Abin da Kayi Bukatar Sanin Kafin, Aiki da Bayan Jiyya
Chemotherapy (pronounced-mo-ther-apee) wakilai ne magungunan da ke da manufa da kuma kashe kwayoyin halitta da sauri, kamar su kwayoyin cututtuka. Ana iya gudanar da cutar kanjamau tare da sauran ciwo na ciwon daji (tiyata, radiation) ko ta kanta. Masanin likitan ilimin likita ( likita mai ciwon daji ) (likitan da ya umarci maganin ƙwayar cutar) zaiyi la'akari da abubuwa da yawa yayin zabar mafi kyawun maganin ilimin cutar chemotherapy , ciki har da mataki da sifa na ciwon daji da lafiyar jiki.
Ta yaya Chemotherapy Works
Kwayoyin cuta na shan magani suna tafiya cikin jikinka kuma suna kashe kwayoyin dake rarraba (girma ko duplicating) sauri. Akwai nau'o'i daban-daban na kwayoyin da ke rarraba hanzari cikin jikinka ba tare da kwayoyin cutar ba , ciki har da wadanda ke cikin sashin jikin ka, gashi, fata, da kusoshi. Wannan shi ne dalilin da ya sa yawancin ilimin chemotherapy ya shafi gashi, fata, da gastrointestinal tract. Kwayoyin cututtukan chemotherapy ba zasu iya bambanta tsakanin kwayoyin halitta mai sauri ba (gashi) da kwayoyin halitta (tumo) a cikin jikinka, saboda haka suna kashe su duka ta hanyar dakatar da sake zagaye kwafi. Duk da haka, za'a iya maye gurbin kwayoyin kwayoyin halitta da ake nufi don raguwa da sauri (kamar gashi ko kusoshi) bayan kammala chemotherapy, ba kamar sauran kwayoyin da aka kashe ba.
Me yasa Matakan Matakan
Maganin ciwon ciwon ciwon ciwon daji da kwarewa wani ɓangare ne na kulawar ku.
Kodayake ana tsara kowane tsarin kulawa a kan kowane mutum, yawancin mutanen da ke da mataki na 0 da mataki na maganin cututtuka na jini bazai buƙaci chemotherapy.
Dikita na iya yin umurni da chemotherapy, tare da wasu jiyya (radiation, tiyata), a mataki na II da mataki na III ciwon marigayi . Lokaci na chemotherapy (kafin ko bayan tiyata ko radiation) ya dogara da likitan ku.
A cikin mataki na IV ciwon ciwon marigayi, likita na iya yin umurni da maganin cutar shan magani don taimakawa wajen kawar da bayyanar cututtuka ko don ƙara yawancin rayuwarka.
Adalci, Adjuvant, ko Primary?
Akwai dalilai da yawa da ya sa likita za su umurci chemotherapy daga bayyane (don magance ciwon daji). Zai iya yin umurni da kwayoyin cutar shan magani don samar da wata magungunan adjuvant (ƙarin), a matsayin magani mai mahimmanci (ta'aziyya) ko a matsayin mahimman tsari na magani.
Za a iya samun taimako mai kyau a cikin ci gaba da ƙwarewar mataki na ciwon sukari ta hanyar shrinking da ciwon sukari da jami'o'in chemotherapy, da kuma kara yawan rayuwar ku tare da ciwon daji.
Adjuvant chemotherapy an ba tare da wani nau'i na tsarin kulawa, irin su tiyata. Ana iya amfani da kodotherapy kafin aikin tiyata, don rage ƙwayar ciwon daji kafin a yi miki , ko kuma bayan tiyata, don rage yawan hadarin da kuka yi.
An ba da kyautar cutar shan magani na farko kamar yadda kawai za ku iya magance ciwon daji . Rigar miki da kuma kaucewa shine mafi magungunan magani na ciwon daji , amma a wani lokaci mutum yana da lafiya ko kuma ba zai iya tsayayya da tiyata ba.
Yawancin Masu Amfani da Kwayoyin Halitta
Magungunan ƙwayar cutar shan magani sun zo ne a cikin siffofin farko guda biyu: murya da kuma intravenous.
Ana ba da kwayoyin cutar shan magani ta hanyar allurar rigakafi ta hanyar kwayar cutar, yayin da kwayoyin cutar shan kwayar cutar ke ba da baki tare da kwaya.
