Mutevedzeri wevarwere kuKushandiswa uye Maitiro Akasviba eTopical Fluorouracil
Chirwere chinowanzoitirwa basal cell carcinoma -iyo inonyanya kurariswa nekenza yepachiko-pose-inoshushikana (inoshandiswa paganda chete) cream, yakadai seEfudex (fluorouracil). Kana chiremba wako akaraira Efudex, iri sumo rinokusimbisa iwe nehuwandu hwaunoda kuti uhushandise zvakanaka uye hwakachengeteka.
Cherechedza kuti ruzivo urwu harungagoni kuvhara zvose zvinogona kutarisirwa, kutaurirana kana kuipa kwechirwere ichi. Kana uine mibvunzo chero ipi zvayo pamusoro pemishonga ipi zvayo yaunotora, iva nechokwadi chekutarisa neunyanzvi hwehutano hwako.
Overview
Efudex (mamwe mazita emagetsi anosanganisira Carac uye Fluoroplex) inonzi creamic cream inoshandiswa pakurapa kwepamusoro pebasal cell carcinoma kana nzira dzakasarudzwa dzisingabatsiri, dzakadai sedambudziko rezvipembenene zvakasiyana kana kuti nzvimbo dzakaoma kurapwa pachiso kana chekuta. Inoshandiswawo kubata chirwere chechitinic keratosis (chinonziwo solar keratosis), izvo zvinogona kutungamirira kune zvakakomba zvisingaiti squamous cell carcinoma kana zvisiyiwa zvisina kutenderwa.
Efudex inonzi chemotherapy drug (an "antimetabolite") iyo inopesana nekuumbwa kweDNA neRNA, iyo inokosha kuti kupatsanurana uye kuwedzera. Izvi zvinokonzera rufu rwekukurumidza kukura mishonga inokonzera, iyo inowedzera zvinowedzera fluorouracil kupfuura masero ane utano. Mune iyo inowanikwa yakawandisa inokanganisa, Fluorouracil inoshandiswawo kubata mazamu, dumbu, maronda, uye esophageal kanzura .
Kubudirira
Kubudirira kwekurapa basal cell carcinoma ne fluorouracil inenge 93 kubva muzana, zvichibva pakuongorora 113 zvipembenene mu 54 varwere.
Zvisinei, kurega, nyore nyore kushandiswa kwebasal cell carcinomas inofanira kurapwa nekuvhiyiwa kubva kubudirira kuburikidza nemakumbo akadaro anenge anenge 100 muzana. Kusiyana nekuvhiyiwa, Efudex haazobvira asiya mavara kana kusunungura zvachose zvikanda zveganda.
Zvimwe zvidzidzo zviri kutarisa kuti Efurex cream inobatsira sei munzvimbo dzisingasati dziso dzomuviri, uye kuti fluorouracil inofananidzwa neyamquimod (Aldara) cream uye cryosurgery .
Semuenzaniso, mune imwe chirongwa cheGermany chevarwere vane actinic keratosis , maitimodro yechirwere yakaguma nekuchenesa zviri nani kwezvipembenene uye zviri nani zvinokonzera zvipimo zvichienzaniswa nekiyogurgery uye fluorouracil. Taura nechiremba wako nezvekupi kurapa kwakakunakira iwe.
Zvishandiso
Kune basal cell carcinoma, zvinokurudzirwa kuti 5 muzana fluorouracil cream inoshandiswa kaviri pazuva nemari yakaringana kuvhara zvipembenene kwemavhiki matatu kusvika ku6. Kurapa kunogona kudiwa kwemazuva gumi kusvika gumi nemaviri zvisati zvapera, zvisingaiti. Kuti ushandise mushonga uyu, shandisa ikotoni-tipped applicator, kana kushandisa magirafu kana uchiishandisa neminwe yako. Kana yakashandiswa neminwe isina kudzivirirwa, zvakakosha kushambidza maoko ako zvakanaka mushure mekunge waisa mishonga iyi. Dzivisa kushandisa kumeso, mumhino, kana mumuromo.
