Kubatsirwa uye Kukanganiswa Kwemaviri Kazhinji Kunoshandiswa Maitiro
Chemotherapy inogona kukonzera kuti ropa rako rega rega riite pasi, izvo zvinokuisa pangozi yehutachiona. Neutropenia (yakadzika imwe yeimwe yemhando dzemasero machena eropa) inobatwa neNeulasta kana Neupogen, asi chii chakasiyana, uye chiremba wako anosarudza sei pakati pavo?
Kusiyana pakati peNeulasta neNeupogen
Neulasta neNeupogen zvose zviri zviviri zvakagadzirwa neprotheni chaiyo inonzi granulocyte -colony stimulating factor (kana kuti "G-CSF").
Pegfilgrastim (Neulasta) ine polyethylene glycol, "PEG," chikwata chinowedzera kwairi, chinoita kuti molecule iwedzere kuitira kuti igare mumutambo wako kwenguva refu pane filgrastim (Neupogen).
Ndezvipi Zvakawandisa Mukurudzirwa Chemo Purogiramu Ndiri Kuda?
Neulasta inopiwa kamwechete yega yega yega yepamusoro-dose chemotherapy, maawa makumi maviri nemaviri mushure mekemotherapy infusion, uye pasina nguva isati yasvika kwemazuva 14 mushure mekunge muwedzere kuiswa. Neupogen inopiwa mune injikisi yakasiyana-siyana zuva rega roga kusvikira yako neutrophil inodzoka zvakare kumazinga akaenzana. Iwe unogona kungoda zvitatu kana zvitsvuku zveNeupogen, kana vakawanda se10, zvichienderana nekushanda kwako kwakadini kupindura mishonga.
Kubudirira uye Mbiru Dzakashata
Mumakiriniki ekuedzwa, zvose zvinodhaka zvakaenzaniswa zvakanaka pamusoro peku:
- Kubudirira mukuwedzera kubudisa neutrophil
- Kukanganiswa nevarwere
- Kudzivirirwa kwekushandisa
Kunyange zvazvo mishonga yose ichibudirira kwazvo, chidzidzo che 2015 chakawana kuti neutropenia yakanyanya (iyo yakaderera zvikuru neutrophil count) yakanga yakanyanya kuderera kune avo vakamborwa neNeulasta munguva yekenza yekenza chemotherapy.
Avo vaigamuchira Neulasta vakanga vashomawo kuti vatsvake kuderedzwa kwemishonga yavo yemakemikrasi kana kunonoka pakati pekudzivirira.
Migumisiro yakaipa inenge yakafanana. Kutambura kwepfupa ndiyo inowanzovhiringidza maitiro emishonga yose, inowanikwa ne31 muzana kune 26 muzana yevanhu vari Neulasta uye 24 muzana yevanhu vari kuNeupogen.
Avo vanovhiringidzika nekutambudzika kwepfupa dzimwe nguva vanosarudza Neupogen pamusoro peNeulasta nekuda kwechikonzero ichi (kunyange zvisingakanganisi kushandisa).
Mariro Nokusakanganiswa kweNeulasta neNeupogen
Neulasta inodhura kupfuura Neupogen, asi nhamba yeiyo yeNeupogen inotarisirwa inogona kuderedza kusiyanisa pakati pemari yemishonga iyi. Zvakakoshawo kuchengetedza mupfungwa yekuraira kwechipatara nokuda kwehutachiva neutropenia (uye njodzi inotevera inorwara) iyo inowanzoonekwa kune avo vanogamuchira Neupogen.
- Imwe 6 mg injini yeNeulasta inodhura pakati pe $ 5,000 kusvika kune $ 7000, zvichienderana nemutengesi.
- Rimwe injini 300 microgram yeNeupogen inodhura pakati pe $ 300 kusvika ku $ 350.
- Mumwe injini ye 6 mg yeNeulasta inodhura inenge yakafanana ne10,4 300 microgram injections yeNeupogen.
- Amgen inopa FIRST STEP Program yekuderedza mari yekubhadhara mari yemishonga iyi kune avo vane hutano hwehutano hwehutano.
Will Inishuwarenzi Inofanira Kuvhara Mari?
Kwete hurongwa hwehutano hwehutano hupi hupi hunopa mishonga yemishonga inobatsira huchafukidza mari yeNeulasta. Usati watanga chemotherapy, bvunza oncologist yako kana iwe ungada Neupogen kana Neulasta. Iwe unogona kubvunzwa kuti usayine fomu inokubvumira kuti uvhare mari yezvinodhaka izvi kana inshuwarisi yako isingabhadhara.
