Sezvo chirwere chekuchengetedza kenza chichivandudza, kunonoka kwekenza kurapwa kuri kuwedzera kukosha. Zviratidzo izvi, kana imwe yeiyo iripo kune inopfuura hafu yevanopukunyuka kenza, vasina kugamuchira zvishoma kusvikira munguva pfupi yapfuura, sezvatinofunga nezvekurapa, uye netariro yekurapa, kwechirwere chacho. Izvi zvinogona kuramba zvichiitika uye / kana kumuka mwedzi, makore, uye kunyange makumi emakore mushure mekurapa, uye inogona kuderedza zvakanyanya hupenyu hwehupenyu hwevanhu vakapukunyuka kenza.
Kubvira kuma1970 pakange paine kuwedzera kwemazana matatu muhuwandu hwevanopinda kenza vanogara muUnited States, uye vanofungidzirwa vakapona 13 500 000 muUnited States muna 2012, uye vanopukunyuka mamiriyoni makumi matatu munyika yose. MuUnited States, 3 muzana yevanhu vakura vanhu vakapukunyuka kenza yemakore mashanu kana kupfuura.
Kana iwe uri kushamisika kana iwe uchikwanisa kutsanangurwa kwechirwere chepachirwere, munhu anopona anorondedzerwa seumwe munhu uyo akaonekwa kuti ane kenza kubva pazuva rekuongororwa uye kupfuurira kuburikidza nemasara ehupenyu hwavo. Ndezvipi zvimwe zvezviratidzo nemamiriro ezvinhu, uye chii rubatsiro chiripo?
Chirwere chemoyo
Chirwere chepfungwa chinokonzera chinorwara chekurwara uye rufu pakati pevanorwara nekenza. Nyaya ino inotarisa kune vanhu vakuru vanotarisirwa nekenza, asi zvakakosha kuziva kuti vanhu vanorapwa nekenza sevana kana vari kuyaruka vanokwana huwandu hwehutano hwehutano hwepfungwa kupfuura vanhu vezera rimwe chete vasina kutorwa nekenza.
Mishonga yakasiyana-siyana yekenza inogona kukonzera zvirwere zvepfungwa, uye kazhinji vanhu vane kenza vanogamuchira zvishoma zvezvirapa izvi zvakabatana. Zvimwe zvezvikonzero zvakanyanya zvinosanganisira:
- Chemotherapy zvinodhaka, kunyanya zvinodhaka zvakadai seAdriamycin (doxorubicin).
- Kuputika kwechifuva-somuenzaniso nemukenza wemapapu, kenza yebonde yakasara, uye lymphomas.
- Targeted therapies dzakadai sezvirwere zvinoshandiswa mumutsara webonde saHerceptin .
Kanzira mishonga inogona kuchinja mwoyo nenzira dzakasiyana uye inoguma nemamiriro akasiyana. Zvimwe zvezvi zvinosanganisira:
Cardiomyopathy - Cardiomyopathy (kushaya simba kwemutsipa wemwoyo) inoita kuti mwoyo usakundikana ndiyo inonyanya kuoma mwoyo yechirwere chekurapa kenza . Chemotherapy mishonga, kunyanya zvinodhaka zvakadai seAdriamycin (doxorubicin) uye Cytoxan (cyclophosphamide) hazvisi zvisinganzwisisiki nehupenyu hwekukundikana. Kana iwe wakabatwa nemishonga mune izvi zvinyorwa, wako oncologist angangodaro akarayira echocardiogram kuti aongorore chikamu chako chemuviri wehupenyu musati watanga chemotherapy.
Mishonga yepachifuva, somuenzaniso weHodgkin's disease, kenza yemazamu yakasara, kana yemukenza yemapapu, chimwe chikonzero chinokosha chepfungwa yemwoyo. Chidzidzo chakabudiswa muna 2007 chakaratidza kuti 10 kusvika ku30 kubva muzana yevanhu vanobatwa nebhokisi remvura zvinogona kuve nechirwere chemwoyo mumakore gumi anotevera. Ichi chidzidzo chinoda kududzirwa nekuchenjerera, zvisinei, sezvo maitiro matsva ekudzivirira mazaya (mafungiro ekudzivirira mwoyo) anoita kuti kuderedza miviri kusvika pamwoyo yakagadzirwa kubvira panguva iyoyo.
Izvozvo zvakati, kukanganisa kwemwoyo kunogona kutangisa nezviratidzo zvisinganzwisisiki zvakadai sekuneta, kuderera kwekutsungirira, kuzvimba mumakumbo, kana kupfupika kwefema nemabasa.
