Chii chinonzi Chemotherapy yeKenza remazamu? Chinangwa, Maitiro & Mhedzisiro

Chemotherapy yekenza remazamu inoshandisa mishonga ine simba kuparadza maseru ekenza mumuviri wako wese. Mishonga iyi inoshanda nekunangana nemaseru anokurumidza kukamukana, izvo zvinosanganisira maseru ekenza asi zvinogonawo kukanganisa mamwe maseru ane hutano anokurumidza kukura.

Funga nezve chemotherapy sechinhu chinorapa muviri wese chinofamba neropa rako kuti chisvike kumasero ekenza kwavanogona kunge vakavanda. Nepo kuvhiyiwa kuchibvisa bundu raunoona, chemotherapy inobatsira kubvisa chero maseru ekenza anogona kunge akapararira kune dzimwe nhengo dzemuviri wako, kunyangwe kana akanyanya kudiki kuti aonekwe pama scans.

Nei chemotherapy yekenza remazamu ichiitwa?

Chemotherapy inoshanda zvinangwa zvakawanda zvakakosha mukurapa kenza remazamu, zvichienderana nemamiriro ako chaiwo. Chiremba wako weoncologist angakurudzira kuti idzikise bundu risati ravhiyiwa, kubvisa maseru ekenza akasara mushure mekuvhiyiwa, kana kudzora kenza yakapararira kune dzimwe nhengo dzemuviri wako.

Kana ichishandiswa isati yavhiyiwa, inonzi neoadjuvant chemotherapy, inogona kuita kuti bundu guru ridiki uye riri nyore kubvisa. Iyi nzira dzimwe nguva inobvumira vakadzi kuva nekuvhiyiwa kunochengetedza mazamu panzvimbo pe mastectomy. Kurapa kunogonawo kubatsira vanachiremba kuona kuti kenza yako inopindura sei kumishonga chaiyo.

Mushure mekuvhiyiwa, adjuvant chemotherapy inoshanda semutemo weinishuwarenzi pakurwisa kenza kudzoka. Kunyangwe kana kenza yese inooneka yabviswa, maseru ekenza microscopic anogona kuramba ari mumuviri wako. Mishonga iyi inobatsira kubvisa maseru iwayo akavanzika vasati vakwanisa kukura kuita bundu idzva.

Kune kenza remazamu rakaoma rakapararira kune dzimwe nhengo, chemotherapy inogona kubatsira kudzora chirwere, kubvisa zviratidzo, uye kuvandudza hupenyu. Kunyangwe isingagone kurapa kenza rakaoma, inogona kazhinji kubatsira vanhu kurarama hupenyu hurefu, hunonyaradza.

Ndeapi maitiro e chemotherapy?

Chemotherapy inowanzoitika mumativi, nemwaka wekurapa uchiteverwa nemwaka wezororo kuti muviri wako upore. Vanhu vazhinji vanogamuchira kurapwa mazuva maviri kana matatu oga oga, kunyangwe chirongwa chako chakatarwa zvichienderana nemishonga inosarudzwa nachiremba wako uye kuti muviri wako unopindura sei.

Iwe unowanzo gamuchira chemotherapy kuburikidza neIV line muruoko rwako kana kuburikidza nechiteshi, chiri chishandiso chidiki chakaiswa pasi peganda rako padyo necollarbone yako. Chiteshi chinoita kuti zvive nyore kukupa mishonga uye kutora mienzaniso yeropa pasina kubaya tsono kakawanda. Mamwe madhiragi echemotherapy anouyawo semapiritsi aunogona kutora kumba.

Chikamu chimwe nechimwe chekurapa chinowanzoita pakati peawa imwe neina, zvichienderana nemishonga yaunogamuchira. Iwe uchagara pachigaro chakasununguka muchikamu chekutsika, uye vanamukoti vachakutarisa zvakanyanya panguva yese yacho. Vanhu vazhinji vanounza mabhuku, mahwendefa, kana mimhanzi kuti vabatsire kupfuudza nguva.

