Ndeapi Kurapa Kwekenza Kunogona Kukuvadza Makomba uye Unoitwa Sei?
Chii chinorehwa nemapapu ekukuvadza (pulmonary toxicity) kubva pakuchengetwa kwekenza, ndingadai ndaiziva sei kana ndaive nayo, uye inoitwa sei?
Kanzira Kurapwa Kunokonzerwa nePulmonary Toxicity (Makuhwa Akaremara)
Chimwe chezvinhu zvisingazivikanwi nemigumisiro yechirwere yeropa uye marori kanzira isuparadzi yemapapu. Iko rudzi rwemapapu emapapu inogonawo kunzi "pulmonary toxicity" kana mapapu toxicity.
Pulmonary toxicity inogona kubva pakuvhiringidza kwekamuri yemapapu kusvika kunopera zvachose kwemapupa emapapu. Zvave zvichifungidzirwa kuti vazhinji vari 10% yevarwere vanogamuchira chemotherapy - kunyanya mhando dzekemotherapy inoshandiswa muropa yekenza yeropa - ichava nemaperembudzi emigumisiro.
Chii Chinokonzera Pulmonary Toxicity?
Pulmonary toxicity inogona kunge yakagadzirisa chikamu chemotherapy uye radiotherapy. Chinoita kuti pulmonary toxicity isanzwisiswe zvakajeka. Zvisinei, masayendisiti akawana zvimwe zvinhu zvavanofunga kuti zvinotora mukana wekuti mapirmita chepfu inowedzera sei.
- Kuwirirana pakati pemakemikari uye radiotherapy nemamolekemu eokisijeni
- Inonyatsovhiringidza tsvina paDNA yemapupa emapapu
- Kuvhiringidza maitiro emapapu mushure mekutsvaga chemotherapy kana mahara
Zviratidzo zvePulmonary Toxicity
Zviratidzo zvehutano zvine chokuita nemishonga inonyadzisa hazvina kunyatsojeka uye zvinogona nyore nyore kuvhiringidzwa nemamwe mapapu .
Zviratidzo zvinowanzoonekwa zvehutano zvakabatana nemapapu ekupora zvinosanganisira
- Dry chikwama
- Kupfupika kwemhepo
- Chipfuva chepfu
- Kukurumidza kufema
- Dambudziko kukubata mweya wako
- Fever
Mune zvimwe zviitiko, zviratidzo zvepinemonic toxicity zvinogona kuoneka panguva yekurapa, kana zvinogona kutora mwedzi yakati kuti zviratidzo zvitange. Paavhareji, zviratidzo zvine chokuita nemumapapu emapapu anotanga mavhiki matanhatu kusvika ku8 mushure mokutanga kwemishonga.
Nokuti zviratidzo izvi zvakafanana nedzimwe mamiriro ezvinhu anogona kuonekwa nekenza varwere vakadai sepneumonia kana kupararira kwemasero anonyangadza mumapapu, nyanzvi dzinofanira kutonga izvi kunze kwekufungidzira kuongororwa kwehutano hwakakonzerwa nehutachiona hwehutachiona. Mune mamwe mazwi, chirwere chepapu chinonzi "kufungidzirwa kwekuregererwa."
Ndeapi Mishonga Inonyanya Kuita Kuita Pulmonary Toxicity?
Mhando dzakawanda dzekemotherapy mishonga dzave dzakabatanidzwa ne pulmonary toxicity. Zvimwe zvezvinonyanya kushandiswa zvinoshandiswa mukurapa ropa uye marora kanzira ndezvi:
- Bleomycin
- Idarubicin
- Methotrexate
- Cyclophosphamide
- Busulfan
- Arsenic trioxide
Radiation therapy kuchikwata chinogonawo kukonzera pulmonary toxicity . Izvi zvinogona kuwedzerwa zvakanyanya kana wakagamuchira radiotherapy pamwe chete ne chemo.
