Zvamunoda Kuziva Kare, Mukati uye Mushure mekurapa
Chemotherapy (akadudzwa kee-mo-ther-apee) vashandi ndivo zvinodhaka zvinoronga uye zvinouraya masero akaparadzana, zvakadai semasero anouraya. Chemotherapy inogona kushandiswa pamwe chete nemamwe mishonga yekenza yemukirini (kuvhiyiwa, miviri) kana iga. Mumwe chiremba oncologist ( chiremba wekenza ) (chiremba uyo anorayira chemotherapy) achatora zvinhu zvakasiyana-siyana mukufungisisa paanosarudza nzira dzakanakisisa dzemakemikirini , kusanganisira danho uye gira rekenza yako uye hutano hwako.
Kute Chemotherapy Works
Chemotherapy mishonga inofamba mumuviri wako uye inouraya masero ari kugovera (kukura kana kudzokorora) nokukurumidza. Kune mhando dzakasiyana dzemasero dzinoparadzana nokukurumidza mumuviri wako kunze kwemasero ane kenza , kusanganisira izvo zviri mumatumbo ako emimba, bvudzi, ganda, uye misumari. Ichi ndicho chikonzero chikuru icho chizhinji che chemotherapy nemigumisiro yemigumisiro inosanganisira bvudzi, ganda, uye chirwere chepamuviri. Iyo chemotherapy mishonga haigoni kusiyanisa pakati pemasero matsva akaparadzanisa masero (bvudzi) uye masero anouraya (tumarara) mumuviri wako, saka anovauraya vose nekudzikisa kudzokorora. Zvisinei, masero ane hutano akafanirwa kuparadzaniswa nokukurumidza (akadai semvere kana misumari) achatsiviwa pakapedzerwa chemotherapy, kusiyana nemasero ane kenza akaurayiwa.
Nei Chiitiko Chacho Chichikosha
Chikamu chako chekenza yekoloni uye girasi chikamu chinokosha chekuongororwa kwako kurapwa .
Kunyange zvazvo hutachiona hwehutachiona humwe hunovakwa pamunhu mumwechete, vazhinji vevanhu vane danho rezvikamu zvechikamu chechikamu chekutanga uye chepakati yekeroti hazvizodii chemotherapy.
Chiremba anogona kuraira chemotherapy, pamwe chete nedzimwe mishonga (radiation, kuvhiyiwa), muchitsauko II uye chikamu chechitatu chekenza yemukironi . Nguva iyo yako chemotherapy (kare kana mushure mekuvhiyiwa kana kuti miviri) inobva pane chiremba wako.
Muchitachiona IV kenza yemukirini, chiremba anogona kuraira chemotherapy kubatsira kubvisa zviratidzo zvako kana kuwedzera unhu hwako uye urefu hwehupenyu.
Kupera, Adjuvant, kana Kuti Pamba?
Pane zvikonzero zvakawanda nei chiremba wako achiraira chemotherapy kunze kwezviri pachena (kubata chirwere chekoloni). Anokwanisa kurapa chemotherapy zvinodhaka kupa anjuju (yakawedzerwa) maitiro ekurapa, sekurapa (kunyaradza) kurapwa kana sepokutanga nzira yekurapa.
Kuponeswa kwechiratidzo chepachikamu chekutanga uye chechigarire chetachiona IV chekenza yekoni kunogona kuwanikwa nekuderedza tumarara nemakemikari maitiro, nekuwedzera hupenyu hwako nekenza.
Adjuvant chemotherapy inopiwa pamwechete nedzimwe rudzi rwekurapa kwemaitiro, zvakadai sokuvhiyiwa. Chemotherapy inogona kushandiswa vasati vasvika pakuvhiyiwa, kupedza chiremera musati mava kushamiswa , kana mushure mekuvhiyiwa, kuderedza dambudziko rako rekudzoka .
Primary chemotherapiro inopiwa semuongorori chete wehutano hwekenza yekoloni . Kugadziriswa uye kubvisa ndiyo nzira yakajairika yekurapa kwekenza yekoloni , asi pane dzimwe nguva munhu ari kurwara zvikuru kana asingakwanisi kurwisa kuvhiyiwa.
Kazhinji Kazhinji Inoshandiswa Chemotherapy Agents
Chemotherapy mishonga inowanikwa mumitambo miviri miviri: muromo uye muchero.
