UNancy wayenokhemotherapy ekuqaleni kwawo-1980 ukuphindaphinda umdlavuza wakhe webele . Emuva ngaleso sikhathi, izifo ze-chemo zanikezwa ngamanani amakhulu kunamanje, futhi kancane kwaziwa ngokuvimbela imiphumela emibi. Wagula kakhulu futhi waba buthakathaka ngenkathi ekwelashwa, futhi esinye sezidakamizwa sabangela ukuba abe yimpumputhe okwesikhashana. Eminyakeni engamashumi amabili kamuva, lapho ngithatha i-chemo, amanani ayesincane futhi imithi yangaphambi kokuthola imithi yanikezwa ukuba iphume emiphumeleni emibi kakhulu.
Imithi yokwelapha i-chemotherapy yomdlavuza webele isithuthukile kakhulu, futhi izinga lokusinda liyaqhubeka.
Ukuze sikusize uqonde izinto eziyisisekelo mayelana ne-chemotherapy, ukuthi zingakuthinta kanjani izinqumo zakho zokwelapha, ngibheke phezulu lokho okushiwo ochwepheshe ku- UpToDate - inkomba ye-electronic ethembekile esetshenziselwa abaningi be-oncologists abaphatha iziguli zomdlavuza webele.
Kungenzeka noma ungadingi imithi yamakhemikhali. Kodwa kuzodingeka wazi ukuthi i-chemotherapy izokuzuzisa ngokuthuthukisa amathuba akho okusinda. Qala ngokufunda le ngcaphuno ukuze ubone ukuthi kungani i-chemotherapy ingabalulekile kuwe.
Ngokusho kwe- UpToDate, i- chemotherapy ibhekisela ekusetshenzisweni kwemithi ukuma noma ukunciphisa ukukhula kwamangqamuzana omdlavuza. I-Chemotherapy isebenza ngokuphazamisa ikhono lamaseli akhula ngokushesha (njengamaseli omdlavuza) ukuhlukanisa noma ukuphindaphinda. Ngenxa yokuthi iningi lamaseli omdala ajwayelekile awahlukanisi ngokuphindaphindiwe noma aphindaphindiwe, azithinteki yi-chemotherapy.
Kodwa-ke, umongo we-bone (lapho amangqamuzana egazi akhiqizwa khona), i-follicle yezinwele, kanye nebheyili yegciwane lomzimba (GI) lonke likhula. Imiphumela emibi yemithi ye-chemotherapy ihlobene nemiphumela kulezi nezinye izicubu ezivamile.
Kuyini i-Chemotherapy?
I-Chemotherapy ingachazwa njengendlela yokwelashwa kwamakhemikhali ukuphatha noma ukulawula isifo.
I-Chemotherapy yomdlavuza webele isindlela yokwelashwa, okuthinta iningi lamaseli emzimbeni wakho. Lezi zidakamizwa ezinamandla zisetshenziselwa ukubulala noma ukubambezela ukukhula kwamangqamuzana omdlavuza ngokuphazamisa i-DNA, ukukhiqiza amaprotheni, ukuvimbela ukuhlukaniswa kwamaseli, ukulambile kwamandla, noma ukuvimbela ama-hormone receptors.
Yiziphi Izidakamizwa Ezisetshenziselwa Ukwelashwa Kwebele?
Izidakamizwa eziningi kanye nezidakamizwa zilwa nomdlavuza webele. Nazi ezinye zezinhlanganisela zezidakamizwa:
- I-CMF: i- Cytoxan (cyclophosphamide), i-methotrexate, ne- 5-FU (i-5-fluorouracil)
- I-AC: i- Adriamycin (doxorubicin) ne-Cytoxan
- I-CAF noma i-FAC: I- Cytoxan, i-Adriamycin, ne-5-FU
- CEF noma FEC: i- Cytoxan, i-Ellence (i-epirubicin) ne-5-FU
- I-TC: I- Taxotere (docetaxel) ne-Cytoxan
Ingabe Ngidinga Izidakamizwa Ezengeziwe Ukwelapha Umdlavuza Wami?
Ezinye izifo zokuhlola zizodinga ukwengezwa kwezinye izidakamizwa, ukukhomba amaprotheni akhethekile noma ukunciphisa ukugeleza kwegazi nezakhi kumzimba. Lolu hlobo lwezokwelapha lubizwa ngokuthi ukwelashwa kwe-biologic okuhlosiwe. Lokhu kufaka:
- I-Herceptin ye- HER2 I- Cancer Positive Breast
- I-Tykerb (lapatinib) ye-HER2 I-Positive Metastatic Breast Cancer
I-Avastin ayisekho evunyelwe ukwelashwa umdlavuza webele.
