Kachimotherapy inopisa ndiyo nzira inotanga kubuda yevanhu vane kechipiri kana mastatic colorectal cancer . Zvepamutemo, iyi nzira inonzi chirongwa chechitoreduction (CRS) ine hyperthermic intraperitoneal chemotherapy (HIPEC). Inobatanidza chirwere chemuviri uye peritoneal chemotherapy kurwisa kenza yako nenzira dzakawanda panguva imwe chete.
Ndiani anonzi HIPEC?
IHIPEC inoshandiswa kurapa maitiro akasiyana-siyana emakemikari anokonzera maitiro anosanganisira colorectal, gastric, ovarian , mesothelioma , uye appendiceal.
Haisi mutsara wokutanga kurapwa kana kurapwa kwesarudzo kune mumwe munhu achangobva kuongororwa ane kenza yemusanganisi yemakoroni. Kana uri kutarisa HIPEC, makore ako, hutano huzhinji, uye hunonyanya kukosha, danho uye chikamu chekenza yako ndiyo inobatsira chiremba wako kuti aone kana kurapwa uku kwakakunakira iwe.
Chikamu Chekutanga: Chiroredreduction Surgery
Usati wagamuchira HIPEC, chiremba wako anovhiya achabvisa zvose zvironda zvinooneka mukati memimba yako yepamuviri. Iye achabvisawo nhengo chero ipi zvayo ine zvirwere zvinokonzera zvirwere, zvakadai semukumbo muduku, pancreas, kana maovari. Chiremba anogonawo kubvisa kana kupisa zvipembenene zviduku kubva kunhengo dzinokosha (izvo zvisingagoni kubviswa), zvakadai sechiropa chako, panguva ino. Kunyangwe iwe wakatove wakagadziriswa mutsara kana chirongwa chekukanganiswa kwekenza yekoloni munguva yakapfuura, iwe uchada CRS kuti uone huwandu hwezvibereko kubva kuHIPEC.
Chikamu Chechipiri: HIPEC Nzira
Pakarepo mushure mekuvhiyiwa iwe uchiri kurara pasi peanesthesia chiremba wako anoita chirongwa cheHIPEC.
Chaizvoizvo, hyperthermic zvinoreva "kupisa" - kwete kuvhara, asi kunopisa kudarika kupisa kwemuviri wako. Iyo chemotherapy inotonhora nokuti yakaratidzwa kuti iwe unogona kuwedzera kukura kwezvinodhaka nekudziyisa panguva yekubereka.
Izwi intraperitoneal rinoreva kuti chemotherapy inoshandiswa sei.
Iko mukati memimba yako inoputirwa nechekudzivirira inonzi "peritoneum", iyo inopoteredza nzvimbo yepisitoneal - nzvimbo iyo nhengo dzako dzose dzepamuviri (matumbo, chiropa, pancreas) dzakapoteredzwa. Iyo chemotherapy madhiragi inoputirwa munzvimbo ino uye inobvumirwa kushamba nekudzikisa kwemaawa matatu. Rimwe rinowanzozivikanwa nemishonga yemishonga inoshandiswa kuHIPEC ndeye cisplatin, iyo dzimwe nguva inopiwa nematomycin C. Mitomycin C haisi chemotherapy yemishonga, asi inoshandiswa kubatsira kubvumira kukura kwemamwe makondombera, akafanana nekenza yakawanda.
Kudzorera kubva kuCytoreduction Surgery neHIPEC
Ichi chinhu chakaoma uye chakareba, chinogona kutora kusvika maawa gumi nemaviri. Kudzorera kwako kunoda kuongororwa zvakanyanya muchipatara. Pakarepo mushure mekuvhiyiwa iwe ungangodaro unopedza mazuva mashanu muIntensive Care Unit. Pano iwe uchagamuchira zvakanyanya kufambira mberi kwako kusvikira iwe wakagadzikana zvakakwana kuti uendeswe kune imwe nzvimbo yekuvhiya unit muchipatara. Yakataura nezvekugara kuchipatara mushure meiyi nzira inosvika pavhiki kusvika pane zvishoma pamwedzi.
Zvimwe Zvimwe Zvinetso zveHIPEC
Kungofanana neimwe hurongwa hupi hwekuvhiya, kuchenjera kufunga nezvingangova nengozi isati yabvuma kuvhiyiwa.
Chero matambudziko makuru anowanzouya kubva pakuvhiyiwa pachake, izvo zvinogona kuva kushanda kwakakomba. Iwe unogonawo kuva nezvinetso kubva mumazuva akawanda ehubhu kana kuvabereki kwekudyisa, izvo zvinoda kuitevera kutevedza apo nguva yako yekudzivirira iripo. Kuvhiyiwa kwechitoreduction kune ngozi yekubuda ropa, hutachiona, uye kukwanisa kwematambudziko ekudzivirira muviri kana kuti inogona kukonzerwa nepumoniya.
IHIPEC pachayo ine zvinetso zvishoma sekurapa kwemishonga yemakemikari, nokuda kwechikamu chikuru, yakanyanyisa mumakumbo ako emimba. Pamusana peizvi, kune chiitiko chekuita kwepachiviri chekudya. Iko kune mikana iyo mishonga inenge ichinyatsogadziriswa uye ichipararira muropa rako rose, asi migumisiro kubva kune iyi inowanzofananidzwa nemakemikrasi yemigumisiro inosanganisira:
- Kuora bvudzi
- Kupera simba
- Kuchinja mukuravira
- Nausea uye kurutsa
- Dharare kana kuvimbiswa
Iko Nzira Inogona Kurapa Kanzura Yangu Here?
CRS neHIPEC zvinongororwa muzvikamu zvepamusoro zvekenza uye zvinoshandiswa kuwedzera nguva uye hurefu hwehupenyu hwako, kwete sekurapa. Zvidzidzo zvakaratidza kuti izvi zvinogona kubatsira kuburitsa hupenyu, asi hazvikurudziro kune vose. Kutaura zvazviri, hapana chakajeka kuponeswa kunobatsira kunoratidzika asi nemitoo iyi.
Makomba mazhinji emukenza anoshandisa nzira iyi mukutsvakurudza kusingaperi sezvo zvichionekwa sechivimbiso, asi chisina kuvhiringidzika, uye chisimba zvikuru. Usati wapera, chiremba wako achatsanangura njodzi dzinopesana nezvinobatsira zvemuitiro uyu, asi bvunza mibvunzo kana pane chimwe chinhu chausinganzwisisi.
Sources:
Alexander, HR et al. (June 2013). Mishonga Inobatanidza Nekuchengetedzwa Kwemazuva Ekupedzisira Kuongorora Cytoreductive Surgery uye Regional Chemotherapy kune Vachipatara neMalignant Peritoneal Mesothelioma. Surgery; 153 (6): 779-786.
Hanani, Nadari. (nd). Cytoreductive Surgery uye HIPEC. University of Maryland Gastrointestinal Oncology Program; Webinar.
Khatri, Vijay. (January 2010). Cytoreductive Surgery uye Hyperthermic Intraperitoneal Chemotherapy yeColorectal Cancer: A Panacea kana Inongova Chipingamupinyi Chevarwere? Nyaya yeCliniki Oncology; 28 (1): 5-7.