.
Mazuva angangoita maviri mushure mekunge mushonga wapihwa, chiremba anorayira chiedza chelaser chakakosha panzvimbo yekenza. Zvidimbu zvemushonga zvakabatanidzwa nemasero ekenza zvinotora chiedza ichi chelaser uye zvinotanga kushanda. Kuitika kwemakemikari kunoitika kunoparadza chete masero ekenza akabatanidzwa paari. Tinodaidza izvi kuti whole process photodynamic therapy (PDT) .
Nzira iyi yekurapa inonyanya kushandiswa kune:
- Kune kenza yegurokuro
- Kune kenza yemapapu
- Rapa chirwere chisati chatanga kenza chinonzi Barrett's esophagus .
Kunze kweizvi, mushonga uyu unogona kushandiswawo kune mamwe matambudziko ehutano sezvakataurwa nachiremba.
Zvinhu zvekuudza chiremba wako usati warapwa
Usati watanga kurapwa uku, zvakakosha kupa chiremba wako tsananguro yakazara yehutano hwako. Iva nechokwadi chekuvaudza kana uine chimwe chezvirwere zvinotevera:
- Kana uine maronda epahuro, fistula, kana varicose veins.
- Kana uine chirwere cheitsvo kana chirwere chechiropa.
- Kana uine chirwere chisingawanzoitiki chinonzi porphyria.
- Kana uchangobva kugamuchira kana kuti uri kugamuchira kurapwa nemwaranzi.
- Kana vanachiremba vako vakakuudza kuti kenza yako yapararira (yapararira) kuenda kutsinga huru yeropa.
- Kana uine allergy nePorfimer kana chero imwe mishonga, chikafu, kana dhayi.
- Kana uine pamuviri , uchiedza kubata pamuviri , kana kuti uchiyamwisa .
Mushonga uyu munoshandiswa sei?
Uyu hausi mushonga waunogona kuenda nawo kumba. Mushonga uyu unopihwa nejekiseni mutsinga muchipatara kana kiriniki nachiremba kana nesi akadzidziswa izvi.
Kana muri kupa vana mushonga uyu, munofanira kutarisirwa zvakanyanya. Taurai navanachiremba nezvenyaya iyi.
Ko kana mushonga wacho ukawedzera?
Izvi hazvingaitike sezvo zvichipiwa muchipatara. Zvisinei, kana uchifunga kuti watora mushonga wakawandisa, kurumidza kubata National Poisons Information Centre paColombo National Hospital , kana kuenda kuEmergency Treatment Unit (ETU) iri pedyo.
Ko kana ndikarasikirwa nedosi?
Zvakakosha zvikuru kuti upiwe rubatsiro pazuva nenguva yawakapihwa nachiremba. Kana nekuda kwechimwe chikonzero usingakwanise kuenda panguva iyoyo, fonera chiremba wako nekukasika womuzivisa.
Panogona here kuva nekudyidzana nemimwe mishonga?
Ehe, mimwe mishonga inogona kukanganisa mushonga uyu. Saka udza chiremba wako nezvemishonga yese yauri kutora (mishonga yemamwe matambudziko, mavhitamini, mishonga yemiti, zvekudya zvinovaka muviri). Zvakare, udza chiremba wako kana uchisvuta kana kunwa doro.
Matambudziko anogona kuitika, kunyanya, nemhando dzinotevera dzemishonga:
- Mamwe marudzi emishonga inorwisa mabhakitiriya - semuenzaniso, fluoroquinolones, sulfonamides, uye tetracyclines.
- Mimwe mishonga yechirwere cheshuga.
- Griseofulvin mushonga unodzivirira fungus.
- Phenothiazines mishonga inoshandiswa pakurapa chirwere chepfungwa.
- Thiazide diuretics mishonga inowedzera weti.
Rondedzero iyi haina kukwana, saka zvakachengeteka kuudza chiremba wako zvese zvauri kutora.
Zvinhu zvekufunga nezvazvo panguva yekurapwa
Unofanira kuzvitarisira zvakanaka mushure mekushandisa mushonga uyu.
Dziviriro kubva kuzuva nechiedza chakajeka
Iri ndiro zano rakakosha uye rinofanira kuteverwa . Mushure mekutora mushonga uyu, ganda rako richanzwa chiedza zvakanyanya. Saka, dzivisa zuva rakananga kwemazuva angangoita makumi matatu mushure mekutora mushonga . Kana uchifanira kubuda panze, pfeka mbatya dzinofukidza muviri wako wese uye pfeka ngowani. Chinovhara zuva hachipe dziviriro kana uri mumamiriro ezvinhu aya . Zvakare, unofanira kudzivirira mwenje yemukati inopenya uye mibhedha yeganda.
Maziso ako achanzwawo chiedza zvakanyanya, saka pfeka magirazi erima akanaka paunobuda panze kwemwedzi unopfuura mushure mekutora mushonga.
