First-Line vs Second-Line Therapy for Cancer
Ndeipi chaiyo mushonga wekutanga? Izvozvo zvakasiyana sei nekusarudzwa kwemashure maviri, uye chii chimwe chaunoda kuziva?
Mushonga wokutanga-mutsara unongoreva kutanga, kana kuti kutanga kurapwa kunorayirwa chirwere kana chirwere. Nemamiriro mazhinji, kusanganisira chirwere, pane zvakawanda zvinogona kurapwa zvinogona kubudirira. Kutanga-mutsara mushonga ndeyekuti, kune vanhu vazhinji, vanotarisirwa kugovera zvibereko zvakanakisisa nemamwe mashoma emigumisiro.
Mishonga yokutanga inotanga kuchinja nguva yose nekenza. Sezvo zvitsva zvidzidzo zvitsva zvinosarudza zviri nani, zvisinei zvinosanganisira kuvhiyiwa, kurapwa kwemaawa, chinangwa charo, kana kuti immunotherapy, mazano "ekutanga" kurapa kwechirwere ari kuramba achichinja.
Chii Chaicho Chaicho Chekutanga-Mushonga Wokurapa?
Nzira yekutanga kurapwa kazhinji inowanzobatwa (iyo "yegoridhe" ) inopiwa apo mumwe munhu anoonekwa ane chirwere kana chirwere chaipo, zvakadai sekenza yemapapu. Mune mamwe mazwi, zvinenge zvichiitwa kurapwa kwevakawanda pavecologists vangatanga kusarudza mukurapa mumwe munhu. Izvozvo zvakati, hakuna hurumende "mitemo" inotaura kuti kurapa kunofanira kusvika zvakadini pakutanga, uye kuwedzera pane izvozvo, zvakakosha kushanda newavo oncologist kusarudza kurapa kwakakunakira iwe. Iwe chete iwe unogona kuva mupepeti wako uye sarudza marapirwo anokupa iwe zvakanakisisa kuburikidza nekuderedza migumisiro yaunoda kuvhiringidza.
Nezvekenza, mushonga wekutanga-mutsamba unogona kunge uri kusanganiswa kwezvirwere, zvakadai sekuvhiyiwa, chemotherapy, uye remishonga inonzi radiation, yakapiwa mukutevera. Nokudaro, izwi rinopfuura raizove rave "rokutanga-kurapa remitemo kana protocol."
Kusiyana nekurapa kwekutanga, mutsara wechipiri kazhinji kazhinji kurapwa kunosarudzwa mushure mekurapa kwekutanga kwekutanga kwakakundikana kuzadzisa chinangwa chako, kana kuti kune migumisiro inokuda kuti urege kushandisa mushonga iwoyo.
Mishonga yechipiri-line inowanzoperera kune mishonga yekutanga asi kwete nguva dzose. Semuenzaniso, nekenza yemasitamende yepamuviri, chirwere chechipiri-line chinotadzisa kusava nekenza yenguva yakareba kwenguva yakareba sekurapa kwekutanga.
Mukuwedzera kune zvekutanga uye zvechipiri mishonga, kune dzimwe nguva dzimwe sarudzo. Semuenzaniso, nekenza yemasitamende yemasasa, unogona kunzwa inconologist yako ichitaura nezvechina-line remishonga. Izvi zvinogona kuedzwa apo chekutanga, yechipiri, uye chetatu mishonga isingashandisi kudzora kenza.
Inogona Kutambudza Izvoye Kanzira
Kenza yese yakasiyana, uye zvinokosha kuchengetedza izvi mupfungwa kana iwe uchinzwa nezveimwe mushonga wehutano hwako. Mutsara wokutanga mushonga weimwe kenza yemutambo uye yeroti inogona kunge yakasiyana neyekutanga kutariswa kwekenza yemumwe munhu wechimiro chimwechete uye chikwata asi imwe yakasiyana-siyana yemafuta. Mukuwedzera kune izvozvo, zvimwe zvinhu zvakadai sekukwegura, hutano hutano, uye huripo-huripo hunoita kuti ipe mushonga wekutanga kumunhu mumwechete sechipiri-line therapy kune mumwe.
Yokutanga-Mvura Kuporesa Icho Chisarudzo
Tiri kupinda munguva inozivikanwa se "mushonga unobatanidzwa" umo varwere vane zvakawanda zvinobatanidzwa muhutano hwavo.