Zvinokonzera njodzi Mukukudziridza Pulmonary Toxicity
Zvimwe zvinokonzera kuti vamwe varwere vari pangozi yakakura yekudzikisa mapepa ekudhakwa havanzwisisiki uye vanowanzokurukurwa. Zvisinei, zvinotevera zvakarongedzwa sezvipingamupinyi:
- Kuwedzera kwezera
- Chemotherapy inokonzerwa
- Nzira ye chemotherapy administration
- Radiation therapy inosanganisira chemotherapy
- Zvinetso zvepoyo
- Chinotapukira chirwere chemapapu
- Nhoroondo yekusvuta
- Kutanga kusangana neAsbestos
- Mvura yakakwirira yemakemikrasi
- Colony inokurudzira chinokonzera (G-CSF) senzira inotsigira mishonga ye bleomycin (mishonga yakadai saNeupogen neNeulasta iyo inosimudza ropa rako rekuyera masero)
- Kushandisa kemikirini yeokisijeni panguva yemakemikrasi
Kuongorora Kurapa Kunoita Pulmonary Toxicity
Kuzivikanwa nevarwere vane pulmonary toxicity kunogona kuva kwakaoma zvikuru nekuda kwezvisiri zviratidzo uye zviratidzo uye kusava nekusarudzwa kwekutsvaga. Nokuda kwechikamu chikuru, nyanzvi dzinosvika pakuongororwa kwehutano hwakabatana nehupukisi hwehutuku shure kwezvimwe zvose zvinokonzera, zvakadai sepineumonia , zvakabviswa.
Vanachiremba vanozoshandisa zviratidzo zvekuita ropa sekuenzanisa kweropa rakazara nekusiyanisa, chifukidzo X-rays kana CT scans , pulmonary function test (PFT) uye dzimwe nguva bronchoscopy kubvisa kunze kwehutachiona kana kupararira kwekenza masero mumapapu sechikonzero chezviratidzo. Kana pasina chimwe chikonzero chinogona kuonekwa, uye iwe wakave nehutano hwakanyanya munguva pfupi yapfuura, nyanzvi yako inogona kuona kuti matapu ako mapepa akonzerwa nekenza yako yekenza.
Kurapa kwePulmonary Toxicity
Kana chiremba wako akanyatsotsinhira kuti kupisa kwepapu yako kunobatana neimwe yemishonga kana mishonga yauri kugamuchira, inogona kumira iyo mujeri. Mune zvimwe zviitiko, vanogona kutora mishonga pamwe nedzimwe dzisina chepfu kana kuti kungosiya mishonga zvachose. Kunyange zvazvo zvingave zvichikuvadza kuti uwane shanduko yako, chiremba wako haafaniri kutora chisarudzo zvishoma.
Hapana hutano hwakananga hwemakonta emapapu anokonzerwa nemishonga yekenza, pane zvinhu zvishomanana zvinogona kubatsira nezviratidzo zvinogona kuitika:
- Steroids kuti udzikise kupisa mumapapu ako
- Kuchenjerera kushandiswa kwemhepo yeakisijeni
- Narcotics kuti ibatsire kubvisa kusagadzikana uye kubatsira kubvisa kupererwa kwemhepo
- Relaxation exercises
- Kuporesa physiotherapy
- Kusiya kusvuta
- Basa rekuita muviri uye kurovedza muviri
Upenyu Pashure Pokumanikidzwa Kwokudya
Dambudziko guru re pulmonary toxicity rinogona kuuraya. Mune zvimwe zviitiko, kukanganisa kwemapapu kunokonzerwa nekenza kurapwa kunogona kusingaperi. Zvisinei, mumamiriro ezvinhu mazhinji, apo varwere vanopona maitiro emapapu akaipa, vanopora zvachose pasina zvigadziriswa zvinokonzera zvinosara.
Kuisa pfungwa yacho kumusoro
Chiremara chinokanganisa chinogona kukonzerwa nechemotherapy kana radiotherapy mukurapa kenza. Sezvo kurapwa kwedu kweropa nemararamiro emararamiro ave akabudirira zvikuru, vanhu vari kurarama kwenguva refu kupfuura kare kare mushure mekunge kurapwa. Nokudaro, zvirongwa zvekucherechedza zvinoda kufungisisa nguva yakareba inokonzerwa nehutachiona hwehutachiona pamwe nekukwanisa kurapa maitiro aya.
Sources
Maldonado, F., Limper, A., uye J. Jett. Pulmonary toxicity inobatanidza neine antineoplastic therapy: Cytotoxic agents. Kusvika pari zvino. Updated 09/28/15. http://www.uptodate.com/contents/pulmonary-toxicity-associated-with-antineoplastic-therapy-cytotoxic-agents
Pal, S. Bleomycin Yakakonzera Kurohwa Kwokukuvara. Kusvika pari zvino. Updated 09/14/15. http://www.uptodate.com/contents/bleomycin-induced-lung-injury
Shippee, B., Bates, J., naK. Richards. Basa rekuongorora nekuongorora kwe bleomycin yemapukisi inodhaka. Nyaya yeOncology Pharmacy Practice . 2015 Mar 2. (Epub mberi kwekudhinda).