I-Palliative Chemotherapy Basics

Induduzo, hhayi Ukwelapha

Lapho abantu abaningi bezwa igama elithi chemotherapy bacabanga ngemithi yokwelapha ukwelashwa. Nakuba kuyiqiniso ukuthi i-chemotherapy ijwayele ukusetshenziselwa umzamo wokuphulukisa umdlavuza ngokuphelele, ingahle isetshenziswe ngendlela enhle njengendlela yokwandisa impilo nokunciphisa izimpawu.

Umgomo oyinhloko we-chemotherapy ukukhipha izicubu futhi ukuyeka ukukhula komdlavuza. Uma kunqunywa ukuthi umdlavuza awukwazi ukwelashwa, ukwelapha i-chemotherapy kungase kube nzuzo ekunciphiseni usayizi we-tumor okwanele ukunciphisa izimpawu zomzimba zomdlavuza nokunciphisa intuthuko yomdlavuza okwanele yokwandisa impilo.

Lo mbono we-chemotherapy ene-palliative uyingqayizivele. Kuphela nje eminyakeni yamuva ukuthi ukunciphisa izimpawu kuye kwaba ingxenye ebalulekile yokuhlolwa kwemitholampilo yokucwaninga komdlavuza. Ukusetshenziswa kwe-chemotherapy emdlashweni ophuthumayo, osezingeni lesikhathi esiphezulu kusengumqondo ophikisanayo emphakathini wezokwelapha kanye neziguli kanye nabathandekayo babo bavame ukunamathela phakathi, bazibuze ukuthi bangaphishekela ukwelashwa okufutheka noma bagxile ezindabeni zenduduzo kuphela. Kubalulekile njengesiguli sesifo somdlavuza ukuqonda okuyisisekelo se-chemotherapy kanye nezinzuzo nezingozi ze-chemotherapy enama-palliative.

I-Chemotherapy Basics

I-Chemotherapy iyigama elijwayelekile lokusetshenziswa kwe-agent ekhemikhali ukuvimbela amangqamuzana omdlavuza ekukhuleni. Ingasetshenziswa ngezindlela ezihlukahlukene ngezindlela ezihlukahlukene:

• Ngokwemlomo - amaphilisi athathwa ngomlomo
• I-intravenously (IV) - efakwe ngaphakathi kwe-vein
• I-Topic - isetshenziswa esikhumbeni

I-Chemotherapy ivame ukubhekisela kuma agent ekhemikhali afana nama-alkylating agents (ie i-Cytoxan), ama-anti-metabolites (okusho ama-5-FU), kanye nama-antibiotic anti-tumor (ie i-Adriamycin).

Lezi zimakhemikhali zenzelwe ukubulala amangqamuzana omdlavuza futhi zivimbele ukuba zingakhulumi kodwa azikwenzelanga. Bahlasela namangqamuzana aphilile, okwenza imiphumela emibi njenge- nausea, ukulahlekelwa izinwele , kanye nezifo.

Ngenkathi kungabhekwa njenge-chemotherapy ngokucophelela, ezinye izidakamizwa zingase zisetshenziselwe ukuhlukumeza usayizi we-tumor nokukhula komdlavuza ophuthumayo.

Zihlanganisa ukwelashwa kwe-hormone kanye ne- immunotherapy. Ukwelashwa kwamahomoni kusetshenziswa ama-hormone ukuphuza umdlavuza wokukhula, njenge-estrogen ukunciphisa umdlavuza womlomo wesibeletho, i-tamoxifen yokunciphisa umdlavuza webele , kanye nama-anti-androgens wegciwane lesandulela ngculazi. I-Immunotherapy iklanyelwe ukugqugquzela amasosha omzimba ukuthi aqaphele kangcono futhi ahlasele amaseli omdlavuza.

Ngezinhloso ezihambisana nezinkinga, incologists abaningi bakhetha ukuzama ukwelashwa ngengozi encane yemiphumela emibi engathinta kabi izinga lempilo. Lokhu kusho ukuthi ukwelashwa kwe-hormone kungase kuvivinywe ngaphambi koketshezi lwe-chemotherapies.

