Chemotherapy mushonga wemishonga unoparadza masero anokurumidza kukura mumuviri wako uchishandisa makemikari akasimba.
Chemotherapy inonyanya kushandiswa kurapa gomarara nekuti kukura uye kuwanda kwemasero egomarara kunokurumidza kupfuura kuya kwemasero mazhinji emumuviri.
Kune akatiwandei akasarudzika chemotherapy mishonga inowanikwa. Kurapa akasiyana siyana mamota, chemotherapy mishonga inogona kushandiswa yoga kana musanganiswa.
Kunyangwe chemotherapy iri nzira inoshanda yekurapa mafomu mazhinji egomarara, kune mukana zvakare wemhedzisiro kubva kuchipatara chemotherapy. Mimwe mhedzisiro kubva kune chemotherapy yakapfava uye inorapika, nepo mimwe yacho inogona kukonzera matambudziko akakomba.
Mune vanhu vane gomarara, chemotherapy inoshandiswa kuparadza cancer maseru.
Mune vanhu vane gomarara, pane huwandu hwesarudzo umo chemotherapy inogona kushandiswa:
Kuti ikubatsire kugadzirira kumwe kurapwa. Kuderedza bundu, chemotherapy inofanirwa kushandiswa zvekuti mamwe marapirwo, akadai semwaranzi uye kuvhiya, zvinogoneka Vanachiremba vanozvidaidza neoadjuvant kuchengetedza.
Zviratidzo nezviratidzo zvekuzvidzora. Nekuuraya mamwe maseru ekenza, chemotherapy inogona kubatsira kudzikisira zviratidzo nezviratidzo zvecancer. Vanachiremba vanodana iyi chemotherapy palliative.
Chemotherapy inoshanda nekumisa kana kunonoka kukura kwemasero ekenza, ayo anokura uye nekukamurana nekukurumidza. Chemotherapy inoshandiswa ku:
Chemotherapy inoshandiswa kurapa mhando zhinji dzekenza. Kune vamwe vanhu, chemotherapy inogona kunge iri yega kurapwa kwaunogashira. Asi kazhinji, iwe unenge uine chemotherapy uye mamwe marapirwo ekenza. Mhando dzekurapwa dzaunoda dzinoenderana nerudzi rwegomarara rauinaro, kana rapararira uye kupi, uye kana uine mamwe matambudziko ehutano.
Kana ichishandiswa nemamwe marapirwo, chemotherapy inogona:
Chemotherapy haingouraye chete masero eancancer anokurumidza kukura asiwo inouraya kana kunonotsa kukura kwemasero ane hutano anokura uye nekukamurana nekukurumidza. Enzaniso maseru anoteedzera muromo wako uye ura uye ayo anoita kuti bvudzi rako rikure. Kukuvara kwemasero ane hutano kunogona kukonzera mhedzisiro, senge maronda emuromo, kuda kurutsa, uye kurasikirwa nevhudzi. Mhedzisiro inowanzo kuve nani kana kuenda mushure mekupedza chemotherapy.
Rutivi rwunojairika mhedzisiro kuneta, kuri kunzwa kuneta uye kusakara. Unogona kugadzirira kuneta na:
Kune nzira dzakawanda dzaungabatsire kubata chemotherapy mhedzisiro. Kuti uwane rumwe ruzivo, ona chikamu chemhedzisiro.
Mutengo we chemotherapy unoenderana ne:
Taura nekambani yeinishuwarenzi yehutano nezve izvo masevhisi ayo achabhadhara. Mazhinji zvirongwa zveinishuwarenzi zvinobhadhara chemotherapy. Kuti udzidze zvakawanda, taura nehofisi yebhizinesi kwaunoenda kunorapwa.
