Chii chinonzi Valrubicin: Zvinoshandiswa, Mishonga, Migumisiro uye Zvimwe

Valrubicin mushonga wechemotherapy wakagadzirirwa zvakanyanya kurapa gomarara rebladder. Kusiyana nemishonga yakawanda yegomarara inofamba nemuropa rako, mushonga uyu unoshanda zvakananga mukati mebladder yako kuburikidza nemaitiro anonzi intravesical therapy, uko mushonga unotumirwa zvakananga kwauri kwaunonyanya kudiwa.

Kana iwe kana mumwe munhu waunoda achitarisana negomarara rebladder, kudzidza nezve valrubicin kunogona kukubatsira kuti unzwe wakagadzirira uye wakaziviswa nezve sarudzo iyi yekurapa. Mushonga uyu unomiririra nzira yakatarwa inotarisa kurapwa chaizvo kwakanyatsoitika maseru egomarara.

Chii chinonzi Valrubicin?

Valrubicin mushonga weanthracycline chemotherapy unova weimwe mhuri yemishonga yakabva kumabhakitiriya akati wandei. Yakagadzirirwa zvakanyanya kurapa gomarara rebladder nekuiisa zvakananga mubladder kuburikidza necatheter, pane kupihwa kuburikidza neIV semamwe marapirwo egomarara.

Mushonga uyu ndizvo zvinodaidzwa nachiremba kuti

Mushonga uyu wakagadzirirwa zvakananga varwere vane gomarara retsvo richiri kungogumira kumukati memutsipa wemutsipa uye risati raenda kune dzimwe nzvimbo dzakadzama kana dzimwe nhengo dzemuviri. Chiremba wako achave akasimbisa izvi kuburikidza nemiedzo yakasiyana-siyana uye kuongorora asati akurudzira valrubicin.

Chinangwa chekurapa nevalrubicin ndechekubvisa masero egomarara tichichengetedza basa retsvo yako. Izvi zvinonyanya kukosha nekuti imwe nzira yekurapa gomarara retsvo rinodzivisa BCG kazhinji kubviswa kwevhavha, izvo zvinokanganisa zvakanyanya hupenyu.

Valrubicin Inoshanda Sei?

Valrubicin inoshanda nekunanga zvakananga DNA yemasero egomarara, ichivadzivisa kubereka uye pakupedzisira ichivakonzera kufa. Kana mushonga waiswa mutsvo yako, unosangana zvakananga nemasero egomarara anovhara madziro etsvo.

Mishonga inopinda mumasero egomarara uye inovhiringidza maitiro avo eDNA replication. Kukanganiswa uku kunodzivirira masero egomarara kubva pakukamura nekukura, nepo masero etsvo ane hutano anowanzoita zviri nani kugadzirisa chero kukuvara kunokonzerwa nemushonga.

Semushonga wechemotherapy, valrubicin inoonekwa seyakasimba zvine mwero, asi nekuti inotumirwa zvakananga kutsvo panzvimbo yekuyerera muropa rako, mhedzisiro yayo inonyanya kukosheswa kwainodiwa zvakanyanya. Iyi nzira yakatarwa inobvumira kurapwa kunobudirira uku ichideredza kukanganisa kune dzimwe nhengo dzemuviri wako.

Ndingatora Sei Valrubicin?

Valrubicin inotungamirirwa nechikwata chako chehutano munzvimbo yekurapa, kwete kumba. Mushonga unopihwa kuburikidza necatheter inoiswa mutsvo yako kuburikidza neurethra yako, yakafanana nemaitiro ekuisa catheter yeweti.

Musati muvhiwe, munofanira kubvisa weti yenyu zvakakwana. Chiremba wenyu achaisa chubhu diki, inochinjika inonzi catheter kuburikidza ne urethra yenyu uye ichienda mu bladder yenyu. Mhinduro ye valrubicin inobva yaiswa zvishoma nezvishoma kuburikidza ne catheter iyi.

Kana mushonga wacho wava mu bladder yenyu, munofanira kuuchengeta kwemaawa anenge maviri. Munguva iyi, mungakumbirwa kuchinja nzvimbo nguva nenguva kuti mubatsire kuona kuti mushonga unosvika nzvimbo dzese dzemukati me bladder yenyu. Mushure menguva yekuchengeta, muchakwanisa kuita weti zvakajairika kuti mubvise mushonga kubva mu bladder yenyu.

