Chemotherapy yeLung Cancer

Apo Chemotherapy Inoshandiswa Sei kune Vanhu vane Lung Cancer?

Chemotherapy inoreva kushandiswa kwemishonga inonzi cytotoxic (cell-killing) kuuraya masero emukenza kana kuita kuti vasanyanya kushanda. Pane mimwe mishonga inoshandiswa mumukemapu wemapapu iyo isingatariswi chemotherapy mishonga. Misiyano ndeyokuti chemotherapy mishonga ndeye iyo inotyisa kune yese masero anokura mumuviri, kusanganisira machechi emukenza.

Ko Chemotherapy Inoshanda Sei?

Chemotherapy mishonga inoshanda nokuuraya nokukurumidza kugovana masero.

Sezvo kenza yemasero inoparadzanisa kakawanda pane masero akawanda, inonyanya kunetseka nemishonga iyi. Mamwe masero anowanzopatsanurana achienderera mberi, zvakadai sevhudzi follicles, chirongwa chemudumbu, uye marrow bone anoita masero matsvuku neropa machena. Izvi zvinowedzera kune dzakawanda zvemigumisiro inowanikwa panguva yekemotherapy, yakadai sekuora bvudzi, neusea, uye nechepasi masero eropa. Kusiyana kwemishonga yemakemikrasi inoshandiswa pamatanho akasiyana-siyana ekuparadzaniswa kweesero. Nokuda kwechikonzero ichi, kazhinji mishonga miviri kana kupfuura inopiwa panguva imwe chete kuuraya kanomwe masero emukenza sezvinobvira. Kunzwisisa masero emukenza kunogona kukubatsira kuti unzwisise zvishomanana kuti chemotherapy inoshanda sei.

• Kunzwisisa Kanzerini Makero
• Kusiyanisa pakati peCentral Cells uye Maselo Anowanikwa

Apo Chemotheropi Inoshandiswa Kurapa Kanonzi?

Kusiyana nekuvhiyiwa uye remishonga inonzi radiation , iyo inonzi "inzvimbo" mishonga, chemotherapy is " systemic treatment ," zvinoreva kuti inoshanda kuuraya masero emukenza kupi zvako mumuviri.

Izvi zvinogona kunyanya kubatsira kana kenza masero angangopararira kunze kwenharaunda dzinobatwa nekuvhiyiwa uye kupiswa kwemhepo. Chemotherapy inogona kuonekwa nekuda kwezvikonzero zvakawanda:

• Sekugadzirisa (mukuwedzera) kuvhiya: Muchiitiko ichi, chemotherapy inopiwa kuuraya chero kenza yemukenza ingangopararira kunze kwekenza asi isingabviriki nekatsva. Izvi zvinowanzozonzi adjuvant chemotherapy.

• Kunyora chiremba vasati vambovhiyiwa: Mune zvimwe zviitiko, chemotherapy inoshandiswa vasati vavhiyiwa kuti vashandise tumarara uye kuvandudza mikana yokuti chirwere chichabudirira. Iyi nzira inowanzonzi neoadjuvant chemotherapy.
• Kuchengetedza kenza: Kazhinji, kenza yemapapu inogona kurapwa chemotherapy asi izvi zvinowanzova zvakajairika nekenza yakadai seyeukemia.
• Kuchengetedza hupenyu kune avo vane kenza yemapapu yakakurumbira : Kazhinji chemotherapy inogona kuwedzera hupenyu kana mushonga usingakwanisi. Apo chemotherapi yakave yakashanda mukuderedza kuwanda kwechirwere, kamudiki kadiki kemikemikrasi dzimwe nguva inoshandiswa mutariro kuti inotadzisa kukura kunowedzera kwechirwere. Izvi zvinotumidzwa sekuchengetedza chemotherapy .
• Kubatsira nezviratidzo zvekenza: Kana chirwere chinokonzera zviratidzo zvakadai sekurwadziwa kana kupererwa kwemhepo, dzimwe nguva chemotherapy inogona kuderedza ukuru hwechiremera kuderedza zviratidzo.

Apo chemotherapy inopiwa nokuda kwezviratidzo bedzi - kuvandudza hupenyu hwehupenyu - uye kwete nechinangwa chokurapa chirwere kana kureba kupona, inonzi inonzi palliative chemotherapy . Kana chiremba wako ari kupa chemotherapi nenzira iyi, iva nechokwadi chokuti anokurukura izvi zvakanyatsonaka newe, sezvo zvidzidzo zvinoratidza kuti vanhu vakawanda vakavhiringidzika pamusoro pechikonzero chekushandiswa kwayo.

