Kuzvidya mwoyo pamusoro pemigumisiro yakareba yemigumisiro yehutachiona hwemaawa iri kuwedzera, sezvo kuponeswa kwehuwandu hunovandudzwa. Sezvo kunogona kuva nemigumisiro yakareba yemigumisiro yechemotherapy , remishonga yehutachiona ingaguma nemigumisiro inogona kutanga uye inoramba iripo mushure mekunge kurapwa kwapera. Zvechokwadi, zvakakosha kuchengeta mupfungwa kuti zvinobatsira zvezvirapa izvi kazhinji zvinopfuura zvakanyanya chero njodzi.
Nei Chirwere Chisingaiti Chichigona Kukonzera Nguva Yakareba Yakazoguma Migumisiro
Radiation therapy inoshanda nekukuvadza DNA mumasero. Zvinosuruvarisa, izvi zvinokanganisa hazviwanikwi kune kenza masero chete, uye masero anowanzogona kukuvara zvakare.
Zvinokonzera Kukonzera Ngozi Yemigumisiro Yemazuva Ekupedzisira
Mhando dzakasiyana dzinogona kuwedzera kana kuderedza dambudziko rako rekuwedzera kwenguva yakareba migumisiro ye radiotherapy. Zvimwe zvezvi zvinosanganisira:
- Nguva yako panguva yemayara.
- Muyero wemasaisai iwe unogamuchira.
- Nhamba yezvirongwa zvekurapa.
- Rudzi rwekenza inobatwa.
- Nzvimbo yemuviri inogamuchira mahara.
- Mimwe mishonga yekenza, yakadai semakemikari.
- Zvimwe zvirwere zvoutano, zvakadai sechirwere chemwoyo kana chirwere cheshuga.
Zvinokwanisika kwenguva refu
Zvinotevera ndezvimwe zvinogona kuitika kwenguva yakareba nemigumisiro yemishonga inonzi radiation. Zvakakosha kuratidza kuti chirwere chemazuva ano chakavandudzwa mumakore achangopfuura; yakasvika rwendo rurefu sezvo rwakatangwa kurwisa kenza muna 1903.
Nekunyatsorongedza kuisa uye nzira itsva dzekuendesa, zvidzidzo zvekare zvinogona kufungidzira njodzi. Panguva imwecheteyo, sezvo vanhu vari kurarama kwenguva yakareba nekenza, iyo nguva yakareba yekuguma kwemazuva ano ichawedzera kukosha. Inofungidzirwa kuti 50 kubva muzana yevanhu vanorwara nekenza vachawana kurapwa kwemaawa.
Haasi munhu wose achave nemigumisiro yakareba kwenguva refu mushure mokurapa mazai. Vanhu vazhinji vanozoona humwe ruvara rweganda ravo uye kuneta panguva yekurapa. Kune rumwe rutivi, zvakakosha kuziva nengozi dzinogona kuitika, dzakadai sechirwere chemwoyo, kuitira kuti iwe unogona kuva murwere ane simba , asi zvakakosha kutaura zvakare kuti kubatsira kwekurapa kunowanzove kwakanyanya kupfuura zvingangove zvengozi dzenguva refu.
Radiation-Inobatsira Hypothyroidism
Hypothyroidism ndechimwe chezvinhu zvakajairika zvakapedzisira kugadziriswa kwehutachiona hwemazuva apo kurapwa kwemaawa kunosanganisira mutsi, musoro, uye chifuva.
Radiation Fibrosis Syndrome
Radiation fibrosis inogona kufungidzirwa yekusava nyore sekurasikirwa kwehutachiona mumasukisi mushure memazuva, nekuda kwekusuruvara kwekusingaperi. Zvakawanda zvemigumisiro pasi apa zvinokonzerwa neiyi fibrosis inogona kuitika munharaunda ipi zvayo yemuviri.
