Xa ugqirha ekuxelela okanye umntu omaziyo ukuba unomhlaza we-colorectal, igama elilandelayo olivayo lithi '
chemotherapy .' Abantu abaninzi bayoyika kwaye baziva benomthwalo onzima xa besiva eli gama. Kodwa yintoni ngokwenene? Kuza kwenzeka ntoni kulo? Ngaba ngokwenene yinto yokoyika? Masibeke ecaleni yonke imibuzo esinayo malunga noku size sithethe ngayo ngokulula nangokunyanisekileyo.
Yintoni kanye kanye i-chemotherapy?
Ngamafutshane,
i-chemotherapy liyeza elinamandla elinikwa ukubulala iiseli zomhlaza . Kufana nokuvakalisa imfazwe notshaba olusemzimbeni wethu. Kukho iindlela ezahlukeneyo zokunika eli yeza emzimbeni. Ngamanye amaxesha linikwa ngemithambo njengesisombululo setyuwa, kwaye ngamanye amaxesha linikwa njengepilisi. Ugqirha wakho uya kugqiba ukuba leliphi iyeza elifanelekileyo kuwe, idosi, kunye neshedyuli. Oogqirha basebenzisa olu nyango lwe-chemotherapy ngeenjongo ezahlukeneyo. Makhe sijonge ukuba zeziphi.
I-Neoadjuvant Chemotherapy (i-chemotherapy enikwa ngaphambi kotyando)
Khawucinge ukuba unethumba elinomhlaza, kwaye likhulu kancinci. Emva koko kunokuba nzima ukulisusa ngokupheleleyo ngotyando. Kwiimeko ezinjalo, ngaphambi kotyando, eli yeza
le-chemotherapy linikwa
ukunciphisa ithumba, oko kukuthi, ukulenza libe lincinci . Xa ithumba lincinci, ugqirha otyandayo angayisusa ngokupheleleyo ngokulula kwaye ngaphandle kweengxaki ezininzi. Ngamanye amaxesha le chemotherapy inikwa kunye nonyango
lwe-radiation , kuba ke unyango lwe-radiation luphumelela ngakumbi.
I-chemotherapy yokuncedisa (i-chemotherapy enikwa emva kotyando)
Emva kotyando lokususa ithumba elinomhlaza, ngamanye amaxesha kusenokushiyeka iseli enye okanye ezimbini ezincinci zomhlaza emzimbeni ezingabonakaliyo emehlweni ethu. I-chemotherapy inikwa emva kotyando
ukuze kutshatyalaliswe ngokupheleleyo ezo seli ziseleyo . Oku kufana nokutshayela indlu kakuhle uze uyicoce ukuze kususwe uthuli lokugqibela. Oku kunceda kakhulu ekuthinteleni
umhlaza ukuba ungabuyi.
I-chemotherapy yokunciphisa iintlungu (i-chemotherapy enikezelwa ukulawula iimpawu)
Kwezinye iimeko ezihambele phambili, umhlaza usenokuba usasazeke kwamanye amalungu omzimba (umzekelo, isibindi). Kwiimeko ezinjalo, utyando lodwa lusenokungakwazi ukuwunyanga ngokupheleleyo umhlaza. Kwimeko enjalo, i-chemotherapy inikwa
ukunciphisa umhlaza, ukunciphisa iimpawu (ezifana neentlungu), nokwandisa ubomi bomguli nokwenza ubomi bemihla ngemihla bube lula .
Ukuze ufumane ukuba loluphi kanye kanye unyango olulungele wena, kungcono ukuthetha ngokukhululekileyo nogqirha wakho.
Amayeza aphambili asetyenziselwa umhlaza wamathumbu amakhulu
Kukho iintlobo ezahlukeneyo zamayeza asetyenziswa ukunyanga umhlaza wamathumbu amakhulu. Makhe sijonge ezinye zazo kunye nendlela ezinikwa ngayo.
| Igama leziyobisi | Indlela yokunika kunye nolwazi ngokubanzi |
|---|
| I-5-fluorouracil (5-FU) | Iyeza eliphambili elisetyenziswe iminyaka emininzi. Linikwa ngemithambo yegazi kwaye lisebenza kakhulu xa linikwa kunye nevithamini ebizwa ngokuba yi -leucovorin . |
| I-Capecitabine (i-Xeloda) | Ithathwa njengepilisi. Eli yeza liguqulwa libe yi-5-FU emzimbeni. Linikwa ngaphambi okanye emva kotyando lomhlaza werectal. |
| I-Irinotecan (iCamptosar) kunye ne -Oxaliplatin (i-Eloxatin) | Ezi zihlala zinikwa kunye ne-5-FU okanye i-Xeloda emva kotyando okanye kwiimeko eziphambili apho umhlaza usasazeke khona. |
| I-Trifluridine kunye ne-tipiracil (iLonsurf) | Indibaniselwano yamayeza amabini afumaneka kwifomu yeepilisi. |
Olu nyango ludla ngokunikezelwa
ngemijikelo . Oko kukuthi, iyeza linikwa iintsuku ezimbalwa okanye iveki okanye ezimbini, kulandele iveki okanye ezimbini zokuphumla. Unyango luqhubeka ngolu hlobo kangangeenyanga ezi-6.
