Chemotherapy

Izwi rokuti chemotherapy rinoshandiswa kutsanangura mishonga yekuuraya gomarara. Chemotherapy inogona kushandiswa ku:

• Poresa kenza
• Shrink kenza
• Kudzivirira kenza pakupararira
• Deredza zviratidzo izvo kenza inogona kunge ichikonzera

KUMASHURE MBERI ANOPIWA SEI

Zvichienderana nerudzi rwekenza uye kwayinowanikwa, chemotherapy mishonga inogona kupihwa nzira dzakasiyana, kusanganisira:

• Majekiseni kana kupfura mumhasuru
• Majekiseni kana kupfura pasi peganda
• Kupinda mutsinga
• Kupinda mutsinga (intravenous, kana IV)
• Mapiritsi anotorwa nemuromo
• Anopfura mukati memvura inotenderera musana wesipinha kana huropi

Kana chemotherapy ikapihwa kwenguva yakareba, catheter yakatetepa inogona kuiswa mutsinga hombe padyo nemoyo. Uyu unonzi mutsetse wepakati. Iyo catheter inoiswa panguva yekuvhiyiwa kudiki.

Kune akawanda marudzi e catheters, anosanganisira:

• Central venous catheter
• Central venous catheter ine chiteshi
• Percutaneously yakaiswa central catheter (PICC)

Mutsara wepakati unogona kugara mumuviri kwenguva yakareba. Ichada kukwizwa pavhiki kusvika pamwedzi kudzivirira kuwanda kweropa kubva mukuumbwa mukati memutsara wepakati.

Vakasiyana chemotherapy mishonga inogona kupihwa panguva imwe chete kana mushure meumwe. Radiation kurapa kunogona kugamuchirwa pamberi, mushure, kana panguva yekemotherapy.

Chemotherapy inowanzo kupihwa mumatunhu. Aya macircuit anogona kutora 1 zuva, mazuva akati wandei, kana mavhiki mashoma kana kupfuura. Panowanzo kuve nenguva yekuzorora kana pasina chemotherapy inopihwa pakati pega kutenderera. Nguva yekuzorora inogona kugara kwemazuva, vhiki, kana mwedzi. Izvi zvinobvumira muviri neropa kuverenga kuti uwanezve pamberi peinotevera dosi.

Kazhinji, chemotherapy inopihwa kukiriniki yakasarudzika kana kuchipatara. Vamwe vanhu vanokwanisa kugamuchira chemotherapy mumba mavo. Kana chemotherapy yemumba ikapihwa, vanamukoti vehutano hwepamba vanobatsira nemushonga uye maIV. Iye munhu ari kuwana chemotherapy uye nhengo dzemhuri yavo vanowana kudzidziswa kwakakosha.

MHANDI DZAKASIYANA DZECHEMOTHERAPY

Mhando dzakasiyana dzekemotherapy dzinosanganisira:

• Standard chemotherapy, iyo inoshanda nekuuraya cancer maseru uye mamwe akajairwa maseru.
• Targeted kurapwa uye immunotherapy zero mune zvakanangwa zvinangwa (mamorekuru) mukati kana pane cancer maseru.

ZVIMWE ZVINOKONZESWA NECHEMOTHERAPY

Nekuti iyi mishonga inofamba ichienda neropa kusvika mumuviri wese, chemotherapy inotsanangurwa sekurapa kwemuviri wese.

Nekuda kweizvozvo, chemotherapy inogona kukuvadza kana kuuraya mamwe maseru akajairwa. Izvi zvinosanganisira mapfupa masero, bvudzi follicles, uye maseru ari mukati memuromo uye nzira yekugaya.

Kana kukuvara uku kukaitika, panogona kuve nemhedzisiro. Vamwe vanhu vanogamuchira chemotherapy:

• Vanowanzova nezvirwere
• Iva wakaneta nyore nyore
• Ropa rakawandisa, kunyangwe panguva yezuva nezuva zviitiko
• Inzwa kurwadziwa kana chivezi kubva kukuvara kwetsinga
• Iva nemuromo wakaoma, maronda emuromo, kana kuzvimba mumuromo
• Iva nechido chakashata kana kurasikirwa nehuremu
• Ita dumbu rakagumbuka, kurutsa, kana manyoka
• Vanorasikirwa nevhudzi ravo
• Une matambudziko nekufunga uye ndangariro ("chemo brain")

Mhedzisiro yemakemikari anoenderana nezvinhu zvakawanda, kusanganisira mhando yekenza uye mishonga irikushandiswa. Munhu wega wega anoita zvakasiyana nemishonga iyi. Mimwe mishonga mitsva yemakemotherapy inonyatso tarisa cancer maseru inogona kukonzera mashoma kana akasiyana mhedzisiro.

Anopa hutano hwako anotsanangudza zvaunogona kuita kumba kudzivirira kana kurapa mhedzisiro. Aya matanho anosanganisira:

• Kuchenjerera mhuka dzinovaraidza nedzimwe mhuka kuti zvidzivirire kubata hutachiona kubva kwavari
• Kudya macalorie akakwana uye mapuroteni ekuchengetedza uremu hwako
• Kudzivirira kubuda ropa, uye zvekuita kana kubuda ropa kukaitika
• Kudya nekunwa zvisina njodzi
• Kugeza maoko ako kazhinji nesipo nemvura

Iwe unozofanirwa kuve nekutevera-kwekushanya nemupi wako panguva uye mushure mechemootherapy. Kuongororwa kweropa uye bvunzo dzekufungidzira, senge x-rays, MRI, CT, kana PET scans zvichaitwa ku:

• Tarisa kuti chemotherapy iri kushanda zvakadii
• Tarisa kukuvara kwemoyo, mapapu, itsvo, ropa, uye zvimwe zvikamu zvemuviri

Cancer chemotherapy; Cancer mishonga yekurapa; Cytotoxic chemotherapy

• Mushure memakemikari - kubuda
• Chemotherapy - chii chekubvunza chiremba wako

• Immune system zvimiro

Collins JM. Kenza pharmacology. Mune: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 25.

Doroshow JH. Kusvika kumurwere ane cancer. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 169.

National Cancer Institute webhusaiti. Chemotherapy yekurapa cancer. www.cancer.gov/about-cancer/treatment/types/chemotherapy. Yakagadziridzwa Kubvumbi 29, 2015. Yakasvika Nyamavhuvhu 5, 2020.