CHOP ishoko rakapfigirwa zvekubatanidzwa kwemishonga yakasiyana. CHOP imwe yezvinonyanya kusanganiswa kwemishonga inoshandiswa kwete yeHodgkin lymphoma, kana NHL . CHOP inoshandiswa kune mamwe maitiro anowanzova ane utsinye pamwe chete neNHL indolent . Inoumbwa nemishonga mina yakasiyana: cyclophosphamide (Cytoxan), doxorubicin (Adriamycin), vincristine (Oncovin) uye prednisone.
CHOP inowanzobatanidzwa ne rituximab muR-CHOP regimen.
Mishonga mitatu yokutanga yeCOP-chemotherapy regimen inowanzopiwa sejojo kana kuvhara mishonga pazuva rimwe chete, apo prednisone inotorwa semapiritsi kwemazuva mashanu. Kazhinji kazhinji, regimen inozivikanwa seR-CHOP inopiwa mumagariro masvondo matatu mavhiki masere kusvika 6-8 maitiro.
Mishonga iyi inopiwa muCOP kupedza masero ekenza nenzira dzakasiyana. Apo cyclophosphamide inoshandiswa sekenza chemotherapy mu CHOP, inoshanda nekuderedza kana kuvhara kukura kwekenza masero mumuviri wako. Iyo inogona kuva nehutano hwekuvhiringidza mune zvekuti inobatawo nekuparadzanisa masero mashoma mumuviri ane utano, akadai seaya anogadzira bvudzi nevaya vari mumucheka we-gut-saka bvudzi rinorasikirwa uye zviratidzo zvepamuviri zvinokonzerwa nemigumisiro.
Doxorubicin iri mukirasi yemishonga inonzi anthracyclines, uye inoshandawo nekuderedza kana kuvhara kukura kwekenza masero.
Vincristine inoshanda kudzivirira maitiro emuchirwere kubva pakupindira, muchikamu nekurwisana nekudengenyeka kwematope ayo masero masero anoshandisa kuparadzanisa nekuparadzanisa. Kanzerini masero anowanzoshungurudzwa chemotherapy kupfuura masero anowanzoitika, asi chemotherapy inewo zvinetso pamasero ezvakanaka, zvichiita kuti zvigadziriswe pamagetsi emagumo.
Lymphomas Yakabatwa neCOP + Rituximab
Cyclophosphamide, doxorubicin, vincristine, uye prednisone (CHOP), ndiyo yakave iyo yokurapa kwechirwere kwemakumi emakumi emakore kune varwere vane maitiro akazara B-cell lymphoma (DLBCL). Ruzhinji rwevarwere vane DLBCL vanogona kurapwa neyero rituximab + cyclophosphamide, doxorubicin, vincristine, uye prednisone (R-CHOP), zvisinei, zvibereko hazvina kunaka kune avo vasingaiti zvakanaka pamutambo uyu.
CHOP chemotherapy inoshandiswa kune dzakawanda zvevanhu vanowanzoita zvechisimba asiri Hodgkin lymphomas, kusanganisirawo angioimmunoblastic T-cell Lymphoma, uye mhirizhonga T-cell lymphoma. I-R-CHOP protocol yakava yemaitiro ekurapwa kwechisimba, Stage I uye Inogadzirisa Stage II Adult Adult NHL uye ane utsinye, Asingapindiki Stage II / III / IV munhu mukuru NHL.
Kutarisira uye Kuchenjerera
Adriamycin inowanzopiwa pakutanga sezvo inogona kutsamwisa midziyo yako yeropa. Zvakakosha kuti iwe utaure mukoti wepusiki kana iwe uchinzwa uchipisa kana kurwadziwa panzvimbo yekunyorera . Pazuva rimwe chete, iwe uchapiwawo zvinotevera zvinodhaka, Cytoxan naVincristine.
Kliniki inogona kukurudzira kuti uve nemutyairi kuti atore kumba kwako mushure mokunge uchitapwa. Iwe unogona kuona kuchinja kwemuvara rwemuti wako kubva pakutsvuka kweAdriamycin kwemazuva mashoma mushure mekurapa.
Nharaunda Dzakabatana
- Kusuruvara kwebvudzi: Uchave nekurasikirwa kwebvudzi rose, kusanganisira bvudzi riri mumusoro wako pamwe nemashira, eyelashes, uye mvere dzemuviri. Kazhinji, izvi zvinotanga mavhiki maviri kusvika matatu mushure mekurapa, asi ndezvenguva uye vhudzi rako rinofanira kudzoka mushure mekurapa.
- Nausea uye kurutsa zvinowanzoitika, kubva pakarepo mushure mekurapa kwemazuva matatu mushure mekurapa.
- Kuvhara muviri kwakajairika nekuda kwevincristine pamwe nemimwe mishonga inowanzopiwa nekuda kwekusuruvara nekurwadziwa.
- Muronda wemuromo unogona kuonekwa vhiki kusvika kumavhiki maviri mushure mekurapa.
- Nyaya dzehutano: Vakadzi vanowanzovhiringidzika pakuenda kwavo kumwedzi uye vanogona kupinda kupinda kumwedzi nekusingaperi. Varume vanogona kumisa kubereka mbeu, kuderedza kubereka. Izvi zvinogona kunge zvisingagumi, saka unofanira kufungisisa nzira dzokubereka nadzo nachiremba wako usati watanga kurapwa. Kune rumwe rutivi, usafunga kuti iwe uchange usisina mwana panguva yekurapa, shandisa mimba yekudzivirira kubata pamuviri.
- Iwe unogona kunge uri nyore kutapukirwa panguva yechirwere che CHOP sezvachazogadzirisa kwenguva pfupi masero ako eropa uye masero matsvuku, achikuvadza muviri wako wekuzvidzivirira. Zvakanaka kuti usasangana nevanhu vanotonhora kana chirwere uye kushambidza maoko enyu nguva dzose kudzivirira kubata chirwere kana utachiona.
- Prednisone is steroid uye ine mikana yakawanda yemigumisiro, kusanganisira mafungiro emafungiro, kuwedzera kuwanda, uye kuzvimba.
> Sources:
> Sehn LH, Gascoyne RD. Kuparadzanisa B-cell lymphoma yakakura: kugadzirisa mamiriro ezvinhu mumamiriro ekurapa uye biologic heterogeneity. Ropa. 2015; 125 (1): 22-32.
> Mikana inogona kuitika yeCyclophosphamide, Doxorubicin, Vincristine, uye Prednisone (CHOP), National Cancer Institute, November 27, 2013.
> Vakuru Vasina Hodgkin Lymphoma Treatment-yevashandi vehutano (PDQ®), National Cancer Institute, January 15, 2016.