BEACOPP - Drugs, Dosing Schedule, da kuma Common Side Gurbin
Idan aka gaya maka cewa an bayar da shawarar likita na BEACOPP don cutar Hodgkin, menene hakan yake nufi? Yaushe ake amfani da wannan hade da kwayoyi?
BEACOPP Chemotherapy Regimen - Definition
BEACOPP shine sunan tsarin likitan chemotherapy (likitanci) da aka yi amfani da shi wajen kula da ci-gaba na ci gaba Hodgkin lymphoma . Yana da mahimmanci da kuma tasiri na chemotherapy tsari don sababbin marasa lafiya da aka samu marasa lafiya da ke fama da cutar.
Ko da yake ba a yi amfani dashi a Amurka ba, an dauke shi a matsayin ma'aunin ƙwayar maganin ilimin ganyayyaki don hadewa III ko IV Hodgkin lymphoma a wasu ƙasashen Turai.
Drugs Used a cikin BEACOPP Regimen
Ana amfani da haɗin magunguna bakwai a BEACOPP.
- Cytoxan / Neosar (Cyclophosphamide) - da aka ba da jiko a cikin veins a ranar 1.
- Adriamycin / Rubex (Doxorubicin) - an ba shi a matsayin jiko a cikin jijiyoyinku a ranar 1.
- VePesid (Etoposide) - da aka ba a jiko a cikin veins a kwanakin 1 zuwa 3.
- Matulane (Procarbazine) - aka ba da maganin kwayoyi da za a dauka a bakin kwanaki 1 zuwa 7.
- Prednisone - aka ba da maganin kwayoyi da za a dauka a bakin kwanaki 1 zuwa 14
- Blenoxane (Bleomycin) - an ba shi a matsayin ɗan inji a cikin rana 8.
- Oncovin (Vincristine) - an ba shi a matsayin jigon hanzari a ranar 8.
Ta yaya Sau da yawa aka ba BEACOPP?
Dukkanin zagaye na BEACOPP ya ƙunshi shugabancin waɗannan kwayoyi 7 a kwanakin da aka shirya. Ana sake maimaita kowace motsi kowace rana 21.
Yaya Ana Bukatar Siginan Kwayoyi?
Yawanci 6 zuwa 8 hawan BEACOPP ana buƙatar a matsayin cikakken tsari na chemotherapy a cikin cutar ci gaba.
Gwaje-gwaje da ake buƙata tare da Checotherapy na BEACOPP
Kafin a fara BEACOPP chemotherapy, jini yana ƙididdigewa tare da gwaje-gwajen jini don koda kuma aikin hanta an yi. Ana buƙatar adreshin ƙira ( ƙwararrakin zuciya) don gwada aikin zuciya kafin a fara farawa.
Yayin da yarinya zai iya rinjayar zuciya , yana da mahimmanci don samun wannan bayanin don kwatantawa a baya yayin magani. Za a iya amfani da gwajin x-ray da kwayoyin cutar gwajin gwagwarmaya ta dacewa da huhu kafin amfani da bleomycin, saboda wannan magani zai iya rinjayar huhu (mahaukaciyar huhu).
A lokacin shan magani, ana buƙatar yawan ƙimar jini kafin kowace magungunan allurar miyagun ƙwayoyi. Wasu gwaje-gwaje za a iya maimaitawa kamar yadda ake bukata.
Hanyoyin Gaba A Chemotherapy
Tun da yake cutar shan kwayar cutar ta yi sauri ta rarraba kwayoyin halitta kamar kwayoyin cutar kanjamau, zai iya rinjayar kwayoyin halitta a cikin jikinka wanda ya ninka sau da yawa irin su wadanda ke cikin kututtukan kawancin ka, ciki mai ciki, da gashin kansa. Wannan zai iya haifar da:
- Ƙididdigar ƙwayoyin jinin ƙananan jini . Kashi a cikin farin karen kuɗi ne na kowa kuma za'a kula dasu akai-akai. Ana amfani da magungunan ƙwayoyi irin su Neulasta da Neuopogen akai-akai tare da kwayoyi masu kariya don magance ƙwayar jini. Idan farin karenku ya rage kadan tare da waɗannan abubuwan ci gaba, ƙila za a jinkirta jinkirin ɓacin rai har sai matakanku sun koma matakan da suka dace. Tun da kuna da ƙananan kwayoyin halitta don kare ku daga kamuwa da cuta, yana da matukar muhimmanci ku bi tsarin tsaro wanda likitanku zai gaya maka. Har ila yau yana da muhimmanci a kira likitanku nan da nan yayin da yake kan tsarin wannan chemotherapy idan ya kamata ku ci gaba da zazzaɓi ko wasu alamun kamuwa da cuta.
