R-CHOP Chemotherapy: Side Mhedzisiro, Dosage, uye Zvimwe

Zvemukati

• Chii chinonzi R-CHOP chinobata?
• R-CHOP inoshanda sei?
• Rituximab (Rituxan)
• Cyclophosphamide (Cytoxan)
• Doxorubicin hydrochloride (Adriamycin, Rubex)
• Vincristine (Oncovin, Vincasar PFS, Vincrex)
• Prednisolone
• Rinopihwa sei?
• Ndezvipi zvingangova mhedzisiro?
• Chii chaunofanira kuziva usati watanga kurapwa?
• Ndezvipi zvimwe zvaunoda kuziva?

Chii chinonzi R-CHOP chemotherapy?

Chemotherapy mishonga inogona kudzora tumarara kana kuuraya masero ekenza akarasika akasiya mushure mekuvhiyiwa kana radiation. Ichowo chirongwa chehurongwa, zvichireva kuti chinangwa chayo kuuraya maseru egomarara mumuviri wako wese.

Zvese chemotherapy mishonga inoshanda kuuraya cancer maseru, asi vanozviita nenzira dzakasiyana. Ichi chikonzero nei oncologists inowanzo sarudza mubatanidzwa wemishonga. Ivo vanoisa sarudzo yavo pazvinhu zvakaita senge rudzi rwekenza yauinayo, kuti yakapararira zvakadii, uye hutano hwako hwese.

R-CHOP inosanganisira shanu chemotherapy mishonga:

• rituximab (Rituxan)
• cyclophosphamide
• doxorubicin hydrochloride
• vincristine (Oncovin, Vincasar PFS)
• kuuchi

Iwe unogona kuwana R-CHOP uine kana pasina mamwe marapirwo akadai sekuvhiya uye radiation radiation.

Chii chinonzi R-CHOP chinobata?

Vanachiremba vanonyanya kushandisa R-CHOP kurapa isiri-Hodgkin lymphoma (NHL) uye mamwe lymphomas. Lymphoma kenza inotanga mune lymphatic system.

R-CHOP inogona zvakare kubata mamwe marudzi ekenza.

R-CHOP inoshanda sei?

Matatu emishonga iri muR-CHOP ane simba cytotoxics, zvinoreva kuti vanouraya masero. Imwe mhando yemununotherapy uye yekupedzisira iSteroid, iyo yakaratidza kuve neanticancer mhedzisiro.

Rituximab (Rituxan)

Rituximab inowanzo shandiswa kurapa NHL. Iyo monoclonal antibody. Inotarisa protein inonzi CD20 pamusoro pemasero machena eropa anonzi "B masero. Kamwe kana mushonga ukabatirira kumasero eB, immune system yako inorwisa nekuvauraya.

Cyclophosphamide (Cytoxan)

Mushonga uyu unogona kubata akasiyana cancer, inosanganisira lymphoma uye gomarara repazamu nepapu. Cyclophosphamide inonongedza iyo DNA yemasero ekenza uye inovaratidza kuti varege kupatsanura.

Doxorubicin hydrochloride (Adriamycin, Rubex)

Uyu mushonga ndeye anthracycline iyo inogona kubata mhando zhinji dzekenza, kusanganisira zamu, mapapu, uye ovarian cancer. Doxorubicin inovhara enzyme maseru emukenza anoda kukura uye kubereka. Iyo yakajeka tsvuku tsvuku yakazviwanira iro zita remadunhurirwa rekuti "the red devil."

Vincristine (Oncovin, Vincasar PFS, Vincrex)

Vincristine ndeye alkaloid iyo inogona kurapa mhando zhinji dzekenza, kusanganisira yakakwira-nhanho kenza yemazamu, lymphomas, uye leukemia. Iyo inokanganisa majini kuvamisa kuti varege kudzokorora. Ichi chinodhaka chiri chekuvhara, zvichireva kuti chinogona kukuvadza nyama nemidziyo.

