BEACOPP Matenda a Chemotherapy ndi Nthawi ya Matenda a Hodgkin

BEACOPP - Mankhwala osokoneza bongo, Ndondomeko Yowonongeka, ndi Zotsatira Zowonongeka

Ngati mwauzidwa kuti BEACOPP chemotherapy ikulimbikitsidwa ndi matenda anu a Hodgkin, kodi izi zikutanthauza chiyani? Kodi mankhwalawa akugwiritsidwa ntchito liti?

BEACOPP Chemotherapy Regimen - Tanthauzo

BEACOPP ndi mankhwala a chemotherapy regimen (mankhwala osokoneza bongo) omwe amagwiritsidwa ntchito pochiza chitukuko cha Hodgkin lymphoma . Ndi njira yodziwika ndi yogwira ntchito yotchedwa chemotherapy yomwe imakhalapo kwa odwala atsopano amene ali ndi matenda ambiri.

Ngakhale kuti sikunagwiritsidwe ntchito kwambiri ku US, zimatengedwa kuti ndi mankhwala omwe amagwiritsidwa ntchito pamtundu wa III kapena IV Hodgkin lymphoma m'mayiko ena a ku Ulaya.

Mankhwala Ogwiritsidwa Ntchito mu Regimen ya BEACOPP

Kuphatikiza kwa mankhwala asanu ndi awiri amagwiritsidwa ntchito ku BEACOPP.

• Cytoxan / Neosar (Cyclophosphamide) - amapatsidwa ngati kulowetsedwa m'mitsempha yanu tsiku 1.
• Adriamycin / Rubex (Doxorubicin) - amapatsidwa ngati kulowetsedwa m'mitsempha yanu tsiku 1.
• VePesid (Etoposide) - anapatsidwa ngati kulowetsedwa m'mitsempha yanu masiku 1 mpaka 3.
• Matulane (Procarbazine) - amapatsidwa ngati mapiritsi omwe ayenera kutengedwa pakamwa masiku 1 mpaka 7.
• Prednisone - amapatsidwa ngati mapiritsi omwe ayenera kutengedwa pakamwa masiku 1 mpaka 14
• Blenoxane (Bleomycin) - amaperekedwa ngati jekeseni yafupipafupi pa tsiku 8.
• Oncovin (Vincristine) - anapatsidwa ngati kulowetsedwa kwafupipafupi pa tsiku 8.

Kodi Kawirikawiri Zimaperekedwa Bwanji?

Ulendo uliwonse wa BEACOPP uli ndi kuyang'anira mankhwala asanu ndi awiriwa pa tsiku lomwe adakonzekera. Ulendo uliwonse umabwerezedwa tsiku lililonse masiku 21.

Kodi Ndi Zambiri Ziti Zomwe Zikufunikira?

Kawirikawiri mapiri a 6 mpaka 8 a BEACOPP amafunika kukhala mankhwala a chemotherapy omwe ali pachilombo chopita patsogolo.

Mayesero Amafunika ndi BEACOPP Chemotherapy

Pamaso pa BEACOPP chemotherapy yayamba, kuwerengera kwa magazi komanso kuyesa kwa magazi kwa impso ndi chiwindi ntchito zikuchitika. Pulogalamu yamakono (mtima ultrasound) imafunika kuyesa ntchito yamtima musanayambe mankhwala.

Monga doxorubicin ikhoza kukhudza mtima nthawi zina , ndikofunika kuti mudziwe ngati mukudzifanizira pakapita nthawi. Chifuwa cha x-ray ndi mapapu chikhoza kugwiritsidwa ntchito poyeza kuti mapapo amatha kusagwiritsa ntchito bleomycin, chifukwa mankhwalawa angakhudze mapapo (pulmonary toxicity).

Pa mankhwala a chemotherapy, chiwerengero cha magazi chikufunika nthawi iliyonse musanayambe kulandira mankhwala. Mayesero ena akhoza kubwerezedwa moyenera.

Zotsatira Zotsatira Pa Chemotherapy

Popeza chemotherapy ikuukira mofulumira maselo ngati maselo a khansa, ikhoza kuthandizanso maselo ambiri m'thupi lanu kuti azichulukana mobwerezabwereza monga mafupa anu, kupaka m'mimba, ndi kupaka tsitsi. Izi zingachititse:

• Kuchuluka kwa maselo oyera a magazi . Kugwa mu chiwerengero chanu choyera ndi chofala ndipo chidzayang'aniridwa nthawi zonse. Zizindikiro za kukula kwa mankhwala monga Neulasta ndi Neuopogen zimagwiritsidwa ntchito mobwerezabwereza pamodzi ndi mankhwala a chemotherapy kuti awonetsere kuchuluka kwa maselo oyera a magazi. Ngati chiwerengero chanu choyera chikhalabe chochepa ngakhale izi zikukula, chemotherapy ikhoza kuchepetsedwa mpaka mipikisano yanu itabwerera kumalo ovomerezeka. Popeza muli ndi maselo apang'onopang'ono kuti muteteze ku matenda, ndi kofunika kutsatira ndondomeko zoteteza wanu oncologist kukuuzani. Ndizofunikanso kutchula dokotala mwamsanga pamene muli mankhwala a chemotherapy ngati mukufuna kukhala ndi malungo kapena zizindikiro zina za matenda.