Hakuna zvirambidzo zvakakosha zvekudya musati mavhiwa, asi munofanira kutevera mirairo yachiremba wenyu maererano nekumwa mvura. Vamwe varwere vanoona zvichibatsira kuderedza mvura kwemaawa mashoma vasati vavhiwa kuti zvive nyore kuchengeta mushonga mu bladder.

Ndingatora Valrubicin Kwenguva Yakareba Sei?

Nzira yekurapa ye valrubicin yakajairika ine kuisa kavhiki kanomwe pamavhiki matanhatu. Iyi purogiramu yakadzidzwa zvakanyatsonaka uye yakagadzirirwa kuwedzera kushanda kwemushonga uku uchideredza mhedzisiro.

Chiremba wenyu achatarisa mhinduro yenyu kumishonga kuburikidza nekugadzwa nguva dzose uye bvunzo. Izvi zvinogona kusanganisira cystoscopy (kutarisa mukati me bladder yenyu nekamera diki) uye bvunzo dze weti kuti tarise maseru ekenza.

Mushure mekupedza nzira yekutanga yemavhiki matanhatu, timu yenyu yehutano ichaongorora kuti mishonga yakashanda sei. Vamwe varwere vangada mamwe mishonga kana nzira dzakasiyana zvichienderana nemhinduro yavo yega. Sarudzo yekuti uenderere mberi, kugadzirisa, kana kuchinja chirongwa chako chemishonga ichaitwa pamwe chete pakati penyu netimu yenyu yezvokurapa.

Ndezvipi Zvipingamupinyi zve Valrubicin?

Zvizhinji zvezvinhu zvinokonzerwa nemishonga ye valrubicin zvine chekuita nekutsamwa kwechibereko, sezvo ndipo panopiwa mushonga. Zvinhu izvi zvinowanzo manejwa uye zvenguva pfupi, kunyangwe zvakakosha kuziva zvekutarisira.

Zvimwe zvezvinhu zvinowanzoitika zvaungasangana nazvo zvinosanganisira zviratidzo zvekutsamwa kwechibereko zvinogona kunzwa zvisina kugadzikana asi zvinowanzo manejwa nekuchengetwa kunotsigira:

• Kunanzva panguva yekuyera
• Kuyera kakawanda kana kunzwa sekunge unofanirwa kuyera kazhinji
• Kukurumidza kuyera
• Ropa mumweti wako (hematuria)
• Kurwadziwa kwechibereko kana kusagadzikana
• Kurwadziwa kwepelvic

Zviratidzo izvi zvine chekuita nechibereko zvinowanzoitika mukati memazuva mashoma ekutanga mushure mekurapwa uye zvinogona kuramba kwemazuva akati wandei. Vazhinji varwere vanowana kuti zvinhu izvi zvinova nyore manejwa sezvo muviri wavo uchigadzirisa kurapwa.

Zvisingawanzoitiki asi zvinogoneka zvinokonzerwa nemishonga zvinosanganisira kuneta, kusvotwa, kana kusagadzikana mudumbu. Nekuti valrubicin inopiwa zvakananga kuchibereko, haunganyanyi kusangana nezvinhu zvakajairika zvinokonzerwa nemishonga inopinda muropa.

Zvisingawanzoitiki asi zvakakomba zvinokonzerwa nemishonga zvinogona kusanganisira kuzvimba kwakanyanya kwechibereko, kubuda ropa kwakanyanya, kana zviratidzo zvehutachiona. Bata chiremba wako nekukurumidza kana ukaona kurwadziwa kwakanyanya, fivha yakanyanya, kusakwanisa kuyera, kana kubuda ropa kwakanyanya.

Ndiani Asingafaniri Kutora Valrubicin?

Valrubicin haina kukodzera munhu wese, uye chiremba wako achanyatsoongorora kana iri sarudzo chaiyo yemamiriro ako chaiwo. Mamwe mamiriro kana mamiriro anogona kuita kuti kurapwa uku kusakodzera kana kuda kufunga kwakakosha.

Haufanire kugamuchira valrubicin kana uine chibereko chakaboorwa kana kana paine kuparara mumutsara wechibereko kunogona kubvumira mushonga kuti ubude mumatehwe akapoteredza. Chiremba wako achatarisa izvi kuburikidza nekufungidzira zvidzidzo uye kuongorora.

