Zimene Mukuyenera Kudziwa Kale, Panthawi Ndiponso Pambuyo Pathandizidwa
Chemotherapy (kutchulidwa kuti kee-mo-ther-apee) mawotchi ndi mankhwala omwe amawunikira ndi kupha mofulumira maselo, monga maselo a khansa. Chemotherapy ikhoza kuperekedwa mogwirizana ndi mankhwala ena a khansa (opaleshoni, ma radiation) kapena palokha. Katswiri wa zachipatala ( dokotala wodwala khansa ) (dokotala yemwe amalamula chemotherapy) angaganizire zinthu zingapo posankha njira zabwino zopangira mankhwala , kuphatikizapo msinkhu ndi kalasi ya khansa yanu komanso thanzi lanu.
Momwe Chemotherapy Amagwirira Ntchito
Mankhwala a chemotherapy amayenda m'thupi mwako ndikupha maselo omwe akukula (akukula kapena akuphatikiza) mofulumira. Pali mitundu yambiri ya maselo omwe amagawanika mwamsanga m'thupi mwathu kupatulapo maselo a khansa , kuphatikizapo m'matumbo anu, tsitsi, khungu, ndi misomali. Ichi ndicho chifukwa chachikulu chomwe mankhwala ambiri amakhudzidwa ndi tsitsi, khungu, ndi m'mimba. Mankhwala a mankhwala a chemotherapy sangathe kusiyanitsa pakati pa maselo omwe amagawanika mofulumira (tsitsi) ndi maselo a khansa m'thupi lanu, kotero amawapha onse poletsa kubwereza. Komabe, maselo wathanzi omwe amatanthauza kupatukana mofulumira (monga tsitsi kapena misomali) adzasinthidwa pomaliza mankhwala a chemotherapy, mosiyana ndi maselo a kansa omwe aphedwa.
Chifukwa Chake Nkhaniyi ikukhudzidwa
Gawo lanu la khansa la colonji ndi kalasi ndi gawo lofunika la kulingalira kwa mankhwala .
Ngakhale kuti regimen iliyonse ya mankhwala imamangidwa payekha, ambiri mwa anthu omwe ali ndi khansa ya pamtunda 0 ndi siteji yoyenera sangafune chemotherapy.
Dokotala akhoza kulamula chemotherapy, pamodzi ndi mankhwala ena (ma radiation, opaleshoni), mu kansa ya II ndi gawo lachitatu la khansa ya coloni . Nthawi yamachiotherapy yanu (musanayambe opaleshoni kapena poizoni) imadalira dokotala wanu.
Pachilombo cha khansa ya IV , dokotala akhoza kulamula chemotherapy kuthandizira kuthetsa zizindikiro zanu kapena kuwonjezera khalidwe lanu ndi kutalika kwa moyo wanu.
Kulimbitsa thupi, Adjuvant, kapena Primary?
Pali zifukwa zambiri zomwe dokotala wanu angapangire mankhwala othandizana ndi mankhwala ochotsera mankhwala (mankhwala ophera tizilombo toyambitsa matenda). Akhoza kulamula mankhwala othandizira mankhwala kuti apereke chithandizo chamankhwala (adjuvant) (mankhwala owonjezera), monga mankhwala othandizira kapena othandizira.
Mpumulo wa matenda opatsirana pogwiritsa ntchito khansa ya coloni yapamtunda yapamwamba komanso yowonjezereka ingapezedwe mwa kuchepa kwa zotupa ndi chemotherapy mawonekedwe, komanso kuwonjezera umoyo wanu ndi khansa.
Mankhwala a mankhwala a Adjuvant amaperekedwa limodzi ndi mtundu wina wa chithandizo chamankhwala, monga opaleshoni. Chemotherapy ingagwiritsidwe ntchito musanayambe opaleshoni, kuti muchepetse chotupa musanayambe kuchitidwa opaleshoni , kapena mutatha opaleshoni, kuti muchepetse ngozi yanu yobwereza .
Mankhwala oyambirira a chemotherapy amaperekedwa ngati njira yokhayo yothandizira khansa ya colon . Kusakaniza ndi kuchotsa opaleshoni ndi njira yowonjezereka kwambiri ya khansa yamtunda , koma nthawi zina munthu amadwala kwambiri kapena sangathe kupirira opaleshoni.
Ambiri Amagwiritsidwa Ntchito Amagetsi a Chemotherapy
Mankhwala a chemotherapy amabwera m'mitundu iwiri yoyambirira: m'kamwa ndi pamtima.
