Kodi Mayi Kapena Munthu Wanu Woponda Chemotherapy Analephera?
Anthu ambiri amvapo za mawu, "khansa" ndi "chemotherapy." Koma kupatula kuti chemotherapy imagwiritsidwa ntchito pochizira khansara, anthu ambiri sadziwa zachikhalidwe zomwe zimagwirizana ndi chemotherapy, monga momwe mawu akuti "chemorefractory" amatanthauza.
Mwachidule, "chemorefractory" ikugwirizana ndi momwe amachitira mankhwala a chemotherapy. Kuti timvetse bwino "zovuta," tiyeni tiyambe ndi zofunikira pa chemotherapy.
Chemotherapy Basics
Pali mitundu yoposa zana ya chemotherapies yogwiritsidwa ntchito ndi madokotala a khansa (otchedwa oncologists). Malinga ndi mtundu wina wa khansara ndi sitepe ya khansa, wa oncologist amasankha chimodzi kapena kuphatikiza mankhwala a chemotherapy.
Ulamuliro
Chemotherapy ingaperekedwe m'njira zosiyanasiyana. Mankhwala ena amatha kutengedwa pakamwa (mwachitsanzo, ngati piritsi kapena mawonekedwe a madzi) pamene ena amaperekedwa ngati jekeseni, kaya mu minofu kapena minofu.
Ma chemotherapies amathandizidwa ku cerebrospinal fluid pamtunda wam'mimba (wotchedwa intrathecal chemotherapy ), m'mimba mwa catheter, mkati mwa chifuwa pogwiritsa ntchito chifuwa, kapenanso pamwamba (khungu).
Komabe, chiwerengero cha mankhwala a chemotherapies amaperekedwa kudzera mu mitsempha ya munthu, ndipo izi zimatchedwa kulowerera m'mimba.
Njira
Chemotherapy amagwira ntchito popha maselo omwe amakula mofulumira, ngati maselo a kansa.
Komabe, maselo ena abwino, amathanzi amakula mofulumira, monga maselo m'kamwa ndi m'mimba, maselo opanga magazi, ndi maselo omwe amachititsa tsitsi. Ichi ndichifukwa chake anthu ena amalephera tsitsi lawo akamagwiritsa ntchito mitundu ina ya mankhwala a chemotherapy, kumayambitsa zilonda zam'kamwa ndi pakamwa, kukhala osowa magazi, ndi / kapena kukhala ndi chiwerengero chochepa cha maselo ozunguza matenda (omwe amatchedwa maselo oyera).
Ngakhale chemo amagwira ntchito popha maselo a khansa, cholinga chake chimasiyana. Mwa kuyankhula kwina, cholinga kapena chiyembekezero choyembekezeka cha chemo pansi pano si chofanana kwa munthu aliyense.
Mwachitsanzo, pamene chemotherapy imaperekedwa kuchiza khansa, ikhoza kugwiritsidwa ntchito m'malo mochepetsera chotupa chokwanira kuti athetse ululu wokhudzana ndi khansara (yotchedwa palliative chemotherapy ) kapena kutaya chifuwa musanachitike opaleshoni (yotchedwa kusintha kwa mankhwala).
Yankho
Yankho, lomwe limayesedwa pa nthawi yeniyeni (kawirikawiri pambuyo pa ziwiri kapena zitatu zozungulira mankhwala a chemotherapy), limatanthawuza momwe mankhwala ogwiritsira ntchito mankhwala a chemo amatha kupha maselo a khansa.
Madokotala amayesa kuyankha m'njira zosiyanasiyana pogwiritsa ntchito mtundu wina wa khansara. Mwachitsanzo, dokotala akhoza kuyitanitsa kayendedwe ka CT ndi / kapena kuyezetsa magazi kuti ayese chotupa . Mayeserowa amabwerezedwa nthawi zonse, kotero amatha kuyerekezera.
Yankho ndi Kulumikizana Kwake ndi "Chemorefractory"
Mawu akuti "chemorefractory" kapena "kansisensitive" khansa amafotokoza mmene khansara imayendera ndi mankhwala osokoneza bongo.
Ngati khansara imatha mankhwala a chemotherapy, kutanthauza kuti imatha kapena imatha munthu atalandira mankhwala a chemo, khansara imatchedwa "chemosensitive".
Pamalo ophatikizira, ngati khansara ndi "mankhwala osokoneza bongo," sichitha kapena kuwonongeka chifukwa cha mankhwala opangidwa ndi chemo.
Nthawi zina khansara yomwe imapangitsa kuti munthu asamangokhalira matenda a khansa amatha kufotokozedwa ngati "kulephera kwa khansa ya mankhwala," kapenanso "kukana chemotherapy."
Ndikofunika kuzindikira kuti khansara ikhoza kukhala yotsitsimutsa mankhwala am'madzi (monga kumayambiriro kwa chithandizo) kapena zingakhale zowonongeka panthawi ya chithandizo.