Yawancin magungunan cutar shan magani ne aka ba a cikin hawan keke, wanda lokutan hutawa ya biyo baya. Kwararku zai dauki lafiyar ku, ciwon daji da satar ku, da magungunan shan magani da aka yi amfani da su, da kuma maganin kulawa da hankali yayin da kuke yanke shawarar yadda yawancin jiyya ya dace muku. Bayan an fara cutar chemotherapy, likitanku zai fi kyau sanin yadda za ku bukaci magani bisa ga amsawar jikinku ga magunguna.
- 5-FU , Adrucil, Efudex, Fluoroplex (fluorouracil): An yi amfani da ciwon daji na ciwon daji, ciwon daji na ci gaba, da kuma cututtukan da ba su amsawa ga sauran magungunan chemotherapy.
- Eloxatin (oxaliplatin): An yi amfani da ciwon daji na ciwon daji, ciwon daji na ci gaba , ko kuma mataki na III bayan ciwon tiyata.
- Xeloda (capecitabine): Shan da bakin cikin kwaya, ana amfani dashi don magance cutar cancer III.
- Camptosar (ironotecan, ironotecan hydrochloride): An yi amfani dasu don magance cututtuka masu cin hanci, musamman wadanda ba su amsa wasu nau'o'in chemotherapy.
- Wellcovorin (Calcium na Leucovorin): Yarda da baki, wannan magani yana taimakawa wajen kawar da cututtuka daga cututtukan likitan chemotherapy, kamar 5-FU, amma ba likitan chemotherapy ba ne.
Sashe na III da kuma IV na ciwon gwiwoyi a wasu lokuta tare da hade da jami'o'in chemotherapy, wanda zai iya haɗa da FOLFIRI, FOLFIRI-B, XELOX, da kuma FOLFOX. Sunaye sune tarihin raguwa ga magungunan ƙwayar cutar shan magani da aka haɗa a cikin kowane hade.
- FOLFIRI = Leucovorin calcium + fluorouracil + Irinotecan hydrochloride
- FOLFIRI-B = Leucovorin calcium + fluorouracil + Irinotecan hydrochloride + Bevacizumab
- XELOX = Xeloda + oxaliplatin
- FOLFOX = Leucovorin calcium + fluorouracil + oxaliplatin
Zan Bukata Port?
Tashar jiragen ruwa ne na'urar da aka gina ta jiki wanda likitoci da ma'aikatan jinya ke amfani dasu don samun damar yin amfani da veins dinku akai-akai, wanda zai iya taimakawa wajen rage ƙwayar cuta da rashin jin daɗi daga jikin ku na jiki a lokacin jiyya. Ana amfani da tashar jiragen ruwa da kuma tsakiyar layin lokacin da aka ba da ciwon chemotherapy ci gaba, irin su tare da jigilar fure.
Ba a nuna tashar jiragen ruwa ko tsakiyar tsakiya ba ga kowa da kowa, don yana da wata hanya mai kwakwalwa tare da hadari, irin su zub da jini, kamuwa da cuta, da rashin aiki. Kwararka za ta yanke shawara (a kan yanayin shari'ar) idan kai dan takara ne na tsakiya ko shigar da tashar jiragen ruwa. Idan an saka na'urar layi na tsakiya, likitocin ku da likitoci zasu yi amfani da shi don gudanar da kwayoyin cutar lafiyar ku. Idan ba ku da layin tsakiya ko tashar jiragen ruwa, likita za ta saka catheter mai ciki a gaban kowane lokaci na shan magani .
A ina zan je magani?
Yawancin sha'anin chemotherapy yana faruwa ne a ofishin likitanku ko a cikin cibiyar nazarin ilimin ilimin halittu. Kwararku na iya samun ofisoshin daban; gwada ƙoƙarin nemo wurin da ke kusa da gidanka don sauƙi duk abubuwan damuwa.
