Uma i-ABVD chemotherapy inconywa ngomdlavuza wakho cishe unemibuzo eyizinkulungwane. Lokhu kunikezwa kanjani? Kangakanani? Yimiphi imiphumela emibi? Zikhona yini imiphumela yesikhathi eside? Ake sibheke ezinye zalezo mibuzo.
Kuyini i-ABVD?
I-ABVD ibizo lomuthi we-chemotherapy osetshenziselwa ukwelashwa kwe- Hodgkin's lymphoma . Kungenzeka ukuthi yiyona ndlela ejwayelekile kakhulu yokusetshenziswa kwamakhemikhali ekhemikhali asetshenziselwa iziguli ezintsha.
Kuyinto inhlanganisela ephumelelayo kakhulu yezidakamizwa kuzo zonke izigaba zesifo sikaHodgkin.
Izidakamizwa ezisetshenziswa kwi-ABVD Regimen
Izidakamizwa ezisetshenziswe kulolu hlobo (inhlanganisela yezidakamizwa) zifaka:
- I-Adriamycin (doxorubicin) - inikezwe njengokwemnika emithanjeni yakho ngezinsuku 1 no-15.
- I-Blenoxane (i-bleomycin) - inikezwe njengemjovo emifushane emangcwabeni ngezinsuku 1 no-15.
- I-Velban (vinblastine) - enikezwa njengemfutho emfishane emangcwabeni ngezinsuku 1 no-15.
- I-DTIC (i-dacarbazine) - inikezwe njengengxube emithanjeni yakho ngezinsuku 1 no-15.
Inothi Ngokushesha Ngomhlanganisi I-Chemotherapy
Ungase uzibuze, "Kungani izidakamizwa eziningi kangaka? Isidakamizwa esisodwa asikwazi yini ukunakekela umdlavuza?" Isizathu siwukuthi izidakamizwa ezahlukene ze-chemotherapy zithinta amangqamuzana ngezigaba ezahlukene ohlelweni lokuhlukanisa nokwandisa. Ukusebenzisa inhlanganisela yezidakamizwa kuqinisekisa ukuthi amaseli ezigaba ezihlukene kule nqubo aphethwe zonke. Lesi futhi yisizathu sokusebenzisa ukwelashwa okungaphezu kweyodwa.
Uma iseli senzeke ngesikhathi sokuphumula - hhayi ukuhlukanisa - ngesikhathi sokuguqulwa kwangaphambilini, sithemba ukuthi ukwelashwa okulandelayo kuzokwazi ukubamba lelo lensi kwinqubo yokwahlukana.
Kanjani Ngokuvamile ABVD Eyenziwe?
I-ABVD yenziwa emjikelezweni. Ngamunye uhlanganisa ukunikeza izijovo zesiguli kwezidakamizwa ezine kabili (ngezinsuku 1 no-15).
Imijikelezo iphindaphindiwe ngezikhathi ezineviki ezine. Lokhu kusho ukuthi umjikelezo wesibili uqala amasonto amabili emva kwelanga 15 lomjikelezo wokuqala (ngosuku 29), nokunye. Ngakho impendulo esheshayo yukuthi le mijikelezo iphindaphindiwe njalo ezinsukwini ezingu-28.
Zingadingeka Kanjani Ama-Cycle?
Zingaki imijikelezo ezidingekayo zixhomeke esiteji se-lymphoma kanye nokuba khona noma ukungabikho kwezici ezithile zokubikezela - izici ezinika odokotela isilinganiso sokuthi imithi yokwelapha ingase isuse kanjani ukuqeda amaseli omdlavuza. Izifo zesandulela ngculazi ngezimo eziyingozi ezidinga ukwelashwa zingadinga imijikelezo emibili kuya kwengu-4 kuphela, kanti izifo ezithuthukisiwe zingadinga imijikelezo engu-8.
Izivivinyo zidingekayo
Ngaphambi kokuba i-ABVD chemotherapy iqalwe, ukubala kwegazi, kanye nokuhlolwa kwegazi ngenxa yokusebenza kwezinso nesibindi, kwenziwa. I-echocardiogram iyadingeka ukuhlola umsebenzi wenhliziyo ngaphambi kokuqala ukwelashwa. Njengoba u-Adriamycin (doxorubicin) angase athinte ngezinye izikhathi inhliziyo, kubalulekile ukuthi lowo datha uqhathaniswe kamuva ngesikhathi sokwelashwa. Ukuhlolwa kwe-x-ra ne-lung function kungasetshenziswa ukukala ukuqina kwemaphaphu ngaphambi kokusebenzisa i-bleomycin, njengoba le mithi ingathinta amaphaphu.
Ngesikhathi se-chemotherapy, ukubalwa kwegazi kuyadingeka ngaphambi kokuba umjikelezo wokujoza izidakamizwa. Okunye ukuhlolwa kungabuyekezwa njengoba kudingeka.