• Nthenda ndi kusanza zikhoza kukhala zachilendo, ndipo anti-emetics (mankhwala omwe amathandiza kuti asamangidwe ndi kusanza) adzalangizidwa nthawi zonse. Mankhwala ena amaperekedwa kuti athetse chifuwa ndi kusanza, pamene ena akulamulidwa kuti azichiza nthenda yomwe ilipo kale. Ndikofunika kwambiri kugwiritsa ntchito mankhwala odziteteza musanakhale ndi vuto lililonse, chifukwa sagwira ntchito mutakhala kale ndi zizindikiro. Dokotala wanu adzakuuzani za mitundu yosiyanasiyana ya nseru , ndi momwe mankhwala amagwiritsira ntchito pa izi.
• Kutaya tsitsi kumakhala kofala ndipo kawirikawiri kumayamba masabata angapo mutangoyamba kumene mankhwala a chemotherapy. Kukonzekera patsogolo - kupeza zivundikiro za wig kapena mutu - ndizothandiza kwa anthu ena. Tsitsi lanu lidzakula, kotero anthu ena amawunikira kuti ayambe kugwiranso ntchito ndikuganiza kuti mankhwala a chemotherapy akugwira ntchito yawo powonetsetsa tsitsi lawo kukhala lochepa thupi.

• Zilonda zam'mimba zomwe zimachokera ku chemotherapy zimakhala zopweteka, koma nthawi zina matenda amatha kukhala m'mimba mwa zilonda. Zingakhale zothandiza kupewa zakudya zomwe zili "zolimba" monga toast ndi crackers, ndipo idyani zakudya m'malo mofewa - monga mazira otsekemera ndi mbatata yosenda. Zakudya zamchere ndi iwo okhala ndi citric acid zingakhalenso zovuta. Kuphunzira zakudya zomwe ziri bwino ndi zoipitsitsa kudya ndi zilonda zam'kamwa zingathe kuyenda motalikira kuti mbali iyi ikhale yolekerera.
• Kutsekula m'mimba - Kutsekula m'mimba kungakhale kovuta pamene mukudutsa chemotherapy. Onetsetsani kuti mukulankhulana ndi dokotala ngati muli ndi vutoli, ndipo onetsetsani kumwa zakumwa zambiri kuti muchepetse chiopsezo chotaya thupi.
• Kusokonezeka kwa khungu ndi misomali - Kusintha kwa fingernail ndi toenil isintha ndi mankhwala a chemotherapy mu regimen iyi.
• Mphari wokhudzana ndi ubongo - Mungaone kusintha kochepa kwa zowawa mmanja ndi m'mapazi.

Thandizo

Ngati mwapezeka kale, Zingakhale zodabwitsa kuti mudziwe kumene mungayambe. Pitani kwa achibale ndi abwenzi. Musayese kukhala wodala - ino ndi nthawi yabwino kuphunzira kuti anthu akuthandizeni. Ganizirani kulowetsa gulu lothandizira m'dera lanu, kapena kulumikizana ndi anthu ena pa intaneti pogwiritsa ntchito chitukuko. Ndipo khalani ndi chiyembekezo. Mankhwala opatsirana khansa - komanso kuyang'anira zotsatira zake - akhala bwino kwambiri m'zaka zaposachedwapa.

Okondedwa

Ngati ndi wokondedwa wanu yemwe watulukirapo, yang'anani malangizo awa pa zomwe simuyenera kunena kwa wina amene ali ndi khansa ndikuyang'ana zina mwazimene adzakumane nazo mu masabata ndi miyezi ikubwerayi.

_Zotsatira:

_{Engert, A. ABVD kapena BEACOPP ya Advanced Hodgkin Lymphoma. Journal of Clinical Oncology . 2015 Dec 28. (Epub patsogolo pa kusindikiza).}

_{Buku la Kansa Chemotherapy. Kusindikiza kwachisanu ndi chiwiri. Mkonzi: Roland T Skeel. Lofalitsidwa ndi Lippincott Williams ndi Wilkins, 2007.}

_{Uhm, J., ndi J. Kuruvilla. Kuchiza kwa Hodgkin lymphoma yapamwamba yowopsa. Kupenda kwa Magazi . 2012. 26 (4): 167-74.}