Dalili na Amfani da Hanyoyin Corticosteroids tare da Ciwon Cutar
Ana amfani da kwayoyi masu ciwon daji don mutane masu ciwon daji don dalilai da yawa. Menene ainihin corticosteroids? Wace rawa suke takawa wajen maganin ciwon daji? Mene ne wasu lokuta na ɗan gajeren lokaci da na tsawon lokaci, kuma ta yaya za su shafi halinka?
Mene ne Steroids (Corticosteroids)?
Magungunan kwayoyi sunadaran sunadarai ne a jikin jikinmu ta hanyar ciwon endocrin, wanda ke taka muhimmiyar rawa wajen daidaita ayyukan jiki.
Wasu daga cikinsu sun haɗa da:
- Dokar ruwa da gishiri na jiki
- Dokar jiki zafin jiki
- Dokar saukar karfin jini
- Metabolism na fats, carbohydrates, da sunadarai
- Daidaita "amsawar jituwa" na jiki
- Dokar ƙonewa
- Amsawa ga kamuwa da cuta
- Ƙoƙarin damuwa (duba ƙasa)
Wadanne kwayoyi ne ake amfani dasu a Ciwon Cancer?
Idan mukayi tunanin wani mai shan steroid, zamu yi la'akari akai game da 'yan wasa masu tsoka ko masu ɗaukar nauyi. Sigina na wasan kwaikwayo, kamar waɗanda aka bayyana a sama, an kira su masu anabolic anabolic kuma ba a saba amfani da shi a kula da ciwon daji ba.
Yawancin lokaci, masu amfani da ciwon daji suna kira corticosteroids . Corticosteroids sune sunadarai ta halitta ta samar da gland, ƙananan endocrine gland wanda ya zauna a sama da kodan. Misalan wadannan nau'o'in steroid sune:
- Cortef (hydrocortisone)
- Deltasone (prednisone)
- Prelone (prednisolone)
- Decadron (dexamethasone)
- Medrol (methylprednisolone)
Idan aka yi amfani da shi don ciwon daji, ana bayar da waɗannan maganin magunguna ko kuma injected cikin intravenously (don wasu yanayi kuma zasu iya zama wani ɓangare na shirye-shirye na musamman, allurar a cikin gidajen abinci, ko kuma an sanya shi ta hanyar ƙwayar hanci ko masarar jini).
(Za a iya amfani da mai canza corticosteroid don kwatanta bayanan daya daga waɗannan kwayoyi zuwa wani.)
Dalilai na Amfani da Steroids a Cutar Cancer
Za a iya amfani da kwayoyin cutar ta stort (corticosteroids) don dalilan da dama a maganin ciwon daji. Wannan na iya zama rikice, kuma yana da muhimmanci a tambayi masu ilimin likitancinka game da dalili na musamman na magani wanda aka ba ka.
Dalili mai yiwuwa na corticosteroids tare da ciwon daji sun hada da:
- Don taimakawa wajen hana wani rashin lafiyan yin maganin jini ko maganin jini - Anyi amfani da kwayar cutar steroid (tare da antihistamines da sauran magunguna) don hana halayen rashin lafiyar. Wasu magungunan ƙwayoyin cutar shan magani, irin su Taxol (paclitaxel) yawancin haddasa cututtuka. Sakamakon rashin lafiya ga rituximab , wani nau'i na maganin da ake amfani da su tare da maganin cutar jini yana da yawa. Ana bayarwa akai-akai a lokuta guda guda kamar yadda waɗannan magunguna suke zama ma'auni.
- Don taimakawa wajen magance cututtuka da cutar shan-jiji - kamar yadda yake tare da rashin lafiyan halayen, ana amfani da kwayar cutar ta tsakiya tare da wasu magunguna don hanawa ko magance tashin hankali.
- Don ƙara yawan ci - A cikin ma'auni mai kula da lafiyarmu, sau da yawa muna kallon asarar nauyi kamar yadda ya dace. Duk da haka cachexia na ciwon daji - haɗarin bayyanar cututtuka ciki har da rashin asarar hasara da ƙuƙwalwar tsoka - yana da alhakin kimanin kashi 20 cikin dari na mutuwar daji, yana mai da muhimmanci ga magance matsalolin irin su hasara ga mutane da ciwon daji .
- A matsayin ɓangare na tsarin lafiyar kumburiyo .
- Don rage ƙonewa.
- Don magance ciwo.
- Don bi da cututtukan fata.
- Don magance gajeren numfashi a cikin ciwon daji.
