Tsanangudzo, Mishonga, Zvaunotarisira uye Maitiro Akasviba eMitemo 7 + 3
Kana iwe wakamboudzwa kuti chiremba wako anokurudzira 3 + 7 protocol yekemukemia, zvichida une mibvunzo yakawanda. Ngatitarisei kuti izvi zvinorevei.
Chii chinonzi 3 + 7 Protocol?
Iro 3 + 7 protocol (inonziwo maitiro 7 + 3) inoshandiswa mushonga weproductive protocol inoshandiswa sekurovedzwa chemotherapy kune marudzi akawanda ehemiyo yemheyoyo (AML) .
Chii Chinonzi Kurapa Kwokudya?
Induction therapy inowanzotanga kurapwa kwaunopiwa mushure mekuongororwa neukemia.
Chinangwa chekurapa uku ndiko kuderedza masero eukemia ari muropa rako kuti urege kuonekwa - mune mamwe mazwi, kusvika kumazinga apo ropa rako risingadi kuratidza chero masero emukenza zvachose. Imwe chinangwa chikuru chekurovedzwa kwechirwere ndechekuchenesa marora ako emasero emakemikwana akawanda kuitira kuti chiitiko chinowanzoitwa masero eropa neropa rako rinouya. Zvinosuruvarisa, kenza kazhinji inodzokorora mushure mekuregererwa neyi induction therapy, uye mamwe marapirwo anowanzodiwa.
Mishonga mu 3 + 7 Protocol
Iyi protocol inonzi 3 + 7 nokuti inosanganisira:
- Mazuva matatu anthracycline, kazhinji ida Idamycin (idarubicin) kana kuti Cerubidine (daunorubicin)
- Mazuva manomwe eCytosar U kana Depocyt (cytarabine)
Inopiwa Sei?
Sezvo cytarabine remapirisa ichapiwa kuzotarisana neawa kwemazuva manomwe yakananga, iwe kazhinji uchava murwere muchipatara. Ichi chemotherapy inopiwa (yakapiwa) kuburikidza ne-intravenous (IV) kana pakati pevheti catheter .
Iyo antracycline chikamu chichapiwa zuva rega rega sejairo inopinza, inenge maminitsi gumi kusvika ku15 pamusana.
Nharaunda Dzakabatana
Sezvo chemotherapi inouraya masero akaparadzana akadai sekenza masero, inobatanidzawo masero anowanzoparadzanisa nokukurumidza seaya ari mumapfupa ako, pamakumbo ako, uye mumagariro ako.
Mamwe emigumisiro yaunogona kuitika inosanganisira :
- Bhoora marora kuderedza - Kuderedza kuparadzanisa masero mumapfupa enyu (bone marrow suppression) kunogona kukonzera kuderera kwemasero matsvuku emuviri (anemia) neutrophil yakaderera (rudzi rwechichena chemukati ropa) (neutropenia) uye pasi platelet count ( thrombocytopenia .) Zvichava zvakakosha kwauri kuti udzivise zvirwere kana zvichikwanisika, uye zvinokurudzirwa kuti chero vadiwa varege kushanya kana vachirwara.
- Nausea uye kurutsa - Kudzivirira nekurapa chemotherapy-induced nausea nekurutsa zvakasvika kure kwazvo mumakore achangopfuura, uye vamwe vanhu vane zviratidzo zvishoma. Iwe uchapiwa mishonga kuti ubatsire kudzivirira chirwere, uye inogona kupiwawo mimwe mishonga kana ichidiwa kuti uchengetedze zviratidzo zvako.
- Kusuruvara kwebvudzi - Iwe ungangodaro urasikirwa nevhudzi rako munguva iyi regimen. Vamwe vanhu vanoshamisika kuziva kuti iwewo ucharasikirwa neshiri dzako, eyelashes, uye mvere dzemuviri.
- Makuvara emuromo - Muromo wemaronda zvinogona kuvhiringidza, uye zvinobatsira kuziva kuti zvii zvinogona kuita kuti zvive zvinorwadza, uye zvii zvekudya zvinonyatsonaka kudya. Chiremba wako angaita kuti iwe unoyamwa pane popsicle kana kuti ice chips paunenge uchiwana chirwere che anthracycline kuti ubatsire kuderedza ichi chiratidzo.
- Mutsvuku / machena machena muto - Anthracycine mishonga - inonzi "dhiyabhorosi" nevamwe varwere vekenza, inoguma pakupfuura muto mutsvuku kwezuva rimwe kana kupfuura mushure mega rega. Usashamiswa nechiratidzo ichi sezvo chisina ngozi uye hazvirevi kuti kune dambudziko chero ripi neripi netsvo dzako kana chikafu.
- Dhairrhea - Chiremba wako achakucherechedza zvakanyanya nokuda kwehurwere. Kana iwe uchinge uchinge uwedzere mararamiro iwe unotariswa zvakanyanya kuti uone kuti hauna kupera simba.
Semhando ipi zvayo yemishonga, munhu mumwe nomumwe achaita kune 3 + 7 protocol nenzira yakasiyana uye angave akawana zvose kana kuti hapana zvemigumisiro iyi.
Zvokutarisira
Anthracycline mishonga ndeyezvipfeko, izvo zvinoreva kuti zvinogona kukanganisa mishonga yako kana yakangoerekana yaiswa mucheche pane kupinda mukati mako. Kunyange zvazvo zvisingashamisi kuti izvi zviitike, zvakakosha kuti uudze mutapi wako wehutano kana mutsara wako unorwadziwa kana unotambudzika apo uri kugamuchira iyi mishonga.
Nguva
Iyo 3 + 7 protocol inowanzopiwa mazuva 14 uye yakapiwa, pachiyero, kamwe chete kana kaviri kusvikira usingaoneki masero emukenza. Iyi protocol inowanzowanzoguma mukuregererwa kwakakwana, asi kenza inogona kudzoka kuitira kuti mamwe marapirwo anodiwa.
Kutsigira uye Kukunda
Kanzira yakaoma zvakakwana kukwanisa kubata nayo kunyange kana iwe usingafaniri kupedza nguva yakawedzerwa muchipatara. Svika kumhuri neshamwari. Kana iri mudiwa wako achigamuchira iyi protocol, tarisa mazano aya ekushanyira mumwe munhu muchipatara , uye chii chokuunza / kutakura chemotherapy. Manzwiro anogona kunge ari kuwedzera, dzimwe nguva kunyange panguva imwechete yezuva. Usaedza kuva gamba uye rega vanhu vakubatsire. Mhinduro yatinonzwa kakawanda ndeyekuti vanoda vanonzwa vasingabatsiri. Funga nezveimwe nzira yavanogona kukubatsira sechipo kune iwe pachako uye kwavari. Uye chengetedza mazano aya pamusoro pokurwara nehutachiona hwehuukema .
Sources:
Larson, R. Mushonga weruzivo: Chirwere chinonzi myeloid leukemia (AML) kurapwa kune vanhu vakuru (Beyond the Basics). Kusvika pari zvino. Updated 11/18/15. http://www.uptodate.com/contents/acute-myeloid-leukemia-aml-treatment-in-adults-beyond-the-basics