Kumadzimai ane esrogen receptor-positive mazamu emukenza, chirwere chemahomoni chinowanzokurudzirwa mushure mekurapwa kwekutanga nekuvhiyiwa uye zvichida chemotherapy uye / kana remishonga inonzi radiation . Zvisarudzo zvinosanganisira tamoxifen kana aromatase inhibitors dzakadai seArimidex, Femora, kana Aromasin. Ko mari uye kubudirira kwemishonga iyi inofananidzwa sei, uye chii chaunoda kuziva?
Chii chinoitika kana iwe uchinetseka kubhadhara mishonga iyi?
Hormone Therapy uye Dambudziko reKuberekera Kwekenza Kubva
Tinoziva kuti kunyange pashure pokutanga kurapwa kwekenza yemazamu kune ngozi yekudzoka zvakare . Uye shure kwekudzoka kwemakore mashoma kana makumi emakore mushure mekurapa kwave kunowanzove nemakumbo emucherechedzo eestrogen-positive. Utachiona hweHormone huratidzwa kuti huderedze njodzi yekudzoka uye kuvandudza mararamiro ehupenyu.
Hora yeHormone Inobatsira Sei Kuderedza Kudzoka Kwengozi
Tinoziva kuti estrogen inoshanda se "kukura" kunopisa kukura kweesrogen-receptor zvakanaka mazamu emvere nekusunga kune zveestrogen receptors panzvimbo yekenza masero. Nokudaro, zvose kuderedza uwandu hweweserogen muropa uye kudzivirira maestrogen eestrogen kunogona kuderedza ngozi iyo masero achakura uye ave achidzoka zvakare.
Tamoxifen uye aromatase inhibitors vanoshandisa nzira dzakasiyana. Usati waenda kumwedzi, mazai mavari ndiwo anonyanya kukosha yeserogen.
Tamoxifen inoshanda mumadzimai anonzi foremenopausal nekudzivirira maestrogen eestrogen pamasero echepereti kuitira kuti isrogen isasungwa uye inokurudzira masero kuti akure. Tamoxifen inogonawo kubudirira mushure mekuguma kwemwedzi, asi aromatase inhibitors yakawanikwa ichibudirira mukuderedza kudzokorora.
Mushure mekuguma kwemwedzi, iyo inonyanya kunobva isrogen ndiyo kutendeuka kwe androgens (iripo mumafuta masero) kune estrogen.
Iyo enzyme inoita izvi inonzi aromatase. Aromatase inhibitor inovhara chiito che aromatase saka estrogen haigoni kubudiswa.
Kusarudzwa kweHormone Therapy uye Menopausal Status
Mumadzimai anonzi pre-menopausal, tamoxifen inodiwa sezvo chinonyanya kukosha chestrogen mumutumbi kunobva mavhavha. Mumamiriro ezvinhu aya, aromatase inhibitors inodzivirira chete chechipiri chinyorwa chestrogen production.
Vakadzi vePenopopaopausal saka vanobatwa ne tamoxifen. Aromatase inhibitors inogona kushandiswa mune zvigadziri zvishoma. Kana mukadzi akapfuura nepfungwa yekuzvidzivirira kwepanyama (sekugadziriswa neropa rekuongorora sezvo risingazivikanwe pashure pemakemikirini) anogona kushandurwa kune aromatase inhibitors. Anogonawo kugamuchira mishonga iyi kana akavhiya kumwedzi (kubvisa mavhavhai ake) kana kuti anogamuchira kurapwa kweavoan.
Aromatase inhibitors ikozvino iripo inosanganisira:
- Arimidex (anastrozole)
- Femara (letrozole)
- Aromasin (exemestane)
Nguva Yenguva Hormonal Therapy is Used
Kare, tamoxifen kana aromatase inhibitor yakashandiswa kwemakore mashanu. Kuongorora kwechangobva kuitika kunoratidza kuti kupfuurira kwemamwe makore mashanu (dzimwe nguva kushanduka kubva kune tamoxifen kusvika kune aromatase inhibitor) kunogona kuderedza dambudziko rekudzoka zvakare.