Kana iwe usingazivi kana inshuwarisi yako inosanganisira Neupogen kana Neulasta, fona kambani usati watanga chemotherapy kuti uwane mutemo wavo wekugovera. Vanogona kubatsira nemari yeNeupogen, asi kwete Neulasta. Iwe unogona kugamuchira kurapwa, asi iwe unogona kumira neNeupogen (mamwe majekiseni) kana inshuwarisi yako isingavaki Neulasta. Kana wako oncologist anonzwa zvakasimba kuti imwe mishonga inogona kushanda zviri nani pane imwe isina kuvharwa, inogona kunge yakagadzirira kushanda nekambani yako ye inshuwarisi kuronga kuparidzirwa. Zvakakosha kuva mupepeti wako mukuchengetedzwa kwekenza . Bvunza mibvunzo, uye bvunza zvakare kana zvichidiwa.
Dzimwe nguva murwere anokwanisa kukubatsira kugadzirisa matambudziko kana achifanira kubuda.
Iro Chisarudzo Chikaitwa Sei?
Chisarudzo chekushandisa Neulasta kana Neupogen chinotungamirirwa nechirwere chekurapa. Iyi mishonga haisi kungo "icing pakeke" kana chimwe chinhu chiduku; apo iwe une neutropenia, unofanirwa kurapwa nokuda kwayo. Bvunza chiremba wako kuti akubatsire kukurudzira iwe kana kambani yako yunivhesiti isingabvumi kuvhara chero mishonga yaunoda.
Weekly Chemotherapy uye Neupogen
Kana iwe uri kuita vhiki nevhiki, yakadzika-dose chemotherapy, Neulasta haisi yekusarudza. Sezvo Neulasta inofanirwa kupiwa maawa makumi mana mushure me chemo uye nemazuva 14 isati yasvika, inenge isingashandisi nevanopikisa vhiki nevhiki. Neupogen inoshanda zvakanaka nevhiki chemo yega yega nokuti inojekesa hurongwa hwako nekukurumidza uye inokwanisa kupiwa kakawanda sezvaunoda iyo pakati pe chemo maitiro.
Chengetedza kuHurumende, Mipayipi, uye Kutakura Mariro
Kana uine chemo vhiki nevhiki uye unoda kugara Neupogen shots, unogona kuchengetedza nenzira dzakawanda. Kumbira mukoti wako kana iwe ukwanisa kutora Neupogen shots kumba, uye kana zvakadaro, ita kuti vadzidzise iwe kana nhengo yemhuri nenzira yakakodzera yekupa jekiseni.
Iva nechokwadi chekutevera zvakanyatsotevera mirayiridzo yekuchengetedza, kugadzirira, uye injection. Izvi zvichakuchengetedza mari yekushandisa, pamwe chete nemapayipi ehofisi imwe neimwe kushanyira, uye mari yekufambisa inobatanidza kudura rimwe nerimwe. Iwe uchave uchifanira kushanyira kliniki yako kuCBC inowanzogara, kuti uone ropa rako rinoverenga , kunyatsotarisa kumazinga ako eutrophil .
Kuchengetedza Utachiona
Zvakakosha kuchengeta mupfungwa kuti, kunyange iwe uri kugamuchira Neulasta kana Neuopogen, unogona kunge uchiri pangozi yekutapukirwa. Chemotherapy inogona kuderedza nhamba yemasero matsvuku eropa muropa rako (chinangwa chekushandisa madhiragi aya), asi masero machena eropa aripo angasashanda pamwe chete nemasero eropa eropa. Kudzidza nzira yekuderedza njodzi yehutachiwana munguva yekemotherapy inokosha sezvo vanhu vazhinji vasingazivi zvimwe zvezvinhu zvisingakwanisi kuita kuti vaderedze ngozi yavo.
Pasi Pano paNeulasta kana Neupogen
zvose Neulasta neNeupogen zvinogona kuderedza ngozi yako yehutachiona munguva yechemotherapy, uye madhiragi aya ikozvino anobvumira vanhu kuti vagamuchire mishonga yakanyanya (uye inoshanda) yemishonga iyi kupfuura yakamboita. Pane zvipikano zvishoma, kusanganisira yepamusoro yeeutropenia yakasimba neNeupogen (kunyanya kune vanhu vane kenza yemazamu) uye kuwedzera kwepfupa remapfupa paNeulasta.
> Sources:
> Brett Hauber, A., Mange, B., Price, M. et al. Kutarisa Ongororo yePegfilgrastim Prophylaxis: Murwere uye Muongorori Wezvechiremba Kubva kuMuchinjikwa-Sectional Survey. Kuchengetedza Kuchengetedza muCancer . 2018. 26 (1): 251-260.
> Kourlaba, G., Dimopoulos, M., Pectasides, D. et al. Kuenzaniswa kweFirgrastim naPegfilgrastim kuti Prevha Neutropenia uye Chengetedza Dose Kuwedzera kweAdjuvant Chemotherapy mune Varwere neBrazil Cancer. Kuchengetedza Kuchengetedza muCancer . 2015. 23 (7): 2045-51.