Sekondari Acute Myeloid Leukemia Kurapa Sarudzo: Chii Chaunobvunza Chiremba Wako

Zvemukati

• Ndedzipi nzira dzandinorapwa?
• Ndedzipi njodzi dzinogona kuitika?
• Ini ndinoda yechipiri pfungwa?
• Nderudzii rwekutevera rwandaizoda?
• Ndeapi maonero andingatarisira?
• Ndezvipi zvandinogona kusarudza kana kurapwa kusingashande kana AML yangu ikadzoka?
• Tora woenda nazvo

Acute myeloid leukemia (AML) kenza inobata pfupa rako. Mu AML, mwongo wefupa unoburitsa masero machena eropa, masero matsvuku eropa, kana maplatelet. Masero machena eropa anorwisa hutachiona, masero matsvuku eropa anotakura okisijeni mumuviri wese, uye maplatelet anobatsira kuvhara ropa.

Sekondari AML chidimbu chekenza iyi inobata vanhu:

• uyo aive nekenza yemwongo munguva yakapfuura
• uyo aive nekemotherapy kana kurapwa kwemwaranzi ye
  mumwe gomarara
• vane matambudziko eropa anonzi myelodysplastic
  syndromes
• vane dambudziko nemongo wemabhonzo uyo
  inokonzera kuti iite masero matsvuku eropa akawandisa, masero machena eropa, kana maplatelet
  (myeloproliferative neoplasms)

Sekondari AML inogona kuoma kurapa, asi pane zvakawanda zvingasarudzwa. Uya nemibvunzo iyi pamwe chete nekugadzwa kwako kunotevera nachiremba wako. Kurukurai zvese zvamunogona kuita kuti muve nechokwadi chekuti munoziva zvamunotarisira.

Ndedzipi nzira dzandinorapwa?

Kurapa kwechipiri AML kazhinji kwakafanana neyakajairika AML. Kana iwe ukabatwa uine AML kare, iwe unogona kugamuchira kurapwa kwakafanana zvakare.

Nzira huru yekurapa yechipiri AML ndeye chemotherapy. Iyi mishonga ine simba inouraya cancer maseru kana kuvamisa kubva pakupatsanuka. Vanoshanda pagomarara muviri wako wese.

Mishonga yeanthracycline senge daunorubicin kana idarubicin inowanzo shandiswa kwechipiri AML. Wehutano wako anopa jekiseni remakemikari mishonga kupinda mutsinga iri muruoko rwako, pasi peganda rako, kana mukati memvura inotenderedza musana wako. Iwe unogona zvakare kutora iyi mishonga semapiritsi.

Allogenic stem cell kuisazve imwe yekurapa yekutanga, uye iyo ingangodaro yekurapa yechipiri AML. Kutanga, iwe unowana yakanyanya doses ye chemotherapy yekuuraya akawanda maseru ekenza sezvinobvira. Mushure meizvozvo, iwe unozowana kuiswa kwemasero ane mwongo wemapfupa kubva kune anopa hutano kutsiva maseru awakarasa.

Ndedzipi njodzi dzinogona kuitika?

Chemotherapy inouraya anokurumidza-kupatsanura masero mumuviri wako wese. Cancer maseru anokura nekukurumidza, asi ndozvinoitawo masero ebvudzi, maseru ekudzivirira, uye mamwe marudzi emasero ane hutano. Kurasikirwa nemaseru aya kunogona kutungamira kumhedzisiro senge:

• kurasikirwa nevhudzi
• maronda emuromo
• kuneta
• kusvotwa uye kurutsa
• kuda kudya
• manyoka kana kupatira
• hutachiona hwakawanda kupfuura hwese
• kupwanya kana kubuda ropa

Iyo mhedzisiro yauinayo inoenderana nekemotherapy mushonga waunotora, muyero, uye nemuviri wako zvaunoita nawo. Mhedzisiro inofanirwa kuenda kana kurapwa kwako kwapera. Taura nachiremba wako nezve maitiro ekugadzirisa mhedzisiro kana iwe unayo.

A stem cell transplant inopa yakanakisa mukana wekuporesa yechipiri AML, asi inogona kuve nemhedzisiro mhedzisiro. Mumuviri wako unogona kuona masero evanopa seokune dzimwe nyika ndokuvarwisa. Izvi zvinodaidzwa kuti zvinomiririra-zvinopesana-nehutachiona chirwere (GVHD).

GVHD inogona kukuvadza nhengo senge chiropa chako nemapapu, uye inokonzeresa mhedzisiro senge:

• tsandanyama aches
• matambudziko ekufema
• yero yeganda uye akachena emeso
  (jaundice)
• kuneta

Chiremba wako anokupa iwe mushonga kuti ubatsire kudzivirira GVHD.

Ini ndinoda yechipiri pfungwa?

Mhando dzakasiyana dzakasiyana dzekenza iyi dziripo, saka zvakakosha kuti uwane kuongororwa kwakanaka usati watanga kurapwa. Sekondari AML inogona kunge iri chirwere chakaomarara kubata.

Zviri muropa kuda pfungwa yechipiri. Chiremba wako haafanire kutukwa kana iwe ukakumbira imwe. Mazhinji einishuwarenzi ehutano marongero achabhadhara rwechipiri pfungwa. Paunosarudza chiremba kuti atarisire kuchengetwa kwako, ita shuwa kuti vane ruzivo rwekurapa mhando yekenza yako, uye kuti unonzwa wakasununguka kana unavo.

Nderudzii rwekutevera rwandaizoda?

Sekondari AML inogona - uye kazhinji inoita - kudzoka mushure mekurapwa. Iwe uchaona yako yekurapa timu yekugara uchitevera-ekushanya uye bvunzo kuti uibate nekukurumidza kana ikadzoka.

Rega chiremba wako azive nezve chero zviratidzo zvitsva zvawakave nazvo.Chiremba wako anogona zvakare kukubatsira iwe kubata chero erefu-kwenguva mhedzisiro mhedzisiro iwe aunogona kunge uine mushure mekurapwa kwako.

Ndeapi maonero andingatarisira?

Sekondari AML haina kupindura kurapwa pamwe neyekutanga AML. Zvakaoma kuwana kuregererwa, zvinoreva kuti hapana humbowo hwecancer mumuviri wako. Zvakajairika kuti gomarara ridzoke mushure mekurapwa. Mukana wako wakanakisa wekupinda mukuregererwa ndewe kuva nechitokisi chekupinza.

Ndezvipi zvandinogona kusarudza kana kurapwa kusingashande kana AML yangu ikadzoka?

Kana kurapwa kwako kusingashande kana kenza yako ikadzoka, chiremba wako anogona kutanga iwe pane mushonga mutsva kana kurapwa. Vatsvagiri vanogara vachidzidza marapirwo matsva kunatsiridza maonero echipiri AML. Mimwe yemishonga iyi inoshanda zvirinani pane iripo parizvino.

Imwe nzira yekuyedza kurapwa kutsva isati yawanikwa kune wese munhu ndeyekunyoresa mukutongwa kwekiriniki. Kumbira chiremba wako kana paine chero dzidzo dziripo dzakakodzera mhando yako yeAML.

Tora woenda nazvo

Sekondari AML inogona kuve yakaoma kurapa kupfuura yekutanga AML. Asi ne stem cell transplants uye mitsva yekurapa iri kuongororwa, zvinokwanisika kuti upinde mukuregererwa uye ugare wakadaro nzira kwenguva refu.