Kana ABVD chemotherapy inokurudzirwa nokuda kwekenza yako zvichida une mibvunzo chiuru. Izvi zvinopiwa sei? Kakawanda sei? Ndeipi migumisiro yechirwere? Pane mimwe migumisiro yenguva refu here? Ngatitarise mamwe emibvunzo iyi.
Chii icho ABVD?
ABVD ndiro zita re chemotherapy regimen rinoshandiswa mukurapa Hodgkin's lymphoma . Icho ndicho chinowanzozivikanwa zvikuru chemotherapy regimen inoshandiswa munyika yose kune vatsva vanorwara.
Iko kusanganiswa kwakanyanya kwezvinodhaka kune zvikamu zvose zveHodgkin's disease.
Zvinodhaka Zvinoshandiswa muBVD Regimen
Mishonga inoshandiswa mune regimen iyi (kusanganiswa kwemishonga) inosanganisira:
- Adriamycin (doxorubicin) - yakapiwa sechirwere mumaketani ako mumazuva 1 ne15.
- Blenoxane (bleomycin) - inopiwa sechidimbu chakavhara mujinga mumazuva 1 ne15.
- Velban (vinblastine) - inopiwa sechidimbu chemukati majekiseni mumazuva 1 ne15.
- DTIC (dacarbazine) - yakapiwa sechirwere mumaketani ako mumazuva 1 ne15.
Tsananguro Inokurumidza Pamusanganiswa Chemotherapy
Iwe unogona kunge uchishamisika, "Sei mishonga yakawandisa? Haikwanisi here kuti chirwere chimwe chete chigochengetedza kenza?" Chikonzero ndechokuti kusiyana kwemishonga yemakemikari kunobatsira masero ezvikamu zvakasiyana mukugadzirisa nekuwedzera. Kushandisa kusanganiswa kwezvinodhaka kunovimbisa kuti masero ezvikamu zvakasiyana-siyana mukugadzirisa iyi ese anotapwa. Ichi ndicho chikonzero chekushandisa zvinopfuura kurapwa kumwe.
Kana sero yakaitika kuva munguva yekuzorora - kwete kuparadzanisa - munguva yekare yerapi, inotarisira kuti kurapa kunotevera kuchakwanisa kubata iyo sero mukugadzirisa kukamukana.
Inowanzoita Sei DVD?
ABVD yakaitwa mumagetsi. Chimwe nechimwe chinosanganisira kupa mishonga inorwara yezvipembenene makumi mana (pamasikati 1 ne15).
Zvinyorwa zvinodzokororwa mukati mavhiki mana. Izvozvo zvinoreva kuti rupiri rwechipiri runotanga mavhiki maviri mushure megumi nemashanu zvekutanga (pazuva 29), nezvimwe zvakadaro. Saka mhinduro nokukurumidza ndeyokuti izvi zvinotenderera zvinodzokororwa kumativi ose mazuva makumi mana.
Ndezvipi Zviduku Zvakawanda Zvinodiwa?
Zvinotarisirwa zviyero zvakadini zvinoenderana nesiteji ye lymphoma uye kuvapo kana kusavapo kwezvimwe zvirevo - zvikonzero zvinopa vanachiremba kuongororwa kwemaitiro ekurapa kunopedza masero ekenza. Pakutanga chirwere chetachiona nehuwandu hunogona kukanganisa zvinogona kungoda 2 kusvika 4, asi zvimwe zvirwere zvakapfuura zvingada kusvika kusvika masere.
Miedzo Inodiwa
Pamberi peABVD chemotherapy inotanga, kuverenga ropa, uyewo kuongororwa kweropa kwepso uye chiropa basa, zvinoitwa. Echocardiogram inodiwa kuti uedze mwoyo mushandi musati watanga kurapwa. Sezvo Adriamycin (doxorubicin) inogona kuchinja dzimwe nguva mwoyo, zvakakosha kuti uve nemashoko ekuenzanisira gare gare panguva yekurapa. Bhokisi re x-ray uye mapapu rinogona kushandiswa kuenzanisa kufanana kwemapapu musati yashandiswa kweBraomycin, sezvo ichi chinodhaka chinogona kukanganisa mapapu.
Panguva yekhemotherapy, kuverenga ropa kunotarisirwa mushure mokunge mishonga inopinda muropa. Mimwe miedzo inogona kudzokororwa sezvaidiwa.