Nzira Dzakashata dzeTamoxifen vs Aromatase Inhibitors (Arimidex, Femara, uye Aromasin)
Zvose zviviri tamoxifen uye aromatase inhibitor zvinogona kukonzera musero aches, asi izvi zvinowanzoipa pane aromatase inhibitor.
Tamoxifen inogona kuderedza kurasikirwa kwematokari asi aromatase inhibitors inogona kutungamirira kumapfupa ekurasikirwa uye osteoporosis.
Nezvakaipa zvakanyanya, tamoxifen dzimwe nguva inogona kuva nemigumisiro yakakomba yakafanana neropa remakumbo nemapurmonary. Aromatase inhibitors inobatanidza nehuwandu hwehutano hwechirwere chepfungwa kuvakadzi vane nhoroondo ye arteri blockages.
Kana zvikasa zvinenge zvichishungurudza, taurira chiremba wako uye ukumbire nzira dzokugadzirisa nayo; kune dzimwe nguva nzira dzekudzikisa migwagwa iyi uye kuita kurapa nyore. Kunyange zvazvo izvi zvingava nzira yakaoma, yeuka kuti wapedza chikamu chakanyanya chekurapa uye uri kuenda kuhupenyu shure kwekenza yemazamu.
Mariki yeTamoxifen vs Aromatase Inhibitors
Zvose tamoxifen uye aromatase inhibitors dzakadai seArimmxx dzinogona kuderedza ngozi yako yekudzokorora kenza yepamusoro (pamwe nemumwe mukana unobatanidza ne aromatase inhibitors) asi mari inogona kunge yakasiyana chaizvo. Sezvo tamoxifen ndiyo yakwegura uye yakanyanyogadzirirwa kurapa kwehomoni, inowanzova imwe yezvinhu zvisingabhadhari. Aromatase inhibitors inowanzokosha zvikuru kudarika tamoxifen.
Zvose zviri zviviri mahomoni ekurapa anobatsira kudzivirira kudzokorora kwekenza yemazamu, asi mapoka maviri emishonga anouya nemamwe madhura ekufungisisa uye nemigumisiro.
Kutarisira Mari YeHormonal Therapy
Hormonal therapy inogona kuve yakadhura, asi inogona kubatsira kufunga pamusoro payo seinishuwarenti inopesana nekudzoka.
Izvo zvinodhura zvemishonga iyi kwauri zvinogona kusiyana zvakanyanya kubva painishuwarenzi yako. Mukuwedzera, mamwe makambani emishuwarenzi achafukidza rumwe rudzi rwe aromatase inhibitor uye kwete imwe.
Kana iwe uine dambudziko nemari, pane zvakawanda zvingasarudzwa:
- Shanda nachiremba wako
- Taura nekambani yako ye inshuwarisi
- Mapurogiramu anobatsira purogiramu.
Ngatitarisei pane chimwe nechimwe chezvizvi zvakasiyana.
Shanda Nechiremba Wenyu uye Inishuwarenzi
Nhanho yekutanga kana mari yemishonga yako yakakwirira kwazvo kuti utaure nachiremba wako. Kana iye akanzwa kuti pane chikonzero nei mumwe mushonga unogona kuve wakakosha kune umwe (zvakadai sokuderedzwa kwehuwandu hukuru kana kuti mashoma emigumisiro) funga matanho anotevera.
Chechipiri, taura nekambani yako yveshuwarisi. Zvinogona kuva nyore kutaura mumunhu pamusoro pefoni. Kana mushonga wako chiremba achifunga kuti zvakanakisisa hausi pa formulary, chiremba wako anogona kukwanisa kugadzirisa mvumo yapfuura kuitira kuti ifukidzwe. Ungave uine inshuwalhu yehutano yega, Medicare Part D, kana Medicaid, kukodzera kwako kunogona kusiyana.
Iwe unogonawo kufarira kutaura newadhirosi yako. Generic versions dzeimwe mishonga iyi inowanika uye inogona kudhura zvakanyanya.
