Zvikonzero zvekutsvaga Chemotherapy uye Maitiro Akagona Kuitika
Intrathecal chemotherapy ndeye rudzi rwekemotherapi runoshandiswa mukati mehutachi pakati pe membrane inonongedza uropi hwako nemutsara wemutsva. Mvura inoshandura iyo nzvimbo inobudiswa mumhepo inobva muuropi uye inonzi chirwere chemvura kana CSF. Mvura yakasviba inoshandiswa sechigadziri, ichidzivirira ubongo hwako nemutsipa wepemutsi panguva yekufamba.
Overview
Kune marudzi eukemia uye lymphoma akapararira kune CSF uye nervous system. Zvinosuruvarisa, kazhinji chemhemotherapy mishonga haigone kusvika munzvimbo iyi kubva muropa. Pakati peuropi uye muviri wose uri mutsara we membrane unozivikanwa sehupombwe yeropa . Ichi chakavharidzirwa chiripo chekuchengetedza chepfu inogona kuparadza uropi. Zvinosuruvarisa, zvinodzivirirawo mishonga yemakemikrasi zvakare.
Intrathecal chemotherapy ingashandiswa:
- Kuchengetedza kenza yakapararira kune CSF
- Kuchengetedza kenza yekupararira kune CSF
Zviratidzo zveKenza Zviparidzire kuCSF
Zviratidzo izvo kenza yako yakapararira kune yako CSF inogona kusanganisira:
- Headaches
- Kutaura zvinetso
- Kugumburwa
- Kuchinja mune zvawakaratidzwa, zvakadai sekuonekwa kaviri
- Kufungidzirwa kuchinja
Zvaunotarisira
Intrathecal chemotherapy inogona kupiwa kana kuburikidza nemugunha wepelinha (kuvharwa kwechimbwa) kana kuti kuburikidza negungwa rakaiswa mukati mako.
Lumbar kuvhara - Kana uine chirwere chekuropafadzwa kana kuti lymphoma iyo ine tsika yekupararira kune chirwere chendangariro, zvichida iwe wakagamuchira kuvharwa kwechimbichimbi , kana kuti sepamupopu sechikamu chekucherechedza kwako.
Izvi zvakafanana zvikuru nezvichazoitika paunenge uchiwana intrathecal chemotherapy. Wako oncologist kana hematologist achaita chigamba chekuvhara, uye injove chemotherapy zvakananga mu CSF yako kuuraya chero masero emukenza.
Ommaya reservoir - Kana iwe uchida mhando dzemhando idzi dzemishonga, chiremba wako angasarudza kuisa "Ommaya reservoir" muchikwata chako.
Iyi ganda ine kanyatori kadiki inosvika mumvura inenge yakakomberedza uropi hwako. Chemotherapy mishonga inogona kupiwa kuburikidza nemvura yeOmmaya, uye iwe hauchazodi kuiswa pccumb lumbar. Ommaya matanda anosara munzvimbo munzvimbo yako yose yekurapa uye akachengetedzeka kuenda kumba.
Mushure mokurapa kwako
Kana chirwere chako chapera, chiremba wako achaita kuti iwe urembedze kwenguva yakati kuitira kuti uite kuti chemotherapy inosvike munzvimbo dzose CSF inopararira. Kana iwe wakanga uine kambani yekuvhara, iwewo uchachengetwa wakadzika pamusana wako kwechinguva kuitira kuti uderedze mukana wekuvandudza musana wemusoro wemusana mushure mekuita.
Unofanira Kuda Rini Chiremba Rini?
Kana wakagamuchira kurapwa uku sechirwere chepanyama, unofanirwa kuonana nemutarisiri wako wehutano kana iwe uchikura:
- Fivhiri ine nguva yekukura kupfuura 100F kana 38C
- Utsivi kana hutano husingazopfuuri
- Pain musana wako
- Unhu, kugunzva, kana kuchinja munzwa mumaoko ako kana pamakumbo
- Zvakaoma kufamba
The Bottom Line
Marudzi eukemia uye lymphoma ayo anoparadzira chirwere chendaneti inogona kuva yakaoma kurapa. Makero eKenza anogona kurarama uye kuwedzera, zvichida asina kuwanikwa muCSF uko tsika dzechikemikari dzisingagoni kusvika kwavari. Kuti vararame uye vadzivise izvi kuti zvirege kuitika, vanachiremba vachabata intrathecal chemotherapy kuti vauraye chero masero emukenza.
> Sources:
> Cheah, C., Herbert, K., O'Rourke, K. et al. A Multicentre Retrospective Kuenzaniswa kweCent Nerveous System Prophylaxis Strategies pakati pevarwere vane High-risk Diffuse Large B-cell Lymphoma. British Journal of Cancer . 2014. 111 (6): 1072-9.
> Ferreri, A., Bruno-Ventre, M., Donadoni, G. et al. Njodzi-yakagadzirirwa CNS Prophylaxis mune imwe Mono-institutional Series ye 200 Varwere Nekupararira Kwakawanda B-cell Lymphoma Yakaitwa muRituximab Era. British Journal yeHematology . 2015. 168 (5): 654-62.
> Goodman, M. Chemotherapy: Mazano Ekutungamira. MuJarbro, C., Frogge, M., Goodman, M., Groenwald, S. eds (2000) Kuchengetedza Kanza: Mazano uye Maitiro 5 ed Jones uye Bartlett: Sudbury, MA.
> Norden A., Hocherg, E., uye E. Hocherb. Kurapa, Prognosis, uye Prophylaxis Kana Secondary Secondary Nervous System Lymphoma. Kusvika pari zvino. Yashandurwa 02/03/16.
> Sekiguchi, Y., Shimada, A., Imai, H. et al. Intravascular Kubvira B-Cell Lymphoma nePontine Kubatanidzwa Kubudirira Kutarisana NeR-CHOP Therapy uye intrathecal Administration: A Case Report uye Kudzokorora kweMabhuku. International Journal of Clinical and Experimental Pathology . 2014. 7 (6): 3363-9.