Kana iwe wakagamuchira mishonga iyi kana kuti wakanga uine rheinheti yewadhirosi muchipfuva chako, bvunza oncologist yako kana aizokurudzira kubvunzurudza mwoyo. Mimwe mishonga yekenza ikozvino ine mapurogiramu e-cardio-oncology kugadzirisa zvinetso izvi, kunyanya kana iwe uri nehupenyu hwemunhu kana hwemhuri yehutano hwemwoyo, kana zvimwe zvirwere zvepfungwa zvinokonzera njodzi dzakadai seshuga. Uye, kunyange iwe uchifunga kuti zviratidzo zvako hazvina maturo, nguva dzose zviri nani kuva wakachengeteka kudarika urombo kana zvasvika pamwoyo wako.
Coronary artery disease - Mimwe mishonga yekenza inogona kukuvadza kubatana kwemidziyo yemwoyo inoita kuti chirwere chemwoyo chisati chavapo. Sezvakataurwa pamusoro apa, izvi zvinonyanya kuitika kuvana, vaduku, uye vaduku vanorwara nekenza.
Arrhythmias - Cancer mishonga inogona kukanganisawo "magetsi" emwoyo unoita kuti isiri dzomwoyo mafungiro ( arrhythmias ). Kana uine ruzivo rwemvere, mapapati, kana kunzwa semwoyo wako uri kurova zvishoma kana kuti panzvimbo yekutamba, iva nechokwadi chekuti chiremba wako azive.
Kuneta
Kunyange zvazvo isiri yakakomba sehosha yepfungwa, kukonzera kenza chiratidzo chose-icho-chinowanzokonzera huwandu hwevanopinda kenza. Mukuwedzera kune hutano hwehupenyu hwehupenyu, kuneta kunogona kuva chiitiko chekuda kwekupona kwepasi. Kurwara kwekenza kwakaoma kunzwisisa kana iwe usina kuzviona iwe pachako; haisi iyo kuneta kunogona kununurwa nehusiku hwakanaka hwekuzorora kana mukombe wekofi. Kushamwaridzana nevanodiwa kunogona kukura sezvinoitwa neshamwari dzako nemhuri kuti iwe udzokere kune iwe unotanga-kenza wega mushure moutano. Kana uri kuwana izvi zvinogumbura, iwe hausi woga. Tarisa mazano aya ekurwisana nehutano hwakabatana nekenza , uye, zviri nani zvakadaro, nyora icho chinyorwa ugochipa kumhuri neshamwari "hazviiti."
Asi kutanga, taura zvakanaka nechiremba wako. Kune zvimwe zvikonzero zvekuneta kunokonzerwa nekenza mishonga inogona kurapwa. Mumwe muenzaniso ndezvenguva refu- anemia anemia inotevera chemotherapy . Imwe muenzaniso ndeyekuchinja kwehomoni. Kushandiswa kwehuroti kumusoro nemutsipa kunogona kuita kuti utachiona hutachiona husingaoneki ( hypothyroidism ) hunogona kukonzera kana kuunza kukanganisa mukuwedzera pakukonzera zvimwe zviratidzo. Kusiyana ne hypothyroidism, chemotherapy inogonawo kukonzera hyperthyroidism (utachiona husina simba) iyo inogona kukonzera kuora muviri, kudengenyeka, uye kuzvidya mwoyo zvinogona kuva zvakanyanya.
Kune zvimwe zvakawanda zvinokonzera kukonzera kutevera kurapwa kwekenza, zvimwe zvinoporesa, zvimwe zvisingaiti, asi chiremba wako achaziva chete kukuongorora iwe uye kurongedza miedzo inokosha kana ukataura. Kana iwe une chido chikuru chokuvhara musoro wako nemushonga wako apo inzwi rako rinoparidza mangwanani, taura nechiremba wako.
Kunyunyuta
Kusuruvara kwakajairika pakati pevanorwara nekenza uye vanowanzogara kwemakore apfuura kurapwa. Kunyange zvazvo chiratidzo ichi chingave chisinganzwisisiki kune vamwe, kusingaperi kwekusuruvara kusingoratidzi kunogadzirisa hupenyu hwehupenyu asi kunomutsa dambudziko rekuwedzera matambudziko emumuviri nepfungwa. Kutsvakurudza kwakawana kuti kugadzirisa mafungiro ekurapa kwekushaya hope (CBTI) kunogona kuchinja zvakanyanya chiratidzo ichi kuvanhu vazhinji vane kenza.