Pamberi pekurapwa kwega kwega, timu yako yezvokurapa ichatarisa kuverenga kweropa rako uye hutano hwese kuti uve nechokwadi chekuti wagadzirira dose inotevera. Vanogona kunonotsa kurapwa kana kuverenga kweropa rako kwakaderera zvakanyanya kana uri kusangana nemigumisiro yakakosha inoda nguva yekuvandudza.

Maitiro ekugadzirira chemotherapy yako?

Kugadzirira chemotherapy kunosanganisira matanho anoshanda uye kugadzirira kwemanzwiro. Chikwata chako chehutano chichakupa mirairo yakadzama yakatarwa kuchirongwa chako chekurapa, asi kune nzira dzakajairika dzekugadzirira dzinogona kukubatsira kuti unzwe wakavimbika uye wakasununguka.

Tanga nekuronga kutakura kwakavimbika kuenda nekubva kumisangano yako, sezvo unogona kunzwa wakaneta kana kusanzwa zvakanaka mushure mekurapwa. Vanhu vazhinji vanozviwana zvichibatsira kuva neshamwari kana nhengo yemhuri inovaperekedza, kunyanya mumasesheni mashoma ekutanga. Ronga kutora zuva rekuzorora kubasa pamazuva ekurapa uye pamwe zuva rinotevera.

Funga nezvekugadzirira uku kunoshanda kuti uite kuti ruzivo rwako rwekurapa ruve nyore:

• Chengetai chikafu chakareruka kugadzirira uye zvekudya zvinonakidza
• Zadzai mishonga yese yekurwisa kusvotwa pamberi penguva
• Rongai rubatsiro rwekutarisira vana, mhuka, kana mabasa emumba
• Gadzirai nzvimbo yekuzorora yakasununguka kumba ine zvekuzvivaraidza
• Fungai kucheka bvudzi rako pfupi kana kurasikirwa nebvudzi kuchitarisirwa
• Rongai basa remazino pamberi pekutanga kurapwa
• Gamuchirai majekiseni anodiwa, muchidzivisa majekiseni mhenyu

Chikwata chenyu cheoncology chichapawo gwara rekudya uye mishonga yekubatsira kudzora mhedzisiro. Kutevera mazano aya zvakanyanya kunogona kuita mutsauko mukuru mukuona kwenyu panguva yekurapwa.

Maitiro ekuverenga mhedzisiro yako yechemotherapy?

Mhedzisiro yeChemotherapy inoyerwa zvakasiyana nemiedzo yechinyakare yerabhu nekuti chinangwa ndechekuona kuti gomarara rako rinopindura sei kurapwa. Oncologist wako achashandisa nzira dzakasiyana siyana kuongorora kana chemotherapy ichishanda zvakanaka kurwisa gomarara rako.

Panguva yekurapwa, chiremba wako achatarisa kufambira mberi kwako kuburikidza nemiedzo yeropa yenguva dzose, bvunzo dzemuviri, uye zvidzidzo zvekuongorora zvakaita seCT scans kana MRIs. Miedzo yeropa inoongorora hutano hwako hwese uye kuti muviri wako unotsungirira sei kurapwa, nepo imaging ichiratidza kana bundu richideredza, richigara saizi imwechete, kana kukura.

Chikwata chako chekurapa chichatarisa zviratidzo zvakakosha zvekubudirira kwekurapwa:

• Kuderedzwa kwesaizi yebundu pane scans
• Kuderedzwa kwemakemikari egomarara mumiedzo yeropa
• Kuvandudzwa kwezviratidzo kana uine kurwadziwa kana kusagadzikana kumwe
• Hapana nzvimbo itsva dzekukura kwegomarara
• Kugadzikana kana kuvandudza hutano hwese

Mhinduro yakazara zvinoreva kuti hapana gomarara rinowanikwa, nepo mhinduro yechikamu inoratidza kuderedzwa kukuru kwebundu. Chirwere chakagadzikana zvinoreva kuti gomarara harikuri, izvo zvinogonawo kutariswa semhedzisiro yakanaka, kunyanya muzviitiko zvepamberi.

