BEACOPP - Zvinodhaka, Dosing Schedule, uye Maitiro Akafanana
Kana iwe wakamboudzwa kuti BEACOPP chemotherapy inokurudzirwa nehosha yako yeHodgkin, izvi zvinorevei? Iko kusanganiswa kwemishonga inoshandiswa rini?
BEACOPP Chemotherapy Regimen - Tsanangudzo
BEACOPP ndiro zita rechikemotherapy regimen (zvinodhaka yemishonga) inoshandiswa mukurapa kwepamusoro-soro Hodgkin lymphoma . Iyo inowanzoshandiswa uye inobudirira chemotherapi regimen yevakangobva kuongororwa vane chirwere chakapararira zvirwere.
Kunyange zvazvo isingawanzoshandiswa muUnited States, inonzi inonzi chimiro chemotherapy inosangana nechigarire III kana IV Hodgkin lymphoma kune dzimwe nyika dzeEurope.
Zvinodhaka Zvinoshandiswa muReimen BEACOPP
Kubatanidzwa kwezvinomwe zvinodhaka zvinoshandiswa mu BEACOPP.
- Cytoxan / Neosar (Cyclophosphamide) - yakapiwa sechirwere mumaketani ako pazuva 1.
- Adriamycin / Rubex (Doxorubicin) - yakapiwa sechirwere mumaketani ako pazuva 1.
- VePesid (Etoposide) - yakapiwa sechirwere mumaketeni ako mumazuva 1 kusvika ku3.
- Matulane (Procarbazine) - inopiwa semapiritsi inotorwa nemuromo pamazuva 1 kusvika ku7.
- Prednisone - inopiwa semapiritsi inotorwa nemuromo pamazuva 1 kusvika ku14
- Blenoxane (Bleomycin) - inopiwa sechidimbu chinopinza mujinga pazuva 8.
- Oncovin (Vincristine) - inopiwa sechidimbu chisina kuvharirwa mukati mezuva 8.
Nzira Yakawanda Sei ICHINOKOSHA ICHIPO Chipi?
Chimwe nechimwe chinyorwa cheBEACOPP chinosanganisira kutungamirirwa kwezvinomwe zvinodhaka pamisi yakatarwa. Rimwe nerimwe rinongororwa rinodzokororwa mazuva ose makumi maviri nemaviri.
Ndezvipi Zviduku Zvakawanda Zvinodiwa?
Kazhinji masereji 6 kusvika ku8 e BEACOPP anodiwa semakakwana ese emakemotherapy mune epamurose epachirwere chirwere.
Miedzo Inodikanwa ne BEACOPP Chemotherapy
Pamberi peBEACOPP chemotherapy inotanga, kuverengwa kweropa pamwe nekuongororwa kweropa kwepso uye chiropa basa zvinoitwa. Imwe nyanzvi yepamusoro (mwoyo ultrasound) inodiwa kuti uedze mwoyo mushure mokurapa kutanga.
Sezvo doxorubicin inogona kuchinja dzimwe nguva mwoyo , zvakakosha kuva neruzivo irworwo rwekuenzanisira gare gare panguva yekurapa. Bhokisi re x-ray uye mapapu rinogona kushandiswa kuenzanisa kufanana kwemapapu musati yashandiswa neromyidoma, sezvo ichi chinodhaka chinogona kukanganisa mapapu (pulmonary toxicity.)
Panguva yekhemotherapy, kuverenga ropa kunotarisirwa mushure mokunge mishonga inopinda muropa. Mimwe miedzo inogona kudzokororwa sezvaidiwa.
Migumisiro Yakashata Panguva yeKemotherapy
Sezvo makemikari inokurwisa ichikurumidza kuparadzanisa masero sekenza masero, inogonawo kuchinja masero anowanikwa mumuviri wako anowedzera kakawanda seaya ari mumapfupa ako, mudumbu mutsvuku, uye mvere dzemapenzi. Izvi zvinogona kukonzera:
- A low white white cell count . Kuwa mumucheka wako wekuchena kwakawanda kwazvo uye kuchagara uchiongororwa. Kukura kwezvinhu zvinodhaka zvakadai seNeulasta neNeuopogen zvinoshandiswa kakawanda pamwe chete ne chemotherapy madzimai ekusimudza ropa rako rekuyera masero. Kana chichena chenyu chichiramba chakasara kunyange nezvikukura izvi, chemotherapy ingangodaro yakanonoka kusvikira mazinga ako adzokera kumagariro anogamuchirwa. Sezvo une masero mashoma ekuchengetedza utachiona, zvakakosha kutevera maitiro ekudzivirira yako oncologist ichakuudza pamusoro. Zvakakoshawo kuti utone chiremba wako pakarepo paine chemotherapy regimen kana iwe uchifanira kuva nefivha kana zvimwe zviratidzo zvehutachiona.