Okuqhamuka uma udla imishanguzo
Imiphumela emibi ye-chemotherapy ihlobene nomphumela we-chemotherapy ekuhlukaniseni amaseli ngokushesha ngaphezu kwamangqamuzana omdlavuza, futhi angafaka:
- I-nausea nokuhlanza - I-Nausea ingaba yinto evamile, futhi i-ant-emetics (izidakamizwa ezivimbela futhi zilawule ukuhlanza nokuhlanza) ziyobekwa njalo. Ngezidakamizwa zokuvimbela, abantu abaningi bayamangala ukuthola ukuthi isicanucanu singase sibe mncane kuphela.
- Umchamo obomvu - u-Adriamycin, obizwa ngokuthi "uDeveli obomvu" ngamanye amagciwane omdlavuza, angabangela umchamo obomvu obomvu ngosuku olulodwa noma amabili ngemuva kwe-chemotherapy. Lokhu akuyingozi futhi kungenxa yombala wemithi yodwa.
- I-refinx / i-aclux-reflux ye-Acnex - Ukuqothuka kwenhliziyo kuyindlela ejwayelekile kakhulu ye-ABVD chemotherapy. Abanye odokotela batusa imithi efana no-Prilosec, i-Pepcid, noma i-Nexium, kodwa kungenzeka ukuthi ukhulume ne-oncologist yakho kusengaphambili mayelana nalokho akuphakamisayo kuwe.
- Izimpawu ezinjenge-Flu - I-DTIC ingakunika izimpawu ezizizwa zifana nomkhuhlane, isibonelo, izihluthulelo zomzimba nezitho zomzimba.
- Ukulahlekelwa izinwele
- Yehla ekubaleni kwegazi - Izibalo zakho ze-cell cell zizohlolwa njalo. Ukubalwa kwamangqamuzana e-white white kungabangela imijikelezo ehlanekezelayo, kanye nesidingo sezici zokukhula nezinyathelo zokuzivikela kusuka ekutheleleni. Qinisekisa ukubika udokotela wakho ngokushesha.
- Izilonda zomlomo - Izilonda zomlomo zivame kakhulu, kodwa ukushintsha ukudla kwakho ngezindlela ezithile kungasiza kakhulu ngalokhu okungahambi kahle.
- Uhudo
- Ukuqokwa - Udokotela wakho angancoma imithi ukusiza ukuvimbela ukuqothulwa.
- Ukungcoliswa kwesikhumba nezipikili
- Ukuguquka okuncane kwezinzwa ezandleni nasezinyaweni - I- peripheral neuropathy ingaba nomphumela wecala ocasulayo futhi oncologists ubheka izindlela zokuvimbela lo mphumela ohlangothini.
Imithelela emibi yesikhathi eside
Uma uphakathi kwe-chemotherapy awudingi ukucabanga ngemiphumela emibi yesikhathi eside ye-chemotherapy. Phela, okubalulekile namuhla kusinda umdlavuza. Kodwa kubalulekile ukuqaphela ezinye zezinkinga ezikhona.
- Isifo se-Lung - Ukwehla kwesifo samaphaphu (umonakalo wamaphaphu) kusuka kumakhemikhali yilezi zithinta umphumela we-bleomycin, ikakhulukazi kwiziguli ezindala. Xoxa nodokotela bakho ngezimpawu ongayilindela, futhi kwenzekani uma uhlakulela umphumela wecala.
- Isifo senhliziyo - i- Adriamycin (doxorubicin) ingalimaza inhliziyo kwabanye abantu. Udokotela wakho uzokhuluma nawe mayelana nokuhlolwa ukuhlola inhliziyo yakho ngaphambi kokwelashwa, kanye nezimpawu zalo mphumela ohlangothini.
- Ukungenzi lutho - Ukwelashwa kwesifo se-Hodgkin kungathinta ukuzala kwakho kamuva. Khuluma nodokotela wakho mayelana namathuba okuzokwenzeka lokhu, nokuthi yini ongayenza ngaphambi kokwelashwa ukulondoloza ukuzala kwakho.
> Imithombo:
> I-American Cancer Society. I-Chemotherapy ye-Hodgkin Izifo. Kubuyekezwe 02/09/16.
> Isikhungo se-Cancer Comprehensive Cancer University of Michigan. I-ABVD Chemotherapy Isiguli se-Hodgkin's.
> Stamatoullas, A., Brice, P., Bouabdallah, R. et al. Umphumela Weziguli Ezigugile Kunaminyaka Engama-60 Nge-Classical Hodgkin Lymphoma Ephathwa Ngaphambili ABVD Chemotherapy: Izenzakalo Ezivame Ukuqhutshwa Kwamapulmonary Zenza Ukunciphisa Ukusetshenziswa kweBleomycin Kwabadala. I-British Journal ye-Hematology . 2015. 170 (2): 179-84.