Chemotherapy inogona kupihwa munzira dzakawanda. Dzimwe nzira dzinozivikanwa dzinosanganisira:
Chemotherapy inowanzo kupihwa kuburikidza netsono nhete inoiswa mutsinga paruoko rwako kana pazasi ruoko. Mukoti wako anoisa tsono mukati pekutanga kwekurapa kwese uye woibvisa kana kurapwa kwapera. IV chemotherapy inogona kupihwa kuburikidza nemakateti kana madoko, dzimwe nguva nerubatsiro rwepombi.
Kune akawanda akasiyana chemotherapy mishonga. Ndedzipi idzo dzakabatanidzwa muchirongwa chako chekurapa chinoenderana zvakanyanya ne:
Iwe unogona kugamuchira chemotherapy panguva yekugara muchipatara, pamba, kana sechiremba kunze kwehofisi yechiremba, kiriniki, kana chipatara. Outpatient zvinoreva kuti haugare usiku. Hazvina mhosva kuti iwe unoenda kupi chemotherapy, chiremba wako uye mukoti vachatarisa mhedzisiro uye vanokubatsira kuzvibata. Kuti uwane rumwe ruzivo nezve mhedzisiro uye maitiro ekuzvigadzirisa, ona chikamu chemhedzisiro.
Zvirongwa zvekurapa chemotherapy zvinowirirana zvakanyanya. Kangani uye kwenguva yakareba sei iwe kuwana chemotherapy kunoenderana ne:
Iwe unogona kugamuchira chemotherapy mumatunhu. Kutenderera inguva yemakemikari kurapwa inoteverwa nenguva yekuzorora. Semuenzaniso, unogona kugamuchira chemotherapy zuva rega rega kwevhiki imwe inoteverwa nevhiki nhatu isina chemotherapy. Aya mavhiki mana anoumba kutenderera kumwe. Iyo nguva yekuzorora inopa muviri wako mukana wekupora uye kuvaka maseru matsva ane hutano.
Zviri nani kuti usapfuure chemotherapy kurapwa. Asi, dzimwe nguva chiremba wako anogona kushandura yako chemotherapy chirongwa kana iwe uine mamwe mhedzisiro. Kana izvi zvikaitika, chiremba wako kana mukoti anotsanangudza zvekuita uye nguva yekutanga mushonga zvakare.
Chemotherapy inobata vanhu nenzira dzakasiyana. Iwe unonzwa sei zvinoenderana ne:
Sezvo munhu wese akasiyana uye vanhu vachipindura chemotherapy nenzira dzakasiyana, chiremba wako nevanamukoti havagone kuziva zvechokwadi manzwiro aunoita panguva yekemotherapy.
Iwe uchaona chiremba wako kazhinji. Munguva dzekushanya uku, iye achakubvunza iwe kuti unonzwa sei, ita bvunzo dzepanyama, uye odha bvunzo dzekurapa uye kuongorora. Miedzo inogona kusanganisira kuongororwa kweropa. Scans inogona kusanganisira MRI, CT, kana PET scans.
Iwe haugone kutaura kana chemotherapy iri kushanda zvichibva pamhedzisiro yayo. Vamwe vanhu vanofunga kuti zvakakomba mhedzisiro zvinoreva kuti chemotherapy iri kushanda nemazvo, kana kuti hapana mhedzisiro inoreva kuti chemotherapy haisi kushanda. Ichokwadi ndechekuti mhedzisiro haina chekuita nekuti chemotherapy irikurwisa sei kenza yako.
Chemotherapy inogona kukuvadza maseru ane hutano anoisa mukanwa nemuura uye kukonzera matambudziko ekudya. Udza chiremba wako kana mukoti kana uchinetseka kudya paunenge uchigamuchira chemotherapy. Iwe unogona zvakare kuona zvichibatsira kutaura neyekudya. Kuti uwane rumwe ruzivo nezve kutarisana nedambudziko rekudya ona kabhuku kanonzi Eating Hints kana chikamu chemhedzisiro.
