Chii chinonzi Porfimer: Zvayakashandiswa, Mishonga, Migumisiro, nezvimwe

Porfimer mushonga wakakosha unoshandiswa mu photodynamic therapy kurapa mhando dzekenza. Iyo inoshanda se photosensitizing agent inoita kuti maseru ekenza ave sensitive kune chiedza, zvichibvumira vanachiremba kuti vatarise uye kuaparadza nekushandisa laser treatment.

Mushonga uyu unoshanda zvakasiyana nemishonga yechinyakare ye chemotherapy. Panzvimbo yekurwisa maseru ekenza zvakananga, porfimer inoungana mumaseru ekenza uye inozobatidzwa nerudzi rwechiedza che laser panguva yekurapa.

Chii chinonzi Porfimer?

Porfimer sodium mushonga wekenza unobatidzwa nechiedza uyo uri muboka remishonga inonzi photosensitizers. Inopiwa kuburikidza ne intravenous (IV) line zvakananga muropa rako.

Mushonga uyu unobva muzvikamu zveropa uye wakagadzirirwa kunyanya kuunganidza mumaseru ekenza. Kana yasvika munyama yekenza, inoramba isina basa kusvikira chiremba wako ashandisa rudzi rwechiedza chitsvuku panguva yekurapa.

Iyi nzira mbiri-nhanho inobvumira kurapwa kwekenza kwakanyanya. Mushonga wacho pachake haukuvadzi maseru ane hutano kusvikira chiedza chaitwa, izvo zvinoitika chete panotungamira chiremba wako laser.

Chii chinonzi Porfimer chinoshandiswa?

Porfimer inonyanya kushandiswa kurapa kenza ye esophageal yakapararira kana isingakwanise kubviswa nekuvhiyiwa. Inoshandiswawo kune mamwe marudzi ekenza yemumapapu uye mamiriro ekutanga ekenza mu esophagus.

Chiremba wako angakurudzira porfimer kana dzimwe nzira dzekurapa dzisina kushanda kana kuvhiyiwa kusingabviri. Inobatsira zvakanyanya kune kenza iri munzvimbo uko kuvhiyiwa kwechinyakare kwaizova kwakanyanya njodzi.

Mushonga uyu unoshandiswawo kurapa Barrett's esophagus ine high-grade dysplasia. Iyi imamiriro apo lining ye esophagus yakachinja uye inogona kuva nekenza.

Mune dzimwe nguva, vanachiremba vanoshandisa porfimer kune mamwe marudzi ekenza yeganda kana mamwe marudzi ekenza anowanikwa kurapwa nechiedza. Zvisinei, kushandiswa uku hakuzivikanwi zvakanyanya uye kunoenderana nemamiriro ako chaiwo.

Porfimer Inoshanda Sei?

Porfimer inoshanda kuburikidza nemaitiro anonzi photodynamic therapy, iyo inobatanidza mushonga nechiedza kuparadza masero ekenza. Inoonekwa seimwe nzira yekurapa pane kurapwa kwakasimba kwesystemic semakemikari echinyakare.

Mushure mekugamuchira jekiseni reIV, porfimer inofamba kuburikidza neropa rako uye inoungana mumasero ekenza mumaawa makumi maviri nemana kusvika makumi manomwe nemaviri. Masero ekenza anowanzo bata mushonga kwenguva refu kupfuura masero ane hutano.

Panguva yekurapa nechiedza, chiremba wako anoshandisa laser yakakosha kana sosi yechiedza kumutsa porfimer. Kumutswa uku kunogadzira mamorekuru eokisijeni ane chepfu kumasero ekenza, zvichikonzera kuti afe.

Kurapa kwacho kunononoka zvichienzaniswa nemamwe marapirwo ekenza. Sezvo mushonga unongova unoshanda kana uchiratidzwa kune chaiwo chiedza wavelength, haikonzeri mhedzisiro yakapararira inowanzoonekwa nemakemikari echinyakare.

Ndinofanira Kutora Sei Porfimer?

Porfimer inogara ichipiwa nenyanzvi dzehutano kuburikidza neIV line muchipatara kana kiriniki. Hauzive kutora mushonga uyu kumba kana nemuromo.

