Ndinonzwisisa kutya, kuzvidya mwoyo, uye kusava nechokwadi kwaunganzwa iwe kana mudiwa wako mushure mekunzwa kuti une kenza. Kana chiremba wako akataura nezvekurapa kunonzi "R-CHOP," ungangove uine mibvunzo yakawanda yakaita sekuti, "Chii ichocho?" kana kuti "Chii chichaitika?" Ndapota musazvidya mwoyo. Nhasi, ngatitaurei nezveR-CHOP, kuti inoshanda sei, uye kuti ungashandisa sei kurapwa uku nemashoko ari nyore uye akajeka.
Muchidimbu, chii chinonzi R-CHOP?
R-CHOP musanganiswa wemishonga mishanu inoshandiswa kuparadza masero egomarara . Mushonga unoshanda zvikuru uye wakajairika wegomarara rinozivikanwa senon-Hodgkin lymphoma . Bhii rega rega riri muzita rinomiririra mumwe wemishonga inoshandiswa muchirongwa ichi.
| Tsamba | Mishonga uye Maitiro |
|---|---|
| R | Rituximab: Iyi imishonga inonangwa. Inobatana neprotein inowanikwa pamusoro pemasero egomarara, zvichibatsira masoja emuviri wako kuona nekuaparadza zviri nyore. |
| C | Cyclophosphamide: Uyu mushonga wechemotherapy wakagadzirirwa kuuraya masero anokamuka nekukurumidza, akadai semasero ekenza. |
| H | Doxorubicin hydrochloride (Hydroxydaunomycin): Mumwe mushonga une simba wechemotherapy. |
| O | Vincristine sulfate (Oncovin): Mushonga wechemotherapy unoshandiswa kukanganisa kukura kwemasero ekenza. |
| P | Prednisone: Mushonga we corticosteroid unobatsira kuparadza masero ekenza uye unoderedza njodzi yekurwara nemimwe mishonga yeR-CHOP. |
Sezvamunoona, kurapwa uku kunosanganisira mishonga yechemotherapy pamwe chete nemushonga unorwisa masoja emuviri (Rituximab). Nekuda kweizvi, vanachiremba vanowanzo kudana kuti "immuno-chemotherapy."
R-CHOP inoshandiswa pakurapa kenza dzipi?
Kurapa uku kunonyanya kushandiswa kune non-Hodgkin lymphoma . Kunoshanda zvakanyanya kune yakajairika mhando yeB-cell lymphoma (DLBCL) . Pamusoro pezvo, R-CHOP inogona kushandiswa kune mamwe marudzi ekenza , anosanganisira:
- Chirwere che follicular lymphoma chakafambira mberi
- Lymphoma yemasero eMantle
- Waldenstrom macroglobulinemia
Mune zvimwe zviitiko, chiremba wako angasarudza kuisa R-CHOP sechikamu chechirongwa chakakura chekurapa mamwe marudzi ekenza.
Kurapwa kunoitwa sei?
R-CHOP inopiwa mu "ma "cycles." Kutenderera kwega kwega kunowanzoita mavhiki matatu (mazuva makumi maviri nerimwe) uye kune zvikamu zviviri:
1. Mazuva Ekurapwa: Mazuva amunogamuchira mushonga wenyu.
2. Mazuva Ekupora: Nguva inobvumidza muviri wako kupora uye kupora usati watanga kutenderera kunotevera.
Mazuva Ekurapwa
Mishonga inogona kupihwa kwemazuva mashoma. Prednisone ( corticosteroid ) inowanzotorwa sepiritsi. Mimwe mishonga mina inopihwa kuburikidza ne intravenous (IV) infusion . Uchaenda kuchipatara kana kiriniki, kwaunogona kugara zvakanaka mushonga uchipihwa kuburikidza netsinga iri muruoko rwako, ruoko, kana chipfuva. Kana kurapwa kuchiitwa kuburikidza nechipfuva, mudziyo mudiki unonzi "port-a-cath" (chemo port) unogona kuiswa pasi peganda rako.
