Created at:1/13/2025
Question on this topic? Get an instant answer from August.
Dactinomycin mushonga une simba we chemotherapy unovandudzwa nachiremba kurapa mamwe marudzi ekenza. Mushonga uyu wakavakirwa paantibiotic unoshanda nekumisa masero ekenza kubva pakukura nekuzviparadzanisa mumuviri wako.
Kana chiremba wako akakurudzira dactinomycin, unogona kunge uine mibvunzo nezvekuti inoshanda sei uye zvekutarisira. Mushonga uyu wave uchibatsira varwere kurwisa kenza kwemakumi emakore, uye kunzwisisa zvakawanda nezvayo kunogona kukubatsira kuti unzwe wakagadzirira rwendo rwako rwekurapa.
Dactinomycin mushonga we chemotherapy uyo uri muboka rinonzi antitumor antibiotics. Inobva kumhando yebhakitiriya inonzi Streptomyces, iyo inogadzira zvinhu zvakasikwa zvinogona kurwisa masero ekenza.
Mushonga uyu unozivikanwawo nezita rayo rekutengesa Cosmegen. Chikwata chako chehutano chichakupa nguva dzose kuburikidza neIV (intravenous) line, zvinoreva kuti inoenda zvakananga muropa rako kuburikidza nemutsipa. Hauzotori dactinomycin semupiritsi kana piritsi.
Mushonga uyu unoonekwa seune simba kwazvo munyika yekurapa kenza. Chikwata chako chekurapa chichachigadzirisa nekuchenjerera kwakakosha uye chichatevera mitemo yakasimba yekuchengetedza pakuigadzirira nekukuipira.
Dactinomycin inorapa akati wandei emhando dzekenza, kunyanya idzo dzakajairika muvana nevechidiki. Chiremba wako anokuraira kana mamwe marapirwo angave asina kubudirira kune yako chaiyo kenza mhando.
Mushonga uyu unonyanya kushandiswa kuWilms tumor, iyo imhando yekenza yemapapu inonyanya kukanganisa vana. Inorapawo rhabdomyosarcoma, kenza inokura munyama dzakapfava semhasuru.
Heano makenza makuru ayo dactinomycin inobatsira kurapa:
Chiremba wako angashandisawo dactinomycin kune mamwe marudzi emagomarara asingawanzoitika pavanotenda kuti zvichabatsira. Sarudzo inogara ichienderana nemamiriro ako chaiwo uye rudzi rwegomarara raunaro.
Dactinomycin inoshanda nekupinda mukati memasero egomarara uye kukanganisa DNA yavo. Funga nezve DNA semabhuku ekuraira anoudza masero kuti akure sei uye agovane.
Mishonga inosungirira kune tambo dzeDNA uye inovadzivisa kuzvinyora zvakanaka. Kana masero egomarara asingakwanise kukopa DNA yavo, haagone kuwanda uye kupararira mumuviri wako wese.
Izvi zvinoonekwa semushonga une simba wechemotherapy nekuti unoshanda zvakanyanya pakumisa kupatsanurwa kwemasero. Zvisinei, simba iri rinorevawo kuti rinogona kukanganisa masero ane utano anokurumidza kupatsanurwa, senge ari mumafollicles ako ebvudzi, hurongwa hwekugaya, uye muropa remapfupa.
Mashoko akanaka ndewekuti masero ane utano anowanzoita zviri nani pakuzvigadzirisa kupfuura masero egomarara. Izvi zvinopa muviri wako mukana wekupora kubva mukurapa apo masero egomarara anonetseka kurarama.
Iwe uchagamuchira dactinomycin chete muchipatara kana nzvimbo yekurapa gomarara kuburikidza neIV infusion. Mukoti akadzidziswa kana mupi wehutano achagara achikupa mushonga uyu.
Infusion inowanzo tora maminitsi gumi kusvika gumi nemashanu, kunyangwe izvi zvichigona kusiyana zvichienderana nehurongwa hwako hwekurapa. Iwe uchagara zvakanaka pachigaro kana kurara pamubhedha apo mushonga unopinda zvishoma nezvishoma muropa rako.