Mwa kuyankhula kwina, chotupacho chingayambe kuchiza chemotherapy ndi kukhala chochepa, kungosiya kuyankha ndikusintha kukula, kapena ngakhale kukulira.
Zowonjezereka, pofotokozera yankho (kapena kusowa yankho) kwa chemotherapy, oncologists amagwiritsa ntchito mawu awa:
- Yankho lathunthu lakhala likuchitika pamene khansara yonse imatha.
- Yankho laling'ono limatanthauza kuti khansara yayamba koma siyatha.
- Kuyankha mwakhama kumatanthauza kuti khansara siinagwe, koma siinakula.
- Ngati khansayo ikukula, ikukula, kutanthauza kuti pali kansalu yambiri ya khansa kuposa mankhwala asanafike. Pachifukwa ichi, dokotala akhoza kusiya chemotherapy ndi / kapena kusintha mankhwala enaake.
Chifukwa Chake Khansara Yanu Imakhala Yosasangalatsa
Pali zifukwa zambiri zomwe khansara ikhoza kukhalira ndikumvetsetsa zifukwa izi ndizofunikira kuti zithetse zotsatira za mankhwala. Chifukwa chimodzi n'chakuti maselo a khansa angasinthidwe mthupi lawo, zomwe zimawapangitsa kukhala osagwirizana ndi chemotherapy. Njira ina yonyenga yomwe maselo a kansa amatha kusokoneza ndi mwachangu kutulutsa mankhwala a chemo mwamsanga mukangoloŵa pamphuno.
Njira zina ndizo:
- Maselo a khansa angaphunzire momwe angakonzere ma DNA awo omwe amayamba chifukwa cha mankhwala ena a chemo.
- Maselo a khansa angakhale ndi "khungu lakuda" motero, kupanga ma membrane awo osachepera, kotero chemo sungakhoze kulowa.
- Maselo a khansa angagwiritse ntchito njira yothetsera mankhwala osokoneza bongo, osasintha.
Zonsezi zinanenedwa, ndizofunika kudziwa kuti ngati khansara yanu imakhala yovuta, sikuti muli ndi vuto lanu-palibe chimene munachita kapena simunachite chomwe chinachititsa kuti khansa isayankhe.
Kuchepetsa Mpata Wanu wa Khansa Yanu Kukhala Chemorefractory
Pofuna kuchepetsa mwayi wodwala khansa yowopsa, ovomerezeka ndi opatsirana popereka odwala mankhwala abwino kwambiri a chemotherapy regimen choyamba. Izi zili choncho chifukwa kamodzi kamene khansara imakhala yosokoneza bongo limodzi ndi mankhwala osokoneza bongo, zimakhala zovuta kuti munthu asagwiritsidwe ntchito mankhwala osokoneza bongo.
Komanso, oncologists kawirikawiri amaphatikizapo mankhwala a chemo kuti agwetse khansa isanakhale yotsutsa-mwa kuyankhula kwina, kugwiritsa ntchito zida zawo zowopsa poyamba.
Kuwonjezera pa kusankha mankhwala osokoneza bongo omwe amasonyeza njira yabwino yowonjezera yogwirizana ndi kafukufuku, oncologist wanu adzakumbukiranso zinthu zina posankha mankhwala anu a chemo, monga thanzi lanu kunja kwa khansara yanu, komanso mbiri ya poizoni ( mbali zotsatira ) za chemotherapy.
Mawu Ochokera
Pamene mukuuzidwa kuti muli ndi kansa ya mankhwala osokoneza bongo ndi yodetsa nkhaŵa komanso yodetsa nkhaŵa, sizikutanthauza kuti palibe njira zotsalira za khansa yanu. Nthawi zina, zikutanthawuza kusintha mtundu wina wa mankhwala kapena mankhwala atsopano palimodzi.
Onetsetsani kuti ofufuza akugwira ntchito mwakhama kuti apeze njira zowonjezeramo machitidwe a kansa komanso kuchepa kwa mankhwala a chemotherapy. Zowonjezera, chithandizo cha khansara chikulowera kutsogolo kwatsopano, monga zikuwonetseredwa ndi kutuluka kwa ma immunotherapies .
> Zotsatira:
> American Cancer Society. (2017). Chemotherapy.
> Kampani ya Cleveland Chemocare. (2017). Kodi Chemotherapy ndi chiyani?
> Krol M, Pawlowski KM, Majchrzak K, Szyszko K, Motyl T. Chifukwa chemotherapy ikhoza kulephera? Pol J Vet Sci. 2010; 13 (2): 399-406.
> National Cancer Institute. Tanthauzo la khansa yotsutsa.
> Sforza V. Clinical zotsatira za odwala ndi mankhwala osokoneza bongo omwe amachititsa kansalu yoipa kwambiri yomwe imagwiritsidwa ntchito ndi trifluridine / tipiracil (TAS-102). ESMO Open. 2017; 2 (4): e000229.