Ko Chemotherapy Inopiwa Sei?

Mimwe mishonga yemakemikrasi inopiwa sepiritsi yemuromo, asi yakawanda inopiwa mukati. Kana iwe uchange uine IV chemotherapy, iwe unogona kubvunzwa kuti uite chisarudzo pakati pekuve neAi yakagadzirirwa pahanzvadzi imwe neimwe, kana kuva nechikwata che chemotherapy chakaiswa. Nechiteshi, rwonzi rwakatsetseka rwakasungirwa mumidziyo miviri yeropa pedyo nechokumusoro kwechifuva, uye chiduku chesimbi kana chipurasitiki chinoiswa pasi peganda rako. Kune zvakanakira uye zvisingabatsiri kune imwe nzira, asi chikepe (kana dzimwe nguva PICC mutsara) chinogona kuderedza nhamba yezvigunwe zvetsinga dzinodiwa panguva yekurapa.

Kurapa kwokutanga kwemukenza wemapapu kunowanzobatanidza kushandiswa kwemishonga 2 kana kupfuura ( kusanganisa chemotherapy ).

Iyi mishonga inowanzopiwa mumakwikwi emasvondo matatu kusvika ku4 kusvika 4 kusvika 6 nguva. Kushandisa kusanganiswa kwezvinodhaka zvinoshandiswa pazvikamu zvakasiyana-siyana zvekuparadzanisa masero kunowedzera mukana wekurapa vazhinji semasero emukenza sezvinobvira. Sezvo masero akasiyana ose ari munzvimbo dzakasiyana-siyana mukugadzirisa kushandiswa kwemajeri, zvirongwa zvakadzokorora zvinowedzerawo mukana wekurapa sevamwe masero emukenza sezvinobvira.

Mishonga

Mishonga yakawanda yakasiyana-siyana inoshandiswa kurapa mutsa wemapapu. Kazhinji kacho, kurapwa kunotanga ne cisplatin kana carboplatin pamwe chete nemumwe mushonga. Mishonga inowanzoshandiswa mumukenza wemapapu inosanganisira:

• Platinol (cisplatin)
• Paraplatin (carboplatin)
• Taxotere (docetaxel)
• Adriamycin (doxorubicin)
• VePesid (etoposide)
• Gemzar (gemcitabine)
• Ifex (ifosfamide)
• Camptosar (irinotecan)
• Taxol (paclitaxel)
• Alimta (pemetrexed)
• Hycamtin (topotecan)
• Oncovir (vinblastine)
• Oncovin (vincristine)
• Navelbine (vinorelbine)

Haasi mishonga yose inoshandiswa mumukenza wemapapu inonzi inonzi chemotherapy. Mishonga yakadai seTarceva (erlotinib) uye Xalkori (crizotinib) inotarisirwa kurapwa mishonga - mishonga yakagadzirirwa kunyatsoraramisa masero emukenza. Chikamu chitsva chemishonga , chinonzi immunotherapy mishonga , ikozvino inoshandiswawo nekenza yemapapu. Iyi mishonga inoita nyore nyore kuburikidza nekubatsira masimba edu ezvirwere kurwisa kenza.

Sei Tisingagoni Kemotherapi Zvinodhaka Kazhinji Kuporesa Mungozi Kanzira?

Kana iwe uchiziva chemotherapy agents anoshandiswa nekemukemia - iyo inogona kuporesa chirwere ichi - unogona kushamisika kuti sei chemotherapy isingawanzoporesa kenza yemapapu. Izvi zvinogona kunyanya kuvhiringidza kana iwe uchiona kuti chemotherapy inowanzoshanda kare pamapapu emapapu mune zvekuti inogona kunyanya kupera tumarara. Uyu mubvunzo unokosha kutarisa seongororo dzakawana kuti vanhu vazhinji vanonzwa chemotherapy vane simba rakasimba rokurapa kenza yavo.

Chikonzero nei chiropotherapi isingawanzoporesa mukenza wemapapu ndeyekuti zvipembenene zvinopesana nemishonga panguva. Kanzera masero "akachenjera" munzira. Havana kugara zvakafanana, asi vanogara vachichinja uye vanovandudza nzira dzokupukunyuka mishonga yatinotumira nzira yavo. Kurwisana ndechimwe chikonzero nei-kana mumwe munhu ane chirwere chakatanga kukura zvekare pamakemikrasi - zvinodhaka zvinowanzoshandiswa panguva inotevera.