Unyango oluchaphazela umzimba kwaye lunikezelwa kuphela kwindawo ethile.
Xa amayeza e-chemo ethathwa njengeepilisi okanye enikwa umthambo, angena egazini aze ahambe emzimbeni wonke ukuze abulale iiseli zomhlaza. Oku kubizwa ngokuba yi
-systemic chemotherapy . Kodwa ngamanye amaxesha, unyango lunokujoliswa kwilungu elithile apho umhlaza usasazeke khona. Umzekelo, ukuba umhlaza usasazeke esibindini,
i-chemoembolization ye-hepatic arteryOku kuquka ukuvala okwethutyana okanye ngokusisigxina umthambo ophambili ohambisa igazi esibindini (umthambo wesibindi), kunye nokufaka i-chemotherapy phakathi kokuvaleka nesibindi. Oku kuvumela iyeza ukuba liye ngqo esibindini, kunciphisa kakhulu umngcipheko wokuba liye kwezinye iindawo zomzimba.
Unyango olukhethekileyo olubizwa ngokuba yiTargeted Therapy
La ngamayeza amatsha ahluke kancinci kwi-chemo eqhelekileyo. La mayeza
ajolise kwiijini ezithile okanye iiproteni kwiiseli zomhlaza aze azihlasele . Ngamanye amazwi, afana nokufumana indawo ebuthathaka yotshaba aze ayihlasele. Oku kuthetha ukuba iiseli eziphilileyo azonakalanga kangako. Ngamanye amaxesha zinikwa kunye ne-chemotherapy. Ngamanye amaxesha, zisetyenziswa xa i-chemotherapy eqhelekileyo ingasasebenzi. Imizekelo ibandakanya iBevacizumab (Avastin), iCetuximab (Erbitux), kunye nePanitumumab (Vectibix).
Zithini iziphumo ebezingalindelekanga ze-chemo?
I-chemotherapy ibulala iiseli zomhlaza ezahlula ngokukhawuleza. Kodwa inokuchaphazela
nokwahlukana ngokukhawuleza kweeseli eziphilileyo emizimbeni yethu. Umzekelo, iiseli ezingaphakathi emilonyeni yethu, iiseli ezikhulisa iifollicle zeenwele, kunye neeseli ezikumongo wethu wethambo. Iziphumo ebezingalindelekanga zenzeka kuba ezo seli ziphilileyo zonakele.
| Inxalenye yomzimba echaphazelekayo | Iziphumo ebezingalindelekanga ezinokubakho |
|---|
| Iiseli zendlela yokutya (umlomo, amathumbu) | Isicaphucaphu nokuhlanza, ukungabi namdla wokutya, izilonda emlonyeni (mucositis), urhudo |
| Iifollicle zeenwele | Ukulahleka kweenwele |
| Ulusu | Ukurhawuzelela, ukuba bomvu, kunye nentlungu ezandleni nasezinyaweni (i-Hand-foot syndrome) |
| Ummongo wethambo | |
Ezi ziphumo ebezingalindelekanga azenzeki kubo bonke abantu ngendlela efanayo. Ziyahluka ukusuka kwiyeza ukuya kwiyeza nakwisigulane. Umzekelo, iyeza elithi `Oxaliplatin` linokubangela umonakalo kwimithambo-luvo kwabanye abantu.
Eyona nto ibalulekileyo kukuxelela ugqirha wakho ngokukhawuleza ukuba ufumana naziphi na kwezi ziphumo ebezingalindelekanga. Kwiimeko ezininzi, kukho amayeza nezinye iindlela zokulawula nokunciphisa ezi ziphumo. Ngoko ke musa ukoyika. Thetha nogqirha wakho ngayo yonke into.
Umyalezo Wokuya Ekhaya
- I-Chemotherapy lunyango olubulala iiseli zomhlaza . Lusetyenziswa ngaphambi, emva kotyando, okanye ukulawula iimpawu, kuxhomekeke kwimeko yakho.
- Uhlobo lwamayeza, indlela anikwa ngayo, kunye nobude bonyango kugqitywa ngugqirha wakho. Akunjalo kubo bonke abantu.
- Iziphumo ebezingalindelekanga zinokubakho, kodwa uninzi lwazo lunokulawulwa. Musa ukoyika ukuxelela ugqirha wakho ngalo naluphi na utshintsho oluvayo.
- Nceda uxoxe ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo malunga nale nkqubo yonyango nogqirha wakho. Awukho kolu hambo wedwa.
Umhlaza wamathumbu amakhulu, umhlaza wamathumbu amakhulu, i-chemotherapy, unyango lomhlaza, iziphumo ebezingalindelekanga ze-chemotherapy, i-5-FU
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