Mumwe muverengi akanyora mukuti iye oncologist akarayira "hofisi yezvinodhaka" kubva kune mishonga yaaitora mukana wekenza yemapapu. Akabvunza kuti izvi zvinorevei, zvaanofanira kuva nehanya nazvo, uye mibvunzo ipi yaanofanira kumubvunza chiremba wake.
Zororo rekushandisa zvinodhaka haritauri sechinhu chimwe chiremba angarondedzera, asi dzimwe nguva zvinogona kunge chaizvo izvo chiremba anorayira.
Iyo inozivikanwawo se "mishonga yezororo," mazororo emishonga akafanirwa kunyanya mishonga yose uye chirwere chekurapa. Ndezvipi zvimwe zvikonzero chiremba wako angaratidza kuti kune hotera yemishonga, uye ndezvipi ngozi uye kubatsirwa?
Overview
Zuva rekushandisa zvinodhaka rinotsanangurwa sechisarudzo chekusarudza kurega kushandisa mishonga nguva dzose-yakatemerwa kwenguva yakati. Kukanganwa kushandisa mushonga, kupererwa kwemapiritsi, kana kumira mishonga pasina kukurukura kuchinja kune chiremba wako hakuiti sezororo rechirwere. Icho chisarudzo ndechokubatana pamwe chete iwe nechiremba wako kuti usapedze mishonga kwemaawa, mazuva kana mwedzi kwechimwe chikonzero. Mukutsvaga mune zvechiremba, hofisi yemishonga inonzi "kurapwa kwakagadzirirwa kurapwa."
Zvikonzero Vako Chiremba Anogona Kuzvinyora
Pane zvikonzero zvizhinji zvekuti chiremba angakurudzira, kana kuti iwe unogona kuratidza, kushandiswa kwekushandiswa kwemishonga yakanyorwa.
Zvimwe zvezvi zvinosanganisira:
- Kuti kuderedza migumisiro yemigumisiro yemishonga - Mishonga yakawanda inouya nemamwe emigumisiro miviri. Kumisa mishonga kwenguva pfupi kunogona kukupa kupera kubva pamigumisiro iyi, uye mune dzimwe nguva, haidzoki kana mishonga inotangazve. Zvimwe zvemigumisiro inogona kunge iwe unofarira kuti uende kunorapwa mishonga inosanganisira kuneta, kurasikirwa kwepabonde rega kana kuti potency, kushungurudza , kurara kwekurara, kana kurasikirwa nechido pamishonga yako.
- Kubvumira kushandiswa kwemamwe mishonga - Zvinonyatsozivikanwa kuti imwe mishonga inogona kuwirirana nemumwe, uye kunyanya mishonga yaunotora, inowanzoita izvi. Muenzaniso weizvi ungadai wakaita kana chiremba wako anokurudzira kwekugadzirisa kwenguva pfupi mishonga yauri kushandisa nguva dzose apo iwe unorayira mumwe mushonga, wakadai semishonga inorwisa mabhakitiriya kune utachiona.
- Kuona kana uchiri kunoda mishonga - Kana iwe nachiremba wako musingave nechokwadi kana iwe uchiri kunoda mushonga, holide yemishonga inogona kukurudzirwa sechimiro chekuedzwa.
- Kuti kuderedze kushivirira kumushonga - Kurapa kwemishonga kunogona kuwedzera kune mishonga yakawanda, inoda kuti mizinga yakakwirira ishandise zvakafanana zvinodiwa. Nokumisa mishonga kwenguva yakati, muviri wako unogona zvakare kuva nehanya nemigumisiro yaro (inogona kuitikazve zvakare), kana iwe unogona kuderedza dhigirii. Dzimwe nguva, hofisi yezvinodhaka inokurudzirwa kusati kutsungirira kunowedzera kuchengetedza kunzwisiswa kwemishonga.
- Kubvumira mishonga kuti ibudirirezve - Mune zvimwe zviitiko, kana mushonga usingachagadziri mamiriro ezvinhu, kuregera kwekanguva kunogona kubvumira zvakare kuti ibudirire. Imwe mhando yemishonga inoshandiswa mumuviri wemapapu, somuenzaniso, inorasikirwa kubudirira kwenguva yakareba sechiremara chinoramba chisingaiti. Muchidzidzo chiduku chiduku, zvakawanikwa kuti chironda chacho chakanga chichinzwa zvakare nemishonga mushure mokunge yakamira kwenguva yakati.
- Mavhiki evhiki uye zororo rezhizha - Mamwe mishonga, yakadai semishonga yeAIDS iyo inoshandiswa kubatsira vadzidzi kuisa pfungwa, zvingasazodiwa kana chikoro chisina kupera. Kurambidza mishonga panguva yekuzorora kwezhizha uye pakupera kwevhiki kunonzi iDHD Drug Holiday.