- Nuna da zubar da jini na iya zama na kowa, da kuma anti-emetics (magungunan da ke hanawa da sarrafa iko da zubar da jini) za a umarce su. Ana ba da wasu magunguna don hana laushi da zubar da jini, yayin da wasu an umarce su don magance tashin hankali wanda ya riga ya kasance. Yana da matukar muhimmanci a yi amfani da magungunan rigakafin kafin ku ci gaba da yin wani motsi, saboda basu da tasiri bayan kun riga kun sami alamun bayyanar. Kwararku zai yi magana da kai game da nau'in nau'in nau'i , da kuma yadda magunguna ke aiki ga kowane ɗayan waɗannan.
- Asarar gashi na da kyau kuma akai-akai yana farawa bayan 'yan makonni bayan karon farko na chemotherapy. Shirye-gaba - gano wig ko murfin kai - yana da taimako ga wasu mutane. Nauyinku zai yi girma, saboda haka wasu mutane suna da amfani don sake tunani da kuma tunanin cewa cutar shan magani yana yin aiki a kallon gashin su ya zama na bakin ciki kuma ya fadi.
- Ƙunƙasa ƙuƙwalwa daga ƙwaƙwalwar ƙwayar cuta ne mafi yawancin mawuyacin hali, amma wani lokaci wani kamuwa da cuta zai iya bunkasa a cikin yankunan. Zai iya taimakawa wajen kauce wa abincin da ke da "kaifi" kamar naman gishiri da gwangwani, kuma ku ci abincin maimakon abin da ke da taushi - irin su naman gishiri da kuma dankali. Abincin da ke da kyau da wadanda ke da citric acid na iya haifar da rashin tausayi. Koyo abin da abinci ke da kyau kuma mafi muni da cin nama tare da bakin bakin ciki zai iya tafiya mai tsawo a cikin sa wannan sakamako ya fi dacewa.
- Diarrhea - Diarrhea zai iya zama mai tsanani lokacin da kake shan magani. Tabbatar yin magana da likita idan ka ci gaba da wannan bayyanar, kuma ka tabbata ka sha ruwa mai yawa don rage haɗarin rashin ruwa.
- Binciken fata da ƙusoshi - Kullun gyaran fuska da yaduwa canje-canjen na yau da kullum tare da kwayoyin cutar shan magani a cikin wannan tsarin.
- Tsinkaya neuropathy - Zaka iya lura da sauƙi na canzawa na jin dadi a hannunka da ƙafafunka.
Taimako
Idan an gano ku a kwanan nan, Zai iya zama sanadiyar san inda zan fara. Ku shiga wurin iyali da abokai. Kada ka yi kokarin zama jarumi - wannan lokaci ne mai kyau don koyon bari mutane su taimake ka. Yi la'akari da shiga ƙungiyar goyon baya a cikin al'umma, ko haɗawa da wasu mutane ta hanyar intanet. Kuma rataya a kan fatan. Magungunan ciwon daji - da kuma kulawa da illa masu illa - sun inganta sosai a cikin 'yan shekarun nan.
Ƙaunataccen Mutane
Idan kina ƙaunataccen wanda aka gano, duba waɗannan shawarwari game da abin da ba za a gaya wa wanda ke da ciwon daji ba kuma ya dubi wasu matsalolin da za ta fuskanta a cikin makonni masu zuwa da watanni.
Sources:
Engert, A. ABVD ko BEACOPP na Advanced Hodgkin Lymphoma. Journal of Clinical Oncology . 2015 Dec 28. (Epub gaba na buga).
Handbook of Cancer Chemotherapy. Fitowa na bakwai. Edita: Roland T Skeel. An wallafa da Lippincott Williams da Wilkins, 2007.
Uhm, J., da kuma J. Kuruvilla. Jiyya na sabon diagnosed ci gaba mataki Hodgkin lymphoma. Binciken Cutar . 2012. 26 (4): 167-74.