Ndeapi Masarudzo Ekurapa Aripo Ekuwedzera Kenza Yezamu?

Zvemukati

• Hormone kurapa
• Zvinotarisirwa zvinodhaka
• Chemotherapy
• Radiation
• Kuvhiya
• Mishonga yemarwadzo
• Mishonga yekurapa
• Chinokosha

Kuva nefomu yepamberi yekenza kunogona kunzwa sekunge uine zvishoma kana zvisina nzira dzekurapa. Asi handizvo. Tsvaga kuti ndeapi sarudzo aunowana kwauri, uye tanga kusvika parudzi rwekurapa.

Hormone kurapa

Kune akatiwandei mahormone ekurapa ekurapa epamberi ehormone receptor-yakanaka (estrogen receptor-yakanaka kana progesterone receptor-yakanaka) kenza yemazamu:

Tamoxifen mishonga yemuromo yemazuva ese yevakadzi ve premenopausal.

Aromatase inhibitors mishonga yemumuromo yevakadzi ve postmenopausal. Izvi zvinogona kusanganiswa nemishonga yakanangwa yakadai sepalbociclib (Ibrance) kana everolimus (Afinitor). Iyo aromatase inhibitors inosanganisira:

• anastrozole (Arimidex)
• exemestane (Aromasin)
• letrozole (Femara)

Mhedzisiro yemhedzisiro yekurapa inogona kusanganisira:

• kupisa kupisa uye kudikitira usiku
• kuoma kwechikadzi
• kudzikisira bonde drive
• mafungiro
• kukanganiswa kwekuenda kumwedzi muvakadzi ve premenopausal
• cataract
• yakawedzera njodzi yekuvhara ropa, sitiroko, uye chirwere chemwoyo
• kurasikirwa nefupa

Hormonal Therapies haibudirire pakurapa mahormone-isina-kenza yemazamu.

Zvinotarisirwa zvinodhaka

Mishonga yakati wandei inotarisa yakakwira HER2-yakanaka kenza yemazamu. Ziva kuti aya marapirwo haasi ekurapa anoshanda kweHER2-isina kenza yemazamu.

Trastuzumab (Herceptin) inoiswa mukati mehasha uye kazhinji inorayirwa pamwe chete nekemotherapy. Iyo yekutanga dosi inowanzo kutora maminetsi makumi mapfumbamwe. Mushure meizvozvo, madosi ari madiki uye anotora inenge hafu yeawa. Pakati pezvinogona kuitika mhedzisiro ndeiyi:

• infusion reaction
• kupindwa nechando
• kusvotwa uye kurutsa
• manyoka
• zvirwere
• musoro
• kuneta
• mapundu

Pertuzumab (Perjeta) inoitiswawo mukati mekubaya. Iyo yekutanga dose inotora ingangoita awa. Inogona kudzokororwa vhiki nhatu dzese mune zvidiki zvidiki. Inowanzoshandiswa pamwe chete nekemotherapy. Mhedzisiro kubva kune pertuzumab ine chemotherapy inogona kusanganisira:

• kusvotwa
• manyoka
• kurasikirwa nevhudzi
• kuneta
• mapundu
• kupera uye kurira (peripheral neuropathy)

Mumwe mushonga wakatorwa mukati, "ado-trastuzumab emtansine" (Kadcyla) inopihwa mazuva ese makumi maviri nerimwe. Pakati pezvinogona kuitika mhedzisiro ndeiyi:

• infusion reaction
• kuneta
• kusvotwa
• musoro uye musculoskeletal kurwadziwa
• kuvimbiswa
• mhino inobuda ropa uye kubuda ropa

Lapatinib (Tykerb) mushonga wemuromo. Inogona kushandiswa yoga kana kusanganiswa nekemotherapy kana zvimwe zvakanangwa zvinodhaka. Zvichienderana nemishonga ipi yaanosanganisa nayo, lapatinib inogona kukonzera:

• manyoka
• kusvotwa uye kurutsa
• mapundu
• kuneta

Aya anotevera anotarisirwa marapirwo anoshandiswa kurapa akakwidziridzwa mahormone receptor-yakanaka / HER2-isina-kenza yemazamu:

Palbociclib (Ibrance) ndeye anoral mishonga inoshandiswa ne aromatase inhibitor. Migumisiro inogona kusanganisira:

• kusvotwa
• maronda emuromo
• kurasikirwa nevhudzi
• kuneta
• manyoka
• kuwedzera njodzi yekutapukirwa

Iyo yemuromo mushonga everolimus (Afinitor) inotorwa nemuromo uye inoshandiswa musanganiswa neexemestane (Aromasin). Kazhinji haina kushandiswa kusvikira mushure mokunge letrozole kana anastrozole yaedzwa. Zvimwe zvinokanganisa zvinosanganisira:

• mweya wekufema
• kukosora
• kushaya simba
• yakawedzera njodzi yehutachiona, yakakwira ropa lipids, uye yakakwira ropa shuga

Chemotherapy

Chemotherapy inogona kushandiswa kune chero mhando yekenza yemazamu. Kazhinji yenguva, izvi zvinosanganisira mubatanidzwa wemakemikari akawanda emakemikari.

Hakuchina mahormone kana akananga marapirwo emakenza emazamu ari ese mahormone receptor-isina uye HER2-isina (inozivikanwawo segomarara remazamu katatu, kana TNBC) Chemotherapy ndiyo yekutanga-kurapwa kurapwa mune idzi kesi.