Vanhu vazhinji vanogona kushanda panguva yekemotherapy, sekureba sekunge ivo vachienderana yavo purogiramu yebasa kune manzwiro avanonzwa. Kunyangwe kana kwete iwe kwaunogona kushanda kunoenderana nerudzii rwebasa rauinaro. Kana basa rako rikabvumidza, ungangoda kuona kana uchikwanisa kushanda kwemaawa kana kubva kumba pamazuva ausinganzwe zvakanaka.
Vazhinji vashandirwi vanodiwa nemutemo kuti uchinje purogiramu yako yebasa kuzadzikisa zvaunoda panguva yekurapwa nekenza. Taura newaunoshandira nezvenzira dzekugadzirisa basa rako panguva yekemotherapy. Unogona kudzidza zvakawanda pamusoro pemitemo iyi nekutaura nemushandi wezvemagariro.
Maitiro aunoronga chemotherapy zvinoenderana nemishonga yauchazogamuchira uye kuti vachapihwa sei. Iwe unozopihwa yakadzama mirairo kubva kuna chiremba wako kugadzirira kwako chemotherapy kurapwa. Iwe waizoda:
Kusvikira intravenous chemotherapy, ive nehurongwa hwekuvhiyiwa. Chiremba wako anogona kunyorera chubhu, senge catheter, chiteshi kana pombi, kana iwe uri kugamuchira yako chemotherapy mukati mehusinga mutsinga. Iyo catheter kana chimwe chigadzirwa, kazhinji mubhokisi rako, chinovhiyiwa chakaiswa mutsinga huru. Kubudikidza nesystem, chemotherapy mishonga inogona kupihwa.
Kuona kuti muviri unokwanisa kugamuchira chemotherapy, ita bvunzo uye maitiro. Kuongororwa kweropa kutarisa mashandiro eitsvo uye chiropa uye bvunzo yemoyo kutarisa hutano hwemwoyo ndiko kunoona kana muviri wakagadzirira kutanga chemotherapy. Chiremba wako anokwanisa kudzosera kurapwa kwako kana paine dambudziko kana kusarudza rakasiyana chemotherapy mushonga uye muyero wakachengeteka kwauri.
Ona chiremba wemazino. Chiremba wako anogona kukurudzira kuti mazino ako aongororwe zviratidzo zvehutachiona nachiremba wemazino. Kurapa hutachiona huripo kunogona kudzikisa njodzi yezvinetso panguva yekurapwa nekemotherapy, sezvo imwe chemotherapy ingangodzora kugona kwemuviri wako kurwisa hutachiona.
Pamhedzisiro, ronga zvinoenderana. Udza chiremba wako kuti ndeapi mhedzisiro yaunotarisira uye gadzirira zvakakodzera usati uye mushure memakemikari. Semuenzaniso, iwe ungangoda kuongorora sarudzo dzako dzekuchengetedza mbeu yako kana mazai ekushandisa kana mushonga wako wemakemikari ungakonzeresa kushaya mbereko. Kana chemotherapy yako ichizokonzeresa kurasikirwa nevhudzi, funga kuronga kuvhara musoro wako.
Ita kuti nhengo yemhuri kana shamwari ikufambise iwe kuenda kwako kwekutanga kurapwa. Vanhu vazhinji vanoenda kuenda nekubva chemotherapy zvikamu ivo pachavo. Asi iwe unogona kuona kuti mushonga unoita kuti unete kekutanga kana kuti unokonzeresa mimwe mhedzisiro inoita kuti zvive zvakaoma kutyaira.
Ita zvirongwa zvekupa rutsigiro kumba uye kubasa. Mune kiriniki yekunze, varwere vazhinji vanopihwa, izvo zvinova nechokwadi chekuti vanhu vazhinji vanokwanisa kuramba vachishanda nekuita zvavo zvakajairika panguva yekemotherapy. Pakati pese, chiremba anokuudza kuti maitiro ako ezuva nezuva anozokanganiswa sei nemakemikari, asi zvakaoma kufanotaura chaizvo manzwiro aunoita.