Usati warapwa, haufanirwe kutsanya kana kudzivisa chikafu chakati. Zvisinei, chiremba wako achakupa mirairo yakadzama yekugadzirira chikamu chekurapa nechiedza chinotevera.

Jekiseni racho rinowanzo tora maminitsi gumi kusvika gumi nemashanu. Mushure mekuwana porfimer, uchada kumirira maawa makumi maviri nemana kusvika makumi manomwe nemaviri usati waita chikamu chekurapa nechiedza chekurapa kwako.

Panguva yekumirira pakati pejekiseni uye kurapwa nechiedza, uchada kudzivisa mwenje unopenya uye zuva rakananga. Chikwata chako chehutano chichakupa gwara rakajeka pamusoro pekuratidzwa kwechiedza panguva ino.

Ndingatora Porfimer Kwenguva Yakareba Sei?

Kurapa nePorfimer kunowanzo sanganisira jekiseni rimwe richiteverwa nemamwe ma light therapy sessions. Kurapa kwese kunowanzoitika mumazuva mashoma kusvika vhiki.

Vamwe varwere vangada kurapwa zvakare, asi izvi zvinoenderana nekuti gomarara rinopindura sei uye hutano hwako hwese. Chiremba wako achatarisa kufambira mberi kwako uye achasarudza kana mamwe ma cycles achidiwa.

Mhedzisiro ye porfimer inogona kugara kwemavhiki akati wandei mushure mekurapwa. Munguva iyi, unozofanira kuramba uchizvidzivirira kubva kumwenje yakajeka uye zuva.

Chiremba wako achaita ma follow-up appointments nguva dzose kuti aone kuti kurapwa kwakashanda sei uye kuti atarise chero side effects. Kushanya uku kwakakosha pakuziva kana mamwe marapirwo achidiwa.

Ndezvipi Zvinhu Zvinokonzerwa nePorfimer?

Chinhu chikuru chinokonzerwa neporfimer ndiko kuwedzera kunzwa kune chiedza, izvo zvinogona kugara kwemavhiki 4 kusvika ku6 mushure mekurapwa. Izvi zvinoreva kuti unozofanira kudzivisa mwenje yakajeka uye zuva rakananga panguva iyi.

Zvinowanzoitika zvinokonzerwa nevakawanda varwere zvinosanganisira:

• Kurwadziwa muchipfuva kana kusagadzikana
• Kutadza kumedza
• Nausea uye kurutsa
• Fivha uye kutonhora
• Kuneta
• Kukosora

Zviratidzo izvi zvinowanzooneka mumazuva mashoma ekutanga mushure mekurapwa uye zvinowanzoita nani nekufamba kwenguva. Chikwata chako chehutano chichapa mishonga yekubatsira kubata izvi side effects.

Zvakanyanya asi zvisingawanzoitiki side effects zvinogona kusanganisira matambudziko ekufema, kurwadziwa kwakanyanya muchipfuva, kana zviratidzo zvehutachiona. Kana iwe ukaona chero zviratidzo izvi, unofanirwa kubata mupi wako wehutano nekukurumidza.

Vamwe varwere vanogona kuita zviratidzo zvepaganda kana vakaiswa kumwenje yakajeka panguva yekunzwa. Ichi ndicho chikonzero nei kutevera mitemo yekuratidzwa kwechiedza yakakosha kuchengetedzeka kwako.

Ndiani Asingafaniri Kutora Porfimer?

Porfimer haisi yakakodzera munhu wese, uye chiremba wako achanyatsoongorora kana zvakachengeteka kwauri. Vanhu vane matambudziko ekubuda ropa havafaniri kupihwa mushonga uyu.

Haufaniri kupihwa porfimer kana uchiziva kuti une allergy kumushonga kana mamwe makomisheni akafanana. Chiremba wako achatarisa nhoroondo yako ye allergy asati akurudzira kurapwa uku.

Varwere vane chirwere chemoyo chakakomba, matambudziko eitsvo, kana chirwere chechiropa vangave vasiri vakakodzera kurapwa ne porfimer. Chiremba wako achaongorora hutano hwako hwese asati aenderera mberi.

