"Yachibadwa" Msuzi Wofiira kuchokera ku Adriamycin vs Hemorrhagic Cystitis
Kodi ndi zachilendo kukhala ndi mkodzo wofiira mutatha mankhwala a chemotherapy? Yikes! Koma ngati mwawona mkodzo wofiira usiku wa chemotherapy, musachite mantha. Mutha kukhala omasuka kwambiri kumva kuti sikungakhale kanthu koma chokhumudwitsa mmalo mwa chizindikiro chochenjeza.
Zifukwa Zomwe Mzere Wanu Umayendera Pambuyo pa Chemotherapy
Pali zifukwa zochepa zomwe mkodzo wanu umakhala wofiira pakutsatira mankhwala a chemotherapy.
Kawirikawiri izi zimangogwirizana ndi mtundu wa mankhwala, choncho, osati vuto. Nthawi zina zingakhale zovuta. Tiye tikambirane za mwayi umenewu, ndipo ndikuyembekeza, kuchepetsa malingaliro anu.
Anthracyclines ndi Minofu Yofiira: Doxorubicin, Daunorubicin, ndi Idarubicin
Ngati mwapeza CHOP-R chemotherapy kapena gawo lanu loyamba la chemo pa khansa ya m'mawere ndi Adriamycin , chifukwa chachikulu cha mtsuko wanu wofiira ndi mtundu wa mankhwala (koma onetsetsani kuti mukuwerenga ngati muli ndi Cytoxan).
Chifukwa chachikulu cha izi ndi doxorubicin mankhwala, "H" mu protocol ya CHOP. Doxorubicine yomwe mungadziwe ndi dzina lake Adriamycin watchulidwa kuti "satana wofiira." Ngati mwawona kuti madzi ofiira amalowa m'mitsempha yanu, izi ndi chifukwa chofiira utoto wofiira womwe umatulutsidwa mu mkodzo wanu, kuwoneka wofiira. Ngakhale kuti poyamba zingakhale zochititsa mantha, izi ndi zachilendo. Mukhoza kuyembekezera kuti izi zidzatha m'maola 48 otsatirawa.
Doxorubicin si mankhwala okha omwe amachititsa kuti mkodzo wanu ukhale wofiira. Mankhwala ena ogwiritsidwa ntchito pochiza magazi ndi khansa ya khansa yomwe ikhoza kuyambitsa mkodzo wanu wofiira ndi Cerubidine (daunorubicin) ndi Idamycin (idarubicin), kalasi ya chemotherapy mankhwala otchedwa anthracyclines.
Taganizani kuti ndizodabwitsa?
Novantrone (mitoxantrone), mankhwala ena ogwiritsidwa ntchito pochiza khansa ya magazi, ikhoza kutembenuza mkodzo wanu mtundu wa buluu!
Hemorrhagic Cystitis Kuchokera ku Chemotherapy
Musanayambe kuthawa kwathunthu, werengani pang'ono pokha. Magazi mumtsinje angayambitsenso kuyang'ana wofiira. Pali zambiri zomwe zimayambitsa magazi mu mkodzo, kuphatikizapo matenda otchedwa hemorrhagic cystitis. Ngakhale sizingatheke kuti izi zichitike tsiku la chemo yanu, Cytoxan (cyclophosphamide), "C" mu protocol ya CHOP, kapena mankhwala omwe amagwiritsidwa ntchito pamodzi ndi Adriamycin (doxorubicine) pa nthawi yoyamba ya khansa ya m'mawere chemotherapy, angayambitse matenda oopsa a cystitis.
Hemorrhagic cystitis kuchokera ku chemotherapy imapezeka pamene mankhwala opangidwa ndi mankhwala otchedwa acrolein amakwiyitsa chikhodzodzo cha chikhodzodzo chanu ndipo amachititsa chilonda ndi magazi. Ifex (ifofsamide) ndi mankhwala ena omwe amagwiritsidwa ntchito pochizira khansa ya hematologic yomwe ingayambitse matenda oopsa kwambiri a cystitis. Mankhwalawa amachititsa kuti magazi asapangidwe kwambiri, makamaka akamagwiritsa ntchito mankhwalawa.
Hemorrhagic cystitis ndi zotsatira zoopsa za khansa. Ngati mukuganiza kuti mutha kukhala ndi magazi m'kodzo yanu, muyenera kuonana ndi wothandizira zaumoyo wanu pomwepo.
Zizindikiro zomwe zimasonyeza kuti muli ndi chinachake chikuphatikizapo kupweteka pamene mukukaka, kupweteka kwa m'mimba, kusuta nthawi zambiri, mwamsanga kapena nthawi zina ngakhale ngozi.
Kodi ndi Dye kapena Chofunika Kwambiri?
Kodi mungadziwe bwanji chomwe chikupangitsa kufiira? Zingakhale zovuta kusiyanitsa. Magazi mu mkodzo angawoneke pinki, ofiira kapena malaya a brownish, ngati mtundu wa tiyi. Mwinanso mukhoza kudutsa mazati ang'onoang'ono. Zimangotenga kokha magazi pang'ono mumtsuko kuti uwonekere. Mtundu uwu wa mkodzo wofiira nthawi zambiri umawoneka ngati mtundu wamagazi. Nthawi zambiri zimapitilira maulendo angapo osambira, ndipo nthawi zambiri zimatsatiridwa ndi zizindikiro zina, monga kusokonezeka kwa chikhodzodzo komanso nthawi zambiri "zoyenera kupita."
Msuzi wofiira womwe umayambitsidwa ndi mankhwala mu chemotherapy kawirikawiri ndi lalanje kapena wofiira wofiira, monga mtundu wa mankhwala mu syringe pamene namwino wanu anakupatsani inu. Kawirikawiri imawotha pambuyo panthawi zingapo kupita ku bafa. Simudzakhalanso ndi zizindikiro zina za chikhodzodzo kuphatikizapo zofiira ngati izi ndizo chifukwa.
Ngati simungathe kufotokoza kusiyana kwake, ndi lingaliro loyenera kuyitana wothandizira zaumoyo kuti mudziwe zambiri. Pakalipano, imwani madzi ambiri komanso opanda kanthu kuti muthe kuchotsa chikhodzodzo chanu.
Zotsatira:
Camp-Sorrel, D. Chemotherapy: Kuwopsya Poizoni. Ku Yarbro, C., Frogge, M., Goodman, M., Groenwald, S. (eds.) (2000) Nursing Career: Mfundo ndi Zochita. Jones ndi Bartlett: Sudbury, MA. (pp.444-486.)
Gonella, S., di Pasquale, T., ndi A. Palese. Njira zothandizira kuti cyclophosphamide yokhudzana ndi matenda a cystitis m'magazi ndi mafupa a mafupa a mafupa: Chiwerengero cha ku Italy chambiri chokhazikika. Clinical Journal ya Oncology Nursing . 2015. 19 (1): E8-E14.
Mendenhall, W., Henderson, R., Costa, J. et al. Hemorrhagic ma radiation cystitis. American Journal of Clinical Oncology . 2015. 38 (3): 331-6.
Moy, B. Cystitis kwa odwala ndi khansa. Zaposachedwa. Kusinthidwa 10/15/15. http://www.uptodate.com/contents/cystitis-in-patients-with-cancer
Riberiro, R., Lima-Junior, R., Leite, C. ndi al. Chemotherapy-amachititsa kuti magazi asokonezeke kwambiri: pathogenesis, njira zamagetsi komanso nzeru zatsopano. Journal of Experimental and Integrative Medicine . 2012. 2 (2): 95-112.