Nyaradzo, Kwete Kurapa
Apo vanhu vazhinji vanonzwa izwi rokuti chemotherapy vanofunga nezverapa kurapa kenza . Kunyange zvazvo ichokwadi kuti chemotherapy inowanzoshandiswa semuedzo wekuporesa kenza zvakakwana, inogonawo kushandiswa nenzira yepamusoro senzira yekuwedzera upenyu uye kuderedza zviratidzo.
Icho chinangwa chikuru che chemotherapy ndechokudzikisa matumbo uye kumisa kukura kwekenza. Kana zvakagadzirirwa kuti kenza haigoni kuporeswa, chemotherapy inogona kuve ichibatsira kubvisa chiremera chakakwanira kuti kuderedze zviratidzo zvepanyama zvekenza uye kunonoka kufambira mberi kwekenza yakawanda yekuwedzera upenyu.
Iyi pfungwa yekurapa chemotherapy isiri itsva. Izvo mumakore mashoma apfuura kuti kuderedzwa kwezviratidzo kwave chinhu chinonyanya kukosha chekuongororwa kwekliniki yekutsvakurudza kenza. Kushandiswa kwemakemikrasi mumushonga wekenza wekupedzisira-yakasara kunoramba uri nyaya inokakavadzana munharaunda yezvokurapa uye varwere uye vadiwa vavo vanowanzomira pakati, vachifunga kana vachitsvaka kurapwa kana kuisa pfungwa pane zvinyaradzo zvingangoita. Zvakakosha sechirwere chekenza kunzwisiswa nheyo dzekemotherapy uye zvinobatsira uye njodzi dzepa palliative chemotherapy.
Chemotherapy Basics
Chemotherapy ibasa rinowanzoshandisa kushandiswa kwemakemikari kunomisa mishonga yemukenza kubva pakukura. Inogona kugadziriswa nenzira dzakasiyana-siyana neinozivikanwa zvikuru ndeyekuti:
- Muchidimbu - mapiritsi anotorwa nemuromo
- Intravenously (IV) - inopindirwa kuburikidza nemuviri
- Nheyo - inoshandiswa paganda
Chemotherapy inowanzoreva makemikari anoshandiswa sealkylating agents (kureva Cytoxan), anti-metabolites (kureva 5-FU), uye anti-tumor antibiotics (kureva Adriamycin).
Aya makemikari akagadzirirwa kuuraya masero emukenza uye kuvadzivirira kuti vasakure asi ivo havafariri. Vanorwisa masero ane utano pamwe chete, zvichikonzera migumisiro yakaipa yakadai seyeusea, kusuruvara kwevhudzi , uye zvirwere.
Kunyange zvazvo pasina technically inotorwa chemotherapy, mamwe mishonga inogona kushandiswa paririatively kurambidza tumarara uye kukurumidza kukura kwekenza.
Dzinosanganisira hormone therapy uye immunotherapy. Utachiona hweHormone ndiko kushandiswa kwemahomoni kunonoka kukura kwekenza, sekuita isrogen kunonoka kenza yemukomana, tamoxifen kunonoka kenza yemvere , uye anti-androgens yekenza yekenza. Immunotherapy yakagadzirirwa kukurudzira maitiro ezvirwere zvemuviri kuti aone zviri nani nekurwisa masero emukenza.
Nokuda kwezvinangwa, vazhinji veoncologists vanosarudza kuedza kurapwa nechinetso chakaipa chemigumisiro iyo inogona kuipa zvakanyanya kunaka kwehupenyu. Izvi zvinoreva kuti utachiona hweHommone hunogona kuedzwa mushure mekushaya chemotherapies inotyisa.
Batsiro uye Ngozi dzePalliative Chemotherapy
Chemotherapy, zvisinei kuti chinangwa chayo chinangwa chii, hachisi ngozi. Inonyanya kuzivikanwa nekukonzera migumisiro yakaoma. Njodzi dzinopesana nezvinobatsira uye zvinoitika pauhu hwehupenyu hunofanira kufungwa.
