Kunyaradza Kuchengetedzwa kweMatastatic Cancer Colon Cancer
Kunyatsorapwa, iyo inozivikanwa sechiratidzo chekuchengetedza kana kuchengetedzwa kwekunyaradza, inonyanya kuisa kukunda zviratidzo zvinorwadza kubva kune chirwere chisingaperi kana chirwere. Mukenza yekoloni , kurapwa kunogona kukubatsira kurarama mumuviri, mupfungwa, uye mune zvekunamata munguva yako yehondo.
Apo vanhu vanogamuchira kurapwa kwakanyanya, mishonga, nzira, kana chirwere chakasarudzwa zvakagadzirirwa kubatsira nemararamiro ekutarisa, kusiyana nekupa mushonga wekenza.
Nzira iri nyore yokunzwisisa kurapwa kwepamusoro: Kana uine maronda, unogona kutora lozenge. Izvozvo zvinokonzera-hazvi "kuporesa" chinokonzera chirwere chepora, asi chinoderedza zviratidzo zvekusuruvara.
Kunyatsotarisirwa hazvirevi kuchengetedza hospice , kunyange zvazvo hospice inoshandisa zvirongwa zvekuchengetedza zvakasimba kuchengetedza nyaradzo uye kuponeswa kwechiratidzo. Iwe zvichida wave uri kugamuchira kutarisirwa kwepamusoro kubva pakutanga kwekenza kurapwa kwako usingatombozivi kuti kuregererwa kwechiratidzo kwawaiva nako kwaiva nezita.
Kunyangwe iwe uchangobva kuongororwa kuti une kenza yemukironi yakakura yepamusana kana kana wakatove watarisana nemishonga, chirongwa chekuchengetedza chirwere chinogona kuisa pfungwa pakuderedza zviratidzo zvinowanzoonekwa uye zvinotyisa, kusanganisira:
- Kuzvidya mwoyo, kuora mwoyo, uye kuvhiringidzika
- Kuora muviri, kupera kwekufema uye kuneta
- Anorexia uye kuora kurasikirwa
- Kuvhara, kuora uye kuvhara maronda
- Lymphedema
- Nausea uye kurutsa
- Pain management
- Zvepabonde zvinokonzera
Nei Uchifanira Kusarudza Kuchengetedza Kwazvo?
Kune zvikonzero zvakawanda nei vanhu vane kenza yakasarudzwa yakagadzirirwa kutarisira kurapwa. Dzimwe nguva, chisarudzo chiri mukati mekutonga kwako, sekuda kana ukasarudza kurega kuvhiyiwa kana imwe nzira yekurapa. Zvisinei, chiratidzo chekugadzirisa chinogona kunge chiri choga chega chinogona kushandiswa kana utano hwako hwepanyama, zera kana kuti zvinetso zvehutano zvinokonzera hazvikwanisi kurwisa utsinye, kurapwa kwekenza.
Kunyange zvazvo kune zvakawanda zvakasiyana-siyana zvinorapa zvirongwa zvinowanikwa, izvo zvinowanzoshandiswa kuchengetedza mberi, kenza isingagoni kuraswa inosanganisira:
- Chemotherapy
- Radiation therapy
- Kupindira kwepabonde kunobatsira
- Pain management
- Pharmaceutical use
Chemotherapy
Kubva pane hutano hwako, maitiro uye nhoroondo yekare yehutano, wako oncologist achashanda newe kuti uite chirongwa chemapiritsi chemotherapy. Kusiyana nechemotherapy inotarisirwa kuporesa kenza, palliative chemotherapy kurapwa inowedzera kupa ruzivo kubva kune zviratidzo, zvakadai sekurwadziwa, nekudzikisa zviremara kana kuchengeta zvakadzikama (pasina kuwedzera kukura).
Kazhinji kacho, mutemo unosanganisira 5-FU, Adrucil, Efudex, kana Fluoroplex (fluorouracil) inoshandiswa iga kana kuti inosanganiswa nerimwe chemotherapy drug. Zvidzidzo zvekuchipatara zvekuchengetedza kurapwa kwepamusoro zvinoramba zvichienderera mberi sezvo National Cancer Institute inotarisira kuwana kusanganiswa kunogona kugadzikana kana kupedza tumarara pasina kuwedzera mamwe madhara uye kusagadzikana.
Radiation Therapy
Kufanana nemakemikirini, remishonga inonzi radiation inoshandiswa kukanganisa matumbo epa pelvic uye kuregererwa kwekutambura kwepfungwa paunoshandiswa sekunakidza kurapa. Iyi kurapa inoshanda inonyanya kukosha kune vanhu vanotambura nemarwadzo nekuda kwekushaya mishonga inopinda (kana kenza inopararira kuburikidza nemisungo mumudumbu mako nemaputi).
Kunyange zvazvo inoshanda zvakanakisisa kune mishonga inowanikwa munzvimbo ino, remishonga inonzi radiation inogona kubatsira kubvisa kana kuderedza kubuda ropa kwakanyanya kubva mberi kwemasastatic colorectal tumors.