Zvisarudzo zvinoitwa sechikwata, panzvimbo yehukama hwevabereki pakati pechiremba nevarwere vekare. Pashure pekukurukurirana, uye kudzidza zvakawanda sezvaunokwanisa pamusoro pekenza yako, iwe unogona kunge une chisarudzo pakati pemakwara akasiyana.
Mibvunzo Yokubvunza
Apo iwe nachiremba wako muchiona mushonga wekutanga-mutsara kana mishonga yekutanga, tarisa nemibvunzo iyi.
- Tsanangurira rudzi uye shato uye molecular profile yemarara yako. Pane imwezve yedzipi inofanira kuitwa?
- Ndeipi chinangwa chako pakugamuchira iyi kurapwa?
- Ndeipi migumisiro yechirwere iwe unoda kuregerera?
- Ndeipi mutsara wechipiri mushonga kana mushonga uyu usingashande. Zvakadini nechetatu-mutsara, wechina-line, nezvimwe?
- Pane here maikiriniki maedzo anowanikwa angave akakodzera kuenderana nezvaunoda? Bvunza pamusoro peizvi, kana kutsvakurudza izvi pakarepo, sekumwe kurapwa kwemitambo yekutanga kunogona kukukanganisa kubva mune zvimwe zvidzidzo zvechiremba.
- Ndeipi mari yaunofunga iwe yekurapa (s)?
- Chii chinowanikwa kubudirira kwehuwandu hwekurapa (s)?
- Ndezvipi zvimwe zvinogona kuitika?
- Iwe uchakurumidza kutanga sei kurapwa?
- Ndeipi kupi waungakurudzira kuti ndive nerutivi rwechipiri ?
Tsananguro Nezvekurapa Kwisina Kurapa
Zvakakosha pakutaura pamusoro pemishonga kunotsanangura zvinorehwa ne "mamwe marapirwo." Vanhu vakawanda ikozvino vanoshandisa mutsara mamwe maitiro ekurapa kutaura kune dzimwe nzira dzokurapa dzinopiwa nedzimwe nzvimbo dzekenza. Mumamiriro ezvinhu aya, kurapwa kwakafanana nekugadziriswa, kufungisisa, kuisa muviri, uye yoga zvinoshandiswa nenzira yekubatanidza - ndiko kuti, inoshandiswa pamwe chete nemishonga yemagariro yakadai sedhemotherapy. Aya mazano ekuwedzera anogona kubatsira vamwe vanhu kurarama nemigumisiro yemigumisiro yekenza uye mishonga yekenza.
Pane kuve kune kufarira (uye dzakawanda internet scams) nemamwe nzira dzinoshandiswa dzinotsiva imwe kurapwa kwemishonga inowanzogadzirwa.Iyo inotyisa, uye pane iye zvino hapana mishonga yakasiyana iyo inogona kuonekwa semushonga wekutanga wekenza.
Pasi Pasi
Mishonga yekutanga-ndeye iyo iwe uye oncologist ingasarudza sekanakisisa kusarudzo yekutanga kune kenza yako. Iko kune dzimwe nzira dzakasiyana-siyana dzakasiyana-siyana dziripo, asi mishonga yekutanga ndeye iyo inotarisirwa kutarisa chirwere chako nemashoma emigumisiro munharaunda. Pasinei nemishonga yechipiri nemishonga yako nekenza yako yakaderera, kana kuti panzvimbo inogona kushandurudzwa, nerapa rokutanga remishonga ichabva pane zvinhu zvakawanda zvakasiyana. Tora nguva yekudzidza nezvekenza yako kuitira kuti iwe ugone kuita sarudzo yakadzidza pamusoro pemishonga inofanirwa kuva mishonga yekutanga.
Uyewo Anozivikanwa se: first-line therapy, primary therapy, primary treatment, induction therapy
Mienzaniso: Dan's oncologist akakurudzira chemotherapy semutambo wekutanga wekenza yemapapu ake. Akatiudza kuti aizotarisa maitiro ekurapa kurapwa semutsara wechipiri mushonga kana Dan asina kupindura mushonga.
> Sources:
> American Society of Clinical Oncology. Cancer.Net. Zvakadini kana mushonga wekutanga usingashande? Updated 01/2016. http://www.cancer.net/navigating-cancer-care/how-cancer-treated/when-first-treatment-doesnt-work