I-Chemotherapy Treatment inikezwa kanjani?
Imithi eminingi ye-chemotherapy yomdlavuza webele inikezwa ngesimo samanzi, njengama-infusions, noma amaphilisi, kodwa futhi ayatholakala njengamaphilisi noma amaphilisi.
Ezinye izidakamizwa zinganikwa zodwa, nezinye izidakamizwa zihlangene ukuze zisebenze ndawonye. Uma izidakamizwa ze-chemo zinikezwa ngokuhlanganyela, ukwelashwa kuthiwa yi- regimen . I-chemotherapy engenayo ihlinzekwa ngama-infusions ezinsuku ezingu-7 kuya kwezingu-21.
Ngokuvamile, i-chemo inikezwa kanye njalo ngemva kwamasonto amathathu, futhi uzodinga isikhathi esiphezulu sokubuyisela inani legazi lakho futhi uvumele izidakamizwa zisebenze. I-dose ephansi-dose inikezwa masonto onke, njengoba umthamo omncane wezidakamizwa uzodinga isikhathi esincane sokutakula. I-chemo yomlomo ingathathwa nsuku zonke, noma njengoba iqondiswa. Ama-injection anganikezwa ngaphambi, ngesikhathi, noma emva kokungenwa kwe-chemo.
Kungani I-Chemotherapy Yenza Imiphumela Emibi?
Imvelo enamandla yokwelashwa kwe-chemo kokubili amandla ayo kanye nesizathu segama layo elibi mayelana nemiphumela emibi.
I-Chemo ihlose amaseli akhula ngokushesha njengomdlavuza. Kungase futhi kuthinte amangqamuzana akho akhulayo okusheshayo afana negazi, izicubu ezinamaqabunga egazini lakho lokugaya, umunwe kanye nezinsipho , nezinwele zezinwele . Lezi ziphumo zizokwehlisa ngemuva kokuqeda ukwelashwa.
Ngingayithola Kanjani Usizo Ngokubhekana Nezokwelapha?
Ngaphambi kokungcoliswa kwe-chemo ngayinye, uzonikezwa imithi yokuvimbela isicanucanu nokuhlanza . Lezi zingase zibe amaphilisi, amanye angase abe ngamanzi afakwe emzimbeni wakho. Ngemuva kokungeniswa kwakho, kungase kudingeke uthathe imishanguzo yokulwa nesicanshu, ngakho-ke qiniseka ukuthi uthole leyo kadokotela egcwaliswe ngaphambi kokwelashwa kwakho. Ungabuye unikezwe imithi yokulwa ne-allergenic, noma ezinye izinto ukuvikela amathiski akho aphilile. Qinisekisa ukuthi uvumele udokotela wakho nabahlengikazi ukuba bazi ukuthi yimiphi imiphumela emibi enayo, futhi ukuthi lezi zinzima kangakanani. Cela usizo lokuphatha imiphumela emibi. Ezimweni eziningi, izimpawu zinganciphisa noma zivinjelwe.
I-Chemotherapy Yathinta Ukuzala Kwakho Kwanamuhla Nesikhathi Esizayo
Uma ngabe u-premenopausal ngaphambi kokuqala ukwelashwa, qaphela ukuthi i-chemo ingakubeka esikhathini sokumisa okwesikhashana noma unomphela. Izikhathi zakho zingase zime, futhi ungase uthole isipiliyoni sezinsizakalo zezokwelapha , okungenzeka kube okwesikhashana noma okuphakade. Izidakamizwa ezithile ze-chemo ziyaziwa ukuthi zibangela ukungabi nabantwana.
Uma unomqondo mayelana nokukhulelwa esikhathini esizayo, vumela i-oncologist yakho wazi ngaphambi kokuqala ukwelashwa. Buza ukuthi yini ongakhetha ngayo uma uhlela ukungeza emndenini wakho. Ngokuya ngobudala bakho, imithi yezidakamizwa, kanye nesilinganiso, ukuzala kwakho kungabuya ngemuva kokwelapha. Kodwa uma kukhona ithuba lokuthi uzoba ongapheli, udinga ukwazi ngaphambi kokukhipha kwakho kokuqala kwe-chemo.
> Umthombo
> Harold Burstein, MD, Ph.D. "I-Adjuvant chemotherapy ne-trastuzumab (i-Herceptin) isandulela ngculaza yesifuba." I-UpToDate.