Mankhwala osokoneza bongo amathandizidwa ndi jekeseni kupyolera mu mitsempha, pamene mankhwala opatsirana pogwiritsa ntchito mankhwala ophera mankhwala amaperekedwa ndi pakamwa.
Mankhwala osokoneza bongo amatha kuperekedwa mozungulira, omwe amatsatiridwa ndi nthawi yopumula. Dokotala wanu adzatenga thanzi lanu, masewero anu a kansa ndi kalasi, mankhwala omwe amagwiritsidwa ntchito pa mankhwala a chemotherapy, komanso zolinga zamaganizo mukuziganizira pamene mukuganiza kuchuluka kwa mankhwala oyenera. Pambuyo pa mankhwala a chemotherapy ayamba, dokotala wanu adziŵa bwino lomwe kuti mudzatenga chithandizo chotani kuchokera kwa thupi lanu poyankha mankhwalawa.
- 5-FU , Adrucil, Efudex, Fluoroplex (fluorouracil): Amagwiritsidwa ntchito pofuna khansa yapakhungu, khansara yowonongeka, ndi khansa zomwe sizikugwirizana ndi mankhwala enaake.
- Eloxatin (oxaliplatin): Amagwiritsidwa ntchito pofuna khansa yapakhungu, khansa yowonongeka , kapena khansa ya pa stage III pambuyo pa opaleshoni.
- Xeloda (capecitabine): Amagwiritsidwa ntchito pamapiritsi, omwe amagwiritsidwa ntchito pochita khansa yachitatu.
- Camptosar (irinotecan, irinotecan hydrochloride): Amagwiritsa ntchito khansa yowonongeka kwambiri, makamaka imene imayankha mitundu ina ya mankhwala a chemotherapy.
- Wellcovorin (Leucovorin Calcium): Kutenga mankhwalawa, mankhwalawa amathandiza kuchepetsa zotsatira zovulaza kuchokera ku mankhwala otchedwa chemotherapy agents, monga 5-FU, koma si mankhwala a chemotherapy.
Mankhwala amtundu wa III ndi IV omwe nthawi zina amathandizidwa ndi mankhwala omwe amagwiritsidwa ntchito ndi mankhwala a FOLFIRI, FOLFIRI-B, XELOX, ndi FOLFOX. Mayinawa ndi kuphatikiza zidule za mankhwala a chemotherapy ophatikizapo kuphatikiza.
- FOLFIRI = Leucovorin calcium + fluorouracil + Irinotecan hydrochloride
- FOLFIRI-B = Leucovorin calcium + fluorouracil + Irinotecan hydrochloride + Bevacizumab
- XELOX = Xeloda + oxaliplatin
- FOLFOX = Leucovorin calcium + fluorouracil + oxaliplatin
Kodi Ndikufunikira Port?
Gombe ndi chipangizo chopangidwa ndi opaleshoni chimene madotolo ndi anamwino amagwiritsa ntchito kuti apeze mitsempha yanu mobwerezabwereza, zomwe zingathandize kuchepetsa kupweteka ndi kupweteka kwa mitsempha yanu panthawi ya mankhwala. Mipata ndi mizere imagwiritsidwa ntchito pamene chemotherapy imaperekedwa mosalekeza, monga kulowetsedwa pampu.
Phokoso kapena mzere wapakati sikunapangidwe kwa aliyense, monga momwe amachitira opaleshoni ndi zoopsa, monga kutaya mwazi, matenda, ndi kusagwira ntchito. Dokotala wanu adzasankha (payekha-ngati-maziko) ngati muli ovomerezeka pa mzere wapakati kapena kuwulowetsako. Ngati chipangizo chapakati chikuyikidwa, madokotala ndi anamwino anu adzagwiritsa ntchito mankhwalawa kuti azigwiritsa ntchito mankhwala a chemotherapy. Ngati mulibe mzere wapakati kapena doko, namwino adzaika catheter yogwilitsika musanayambe gawo lililonse .
Kodi Ndipita Kuti Kuchipatala?
Ambiri a chemotherapy administration amapezeka muofesi yanu ya oncologist kapena kuchipatala chapachilumba cha odwala. Dokotala wanu akhoza kukhala ndi maudindo osiyana awiri; Yesetsani kupeza malo apafupi ndi kwanu kuti muchepetse mavuto aliwonse oyendayenda.