Vanhu vane zvirwere zvemudzira zviri kushanda vanofanira kumirira kusvikira chirwere chacho chapera zvachose vasati vatanga kurapwa ne valrubicin. Mushonga uyu unogona kuwedzera chirwere kana kuita kuti muviri wako utadze kuchirwisa.

Kana iwe une pamuviri kana kuti uchiyamwisa, valrubicin haikurudzirwi nekuti inogona kukuvadza mwana wako. Vakadzi vane makore ekubereka vana vanofanira kushandisa nzira dzekudzivirira pamuviri dzinoshanda panguva yekurapwa uye kwemwedzi yakati wandei mushure meizvozvo.

Varwere vane matambudziko akakomba eitsvo kana mamwe mamiriro emwoyo vangangoda kuongororwa zvakakosha kana mamwe marapirwo. Chikwata chako chehutano chichaongorora nhoroondo yako yese yekurapa kuti ive nechokwadi chekuti valrubicin yakachengeteka kwauri.

Zita reBrand reValrubicin

Valrubicin inowanikwa pasi pezita rebrand rekuti Valstar muUnited States. Iri ndiro chete brand ye valrubicin yakatenderwa neFDA iripo parizvino yekushandiswa intravesical.

Valstar inouya semhinduro isina utachiona yakagadzirirwa zvakananga kuiswa mudzira. Mushonga uyu unogadzirwa uye unopiwa nevashandi vehutano vakadzidziswa muzvipatara.

Paunenge uchikurukura kurapwa kwako nekambani dzeinishuwarenzi kana kuronga misangano, unogona kunzwa vanopa hutano vachitaura nezve

Kana zvirwere zvakanyanya kana kurapwa mukati memuviri kusina kubudirira, nzira dzekuvhiya dzinogona kufungwa. Izvi zvinogona kubva kune nzira dzakakura dzeblader kusvika pakubviswa kwakazara kweblader (cystectomy) nekugadziriswa.

Miedzo yekiriniki inogonawo kuwanikwa yekurapa kwekuongorora. Oncologist wako anogona kukubatsira kuti uongorore kana chero zvidzidzo zvekutsvaga zvingave zvakakodzera mamiriro ako.

Ko Valrubicin Ari Nani Pane Mitomycin C?

Zvese valrubicin uye mitomycin C inzira dzinobudirira dzekemotherapu mukati memuviri, asi vanoshanda nemaitiro akasiyana uye vanogona kunge vakakodzera mamiriro akasiyana. Sarudzo pakati pavo inoenderana nerudzi rwako rwegomarara reblader uye zvinhu zvemunhu.

Valrubicin inonyanya kubvumidzwa yeBCG-resistant carcinoma in situ, nepo mitomycin C inowanzo shandiswa kune marudzi akasiyana egomarara reblader kana sechinhu chekutanga-mutsara mukurapa mune mamwe mamiriro. Chiremba wako achafunga nezvezvinhu zvakaita serudzi rwako rwegomarara, kurapwa kwakapfuura, uye hutano hwese pakuita sarudzo iyi.

Zvimwe zvidzidzo zvinoratidza kuti valrubicin inogona kunge iri nani kune mamwe marudzi egomarara reblader, nepo mitomycin C inogona kukonzera mashoma mativi emhedzisiro mune vamwe varwere. Sarudzo

Valrubicin inogona kushandiswa zvakachengeteka muvanhu vane chirwere chemoyo nekuti inotumirwa zvakananga kubladder panzvimbo yekuyerera muropa. Zvisinei, chiremba wako wemoyo uye oncologist vachafanirwa kushanda pamwe chete kuti vave nechokwadi chekuti yakakodzera mamiriro ako emoyo chaiwo.

Kusiyana neanthracyclines inoiswa mutsinga, iyo inogona kukonzera matambudziko emoyo, valrubicin inongonyanya kupinda muropa rako kana ichishandiswa sezvakarairwa. Izvi zvinoderedza zvakanyanya njodzi yemigumisiro ine chekuita nemoyo.

Vashandi vehutano vachakutarisa zvakanyanya panguva yekurapa uye vanogona kukurudzira bvunzo dzemabasa emoyo pamberi uye mushure mekurapa kuti vave nechokwadi chekuti moyo wako unogara uine hutano panguva yekurapa kenza yako.