Maitiro ekudzora mhedzisiro yechemotherapy?

Kutarisira mativi emishonga yekenza kunoda nzira yekutanga uye kutaurirana zvakanaka nechikwata chako chehutano. Kunyange zvazvo mativi emishonga angava nematambudziko, nzira dzakawanda dzinoshanda nemishonga zvinogona kukubatsira kuti unzwe zviri nani uye kuchengetedza hutano hwako hwehupenyu panguva yekurapa.

Kusvotwa uye kurutsa ndizvo zvimwe zvezvinhu zvinowanzoitika, asi mishonga yemazuva ano yekurwisa kusvotwa inoshanda zvakanyanya kana ichishandiswa zvakanaka. Chiremba wako achanyora mishonga chaiyo yekutora pamberi, panguva, uye mushure mekemotherapy kudzivirira zviratidzo izvi kuti zvisave zvakanyanya.

Heano nzira dzinoenderana neuchapupu dzinogona kubatsira kutarisira mativi emishonga anowanzoitika:

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• Tora mishonga yekurwisa kusvotwa sezvakarairwa, kunyange kana uchinzwa zvakanaka
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• Idya zviduku, zvokudya zvakawanda uye dzivisa kunhuhwirira kwakasimba
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• Gara uine mvura yakajeka semvura, muto, kana zvinwiwa zve electrolyte
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• Wana zororo rakakwana, asi edza kuramba uchishanda zvishoma kana zvichibvira
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• Shandisa zvinyoro, zvigadzirwa zvisina hwema paganda rako
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• Zvidzivirire kubva kuzvirwere nekushambidza maoko ako kakawanda
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• Pfeka sunscreen uye mbatya dzekudzivirira kana uri panze
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Kuneta ndechimwe chimwe chiitiko chinowanzoitika chinowanzoita nani nekurovedza muviri zvinyoro, kudya zvakanaka, uye kurara zvakakwana. Usazeze kukumbira rubatsiro nemabasa ezuva nezuva, uye iva nemoyo murefu newe sezvo mazinga ako esimba anogona kuchinja-chinja panguva yekurapa.

Ndeipi nzira yakanakisisa yekemotherapy yekenza yemazamu?

Nzira yakanakisisa yekemotherapy inoenderana zvachose nerudzi rwako rwekenza yemazamu, nhanho yayo, uye zvinhu zvako zvehutano. Hapana imwe chete

Chiremba wako wezve oncology achafunga zvinhu zvakati wandei paanosarudza chirongwa chako chekurapa, kusanganisira mamiriro ehomoni receptor, mamiriro eHER2, giredhi re bundu, kubatanidzwa kweguruva remuviri, uye zera rako uye hutano hwako hwese. Ruzivo urwu runobatsira kuziva kuti ndedzipi mishonga inogona kushanda zvakanyanya kurwisa kenza yako chaiyo.

Mibatanidzwa yakajairika yekemotheraphy yekenza yemazamu inosanganisira:

• AC-T (Adriamycin, Cytoxan, inoteverwa neTaxol)
• TC (Taxotere uye Cytoxan)
• FEC (5-fluorouracil, epirubicin, uye cyclophosphamide)
• Carboplatin-based regimens ye triple-negative breast cancer
• Targeted therapies senge trastuzumab yeHER2-positive cancers

Chirongwa chako chekurapa chinogona zvakare kusanganisira mishonga yekurapa yakatarwa kana immunotherapy, zvichienderana nemaitiro chaiwo ekenza yako. Kurapa uku kutsva kunoshanda zvakasiyana nekemotheraphy yechinyakare uye kunogona kushanda zvakanyanya kune mamwe marudzi ekenza yemazamu.