Zvokudya uye Chemotherapy

Vanhu vazhinji vane kenza vanosarudza kushandisa zvinyorwa zvinowedzera zvakadai sekuwedzera kwekudya. Paunenge uchienda nechemotherapy zvakakosha kuti ukurukure chero zvipiro zvekushandisa zvaunoshandisa neo oncologist yako. Zvimwe zvinowedzera zvinogona kuderedza kushanda kwekemotherapy, asi vamwe vanogona kuita mishonga inodhaka. Zvinonyanya kukosha kutaura nachiremba wako pamusoro pekushandisa mavitamini nemaminera panguva yechemotherapy , sezvimwe zveizvi zvinogona kukanganisa kurapa kwako.

Migumisiro Yechiri

Migumisiro yemakemikirini inopesana zvichienderana nemishonga yaunopiwa, nezvimwe zvinhu zvakadai sezera rako, zvepabonde, uye huwandu hwehutano hwehutano. Ndinofara, kutungamirirwa kwematambudziko aya kwakagadzirisa zvikuru mumakumi mashoma mashoma apfuura. Munhu wose anopindura chemotherapy zvakasiyana. Iwe unogona kuva nemigumisiro shomanana kana iwe unogona kuwana kuti zviratidzo zvinonetsa. Iyi migumisiro yemigumisiro inogona kuvandudza nekufamba kwenguva kana kuipa kupfuura nguva. Dzimwe nguva mishonga inogona kudikanwa kuchinjwa, asi kazhinji kune mishonga uye mishonga inogona kudzora zviratidzo zvako uye kuita kuti iwe uwedzere kufara. Iva nechokwadi chekugovera zvipi zviratidzo zvauri kutarisana neboka rako rekutarisira utano.

• Migumisiro Yechechi Chemotherapy
• Kwenguva Yakareba Migumisiro YeKemotherapy

Kutarisana Nezvikamu Zvakaoma

Mimwe migumisiro yemigumisiro yaunogona kuva nayo inobva pane imwe mishonga inorayirwa. Sezvakataurwa, mazhinji emigumisiro iyi yakabatana ne "chiitiko" chechimieotherasi pakukurumidza kuparadzanisa masero. Maseji edu mumitumbi yedu inoparadzanisa nekukurumidza inosanganisira iyo iri mumapfupa edu (zvichiita kuti kuwedzere ropa kuwedzerwa) mvere dzemvere dzedu, uye maturakiti edu ekudya. Nzira yakanyanya kufanana nayo yechemotherapy inosanganisira:

