Nancy aine chemotherapi mumavambo ekuma1980 ekudzokorora kenza yake yepabonde . Kare kumashure, chemo mishonga yakapiwa mukurapa kukuru kudarika ikozvino, uye zvishoma zvaizivikanwa nezvekudzivirira migumisiro. Akave akarwara zvikuru uye asina simba panguva yekurapwa, uye imwe yemishonga yakamuita kuti ave kwenguva isina kuchena. Makore makumi maviri gare gare, pandakatora chemo, maitiro aiva maduku uye ma-pre-medication aipiwa kuti abve pamatambudziko akaipa.
Chemotherapy mishonga yekenza yemazamu yakagadziridzwa zvikuru, uye kuponesa kwehuwandu kuri kuwedzera.
Kuti ndikubatsire kunzwisisa zvinonzwisisika nezvekemotherapy, kuti zvinogona kukukanganisa sei iwe nemishonga yako yekurapa, ndakatarisa izvo izvo nyanzvi dzinoti muItToDate - iyo yakavimbika yemagetsi inoshandiswa nevakawanda veoncologists vanobata chirwere chepachifu chebonde.
Iwe unogona kana unenge usingadi chemotherapy. Asi iwe unoda kuziva kana chemotherapy ichakubatsira iwe nekuvandudza mikana yako yekupona. Tanga nekuverenga iyi nyanzvi kuti uone kuti sei chemotherapy ingakosha iwe.
Maererano neUpToDate, chemotherapy inoreva kushandiswa kwemishonga kumisa kana kuderedza kukura kwekenza masero. Chemotherapy inoshanda kuburikidza nekupindira nekwanisi yemasero anokura nokukurumidza (sekenza masero) kugovana kana kuwedzera. Nemhaka yekuti vazhinji vemasero evanhu vemazuva ose haasi kuparadzanisa kana kuwedzera, havakwanisi nechemotherapy.
Zvisinei, mafupa (apo masero eropa anobudiswa), mvere dzemawere, uye chigadziko chemuviri wepamuviri (GI) yose iri kukura. Izvozvo zvinokonzerwa nemakemikrasi emishonga zvakabatana nemigumisiro iyi uye mamwe maitiro akadai.
Chinonzi Chemotherapy Chii?
Chemotherapy inogona kurondedzerwa senzira yekurapa kwemakemikari kunobata kana kudzora chirwere.
Chemotherapy yekenza yemazamu inorapwa, iyo inokanganisa akawanda emasero mumuviri wako. Aya mishonga ine simba inoshandiswa kuuraya kana kunonoka kukura kwekenza masero nekuvhiringidza DNA yavo, mapuroteni ekugadzira, kudzivirira kupatsanurwa kwemasero, kushaya nzara yezvibereko, kana kudzivirira hormone receptors.
Ndezvipi Zvinodhaka Zvinoshandiswa Pachirwere Chepabonde?
Mishonga yakawanda uye regimens inorwisa kenza yemazamu. Heano mamwe emhando yezvinodhaka:
- CMF: Cytoxan (cyclophosphamide), methotrexate, uye 5-FU (5-fluorouracil)
- AC: Adriamycin (doxorubicin) uye Cytoxan
- CAF kana FAC: Cytoxan, Adriamycin, uye 5-FU
- CEF kana FEC: Cytoxan, Ellence (epirubicin), uye 5-FU
- TC: Taxotere (docetaxel) uye Cytoxan
Ndinoda Zvimwe Zvinodhaka Kuti Ndibate Kanzera Here?
Zvimwe zvirwere zvinoda kuwedzera kuwedzerwa kwemamwe madhiragi, kutarisa mapuroteni chaiwo kana kuderedza kubuda kweropa nemuviri kune chiremera. Iyo nzira yekurapa inonzi inonzi inonzi biologic therapy. Izvi zvinosanganisira:
- Herceptin yeHER2 Chirwere chechirwere chekenza
- Tykerb (lapatinib) yeHER2 Yakanaka Metastatic Breast Cancer
Avastin haachibvumirwi zvakare kurapwa kwekenza yemazamu.