Surgery
Kugadziriswa kubviswa kwechikamu (kana zvose) chekenza uye metastase haisi nguva dzose inoporesa chirwere chacho. Kuvhiya kunyoreswa se "kupera" apo chinangwa chekupedzisira ndechokuita kuti ufare, kwete kuporesa kenza yako. Kukurudzira nekuchengetedza nyaradzo yako yemuviri, chiremba anovhiya angave achida kuvirirwa mumuviri uye kuderedza ukuru hwechiremera kuti adzore kuputika kwechiremera kupinda munhengo dzomukati (chirwere, chiropa, chirume, vagin), sungura matumbo uye gadzirisa kusagadzikana, kana kunyange kukonzera chikuru kurasika tumor.
Zvimwe zvinoshandiswa pakuvhiya zvinogona kuva:
- Major - kuvhura zvachose dumbu kubvisa chikamu (kana chese) chemuviri.
- Laparoscopic - shoma shoma, zviduku zviduku zvinoshandiswa kuparadzanisa zvikamu kana zvikamu zvose.
- Mharaunda - maonero emunharaunda anowanzosavhiringidza kune vakwegura, vanorwara zvikuru, kana munhu chero upi zvake asingakwanisi kubvumira aneshehesia yakawanda nokuda kwekuraira kukuru kana kurapa.
- Laser - inogona kushandiswa endoscopically kuti irwise rectal uye kuruboshwe rutsigiro rwekubuda ropa.
- Simba - gumbo rekudzivirira rinogona kuiswa pakupedzisira kuti rive nekoloni yakazaruka kuzotenderedza chirwere chikuru, kuchengetedza nzira yebibi kuti ibve. Inogona kusarudzwa panzvimbo yekuvhiyiwa kwakasununguka kwekudzivirira kwemuviri (iyo inogona kuguma ne colostomy ).
Chiremba wako achaita zvinhu zvakawanda achifungisisa asati ataura nzira dzako dzokugadzirisa dzokuputira kwako kwauri, asi chinonyanya kukosha ndechekugadzirisa chinangwa chako. Iwe uchada kusarudza zvauri kuda kuita kuburikidza kuburikidza nekuvhiya uye kukurukura zvose zvakanyanya kufunganya nechiremba wako. Kuvhiya, hazvina mhosva kuti haisi-yakaipa, haisi ngozi. Usati wasarudza kusapindira kwekupindira kwepamusoro, iwe unoda kukurukura mazano ako epamusoro nachiremba nemhuri yako. Chiremba anofanirwa kuziva nezvekuguma kwako kwehupenyu (iwe unoda chirwere chemhepo chekutsvaga haufaniri kuchida here? Kudya kwekugadzirira?) Kusati kwashanda kwauri.
Pain Management
Urombo hwehutano hwakakosha zvikuru mukuchengetedza kurapa. Iwe unogona kugamuchira marwadzo ekugadzirisa kubva kuchiremba wako wekutanga, oncologist kana kunyange unhu hwekugadzirisa unyanzvi. Zvirongwa zvekudzivirira kana kudzora marwadzo ako emukenza zvinogona kusanganisira:
- Mishonga yemishonga (mushonga wepamutemo, kupfuura-the-zvinodhaka, nemishonga inobatanidza)
- Tricyclic vanodzvinyirira kana anticonvulsants (nokuda kwehutano hwehutano)
- Inopindira nzira (epidurals, nerve blocks)
- Chirwere chepanyama kana chebasa
- Kupa mazano uye biofeedback
Muchikwereti chakakura chekodhadhi, mishonga inowanzodiwa yakakanganiswa mishonga ndeye opioid mishonga , iyo inosanganisira morphine. Kutambura nekurwadziwa kwekenza hakubatsiri uye hakushandi chero chinangwa. Vanachiremba vako vanodzidziswa kutarisira uye kurapa marwadzo kubva pachirwere chekutanga, metastasis, uye zvingangodaro zvinokonzerwa nemamota uye kurapwa (lymphedema).
Bato renyu rezveutano rinowanzotanga kubvunza nezvehutano hwehutano hwako. Nzira inowanzoshandiswa kuverenga marwadzo ako ndeyokushandisa 0-10 nhamba yakakura, apo 0 inomiririra marwadzo uye 10 inomiririra kurwadziwa kwakaipisisa kwamambo wakambotsungirira. Kubva pakurwadziwa chiratidzo chekuzviisa pasi (hapana nzira yekuyera izvo zvaunofunga), iyi ndiyo ino ndiyo nzira yakanakisisa yekuongorora.
Pharmaceutical Use
Kunze kwehutano hwekutambudzika, zviratidzo zvizhinji zvinogona kudzorwa kana kuderedzwa kuburikidza nemishonga yemishonga. Your oncologist inogona kupa mishonga kuti ubatsire kuderedza nhamo, kuwedzera chido uye kunyange kukurisa simba rako. Taura nechiremba wako pamusoro pezviratidzo izvi, kuitira kuti iye ashande newe kuti akure chirongwa chekurapa chinokodzera iwe uye iwe moga.
Sources:
American Cancer Society. (2006). American Cancer Society's Complete Guide kuColorectal Cancer . Clifton Fields, NE: American Cancer Society.
Dixon, MR & Stamos, MJ (2004). Nzira dzekuchengetedza hutano muhutano hwepamusoro hweColorectal Cancer. Digestive Surgery: 21.
National Cancer Institute. (nd). Kunyatsotarisira muCarcer.