Ndoita Sei Kana Ndikashandisa Valrubicin Yakawandisa Netsaona?

Kupfuura muyero weValrubicin hakuiti nekuti mushonga unopiwa nenyanzvi dzehutano dzakadzidziswa munzvimbo dzekurapa dzakadzorwa. Kuyera kunoverengwa nekuchenjerera uye kuyerwa pamberi pekurapa kwega kwega.

Kana uine hanya nekugamuchira mushonga wakawandisa panguva yekurapa, taura nechikwata chako chehutano nekukasira. Vanogona kuongorora marekodhi ekuyera uye kukutarisa chero zviratidzo zvisingawanzoitiki.

Muchiitiko chisingawanzoitiki chekuwedzera muyero, chikwata chako chekurapa chaizotarisa kutarisirwa kunotsigira uye kuongorora. Vanogona kukurudzira kuwedzera kunwa mvura kuti ibatsire kubvisa mushonga kubva muhurongwa hwako uye kutarisira zviratidzo zvekuwedzera kutsamwa kwebladder.

Ndoita Sei Kana Ndikakanganwa Dose yeValrubicin?

Kana ukakanganwa kurapwa kwevalrubicin kwakarongwa, taura nemupi wako wehutano nekukasira kuti urongezve. Zvakakosha kuchengetedza chirongwa chekurapa sezvazvinogona kuti uwane kushanda zvakanaka.

Chiremba wako achasarudza kana kungoronga zvakare musangano wako wakarasika kana kana chero shanduko kuchirongwa chako chekurapa zvichidikanwa. Usaedze "kugadzirisa" dose yakarasika nekuchinja kurapwa kwemunguva yemberi.

Dzimwe nguva kunonoka kurapwa kunodiwa nekuda kwemigumisiro kana zvimwe zvirwere. Chikwata chako chekuchengetwa kwehutano chichashanda newe kuti uve nechokwadi chekuti unowana zvizere zvekubatsirwa nekurapa kwako uchichengetedza kuchengeteka kwako uye kunyaradzwa.

Ndingamira rini kutora Valrubicin?

Unofanira kupedzisa mazuva matanhatu ekurapa kwevalrubicin kunze kwekunge chiremba wako achikurudzira kumira nekukurumidza. Kurapa kwakazara kwakagadzirirwa kuwedzera mikana yako yekubudirira kurapwa kwekenza.

Chiremba wako anogona kukurudzira kumisa kurapwa nekukurumidza kana ukaona migumisiro yakakomba isingavandudzike nekuchengetwa kunotsigira, kana kana bvunzo dzekutevera dzichiratidza kuti kurapwa hakushandi sezvaitarisirwa.

Usambomira kurapwa kwevalrubicin wega, kunyangwe uchinzwa zviri nani kana uchiwana migumisiro isinganzwisisike. Chikwata chako chekuchengetwa kwehutano chinogona kubatsira kubata migumisiro uye kuona kuti unowana zvizere zvekubatsirwa nekurapa kwako uchichengetedza kuchengeteka kwako uye kunyaradzwa.

Ndingatyaira here mushure mekurapwa kweValrubicin?

Vanhu vazhinji vanogona kuzvityaira kuenda nekubva mukurapwa kwevalrubicin, sezvo mushonga wacho usingawanzoita kuti munhu anzwe hope kana kukanganisa kugona kwako kushandisa mota. Zvisinei, vamwe varwere vanogona kunzwa vasina kugadzikana nekuda kwezviratidzo zvekutsamwa kweguvhu.

Kana ukaona kurwadziwa kukuru kwepelvic, kudiwa nekukurumidza kwokukosora, kana zvimwe zviratidzo zvinogona kukukanganisa uchityaira, zvakachengeteka kuronga kuti mumwe munhu akutyairire kumba mushure mekurapwa.

Teerera muviri wako uye ita zvisarudzo zvichienderana nekuti unonzwa sei mushure mekurapwa kwega kwega. Vamwe varwere vanowana kuti migumisiro inodzoreka zvakanyanya mushure mekurapwa kwekutanga, nepo vamwe vangada rubatsiro rwekutakura mukati mekurapa kwavo.