Migumisiro Yechiri
Zvimwe zvinokonzerwa nekemotherapy zvakabatana nemigumisiro yekemotherapy pakukurumidza kuparadzanisa masero kuwedzera kune kenza masero, uye inogona kusanganisira:
- Nausea uye kurutsa - Nausea inogona kuva yakajairika, uye ant-emetics (zvinodhaka zvinodzivirira uye kudzora kunyorera uye kurutsira) zvichagara zvichinyorwa. Nekudzivirira zvinodhaka, vanhu vazhinji vanoshamiswa kuona kuti kusuruvara kunogona kunge kusingakwanisi.
- Muchu mutsvuku - Adriamycin, anonzi "dhiyabhorosi mutsvuku" nemamwe varwere vechirwere, anogona kuita kuti urini-inoratidze urini kwezuva rimwe kana maviri achitevera chemotherapy. Izvi hazvisi ngozi uye zvinokonzerwa nemuvara wemishonga chete.
- Kushushikana / asidi reflux - Chirwere chepfungwa chinonyanya kushanda pamagariro eAbVD chemotherapy. Vamwe vanachiremba vanokurudzira mishonga yakadai sePrelosec, Pepcid, kana Nexium, asi inogona kunge yakataurira kutaura neoncologist yako mberi kwenguva pamusoro pezvaanokurudzira iwe.
- Zviratidzo zvakadai semafukari-DTIC inogona kukupa zviratidzo zvinonzwa sechirwere, somuenzaniso, musuru uye muviri aches uye chills.
- Kuora bvudzi
- Kurara muropa - Zvikamu zvako zvekuisira ropa zvichagara zvichiongororwa. Ikopa tsvuku yakachena yeropa inogona kukonzera kukonzera kuchinja, uye kudiwa kwekukura kwezvinhu uye kudzivirirwa kwezvirwere kubva kune utachiona. Iva nechokwadi chekuzivisa fevha kune chiremba wako pakarepo.
- Muronda wemuromo - Muromo wemaronda zvinowanzoshamisa, asi kuchinja kudya kwako mune dzimwe nzira kunogona kubatsira zvakanyanya nekunetseka uku.
- Diarrhea
- Kuvimbiswa - Chiremba wako anogona kukurudzira mishonga kuti ubatsire kudzivirira.
- Kukanganiswa kweganda nemisungo
- Kuchinja kwakanyanyisa kwekunzwa nemaoko nemakumbo - Peripheral neuropathy inogona kuvhiringidza mararamiro emagetsi uye oncologists vari kutsvaga nzira dzekudzivirira kuitika kwechikamu ichi.
Zvinokwanisika kwenguva refu
Paunenge uri pakati pemakemikari iwe haufaniri kunge uchida kufungisisa nezvemigumisiro yemigumisiro yechemotherapy. Mushure mezvose, zvinokosha nhasi nhasi zviri kupona kenza. Asi zvakakosha kuziva zvimwe zvezvinetso izvi.
- Chirwere chinokonzera - Pulmonary toxicity (mapapu emapapu) kubva kumakemikirini inogona kunge yakagadzirisa chikamu che bleomycin, kunyanya kuvarwere vakwegura. Taura navanachiremba vako pamusoro pezviratidzo zvaunogona kutarisira, uye chii chichaitika kana iwe ukavaka rutivi urwu.
- Chirwere chepfungwa - Adriamycin (doxorubicin) inogona kukuvadza mwoyo kune vamwe vanhu. Chiremba wako achakutaurira pamusoro pekuedzwa kuti aongorore mwoyo wako usati watapwa, uyewo zviratidzo zvechikamu ichi.
- Infertility - Mishonga yeHodgkin chirwere inogona kukukanganisa kubereka kwako. Taura nechiremba wako pamusoro pemikana iyo ichaitika, uye zvaunogona kuita musati watapwa kuti uchengetedze kubereka kwako.
> Sources:
> America Cancer Society. Chemotherapy yeHodgkin Disease. Yashandurwa 02/09/16.
> University of Michigan Comprehensive Cancer Center. ABVD Chemotherapy Idzo inorwara Matambudziko aHodgkin.
> Stamatoullas, A., Brice, P., Bouabdallah, R. et al. Migumisiro Yevarwere Vakwegura Kupfuura Makore 60 NeChikoro Hodgkin Lymphoma Yakatarisana Nekamberi ABVD Chemotherapy: Kazhinji Pulmonary Events Kurambidza kushandiswa kweBleomycin muVakuru. British Journal yeHematology . 2015. 170 (2): 179-84.