• Nausea nekukurira - Nausea nekurutsa zvinowanzojairika pamakemikari, asi kutungamirirwa kwemigumisiro iyi kwakavandudza mumakore achangopfuura. Ikozvino zvinoita kuti vanhu vakawanda vapinde nemishonga chemotherapy nemusana kana pasina kuora mwoyo kana kurutsa. Kazhinji mishonga haipi kungoita chirwere chepachifu asi inopiwa pamwe chete nekemotherapy kunodzivirira kusuruvara.
• Mouth Sores - Zvinenge hafu yevanhu vanokura murwere mumuromo pamakemikrapa emukenza wemapapu. Aya mavanga emuromo anowanzowanzovhiringidza, asi zvirwere zvechipiri (thrush) dzimwe nguva dzinokura.
• Ramba Kuchinja - Chirevo chisina kujairika chekavira, kazhinji chinonzi "muromo wesimbi" chinowanzova nemishonga yemapapu chemotherapy. Kune zvinhu zvakawanda zvaunogona kuita (zvinotaurwa munyaya ino iyi yakabatanidzwa) iyo inogona kukubatsira iwe zviri nani kutsungirira chiratidzo ichi.
• Kurasika Kwekudya - Kudya kwechido kunonyanya kukosha kutarisa, sekuwana kuwanika kwakakwana panguva yechemotherapy kunogona kubatsira muviri wako kuporesa. Kunyanya kudyiwa kwezvibereko kunogona kukuisawo pangozi yekenza cachexia - chirwere chekureruka uye kushaya musimba kunonyatsotarisana ne20 muzana yekufa kwekenza.
• Kuneta - Fatigue ndiyo inowanzosvibisa chikamu chemotherapy, inobatsira anenge munhu wose pane imwe nguva. Kungoziva chete kuti kuneta kunowanzojairika, uye kudzidza kuisa mberi zvinhu uye kugamuchira rubatsiro kunowanzova nzira yakanakisisa yekugadzirisa izvi zvinoshungurudza.
• Anemia (shoma yeropa rekuyera masero) - A low red red cell count ingatungamirira kukuneta. Dzimwe nguva kurapwa kunoda, asi sekuneta, kazhinji kudzidza kudzikumbira rubatsiro uye kuwana zororo zvakawanda ndizvo zvose zvinodiwa.
• Neutropenia (low white blood cell count) - Aine white white cell count (neutrophils rudzi rwemuchena weropa ropa rinorwisana nehutachiwana) inowanzonyanya kukanganisa kukanganiswa kwechemotherapy. Kuva nechitsipa chemajeri masero eropa kunogona kukugadzirira iwe kutapukirwa. Iva nechokwadi chokuti utaure nachiremba wako pamusoro peizvi usati watanga chemotherapy. Anogona kukurudzira kuti udzivise mamiriro ezvinhu aunogona kuiswa pakutanga kune zvirwere - zvakadai sokudzivisa mapoka evanhu uye kuderedza kusangana nevanhu vanorwara. Dzimwe nguva mishonga inoshandiswa iyo inokurudzira kugadzirwa kwemasero machena mushure mechemotherapy. Kana ropa rako rekuyera ropa rakawandisa, chemotherapy yako zvidzidzo zvingada kunonoka kusvika zvadzokera kune zvinodiwa.
• Thrombocytopenia (low platelet count) - A low platelet chiverengero inogona kuita kuti zvive nyore kupwanya kana kubuda ropa. Izvi hazviwanzo kunetseka zvikuru nezvekemotherapy yemukenza wemapapu, asi chiremba wako achacherechedza platelet yako yepamusoro paunenge uchirapa.
• Kusuruvara Kwemvere - Vakawanda chemotherapy inoshandiswa kumapapu emapapu kunogona kuita kuti bvudzi rirasike. Kugadzirira mberi nekutenga wig kana mamwe maitiro edzivhadziro kumusoro inokurudzirwa.
• Kuchinja Kweganda
• Fingernail changes
• Kuora mwoyo
• Chemobrain (kugadzirisa kugadziriswa pashure pemakemikirwo) - Chemobrain, kana kuchinja kwekugadzirisa mushure mekunge chemotherapy ichangobva kuzivikanwa sechinhu chisingawanzovhiringidzi chikamu chekuita chemotherapy. Zviratidzo zvinowanzobatanidza kuoma kuwandisa kana kukanganwa zvinyoronyoro - zvakadai sokukanganwa kwaunenge waisa magetsi emotokari. Vamwe vanhu vanoona kuti "uropi hunoshanda" sekuita crossword puzzles nemimwe mitambo yemagetsi inobatsira kana izvi zvinotambudza.
• Peripheral Neuropathy - Peripheral neuropathy yakakurumbira kuvanhu vanoenda kuburikidza ne chemotherapy yemukenza wemapapu. Zviratidzo zvinogona kusanganisira kurwadziwa uye kurira mune izvo zvinonzi "kugovera uye magirafu". Kutsvakurudza kuri kuramba kuchiedza kutsvaga nzira dzisingabvisi chete zviratidzo zvechikamu ichi asi zvinoita kuti zvirege kuitika panzvimbo yekutanga.

Kutsigira uye Kukunda Panguva yeKemotherapy

Zvechokwadi, pane migumisiro yechirwere nekemotherapy, asi kutungamirirwa kweizvi kwakagadzirisa zvikuru mumakore achangopfuura. Chemotherapy ndeimwe yezvenguva apo mharidzo "inotora musha" ndeyechokwadi sezvaimboitika. Dzokera kumhuri neshamwari uye bvumira vanhu kuti vakubatsire. Vanhu vazhinji vanozviona zvichibatsira kubatana neboka rekuchengetedza kenza kana sangano rekutsigira uye vane mukana wekutaura kune vamwe vari kutarisana nematambudziko akafanana muupenyu hwavo. Sezvo vanhu vazhinji vane zvirongwa zvekemotherapy akawanda, uye zvirongwa izvi zvinotora nguva, izvi zvinogona kuva mukana wekudzokorora zvakare nemhuri neshamwari. Tarisa uwandu urwu rwezvinhu zvokutakura chemotherapy kune mazano ekuti ungaita sei zvirongwa zvako zvemakemikari zvichienda zvakanaka sezvinobvira.

_Sources:

_{National Cancer Institute. Non-Small Cell Kurapa Kanzira Kuchengetedza Sarudzo - Health Professional Version. Updated 07/07/16.}