Kunyanya kukanganisa chemotherapi mishonga inopiwa nejojo kuburikidza nemuviri, asi muromo wemishonga chemhemotherapy inopiwa nemuromo nemapiritsi.
Yakawanda inokanganisa chemotherapy mishonga inopiwa mumakumbo, ayo anoteverwa nenguva yekuzorora. Chiremba wako achatora hutano hwako, danho rako rekenza uye chikoro, chemotherapy mishonga inoshandiswa, uye zvinangwa zvekurapa mukufungisisa paunosarudza kuti ingani mishonga yakakosha iwe. Mushure mokunge chemotherapy inotanga, chiremba wako achava nehana yakanaka yehuchaita kwenguva yakareba kurapwa kunoenderana nemhinduro yako mumuviri wemishonga.
- 5-FU , Adrucil, Efudex, Fluoroplex (fluorouracil): Inoshandiswa mukurwara kwekenza, kenza yenguva dzose, uye kanzira isingapindi kune mamwe chemotherapy agents.
- Eloxatin (oxaliplatin): Inoshandiswa kukonzera kenza yemukenza, kenza yenguva dzose , kana muchitambo chekenza mushure mekuvhiyiwa.
- Xeloda (capecitabine): Kutorwa nepiritsi yepiritsi, inoshandiswa pakurapa mukana wekenza yekenza.
- Camptosar (irinotecan, irinotecan hydrochloride): Yakashandiswa kurapa mastradioal colorectal cancers, kunyanya iyo isingaiti kune mamwe maitiro e chemotherapy.
- Wellcovorin (Leucovorin Calcium): Kutorwa nemuromo, ichi chinodhaka chinobatsira kuderedza migumisiro inokuvadza kubva kune yakasimba chemotherapy agents, zvakadai se-5-FU, asi haisi chemotherapy agent.
Mitezo yeChitatu III uye IV yekoni dzimwe nguva inobatwa nekubatanidza chemotherapy agents, iyo inogona kusanganisira FOLFIRI, FOLFIRI-B, XELOX, naFOLFOX. Mazita aya kuunganidzwa kwezvinyorwa zve chemotherapy zvinosanganiswa mubato rimwe nerimwe.
- FOLFIRI = Leucovorin calcium + fluorouracil + Irinotecan hydrochloride
- FOLFIRI-B = Leucovorin calcium + fluorouracil + Irinotecan hydrochloride + Bevacizumab
- XELOX = Xeloda + oxaliplatin
- FOLFOX = Leucovorin calcium + fluorouracil + oxaliplatin
Ndichatsvaka Pamu?
Nzvimbo inoshandiswa pakuvhiyiwa iyo vanachiremba navanachiremba vanoshandisa kuwana mishonga yenyu kakawanda, iyo inogona kubatsira kuderedza kusuruvara uye kusagadzikana kwemakumbo ako epanguva yakareba panguva yekurapa kwenguva refu. Ports uye midzi midzi inoshandiswa apo chemotherapy inopiwa nguva dzose, yakadai neine infusion pump.
Ikoko kana nheyo yepakati haisati yakurudzirwa kune munhu wese, sezvo iri chirongwa chekuvhiya nehungwaru, sekubuda ropa, utachiona, nekushaya simba. Chiremba wako achasarudza (pane imwe nyaya-ne-case basis) kana iwe uri mukoti wepakati pepamusoro kana kuti kuiswa kwechikwata. Kana imwe nheyo yepamusoro yakagadziridzwa, vanachiremba navanachiremba vachaishandisa kushandisa chirwere chemotherapy yako. Kana iwe usina rutivi rukuru kana ganda, mukoti achaisa imwe catheter inotangira mushure mechikamu chese chemotherapy .
Ndipi Kwandichaenda Kwokurapwa?
Nyaya yemakemikrasi yehutongi inowanikwa chaiyo muhofisi yako ye oncologist kana mune imwe nzvimbo yepastetic oncology. Chiremba wako angave ane mahofisi maviri akasiyana; edza kutsvaga nzvimbo iri pedo neimba yako kuti udzivise chero upi zvake hwekufambisa.
