Incazelo, Imithi, Yini Ongayilindela kanye Nemiphumela Yemiphumela Ye-Regular 7 + 3
Uma utshelwe ukuthi udokotela wakho uncoma inqubo ye-3 + 7 ye-leukemia, cishe unemibuzo eminingi. Ake sibheke ukuthi lokhu kusho ukuthini.
Iyini Inqubo Ye-3 + 7?
I-protocol ye-3 + 7 (ebizwa ngokuthi i-7 + 3 regimen) iyinqubo yokusebenzisa izidakamizwa ezihlanganiswa njenge-induction chemotherapy yezinhlobo eziningi ze -lemonemic i-myelogenous (AML) .
Kuyini Ukwelashwa Kwe-Induction?
Ukwelashwa kwe-induction ngokuvamile kuyindlela yokwelashwa kokuqala oyinikezwa ngemva kokuxilongwa kwe-leukemia.
Umgomo walokhu ukwelashwa ukunciphisa amangqamuzana e-leukemia egazini lakho ezingeni ezingabonakali - ngamanye amazwi, kumazinga lapho i-slide yegazi lakho ingabonakali nanoma yimaphi amangqamuzana omdlavuza. Omunye umgomo oyinhloko wokwelashwa kwe-induction ukukhipha umnkantsha wakho wamangqamuzana anomdlavuza okwanele ukuze ukukhiqizwa okuvamile kwamangqamuzana egazi ngethambo lakho lomnto libuyele. Ngeshwa, umdlavuza uvame ukuphindaphinda ngemva kokuxoxwa ngale ndlela yokwelashwa, kanti ezinye izindlela zokwelapha zivame ukudingeka.
Imithi ku-Protocol + 3 + 7
Le protocol ibizwa ngokuthi u-3 + 7 ngoba iqukethe:
- Izinsuku ezintathu ze-anthracycline, ngokuvamile i-Idamycin (idarubicin) noma i-Cerubidine (daunorubicin)
- Izinsuku ezingu-7 ze-Cytosar U noma i-Depocyt (i-cytarabine)
Uyinikezwa?
Kusukela ukwelashwa kwe-cytarabine kuzonikezwa ngehora izinsuku ezingu-7 ngqo, ngokuvamile uzoba nesifo esibhedlela esibhedlela. Le chemotherapy inikezwa (inikezwe) nge-intravenous (IV) noma emaphakathi catheter enezinyosi .
Ingxenye ye-antracycline izonikezwa nsuku zonke njengemjojo engaphakathi, cishe imizuzu engama-10 kuya kwangu-15 ngomthamo ngamunye.
Imiphumela Ejwayelekile Ejwayelekile
Njengoba i-chemotherapy ibulala izingqamuzana ngokushesha ezifana namangqamuzana omdlavuza, ibuye ithinte amangqamuzana avame ukuhlukanisa ngokushesha njengalewo emangeni lakho, esifubeni sakho nasendleleni yakho yokugaya.
Eminye yemiphumela emibi ongayithola ihlanganisa :
- Ukuncipha komnyoba we-Bone - Ukususwa kokuhlukanisa amaseli emathangeni akho (ukususwa komnyoba we-bone) kungaholela ekubaleni kwegazi elibomvu elincane (i-anemia) i-neutrophil ephansi (uhlobo lwe-white white cell count) (neutropenia) kanye nesibalo esiphansi se-platelet ( i-thrombocytopenia .) Kuyoba kubaluleke kakhulu ukuba ugweme ukutheleleka uma kungenzeka, futhi kunconywa ukuthi noma ubani othandekayo akabaleki ukuvakashela uma egula.
- I -nausea nokuhlanza - Ukuvimbela nokwelashwa kwe-chemotherapy-okubangelwa i-nausea nokuhlanza sekufikile kakhulu eminyakeni yamuva nje, kanti abanye abantu banezimpawu ezincane kuphela. Uzonikwa imithi yokusiza ukuvimbela isicanucanu, futhi unganikezwa nemithi eyengeziwe uma kudingeka ukuze ulawule izimpawu zakho.
