Kuongororwa kenza iwe pachako kana munhu waunoda kunogona kuva chiitiko chinovhiringidza zvikuru uye chinorema. Zvakajairika kunzwa kunetseka, kunyanya kana chiremba wako akakuunza zita idzva remushonga wausingazive. KuNirogi Lanka, tinoda kubatsira kuderedza mutoro iwoyo. Muchinyorwa chino, tichakurukura mushonga unobayiwa jekiseni unoshandiswa mukurapa kenza unonzi Trabectedin. Tichatsanangura nemazwi akareruka kuti chii, kuti unoshanda sei, zvaunofanira kungwarira, uye migumisiro inogona kuitika yaunofanira kuziva.
Chii chinonzi Trabectedin?
Muchidimbu, Trabectedin mushonga unoshanda kudzora kukura kwemasero ekenza kana kunonoka kufambira mberi kwawo. Unonzi rudzi rwe chemotherapy . Mushonga uyu unonyanya kushandiswa kurapa rudzi rwekenza inozivikanwa seSarcoma .
Ungashamisika kuti sarcoma chii. Aya magomarara anomuka munhengo dzemuviri , dzakadai semapfupa, tsandanyama, mafuta, uye tsinga dzeropa . Trabectin inoshanda nekudzivirira masero aya egomarara kuti asaparadzane nekupararira. Unogona kuona mushonga uyu uchishandisa zita rekuti "Yondelis."
Ruzivo Rwakakosha Usati Watanga Kurapwa
Izvi zvakakosha. Usati watanga kurapwa neTrabectedin, zvakakosha kuti chiremba wako anzwisise nhoroondo yako yehutano . Matambudziko ako ehutano anogona kupindirana nekurapwa uku. Ndapota iva nechokwadi chekuzivisa zvinotevera kune mupi wehutano hwako:
- Chirwere chemwoyo : Kana uine nhoroondo yematambudziko emwoyo, udza chiremba wako, sezvo mamwe marapirwo ekenza anogona kukanganisa mashandiro emwoyo.
- Chirwere cheitsvo: Sezvo itsvo dzako dzichibvisa tsvina nemishonga mumuviri wako, chero dambudziko ripi zvaro pano rakakosha kuti chiremba wako azive.
- Chirwere chechiropa: Chiropa chako ndicho chinoita kuti mishonga yakawanda ishandiswe; kana kushanda kwechiropa chako kukanganisika, zvinogona kukanganisa mashandiro anoita muviri wako mushonga uyu.
- Kuderera kwemasero eropa: Zivisa timu yako kana wakamboonekwa uine huwandu hushoma hwemasero machena eropa, masero matsvuku eropa, kana maplatelet akaderera.
- Kurwadziwa kwetsandanyama kana kushaya simba: Taura nezvekurwadziwa kwetsandanyama kana kushaya simba kusingatsananguriki.
- Kurwara: Izvi zvakakosha zvikuru. Udza chiremba wako kana wakambova nechirwere cheTrabectin, kana mimwe mishonga, chikafu, madhayi, kana zvinochengetedza.
- Kubata pamuviri kana kuedza kubata pamuviri: Kana uine pamuviri kana kuti uchironga kubata pamuviri, zivisa chiremba wako nekukasika. Trabectin inogona kukuvadza mwana asati aberekwa.
- Kuyamwisa: Ndapota zivisai chiremba wenyu kana muri kuyamwisa panguva ino.
Kuva pachena uye kutendeseka kuna chiremba wako nezvenhoroondo yehutano hwako kwakakosha kuti uchengetedzeke.
Mushonga uyu unopihwa sei?
Trabectin haisi piritsi kana sirapu yaunonwa kumba. Inopihwa jekiseni mutsinga (mutsinga).Izvi zvinoreva kuti muchawana kurapwa kuchipatara kana kiriniki muchitarisirwa nechikwata chenyanzvi chekurapa.
Mushonga uyu unowanzopihwa zvishoma nezvishoma kuburikidza ne IV drip. Uchagamuchira gwaro rinonzi "MedGuide" panguva yezvidzidzo zvako, rine ruzivo rwakakosha rwekuchengetedza. Zvakakosha kuverenga izvi usati watanga kurapwa.
Chii chinoitika kana munhu akawedzera zvinodhaka zvakanyanya?
Nekuti izvi zvinopihwa muchipatara pasi pekutarisirwa kwakananga, kushandisa zvinodhaka zvakanyanya hakuwanzoitiki. Zvisinei, kana ukaona zviratidzo zvisingawanzoitiki, zivisa timu yako yezvekurapa nekukasika. Kana paine dambudziko rechokwadi, fonera 911 kana kushanyira dhipatimendi rekukurumidzira riri pedyo newe.