Radiation-Inogadzirwa Pulmonary Fibrosis
Lung fibrosis inoputirwa zvachose yemapapu anogona kuitika kubva kumaperembudzi asina kubviswa pneumonitis . Mazaiyo pneumonitis ndiko kuputika kwemapapu anowanikwa mwedzi 1 kusvika ku 6 mushure mekunge apedza kurapa kwemaawa kuchipfuva uye zvinoitika munenge munenge yechina yevanhu vanobatwa nehutachiona hwekenza yemapapu. Sezvo zviratidzo zvingaenzanisa zviratidzo zvinokonzerwa nekenza, kana pneumonia, zvakakosha kutaura nachiremba wako pamusoro pezvimwe zviratidzo zvekufema zvitsva.
Dambudziko reMwoyo Rinoenderana neRadiation Therapy
Chirwere chepfungwa chinonyanya kukosha uye chisingawanzwisisiki kwenguva yakareba pamagumisiro emishonga inonzi radiation. Semuenzaniso, kune varwere vane chirwere cheHodgkin vanogamuchira kurapwa kwemaawa (kwete sevanozivikanwa iye zvino), chinokonzera rufu kune chirwere chemwoyo, kwete chirwere. Vaya vari pangozi vanosanganisira vanhu vane mazaisai emapfupa, kusanganisira mazamu anobuda mushure mekuita mastectomy kune kenza yebonde yakasara.
Mishonga inogona kuchinja mwoyo nenzira dzakasiyana siyana zvichikonzera:
- Coronary artery disease - Coronary artery chirwere chinokonzerwa ne atherosclerosis inogona kunge yakagadzikana nemagetsi.
- Valvular chirwere chemoyo - Mazai anokwanisa kuunza kukanganisa kumapapiro emwoyo .
- Pericardial mamiriro akadai se pericardial effusions (a kuvaka-up ye-fluid pakati pezvinyorwa zvinowedzera mwoyo) uye zvinogadzirisa pericarditis .
- Cardiomyopathy - Cardiomyopathy , kuora mwoyo kwemitsipa inogona kuitika, kunyanya kana ichibatanidzwa nemamwe mishonga yemakemikari yakadai seAdriamycin (doxorubicin.)
- Abnormal moyo rhythms ( arrhythmias ).
Zviratidzo izvi zvingave zvisingaoneki kwemakore kana makumi emakore mushure mekupedzwa kwemishonga yekurapa, naizvozvo zvakakosha kuti chiremba wako azive kana une chirwere chepfupa kana zvimwe zviratidzo zvinoratidza kufadza kwepfungwa.
Ndinofara, maitiro matsva akadai sekuputika (kutaridzirwa kufema kunogadziridzwa kuderedza kufungidzirwa kwomwoyo kune miviri) kuri kuwanika, izvo zvinogona kuderedza ngozi yezvinetso izvi.
Secondary Cancers
Tadzidza kubva kubhomba reatomu rinoputika kuti mazai anogona kukonzera kenza, uye maitiro ehutachiona anopiwa nokuda kwekurapa kenza anogonawo kuisa dambudziko iri.
Kanzerana Inoenderana neRopa - Kanzira dzine chokuita neropa dzakadai seyakanyanya myelogenous leukemia (AML), isingagumi myelogenous leukemia (CML), uye acute lymphocytic leukemia (ALL) inowanzosvibiswa noutachiona hwehutachiona, kakawanda munguva yakapfuura kubva pamagetsi eHodgkin's chirwere kana kenza yemazamu. Iyi mihombekombe inopera makore 5 kusvika ku 9 mushure mekurapwa kwemaawa yakapedzwa. Mishonga inogonawo kukanganisa marora emapfupa anokonzera myelodysplastic syndromes , zvirwere zvepfupa remafupa izvo zvinogonawo, kuva chirwere chinokonzerwa neukemia.
Mishonga Yakasimba - Radiation therapy inogonawo kuwedzera mungozi gare gare yemakumbo akaoma, kunyanya chirwere chetachiona uye kenza yemazamu. Kusiyana nekenza yeropa, njodzi inopfuura gumi kusvika kune gumi nemashanu kana kupfuura kana chirwere chapera.
Kuziva Njere
Kurapa kwechirwere, kunyanya kupisa kwemhepo kusvika kuuropi, kusvika kumucheto wehenya, uye kumutsipa kunogona kukonzera zvinetso zvepfungwa sezvakaitwa kurasikirwa nekuyeuka uye kuoma kuisa pfungwa.