Musati vatambirwa kurapwa kwenyu, hamufaniri kutevera zvirambidzo zvakakosha zvekudya. Zvisinei, kudya chikafu chakareruka pamberi zvinogona kukubatsira kuti unzwe wakasununguka panguva yekuiswa. Vamwe varwere vanowana kuti kuva nechikafu chiduku kunobatsira kudzivirira kusvotwa.
Vashandi venyu vezvehutano vachakutarisa zvakanyanya panguva uye mushure mekuiswa kwega kwega. Vachaongorora zviratidzo zvenyu zvakakosha uye vachatarisa chero maitiro ekukurumidza kumushonga.
Kureba kwekurapwa kwenyu kwe dactinomycin kunoenderana zvachose nerudzi rwenyu rwegomarara uye kuti munopindura sei kumushonga. Varwere vazhinji vanoiwana sechikamu chekutenderera kwekurapa kunodzokorora mumasvondo mashoma ega ega.
Chirongwa chekurapa chakajairika chinogona kusanganisira kugamuchira dactinomycin kwemazuva akati wandei, zvichiteverwa nenguva yekuzorora yemavhiki maviri kusvika matatu. Iyi nzira inowanzo dzokorora kwemwedzi yakati wandei, ichipa muviri wenyu nguva yekupora pakati pekurapwa.
Chiremba wenyu achatarisa nguva dzose kuti gomarara renyu riri kupindura sei kuburikidza nemiedzo yeropa, kuongorora mifananidzo, uye kuongorora kwemuviri. Zvichienderana nemigumisiro iyi, vanogona kugadzirisa chirongwa chenyu chekurapa kana kusarudza kuti inguva yekumira rini.
Vamwe varwere vanoda matenderedzwa mashoma chete, nepo vamwe vangave vachiramba vachirapwa kwemwedzi mitanhatu kana kupfuura. Chikwata chenyu chekurapa chichakuchengetedza uchiziva nezve kufambira mberi kwako uye chero shanduko kuchirongwa chenyu chekurapa.
Kufanana nemishonga yese yechemotherapy, dactinomycin inogona kukonzera mhedzisiro sezvo ichishanda kurwisa gomarara renyu. Kunzwisisa zvekutarisira kunogona kukubatsira kugadzirira uye kuziva kuti ungabatana riini nechikwata chenyu chehutano.
Varwere vazhinji vanowana dzimwe mhedzisiro, asi dzinowanzo manejwa nekuchengetwa kwakakodzera uye rutsigiro. Chikwata chenyu chekurapa chichashanda nemi kuderedza kusagadzikana uye kugadzirisa chero zvinonetsa zvinomuka.
Heano mhedzisiro yakajairika yaungasangana nayo:
Zvikanganiso izvi zvinowanzoita zviri nani muviri wako paunojaira kurapwa uye panguva dzekuzorora pakati pemitsetse. Chikwata chako chehutano chinogona kupa mishonga uye nzira dzekubatsira kudzora zviratidzo izvi.
Zvimwe zvisingawanzoitiki asi zvakanyanya kukomba zvinogona kuitika, uye zvakakosha kuzvitarisa:
Bata chikwata chako chehutano nekukasira kana ukaona chero chimwe chezvinhu zvinokonzera matambudziko aya. Vane ruzivo rwekutarisira zviitiko izvi uye vanogona kupa kurapwa nekukurumidza kana zvichidikanwa.
Vamwe vanhu havagone kugamuchira dactinomycin zvakachengeteka nekuda kwenjodzi yakawedzerwa yematambudziko akakomba. Chiremba wako achanyatsoongorora nhoroondo yako yekurapa asati akurudzira kurapwa uku.
Haufaniri kugamuchira dactinomycin kana iwe uchiziva kuti une allergy kumushonga uyu kana chero chimwe chezvikamu zvawo. Zviitiko zvakakomba zvekare kumishonga yakafanana yekemotherapu zvinogona zvakare kuita kuti kurapwa uku kusakukodzere iwe.
Chiremba wako achanyatso chenjerera nezvekunyora dactinomycin kana uine mamiriro aya:
Kuzvitakura ndechimwe chinhu chakakosha. Dactinomycin inogona kukuvadza mwana asati aberekwa, saka chiremba wako achakurukura sarudzo dzekudzivirira pamuviri kana uri wezera rekubereka vana.