Ko Chemotherapy Inorapwa Sei?
Mishonga yakawanda yemakemikrasi yekenza yepabonde inopiwa mumvura yakasvibirira, sezvinonzi intravenous infusions, kana injection, asi inowanikwawo semishonga kana mapiritsi.
Mimwe mishonga inogona kupiwa yoga, uye mamwe mishonga inobatanidzwa kushanda pamwe chete. Apo mishonga chemo inopiwa pamwe chete, kurapwa kunonzi regimen . Intravenous chemotherapy inopiwa mukushungurudzwa kwemazuva manomwe kusvika kumazuva maviri .
Kazhinji, chemo inopiwa kamwechete kwemavhiki matatu, uye iwe unoda nguva inopindira yekuwana ropa rako uye kubvumira madhiragi kushanda. Low-dose chemo inopiwa vhiki nevhiki, sediki madhiragi emishonga inoda kuderedzwa nguva shoma. Muchizimbu chemo inogona kutorwa zuva rega rega, kana sekurairwa. Injection inogona kupiwa musati maitika, panguva, kana mushure mekudzivirira chemo.
Nei Kemotherapy Ichikonzera Maitiro Akashata?
Izvo simba rekurapa chemo ndesimba rayo uye chikonzero chiri shure kwekurumbira kwayo yakaipa pamusoro pemigumisiro.
Chemo inokonzera nokukurumidza masero akadai sekenza. Zvinogonawo kuchinja masero ako anowanzokurumidza kukura akadai seropa, mucous tissue mumuviri wako wekudya, munwe uye zvigunwe , uye bvudzi follicles . Izvi zvinokonzera kupera mushure mekunge wapedza kurapa.
Ndingawane Sei Rubatsiro Kukunda Mishonga?
Pamberi pega imwe chemo inokonzerwa nekukanganiswa, iwe uchapiwa mishonga yekudzivirira kushungurudza uye kurutsa . Izvi zvinogona kunge mapiritsi, vamwe vangave vari mvura inoshandiswa iyo inopindwa mukunyura kwako. Mushure mekuputika kwako, iwe unogona kutora mishonga yekurwisa-nausea, saka iva nechokwadi chekuwana chirairo ichocho chizadzwa usati watapwa. Iwe unogonawo kupiwa mishonga inorwisa-allergenic, kana zvimwe zvinhu kuti udzivirire utano hwakanaka. Iva nechokwadi chekutendera chiremba wako nevanamukoti kuti vazive misi ipi yemigumisiro yauri iwe, uye kuti yakaoma sei. Kumbira rubatsiro kugadzirisa migumisiro yechirwere. Muzviitiko zvakawanda, zviratidzo zvinogona kuderedzwa kana kudziviswa.
Chemotherapy Inobata Zvaunofunga Nekuzadza Kwemangwana
Kana iwe uri premenopausal usati watanga kurapwa, ziva kuti chemo inogona kukuisa muchinguva chiduku kana kusingaperi. Nguva yako inogona kumira, uye iwe unogona kuona kurapwa kwemishonga , izvo zvingave zvenguva pfupi kana zvekusingaperi. Zvimwe zvinodhaka zvechimo zvinonzi zvinoita kuti irege kuberekwa.
Kana iwe uine pfungwa pamusoro pekuita pamuviri wekusvika, rega oncologist yako azive usati watanga kurapwa. Bvunza kuti zvipi zvaunogona kuita kana uri kuronga kuwedzera kumhuri yako. Zvichienderana nezera rako, chirongwa chemishonga, uye kuyerwa, kubereka kwako kunogona kudzoka mushure mokurapa. Asi kana pane mukana wekuti iwe uchange usisina vana, iwe unofanirwa kuziva pamberi pekutanga chemo yako infusion.
> Source
> Harold Burstein, MD, Ph.D. "Adjuvant chemotherapy uye trastuzumab (Herceptin) yekenza yepabonde kare." UpToDate.