Ndezvipi zvinhu zvine njodzi yekemotheraphy?

Zvimwe zvinhu zvinogona kuwedzera njodzi yako yekuwana matambudziko kubva mukemotheraphy, kunyangwe vanhu vazhinji vachipedza kurapwa kwavo zvakabudirira nekutarisa kwakakodzera uye rutsigiro. Kunzwisisa izvi zvinhu zvine njodzi kunobatsira timu yako yezvokurapa kupa kuchengetedzwa kwakachengeteka, kunoshanda zvakanyanya.

Zera rinoita basa mukuti vanhu vanotsungirira sei kemotheraphy, nevose vadiki nevakuru vanogona kutarisana nenjodzi dzakakwirira. Zvisinei, zera remakore chete haritsananguri zvisarudzo zvekurapa - hutano hwako hwese uye kugwinya kwakakosha kupfuura huwandu hwemakore auri kurarama.

Mamiriro ezvokurapa anogona kuwedzera njodzi yako yematambudziko anosanganisira:

• Zvirwere zveitsvo kana chiropa zvinokanganisa kugadzirwa kwemishonga
• Matambudziko emoyo, kunyanya nemimwe mishonga yekemotheraphy
• Chirwere cheshuga, chinogona kunonotsa kupora uye kuwedzera njodzi yekutapukirwa
• Kurapwa kwekenza kwakamboitwa kungaganhurira sarudzo dzemunguva yemberi
• Zvirwere zvemuviri zvinokanganisa immune system yako
• Kusava nemagariro akanaka ekudya kana kurasikirwa kukuru uremu
• Kutapukirwa kunoshanda kana basa re immune rakakanganiswa

Oncologist wako achanyatsoongorora izvi zvikonzero asati akurudzira kurapwa uye anogona kugadzirisa zviyero zve mishonga kana kusarudza mamwe mishonga kuderedza njodzi uku achichengetedza kushanda zvakanaka.

Ko chemotherapy iri nani pamberi kana mushure mekuvhiyiwa kwekenza yemazamu?

Nguva yekemotheraphy inoenderana nemamiriro ako chaiwo, uye nzira dzese dziri mbiri - pamberi pekuvhiyiwa (neoadjuvant) uye mushure mekuvhiyiwa (adjuvant) - dzinogona kushanda zvakanyanya. Oncologist wako achakurudzira nguva yakanakisa zvichienderana nemaitiro etumor yako uye zvinangwa zvekurapa.

Neoadjuvant chemotherapy, inopiwa pamberi pekuvhiyiwa, inoshanda zvakanaka kune tumaropa tukuru kana kana vanachiremba vachida kuona kuti kenza yako inopindura sei kurapwa. Iyi nzira inogona kuderedza tumaropa zvakakwana kuti ibvumire kuvhiyiwa kunochengetedza mazamu panzvimbo pe mastectomy, iyo vakadzi vazhinji vanosarudza kana zvichibvira.

Adjuvant chemotherapy, inopiwa mushure mekuvhiyiwa, ndiyo nzira yechinyakare inoshanda senet safeti yekubvisa chero maseru ekenza akasara. Nguva iyi inobvumira chiremba wako kuvhiya kubvisa tumor huru kutanga uye inopa timu yako yezvokurapa ruzivo rwakakwana nezve maitiro ekenza kuti itungamire sarudzo dzekurapa.

Nzira dzese dziri mbiri dzakaratidza kushanda zvakanaka mumiedzo yekiriniki, uye sarudzo inowanzouya pasi kune zvikonzero zvemunhu zvakaita se saizi yetumor, nzvimbo, uye zvaunofarira pachako nezvekurapa.

Ndezvipi zvingaitika zvekukanganisa kwekemotheraphy?

