Kurapa kurapa gomarara remuura

Zvemukati

• 1. Kuvhiya
• 2. Radiotherapy
• 3. Chemotherapy
• 4. Immunotherapy

Kurapa kwegomarara remudumbu kunoitwa zvinoenderana nedanho uye kuomarara kwechirwere, nzvimbo, kukura uye hunhu hwebundu, uye kuvhiyiwa, chemotherapy, radiotherapy kana immunotherapy zvinogona kuratidzwa.

Gomarara remudumbu rinorapika kana kuongororwa kwacho kuchinge kwatanga muzvikamu zvekutanga zvechirwere uye kurapwa kwatanga munguva pfupi inotevera, sezvo zviri nyore kudzivirira metastasis uye kudzora kukura kwechirwere. Nekudaro, kana gomarara rikaonekwa mumatanho ekupedzisira, zvinova zvakaoma kuwana mushonga, kunyangwe kurapwa kwacho kuchiitwa maererano nemazano ekurapa.

1. Kuvhiya

Kuvhiya kunowanzo kuve kurapwa kwesarudzo yekenza yemudumbu uye kazhinji kunosanganisira kubvisa chikamu chakakanganiswa chemuura uye chikamu chidiki chemuviri une hutano kuona kuti hapana masero ekenza aripo.

Kana chirwere ichi chikaitwa mumatanho ekutanga, kuvhiyiwa kunogona kuitwa chete nekubvisa chikamu chidiki chemukati, zvisinei nekuti kuongororwa kwacho kunoitwa mumatanho epamberi, zvingave zvakakosha kuti munhu wacho aende chemo kana radiotherapy kudzikisa kukura kwebundu.uye zvinokwanisika kuita kuvhiya. Ona mashandiro anoita gomarara remudumbu

Kudzoreredza mushure mekuvhiyiwa gomarara remuura kunotora nguva uye panguva yepashure-yekuvhiya munhu anogona kurwadziwa, kuneta, kushaya simba, kuzvimbirwa kana kuita manyoka uye kuvapo kweropa mudumbu, zvakakosha kuzivisa chiremba kana zviratidzo izvi zvichiramba zviripo.

Mushure mekuvhiyiwa, chiremba anogona kukurudzira kushandiswa kweanorodza kana ekurwisa-kupisa mishonga kukurudzira kupora uye kurerutsa zviratidzo zvinogona kubuda mushure mekuvhiyiwa, kuwedzera kune maantibayoti ekudzivirira hutachiona. Uye zvakare, zvinoenderana nehukuru uye kuomarara kwekenza, chiremba anogona kukurudzira chemo kana radiation radiation.

2. Radiotherapy

Radiotherapy inogona kuratidzirwa kudzikisa saizi yebundu, ichikurudzirwa usati wavhiyiwa. Uye zvakare, inogona zvakare kuratidzwa kuitira kudzora zviratidzo uye kudzivirira kukura kwethumba. Nekudaro, radiotherapy inogona kuiswa nenzira dzakasiyana:

• External: radiation inobva mumuchina, inoda kuti murwere aende kuchipatara kunorapwa, kwemazuva mashoma pavhiki, maererano nechiratidzo.
• Zvemukati: mwaranzi inouya kubva pakuisirwa ine radioactive zvinhu zvakaiswa padyo nebundu, uye zvichienderana nerudzi, murwere anofanira kugara muchipatara kwemazuva mashoma kuti arapwe.

Iyo mhedzisiro mhedzisiro ye radiation radiation inowanzo kuve isina hukasha kupfuura yeiyo chemotherapy, asi inosanganisira kutsamwa kweganda munzvimbo yakarapwa, kuda kurutsa, kuneta uye kutsamwiswa mune rectum uye bladder. Iyi mhedzisiro inowanzo kudzikira pakupera kwekurapwa, asi kutsamwa kwereceum uye dundira kunogona kuramba kwemwedzi.

3. Chemotherapy

Kunge radiotherapy, chemotherapy inogona kushandiswa pamberi pekuvhiyiwa kuti ideredze saizi yebundu kana senzira yekudzora zviratidzo nekukura kwemota, zvisinei iyi kurapa kunogona kuitwawo mushure mekuvhiyiwa kuitira kubvisa maseru carcinogens asina kubviswa zvachose.

Nekudaro, iyo mikuru mhando yemakemikari anoshandiswa mukenza yematumbu anogona kuva:

• Adjuvant: yakaitwa mushure mekuvhiyiwa kuti iparadze maseru ekenza asina kubviswa pakuvhiya;
• Neoadjuvant: yakashandiswa pamberi pekuvhiyiwa kudzikisa bundu uye kuita kuti ribviswe;
• Yekenza yepamberi: inoshandiswa kudzikisa saizi yebundu uye kubvisa zviratidzo zvinokonzerwa nemastastases.

Mimwe mienzaniso yemishonga inoshandiswa mukemotherapy iCapecitabine, 5-FU uye Irinotecan, iyo inogona kupihwa jekiseni kana fomu yepiritsi. Iwo makuru mhedzisiro mhedzisiro ye chemotherapy inogona kuve kurasikirwa bvudzi, kurutsa, kurasikirwa kwekuda kudya uye kudzokorora manyoka.

4. Immunotherapy

Immunotherapy inoshandisa mamwe maantibhakitiriya akajowa mumuviri kuti aone nekurwisa maseru ekenza, kudzivirira kukura kwethumba nemikana yemastastasis. Iyi mishonga haina kukanganisa masero akajairwa, nokudaro ichideredza mhedzisiro. Iyo mishonga inonyanyo shandiswa mune immunotherapy ndeBevacizumab, Cetuximab kana Panitumumab.

Mhedzisiro yemununotherapy pakurapa gomarara remudumbu inogona kuva mapundu, dumbu, manyoka, kubuda ropa, kunetseka kune mwenje kana matambudziko ekufema.