- Ukulahleka kwezinwele - Ngezinye izikhathi uzolahlekelwa izinwele zakho kulolu hlobo. Abanye abantu bayamangala lapho bezwa ukuthi nawe uzolahlekelwa amashiya akho, ama-eyelashes, nezinwele zomzimba.
- Izilonda zomlomo - Izilonda zomlomo zingabacasula, futhi kuyasiza ukwazi ukuthi yini ukudla okungabenza kube buhlungu kakhulu, futhi yikuphi ukudla okunethezeka kakhulu ukudla. Udokotela wakho kungenzeka ukuthi uncelise i-popsicle noma i-chips chips ngenkathi ethola ukwelashwa kwe-anthracycline ukusiza ukunciphisa lesi sibonakaliso.
- Umchamo obomvu / olalanti - Imithi ye-anthracycine - ibizwa ngegama elithi "udayini obomvu" ngamanye amagciwane omdlavuza, kubangela umchamo obomvu odlulayo usuku noma ngaphezulu ngemuva kwesilinganiso ngasinye. Ungesabi ngalesi sibonakaliso ngoba akuyona eyingozi futhi akusho ukuthi kunenkinga ngezinso zakho noma ngesinye.
- Uhudo - Udokotela wakho uzokuqapha ngokucophelela uhudo. Uma uhlakulela isifo sohudo uzobukwa ngokucophelela ukuze uqiniseke ukuthi awupheli amandla.
Njenganoma yiluphi uhlobo lwemithi, umuntu ngamunye uzosabela ngendlela ehlukile ye-3 + 7 ngokuhlukile futhi angase athole konke noma akekho kulezi zinto ezimbi.
Yini okufanele uyibuke
Imithi ye-Anthracycline iyinhlamba, okusho ukuthi ingabangela ukulimala kwezicubu zakho uma zengozi engena esikhunjeni kunokuba zifike emzimbeni wakho. Yize kungavamile ukuba lokhu kwenzeke, kubalulekile ukuthi utshele umhlinzeki wakho wezempilo uma ngabe i-vein yakho izwa ubuhlungu noma ibuhlungu ngenkathi uthola le mithi.
Isikhathi
I-protocol ye-3 + 7 ivame ukunikezwa izinsuku ezingu-14 ngaphandle futhi inganikezwa, ngokwesilinganiso, kanye noma kabili kuze kube yilapho ungenaso amangqamuzana omdlavuza. Le protocol ngokuvamile iholela ekuxoxweni okuphelele, kepha umdlavuza ungabuya futhi ukwelashwa okuqhubekayo kuyadingeka.
Ukusekela nokuphikisana
I-cancer inzima ngokwanele yokubhekana nayo ngisho noma akudingeki uchithe isikhathi esiningi esibhedlela. Finyelela emndenini nabangani. Uma ngabe othandekayo wakho ethola le protocol, hlola lawa amathiphu wokuvakashela othile esibhedlela , nokuthi yini okufanele ulethe / ukupakisha for chemotherapy. Imizwelo ingaba yindlala egcwele, ngezinye izikhathi ngisho nangehora elifanayo losuku. Ungazami ukuba yiqhawe futhi uvumele abantu bakusize. Amazwana esivame ukuzwa ukuthi abathandekayo bazizwa bengenasici. Cabanga ngenye indlela abangakusiza ngayo njengesipho kubo bobabili nakubo. Futhi hlola lezi zeluleko zokubhekana nokuxilongwa kwe-leukemia .
Imithombo:
ULarson, R. Ulwazi lwesineke: Ukwelashwa okunamandla okuyi-myeloid leukemia (AML) kubantu abadala (Beyond the Basics). Kusesikhathini. Kubuyekezwe ngo-11/18/15. http://www.uptodate.com/contents/acute-myeloid-leukemia-aml-treatment-in-adults-beyond-the-basics