Ngati mankhwala a ABVD akuvomerezeka ku khansara mwinamwake muli ndi mafunso zikwi. Kodi izi zimaperekedwa motani? Mochuluka motani? Kodi zotsatira zake ndi zotani? Kodi pali zotsatira zanthawi yaitali? Tiyeni tione ena mwa mafunsowa.
Kodi ABVD ndi chiyani?
ABVD amatchedwa chemotherapy regimen imene imagwiritsidwa ntchito pochiza Hodgkin's lymphoma . Mwinanso ndi mankhwala omwe amagwiritsidwa ntchito padziko lonse kwa odwala omwe angoyamba kumene kupeza.
Ndikumagwiritsidwa ntchito kwambiri kwa mankhwala pa magawo onse a matenda a Hodgkin.
Mankhwala Ogwiritsidwa Ntchito mu ABVD Regimen
Mankhwala omwe amagwiritsidwa ntchito mu regimen (kuphatikiza mankhwala) akuphatikizapo:
- Adriamycin (doxorubicin) - amaperekedwa ngati kulowetsedwa m'mitsempha yanu masiku 1 ndi 15.
- Blenoxane (bleomycin) - anapatsidwa ngati jekeseni wamphindi yochepa m'masiku 1 ndi 15.
- Velban (vinblastine) - amaperekedwa ngati jekeseni yafupipafupi m'masiku 1 ndi 15.
- DTIC (dacarbazine) - amapatsidwa ngati kulowetsedwa m'mitsempha yanu pa masiku 1 ndi 15.
Kuzindikira Mwamsanga Za Kusakaniza Chemotherapy
Mwinamwake mukudabwa kuti, "Chifukwa chiyani mankhwala ochuluka kwambiri? Kodi mankhwala okhawo sangathe kusamalira khansara?" Chifukwa chake ndi chakuti mankhwala osiyana siyana a mankhwala amthempha amagwira maselo pazigawo zosiyana pakugawa ndi kuchulukitsa. Kugwiritsira ntchito mankhwala osakaniza kumatsimikizira kuti maselo osiyana pazigawo zonse amachiritsidwa. Ichi ndi chifukwa chogwiritsira ntchito mankhwala osaposa.
Ngati selo likadakhala mu nthawi yopumula - osagawanitsa - panthawi yamapiritsi apitayi, akuyembekeza kuti chithandizo chotsatira chidzatha kutenga selolo potsata magawano.
Kodi Kawirikawiri Zimatheka Bwanji?
ABVD yachitidwa mozungulira. Aliyense ali ndi kupereka jekeseni kwa wodwalayo mankhwalawa 4 (pa masiku 1 ndi 15).
Miyendo imabwerezedwa mu nthawi ya masabata 4. Izi zikutanthauza kuti ulendo wachiwiri umayamba masabata awiri pambuyo pa tsiku 15 pa nthawi yoyamba (tsiku 29), ndi zina zotero. Kotero yankho lofulumira ndiloti maulendowa akubwerezedwa kuzungulira masiku 28.
Kodi Ndi Zambiri Ziti Zomwe Zikufunikira?
Zomwe zimakhala zofunikira zimadalira pa siteji ya lymphoma ndi kupezeka kapena kupezeka kwa zinthu zina zowonongeka - zomwe zimapereka madokotala kulingalira kuti mankhwala amatha bwanji kuthetsa maselo a kansa. Matenda oyambirira ali ndi zifukwa zowonjezera zomwe zingawathandize kuti pangozi zikhale zovuta, koma matenda ena apamwamba angafunikire maulendo asanu ndi atatu.
Mayesero Amafunika
Pamaso pa ABVD chemotherapy ayamba, kuwerengera kwa magazi, komanso kuyesa magazi kwa impso ndi chiwindi, zikuchitika. Pulojekiti imafunika kuyesa ntchito yamtima musanayambe mankhwala. Monga Adriamycin (doxorubicin) nthawi zina ikhoza kukhudza mtima, ndikofunika kukhala ndi detayi poyerekeza pakapita nthawi. Chifuwa cha x-ray ndi mapapu chingagwiritsidwe ntchito poyeza kuti mapapu amatha kukhala ndi thupi lisanayambe kugwiritsa ntchito bleomycin, chifukwa mankhwalawa angakhudze mapapo.
Pa mankhwala a chemotherapy, chiwerengero cha magazi chikufunika nthawi iliyonse musanayambe kulandira mankhwala. Mayesero ena akhoza kubwerezedwa moyenera.
