Kodi Mafilimu Akukumbukira Chiyani?

Kumbukirani Mmene Mayi Akugwiritsira Ntchito Chemotherapy ndi mankhwala a radidiation

Kodi kukumbukira ma radiation ndi chiyani chomwe muyenera kudziwa ngati mukulandira (kapena analandiridwa) mankhwala onse a chemotherapy ndi mankhwala opatsirana khansa ya m'mapapo?

Mwachidule

Mafilimu amakumbukira ndi zotupa zomwe nthawi zina zimachitika munthu akamalandira mankhwala a chemotherapy omwe amatsatira mankhwala a khansa. Zizindikiro zikhoza kuchitika patangopita masiku ochepa chabe pamene mankhwalawa akutha, kapena patapita zaka.

Sitikudziwa kuti nthawi zambiri izi zimachitika bwino bwanji, komabe kafukufuku wina amapezeka kuti anthu 9 mwa anthu 100 alionse amapita kuchipatala komanso chemotherapy kwa khansa.

Zizindikiro

Zizindikiro za kukumbukira kwa dzuwa zimabwera chifukwa cha kutupa kudera lomwe poyamba linkachiritsidwa ndi poizoni.

Mafunde akumbukira dermatitis - Mitundu yowonjezereka yowona ndikumwalira kwa dothi, kuthamanga kwa khungu kumaphatikizapo kufiira, kutupa, ndi / kapena kupaka khungu. Kuthamanga kumakhala kowawa komanso kumakhala koopsa kwambiri. Izi nthawi zambiri zimatsatiridwa ndi kusungunuka motsatizana ndi kutuluka kwa khungu pambuyo pochiritsidwa. Kutalika kwa nthawi kuthamanga kumachitika kungakhale kosiyana ndi maola angapo mpaka masiku angapo.

Mafunde akumbukira pneumonitis (kutupa kutupa) - Kukumbukira mazira kungathenso kukhudza mapapo. Popeza kuti mpweya wa pneumonitis wosagwirizana ndi kukumbukira ukhoza kuchitika mwa anthu ena pambuyo pa chithandizo chamagazi, izi zingakhale zovuta poyambirira kusiyanitsa.

Mwachisangalalo iwo amachitiridwa m'njira zofanana.

Madera ena omwe angakhudzidwe ndi monga pakamwa (kukumbukira kukumbukira mucositis), larynx, epopus, m'mimba, katumbo kakang'ono, minofu (radiation kukumbukira myositis), ndi ubongo.

Zimayambitsa

Palibe amene akudziwa motsimikiza chomwe chimayambitsa machitidwe a kukumbukira ma radiation, ndipo mfundo zambiri zafotokozedwa.

Nthano yodziwika ndi yakuti ndi mtundu wina wa hypersensitivity reaction umene umapangidwa ndi kuphatikiza kwa radiation ndi chemotherapy.

Mankhwala Amene Angakhale Chifukwa

Ngakhale kuti kukumbukira kwa dzuwa kumakhala kofala kwambiri ndi mankhwala a chemotherapy, mankhwala ena, monga mankhwala osokoneza bongo komanso ngakhale mankhwala owonjezera, akhala akugwirizana ndi kukumbukira kwa mafunde.

Mankhwala atsopano a mankhwala a chemotherapy amavomerezedwa m'zaka zaposachedwa ndipo ndikofunika kulingalira kukumbukira kwa dzuwa pamene wina akukula zizindikiro zatsopano za kutupa pamene akupanga chemotherapy. Mankhwala a chemotherapy omwe nthawi zambiri amagwirizanitsidwa ndi kukumbukira kwa dzuwa ndi awa:

• Adriamycin (doxorubicin)
• Doxil (liposomal doxorubicin)
• Taxotere (docetaxel)
• Taxol (paclitaxel)
• Gemzar (gemcitabine)
• 5-FU (fluorouracil)
• Xeloda (capecitabine)
• Cosmegen (dactinomycin)
• Matendawa (methotrexate)

Ndi khansara yamapapu, kukumbukira mazira akudziwikanso kwa wodwalayo pa chithandizo chomwe chinakakamizidwa Tarceva (erlotinib) pambuyo pa ma radiation.