Kana uri nepamuviri kana kuyamwisa, porfimer kazhinji haikurudzirwi. Mushonga unogona kukuvadza mwana asati aberekwa kana kupinda mumukaka wemazamu.

Vanhu vasingakwanise kudzivisa mwenje wakajeka kana zuva nekuda kwebasa ravo kana mamiriro ekugara havangave vakakodzera. Nguva yekunzwa mwenje yakakosha kubudirira kwekurapa uye kuchengeteka.

Mazita ePorfimer Brand

Porfimer sodium inowanikwa kazhinji pasi pezita rekuti Photofrin. Iri ndiro zita rekutanga rinoshandiswa munyika zhinji uko mushonga uyu unobvumirwa.

Photofrin inogadzirwa nemakambani akakosha emishonga uye inowanikwa chete kuburikidza nezvipatara uye nzvimbo dzekurapa gomarara. Haisi kuwanikwa kumakemisi akajairika.

Mune dzimwe nzvimbo, unogona kuona porfimer ichinzi nezita rayo re generic, porfimer sodium, kunyanya mumarekodhi ekurapa kana magwaro einishuwarenzi. Zvisinei, mushonga chaiwo waunogamuchira ungangove mhando yePhotofrin.

Zvimwe Zvinhu Zviri Kutsiva Porfimer

Mamwe mishonga inokonzera photosensitizing inogona kushandiswa kurapwa kwe photodynamic, zvichienderana nemamiriro ako chaiwo. Izvi zvinosanganisira aminolevulinic acid uye methyl aminolevulinate.

Kugomarara kweesophageal, zvimwe zvingatsiva porfimer zvinogona kusanganisira chemotherapy yechinyakare, radiation therapy, kana kubviswa kwekuvhiya kana zvichibvira. Chiremba wako achakurukura sarudzo idzi zvichibva padanho regomarara rako uye hutano hwese.

Vamwe varwere vangave vakakodzera kurapwa kutsva kwakatarwa kana mishonga ye immunotherapy. Kurapa uku kunoshanda zvakasiyana ne porfimer asi kungave kwakakodzera kune mamwe marudzi ekenza.

Sarudzo yekurapa kumwe kunoenderana nezvinhu zvakawanda, kusanganisira nzvimbo uye nhanho yekenza yako, hutano hwako hwese, uye kuti ungashandisa sei kurapwa kwakasiyana.

Ko Porfimer Zviri Nani Pane Zvimwe Zvirwere zveKenza?

Porfimer inopa zvakanakira zvakasiyana zvemamiriro akati, asi hazvifanirwe kunge zviri nani pane zvimwe zvese zvirwere zvekenza. Bhenefiti yayo huru ndiyo kugona kutarisisa nzvimbo dzakatarwa pasina kukanganisa muviri wese.

Kana ichienzaniswa ne chemotherapy yechinyakare, porfimer inowanzoita mashoma emhedzisiro. Hauzoona kurasikirwa nevhudzi, kusvotwa kwakanyanya, kana kudzvinyirirwa kwemuviri wekudzivirira muviri kunowanzoonekwa ne chemotherapy.

Zvisinei, porfimer inongoshanda chete kune mhando dzekenza dzinogona kusvikwa nechiedza therapy. Izvi zvinodzora kushandiswa kwayo kana ichienzaniswa nekurapa senge chemotherapy kana radiation inogona kutarisisa kenza mumuviri wese.

Sarudzo yakanakisa yekurapa inoenderana nemamiriro ako chaiwo. Chiremba wako achafunga nezvezvinhu zvakaita serudzi rwekenza, nzvimbo, nhanho, uye hutano hwako hwese paanokurudzira kurapwa kwakakodzera.

Mibvunzo Inowanzo bvunzwa Nezve Porfimer

Ko Porfimer Yakachengeteka Kune Varwere vane Chirwere chemoyo?

Porfimer inogona kushandiswa muvarwere vane chirwere chemoyo, asi inoda kunyatsoongororwa. Chiremba wako wemoyo uye oncologist vachashanda pamwechete kuti vaone kana zvakachengeteka kwauri.

Mishonga yacho pachayo haina zvainobata moyo zvakananga, asi vamwe varwere vanogona kuona kusagadzikana muchipfuva semhedzisiro. Chikwata chako chehutano chichatarisa basa remoyo wako pamberi uye mushure mekurapa.