- Nausea uye kurutsa zvinogona kunge zvakakurumbira, uye anti-emetics (zvinodhaka zvinodzivirira uye kudzora kunyorera uye kurutsa) zvichagara zvichinyorwa. Mimwe mishonga inopiwa kuti itadzivirire kusuruvara uye kurutsira, asi vamwe vanorayirwa kuti vaite chirwere chinenge chiripo. Zvakakosha kushandisa mishonga yekudzivirira usati watanga nharo ipi zvayo, sezvo isingashandisi mushure mekunge uine zviratidzo. Chiremba wako achakutaurira pamusoro pemarudzi akasiyana-siyana ekunyunyuta , uye kuti mishonga inoshanda sei kune imwe neimwe yeiyi.
- Kusuruvara kwebvudzi kwakajairika uye kunowanzotanga mavhiki mashomanana mushure mekutanga kwekemotherapy zvidzidzo. Kugadzirira mberi - kuwana wig kana musoro zvigadziro - zvinobatsira kune vamwe vanhu. Bvudzi rako richakura zvakare, saka vamwe vanhu vanozviona zvichibatsira kugadzirisa uye kufungidzira chemotherapy inoita basa rayo pakuona vhudzi ravo richionda uye richidonha.
- Mishonga yemuromo inobva chemotherapy inowanzova nhamo, asi dzimwe nguva utachiona hunogona kuitika munzvimbo yezvironda. Zvinogona kubatsira kudzivirira kudya "kwakapinza" zvakadai sechigunwe uye chekudya, uye kudya zvokudya pane zvinononoka - zvakadai sezai dzakaputika uye mbatata yakasvibiswa. Zvokudya zveSalty uye avo vane citric acid zvinogonawo kukonzera kusagadzikana. Kudzidza kuti zvokudya zvipi zviri nani uye zvakashata kudya nemaronda emuromo zvinogona kufamba nenzira yakareba pakuita kuti rutivi rwechipiri ruite zvinoreruka.
- Dhairrhea - Diarrhea inogona kuva yakakomba kana iwe uchipfuura nechikwereti chemotherapy. Iva nechokwadi chekutaura nachiremba wako kana iwe ukava nechiratidzo ichi, uye iva nechokwadi chokuti unwe mvura yakawandisa yekuderedza dambudziko rekushaya mvura.
- Kukanganiswa kweganda uye misumari - Fingernail uye toenail kuchinja kunowanikwa nechem chemotherapy mishonga iyi regimen.
- Peripheral neuropathy - Unogona kuona kuchinja kwakanaka kwekunzwa mumaoko ako netsoka.
Support
Kana iwe uchangobva kuongororwa, Zvinogona kukuvadza kuziva kuti unotangira kupi. Svika kumhuri neshamwari. Usaedza kuve gamba - ino ndiyo nguva yakanaka yekudzidza kurega vanhu vachikubatsira iwe. Funga kubatana neboka rinotsigira munharaunda yako, kana kuti ubatane nevamwe vanhu vari paIndaneti kuburikidza nehupfumi. Uye rambira pane tariro. Kanzira mishonga - pamwe chete nekugadzirisa migumisiro yechirwere - yakavandudza zvikuru mumakore achangopfuura.
Vadiwa
Kana iri mudiwa wako uyo akawanikwa, tarisa mazano aya pane zvisingatauri kune mumwe munhu ane kenza uye uone zvimwe zvezvinhu zvaanotarisana nazvo mumavhiki nemwedzi anotevera.
Sources:
Engert, A. ABVD kana BEACOPP yeHodgkin Lymphoma Yakadzama. Nyaya yeCliniki Oncology . 2015 Dec 28. (Epub mberi kwekudhinda).
Handbook Cancer Chemotherapy. Shanduro yechinomwe. Muparidzi: Roland T Skeel. Yakabudiswa naLippincott Williams naWilkins, 2007.
Uhm, J., uye J. Kuruvilla. Kurapa kwekuchangobva kuongororwa hutano hwakanaka Hodgkin lymphoma. Ropa Rokuongorora . 2012. 26 (4): 167-74.