Peripheral Neuropathy
Purogiramu neuropathy -damiti kumitsipa inotungamirira kumakumbo nemakumbo anowanzogara-ndeye kunetseka kwakanyanya kwekuguma kwekenza kurapwa. Izvi zvinokanganisa chikamu chetatu chevanhu vane kenza, uye chiitiko chacho chiri kuwedzera. Zviratidzo zvinogona kusanganisira kushaya simba, kusungira, "pini nendira" marwadzo, uye kusagadzikana kwechando zvinowanikwa mu "kugovera-uye-glove" kugoverwa. Kupera kunzwa mumaoko netsoka kunogona kukanganisa zvinhu zvisiri nyore zvakadai sokukanda mabhandi, kana kuoma kuisa tsoka dzako, zvichikonzera kuwira. Mishonga yakawanda yemakemikrasi inogona kukonzera chirwere cheropa, asi kazhinji inowanzoitika nemishonga yakadai sePlatinol (cisplatin) uye Taxol (paclitaxel). Mishonga inowanzobatanidza kushandiswa kwemishonga yakadai setipiyumu gels, antiepileptic zvinodhaka, mishonga inopesana nemanzwiro, uye dzimwe nguva mishonga yemishonga yekurwadziwa kukuru. Dzimwe nzira dzokurapa, dzakadai sokusira muviri , kugadziriswa , uye mifananidzo inotungamirirwa zvingapa hurombo hukuru kune vamwe vanhu. Kutsvakurudza kuri kuramba kuri kutsvaga nzira dzekudzivirira chirwere chepuropaiti kuti chirege kuitika panguva yekemotherapy.
Kusangana Nechirangariro
Kazhinji yakagadzirwa " chemobrain ," zvinetso zvekufungidzira zvinotevera chemotherapy zvakagamuchirwa mumakore achangopfuura. Zviratidzo zvakadai sokuoma kwakawanda-kutengesa uye kunetseka kuisa pfungwa kunotanga panguva yechemotherapy uye kunoramba kwemwedzi kana makore. Kushandiswa kwehuroyi kumusoro uye mumutsipa kwemusoro neyemutsipa makondombera, uropi hwemakumbo, hutachiona hwemakumbo uye prophylactic cranial irradiation (PCI) (inoshandiswa kune vamwe vanhu vane kenza yemapapu) inogonawo kuita kuti zviratidzo izvi zvivepo. Kune vamwe vanhu, vachiedza kuisa pfungwa pane rimwe basa panguva imwe, kuchengetedza mazita ekubhadhara zvikwereti zvepamusoro, uye kuita "uropi hutambo" hwakadai saSudoku inogona kubatsira. Kune vamwe, kutaurirana neweurologist kana chiremba wepfungwa ingarumbidzwa apo zviratidzo zvinopesana nehupenyu hwezuva nezuva.
Post-Traumatic Stress Disorder
Dambudziko rekugadzikana kwepfungwa mune chirwere chekenza ndeimwe mamiriro ezvinhu ave achangobva kuwedzerwa kutariswa pakati pevanorwara nekenza. Ichi chiitiko, chinonyanyozivikanwa sechichiitika pakati peavo vakave vachirwisana nehondo, kana kubatwa chibharo, somuenzaniso, inofungidzirwa kuti iripo kune vakawanda vanenge 35 muzana yevarwere vanotevera kurapwa. Mushonga wePTSD unogona kusanganisira mitemo yakawanda, asi danho rinokosha nderokucherechedza izvozvi izvo zvinotarisana nemamiriro ezvinhu epakutanga.
Kufunganya
Kunyange zvazvo kuora mwoyo hakusi kuonekwa pakati pevanorwara nekenza kupfuura avo vasina kumbova nekenza, kuzvidya mwoyo chinhu chinetso chikuru. Chimwe chiongorori chekutarisa vanenge vanenge 50 000 vanorwara nekenza vakawana kuti 18 kubva muzana yevanhu ava vakatambura nekuzvidya mwoyo mushure mokunge chirwere chapera. Uku kuzvidya mwoyo kwakanga kusingaoneki kuderera nenguva, uye, chaizvoizvo, avo vaiva nemakore 10 kana kupfuura kubva mukurapa vaiva nehuwandu hwepamusoro hwekuzvidya mwoyo. Kuvhunduka kwekenza kudzokorora ndeimwe nzira yekuzvidya mwoyo iyo inofunganya iyo yakawanda, kana kwete vose vanorwara nekenza vanoona nguva nenguva.
Kana uri kuwana kuti kuzvidya mwoyo uku kunetseka kwako, taura nachiremba wako. Ichi chiratidzo hachirevi kuti unoda mishonga yemishonga, uye zvakasiyana, mamwe maitiro ekurapa akadai sokugadzirisa muviri, kuisa muviri, kufema kufema, uye mifananidzo yakatungamirirwa, zvinogona kukubatsira kurarama nechiratidzo ichi uchikubatsira iwe pamwe chete.
Infertility
Kunetseka pamusoro pokubereka kunogona kuve kwakajeka pakuenzanisa nekuongororwa kwekenza asi inonyanya kukoshesa vechidiki vane kenza. Nyaya idzi dzinokurukura kuti maitiro ekurapa angakanganisa sei kubereka kwevarume nevakadzi.