Kumbira chiremba wako kana mushure mekurapwa, iwe uchazoda nguva yekubva kubasa kana rutsigiro mumba mako. Kumbira chiremba wako nezve chemotherapy yako ruzivo rwekurapa kuitira kuti iwe ugone kuita zvirongwa zvebasa, vana, zvipfuwo kana mamwe mabasa.
Ita kuti nhengo yemhuri kana shamwari ikufambise iwe kuenda kwako kwekutanga kurapwa. Vanhu vazhinji vanoenda kuenda nekubva chemotherapy zvikamu ivo pachavo. Asi iwe unogona kuona kuti mushonga unoita kuti unete kekutanga kana kuti unokonzeresa mimwe mhedzisiro inoita kuti zvive zvakaoma kutyaira.
Zvinodhaka zvechemotherapy zvinogona kupihwa nenzira dzakawanda, kusanganisira:
Infusions yekemotherapy: Kazhinji kwazvo, chemotherapy inopihwa sejekiseni mutsinga (mukati). Iyo mishonga inogona kuunzwa nekupinza tsono chubhu mukati mutsinga iri muruoko rwako kana muchipfuva vein system.
Mapiritsi eChemotherapy: Izvo zvinokwanisika kutora mamwe machemotherapy madhiragi mupiritsi kana fomu fomu.
Shots yekemotherapy: Izvo zvinokwanisika kupa chemotherapy mishonga ine tsono, sekunge iwe ungangowana pfuti.
Makemikari ekemotherapy: Kurapa mamwe marudzi egomarara reganda, mafuta kana magel ane chemotherapy mishonga anogona kuiswa paganda.
Chemotherapy mishonga inoshandiswa pakurapa imwe nzvimbo yemuviri. Izvo zvinokwanisika kutumira chemotherapy mishonga yakananga kune chimwe chikamu chemuviri. Chemotherapy mishonga inogona kuendeswa yakananga mudumbu (intraperitoneal chemotherapy), chipfuva cavity (intrapleural chemotherapy) kana yepakati tsinga system, semuenzaniso (intrathecal chemotherapy).
Mhedzisiro mhedzisiro isingaoneke kusvika mwedzi kana makore mushure mekurapwa kunogona kukonzerwa nemakemikari madhiragi. Zvichienderana nekemotherapy mushonga, kunonoka mhedzisiro kunosiyana, asi kunogona kusanganisira:
Alkylating vamiririri
Bifunctional alkylators
Cyclophosphamide
Mechlorethamine
Chlorambucil
Melphalan
Monofunctional alkylators
Dacarbazine
Nitrosoureas
Kwayedza
Anthracyclines
Daunorubicin
Doxorubicin
Epirubicin
Idarubicin
Mitoxantrone
Valrubicin
Cytoskeletal kuvhiringidza (taxanes)
Paclitaxel
Docetaxel
Abraxane
Taxotere
Epothilones
Nhoroondo deacetylase inhibitors
Vorinostat
Romidepsin
Inhibitors ye topoisomerase I
irinotecan
Topotecan
Inhibitors ye topoisomerase II
Etoposide
Teniposide
Tafluposide
Kinase inhibitors
Bortezomib
Erlotinib
Gefitinib
Imatinib
Vemurafenib
Vismodegib
Nucleotide analogs uye preursor analogs
Azacitidine
Azathioprine
Capecitabine
Cytarabine
Doxifluridine
Fluorouracil
Gemcitabine
Hydroxyurea
Mercaptopurine
Methotrexate
Tioguanine (aimbova Thioguanine)
Peptide mishonga inorwisa mabhakitiriya
Bleomycin
Actinomycin
Platinum-based vamiririri
Carboplatin
Cisplatin
Oxaliplatin
Retinoids
Tretinoin
Ndakatora alitretinoin
Bexarotene
Vinca alkaloids uye zvigadzirwa
Vinblastine
Vincristine
Vindesine
Vinorelbine