Kubata pamuviri uye kuyamwisa
- Vakadzi:Dzivisa kubata pamuviri paunenge uchitora mushonga uyu uye kwemwedzi mishanu mushure mekumira kurapwa.
- Varume: Kana muri kugamuchira kurapwa uku, dzivisai kubereka mwana panguva yekurapwa uye kwemwedzi mishanu mushure mekurega kurapwa.
- Dzivisa kuyamwisa mwana wako panguva iyi.
Mushonga uyu unogona kukonzera kukuvara kukuru kumwana asati aberekwa.
Ndezvipi zvingakonzera migumisiro yakaipa?
Kufanana nemushonga upi zvawo, uyu unogona kuva nemigumisiro yakaipa. Mimwe yacho yakakomba, mimwe inowanzoonekwa.
| Mhedzisiro yedivi | Tsananguro |
|---|---|
| Migumisiro yakakomba inofanira kutaurwa kuna chiremba wako nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo kana rurimi. |
| Kuoma kufema | Kutadza kufema zvakanaka, kufemereka. |
| Kurwadziwa kwechipfuva | Kurwadziwa kwechipfuva kwakakomba kamwe kamwe. |
| Kukosora ropa | Kukosora ropa netsvina. |
| Kupindwa nechando | Fivha isina chikonzero. |
| Zviratidzo zvekurasikirwa neropa ( anemia ) | Kunzwa kuneta kupfuura zvakajairika, kunzwa kupera simba, uye kunzwa sekuti hapana chaanogona kuita. |
| Kuoma kumedza | Kuoma kumedza chikafu kana chinwiwa. |
| Kazhinji hazvisi zvekurwara zvakanyanya (asi udza chiremba wako kana zvikaramba zviripo) | |
| Matambudziko ekugaya chikafu | Kuzvimba, manyoka, kuda kurutsa, kurutsa. |
| Kushaya hope | Kudzikira kwechido chekudya. |
Kana ukaona zvimwe zviratidzo zvisingawanzoitiki zvisina kutaurwa pane urongwa uhwu, taura nachiremba wako nezvazvo zvakare.
Mharidzo Yekuenda Nayo Kumba
- Porfimer mushonga unonyanya kurwisa nekuparadza masero ekenza uchishandisa chiedza chelaser.
- Mushure mekurapwa uku, ganda rako nemaziso zvichave zvinonzwa chiedza kwemazuva angangoita makumi matatu . Zvidzivirire kubva kuzuva nechiedza chakajeka zvachose. Chinovhara zuva hachipe dziviriro .
- Zvakakosha kupa chiremba wako tsananguro yakazara yemishonga yese, mavhitamini, uye mamiriro ehutano auri kutora.
- Dzivisa kubata pamuviri kana kubereka vana panguva yekurapwa uye kwemwedzi mishanu mushure mekunge kurapwa kwapera.
- Kana ukasangana nematambudziko akakomba akadai sekuoma kwekufema, kurwadziwa pachipfuva, kana kuti kurwara kwakanyanya, taurira chiremba wako kana chipatara nekukasika.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Porfimer Injection / Photofrin inoshandiswa pai?
Uku kurapa kenza kwemhando yepamusoro (Photodynamic Therapy / PDT) mukurapa! Iyi nhomba inonyanya kushandiswa kuparadza bundu rekenza rakakomba muhuro/nzeve (kenza yegurokuro) nemapapu (NSCLC), pasina kufanira kuchekwa nekubvisa nekuvhiyiwa, nekushandisa 'laser light' kuparadza kenza.
💬 Mushonga uyu (Porfimer) nechiedza chelaser zvinoparadza sei masero ekenza?
Mushonga uyu haubatsiri kwauri, unoshanda chete pa 'chiedza'! (Photosensitizer). Kana uyu ukapinzwa mutsinga, mushonga uyu unopinda muropa woiswa mukati memasero ekenza kwemazuva mashoma. Ipapo chiremba anoisa chubhu obva avhenekesa 'chiedza cheraser chitsvuku (630nm Light)' pakenza! Kana chiedza changosvika, mushonga uyu unoshanda mukati mekenza wogadzira 'oxygen ine chepfu (Singlet oxygen)', uchiparadza kenza kubva mukati sebhomba riri kuputika.
💬 Sei muchiti musabude muzuva (Photosensitivity) mushure mekubaiwa mushonga uyu?
Iri ndiro dambudziko guru uye rine njodzi zvikuru pakurapa uku! Mushonga uyu haungogari mugomarara chete asiwo muganda/nyama. Saka, kana ukasvikwa ne'zuva (zuva) kana magirobhu akasimba' kwemazuva 30-90 (mwedzi 1-3) mushure mekurapwa uku, ganda/muviri wako wese uchatsva sekunge uri kutsva (Severe Photosensitivity Reaction)! Saka, zvinosungirwa kugara muimba/dhirezi rerima kuti ufukidze muviri wese.
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