- Kune zviitiko zvakakosha - Kuonanazve kwekuchikoro chesekondari kuri kuuya, uye iwe unonyatsoda kuva negirazi rewaini pamhemberero, asi mushonga wako unoda kuti urege kunwa doro. Kune zvakawanda zvinodhaka-zvinodhaka kusangana. Mune zvimwe zviitiko, chiremba wako achakurudzira zororo rekushandisa zvinodhaka kuitira kuti iwe unakidzwe nenguva yakakosha usati wadzokera kune purogiramu yako yenguva dzose yekurapa.
- Nokuvhiya - Kana uri kutora ropa rakapfava, chiremba wako anogona kukurudzira kumira mishonga yako kwenguva yakati yapfuura uye mushure mekuvhiyiwa.
Zvinogona Kubatsira
Kubatsirwa kwezororo rekushandisa zvinodhaka kunobva pachikonzero chezororo, asi kunogona kusanganisira:
- Kubudirira kunovandudzwa kwemishonga.
- Kupera kunonoka kwemishonga.
- Yakaderedza migumisiro yemishonga.
- A "zororo" kubva pamigumisiro yemishonga.
- Mano ekurega mishonga kana ichionekwa seisina kufanira.
- Kukurudzirwa kunofanirwa kana zororo remishonga richiona kuti mishonga zvechokwadi inodiwa.
Njodzi dzinogona kuitika
Sezvo pane zvingave nezvibatsiro, kune nguva dzose njodzi dzekutarisisa kana iwe unomira mushonga kwenguva pfupi. Zvimwe zvezvi zvinosanganisira:
- Kurasikirwa kwekubudirira kwemishonga. Mune dzimwe nguva, apo mishonga inomiswa uye inotanga zvakare, kubudirira kuri kurasikirwa.
- Kuwedzera kwezviratidzo zvechiitiko icho mushonga unorapa. Izvi zvinogona kuva zvakakomba, somuenzaniso, kana mushonga uri kurapa kuora mwoyo kana chirwere chemwoyo chakakomba.
- Dambudziko rekudzokerazve. Kuisa mishonga iyo iri kutarisa mamiriro ezvinhu inogona kuita kuti chirwere chidzoke zvakare kana kuti chikafu, uye kudzoka kunogona kusakanganiswa.
- Kudzokorora kwezviratidzo. Mune zvimwe zviitiko, mushure mekumisa mishonga, unogona kuwedzera madhigirii emishonga kuti uwane zviratidzo zvinotungamirirwa.
- Kuwedzerwa zvinodhaka zvinokonzerwa nemishonga apo mushonga wacho unotangazve.
- Kuwedzerwa njodzi yekushayiwa mishonga inoshayiwa. Kutanga uye kumira mishonga kunogona kuita kuti zvive zvakaoma kuramba uine tsika.
Mibvunzo Yokubvunza
- Ino ndiyo nguva yakakodzera here yekuedza holide yemishonga?
- Ndezvipi zvinokanganisa uye zvinobatsira?
- Ndeipi migumisiro yechirwere yandingave nayo?
- Pane tariro here kuti mishonga haichazoshandi kana ndikaiisa kwechinguva?
- Ndiani wandinofanira kumudana kana ndikasangana nemigumisiro pane imwe usiku kana kwevhiki?
- Ndeipi mamiriro ezvinhu ndinofanira kutangazve mushonga?
- Inguva yakareba ini ndichamira mishonga?
- Ndirini pandinofanira kuronga chiitiko chekutevera?
Pasi Pasi
Pane zvakawanda zvinobvira zvinobatsira zvinogona kuitika nekutora zororo rekushandisa zvinodhaka, asi kune zvikwereti zvakare. Kana uri kutarisira kutora zororo rekushandisa zvinodhaka, kurukura zvose izvi zvakanaka uye kunyatsoteerera nechiremba wako, uye uite chete nekutungamirirwa kwake.
> Sources:
> Becker, A. uye al. Kudzokazve ne erlotinib: Kuwanazve hutano hweTKI uchitevera zororo remishonga kune varwere vane NSCLC avo vakatanga kupindura mushonga weEGFR-TKI. European Journal of Cancer . 2011. 47 (17): 2603-6.
> Howland, R. Mediation mazororo. Nhaurirano yeUpfungwa Nehutano Nehutano hweMental Health . 2009. 47 (9): 15-8.
> Dhipatimendi reUnited States reVeteran Affairs. VA National HIV / AIDS Website. Unofanira kutora 'holide' kubva pamishonga. Updated 10/03/11. http://www.hiv.va.gov/patient/treat/drug-holidays.asp