Zviratidzo zvekushandisa Ixempra yeMastastatic Breast Cancer
Ixempra inonzi chemotherapy inoshandiswa kurapa kenza yemazamu . Inoshandiswa mushure mekunge mamwe mimwe mishonga yave ichiedzwa uye kenza yako inenge isingapinduri, kana kuti haisi kuzopindura kurapwa. Ixempra inhengo ye epothilones, uye yakagamuchirwa neDDA yekurapwa kwekenza yepamusoro yepabonde muna 2007.
Uyewo inozivikanwa se: Ixabepilone
Shandisa Breast Cancer
Ichi chinodhaka chinoshandiswa kurapa kenza yemasitema kana yepamunharaunda iri mberi.
Ixempra inotarirwa kunyanya kune varwere vane mishonga isina kukwana, kana kuti havachabatsirwi neanthracyclines (yakadai seAdriamycin ), taxanes (yakadai seTareol), uye capecitabine (Xeloda). Ixempra inogona kunge ishoma kudarika imwe yemamwe mimwe mishonga kuti irege kushanda kwenguva yakareba (kukura kushorwa.)
Iyo inoshanda sei
Ixempra chikamu chemuchina weanorinoplasitiki boka remishonga. Izvi zvinoderedza kana kuti kudzivirira kukura kweeoplasm, kana tumarara, nekudzivirira kushandiswa kwesero. Sezvo mishonga inopindira kupatsanurana kwemasero, inokonzerawo chimiro chemotherapy nemigumisiro (ona peji 2 ..)
Iyo Ixempra inopiwa sei
Ixempra inopiwa sechirwere chinoputika mumusana kana chemotherapy . Inogona kupiwa yoga, kana pamwe chete nemuromo wemishonga Xeloda (capecitabine.)
Anenge awa imwe chete usati wapera, iwe uchapiwa zvinokonzerwa kuti udzikise mukana wako wekutarisa. Kana iwe uine chirwere chinokonzera, unogona kupiwa steroid usati wanyongedzwa.
Izvi zvinowanzopiwa kamwe chete kwevhiki nhatu, uye kuvhiringidza kunotora anenge maawa matatu oga oga.
Ixempra imishonga yemakemikari inoshandiswa kurapa kenza yepamusasa yematenda. Sezvakaitwa nemishonga chero ipi zvayo, inotakura mungozi yemigumisiro yakaipa - kwete yose iyo ichawanikwa nevose vanoitora.
Maitiro Akafanana Maitiro eIxempra
- Peripheral neuropathy - Neuropathy nekuda kwechemotherapy inogona kukonzera kupera uye kurwadziwa mumaoko nemaoko.
- Kuneta
- Appetite kurasikirwa
- Kuora bvudzi
- Matambudziko neminwe uye zvigunwe
- Fever
- Anemia (shoma yeropa rekuverengera masero)
- Thrombocytopenia (low platelet count)
- Headache
- Kubatana uye kusuruvara kurwadziwa
- Nausea uye kurutsa
- Dhairrhea kana kuvimbiswa; marwadzo emudumbu
- Zvironda pamiromo yako, mukati memuromo wako uye nheyo
- Hand-foot syndrome (nyoro, tsvuku, yakaoma uye yakanyengedza ganda)
Zvinokwanisika Serious Side Effects of Ixempra
- Neutropenia (low white blood cell count; ngozi yeutachiona)
- Allergic reactions (itching; mikoko; ruvara; ruvara rwemuviri; moyo palpitations; kunetseka kufema; kubvumira chiso, huroti kana rurimi)
Zvimwe Ngozi Zvokushandisa Ixempra
- Inogona kukuvadza vana vasina kuberekwa
- Itai kuti muve mukaka wechipfuva
- Zvinogona kukonzera kusagadzikana kwakaipa kune varwere vane chirwere chepfungwa
Radiation Recall
Kana Ixempra inoshandiswa munguva pfupi mushure mekunge murwere achiwana kurapwa kwemishonga, pane mukana wekugadzira dambudziko rinonzi inoyeuchidza remhepo . Chiyeuchidzo chiyeuchidzo chinoitika nekuda kwekuputika munharaunda iyo majekiseni anopiwa, uye zvinogona kuguma nekuputika kweganda, kuzvimba, uye kuputika.
Usatora Ixempra Kana:
- Iwe une chiropa chiropa chinoshanda
- Iwe une zvinetso zveropa uye watotora kapecitabine
- Iwe unofanirwa kuongororwa naCremophor EL kana mafuta episoro
- Sero rako rega rega riri pasi pe1500 masero / mm3 kana kuti mapeletlet akawandisa pasi pe <100,000 masero / mm3
- Iwe uri nepamuviri
Zvinorayira Purogiramu
- Shandisa zvepabonde kuti udzivirire pamuviri
- Dzivisa mazambiringa emuchero pamusana pekukanganiswa, sezvo inogona kukurisa mararamiro ako
- Dzivisa kutyaira kana kushandisa mishonga, sezvo doro muIxempra inogona kukonzera kugona uye chirwere
Kubatana Kwemishonga
Pamusana pemagadzirirwo ayo, Ixempra inogona kusangana nemimwe mishonga yakawanda. Taura neo oncologist usati watora chero mimwe mishonga kana kuti kudya kwekudya paunenge uchishandisa Ixempra.
> Sources:
> Denduluri, N., uye S. Swain. Ixabepilone: kliniki inobata mutsara wepabonde. Clinical Breast Cancer . 2011. 11 (3): 139-45.
> Schott, A. Systemicrapi yekenza yemasitemasi mune zvevakadzi: Chemotherapy. Kusvika pari zvino. Yashandurwa 08/21/15. http://www.uptodate.com/contents/systemic-treatment-of-metastatic-breast-cancer-in-women-chemotherapy
> Takiar, V. et al. Locoregional kuwirirana kwe ixabepilone (ixempra) mushure mekusaurwa kwekenza yemvere. Oncologist . 2013. 18 (3): 265-70.