Uma uthola ukuthi unesifo somdlavuza wesikhumba , udokotela wakho uzoxoxa ngezinketho zokwelashwa azikholelwa ukuthi uzokunikeza umphumela omuhle kakhulu. Nakuba kungavamile kakhulu, ukhetho olulodwa lwezokwelapha olungase lunikezwe yi-chemotherapy. I-Chemotherapy isebenzisa izidakamizwa ezithile zokulwa nomdlavuza wokubhubhisa amaseli omdlavuza. Imithi yokwelapha i-chemotherapy isebenza ngokunciphisa noma ukuvimbela ukukhula kwamangqamuzana omdlavuza, okwahlukana ngokushesha kunamaseli avamile, ngokuphazamisa indlela amaseli omdlavuza asebenza ngayo.
Uma isetshenziselwa ukwelapha umdlavuza wesikhumba, i-chemotherapy inezinhlobo ezimbili ezihlukene futhi ezihluke kakhulu zokulethwa. I-Chemotherapy ingasetshenziswa:
- Njengomuthi we-topical ukwelapha isigaba sokuqala se-basal cell carcinomas noma ukukhula kakhudlwana kwesikhumba, njenge-actinic keratosis noma isifo se-Bowen
- Njengemithi yokwelashwa yokwelapha umdlavuza wesikhumba oye wanda kwezinye izingxenye zomzimba
Ukusetshenziswa kwamakhemikhali ekwelapheni umdlavuza wesikhumba
I-Chemotherapy ingasetshenziswa ngezindlela ezihlukahlukene zokwelapha umdlavuza wesikhumba. Indlela esetshenziselwa ngayo iyoxhomeka ekuthuthukiseni umdlavuza wakho nokuthi ngabe usakaze yini kwezinye izingxenye zomzimba. I-Chemotherapy ingasetshenziswa ukuphatha umdlavuza wesikhumba:
- Njengendlela eyinhloko yokwelashwa, ukusebenzisa imithi yokwelapha ama-5- fluorouracil (5-FU)
- Njengendlela yokwehlisa isisu somdlavuza
- Ukubhubhisa noma yimaphi amangqamuzana omdlavuza ngemva kokuba isisu sesuswe ngokuhlinzwa
- Ukunciphisa izimpawu zesifo somdlavuza ophakeme (ukwelashwa okunamandla)
Ukwelashwa Ne Chemotherapy
Ukwelashwa nge-chemotherapy kuncike ngokusekelwe endleleni okutholakala ngayo izidakamizwa, mhlawumbe ngekhanda ngesikhumba noma ngokuhlelekile ngokusebenzisa isisu noma ngomlomo.
I-Chemotherapy Cream
Isidakamizwa se-chemotherapy 5-fluorouracil siyatholakala njengekhilimu enezinhlobonhlobo eziningi ezihlukene, ezisetshenziselwa phezulu ngezungeze isayithi somdlavuza wesikhumba noma isifo se-pre-cancerous. With chemotherapy ephezulu, lo muthi usebenza endaweni lapho usebenza khona, unomuthi omncane kakhulu owenziwe emzimbeni.
Lokhu kuvimbela eminingi yemiphumela emibi ehlobene ne-chemically-chemic systemic.
Uma udokotela wakho ebeka ama-5-FU, uzonikezwa imiyalelo ethize ukuthi uzosebenzisa kanjani ukhilimu ukuthi futhi nini. Ezimweni eziningi, uzokwaziswa ukusebenzisa ukhilimu kanye noma kabili ngosuku phezu kwendawo yonke ethintekile ukuya kwelinye ukuya kwamasonto amaningana.
Ngesikhathi ukwelashwa, isikhumba sakho singase sibomvu, sigwetshwe futhi sore. Ezinye iziguli zingase zithole imiphumela emibi nakakhulu, ngokubunjwa kwe-blister nobuhlungu endaweni yesicelo. Abanye abantu bathola ukuvutha okukhulu kunabanye. Iviki nambili ukuya ekwelapheni, ungabona ukubunjwa kwe-crust noma isikhumba. Njengoba i-tumor ihlukanisa futhi izikhumba zakho zesikhumba, i-crust izokwehla futhi lesi sifo ngeke sisabonakala. Emasontweni alandelayo, isikhumba sakho sizoqeda inqubo yokuphulukisa futhi isikhumba esisha sizobuyela endaweni yokwelapha.
I-Systemic Chemotherapy
I-Chemotherapy ingase ihanjiswe emthanjeni noma ithathwe ngomlomo ukuze ilaphe umdlavuza wesikhumba oye wahlakazeka kwezinye izingxenye zomzimba. Nakuba lokhu kwenzeka ngokungajwayelekile nge-cancer yomzimba, lokhu kuyindlela ebalulekile kulabo abanezifo ezithuthukile. Ukwelashwa kungenziwa ukuze unciphise ukukhula komdlavuza noma ukukhulula izimpawu ezibangelwa umdlavuza.
Lelashwa ngokuvamile isetshenziselwa ukuphatha i-metastatic cell squcinous carcinoma noma i- melanoma . Ukwelashwa kungase kuhlanganise nomuthi owodwa noma inhlanganisela yezidakamizwa.
Yiziphi izinhlobo zeKhansela Yesikhumba Ingabe Ukwelashwa Kwemithi?
Imithi yamakhemikhali yamathambo ngokuvamile isetshenziselwa ukwelapha ngokuyisisekelo, okungezona-invasive basal cell carcinoma kanye nezilonda ezinqandekile, ezifana nesifo se-Bowen nesenzo se-actinic keratosis. I-chemotherapy engenakuthinta noma eyomlomo ingasetshenziswa ukuphatha noma yiluphi uhlobo lomdlavuza wesikhumba olusakazekele kwezinye izingxenye zomzimba kodwa ngokuvamile lisetshenziselwa ukwelapha i-squamous cell carcinoma ne-melanoma.
Izingozi nezinzuzo
I-chemotherapy ye-topical iyakwazi ukwelapha i-basal cell carcinomas nezinye izilonda ezingenakuqeda ukwedlula ukwelashwa okuncane, okwenza kube ukwelashwa okufiselekayo.
I-chemotherapy ye-topical, Nokho, ayiphumelelanga njengenye indlela, njengokususwa kokuhlinzwa noma ukuhlinzwa kwe-Mohs micrographic, futhi kunethuba eliphakeme lokuthi umdlavuza ungabuya. I-chemotherapy ye-topical nayo ihlotshaniswa neminye imiphumela emibi njengobuhlungu nokukhathazeka endaweni yokuphulukisa, ukuzwela ekukhanyeni kwelanga ngesikhathi nangemva kokwelashwa, kanye nesilonda esingenangqondo ngenkathi ukwelashwa. I-chemotherapy engenangqondo neyomlomo ihlotshaniswa nemiphumela eminingi emibi, ezohluka ngokususelwa kumuthi othize noma izidakamizwa ezisetshenziswayo kanye nokuphendula okuyingqayizivele kwesiguli ekwelapheni.