Adriamycin-anozivikanwawo saRubex, Doxil, doxorubicin uye The Red Devil (zvisina kuzivikanwa) -i chemotherapy drug . Kunyanya kunyanya, iyo chirwere che anthracycline mishonga inorwisa mishonga. Izvo zvinoitwa kubva kubhakitiriya Streptomyces.
Zvishandiso zveAdriamycin
Adriamycin inogona kushandiswa kugadzirisa chirwere chekare-kare kana node-positive chifuva chepamu, kenza yeHER2-positive, uye zvirwere zvemasastatic.
Adriamycin dzimwe nguva inosanganiswa neCytoxan uye / kana 5-fluorouracil kuti igadzire mari yekamu-yekurwisa chemotherapy mishonga.
Ichi chinodhaka chinogamuchirwawo kuitira kurapwa kweimwe kenza, kusanganisira ovarian, chikafu, zvinyoro zvinyoro uye osteogenic sarcoma, kenza yemukomana mutsvuku, utachiona uye gastric cancers, pamwe neuroblastoma, lymphoma, leukemia, mvere dzema Wilms uye Kaposi sarcoma.
Zvakaita sei Adriamycin
Adriamycin anorwisana nekenza nekuderedza kana kudzivisa kukura kwekenza masero. Ichi chinodhaka chinopinda mumasero emukenza, chinopindirana mukati megadziriro yeDNA uye inomisa kushandurwa kwemasero nekudzivisa basa re enzyme inonzi topoisomerase-II. Adriamycin inogadzirawo okisijeni pasina radicals, iyo inokanganisa masero emasero uye mapuroteni uye inogonawo kukanganisa mwoyo.
Iyo Adriamycin Inopiwa Sei
Ichi chinodhaka chinopiwa nejojo panguva yekudzivirira chemotherapy . Kana chirwere chaAdriamycin chauri kupiwa chakaoma kwazvo, chinogona kupiwa se "jira" jekiseni, pane kungoerekana uchidhonza.
Izvi zvinodhaka zvinodhaka zvichaendeswa mumushonga mukuru weplastiki, iyo ichabatanidzwa ku catheter yako tubing, uye mukoti wako anokonzerwa nekuputira acharamba achideredza pirina manyore, kuti adhire Adriamycin mumota wako.
Kusati Kutanga Kurapa
Nemhaka yokuti ichi chinodhaka chinogona kukonzera matambudziko emwoyo, iwe unofanirwa kuva neMUGa scan , LVEF (kuruboshwe rwokundikana kwe ventricular) kana kuongorora kwehutano hwemoyo kunotangira usati watanga kurapwa.
Ichi chiyero chekutanga chinozoshandiswa kuenzanisa nemoyo wako basa panguva uye shure kwekurapa. Mimwe miedzo yehso nechiropa chinogonawo kudiwa.
Zvinorayira Purogiramu
- Shandisa mishonga yekudzivirira yakasimba - dzivisa kubata
- Inwa mvura yakawandisa, kunyanya mvura, kuti usvike mafungiro ako uye chikafu
- Dzivisa kunwa doro uye caffeine - izvi zvinomesa matukisi ako
- Usatora aspirin, nokuti inopisa ropa rako
- Usawana zvirwere
Ngozi
- Allergic reaction kune adriamycin
- Ingangokuvadza mwana, kana iwe uine pamuviri panguva yekurapa
- Kubvira kusingaperi kwekusasa
- Kutsika ropa kunowedzera , njodzi huru yezvirwere
- Mune zvimwe zviitiko, kune ngozi yekukanganisa mwoyo
Migumisiro Yacho Inogona Kuitika
- Ruvara rutsvuku rwekutanga mazuva maviri mushure mekurapa
- Neutropenia (pasi pechena ropa masero count, mukana mukuru wehutachiona)
- Chemotherapy-induced anemia (low red blood cell count)
- Thrombocytopenia ( low platelet count )
- Kusuruvara kwebvudzi, kana ucheche, bvudzi rinoputika
- Nausea
- Kudzora
- Diarrhea
- Kuneta
- Mucositis (yakatsamwiswa mucous membrane mumuromo mako, mucheche, uye chirwere chekudya)
- Ameniorrhea (kumwedzi kwegore kwemwedzi inogumira)
- Kuchinja kwezvipikiri (brittle kana yellowed)
Nguva Yekudaidza Chiremba Wako
Kana uine chimwe chezviratidzo izvi, dana chiremba wako:
- Fever ye 100.5F kana kupfuura
- Pain or redness pane yako injection site
- Mvura ine ropa kana tsvuku tsvuku
- Kurwiswa kusingawanzocheki kana kubuda ropa nguva dzose
- Kurwisana nekukanganiswa, kurwadziwa kwehuro, pneumonia
- Allergic zviratidzo: kukurumidza kufema, kufema kwetsoka kana maziso, kuputika, kubhururuka nehuro kana rurimi
Ndapota cherechedza kuti Extravasation inongoitika chete panguva yekukanganiswa.
Sources
US Food and Drug Administration. FDA Doxorubicin Yakarongwa PI Update. Mazita Ekupedzisira Akagamuchirwa - May 8, 2003.
National Cancer Institute. Information Drug - Doxorubicin Hydrochloride.
Medline Plus. Drugs & Supplements. Doxorubicin.