Nepo chemotherapy inowanzova yakachengeteka kana ichitarisirwa zvakanaka, inogona kukonzera matambudziko akasiyana nekuti inokanganisa maseru ekenza nemamwe maseru ane hutano. Kunzwisisa matambudziko anogona kuitika kunokubatsira kuziva kuti ungataurirana riini nechikwata chako chehutano uye kunovimbisa kuti unogamuchira kurapwa nekukurumidza kana matambudziko akamuka.

Matambudziko mazhinji anongova echinguvana uye anovandudzika mushure mekunge kurapwa kwapera, kunyangwe mamwe angatora mwedzi kuti apere zvachose. Chikwata chako chekurapa chichakutarisa zvakanyanya panguva yekurapwa kuti chibate nekugadzirisa chero matambudziko nekukurumidza.

Matambudziko akajairika anoda kutariswa kwekurapa anosanganisira:

• Kunyara kukuru nekutsvuka kunodzivirira kudya kana kunwa
• Zviratidzo zvehutachiona senge fivha, kutonhora, kana kuneta kusinganzwisisike
• Kubuda ropa kusinganzwisisike kana kupwanya
• Manyoka akakomba kana kuvharika
• Maronda emuromo anokanganisa kudya
• Maitiro akakomba eganda kana mapundu
• Kufema kwakaoma kana kurwadziwa muchipfuva

Matambudziko asingawanzoitiki asi akakomba anogona kusanganisira matambudziko emoyo nemimwe mishonga, kenza yechipiri makore gare gare, kana maitiro akakomba ekuita allergic panguva yekurapwa. Chikwata chako cheoncology chinotarisa nyaya idzi uye chinotora matanho ekudzivirira kana zvichibvira.

Ndingatarisana riini nachiremba panguva yechemotherapy?

Unofanira kutaurirana nechikwata chako cheoncology nekukurumidza kana ukawana fivha ye100.4°F (38°C) kana kupfuura, sezvo izvi zvingaratidza hutachiona hwakakomba kana immune system yako yakaderera. Usamirira kuti uone kana fivha ichienda yega - kurapwa nekukurumidza kwehutachiona panguva yechemotherapy kwakakosha.

Zvimwe zviratidzo zvinoda kutariswa kwekurapa nekukurumidza zvinosanganisira kunyara kukuru nekutsvuka kunokudzivirira kubata mvura, kubuda ropa kusinganzwisisike kana kupwanya, kufema kwakaoma, kurwadziwa muchipfuva, kana zviratidzo zvekupera mvura kwakanyanya senge dzungu uye weti yeyero yakasviba.

Taura nechikwata chako chehutano nekukurumidza nezvezviratidzo izvi zvinonetsa:

• Fivha inoramba iripo kana kutonhora
• Kuneta kukuru kunodzivirira mabasa ezuva nezuva
• Kurwadziwa kusinganzwisisike, kunyanya muchipfuva chako kana dumbu
• Manyoka akakomba anogara anopfuura maawa makumi maviri nemana
• Maronda mumuromo anodzivirira kudya kana kunwa
• Kuchinja kweganda senge rash yakakomba kana kuzvimba kusinganzwisisike
• Kuchinja mukuyera weti kana kushanda kwematsvo

Rangarira kuti chikwata chako cheoncology chinotarisira mafoni aya uye chinoda kukubatsira kuti urambe wakachengeteka uye wakasununguka. Nzvimbo zhinji dzekurapa dzine mitsara yefoni yeawa makumi maviri nemana inoshandiswa nevakashanda sevanamukoti vanogona kukupa zano rekuti unoda kutarisirwa nekukurumidza here kana kuti unogona kumirira kusvika zuva rebhizinesi rinotevera.

Mibvunzo inowanzo bvunzwa nezve chemotherapy yekenza yemazamu

Q1: Chemotherapy inoshanda kumhando dzese dzekenza yemazamu here?

