Ndezvipi Zvichida Zvichida Migumisiro yeKemotherapy?
Iyo yakareba migumisiro yemigumisiro ye chemotherapy haisi kazhinji yako yekutanga kunetseka paunowana chemotherapy inokurudzirwa kune kenza yako. Uye ndizvo zvazvingava. Muzviitiko zvakawanda, zvikwerero zvekurapa zvinopfuura zvakanyanya chero zvipingamupinyi zvinogona kuitika pasi pemutsara. Asi nekuchengetedzwa kwakanyanya kubva kune marudzi akawanda ekenza, zvakakosha kunzwisisa nguva yakareba migumisiro yechemotherapy iyo inogona kuitika mwedzi kana makore mushure mekurapa kwapera .
Usati wataura nemigumisiro yakareba yenguva refu, gara uchiyeuka kuti munhu wese akasiyana . Vamwe vanhu vangave vane dzakawanda dzemigumisiro iyi, asi vazhinji havazovi. Zvimwe zvinokonzerawo zvinowanzosiyana zvakasiyana zvichienderana nemamwe mishonga yemakemikari inoshandiswa.
Cardiac Concerns
Chemotherapy inogona kukonzera kushushikana kwemoyo kare pakutanga kwekurapa, asi mune dzimwe nguva, migumisiro inogona kunge isingaratidzi kusvikira zvakawanda. Chimwe chimiro chinonyanya kuzivikanwa ndiko kukanganisa kwemwoyo mushure mekurapa nemishonga Adriamycin (doxorubicin ). Nechirwere ichi, chinogona kuitika kwenguva refu chinokonzera kushaya simba kwemutsipa wemwoyo, zvichiita kuti uwedzere kukwanisa kuputira ropa kuburikidza nemuviri ( mwoyo kusakundikana ). Zviratidzo zvinogona kusanganisira kuwedzera kufema kufema, kuneta, uye kurira kwetsoka nemakumbo. Kana iwe wakabatwa naAdriamycin, chiremba wako anogona kukurudzira MUGA scan kuti uone kuti mwoyo wako uri kuputika sei.
Mimwe mishonga yekenza , yakadai sedhiraire remiromo panzvimbo yechifukidzo, inogona kukonzera kukanganisa mwoyo musumbu pamwe chete.
Kubvira pamasana emagetsi echepa rehapa zvinogona kukanganisa mwoyo uye kukanganisa maronary artery, zvinotonyanya kukosha kutaura nemwi oncologist kana iwe ukagamuchira aya chemotherapy madhiragi. Dzidza zvakawanda nezvezvinetso zvemoyo zvinosangana neAdriamycin (doxorubicin) .
Kuneta
Panguva yekhemotherapy, vanhu vakawanda vanobata nekuneta - asi chetatu chevanhu chinoramba chichinetseka kwemwedzi kusvika makore pashure pokunge chemotherapy yapera.
Zvakakosha kugovera chiratidzo ichi nachiremba wako nokuti zvikonzero zvakawanda zvekuneta zvinodzokorora. Dzidza nezvekuda kuneta kwekenza zvakasiyana nekuve wakaneta , uye tarisa mazano aya ekugadzirisa zviratidzo zvinoshungurudza zvekushaya kenza
Chemobrain
"Chemobrain" - boka renyeredzi rezviratidzo zvinosanganisira zvinetso nekuyeuka nekufungidzirwa - rave richangobva kuonekwa sehupenyu hwenguva refu yechemotherapy. Chemobrain zviratidzo zvinogona kuvhiringidza, asi kuziva zvinhu zvaunogona kuita kuti utsungirire zviratidzo zvinogona kubatsira zvikuru. Muzviitiko zvakawanda, chemobrain zviratidzo zvinowedzera nekufamba kwenguva. Dzidza zvakawanda pamusoro pezviratidzo uye kurapwa kwechimobrain .
Infertility
Kunyanya kunetseka kune vaduku vane kenza, kurasikirwa kwekubereka shure kwechemotherapy kunogona kushungurudza. Kusakosha kutevera kurapa kunopesana nemutengo uye rudzi rwemakemikrasirapi anoshandiswa uye haaiti munhu wose. Kana iwe uchida iwe unoda kuva nevana mushure mokurapa (varume nevadzimai), taura nachiremba wako nezvesarudzo dzaunowana iwe usati watanga kurapwa.
Peripheral Neuropathy
Chirwere chepurogiramu yeuropathy, inowanzoonekwa kakawanda sekunzwa kwekushaya simba uye kupisa mutsoka dzako uye nemaoko, pamwe nekudzimbirwa, imwe imwe nguva yakareba yechirwere chemotherapy.
Izvi zvinowanzoitika kune vanhu vane nhoroondo yehuga, kuswa doro, kana kusagadzikana.
Mimwe mishonga inogona kuita kuti rutivi rwechikamu ichi kusvika kune chetatu chevanhu vanosanganisira Taxotere (docetaxel) uye Taxol (paclitaxel), Mimwe mishonga, yakadai sePlatinol (cisplatin), Oncovin (vincristine), uye Novelbine (vinorelbine), inogonawo kuguma mune peripheral neuropathy.