Kana uri kuyamwisa, unofanirwa kumira usati watanga kurapwa, nekuti mushonga unogona kupinda mumukaka wemazamu. Chikwata chako chehutano chichakubatsira kuita sarudzo dzakanakisa kuhutano hwako nekugara zvakanaka kwemwana wako.
Dactinomycin inowanikwa pasi pezita rebrand Cosmegen muUnited States. Iyi ndiyo fomu yakajairika yaunosangana nayo muzvipatara uye nzvimbo dzekurapa kenza.
Mishonga inogonawo kutaurwa nezita rayo re generic, dactinomycin, mumarekodhi ako ekurapa uye zvirongwa zvekurapa. Mazita ese ari maviri anoreva mushonga mumwe chete une mhedzisiro imwechete uye maprofiles ekuchengetedza.
Chikwata chako chehutano chichashandisa zita ripi zvaro rinonyatsozivikanwa kwavari, asi unogona kugara uchikumbira kujekeswa kana iwe ukanzwa mazwi akasiyana achishandiswa panguva yekukurukurirana kwako kurapwa.
Mishonga yakati wandei yekemotherapy inogona kurapa mhando dzakafanana dzekenza, kunyangwe sarudzo yakanakisa inoenderana nekuongororwa kwako uye mamiriro ezvinhu. Chiremba wako anosarudza kurapwa zvichibva pane zvinoratidza tsvagiridzo kuti zvinoshanda sei kune yako chaiyo kenza mhando.
Kenza yevana senge Wilms tumor, dzimwe nzira dzinogona kusanganisira vincristine, doxorubicin, kana cyclophosphamide. Mishonga iyi inowanzo shanda pamwechete mukurapa kwakabatanidzwa panzvimbo yekutsiva dactinomycin zvachose.
Zvimwe zvingasarudzwa zvekutanga kurapwa kunze kwekemotherapy zvinosanganisira kuvhiyiwa, radiation therapy, uye itsva dzakatarisana therapies. Oncologist wako achakurukura zvese zvingasarudzwa zviripo uye achatsanangura kuti nei vachitenda kuti dactinomycin ndiyo sarudzo chaiyo yemamiriro ako ezvinhu.
Sarudzo yekuti ndeipi kurapwa yekushandisa inoenderana nezvinhu zvakawanda, kusanganisira zera rako, hutano hwese, nhanho yekenza, uye kuti kenza yakapindura sei kurapwa kwakapfuura.
Dactinomycin haisi “yakanaka” kupfuura mamwe mishonga yekemotheraphy, asi inoshanda zvakanyanya kune mamwe marudzi ekenza. Vatsvagiri vezvokurapa vakaiverenga zvakanyanya uye vakawana kuti inoshanda zvakanaka kune kenza yevana uye mamwe marudzi ekenza yevakuru.
Kune mamiriro ezvinhu akaita seWilms tumor, dactinomycin inowanzoonekwa seyekutanga-mutsara wekurapa nekuti makumi emakore ekutsvaga akaratidza kuti inoburitsa mhedzisiro yakanaka. Vana vazhinji vanobatwa nekurapa kunobva ku dactinomycin vanoenderera mberi nekurarama hupenyu hune hutano, hwakajairika.
Kushanda kwemushonga kunobva munzira yawo yakasiyana yekupindira nekenza cell DNA. Izvi zvinoita kuti zvive zvinobatsira kune kenza inokura nekukurumidza iyo mamwe mishonga angasadzora zvakanaka.
Chiremba wako anosarudza dactinomycin nekuti tsvagiridzo inoratidza kuti inokupa mukana wakanakisa wekubudirira kurapa rudzi rwako rwekenza. Vanofunga zvinhu zvakaita semitengo yekurapa, mhedzisiro, uye mamiriro ako ehutano pavanenge vachigadzira zano iri.
Hongu, dactinomycin inoonekwa seyakachengeteka kuvana kana ichishandiswa pasi pekutariswa kwekurapa kwakakodzera. Muchokwadi, ndiyo imwe yemishonga yakakosha yekurapa kenza yevana seWilms tumor.
Vana oncologists vane ruzivo rwakawanda vachishandisa dactinomycin muvana vemazera ese, kusanganisira vacheche. Dosing inoverengwa zvakanyatsonaka zvichibva pahuremu hwemwana wako uye nzvimbo yemuviri kuti ive nechokwadi chekuchengeteka uye kushanda.