Chemotherapy inoshanda zvakasiyana kumhando dzakasiyana dzekenza yemazamu. Kenza yemazamu yeTriple-negative inowanzoita zvakanaka kune chemotherapy, nepo kenza ye hormone-positive inogona kubatsirwa zvakanyanya kubva ku hormone therapy yakasanganiswa ne chemotherapy. Kenza yeHER2-positive inowanzo gamuchira zvinodhaka zvakanangana pamwe chete ne chemotherapy yechinyakare kuti uwane mhedzisiro yakanaka.

Oncologist wako achasarudza nzira yekurapa inoshanda zvakanyanya zvichienderana nezvinhu zvakakosha zvekenza yako, kusanganisira hormone receptor status, HER2 status, uye genetic features yakaratidzwa kuburikidza nekuyedzwa kwetumor.

Q2: Chemotherapy inogara ichikonzera kurasikirwa nevhudzi here?

Haasi ese chemotherapy zvinodhaka zvinokonzera kurasikirwa nevhudzi, asi mazhinji anowanzo shandiswa kurapa kenza yemazamu anoita kuti vhudzi ritete kwenguva pfupi kana kurasikirwa nevhudzi zvachose. Vhudzi rinowanzo kutanga kubuda mavhiki maviri kusvika matatu mushure mekutanga kurapwa uye rinowanzo kukura zvakare mukati memwedzi mishoma mushure mekupedza chemotherapy.

Mamwe matekiniki matsva senge scalp cooling anogona kubatsira kuderedza kurasikirwa nevhudzi nemamwe chemotherapy regimens, kunyangwe asingashande kune vese kana mhando yega yega yekurapa.

Q3: Ndingashanda panguva yekurapwa kwechemotherapy here?

Vanhu vazhinji vanoenderera mberi vachishanda panguva yekemotherapy, kunyangwe ungada kugadzirisa hurongwa hwako kana mabasa ako. Kugona kwako kushanda kunoenderana nezvinodiwa nebasa rako, hurongwa hwekurapa, uye maitiro ako kumishonga.

Funga nezvekukurukura kurongeka kwebasa kunochinjika nemushandi wako, sekushanda kubva kumba pamazuva ekurapa kana kuderedza maawa ako kwenguva pfupi. Vamwe vanhu vanowana kuti kuramba vakabatikana nebasa kunopa chimiro chinobatsira uye kujairika panguva yekurapa.

Q4: Chemotherapy ichakanganisa here kugona kwangu kuva nevana?

Chemotherapy inogona kukanganisa kubereka, kunyanya kuvakadzi vane makore anopfuura 35, kunyangwe kukanganisa kuchisiyana zvichienderana nemishonga chaiyo inoshandiswa uye zera rako pakurapa. Vamwe vakadzi vanowana shanduko dzenguva pfupi mumajekiseni avo, nepo vamwe vachigona kuva nemhedzisiro yechigarire pakubereka.

Kana kuchengetedza kubereka kwakakosha kwauri, kurukura sarudzo dzakaita sekuomesa mazai kana embryo nemu oncologist wako usati watanga kurapa. Maitiro aya anowanzoitwa nekukurumidza pasina kunonotsa kurapwa kwako kenza zvakanyanya.

Q5: Mhedzisiro yekemotherapy inogara kwenguva yakareba sei mushure mekurapa?

Mhedzisiro yakawanda yekemotherapy inovandudzika zvishoma nezvishoma pamusoro pemwedzi yakati wandei mushure mekurapa. Kuneta uye shanduko dzekuziva zvinogona kutora mwedzi mitanhatu kusvika gore kuti zvigadziriswe zvizere, nepo kukura kwebvudzi kuchitanga mukati memwedzi mishoma.

Vamwe vanhu vanowana mhedzisiro yenguva refu senyauropathy (kukuvadzwa kwetsinga) kana shanduko dzemoyo, ndosaka kuchengetwa kunotevera nguva dzose nemu oncologist wako kuchiramba kuchikosha kunyangwe mushure mekupedza kurapa. Chikwata chako chekurapa chinogona kubatsira kubata chero zviratidzo zvinoramba zviripo uye kuongorora hutano hwako hwese.