Tanthawuzo, Mankhwala, Zimene Tiyenera Kuyembekezera ndi Zotsatira Zotsatira za Mchitidwe 7 + 3
Ngati mwauzidwa kuti dokotala wanu amalimbikitsa pulogalamu ya 3 + 7 ya khansa ya m'magazi, mwinamwake muli ndi mafunso ambiri. Tiyeni tiwone zomwe izi zikutanthauza.
Kodi Pulogalamu ya 3 + 7 ndi Chiyani?
Pulogalamu ya 3 + 7 (yomwe imatchedwanso kuti 7 + 3 regimen) ndi mankhwala osakaniza omwe amagwiritsidwa ntchito ngati mankhwala okhudzana ndi mankhwala omwe amachititsa kuti mitundu yambiri ya myelogenous leukemia (AML) ikhale yovuta .
Kodi Kupatsirana Kwambiri N'kutani?
Mankhwala opatsirana ndi mankhwala omwe amayamba kuperekedwa pambuyo poti akudwala matenda a khansa ya m'magazi.
Cholinga cha mankhwalawa ndi kuchepetsa maselo a khansa ya m'magazi kuti mukhale osadziwika - mwazinthu zina, mpaka pazimene magazi anu sangasonyeze maselo ena a khansa. Cholinga china chachikulu cha mankhwala opatsirana pogwiritsa ntchito mankhwalawa ndi kuchotsa mafupa anu a maselo a khansa okwanira kuti maselo amagazi anu abwerere. Mwamwayi, khansa imayambiranso kuchotsedwa ndi mankhwalawa, ndipo mankhwala ena amafunikira.
Mankhwala mu Pulogalamu ya 3 + 7
Pulogalamuyi imatchedwa 3 + 7 chifukwa imapangidwa ndi:
- Masiku atatu a anthracycline, kawirikawiri mwina Idamycin (idarubicin) kapena Cerubidine (daunorubicin)
- Masiku asanu ndi awiri a Cytosar U kapena Depocyt (cytarabine)
Zapatsidwa Motani?
Popeza kuti mankhwala a cytarabine adzaperekedwa usiku wonse kwa masiku asanu ndi awiri, nthawi zambiri mumakhala wopita kuchipatala. Mankhwalawa amaperekedwa (opatsidwa) kupyolera mu kathethala (IV) kapena pakati .
Chigawo cha antracycline chidzaperekedwa tsiku ndi tsiku monga jekeseni wa intravenous, pa maminiti 10 mpaka 15 pa mlingo.
Zotsatira Zogwirizana
Popeza chemotherapy imapha maselo oopsa monga maselo a khansa, imakhudzanso maselo omwe amagawanika mofulumira monga a m'mafupa anu, pamutu wanu, ndi m'mimba yanu.
Zina mwa zotsatirapo zomwe mungapeze ndizo :
- Kuchepetsa mafupa a mitsempha - Kutaya kugawaniza maselo m'thupi lanu (fupa la fupa la mafupa) lingayambitse kuchepa kwa maselo ofiira a magazi (anemia) otsika neutrophil (mtundu wa magazi oyera) (neutropenia) ndi chiwerengero chochepa cha platelet ( Thrombocytopenia .) Zidzakhala zofunikira kwambiri kuti muteteze matenda ngati zingatheke, ndipo akulimbikitsidwa kuti okondedwa awo asamachezere ngati akudwala.
- Mphuno ndi kusanza - Kupewa ndi kuchiza mankhwala a chemotherapy chifukwa chosowa nsomba ndi kusanza kwafika patali kwambiri, ndipo anthu ena ali ndi zizindikiro zochepa chabe. Mudzapatsidwa mankhwala kuti muteteze nthendayi, ndipo mungaperekedwe mankhwala ena ngati mukufunika kuti muzitha kupirira zizindikiro zanu.
- Kutaya tsitsi - Mukhoza kutaya tsitsi lanu mu regimen iyi. Anthu ena amadabwa pozindikira kuti mudzataya nsidze zanu, tsitsi lanu, ndi tsitsi lanu.
- Zilonda zamkati - Zilonda zamkati zimakhala zokwiyitsa, ndipo ndi zothandiza kudziŵa zakudya zomwe zingawathandize kukhala owawa kwambiri, komanso zakudya zomwe zimadya bwino. Dokotala wanu angakuyamwitse pamapope kapena populasitiki pamene akulandira mankhwala a anthracycline kuti athe kuchepetsa chizindikiro ichi.
- Mtsuko wofiira / lalanje - Mankhwala a anthracycine - amatchulidwa kuti "satana wofiira" ndi odwala ena a khansa, amachititsa kuti mkodzo wofiira umatha tsiku kapena kuposerapo mlingo uliwonse. Musamawopsyezedwe ndi chizindikiro ichi chifukwa sizowopsya ndipo sizikutanthauza kuti pali vuto lililonse ndi impso zanu kapena chikhodzodzo.
- Kutsekula m'mimba - Dokotala wanu adzakuyang'anitsitsa kwambiri kutsekula m'mimba. Ngati mukulitsa kutsekula m'mimba mudzayang'anitsitsa kwambiri kuti mutsimikizidwe kuti musatenthe mphamvu.
Mofanana ndi mtundu uliwonse wa mankhwala, munthu aliyense adzachita zosiyana ndi ma protocol 3+ 7 mosiyana ndipo akhoza kukhala ndi zotsatira zake zonse kapena zina.
Zimene Muyenera Kuziyembekezera
Mankhwala a Anthracycline ndizovala, zomwe zikutanthauza kuti zingayambitse minofu yanu ngati mwangozi mumalowetsa khungu m'malo mwa mitsempha yanu. Ngakhale si zachilendo kuti izi zichitike, nkofunika kuti muwuze wothandizira zaumoyo wanu ngati mimba yanu imamva kupweteka kapena kupweteka pamene mukulandira mankhwalawa.
Nthawi
Pulogalamu ya 3 + 7 nthawi zambiri imaperekedwa kwa masiku 14 ndipo imatha kuperekedwa, kamodzi kapena kawiri mpaka mutakhala ndi maselo a kansa. Ndondomekoyi nthawi zambiri imabweretsa kukhululukidwa kwathunthu, koma khansa ikhoza kubweranso.
Thandizo ndi Kulimbana
Khansa ndi yovuta kuthana nayo ngakhale ngati simukuyenera kukhala nthawi yaitali kuchipatala. Pitani kwa achibale ndi abwenzi. Ngati ndi wokondedwa wanu amene akulandira izi, yang'anani malangizo awa pochezera munthu kuchipatala , ndi zomwe mungachite kuti mubweretse mankhwala ena. Maganizo angakhale ozungulira kwambiri, nthawi zina ngakhale pa ora limodzi la tsiku. Musayesere kukhala munthu wolimba mtima ndikulola anthu akuthandizeni. Ndemanga yomwe timamva nthawi zambiri ndi yakuti okondedwa amamva kuti alibe thandizo. Ganizilani njira ina yomwe angakuthandizeni monga mphatso kwa inu nokha ndi kwa iwo. Ndipo fufuzani malangizo awa pothana ndi matenda a khansa ya m'magazi .
Zotsatira:
Larson, R. Wodwala: Kudziwa mankhwala oopsa a myeloid leukemia (AML) kwa akuluakulu (Pambuyo pa Zowona). Zaposachedwa. Kusinthidwa 11/18/15. http://www.uptodate.com/contents/acute-myeloid-leukemia-aml-treatment-in-adults-beyond-the-basics