Kana chiremba akakuudza kuti une kenza yemazamu, zvakajairika kunzwa kutya kukuru uye kuvhunduka paunozonzwa izwi rekuti 'chemotherapy'. Patinoti "chemotherapy" tinenge tiine mufananidzo wakaoma mupfungwa dzedu. Asi kana tiine ruzivo rwakakwana nezvenzira iyi yekurapa, muchawana simba guru rekutarisa rwendo urwu. Saka nhasi, ngatitaurei nezve chemotherapy chii, chii chinoitika nayo, uye kuti mungaigadzirisa sei.
Zvichitaurwa zviri nyore, chii chinonzi chemotherapy?
Chemotherapy imhando yemushonga une simba zvikuru unoshandiswa kuuraya masero egomarara. Wakafanana nemushonga unoshanda mukati memuviri wako, uchitsvaga uye unouraya masero egomarara. Chiremba wako anogona kushandisa mushonga uyu pamwe chete nedzimwe nzira dzekurapa, dzakadai sekuvhiyiwa, kurapwa nemwaranzi, uye kurapwa nemahormone.
Kune zvinangwa zvikuru zvitatu zve chemotherapy mukurapa kenza yemazamu:
- Kudzivirira kenza kuti isadzoke mushure mekuvhiyiwa: Mushure mekunge kenza yabviswa kuburikidza nekuvhiyiwa, kurapwa uku kunopiwa kudzivirira kenza kuti isadzoke nekuparadza chero masero ekenza angangosara mumuviri, asingaonekwe nemaziso. Izvi zvinonzi 'Adjuvant Therapy' mune zvehutano.
- Deredza bundu usati wavhiyiwa: Dzimwe nguva, kana kenza yakakura, chemotherapy inopihwa usati wavhiyiwa kuti ideredze bundu racho. Izvi zvinoita kuti zvive nyore kubvisa bundu racho zvachose panguva yekuvhiyiwa. Izvi zvinonzi 'Neo-adjuvant therapy'.
- Paradzai masero egomarara akapararira kune dzimwe nhengo dzemuviri: Kana gomarara rapararira (rakabva pazamu) kubva pazamu kuenda kune dzimwe nhengo dzemuviri, dzakadai sechiropa, mapapu, kana mapfupa, chemotherapy inoshandiswawo kuparadza masero iwayo.
Iwe nachiremba wako muchasarudza pamwe chete kuti inguva ipi yakanakira kuti mutange kurapwa nechemotherapy, mishonga yekushandisa, uye purogiramu yenyu yekurapwa. Saka iva nechokwadi chekubvunza mibvunzo yaunayo.
Mishonga yechemotherapy inopiwa sei?
Kurapa nemakemikari kunogona kuitwa nenzira mbiri huru: Imwe ndeyekumedza mapiritsi . Imwe, iyo inowanzoitwa munyika medu, ndeyekuibaya mumuviri kuburikidza netsinga yakaita sesaline (mutsinga kana kuti mutsinga yeropa) .
Dzimwe nguva, kuti usazonetseka nekuwana tsinga muruoko rwako uye kuisa kanula pese paunorapwa, chiremba wako anogona kukurudzira kuti uise mudziyo mudiki (central port) pasi peganda pachipfuva chako chepamusoro. Izvi zvinokutendera kuti upe mishonga uye ubvise ropa zviri nyore kuburikidza nayo. Ichabviswa kana kurapwa kwako kwapera.
Kurapa kunoitwa mu 'cycles'.Kana kuti muchirongwa chekutenderera. Izvi zvinoreva kuti unopa mushonga kwemazuva mashoma, wozomira kwemazuva mashoma kana mavhiki kuti muviri wako uzorore. Wobva watanga chirongwa chinotevera zvakare. Chirongwa ichi chekurapa chakasiyana kune wese munhu. Zvinoenderana nerudzi rwekenza yaunayo.
Mishonga inonyanya kushandiswa yekenza yemazamu
Vanachiremba vanowanzo nyora kwete mumwe chete wemishonga iyi, asi mimwe yacho mu "musanganiswa". Zvakafanana ne "resipi" yakakosha yakagadzirirwa kuwana mhedzisiro yakanaka. Vanoshandisa mazita mapfupi kwavari. Kana chiremba wako akakudana nemazita aya, ikozvino unogona kuwana pfungwa shoma nezvazvo.
| Kirasi yemishonga/zita remusanganiswa | Mishonga iri mukati (mienzaniso) |
|---|---|
| Mishonga yeAnthracycline | Doxorubicin, Epirubicin |
| Mitero | Docetaxel, Paclitaxel (Taxol) |
| AC compound | Adriamycin (Doxorubicin) uye Cyclophosphamide |
| CMF compound | Cyclophosphamide, Methotrexate, uye Fluorouracil (5-FU) |
Chinhu chinonyanya kukosha ndechekuti chiremba wekenza yako asarudze mushonga kana musanganiswa wemishonga yakakunakira uye ichakupa mhedzisiro yakanaka.