Ko kana ndikarasikirwa nedosi?
Kurapwa uku kunotevera purogiramu yakasimba. Ndapota tevedzera mazuva nenguva zvakapihwa nachiremba wako. Kana usingakwanise kupinda musangano wakarongwa, taura nechikwata chako chekurapa nekukurumidza kuti urongezve nguva.
Kudyidzana Kunogona Kuitika Nezvimwe Zvinhu
Mimwe mishonga inogona kukanganisa mashandiro anoita Trabectin, uye zvimwewo zvinogona kukanganisa mashandiro anoita Trabectin. Zvakakosha kuti ugovane zvese zvauri kutora nachiremba wako, zvinosanganisira:
- Mishonga inonyorerwa nachiremba
- Mishonga inotengeswa pasina kunyoreswa nechiremba (isiri kunyoreswa nechiremba)
- Mavhitamini, zvigadzirwa zvemiti, kana zvekudya zvinovaka muviri
- Mishonga yechivanhu kana mimwewo mishonga yemishonga
Zvinhu zvakajairika zvinogona kusangana neTrabectedin zvinosanganisira:
- Mishonga yekurwisa utachiona yeHIV/AIDS
- Mamwe maantibiotic (semuenzaniso, clarithromycin, telithromycin)
- Mishonga inorwisa fungus (semuenzaniso, ketoconazole, itraconazole)
- Mishonga yepfari (semuenzaniso, carbamazepine, phenytoin)
- Muto weGrapefruit
- Muti weSt. John's
- Rifampin
Rondedzero iyi haina kukwana. Kuti muve vakachengeteka, kurukurai nachiremba wenyu nezvezvinhu zvose zvinodhaka, kusanganisira kusvuta nekushandisa doro.
Kungwarira panguva yekurapwa
Murwendo rwako rwekurapwa, timu yako yezvekurapa ichanyatsoongorora hutano hwako. Zvakakoshawo kuti urambe uchiteerera manzwiro ari kuita muviri wako.
Kunzwa Kwakajairika kweMalaise
Kurapwa nemakemikari kunotarisa masero egomarara asi kunogonawo kukanganisa masero ane hutano mumuviri wako. Saka, kunzwa kuneta, kuda kurutsa, kana kusanzwa zvakanaka kunowanzoitika panguva yekurapwa. Kunyangwe kana ukasangana nematambudziko aya, ndapota ramba uchirapwa kwenguva yakatarwa kunze kwekunge chiremba wako akakuudza kuti urege. Zvisinei, iva nechokwadi chekuti wataura nezvemigumisiro yese yaunosangana nayo kuchikwata chako chekurapa.
Njodzi yeKutapukirwa
Mushonga uyu unogona kuderedza simba remuviri wako kwenguva pfupi, zvichiita kuti uve nyore kubatwa nezvirwere.
- Kana ukaona zviratidzo zvakaita sefivha, dzihwa, pahuro panorwadza, kana kukosora , usaedze kuzvirapa. Bata chiremba wako nekukasika kuti akupe mazano enyanzvi.
- Edza kudzivisa nzvimbo dzine vanhu vakawanda uye kusangana nevanhu vari kurwara parizvino.
Kushandisa Mishonga Inoderedza Marwadzo
Kutarisa fivha kwakakosha munguva iyi. Mishonga inoderedza marwadzo inopihwa nechiremba isina kunyorerwa mushonga yakaita seAspirin, acetaminophen (Panadol), ibuprofen, kana naproxen inogona kuvharidzira fivha, zvichigona kuviga zviratidzo zvehutachiona. Saka, usashandise chero mushonga wemarwadzo usina kutanga wabvunza chiremba wako.
Hutano hweMazino
Munguva yekurapwa, unogona kunge uri panjodzi yekubuda ropa mumatadza uye hutachiona. Ndapota gezai mukanwa zvinyoro nyoro kana muchikwesha mazino uye muchishandisa dental floss. Kana muchida kurapwa mazino, munofanira kuzivisa chiremba wemazino kuti muri kugamuchira Trabectin.
Kubata Pamuviri uye Kuva Mubereki
Iyi inyaya yakakosha kune vese vakadzi nevarume.
- Kuvakadzi: Unofanira kudzivirira kubata pamuviri panguva yekurapwa uye kwemwedzi miviri mushure memushonga wako wekupedzisira. Mushonga uyu unogona kukonzera matambudziko makuru ekuzvarwa. Usati watanga kurapwa, unofanirwa kuongororwa pamuviri kuti usimbise kuti hauna pamuviri. Uyezve, unofanirwa kushandisa nzira yakavimbika kwazvo yekudzivirira pamuviri; ndapota kurukura nachiremba wako nezvesarudzo dzakakodzera.