Kudziwa

Palibe mayeso enieni omwe amatanthawuzira kukumbukira kutentha kwa dzuwa, ngakhale kutuluka kwa khungu kungakhale kosaonekera. Monga tanenera poyamba, nthawi iliyonse munthu akayamba kutupa mankhwala atsopano atapatsidwa kale mankhwala opatsirana pogwiritsira ntchito mankhwalawa, malowa akhoza kukumbukiridwa.

Nthawi zambiri malo omwe amapezekawo anali osowa kwambiri asanafike kutupa. Mwa kuyankhula kwina, sikuti kuwonjezereka kwapweteka kumeneku kunayambitsidwa ndi kupatsirana kwa dzuwa pa nthawi ya mankhwala.

Chithandizo

Chithandizo cha kukumbukira poizoni ndikumathandiza kwambiri kusamalira-kusamalira zizindikiro mpaka vuto lidzathetsekha.

Kuchotsa magwero a zomwe amachitapo (mwachitsanzo, kusiya mankhwala a chemotherapy akudziwika kuti ali ndi udindo) nthawi zambiri ndi sitepe yoyamba. Kukumbukira mafilimu kumawoneka ngati mankhwala osokoneza bongo kotero kuti kusintha kwa mankhwala ena sikungayambitse vuto ngati lingathetse vutoli.

Mankhwala monga corticosteroids ndi kukonzekera kutsutsa-kutupa angagwiritsidwe ntchito nthawi zina kuti achepetse kutupa.

Kuti mukhale ndi mazira osakanizika, mukhoza kuvala bwino. Kusinthasintha kophweka kwathandiza anthu ena kuthana ndi vutoli, koma nkofunika kuyang'ana ndi dokotala wanu pazomwe akuyamikira. Ngakhale kuthamanga kuli kuchiritsidwa, nkofunikanso kupeŵa chilichonse chomwe chikhoza kuwononga kupweteketsa, monga kutentha kwa dzuwa komanso kutentha kwa dzuwa.

Kupewa

Mwamwayi, n'kosatheka kufotokoza ngati wina angayankhe mankhwala enaake kapena mankhwala ena atatha mankhwala. Ngati wina atha kukumbukira kutuluka kwa mpweya nthawi ina, sichidziwikiratu ngati chidzachitika kachiwiri.

Kukumbukira mafilimu kumaoneka ngati kosazolowereka ngati nthawi ya pakati pa radiation ndi mankhwala ndi yautali, koma kupititsa nthawi pakati pa mankhwala a radiation ndi chemotherapy sikungakhale kusankha bwino ngati khansara imaganiziridwa bwino kuti mankhwalawa ayandikire limodzi.

_Zotsatira:

_{Awad, R., ndi L. Nott. Mafunde akumbukira pneumonitis chifukwa cha erlotinib pambuyo pa palliative thoracic radiotherapy ya kansa ya m'mapapo: Lipoti la nkhani ndi zolemba zolemba. Asia Pacific Journal of Clinic Oncology . 2016. 12 (1): 91-5.}

_{Azria, D. et al. Mafunde akumbukira: chinthu chodziwika bwino koma chosasamalidwa. Ndemanga za Chithandizo cha Khansa . 2005. 31 (7): 555-70.}

_{Burris, H. ndi J. Hurtig. Mafilimu amakumbukira ndi antchito oyambitsa matenda. Oncologist . 2010. 15 (11): 1227-37.}

_{Caloglu, M. et al. Chinthu chodziwikiratu cha ma radiation ndi mankhwala: kumbukirani zotsatira. Onkologie . 2007. 30 (4): 209-14.}

_{Kodym, E. et al. Kuchuluka kwa ma radiation kukumbukira dermatitis kwa odwala khansa akulu. Onkologie . 2005. 28 (1): 18-21.}