Pazuva rekutanga rekurapwa, muchapiwa mishonga yekudzivirira kuda kurutsa uye allergic reactions. Paunotanga Rituximab , zvakajairika kunzwa dzungu kana kudziya zvishoma; ndosaka mushonga wacho uchitanga zvishoma nezvishoma. Muchapiwa mishonga yekudzivirira zviratidzo izvi, saka hapana chikonzero chekuvhunduka.
Mazuva Ekupora
Mushure memazuva ekurapwa kwako, unowanzova nemazuva angangoita gumi nematanhatu ekupora. Nekuti R-CHOP ine simba, zvakajairika kunzwa kuneta uye kuneta . Munguva iyi, ndinokurudzira zvikuru kukumbira rubatsiro kumhuri kana shamwari nemabasa ako ezuva nezuva.
Kana uine simba rakakwana, chiremba wako anogona kukurudzira kuita zvinhu zvishoma, zvakaita sekufamba. Kugara uine mvura yakakwana mumuviri uye kudya chikafu chine hutano uye chakaringana zvakakoshawo kuti upore.
Ndezvipi njodzi nemigumisiro yazvo?
Kufanana nechero nzira yekurapa, R-CHOP inogona kuva nemigumisiro yakaipa. Zvisinei, yeuka kuti timu yako yekurapa yeNirogi Lanka ichapa mishonga yekudzivirira kana kudzora izvi zvinobudirira. Migumisiro yakasiyana kubva kumunhu kuenda kumunhu; havasi vese vanozosangana nayo yese. Ngatitarisei migumisiro yakaipa yaungasangana nayo.
| Mhedzisiro Yakajairika | Zvaunofanira Kuziva uye Kuita |
|---|---|
| Weti Tsvuku/Pinki | Doxorubicin ine ruvara rutsvuku rwechisikigo. Unogona kuona weti yako ichiratidzika setsvuku kana kuti pingi kwemaawa anosvika makumi mana nemasere mushure mekurapwa. Izvi zvakajairika, saka ndapota musavhunduka. |
| Kusvotwa uye Kurutsa | Kunyangwe uchishandisa mishonga yekudzivirira kuda kurutsa, unogona kunge uchiri kunzwa kurwara zvishoma. Edza kudya zvikafu zvidiki, kakawanda pane kudya zvikafu zvakawanda, zvine mafuta, kana zvine spice. |
| Kurasikirwa nebvudzi | Izvi zvinowanzokonzerwa nechemotherapy. Unogona kutanga kurasikirwa nebvudzi mukati memavhiki matatu kubva pawakatanga kurapwa. Zvisinei, ndapota yeuka kuti bvudzi rako richakura zvakare mushure mekunge kurapwa kwako kwapera. |
| Kutonhora neFivha | Kurapwa nemakemikari kunogona kuderedza huwandu hwemasero machena eropa rako, zvichiwedzera njodzi yekutapukirwa. Unogona kunyorerwa jekiseni reG-CSF kuti rikubatsire kuwedzera huwandu hwemasero ako. Zvisinei, kana ukaita fivha, taura nachiremba wako nekukasika. |
| Kuneta | Kurapwa kunogona kukonzera anemia nekuda kwekudzikira kwehuwandu hwemasero matsvuku eropa. Teerera muviri wako wozorora kana waneta. Usazeza kukumbira rubatsiro pamabasa ako ezuva nezuva. |
| Kukuvara/Kubuda ropa zviri nyore | Izvi zvinogona kuitika nekuda kwekudzikira kwehuwandu hwemaplatelet mumuviri wako. Chenjerera kudzivirira kukuvara uye udza chiremba wako kana ukaona mavanga asina kutsanangurwa. |
| Kunzwa kusanzwa/Kunzwa Kukwenya Mumakumbo | Dambudziko iri rinozivikanwa se peripheral neuropathy. Ndapota zivisai chiremba wenyu kana mukanzwa kusanzwa, kukwenya, kana kupisa mumaoko enyu kana tsoka. |
Gara uchiyeuka: fivha inogona kuva chiratidzo chehutachiona hwakakomba. Kana tembiricha yako iri 100.4°F (38°C) kana kupfuura, taura nachiremba wako kana kuti enda kudhipatimendi rekukurumidzira riri pedyo nekukasika.
