I-BEACOPP - Izidakamizwa, i-Dosing Schedule, kanye Nemiphumela Ejwayelekile
Uma utshelwe ukuthi i-BEACOPP chemotherapy inconywa ngesifo sakho se-Hodgkin, kusho ukuthini lokhu? Iyini le nhlanganisela yezidakamizwa esetshenzisiwe?
I-BEACOPP I-Chemotherapy Regimen - Incazelo
I-BEACOPP yigama le-chemotherapy regimen (isimiso somuthi) esetshenziselwa ukwelashwa kwesigaba esiphezulu seHodgkin lymphoma . Kuyindlela ejwayelekile futhi ephumelelayo yekhemotherapy yeziguli ezisanda kutholakala ezinesifo esasakazekile.
Nakuba kungavamile ukusetshenziswa e-US, kubhekwa njengenhlanganisela ejwayelekile ye-chemotherapy ye-stage III noma IV Hodgkin lymphoma kwamanye amazwe aseYurophu.
Izidakamizwa ezisetshenziswa ku-Regimen ye-BEACOPP
Inhlanganisela yezidakamizwa eziyisikhombisa isetshenziswe ku-BEACOPP.
- I-Cytoxan / Neosar (i-Cyclophosphamide) - inikezwe njenge-infusion emithanjeni yakho ngosuku 1.
- I-Adriamycin / i-Rubex (i-Doxorubicin) - enikezwe njengokwemfutho emithanjeni yakho ngosuku 1.
- I-VePesid (i-Etoposide) - inikezwe njenge-infusion emithanjeni yakho ngezinsuku 1 kuya ku-3.
- UMatulane (Procarbazine) - anikezwe njengamaphilisi okumelwe athathwe ngomlomo ezinsukwini 1 kuya ku-7.
- I-prrednisone - enikezwa njengamaphilisi okufanele athathwe ngomlomo ezinsukwini 1 ukuya ku-14
- I-Blenoxane (i-Bleomycin) - inikezwe njengemjovo emifushane emithini ngosuku 8.
- I-Oncovin (i-Vincristine) - inikezwe ukumnika okwesikhashana emini ngosuku.
Yeka ukuthi i-BEACOPP Inikezwa Kanjani Ngokuvamile?
Umjikelezo ngamunye we-BEACOPP uqukethe ukuphathwa kwezidakamizwa ezingu-7 ezinsukwini ezihleliwe. Umjikelezo ngamunye uqhutshwa njalo ezinsukwini ezingu-21.
Zingadingeka Kanjani Ama-Cycle?
Ngokuvamile imijikelezo engu-6 kuya ku-8 ye-BEACOPP iyadingeka njengendlela ephelele ye-chemotherapy esesimweni esiphezulu sesifo.
Izivivinyo zidingekayo nge-BEACOPP Chemotherapy
Ngaphambi kwe-BEACOPP chemotherapy iqalile, ukubala kwegazi kanye nokuhlolwa kwegazi kwezinso zezinso nesibindi kwenziwa. I- echocardiogram (inhliziyo ultrasound) iyadingeka ukuhlola umsebenzi wenhliziyo ngaphambi kokuqala ukwelashwa.
Njengoba i- doxorubicin ingahle ithinte inhliziyo ngaso sonke isikhathi , kubalulekile ukuthi lolo lwazi luqhathaniswe ngokuhamba kwesikhathi ngenkathi ukwelashwa. Isivivinyo somsebenzi we-x-ra ne-lung lungasetshenziswa ukukala ukuqina kwemaphaphu ngaphambi kokusebenzisa i-bleomycin, njengoba le mithi ingathinta amaphaphu (ubuthi be-pulmonary.)
Ngesikhathi se-chemotherapy, ukubalwa kwegazi kuyadingeka ngaphambi kokuba umjikelezo wokujoza izidakamizwa. Okunye ukuhlolwa kungabuyekezwa njengoba kudingeka.
Imiphumela emibi Ngesikhathi seKhemotherapy
Njengoba ukuhlasela kwe-chemotherapy kuhlukanisa ngokushesha amaseli afana namangqamuzana omdlavuza, kungathinta futhi amangqamuzana avamile emzimbeni wakho ukuthi avame ukuphindaphindiwe njengalawo emangcwabeni akho, ububanzi besisu, nezinwele zezinwele. Lokhu kungabangela:
- Inani eliphansi elimhlophe legazi legazi . Ukuwa kwamanani akho amhlophe kuvamile kakhulu futhi kuzolandelwa njalo. Izidakamizwa zokukhula njenge-Neulasta ne-Neuopogen zisetshenziselwa njalo nezidakamizwa ze-chemotherapy ukuphakamisa isibalo sakho segazi elimhlophe. Uma inani lakho elimhlophe lihlala liphansi ngisho nalezi zici zokukhula, i-chemotherapy cishe izobambezeleka kuze kube yilapho amazinga akho ebuyele emazingeni avumelekile. Njengoba unamaseli omzimba amancane okuvikela ukulwa nokutheleleka, kubalulekile ukulandela izinyathelo zokuvikela i-oncologist yakho ezokutshela yona. Kubuye kubaluleke kakhulu ukubiza udokotela wakho ngokushesha ngenkathi kulesi simiso se-chemotherapy uma kufanele uhlakulele umkhuhlane noma ezinye izibonakaliso zokutheleleka.