Prednisolone

Ichi chinodhaka icorticosteroid inowanikwa pasi pemhando dzakasiyana dzemazita ezita. Kusiyana nevamwe, uyu mushonga wemuromo. Inoshanda ne immune system yako kubatsira kudzikisa:

• kuzvimba
• kusvotwa
• kurutsa
• neutachiona
• yakadzika maplatelet mazinga, kana thrombocytopenia
• yakakwira calcium mazinga, kana hypercalcemia

Pamwe chete, iyi mishonga inogadzira yakanakira kurwisa kenza.

Rinopihwa sei?

Standard dosing inoenderana nekureba uye huremu. Chiremba wako anozotarisawo chero mamwe mamiriro ehutano aunayo, yako zera, uye nemabatiro avanotiita iwe kuti utsungirire mishonga kana uchisarudza dosing uye huwandu hweanotenderera.

Vanhu vanowanzo tora mishonga iyi vhiki mbiri kana nhatu dzese. Kazhinji, vanachiremba vanopa huwandu hwenokwana matanhatu mayadhi kana macirculi. Kurapa kunotora vhiki gumi nesere kana kupfuura kana uine mamwe macircuit.

Pamberi pekurapwa kwega kwega, iwe uchada kuongororwa ropa kuti utarise kuwanda kweropa uye kuona kana chiropa chako neitsvo zviri kushanda zvakanaka zvakakwana. Kana vasiri, chiremba wako angangoda kunonoka kurapwa kwako kana kudzikisa dosi yako.

Kurapwa kwega kwega kunogona kutora maawa akati wandei, uye mupi wezvehutano achapa mishonga iyi mukati, zvichidaro kuburikidza netsinga iri muruoko rwako. Iwe unogona zvakare kuitora kuburikidza nechiteshi icho chiremba anovhiya anogona kuisa muchifuva chako. Iwe ungangoda kugara muchipatara kuti ugamuchire kurapwa kwako, asi vanhu vanokwanisa kuzviwana kunzvimbo yekunze yekumukisa nzvimbo muzviitiko zvakawanda.

Iwe uchagara uchitariswa zvakanyanya. Munguva yekurapa kwekutanga, vatapi vezvehutano vanozokutarisa zvakanyatso tarisa chero zviratidzo zvekusagadzikana kana kumwe kutyisidzira hupenyu kwekenza kurapwa kunonzi tumor lysis syndrome.

Prednisolone mushonga wemumuromo waunotora kumba kwemazuva akati wandei mushure mekugamuchira mimwe mishonga.

Ndezvipi zvingangova mhedzisiro?

Chemotherapy zvinodhaka zvinorwisa cancer maseru. Vanogona zvakare kukuvadza maseru ane hutano mukuita. Ndicho chikonzero nei paine zvakawanda zvingangoitika mhedzisiro. Hazviite kuti uve navo vese.

Chemotherapy inobata munhu wese zvakasiyana. Migumisiro inogona kuchinja kana iwe uri pamishonga iyi, asi inowanzova yenguva pfupi. Chikwata chako chezvehutano chinogona kupa ruzivo rwekuti ungaita sei nazvo.

Mhedzisiro inowanzoitika ndeiyi:

• kutsamwa kwakakomberedza nzvimbo inopinza kana chiteshi
• weti tsvuku kana yepingi kwemazuva mashoma nekuda kwe doxorubicin
• nzara inoshanduka
• uremu hunochinja
• kugaya
• kusvotwa
• kurutsa
• kuneta
• matambudziko ekurara
• yakaderera ropa kuverenga
• kupererwa neropa
• mhino inobuda ropa
• mhino inomhanya
• maronda anobuda ropa
• maronda emuromo
• maronda emumuromo
• kurasikirwa nevhudzi
• kurasikirwa nekuenda kumwedzi, kana amenorrhea
• kurasikirwa nekubereka
• kutanga kuenda kumwedzi
• kunzwisisika kweganda
• matambudziko etsinga, kana neuropathy

Zvishoma zvakajairika mhedzisiro zvinogona kusanganisira:

• kuputika kweganda nekuda kweanogadzikana kugadzirisa
• kupisa kana kurwadza weti
• shanduko mukuravira
• shanduko kune nzara nezvigunwe
• shanduko kumhasuru dzemwoyo
• manyoka

Rare mhedzisiro mhedzisiro inosanganisira shanduko kumapapu emapundu uye kugadzira imwe mhando yekenza mune ramangwana.