Chemotherapy inzira yekurapa. Inogona kusvika nekuparadza cancer maseru chero kupi mumuviri wako. Mune mamwe mamiriro ezvinhu, chemotherapy mishonga inogona kuunzwa yakananga kune imwe nzvimbo yemastastasis, senge chiropa chako kana kune iro rakatenderedza rakatenderedza uropi hwako.

Iyo mishonga inopihwa mukati. Chikamu chega chega chekurapa chinogona kutora maawa akati wandei. Inopihwa nguva nenguva kusvika kumavhiki akati wandei. Izvi ndezvekutendera muviri wako kuti uwanezve mukati mekurapa.

Chemotherapy zvinodhaka zvinoshanda nekuti zvinouraya masero ekenza anokurumidza kukura. Nehurombo, ivo vanogona zvakare kuuraya mamwe anokurumidza kukura masero ane hutano. Izvi zvinogona kukonzera kuwanda kwemhedzisiro mhedzisiro, kusanganisira:

• kusvotwa uye kurutsa
• kurasikirwa nevhudzi
• kurasikirwa nenzara
• kuvharirwa kana kuita manyoka
• kuneta
• shanduko kuganda nezvipikiri
• maronda emukanwa uye maronda anobuda ropa
• manzwiro anochinja
• kuonda
• kurasikirwa pabonde drive
• Matambudziko ekubereka

Radiation

Mune mamwe mamiriro ezvinhu, kurapwa nemwaranzi kunogona kubatsira pakurapa kenza yemazamu yepamusoro. Mimwe mienzaniso ndeiyi:

• kunongedza metastasis mune imwe nharaunda, senge huropi hwako kana musana
• kubatsira kudzivirira kutsemuka mumapfupa asina simba
• yakanangana nebundu riri kukonzera ronda rakavhurika
• kurapa kuvhara ropa muropa rako muchiropa chako
• kupa zororo

Radiation kurapwa hakurwadzi. Asi zvinogona kukonzeresa kutsamwa kweganda uye kuneta kwenguva refu. Inowanzo kupihwa zuva rega rega kusvika kumavhiki manomwe, saka pane nguva yekuzvipira yenguva nezuva.

Kuvhiya

Kuvhiya kunogona kuve chikamu chekwako kenza yemazamu kurapwa kwezvikonzero zvishoma. Mumwe muenzaniso kuvhiyiwa kubvisa bundu riri kutsimbirira pauropi kana musana.

Kuvhiya kunogona kushandiswa mukubatana ne radiation radiation.

Mishonga yemarwadzo

Mhando dzakasiyana dzemishonga dzinogona kushandiswa kurapa kurwadziwa kwakabatana nekenza yemazamu yepamusoro.

Unogona kutanga nepamusoro-pe-pari marwadzo ekudzora. Pakati pavo pane:

• acetaminophen (Tylenol)
• ibuprofen (Advil, Motrin)
• naproxen (Aleve, Naprosyn)

Taura nachiremba wako usati washandisa mishonga inopfuura-the-counter. Vamwe vanogona kukanganisa mamwe marapirwo.

Kuti uwane kurwadziwa kwakanyanya, chiremba wako anogona kupa mushonga weopioid yakadai se:

• morphine (MS Kuenderera mberi)
• oxycodone (Roxicodone)
• hydromorphone (Dilaudid)
• fentanyl (Duragesic)
• methadone (Dolophine)
• oxymorphone (Opana)
• buprenorphine (Buprenex)

Mhedzisiro inogona kusanganisira kukotsira, kupatira, uye kuda kurutsa. Iyi mishonga ine simba inofanirwa kutorwa chaizvo sekurairwa.

Izvi zvinowanzo shandiswa pakurwadziwa nekuda kwepfupa metastasis:

• bisphosphonates: zoledronic acid (Zometa) kana pamidronate (Aredia), yakapihwa mukati.
• RANK ligand inhibitor: denosumab (Xgeva kana Prolia), yakapihwa jekiseni

Iyi mishonga inogona kubatsirawo kudzikisa njodzi yekutyoka kwemapfupa. Tsandanyama uye kurwadziwa kwepfupa zvinogona kuve nemhedzisiro.

Dzimwe mhando dzemishonga yekurwadziwa kwecancer yekenza yemazamu ndeiyi:

• mishonga inodzvinyirira
• anticonvulsants
• steroids
• omunharaunda yokutindivadza

Vamwe vanhu vane dambudziko rekumedza mapiritsi. Muchiitiko ichocho, mimwe mishonga yekurwadziwa inowanikwa mune yemvura kana yeganda chigamba fomu. Zvimwe zvinogona kupihwa mukati mehushe kana kuburikidza nechemotherapy port kana catheter.

Mishonga yekurapa

Mimwe yekurapa yekuwedzera iyo inogona kubatsira kudzora marwadzo ndeiyi:

• acupuncture
• kupisa uye kutonhora kurapwa
• kurapa kurapa
• kurovedza muviri zvinyoro nyoro
• maitiro ekuzorora akadai sekufungisisa uye mifananidzo yakatungamirwa

Chinokosha

Kurapa kwekenza yemazamu yakakwidziridzwa kunoenderana nezvido zvako zvega uye chirwere chako. Izvo zvinogona kunge zvinosanganisira kurapwa kwakawanda panguva imwe chete. Inofanirwa kuve inochinjika, ichichinja sezvo zvaunoda zvichichinja.

Chiremba wako anoongorora hutano hwako nezviratidzo. Iwe haufanire kuenderera nemishonga isiri kushanda.

Kutaurirana kwakanaka nachiremba wako kwakakosha kuti uwane yakanakisa mhando yehupenyu.