Pamusoro pezvo, unogona kunzwa maronda mumuromo, mapundu paganda, musoro, kuvimbiwa kana manyoka, chirungurira, kushaya hope, kana kuchinja mafungiro. Taura pachena nezvechero chimwe chezviratidzo izvi nechikwata chako chekurapa.
Ndinofanira Kuonana naChiremba Wangu Rini?
Zivisai chiremba wenyu kana mukaona zviratidzo zvitsva kana kuti zviratidzo zviripo zvikanyanya panguva yekurapwa kwenyu. Zvakakosha zvikuru kuti mumhan'are fivha nekukasika.
Kana paine njodzi, dzakadai sekushaya mweya nekukurumidza kana kurwadziwa kwechipfuva zvakanyanya, enda zvakananga kuchipatara chiri pedyo.
Ndingaita Sei Kuti Nguva Iyi Yokurapwa Ive Nyore?
Hausi wega uri parwendo urwu. Heano mamwe maitiro ekugadzirisa panguva ino:
- Gara Uchiziva Zvaungaita: Taura zvakajeka nachiremba wako nezvehurongwa hwako hwekurapa uye migumisiro inogona kuitika. Usambozeza kubvunza mibvunzo.
- Kumbira Rubatsiro: Vimba neshamwari nemhuri kuti vakupe mabasa epamba, chikafu, kana kuti vakufambise kuenda kumisangano yako.
- Idya Uye Nyora Mvura Zvakanaka: Isa pfungwa dzako pakudya kunovaka muviri uye ramba uine mvura yakakwana mumuviri.
- Tsvaga Rutsigiro: Bvunza chiremba wako nezvemapoka ekutsigirana evanhu vari kutarisana nekurapwa kwegomarara kwakafanana. Kugovana zvakaitika kwauri kunogona kukupa zororo guru repfungwa.
Mavhiki anopedzerwa uchirapwa neR-CHOP anogona kuoma, sezvo mazuva ekurapwa angave akareba uye kugadzirisa migumisiro yacho kunoda kutarisirwa kwakanyanya. Zvisinei, kune vazhinji, mhedzisiro inowanikwa kuburikidza neR-CHOP inoita kuti kuedza uku kuve kwakakosha. Kusanganiswa kwemhando nhatu idzi dzemishonga (kurapwa kwakanangana, chemotherapy, uye steroids) kunoshanda zvikuru pakuparadza masero ekenza. Zvichienderana nechirwere chako, kurapwa uku kunopa mukana wakasimba wekusvika pakureruka kwakazara.
Mharidzo Yekuenda Nayo Kumba
- R-CHOP musanganiswa wemishonga mishanu unoshanda zvikuru, unobva pauchapupu hunoratidza kuti inoshandiswa kurapa kenza senge non-Hodgkin lymphoma.
- Kurapa kunoitwa mu "cycles." Munguva iyi, kuneta, kuda kurutsa, uye kurasikirwa nebvudzi zvinotarisirwa kuva migumisiro yakaipa.
- Migumisiro yakawanda inogona kugadziriswa. Taura pachena uye kazhinji nechikwata chako chekurapa cheNirogi Lanka.
- Kana ukaita fivha panguva yekurapwa, itore sedambudziko rehutano uye tsvaga rubatsiro nekukasika.
- Haufanire kufamba munzira iyi uri wega. Vimba nemhuri yako, shamwari, uye timu yako yezvekurapa. Wakasimba, uye unogona kupfuura neizvi.
R-CHOP, Kenza, Non-Hodgkin lymphoma, chemotherapy, kurapwa kwakanangana, kurapwa nekenza, migumisiro yakaipa