Zotsatira Zotsatira
Zotsatira za chemotherapy zimagwirizana ndi zotsatira za mankhwala a chemotherapy pogawanitsa mofulumira maselo kuphatikizapo maselo a kansa, ndipo angaphatikizepo:
- Mphuno ndi kusanza - Nausea ikhoza kukhala yowonongeka, ndipo ant-emetics (mankhwala omwe amathandiza kuti asamangidwe ndi kusanza) adzalangizidwa nthawi zonse. Ndi mankhwala osokoneza bongo, anthu ambiri amadabwa kuona kuti kusungunuka kungakhale kochepa.
- Mtsuko wofiira - Adriamycin, wotchedwa "satana wofiira" ndi odwala ena a khansa, akhoza kubweretsa mkodzo wofiira tsiku limodzi kapena awiri kutsatira chemotherapy. Izi sizowopsa ndipo zimakhala chifukwa cha mtundu wa mankhwala okha.
- Kupweteka kwa madzi / asidi reflux - Kutentha kwa mtima ndi zotsatira zofala kwambiri za ABVD chemotherapy. Madokotala ena amalimbikitsa mankhwala monga Prilosec, Pepcid, kapena Nexium, koma ndithudi mungalankhule ndi wanu wa oncologist pasanapite nthawi za zomwe akukulimbikitsani.
- Zizindikiro zokhudzana ndi chifuwa - DTIC ikhoza kukupatsani zizindikiro zomwe zimamveka ngati chimfine, mwachitsanzo, minofu ndi thupi.
- Kutaya tsitsi
- Kugwa m'magazi - Magawo anu a maselo a magazi adzayang'aniridwa nthawi zonse. Khungu loyera la magazi likhoza kuchititsa kuti zinthu ziziyenda bwino, komanso kufunika kokhala ndi zinthu zotetezera ku matenda. Onetsetsani kuti mwamuuza dokotala nthawi yomweyo.
- Milonda ya m'milomo - zilonda zamkati zimakhala zofala, koma kusintha zakudya zanu m'njira zina kungathandize kwambiri ndi vutoli.
- Kutsekula m'mimba
- Kutenga - Dokotala wanu angapangire mankhwala kuti atetezedwe kudzimbidwa.
- Kutaya khungu ndi misomali
- Kusintha kosavuta kwa zowawa m'manja ndi m'mapazi - Mtheradi wa ubongo umatha kukhala chokhumudwitsa komanso zotsatira za njira zothetsera vutoli.
Zotsatira Zomwe Zingatheke Kwanthawi yaitali
Pamene muli pakati pa mankhwala a chemotherapy simukufuna kuganizira za zotsatira za nthawi yaitali za chemotherapy. Ndiponsotu, chomwe chili chofunikira masiku ano ndikukhala ndi khansa. Komabe ndizofunikira kudziwa zina mwa mavuto omwe angathe.
- Matenda a chiwindi - Chiwombankhanga (mapulaneti owonongeka) kuchokera ku chemotherapy ndi chotheka chotsatira cha bleomycin, makamaka kwa odwala okalamba. Lankhulani ndi madokotala anu zokhudzana ndi zizindikiro zomwe mungayembekezere, ndipo chidzachitike ndi chiyani mukapanga mbali iyi.
- Matenda a mtima - Adriamycin (doxorubicin) angawononge mtima mwa anthu ena. Dokotala wanu adzakuuzani za mayesero kuti muwone mtima wanu musanachiritsidwe, komanso zizindikiro za zotsatirazi.
- Kupanda chithandizo - Matenda a matenda a Hodgkin angakhudze ubereki wanu. Lankhulani ndi dokotala wanu za mwayi umene uti uchitike, ndi zomwe mungachite musanayambe mankhwala kuti musunge chonde.
> Zotsatira:
> American Cancer Society. Chemotherapy kwa Matenda a Hodgkin. Kusinthidwa 02/09/16.
> Yunivesite ya Michigan Comprehensive Cancer Center. ABVD Chemotherapy Regimen kwa Matenda a Hodgkin.
> Stamatoullas, A., Brice, P., Bouabdallah, R. et al. Zotsatira za Odwala Zaka Zaka Zoposa 60 Ndi Zachikhalidwe Zakale za Hodgkin Lymphoma Zotengedwa Pamaso Pachiyambi ABVD Chemotherapy: Kawirikawiri Zochitika Zowonongeka Zomwe Mungalephere Kugwiritsa Ntchito Bleomycin mu Okalamba. British Journal ya Hematology . 2015. 170 (2): 179-84.