- I-nausea nokuhlanza kungenzeka kube yinto evamile, futhi i-anti-emetics (izidakamizwa ezivimbela futhi zilawule i-nausea nokuhlanza) ziyobekwa njalo. Eminye imithi inikezwa ukuvimbela isicanucanu nokuhlanza, kuyilapho abanye kunqunyelwe ukuphatha isicanucanu esivele sikhona. Kubaluleke kakhulu ukusebenzisa imishanguzo yokuvimbela ngaphambi kokuba uthuthukise noma yisiphi isicefe, njengoba singasebenzi kahle uma usuvele unezimpawu. Udokotela wakho uzokhuluma nawe ngezinhlobo ezihlukahlukene zokuhlukumeza , nokuthi imithi isebenza kanjani ngayinye yalezi zinto.
- Ukulahleka izinwele kuvame kakhulu futhi kuvame ukuqala amasonto ambalwa emva kokuqala kwama-chemotherapy sessions. Ukulungiselela phambili - ukuthola isembozo se-wig noma sekhanda - kuyasiza kwabanye abantu. Izinwele zakho zizokhula emuva, ngakho abanye abantu bakuthola kuwusizo ukuphinda baphinde baphinde bacabange ukuthi i-chemotherapy yenza umsebenzi wayo ekubukeni izinwele zabo zibe zincanyana futhi ziphume.
- Izilonda zomlomo ezivela kumakhemikhali ngokuvamile ziyisiyaluyalu, kodwa ngezinye izikhathi ukutheleleka kungakhula endaweni yezilonda. Kungaba usizo ukugwema ukudla "okubukhali" njengama-toast and crackers, futhi udle ukudla kunalokho okuthambile - njengeamaqanda aqhekeziwe namazambane ahlambulukile. Ukudla okunomsoco kanye nalabo abane-citric acid nakho kungabangela ukungathandeki. Ukufunda ukuthi yikuphi ukudla okungcono futhi okubi kakhulu ukudla nemilonda yomlomo kungenza indlela ende ukwenza lo mphumela ohlangothini ubekezeleleke kakhulu.
- Isifo sohudo - Ukuhuda isifo singathí sina uma usebenzisa i-chemotherapy. Qinisekisa ukuthi ukhuluma nodokotela wakho uma uhlakulela lesi sibonakaliso, futhi uqiniseke ukuthi uphuze uketshezi oluningi lokunciphisa ingozi yokuphelelwa amandla kwamanzi.
- Ukungcoliswa kwesikhumba nezipikili - Izinguquko ze- fingernail kanye ne-toenail zivame nemithi ye-chemotherapy kulolu hlobo.
- I-peripheral neuropathy - Ungabona ukuguqulwa okuncane kwezinzwa ezandleni nasezinyaweni zakho.
Ukusekela
Uma usanda kutholakala ukuthi, Kungaba nzima ukukwazi ukuthi ungaqala kuphi. Finyelela emndenini nabangani. Ungazami ukuba yiqhawe - lesi yisikhathi esihle sokufunda ukuvumela abantu bakusize. Cabanga ngokujoyina iqembu lokusekela emphakathini wakho, noma xhuma nabanye abantu nge-inthanethi ngokusebenzisa imidiya yomphakathi. Futhi ubeke ithemba. Imithi yokwelashwa - kanye nokuphathwa kwemiphumela emibi - ithuthuke kakhulu eminyakeni yamuva.
Abathandekayo
Uma ngabe othandekayo wakho oye wathola, hlola lezi zeluleko kulokho ongakusho kumuntu onomdlavuza bese ubheka ezinye zezinkinga azobhekana nazo emavikini nasezinyangeni ezizayo.
Imithombo:
Engert, A. ABVD noma BEACOPP ye-Advanced Hodgkin Lymphoma. I-Journal ye-Clinical Oncology . 2015 Dec 28. (Epub ngaphambi kokuphrinta).
Handbook of Cancer Chemotherapy. I-Seventh Edition. Umhleli: Roland T Skeel. Ishicilelwe nguLippincott Williams noWilkins, ngo-2007.
Uhm, J., noJ. Kuruvilla. Ukwelashwa kwesigaba esisheshayo esitholakale seHodgkin lymphoma. Ukubuyekeza kwegazi . 2012. 26 (4): 167-74.