Kana uine chirwere chemoyo chakakomba, chiremba wako angakurudzira mamwe marapirwo kana kutora matanho ekuwedzera panguva ye porfimer therapy. Nguva dzose kurukura mamiriro ako emoyo zvakadzama nechikwata chako chekurapa.

Chii Chandinofanira Kuita Kana Ndikangoerekana Ndawana Zuva Rakawandisa Mushure mePorfimer?

Kana iwe ukangoerekana waiswa muchiedza chezuva mushure mekurapwa ne porfimer, buda muchiedza nekukasira uye taura nemupi wako wehutano. Kunyange kuisa pachena kwenguva pfupi kunogona kukonzera maitiro akakomba paganda.

Enda kukamuri rima uye dzivisa mwenje wese wakajeka, kusanganisira mwenje wemukati unogona kunge wakajeka kupfuura zvakajairika. Usaedze kurapa chero maitiro eganda iwe pachako.

Chiremba wako anogona kukurudzira marapirwo chaiwo emaitiro eganda ane chekuita nemwenje. Izvi zvinogona kusanganisira compresses inotonhorera, mishonga yekurwadziwa, kana mamwe matanho ekuchengetedza.

Kudzivirira ndiko kiyi, saka ita shuwa kuti unonzwisisa gwara rese rekuisa pachena mwenje usati wabva kuchipatara mushure mekurapwa.

Chii Chandinofanira Kuita Kana Ndikakanganwa Kurapwa Kwechiedza Kwekuongorora?

Taura nemupi wako wehutano nekukasira kana ukakanganwa chikamu chekurapwa nemwenje chakarongeka. Nguva yekurapa nemwenje mushure mejekiseni re porfimer yakakosha pakubudirira kwekurapa.

Zvichienderana nekuti yakawanda sei nguva yapfuura, chiremba wako angangokwanisa kuenderera mberi nekurapwa nemwenje. Zvisinei, kana nguva yakawanda yapfuura, unogona kuda kudzokorora kutenderera kwese kwekurapa.

Usaedze kuronga zvakare wega kana kumirira kuti uone zvinoitika. Kubatana pakati pejekiseni re porfimer uye kurapwa nemwenje kunorongwa zvakanyatsojeka kuti uwane mhedzisiro yakanaka.

Ndingamira Rini Kutora Matanho Ekuchenjerera Mwenje Mushure mePorfimer?

Iwe unowanzo kuda kudzivisa mwenje wakajeka uye zuva rakananga kwemavhiki 4 kusvika ku6 mushure mekurapwa ne porfimer. Chiremba wako achakupa gwara chaiwo zvichienderana nekurapwa kwako.

Vamwe varwere vangada kuramba vachitora matanho ekuchenjerera kwenguva yakareba, kunyanya kana vachigamuchira mamwe marapirwo. Chikwata chako chekuchengetwa kwehutano chichaedza kunzwisiswa kwako kwechiedza usati wabvumidzwa kutangazve mabasa ako akajairika.

Usafungidzira kuti unogona kudzokera kune chiedza chakajairika nekuti unonzwa zvakanaka. Mushonga unogona kuramba uri mumuviri wako kwenguva yakareba kupfuura zvaungatarisira.

Ndingatora Mamwe Mishonga Ndiri Kugamuchira Porfimer?

Mishonga yakawanda yakachengeteka kutora neporfimer, asi iwe unofanirwa kugara uchizivisa mupi wako wehutano nezve mishonga yese uye zvinowedzera zvauri kutora.

Imwe mishonga inokuita kuti unzwe zvakanyanya kuchiedza inofanira kudziviswa kana kushandiswa nekuchenjerera kwakanyanya panguva yekurapa kweporfimer. Izvi zvinosanganisira mamwe maantibiotics, diuretics, uye mishonga inorwisa kuzvimba.

Chiremba wako achatarisa runyorwa rwako rwemishonga uye achaita chero shanduko dzinodiwa pamberi uye mushure mekurapa kwako kweporfimer. Usambomira kana kutanga mishonga usina kuita hurukuro nechikwata chako chekuchengetwa kwehutano kutanga.