Hanyoyi da Hanyoyi
Wataƙila tunanin farko da ya shiga zuciyarka bayan jin kalman kwayar cutar shan kwayar cutar shine kullin sakamako masu illa ka kasance dole ka haɗu. Kwayoyin cutar shan magani suna da matukar damuwa kuma sun zo tare da jerin jerin yiwuwar sakamako masu illa. Duk da haka, likitan ku da likitocinku suna horar da su don tsammanin waɗannan cututtukan da zasu iya taimaka muku wajen magance su a duk lokacin da kuka ji. Hanyoyin maganin ƙwaƙwalwar ƙwayoyin cuta na yau da kullum sun haɗa da:
- Nuna, zubar ko zawo
- Rashin ci
- Kwarar fata, walƙiya ko hasken rana
- Low jini ƙidaya (neutropenia)
- Sohargy da ci
- Ƙuƙƙan ƙuta
- Lamba ko tingling a hannun da ƙafa
- Kusa a hannu da ƙafa
- Ƙwaƙƙwa ga karuwanci da cututtuka
Matsayin Yanayin Juyawa
Kwararku da ma'aikatan aikin jinya zasu taimake ku ta hanyar duk wata illa da kuke fama da shi daga chemotherapy. Akwai abubuwa da yawa da za ku iya yi don kanku - kuna da babban rawar da za ku ci gaba da kiyaye lafiyarku da jin daɗin rayuwa a yayin da ake amfani da cutar ta hanyar hutawa, abinci mai gina jiki, da tsaftace lafiya . Ka tuna zuwa:
- Suck on ice chips a lokacin chemotherapy (rage baki sores bayan)
- Yi amfani da fasaha masu wanke hannu a kowane lokaci
- Ku guje wa magungunan kamuwa da cuta (magunguna, makarantu) idan ya yiwu
- Ku ci kananan, abinci mai gina jiki akai-akai
- Tsaya tsabtace da ruwa mai yawa
- Sauran lokacin da ake bukata - kiyaye makamashin ku
- Yi magana da likitanka game da hanyoyin da za a iya sarrafa maganin da zawo
- Dubi alamun kamuwa da cuta da kuma kai rahoton su ga likitanku
Yin magana da likitanku
Yana da al'ada don samun tambayoyi da yawa game da maganin ciwon daji na ciwon daji. Yawancin abubuwa masu ilimin haɓakawa suna ba da ilimin ilimin likita game da ilimin chemotherapy da jagorancin ƙwararrun ilimin likitan kanji ya fara kafin ka fara magani. Yi la'akari da waɗannan tambayoyin kafin aikin likitanku na gaba:
- Mene ne manufar maganin da nake yi da chemotherapy ? (magunguna, curative, ciwon ƙwayar ciwon sukari kafin a tilasta)
- Shin cutar chemotherapy zata kasance mahimmin tsari?
- Wani wakili na chemotherapy zan samu? Maganya ko intravenous?
- Menene haɗarin ciwon daji na dawowa bayan chemotherapy?
- Yaya tsawon lokaci zan kasance a kan ilimin chemotherapy?
- Sau nawa a mako zan bukaci kimanin cutar shan magani?
- Zan iya aiki?
- Shin, ina bukatan wani ya fitar da ni zuwa kuma daga jiyya?
- Mene ne sakamakon da yafi dacewa da irin wannan chemotherapy?
- Yaya za ku shirya don rage halayen wadannan sakamako? (magunguna, ilimi)
- Menene ya kamata zan sa ran yayin kulawa?
- Yaushe zan kira ku? (zazzabi, barihargy)
- Shin inshora zai biya dukkan farashin?
Rubuta tambayoyinku da duk wani damuwa da ke faruwa. Yi magana da likitanku da ma'aikatan jinya sau da yawa a duk lokacin da kuke jiyya - su ne abokanku a cikin wannan yaki.
Sources:
Cibiyar Cancer na Amurka. (nd). Ka'idojin ilmin cutar shan magani: Rahoton Magana mai zurfi.
Cibiyar Cancer na Amurka. (2006). Cibiyar Kwayoyin Ciwon Kankara ta Amirka ta Amincewa da Ciwon Cutar Canji . Ƙungiyar Clifton, NE: Ƙungiyar Ciwon Ƙwayar Yammacin Amirka.
Cibiyar Cancer ta Kasa. (Disamba 2011). Drugs Approved for Colon and Cutar Cancer.
Lange, V. (2009). Ku kasance tsira. Canjin Canjin Canjin Labaran Canjin Jagora . (4th ed.). Los Angeles: Lange Productions.