- Kuvarume: Unofanira kudzivisa kubereka mwana panguva yekurapwa uye kwemwedzi mishanu mushure mekutora mushonga wekupedzisira. Zvakakosha kushandisa makondomu panguva yebonde munguva yese iyi.
- Kuyamwisa: Unofanira kurega zvachose kuyamwisa paunenge uchirapwa uku.
- Kubereka: Mushonga uyu unogona kukanganisa kugona kwako kubata pamuviri. Kana uine zvinokunetsa nezvekubereka kwako, ndapota taura nachiremba wako nezvazvo.
Migumisiro Yekutarisa
Kufanana nemishonga yese, Trabectedin inogona kukonzera migumisiro yakaipa. Haasi munhu wese achasangana neizvi, asi zvakakosha kugara uine ruzivo. Ngatitarisei migumisiro yakaipa iyi yakakamurwa mumapoka maviri.
| Mhedzisiro Yepadivi | Tsananguro uye Chiito Zvinodiwa |
|---|---|
| Migumisiro inoda kurapwa nekukurumidza | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi, kana pahuro, uye kuoma kufema. Aya mamiriro ezvinhu ekukurumidza ; tsvaga rubatsiro rwechiremba nekukasika. |
| Chirwere chekubuda kwemvura muropa | Kurwadziwa kwemudumbu kana tsandanyama, kuneta kusingawanzoitiki, kuchembera, kudzikira kweweti, kuzvimba muzvigunwe kana makumbo, uye kuoma kufema. |
| Kukundikana kwemoyo | Kuomerwa nekufema, kuzvimba muzvitsitsinho, tsoka, kana maoko, kuwedzera uremu kamwe kamwe, kana kuneta kana kushaya simba kusingawanzoitiki. |
| Zviratidzo zvehutachiona | Fivha, dzihwa, kukosora, pahuro panorwadza, maronda asingapore, kana kurwadziwa panguva yekuzviitira weti. |
| Kukuvara kwechiropa | Kurwadziwa mudumbu rekumusoro kurudyi, kurasikirwa nechido chekudya, kuda kurutsa, tsvina yakachenuruka, weti ine ruvara rwakasviba, kana kuti ganda kana maziso zvakatsvuka (jaundice). |
| Kukuvara kwetsandanyama | Kuneta kusingawanzoitiki, kurwadziwa kwetsandanyama, weti ine ruvara rwakasviba, kana kudzikira kweweti. |
| Kubuda ropa kusingawanzoitiki kana mavanga | Kubuda ropa kusingazogumiri nekuda kwemavanga madiki, kana mavanga asina kutsanangurwa pasi peganda. |
| Kurwadziwa panzvimbo yejekiseni | Kutsvuka, kuzvimba, kudziya, kurwadziwa, kana matumbu akakomberedza tsinga painopinzwa mushonga. |
| Migumisiro inowanzo taurwa kana ikaramba iripo kana kuti ikava inonetsa | |
| Matambudziko ekugaya chikafu | Kuzvimba, manyoka, kuda kurutsa, kurutsa. |
| Zvimwe zvinonetsa zvinowanzoitika | Kuneta, musoro, kurasikirwa nechido chekudya. |
Zvinhu Zvikuru Zvekutora Pakurapwa Kwako
- Trabectedin mushonga une simba unoshandiswa kurapa sarcomas. Ndapota yeukai kuti kurapwa uku kunoitirwa muchipatara chete pasi pekutarisirwa kwakasimba kwechiremba.
- Usati watanga kurapwa kwako kuNirogi Lanka kana chero imwe nzvimbo, ndapota ipa chiremba wako runyorwa rwakakwana rwezvimwe zvirwere, mishonga (kusanganisira mishonga yemishonga kana yechivanhu), uye allergies dzinozivikanwa.
- Kana ukaita fivha, zviratidzo zvehutachiona, kubuda ropa kusingawanzoitiki, kana kusangana nemimwe migumisiro yakaipa paunenge uchirapwa, ndapota tsvaga rubatsiro rwechiremba nekukasika kana kufonera 911/emergency services.
- Zvakakosha kuti varume nevakadzi vashandise nzira dzekudzivirira pamuviri dzakavimbika panguva yekurapwa kwenyu uye kwenguva yakatarwa mushure mekurapwa, sezvo mushonga uyu ungakuvadza mwana asati aberekwa.
- Ndapota inzwa wakasununguka kutaura pachena nechikwata chenyu chehutano nezvemibvunzo, kutya, kana zvinokunetsai maererano nekurapwa kwenyu. Tiri pano kuti tikutsigirei nhanho imwe neimwe.
Trabectedin, Yondelis, mishonga yekenza, kurapwa kwekenza, sarcoma, chemotherapy, migumisiro yekenza, Nirogi Lanka