Osteoporosis
Mishonga yakawanda yemakemikrasi uye mishonga inokonzerwa nehomoni inogona kukonzera kupera kwefupa. Izvi, zvakare, zvinogona kutungamirira kumarara. Zvakakosha kutaurira chiremba wako pamusoro pekuyera kuwanda kwepafu kana izvi zvisati zvaitwa, pamwe nekuongorora vitamin D yako, sezvo utera hwe vitamini D hunogona kutungamirira kune osteoporosis pamwe nemamwe mamiriro ezvinhu. Mukuwedzera, imwe tsvakurudzo inoratidza kuti kune mamwe kanzira ngozi yekudzokorora ingave yakaderera kune vanhu vane vitamini D. yakakwana.
Kusagadzikana kwepabonde
Kushushikana kwepabonde chinhu chakajairika, uye chinetso chinokanganisa zvakafanana pakati pevanhu vakapukunyuka kenza. Kanzera inogona kukonzera kushanduka kwemuviri uye mahomoni zvinogadzirisa kunakidzwa kwepabonde, uye zvechokwadi, kushungurudzika kwepfungwa kunotarisa pane kuchinja kwemuviri. Ichi chinyorwa pamusoro pokusimudzira hutano hwako panguva yekurapa kenza zvinokurukura zvimwe zvezvikonzero, uyewo mazano ekusimbisa hutano hwako shure kwekurapa iwe waungangodaro usina kudarika pfungwa dzako.
Secondary Cancer
Mishonga yakawanda yekenza yakagadzirirwa kukuvadza DNA yemasero kuitira kuti itadze rufu rwekenza masero. Zvinosuruvarisa, masero ezuva ose anowanzobatwa mukugadzirisa, izvo zvingaguma nekukura kwekenza makore nemakumi emakore gare gare. Chemotherapy, kunyanya zvinodhaka zvakadai se-alkylating agents, somuenzaniso, Cytoxan (cyclophosphamide,), topoisomerase inhibitors (somuenzaniso, Etoposide), uye anthracycline vashandi (somuenzaniso, Adriamycin (doxorubicin) ndiyo inonyanya kukonzera kenza yechipiri. Zvinotarisirwa kuchengeta mupfungwa kuti njodzi dzekenza idzi dzinowanzoenzaniswa nekuenzanisa nekubatsira kwezvirapa izvi mukurapa kenza yakakosha.
Zvimwe Mamiriro Ekupedzisira
Kanzira mishonga inogona kuchinja inenge chero nharaunda kana nhengo dzomuviri mumuviri. Lymphedema , kuora kwepvo, pulmonary fibrosis, kuora kwezino, kurasikirwa kwekunzwa, uye kukonzera, kunongotaura nezvezvimwe chete zvinonetsa, zvinowanzozivikanwa kune avo vakapukunyuka kenza kunze kwevanhu vazhinji.
Kuva Murevereri Wako Pashure Pokurapwa
Zvakakosha zvikuru kuti oncologists uye vanachiremba vanonyanya kushanda vakashanda pamwe chete kuti vaite shanduko yakajeka kune vanopukunyuka kenza. Vakawanda veoncologists vanoshanda nevarwere vavo kuti vapedze "chirongwa chekuchengetedza chirwere" icho chinongororodza ruzivo rwekutevera, zviratidzo zvekutarisa, uye mamwe mashoko kune vanopona vari mberi. Kana iwe usina chirongwa chekuchengeta chirwere, bvunza oncologist yako kuti ushande newe kuti upedze imwe. Heano muenzaniso we template yemurongwa wekuchengeta wakagadzirwa neMinnesota Care Alliance , Haikwanise kusimbiswa zvakajeka kuti zvakakosha sei kuva nemakopi emabhuku ako ezvokurapa pamaoko kuti atakure newe.
Sezvo pfungwa ye "kuponesa kenza" inenge ichangobva kuve itsva, vapenyu vazhinji vanorwara nekenza vachiri kuwanika ivo vachiwira pakati pemakumbo mushure mekurapa. Kanopfuura kamwe ndakanzwa mazwi okuti mumwe munhu akadzingwa neo oncologist wavo, achivasiya nekunzwa kuti vaifanira kungotenda chete kuti vakapona. Asi sezvakataurwa pamusoro apa, vazhinji vevanhu vakapukunyuka kenza vane zvimwe zvinoguma. Zvakakosha kuti nyaya ipi neipi yaunayo inotaurirwa, asi nzira chete iyo vashandi vezvechiremba vanoziva nezvekuda kwenyu ndeyekuti iwe unotaura.
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