Chii chaunofanira kuziva usati watanga kurapwa?

Usati watanga chemotherapy, iwe uchasangana neyako oncologist. Ino ndiyo nguva yekubvunza mibvunzo nezve izvo zvaunogona kutarisira panguva uye mushure mekurapwa. Tevedza aya matipi:

• Udza chiremba wako kana iwe uri kutora mapiritsi ekudzivirira kubereka, mimwe mishonga, kana zvekuwedzera zvekudya. Zvimwe zvezvigadzirwa izvi, kunyangwe izvo zviri pakaunda, zvinogona kukonzera kudyidzana kunokuvadza.
• Kana iwe parizvino uchiyamwisa, iwe unofanirwa kumira nekuti aya madhiragi anogona kupfuura nemukaka wako wezamu kuenda kumwana wako.
• Udza chiremba wako kana iwe uchifunga kuti unogona kunge uine pamuviri. Iyi mishonga inogona kukuvadza mwana wako uye kukonzera kuremara kwekuzvarwa.
• Chemotherapy zvinodhaka zvinogona kukanganisa kubereka kwako uye kukurudzira kutanga kuenda kumwedzi. Kana iwe uri kuronga mhuri, taura nachiremba wako nezvesarudzo dzekuronga mhuri uye pamwe ungasangana nenyanzvi yekubereka kana zvichidikanwa usati warapwa kwekutanga.
• Chemotherapy zvinodhaka zvinokanganisa immune system yako. Usawane chero majekiseni panguva yekemotherapy, uye bvunza chiremba wako kuti zvichave zvakachengeteka kuita saizvozvo.
• Mhedzisiro kubva kune chemotherapy inofanirwa kutarisirwa, asi inogona kuitirwa nemishonga, mishonga yekumba, uye ekuwedzera ekurapa. Usazeze kutaura nachiremba wako nezvematambudziko anokanganisa.

Ndezvipi zvimwe zvaunoda kuziva?

Sezvo vhiki dzinopfuura, iwe uchazojaira chirongwa chekurapa, asi mhedzisiro inogona kuramba ichienderera. Unogona kuwedzera kuneta. Iyo pfungwa yakanaka kuti mumwe munhu akutyaire kuenda nekubva chemotherapy uye nekukutsigira mune dzimwe nzira panguva yekurapa.

Aya matipi anogona kukubatsira iwe kuita kuti chemotherapy igadzikane uye isanyanya kunetsa.

• Pfeka mbatya dzakanaka uye uuye nejuzi kana gumbeze. Vamwe vanhu vanotounza piro yavo yavanofarira kana slippers.
• Uya nezvinhu zvekuverenga kana mitambo kuti upfuure nguva.
• Kana iwe wakaneta, zvibvumire iwe kuti utore kurara panguva yekurapwa.
• Udza mukoti wako kana chiremba kana iwe uine chero zviratidzo zvisina kujairika.

Beyond chemotherapy, zvakakoshawo kuti uite zvinotevera:

• Ramba uchidya chikafu chinovaka muviri, kunyangwe kana usina havi.
• Inwa mvura yakawanda uye gara uine hydrated.
• Wana zororo rakawanda.
• Shingairira kuita zvinyoro nyoro pese paunogona.
• Tsvaka rubatsiro nemabasa epamba uye nezvimwe.
• Dzivisa kuva pedyo nevanhu vane zvirwere zvinopararira nekuti immune system yako inoshaya simba.
• Gara uine hukama nemhuri yako neshamwari, asi tora nguva yako wega kana uchifanira kuzviita.