Izinzuzo nezingozi ze-Palliative Chemotherapy

I-Chemotherapy, kungakhathaliseki ukuthi ihlose injongo yayo, akuyona ingozi. Kuyaziwa kakhulu ngokudala imiphumela emibi. Izingozi ezihambisana nezinzuzo ezingenzeka futhi umphumela wekhwalithi yokuphila kufanele icatshangelwe.

Isibonakaliso esingcono kakhulu sengozi ngokuhambisana nesimo sakho sokusebenza (bheka ithebula elingezansi). Uma isimo sakho sokusebenza sivinjelwe, cishe uzoba nemiphumela emibi kakhulu, njenge-chemotherapy toxicity. Usayizi we-tumor namasayithi we- metastasis , okusho ukuthi amasaka omdlavuza oyinhloko asakazekile, kufanele nawo acatshangelwe. Izicubu ezinkulu kanye namanqamu aphethe amasayithi amaningi we-metastasis ngeke kube nemiphumela encane yokuphendula ekhipheative chemotherapy.

I-Karnofsky Performance Scale

I-Palliative Chemotherapy ne-Quality Your Life

Kubuye kubalulekile ukucabangela ukuthi i-chemotherapy ephihlizayo izothinta kanjani izinga lakho lokuphila.

Izingxenye zekhwalithi yokuphila zingase zibukeke zihluke kakhulu komuntu kumuntu kodwa zifaka phakathi inhlalakahle engokomzimba kanye nenhlalakahle yomzwelo, yentando yenhlalakahle nengokomoya. Uma amathuba okusebenzisa i-chemotherapy ehamba phambili ekuhlinzekeni ngenduduzo yangokwenyama eyengeziwe, unayo izinga eliphakeme lokusebenza kanye nesistimu yokusekela eqinile empilweni yakho engokomzwelo nengokomoya, ungase uthathe isinqumo sokuqhubeka nokwelashwa.

Uma kunjalo, amathuba okuba nemiphumela emibi kakhulu iphezulu, umthwalo wezifo nokuhlolwa okuqhubekayo ukhululekile, futhi uvinjelwe ngokomzwelo nangokomoya, amathuba okuthola i-chemotherapy ephucukisayo ekuthuthukiseni izinga lakho lokuphila cishe libi.

Ukwenza Isinqumo Sokuqalisa I-Palliative Chemotherapy

Uma ucabanga ngamakhemikhali aphikisayo, khuluma nodokotela wakho mayelana nezingozi ezihambisana nezinzuzo ezingenzeka. Bheka imibuzo emihlanu yokubuza i-oncologist yakho nge-chemotherapy ene-palliative. Gcina ulwazi oluningi ngangokunokwenzeka mayelana nomdlavuza wakho futhi okungenzeka kuthinte uketshezi lwe-chemotherapy oluzoba ne-palliative sizoba nosayizi we-tumor kanye nekhwalithi yokuphila.

Ayikho impendulo efanele kuyo yonke isiguli somdlavuza. Ikhwalithi yokuphila ingumuntu ojulile futhi izinto ezibalulekile kwesinye isiguli kungenzeka zingabi zibaluleke kakhulu kuwe. Thatha isikhathi sokuhlola izidingo zakho, izifiso zakho, nezinto ezibaluleke kakhulu kuwe.

Njengoba unolwazi olufanele oluvela kudokotela wakho nokuzethemba emigomeni yakho siqu, uzobe uhlomele kahle ukwenza isinqumo esifanele wena.

_Imithombo:

> Roeland, E., noT. LeBlanc. I-chemotherapy enama-palliative: i-oxymoron noma ukungaboni kahle. Ukunakekelwa kwe-BMC Palliative . 2016. 15:33.

_{I-Sun V. I-Palliative Chemotherapy kanye Nezivivinyo Zomtholampilo Emdlalweni Ophezulu We-Cancer: I-Nurses Role. Ku: Ferrell, BR noCoyle, N; I-Bookbook ye-Nursing Palliative, i-Oxford University Press, ngo-2006.}