Vana vanowanzo shivirira dactinomycin zvakanaka, kunyangwe vachigona kusangana nemhedzisiro yakafanana nevakuru. Chikwata chako chekurapa chemwana chichavatarisa zvakanyanya uye chichapa rutsigiro rwekutarisira kusagadzikana kupi nekupi.
Haugone kushandisa dactinomycin yakawanda netsaona nekuti nyanzvi dzehutano dzakadzidziswa dzinogara dzichiiisa mumamiriro ezvinhu ekurapa anozivikanwa. Mushonga haupiwi semushonga wekutorera kumba.
Chikwata chako chehutano chinonyatsoverenga chiyero chako chaicho zvichienderana nehukuru hwemuviri wako uye mamiriro ako ehutano. Vanotarisa kaviri zvese zvinoverengwa uye vanotevera mitemo yakasimba kudzivirira kukanganisa kwechiyero.
Kana uine hanya nekuti kurapwa kwako kana kuona mhedzisiro yakakomba isingatarisirwi, taura nechikwata chako chehutano nekukasira. Vanogona kuongorora mamiriro ako uye kupa rubatsiro rwekurapa rwakakodzera kana zvichidikanwa.
Kana ukakanganwa kurapwa kwe dactinomycin kwakarongeka, taura nechikwata chako chehutano nekukurumidza sezvinobvira kuti urongezve. Vachashanda newe kuti vaone nguva yakanakisa yechiyero chako chinotevera.
Kukanganwa kurapwa kumwe chete hakureve kuti kurapwa kwako kenza kwakundikana, asi zvakakosha kuti urambe uri pedyo nehurongwa hwako hwakarongwa sezvinobvira. Chiremba wako angangoda kugadzirisa chirongwa chako chekurapa zvachose zvichienderana nekuti kunonoka kwakareba sei.
Chikwata chako chekurapa chinonzwisisa kuti mamiriro ehupenyu dzimwe nguva anokanganisa zvirongwa zvekurapa. Vachakubatsira kuti udzokere munzira vachivimbisa kuchengeteka kwako uye kushanda kwekurapa.
Unofanira kungomira kutora dactinomycin kana chiremba wako akuudza kuti zvakachengeteka kuita kudaro. Sarudzo iyi yakavakirwa pakuti kenza yako yakapindura sei kurapwa uye hutano hwako hwese.
Chikwata chako chehutano chichagara chichitarisa kufambira mberi kwako kuburikidza nemiedzo yeropa, kuongorora mifananidzo, uye kuongorora kwemuviri. Kana miedzo iyi ikaratidza kuti kenza yako iri kupindura zvakanaka, chiremba wako achakurukura matanho anotevera muchirongwa chako chekurapa.
Vamwe varwere vanopedzisa kutenderera kwavo kwekurapa kwakarongwa vozotamira kuchikamu chekutarisa. Vamwe vangada kuenderera mberi nekurapa kwenguva refu kana kenza yavo ichida izvozvo. Chiremba wako achatsanangura zvaanokurudzira uye kupindura mibvunzo yese yaunayo pamusoro pekurega kurapwa.
Varwere vazhinji vanokwanisa kuenderera mberi vachishanda panguva yekurapwa kwe dactinomycin, kunyangwe izvi zvichitsamira pazvinodiwa nebasa rako uye manzwiro ako. Mushonga unopihwa mumitenderera, saka unogona kunzwa zviri nani panguva yekuzorora pakati pekurapwa.
Ungangoda kugadzirisa purogiramu yako yebasa zvichienderana nekugadzwa kwekurapa uye kuzorora paunenge uchinzwa kuneta. Vashandirwi vazhinji vanonzwira tsitsi nezvezvinodiwa zvekurapa, kunyanya kana iwe uchitaura pachena nezvemamiriro ako.
Taura nechikwata chako chehutano nezvemamiriro ako ebasa. Vanogona kukubatsira kuronga purogiramu yako yekurapa zvichienderana nezvinhu zvakakosha zvebasa pazvinogoneka uye kupa zvinyorwa kumushandirwi wako kana zvichidikanwa.