Musculoskeletal Matambudziko
Osteoporosis / Fractures - Mishonga inogona kukonzera kuderera kwemapfupa, osteoporosis, uye osteonecrosis . Semuenzaniso, kupisa kwemawere kuchipfuva kunogona kuita kuti mbabvu dzive dzakaputika nyore nyore.
Misungo / manotsi / mitsetse / mitsipa - Mishonga inogona kukanganisa maviri uye zvigadziro zvinoshandiswa mumushuloskeletal system zvichiita kuti kusava nemafungiro, kusuruvara, uye kupera.
Zvigunwe zvakasimba - Kusvibiswa kwenguva refu kweganda, telangiectasias (spidery tsvuku tsvuku) nekurasikirwa kwebvudzi kusingaperi kunogona kuitika nemirairo. Mishonga inogona kukonzerawo lymphedema , kuzvimba kunowanzoita semugumisiro wekuvhiringidza kumakirini emakirini, somuenzaniso, kuputika kwemaoko kunoonekwa kune vamwe vakadzi vane chirwere chepachifu.
Dry Mouth / Dry Eyes / Cataract / Dental Decay
Kukuvadza kumapapiro emakumbo uye kubvarura mahara kubva pamagetsi kusvika kumusoro uye mumutsipa kunogona kuita kuti ugare wakaoma muromo kana maziso akaoma.
Chirwere / Chirwere uye Kusagadzikana kwepabonde / Kusakosha
Mishonga yepamuviri neyemapapu inogona kukanganisa bladder, colon, uye nhengo dzepelvic dzinotungamirira kusina simba nekushaya simba.
Nzira Yokuderedza Dambudziko Rako
- Usasvuta - Kusvuta kunowedzera mungozi wekenza yemapapu mushure mechiedza chechifuva.
- Taura nechiremba wako pamusoro pezvimwe zviratidzo zvitsva zvinoputika zvinogona kuratidza kupisa kwepneumonitis (ona pamusoro apa.)
- Kumbira nezvemakiriniki ekuedzwa anogadzirirwa kuderedza dambudziko rekuguma kwemazuva.
- Kana iwe uchange uine chifuva chemafuro, bvunza kana kupfutidzira kuputika kuripo.
- Kumbira chiremba wako nezvehutano hwepanyama kana kufamba kwako kuchidzivirirwa. Kurapa kwepanyama hakugoni kubvisa muviri wako wekusagadzikana zvachose asi unogona kuwedzera kugadzirisa uye kuchinja.
Ramangwana
Zvidzidzo zvekuchipatara zviri kuenderera mberi zvichiratidza nzira dzekudzikisa dambudziko rekuguma kwehutachiona hwemaawa, mazhinji ane zvibereko zvinokuvimbisa.
> Sources:
> Filopei, J., uye W. Frishman. Chirwere-chinokonzera chirwere chemwoyo. Cardiology in Review . 2012. 20 (4): 184-8.
> Krasin, M., Constine, L., Friedman, D., uye L. Marks. Mirizhonga-yechirwere inoshandiswa mishonga panguva yose yehutambo yakasiyana-siyana: kusiyana uye kufanana kana izvo zvakwegura nevechidiki zvinogona kudzidza kubva kune mumwe. Seminari muRadiation Oncology . 2010. 20 (1): 21-9.
> National Cancer Institute. Matambudziko Anonzwika Chemotherapy uye Musoro / Neck Radiation. Health Professional Version. Updated 01/04/16. https://www.cancer.gov/about-cancer/treatment/side-effects/mouth-throat/oral-complications-hp-pdq#section/all
> Stubblefield, M. Radiation fibrosis syndrome: neuromuscular uye musculoskeletal zvinetso muvanorwara nekenza. PM & R. 2011. 3 (11): 1041-54.
> Yusuf, S., Sami, S., uye I. Daher. Mirizhonga-Inokonzerwa Mwoyo Denda: Kurapa Kwechipatara. Kurapa Kwepfungwa Nokutsvaga . 2011. 317659.