Migumisiro inogona kuitika panguva yekurapwa
Kana chemotherapy ichiuraya masero egomarara, inogonawo kukanganisa mamwe masero ane hutano mumuviri wedu anopatsanuka nekukurumidza (semuenzaniso, masero ebvudzi, masero ari mumuromo medu, uye masero eropa). Ndosaka migumisiro yakaipa ichiitika. Asi yeuka, migumisiro yakawanda iyi ndeyenguva pfupi. Uye ikozvino kune mishonga yakanaka kwazvo yekuidzora.
Migumisiro iyi haibate munhu wese zvakafanana. Vamwe vanhu vanogona kusangana nezvakawanda, vamwe zvishoma. Zvakakosha kuudza chiremba wako nezvekusagadzikana kwaunosangana nako.
| Mhedzisiro yedivi | Zvichitaurwa zviri nyore... |
|---|---|
| Kusvotwa nekurutsa | Izvi zvinogona kudzorwa zvakanyanya nemishonga inopiwa vasati varapwa uye mushure mekurapwa. |
| Kudonha kwebvudzi | Chinhu chinotyiwa nevanhu vazhinji, asi kana kurapwa kwapera, bvudzi richakura zvakare. |
| Maronda emuromo | Kutsvuka mukati memuromo, maronda madiki. Zvakakosha kushandisa bhurashi remazino rakapfava uye kudya chikafu chisina zvinonhuhwirira. |
| Kuneta | Unganzwa kuneta zvakanyanya, zvakasiyana nekuneta kwakajairika. Zvakakosha kuwana zororo rakawanda. |
| Kuwanda kwenjodzi yekutapukirwa | Sezvo masero machena eropa achiderera, njodzi yekubatwa nezvirwere inowedzera. Kudzivisa nzvimbo dzine vanhu vakawanda uye kugeza maoko kwakakosha. |
| Kurwara netsinga | Kunzwa kusanzwa, kutsva, uye kurwadziwa kweminwe nezvigunwe. Unofanira kuudza chiremba wako nezvazvo. |
| Kumira kwekuenda kumwedzi / kuenda kumwedzi | Kuenda kumwedzi kunogona kusaenderana nenguva kana kumira kwenguva pfupi/zvese. Kana uchironga kuva nevana, kurukura izvi nachiremba wako usati watanga kurapwa. |
Unogadzirira sei chemotherapy?
Zvakakosha kuti muviri wako urambe wakasimba sezvinobvira usati watanga kurapwa.
- Zorora zvakanaka.
- Idya zvekudya zvinovaka muviri. Isa michero yakawanda, miriwo, nyemba, uye zviyo zvakakwana mukudya kwako.
- Inwa mvura yakawanda sezvinobvira.
- Ona chiremba wemazino. Tarisa kana paine hutachiona mumazino ako nematadza wozvirapa usati watanga kurapwa.
- Deredza kushushikana. Ita chimwe chinhu chaunofarira, fungisisa, taura nemumwe munhu waunovimba naye.
- Ongorora ropa raunopihwa nachiremba wako kuti uone kana moyo wako, chiropa, neitsvo zviri kushanda nemazvo.
Nzira yekuziva sei dambudziko rekukurumidza?
Ichi chikamu chakakosha zvikuru. Sezvo masoja emuviri wako achidzikira panguva yekurapwa nechemotherapy, pane zvimwe zviratidzo zvaunofanira kuziva zvakanyanya. Kana uine chimwe cheizvi, taurira chiremba wako nekukasika.
- Kana fivha iri pamusoro pe38°C (100.4°F).
- Kana uine fivha ine shock. (Kana usingakwanise kusvika kuna chiremba, enda kuEmergency Department (ETU) yechipatara chiri pedyo nekukasika. )
- Maronda matsva kana mavanga machena mumuromo, rurimi rwakazvimba.
- Kuoma, kutsva, uye kukwenya pahuro.
- Kupisa kana uchiita weti, kuda weti nguva nenguva, ropa muweti.
- Kusvotwa, kurutsa, kurwadziwa mudumbu, kana manyoka anotora mazuva anopfuura maviri kana matatu.
- Ropa riri mutsvina.
Kunyangwe mushure mekunge kurapwa kwapera, chiremba wako acharamba achikutarisa nguva dzose (kutevera). Kazhinji unoona chiremba wako kanenge kamwe chete pamwedzi mina kusvika mitanhatu kwemakore mashanu ekutanga.
Mharidzo Yekuenda Nayo Kumba
- Kurapa kenza yemazamu nenzira yemakemikari inzira ine simba uye inoshanda yekurapa kenza yemazamu. Usazvitya zvisina kufanira.
- Migumisiro inogona kuitika, asi mizhinji yacho ndeyenguva pfupi. Uye kune mishonga yakawanda yakanaka uye nzira dzekuidzora nekuderedza kusagadzikana kwayo.
- Usambozeza kuudza chiremba wako kana mukoti nezvekusagadzikana kwaungave uchiita, kunyangwe kudiki diki.
- Hausi wega parwendo urwu. Chikwata chako chekurapa, mhuri, neshamwari dziripo kuti dzikubatsire.
- Ziva zviratidzo zvedambudziko. Tsvaga rubatsiro rwechiremba kana wangoona chero chimwe chezviratidzo izvi.
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