Zotsatira Zotsatira ndi Ngozi
Mwina lingaliro loyamba lomwe limalowa m'maganizo mwanu mutamva mawu akuti chemotherapy ndi zotsatira zoyenera zomwe mungakumane nazo. Mankhwala a chemotherapy ndi othandiza ndipo amabwera ndi mndandanda wautali. Komabe, dokotala wanu ndi anamwino amaphunzitsidwa kuyembekezera zotsatirapozi ndipo angakuthandizeni kuchepetsani mankhwala anu onse. Zomwe zimayambitsa matenda a chemotherapy zingakhale monga:
- Kusuta, kusanza kapena kutsekula m'mimba
- Kutaya njala
- Kukopa khungu, mitsempha kapena kutengeka kwa dzuwa
- Nthenda ya magazi yochepa (neutropenia)
- Lethargy ndi kutopa
- Zilonda zamkati
- Kunjenjemera kapena kugwedeza m'manja ndi mapazi
- Kutupa manja ndi mapazi
- Kutengeka kwa chimfine ndi matenda
Kufooketsa Zotsatira Zachilendo
Dokotala wanu ndi anamwino adzakuthandizani pa zovuta zilizonse zomwe mukukumana nazo ndi mankhwala a chemotherapy. Pali zinthu zambiri zomwe mungadzipange nokha - muli ndi udindo waukulu kuti mukhale ndi thanzi labwino pa nthawi ya kupuma, zakudya, ndi ukhondo . Kumbukirani ku:
- Sungani pachipsu cha ayezi panthawi ya mankhwala (kuchepa kwa zilonda zam'kamwa pambuyo)
- Gwiritsani ntchito njira zoyenera kutsuka nthawi zonse
- Khalani kutali ndi magwero a matenda (masitolo akuluakulu, sukulu) ngati n'kotheka
- Idyani chakudya chochepa, chopatsa thanzi nthawi zambiri
- Khalani hydrated ndi madzi ambiri
- Kupuma pamene pakufunika - sunga mphamvu zako
- Lankhulani ndi dokotala wanu za njira zothetsera kunyowa ndi kutsekula m'mimba
- Onetsetsani zizindikiro za matenda ndikuwawuza dokotala wanu
Kuyankhula kwa Dokotala Wanu
Ndi zachilendo kuti mukhale ndi mafunso ambiri okhudza chithandizo cha khansa yanu yoyandikira. Zikondwerero zambiri zachiphunzitso zimapereka gawo lophunzitsira za mankhwala a chemotherapy omwe amatsogoleredwa ndi namwino wa chiwerewere musanayambe mankhwala. Sinkhasinkha mafunso awa musanachite dokotala wanu wotsatira:
- Kodi cholinga changa cha mankhwala ndi chemotherapy n'chiyani? (zolimbitsa thupi, zowononga, zowonongeka pamaso pa opaleshoni)
- Kodi mankhwala a chemotherapy adzakhala njira yoyamba yothandizira?
- Kodi ndipeza mankhwala otani a chemotherapy? Mwamwano kapena mwachangu?
- Kodi chiopsezo cha khansara ndikubweranso bwanji chemotherapy?
- Ndidzakhala ndi mankhwala otani?
- Ndikangotenga kangati mlungu uliwonse?
- Kodi ndingathe kugwira ntchito?
- Kodi ndifuna winawake kuti anditengereko kupita kuchipatala?
- Kodi ndi zotsatira zotani zomwe zimachitika ndi mankhwalawa?
- Mukukonzekera bwanji kuchepetsa zotsatirazi? (mankhwala, maphunziro)
- Ndiyenera kuyembekezera chiyani pakadwala?
- Ndiyenera kukuitana liti? (malungo, kuthamanga)
- Kodi inshuwalansi yanga ikhoza kulipira?
Lembani mafunso anu ndi zinthu zina zatsopano zimene zimakhalapo. Lankhulani ndi dokotala wanu ndi anamwino kawirikawiri mukamapereka chithandizo - iwo ndi othandizana nawo pankhondoyi.
Zotsatira:
American Cancer Society. (nd). Makhalidwe a Chemotherapy: Kukambitsirana Kwambiri.
American Cancer Society. (2006). Buku Lopatulika la American Cancer Society Loyamba kwa Khansa Yoyamba . Clifton Fields, NE: American Cancer Society.
National Cancer Institute. (December 2011). Mankhwala Ovomerezedwa kwa Kansa ndi Rectal Cancer.
Lange, V. (2009). Khala Wopulumuka. Buku Lopereka Chithandizo cha Khansa Yoyamba . (4th ed.). Los Angeles: Lange Productions.