Migumisiro Yechipfuva uye Ngozi
Pamwe pfungwa yekutanga inopinda mupfungwa dzako mushure mekunzwa izwi chemotherapy ndiyo iyo yakawanda yemigumisiro yaunofanira kusangana nayo. Chemotherapy mishonga yakasimba uye inouya nerwendo rurefu rwemigumisiro yemigumisiro. Zvisinei, chiremba wako uye vanamukoti vanodzidziswa kutarisira mimwe migumisiro iyi uye vanogona kukubatsira kuti udzikise mitemo yako yose mukurapa kwako. Kazhinji chemotherapy side effects ingasanganisira:
- Nausea, kurutsa kana chirwere
- Kufirwa kwechido
- Kutarisa ganda, blister kana zuva rekunzwa
- Low blood count (neutropenia)
- Lethargy uye kupera simba
- Makuvara emuromo
- Unhu kana kumira mumakumbo nemaoko
- Kuzvikudza mumaoko nemakumbo
- Kunyangarika kunotonhora uye zvirwere
Kuderedza Mitemo Yechiri
Chiremba wako nevanamukoti vachakubatsira kuburikidza nemigumisiro ipi zvayo inobatwa nechemotherapy. Kune zvinhu zvizhinji zvaunogona kuzviitira iwe pachako - une basa guru mukuchengetedza hutano hwako uye hukama panguva yechemotherapy kuburikidza nokuzorora, kudya, uye uhu hwakanaka . Yeuka ku:
- Suck pachando chips munguva yechemotherapy (kuderedza maronda emiromo pashure)
- Shandisa nzira dzakanaka dzokugeza maoko nguva dzose
- Gara kure nematambudziko ehutachiona (nzvimbo dzakawanda dzakakwirira, zvikoro) kana zvichibvira
- Idya zviduku zvishoma, zvinovaka muviri nguva dzose
- Ramba uine hydrated nemvura yakawanda
- Zorora apo pazvinodiwa - chengetedza simba rako
- Taura nechiremba wako nezvenzira dzekudzivirira chirwere chinokonzera marwadzo uye chirwere
- Tarisa zviratidzo zvehutachiona uye uzviudze kune chiremba wako
Kutaura Nechiremba Wenyu
Zvinowanzova nemibvunzo yakawanda pamusoro pemishonga yako yemakironi inosvika. Nzira dzakawanda dzehutachiona dzinopa chidzidzo chekudzidzisa nezve chemotherapy inotungamirirwa nemukoti weincology musati watanga kurapwa. Fungisisa mibvunzo iyi usati wapiwa chiremba chinotevera:
- Ndeipi chinangwa chekurapwa kwangu nemakemikari ? (kutapudza, kuora, kupera kwemarara pamberi pokuvhiyiwa)
- Ko chemotherapi ichave iyo nzira huru yekurapa here?
- Ndeipi chemotherapy agent yandichawana? Muchirevo here kana kuti mucheche?
- Ndeipi ngozi yekenza yangu inodzoka shure chemotherapy?
- Inguva yakareba ini ndichava chemotherapy?
- Kangani pavhiki ndichada chemotherapy?
- Ndichakwanisa kushanda here?
- Ndinoda here mumwe munhu kuti anditungamirire kune uye kubva kune mishonga?
- Ndezvipi zvinowanzovhiringidza nemhando iyi ye chemotherapy?
- Iwe unoronga kudimburira sei migumisiro iyi yemigumisiro? (mishonga, dzidzo)
- Chii chandinofanira kutarisira panguva yekurapa?
- Ndinofanira kukushevedza rini? (fever, utera)
- Ko inshuwarisi yangu ichafukidza zvose zvinodhura?
Nyora pasi mibvunzo yako nezvimwe zvinetso zvitsva zvinoitika. Taura nachiremba wako nevanamukoti nguva dzose mukurapa kwako - ivo vari vashandi vako muhondo iyi.
Sources:
American Cancer Society. (nd). Chemotherapy Principles: An In-Depth Discussion.
American Cancer Society. (2006). American Cancer Society's Complete Guide kuColorectal Cancer . Clifton Fields, NE: American Cancer Society.
National Cancer Institute. (December 2011). Zvinodhaka Zvinogamuchirwa neColon uye Rectal Cancer.
Lange, V. (2009). Iva Wakapukunyuka. Colorectal Cancer Treatment Guide . (4th ed.). Los Angeles: Lange Productions.