Kana iwe uine chirwere chekenza yepachirwere , chiremba wako achakurukura nzira dzekurapa dzaanofunga kuti dzichapa zvakanakisisa mugumisiro. Kunyange zvazvo zvisingawanzoitiki, imwe nzira yekurapa iyo inogona kubudiswa inonzi chemotherapy. Chemotherapy iko kushandiswa kwemamwe mishonga inopesana nekenza kuparadza masero emukenza. Chemotherapy zvinoshanda nekuderedza kana kuvhara kukura kwekenza masero, iyo inoparadzanisa nekukurumidza kupfuura masero anowanzoitwa, nekuvhiringidza nzira iyo kenza dzemagetsi dzinoshanda.
Kana yakashandiswa kurapa kenza yepachizi, chemotherapy ine nzira mbiri dzakasiyana uye dzakasiyana kwazvo dzekuendesa. Chemotherapy inogona kushandiswa:
- Semishonga yepamusoro yekurapa kutanga kwechitanhatu basal cell carcinomas kana kuti kukura kweganda zvishoma, zvakadai seA actinic keratosis kana chirwere che Bowen
- Sangano remishonga yekurapa kenza yepachika inopararira kune dzimwe nhengo dzomuviri
Kushandisa chemotherapy mune mukurapa kenza yeganda
Chemotherapy inogona kushandiswa nenzira dzakasiyana-siyana kubata chirwere chepachizi. Iyo inoshandiswa sei inotarisa pane yakakonzerwa nekenza yako uye ingave yakapararira kune dzimwe nhengo dzomuviri. Chemotherapy inogona kushandiswa kurapa kenza yemuviri:
- Sechinangwa chikuru chekurapa, uchishandisa mishonga yemitambo 5- fluorouracil (5-FU)
- Senzira yekuderedza chirwere chekenza
- Kuti kuparadza chero ipi zvayo inoramba iine masero emashure mushure mokunge chirwere chave chichibviswa
- Kuti kuderedza zviratidzo zvekukura kwekenza (palliative treatment)
Kurapa Ne Chemotherapy
Kurapa nechemotherapy kunowanzoenderana nenzira iyo mishonga inopihwa nayo, kana yepamusoro kuburikidza neganda kana kurongeka kuburikidza nemuviri kana muromo.
Chemotherapy Cream
Iyo chemotherapy drug 5-fluorouracil inowanikwa sekrimu ine maitiro akawanda akasiyana-siyana, ayo anoshandiswa pamusoro pamusoro uye nekupoteredza nzvimbo yekenza yepachirwere kana chirwere chekare chisati chapera. Ne-topical chemotherapy, mishonga inoshanda munzvimbo yaro uko inoshandiswa, ine zvishoma chaizvo zvechirwere ichi chinopindirwa mumuviri.
Izvi zvinodzivirira vazhinji emigumisiro yemigumisiro inosangana ne systemic chemotherapy.
Kana chiremba wako achinyora 5-FU, iwe uchapiwa mirayiridzo yakananga nezvekuti uye sei kushandisa krisamu. Muzviitiko zvizhinji, iwe ucharayirirwa kushandisa krisamu kamwe chete kana kaviri pazuva kuti uite nzvimbo yose yakakanganiswa kwevhiki imwechete kusvika kune imwe.
Munguva yekurapa, ganda rako rinogona kuva rakatsvuka, rinopisa, uye rinorwadza. Vamwe varwere vanogona kuve nemigumisiro yakaipisisa, nekunyorova nekugadzirisa nekurwadziwa panzvimbo yekushandiswa. Vamwe vanhu vanoona kukura kukuru kune vamwe. Vhiki kana maviri muhutano, iwe unogona kuona kuumbwa kweganda kana ganda. Sezvo bundu racho rinoparadzanisa uye ganda rako rinoputika, ruvara ruchakoromoka uye chironda hachizoonekwi. Mumavhiki anotevera, ganda rako richapedza kurapa kwayo uye ganda idzva richadzoka munzvimbo yekurapa.
Systemic Chemotherapy
Chemotherapy inogona kuiswa mumuputi kana kutorwa nomuromo kuti iite chirwere chepachizi chakapararira kune dzimwe nhengo dzomuviri. Kunyange zvazvo izvi zvichiitika zvakanyanya kushaya kenza yeganda, ichi chinhu chinokosha kune vanorwara vane zvirwere zvakanyanya. Kurapa kunogona kuitwa kuti kuderedze kukura kwekenza kana kubvisa zviratidzo zvinokonzerwa nekenza.
Izvi zvinowanzoshandiswa kurapa metastatic squamous cell carcinoma kana melanoma . Kurapa kunogona kusanganisira imwe chirwere kana kusanganiswa kwemishonga.
Ndeapi Mhando dzeKepa yeganda Ko Chemotherapy Inotora?
Musoro wekemikemikari inowanzoshandiswa kurapa pasina, isina-invasive basal cell carcinoma uye zvipembenene zvisinganzwisisiki, zvakadai seBiren's disease uye actinic keratosis. Inothevenous or oral oral chemotherapy inogona kushandiswa kurapa chero rudzi rwekenza yeganda yakapararira kune dzimwe nhengo dzomuviri asi inowanzoshandiswa kurapa squamous cell carcinoma uye melanoma.
Ngozi uye Zvipo
Musoro wekemikemikrasi unokwanisa kurapa basal cell carcinomas nezvimwe zvipembenene zvisinganzwisisiki zvishoma kudarika kushandiswa, izvo zvinoita kuti zvidikanwe.
Nyaya dzepamusoro dzemakemikrasi, zvisinei, haisi inoshanda seimwe nzira, dzakadai sokubviswa kushandiswa kana kuvhiyiwa kweMohs micrographic, uye kune mikana yakakwirira yokuti kenza inogona kudzoka. Nyaya dzepamusoro dzemakemikari dzinobatanidzawo nemimwe migumisiro yakadai sekurwadziwa uye kusuruvara pane nzvimbo yekurapa, kunzwisiswa kwezuva nezuva uye pashure pekurapa, uye ronda risingaoneki panguva yekurapa. Intravenous and oral oral chemotherapy inobatanidza nehuwandu hwemigumisiro yakawanda, iyo ichasiyana kubva pane zvinodhaka mishonga kana mishonga inoshandiswa uye murwere akajeka kupindura kune kurapa.