Chiratidzo chakanaka chemungozi zvichienderana nekubatsirwa ndezvehutano hwako (ona tafura iri pasi). Kana hutano hwako huripo huripo, iwe uchave wakakwanisa kuve nemigumisiro yakakomba, yakadai sedhemotherapy toxicity. Tumor size uye nzvimbo dzemasastasis , zvinoreva nzvimbo iyo kenza huru yakapararira, inofanirawo kufungwa. Zviremara zvikurusa uye kanzura dzine nzvimbo dzakawanda dzemasastasis zvishoma zvingaita kuti zvipindure pamakemikrasi ane chirwere chepamusoro.
Karnofsky Performance Scale
| Score | Mamiriro ezvinhu |
| 100 | Kazhinji: hapana kunyunyuta, hakuna uchapupu hwehosha |
| 90 | Inokwanisa kutakura basa rekugara; zviratidzo zvishoma |
| 80 | Basa rinowanzoitwa nekuedza; zvimwe zviratidzo |
| 70 | Ane hanya nazvo; haakwanisi kutakura mabasa ezvakanaka |
| 60 | Inoda nguva nenguva rubatsiro; ane hanya nezvinhu zvakawanda |
| 50 | Inoda rubatsiro rwakakura uye kuchengetwa nguva dzose |
| 40 | Akaremara: inoda kutarisirwa uye rubatsiro |
| 30 | Vachiremara vakaremara: vakapinda muchipatara asi rufu harusi pedyo |
| 20 | Kunyanya kurwara: kushingaira kunotsigira kutarisira kunodiwa |
| 10 | Maitiro: Kuuraya kunowedzera nokukurumidza |
| 0 | Rufu |
Palliative Chemotherapy uye Upenyu Hwenyu Hweupenyu
Zvakakoshawo kuti uone kuti sei chirwere chemhemotherapy chingachinja hupenyu hwako.
Izvo zvikamu zvehutano hwehupenyu zvinogona kutarisa zvakasiyana nemunhu kune mumwe munhu asi zvinowanzobatanidza hupenyu hwakanaka pamwe chete nemanzwiro, hukama, uye hukama hwehupenyu. Kana mikana yekurapa chemotherapi inokupa iwe kukura kwenyaradzo yemuviri yakanaka, une unhu hwakanaka hwekushanda uye hurongwa hwakasimba hwehutano hwako uye hwemweya, unogona kusarudza kuramba uchirapa.
Kana, asi, mikana yekuva nemigumisiro yakakomba yakakwirira, mutoro wekurapwa nekuenderera mberi kwakakosha, uye iwe unonzwa mupfungwa uye mune zvemweya, mikana yekurapa chemotherapi inovandudza hupenyu hwako hunove husina urombo.
Kuita Chisarudzo Chekutanga Kutanga Kupera Chemotherapy
Paunofunga nezvemakemikrasi ane chirwere, taura nachiremba wako pamusoro pezvipingamupinyi zvichienderana nezvimwe zvinogona kubatsira. Ona mibvunzo mishanu kubvunza oncologist yako nezve palliative chemotherapy. Unganidza ruzivo rwakawanda sezvaungagona pamusoro pekenza yako uye zvichida inokanganisa chemotherapy inenge iine huturu hwakakura uye hupenyu hwehupenyu.
Hapana mhinduro yakarurama kune mumwe murwere wekenza. Unhu hwehupenyu hune hukama hwega uye zvinhu zvinokosha kune mumwe murwere zvingasave zvakakosha kwauri. Tora nguva yekuongorora zvaunoda, zvido, uye zvinhu zvinokosha kupfuura iwe.
Wakagadzirirwa neruzivo rwakanaka kubva kuna chiremba wako uye chivimbo mune zvinangwa zvako pachako, uchave wakagadzirirwa kuita sarudzo yakakunakira iwe.
Sources:
> Roeland, E., uye T. LeBlanc. Kurapa chemotherapy: oxymoron kana kusanzwisisa. BMC Kuchengetedza Kwekuwedzera . 2016. 15:33.
Sun V. Palliative Chemotherapy uye Clinical Trials muKean Cancer: Vanachiremba Basa. Mu: Ferrell, BR uye Coyle, N; Bhuku reWorld Palliative Nursing, Oxford University Press, 2006.