Yeka ukuthi lesi sakhi esinamandla samakhemikhali aphikisana nomdlavuza webele
Enye yezokwelapha ezijwayele kakhulu ngomdlavuza wesifu ingumuthi okuthiwa i-Taxol (paclitaxel). Kuphakathi kwemithi eminingana elasini elibizwa ngokuthi ama-taxanes aphuma emthini wewew. (Umuthi wewew uhlobo lwe-Taxus).
I-Taxol imithi yomdlavuza ehlukahlukene kakhulu. Kungaba ngempumelelo kumdlavuza webele esifundeni sokuqala kanye nomdlavuza wesifuba we- metastatic (lapho lesi sifo sisakaze kwezinye izingxenye zomzimba), futhi ngokuvamile sinikezwa ngemuva kokuhlanganiswa kwe-anthracycline kanye ne- Cytoxan therapy.
Ibuye isetshenziswe njengendlela yokuhlinzekwa kwe-adjuvant yokwehlisa isisu ngaphambi kokuba isuswe.
Ngaphandle komdlavuza webele, i-Taxol ingasetshenziselwa ukuphatha ezinye izinhlobo eziningi zomdlavuza, kuhlanganise nomdlavuza we-ovari , umdlavuza wamaphaphu, kanye ne-Kaposi's sarcoma (umdlavuza womhlobo ochaphazela abantu abane-AID lapho izicubu ezingekho ngaphansi kwesikhumba zikhula ngaphansi kwesikhumba, kubangele ukuvimba okubonakalayo) .
Uma wena noma umuntu ozinakekelwayo enqunyelwe i-Taxol nganoma yisiphi isizathu, nansi izinto ezibalulekile ozokwazi ngalesi sidakamizwa esinamandla.
Indlela Esebenzayo Nendlela Esinikwe ngayo
Ukuze uqonde ukuthi i-Taxol isebenza kanjani, kusiza ukuqonda ukuthi amaseli amathumba akhula ngenqubo ebizwa ngokuthi i-mitosis-igama lezokwelapha ngokuhlukaniswa kweseli. I-Taxol iyi-inhibitor ye-mitotic: Ihlose amaseli omdlavuza okhulayo ngokushesha ngokufika ngaphakathi kubo futhi ifakwe kwisakhiwo se-scaffold esifana namaseli okuthiwa ama-microtubules. Ngale ndlela, lesi sidakamizwa sivimbela amangqamuzana omdlavuza ukuba ahlukane.
I-Taxol iyinhlangano ecacile, engenambala ehlanganiswe ne-Cremophor EL (i-polyoxyethylated castor oyela) futhi inikezwe ukumnika- ngamanye amagama, iqondiswa ngokuqondile emthonjeni, okusho ukuthi uzodingeka uye esibhedlela noma emtholampilo ukuyithola.
Kuyinto ecacile oketshezi olungenambala, kodwa futhi likhulu futhi linamathele, ngakho-ke ipompo iyadingeka ukuyifaka kahle. Inganikezwa njenge-dose ephakeme kakhulu, kanye namaviki amabili noma amathathu, noma ngamazinga aphansi kanye ngesonto. Kwezinye izimo, i-Taxol inikezwa kancane ngesikhathi sokukhipha amahora angu-24.
Imiphumela emibi kanye namathiphu okuphikisanayo
Ungase ukhululeke ukwazi ukuthi iningi labantu libekezelela i-Taxol kahle, ikakhulukazi emazingeni aphansi.
Inemiphumela emibi engaba khona, kodwa ngokuvamile lokhu kunomusa.
- I-peripheral neuropathy (ukulinganisa nokugaya izandla nezinyawo ngenxa yokucasuka kwemizwa)
- I-anemia
- I-Neutropenia (ingozi enkulu yokutheleleka)
- I-Bone ne-muscle aches
- Ukulahlekelwa izinwele
- Ukukhathala
- I-nausea
- Ukuvota
- Uhudo oluhle
- I-Mucositis (ukucasuka kwebhubhiso lamangcwaba ngaphakathi emlonyeni)
- Amenhorrea (uma ungowesifazane osenesikhathi sokuya esikhathini, uzoyeka okwesikhashana ukuba nesikhathi sakho)
- Izipikili ze- Brittle noma eziphuzi
Abanye abantu bangase babe ne- reactionergic reaction to Taxol noma ku-Cremophor EL . Kubuye kuhlotshaniswe nokungazalwa kwesikhathi esizayo. Futhi uma ukhulelwe, i-Taxol ingalimaza ingane yakho ekhulayo.
Kunezindlela zokuvimbela ezinye zezinkinga lezi zemibala engabangela, noma kunjalo. Ngaphambi kokuba uqale ukwelashwa nge-Taxol, udokotela wakho cishe uzothatha izithako ze-amino acid okuthiwa i-L-Glutamine ukuvimbela ukuvimbela izinzwa; ungase ube nemijovo ye- Neupogen (filgrastim) noma i- Neulasta (i-pegfilgrastim) ukuze kukhuliswe izibalo zamhlophe zegazi .
Uzokwaziswa ukuthi ungaphuzi ngenkathi uphathwa nge-Taxol, futhi usebenzise isilawuli sokubeletha uma usebenza ngokocansi. Mhlawumbe akufanele ube nemigomo, ngoba isimiso sakho somzimba sokuzivikela sisonakele futhi akufanele uthathe i-aspirin.
Ngokuqondene nalezi zipikili eziphuzi: Ungazivikela nge-nail polish.
> Imithombo:
> Medline Plus. "I-Paclitaxel Injection." Feb 1, 2011.