Prescription Assistance Programs
Kana iwe uchiri kuomerwa nekupa chiremba chiremba wako anonzwa zvakanaka, pane zvimwe zvingasarudzwa. Zvimwe zvezvi zvinosanganisira:
- Zvirwere Zvirwere Zvirongwa Zvokubatsira Purogiramu : Dzidza zvakawanda pamusoro pemishonga yakasiyana-siyana yevashandi vezvirongwa zvepamutemo inowanika uye chengetedza nevatsigiri vezvinodhaka kuti vabatsirwe uye mapurogiramu ekuchengetedza.
- Zvirongwa zvepaPircription drug discount: Dzidza zvakawanda pamusoro pevaya vanogona kubatsirwa nekadhi risina kubhadhara uye kana vachigona kubatsira.
- Kumbirai sampuli: Vamwe vese oncologist vanopiwa samples ye aromatase inhibitors. Haigoni kukuvadza kubvunza.
- Tarisa kuremara: Kana iwe usati wava 65 asi unogona kukodzera kuremara, unogona kuwana mushonga wako kuburikidza neMedare.
- Mishonga yemapurisa paIndaneti: Usati wasvika paIndaneti, dzidza nezvekuchengetedza mishonga yakachengetedzwa paIndaneti .
- Mahurongwa ehurumende anobatsira mishonga: Nyika dzakawanda dzeAmerica dzinotora zvidzidzo kana zvidzidzo. Tarisa kuti uone kana nyika yako inopa kugovera.
- Kubatsira kusingabatsiri: Bvunza chiremba wako kana kliniki nezvemasangano emunharaunda anopa rubatsiro nemari yemitemo. Iwe unogonawo kutarisa nemasangano anopa kanhi yekudzivirira kenza. Ramba uchifunga kuti masangano akasiyana ane zvinangwa zvakasiyana. Vamwe vanoedza kuita shanduko paNational level. Vamwe vanotarisira kuwana mari yekutsvakurudza. Uye vamwe vane chinangwa chekubatsira vanhu vari kurarama nekenza nhasi; zvakadai sokupa mari yekurapa mishonga.
Ramba Wakachengeta Zvinyorwa
Nekuvandudzwa kweinishuwarenzi inowanzodikanwa michero yakawanda kubva kune avo vanochengetwa, kuchengeta zvinyorwa zvakanyatsokosha kupfuura kare. Zvakawanda zvinokonzerwa nekenza kurapwa zvinokonzerwa nemitero , kusanganisira kunze kwe-pocket mari yeHonmon therapy.
Shoko Rinobva
Utachiona hweHormone hunokurudzirwa kwemakore mashanu kusvika kune gumi mushure mekutanga kurapwa kwekenza yemazamu, uye naizvozvo zvakakosha kufungisisa zvibatsiro pamusoro pekudzivirira kudzokorora, rutivi rwemagetsi ehuwandu hweimwe chirwere, uye mari.
Kana iwe uri kuva nemigumisiro yakakosha zvakakosha kusarudza kana shanduko inogona kunge ichishanda. Sezviri pachena, vanhu vakawanda vanosiya mishonga iyi uye vanokundikana kuwana zvakakwana zvikwereti zvavanopa. Mari inogonawo kuva inodzivisa, asi nzira dzakasiyana-siyana dzinotsanangurwa pamusoro apa.
Sezvinyorwa zvekupedzisira, zvimwe zvezvinoshungurudza zvakanyanya migumisiro ye hormonal therapy ndiyo menopausal zviratidzo. Asi kupisa kunopisa kunobatanidza nekunaka kwepabonde repabonde repamusoro . Ingiro imwe chete yesirivha linings.
> Sources
> National Cancer Institute. Breast Cancer Treatment (PDQ) -Health Professional Version.
> Tjan-Hejinen, V., Hellemond, I., Peer, P. et al. Yakawedzerwa Adjuvant Aromatase Inhibition Mushure mekufananidzira Endocrine Therapy (DATA): A Randomized, Phase 3 Trial. The Lancet Oncology . 2017. 18 (11): 1502-1511.