Migumisiro Yechiri
Nenzira yakawanda, nzvimbo dzakarapwa dzinogona kunge dzisingatarisirwi panguva yekurapa, uye kazhinji kwevhiki dzinoverengeka mushure mokupera kwerapi. Izvozvo zvinokonzera fluorouracil inowanikwa muzvikamu zvina:
- Chikamu chekutanga chekuputika: Muvhiki yekutanga yekushandiswa, kupisa kwakanyangarika kunoitika.
- Chirwere chinopisa: Mumasvondo anotevera, kubwinya uye kupfugama kunoitika pamwe nekukanda uye kupisa.
- Tumor disintegration phase: Zvipembenene zvinogadzirisa sezvo ganda rinoputika.
- Kuporesa chikamu: Mavhiki masere kusvika ku2, ganda idzva rinokura munzvimbo yekurapa.
Mimwe midzi yemigumisiro iyo inowanzosadire kurapwa (kurondedzera kuna chiremba wako kana unyanzvi hwehutano kana achienderera mberi kana ari kunetseka) anosanganisira:
- bvudzi rakatsvuka kana rima
- kudengenyeka (kurasikirwa kwepamusoro peganda)
- kushungurudzwa kweziso kusanganisira kupisa, kuchenesa, kunzwisisika, kunyorera, kana kunwisa
- kuwedzera kunzwisisika kweganda zuva uye ultraviolet chiedza
- kurwadziwa uye kupisa kwenharaunda yakakanganiswa
- kuoma, kuwedzera kana kuvhara kwenzvimbo yakakanganiswa
- kuputika kweganda, kuchenesa nzvimbo yakakanganiswa
- unyoro
Mamwe matambudziko makuru aunofanira kuudza kuna chiremba wako kana chiremba wehutano munguva pfupi inogona kusanganisira:
- marwadzo emudumbu
- manyoka ane ropa
- kurutsa
- fever
- chills
Kuchenjerera uye Kubatana
Iyo efudex cream haifaniri kushandiswa nevakadzi vane pamuviri, vachifunga kuva nepamuviri, kana kuti mukoti sezvo inogona kukuvadza fetus. Izvo haifaniri kushandiswa kana une dihydropyridine dehydrogenase (DPD) inoshaya enzyme, sezvo zvakakomba migumisiro inogona kuitika. DPD inharaunda inowanikwa mu3 kusvika ku5 muzana yehuwandu hwevanhu uye inoda chimiro chinokosha chekuongorora maitiro. Mukuwedzera, udza chiremba wako kana iwe:
- vari kupindwa muropa reradio
- yakambova neusingaiti kana kuti inokonzera kugadzirisa kune fluorouracil, mamwe chemotherapy, mamwe mishonga, kudya, dyes, kana kuchengetedza
Dzivisa chiedza chemazuva zvakanyanya sezvinobvira uchishandisa Efudex sezvo zvichigona kuwedzera mararamiro ako. Kana ukasununguka kune chiedza chezuva, pfeka shangu uye shandisa kisiketi chezuva. Sezvenguva dzose, ezvo usapedza matanho ekuchenesa , ayo ave akabatanidzwa zvakajeka kune squamous cell carcinoma uye melanoma.
Sources
- "Carac Inotsanangura Mashoko." sanofi- aventis US LLC.
- "Efudex Kunyora Mashoko." Valeant Pharmaceuticals.
- Krawtchenko N, Roewert-Huber J, Ulrich M, Mann I, Sterry W, Stockfleth E. "Ongororo yakawanda yezvinyorwa 5% imiquimod vs. zvinyorwa zve 5-fluorouracil nemagashigeri muzvirwere zvisingaenzaniswi nevarwere vane actinic keratoses: kuenzanisa kwechipatara uye zvinyorwa zvake zvepfungwa zvinosanganisira 1-gore kutevera. " Br J Dermatol . 157 Kudzorera 2: 34-40.
- Newman MD, Weinberg JM. Mishonga yepamusoro mukurapa kwe actinic keratosis uye basal cell carcinoma. Cutis . 79 (4 Kuwedzera): 18-28.