Kunzwa Kurasikirwa
Chimwe chezvinhu zvakajairika kwenguva yakareba yemigumisiro yePlatinol (cisplatin), mushonga unoshandiswa kune akawanda kanzira inosanganisira kenza yemapapu, kunzwa kurasikirwa. Mamwe mishonga inogona kukonzera kurasikirwa kunzwa uye tinnitus (kuchera munzeve).
Skeletal Effects
Osteoporosis (kuponda kwemapfupa) ndiyo inowanzoguma yakagadzirwa chemotherapy. Kazhinji chemotherapy zvinokonzera kurasikirwa kwefupa kunowedzera uye kuchinja mune zvekudya zvinosangana nekenza uye kurapa kwayo kunogona kukurisa dambudziko racho. Kunyanya kunetseka pamusoro penguva refu ndeye kuputsika kunogona kuguma kubva pakurasikirwa kwepafupa.
Chemotherapy yakasanganiswawo ne osteomalacia, kurasikirwa kwefupa kwakabatana nekushaikwa kwevhitamini D.
Migumisiro yokuputira
Chemotherapy inogona kukonzera kupera kwepapu ( pulmonary fibrosis ) uye yakaderera mapapu simba mune vamwe vanhu. Izvi zvingave zvakanyanya kuzivikanwa apo chemotherapy inosanganiswa neradication therapy panzvimbo yechifuva.
Chiropa Migumisiro
Mishonga yakawanda yemakemikrasi inogona kukonzera kukanganiswa kwechiropa kuchiropa (hepatotoxicity). Ndinofara, chiropa chinokwanisa kuita zvinoshamisa zvekare, chero bedzi zvimwe zvinokuvadza (zvakadai sokuwedzerwa kunwa doro) zvinodziviswa.
Iroyi uye Chirwere Chiripo
Mimwe mishonga yemakemotherapi, yakadai se cisplatin, inogona kukanganisa maitsvo uye chikafu. Izvi zvinogona kuguma nekugadzirisa simba retsvo dzako kuisa ropa rako. Kukuvadza kwechimbiso kunogonawo kuitika uye kunogona kuva kwenguva pfupi kana kusingaperi. Zviratidzo zvekushungurudzika kwechiso zvinogona kusanganisira kurwadziwa kana kukurumidzira nekudhonza, kana ropa mumuguta wako.
Migumisiro Pamaso
Steroid inowanzopiwa pamwe chete nechemotherapy kana zviratidzo uye zvinokonzerwa nekenza. Izvi zvinogona kukurumidzira kukura kwehutachiwana kune vamwe vanhu.
Secondary Cancer
Pamusana pemichina inoshandiswa nemishonga yemakemikrasi inoshanda, inogona kukonzera DNA kukuvara mumasero akare, izvo zvingaguma nekenza yepamusoro pasi payo. Mimwe mishonga yemakemikrasi inowanzoita kuti izvi zvikuvadze, neboka rinonzi alkylating agents rinowanikwa (muenzaniso weiyi ndiCytoxan (cyclophosphamide).
Mishonga inoshandiswa pakurapa mucheche wemapapu inogona kukonzera kenza yechipiri (kunyange zvishoma) inosanganisira Vepeid (etoposide) uye Platinol (cisplatin).
Chii Chaunogona Kuita Kuti Udzikise Ngozi Yako Yenguva Yakareba Yezvakaipa?
Kusvikira takaziva zvakawanda pamusoro pezvinhu zvekugara kwenguva refu zvichienderana nechikwereti chemotherapy kuvanhu vakuru, pane zvinhu zvishomanana zvaungaita:
- Kumbira oncologist yako nezvemhando ipi zvayo yaunogona kutarisira kubva kune imwe nzvimbo yemishonga yemishonga yawakapiwa. Pane kuongororwa kwekuongorora (somuenzaniso, kuongororwa kwematambudziko emwoyo, kurasikirwa kwekunzwa, kana osteoporosis) iyo yaizokurudzira?
- Chengetedza rekodhi yako chemotherapy regimen newe kana iwe ukaona chiremba asingazivi nezvehutano hwako.
- Kana iwe utsi, siya.
- Ita nhengo dzemazuva ose nedhigirii wamazino uye chiremba weziso.
- Ita basa rinowanzoitwa mumuviri.
- Deredza kunwa kwako doro.
- Rega chiremba wako azive kana iwe uchinge uona zviratidzo zvitsva kana kuwedzera kwezviratidzo zvemazuva ano zvaunazvo.
Nokupukunyuka kwevana vechirwere chepwere , nyaya dzekuchengetedza dzakagadziriswa mukugadzirisa kwakanakisisa:
- Kuenderera mberi Kwenguva Yakazara Mirayiridzo Yevanopona Vechidiki, Vana Vechiduku, uye Young Cancers Adult
> Sources:
> American Society of Clinical Oncology. Cancer.Net. Migumisiro Yemazuva Ekupedzisira.
> Hu, M. et al. Cancer therapies uye bone utano. Nhasi Rheumatology Reports . 2010. 12 (3): 177-85.
> Institute of Medicine. Cancer Survivorship Care Planning. Chokwadi Sheet.
> National Cancer Institute. Chemotherapy uye Iwe: Kutsigira Vanhu Vane Kanzera. Chemotherapy Side Effects.