- Don rage kumburi lokacin da ciwon ta yada zuwa kwakwalwa (tare da ƙwararrun ƙwaƙwalwar kwakwalwa ).
- Don rage kumburi a cikin cututtukan tausayi - Labaran cututtukan zuciya wani rikitarwa ne da ake gani da myeloma da sauran cututtuka waɗanda suka yada ga kasusuwa (ƙananan ƙaddarar nama).
- Don kula da maganin ƙwaƙwalwar ƙwaƙwalwar ƙwarewa (maganin ciwon daji).
- Don taimakawa wajen magance ƙuƙwalwar jijiyar jiki (a matsayin wahalar ciwon daji).
- Don magance cututtuka na kamara-gizon (GVHD) wanda ya biyo bayan suturar sel .
Fahimci Cortisol da Sabuntawar Matsalar
Don fahimtar yadda za a iya amfani da kwayar cututtuka ga mutanen da ke fama da ciwon daji, yana da amfani don bincika yadda 'yanayin' 'halitta' ke aiki a cikin jiki da kuma muhimmancin yin amfani da waɗannan magunguna kawai kamar yadda aka umarce su.
Yayin da aka jaddada jikinmu-ko ta jiki ko ta haushi-ana aika da siginar zuwa glanden kwance, ƙananan glandon endocrine a kwakwalwa. Glandar da ke dauke da kwayar cutar ta fitar da wani hormone mai suna adrenocorticotropic hormone (ACTH). ACTH, a gefensa, ya umarci gland (ƙananan endocrine gland) wanda ya kasance a saman kodan) don saki cortisol, "shatan halitta".
Cortisol to yana taka muhimmiyar rawa wajen kula da damuwa, ta hanyar canza ƙumburi, amsawa ga kamuwa da cuta, da kuma sauran ayyukan. jere daga iko da cutar karfin jini zuwa kula da jini sugar.
Pharmaceutically samar da roba steroids aiki da yawa kamar cortisol. Wadannan magunguna masu magunguna suna da amfani da yawa a magani kuma suna da mahimmanci wajen maganin cututtukan jini, kamar su cutar sankarar bargo, lymphoma, da myeloma, da magunguna masu karfi.
Hanyoyi na gefen amfani da kwayoyi
Sakamakon sakamako na masu ciwon sukari sun kasance mafi muni idan an dauka su a matsayi mafi tsawo da kuma tsawon lokaci. Idan kana koyo game da illa mai lalacewa, za ka iya samun rikicewa, tun da masu jin daɗin kwarewa suka fara a farkon lokacin shan waɗannan magunguna sau da yawa akasin abubuwan lalacewar da aka samu tare da amfani da dogon lokaci. Da farko a kanka na iya lura da ƙara yawan makamashi a kan kwayoyin cutar, amma a tsawon lokaci, zaka iya lura da rauni.
Ƙarin fahimtar "madaurin bayani" a cikin samar da kwayoyin halitta a cikin jiki zai iya taimakawa wajen bayyana wannan. Kasancewa da "hanyoyi masu sauƙi" zai iya taimaka maka gane dalilin da yasa ba za ka iya dakatar da wadannan kwayoyin ba zato ba tsammani ba kuma hanzari ka rage yawan kashi ka idan ka kasance da su har dogon lokaci.
Da farko lokacin da kake shan kwayoyi (hormones), zaku iya ɗaukar tunani a hankali game da magani kamar "ƙarawa" aikin samar da jikin ku na corticosteroids. Tare da lokaci, jikinka ya gane cewa kana samun dukkan nau'in corticosteroids da kake buƙatar a kwayar cuta ko kuma cikin kwayar cuta, kuma jikinka yana aika sako don dakatar da samar da jikinka na corticosteroids. Idan an hana waɗannan kwayoyi ba zato ba tsammani, ba wai kawai kake samun takardar sayen magani ba, amma zai iya ɗaukar lokaci mai yawa kafin jikinka ya gane cewa yana bukatar ya sake yin corticosteroids.
Ra'ayin sakamako na gajeren lokaci (illa mai lalacewa da ke faruwa a farkon ko lokacin da ake amfani da steroid don kawai gajeren lokaci) sun haɗa da:
- Rashin damuwa - Akwai yiwuwar yiwuwar rashin barci tare da ciwon daji, amma abin da ke hade da steroid, musamman wadanda aka ba a lokacin chemotherapy, na iya zama mai tsanani.
- Maganin hasara - Ba da daɗewa ba, ko da yake ana amfani da kwayar cutar ta hanyar amfani da cututtuka, wasu mutane na iya samun rashin lafiyar maganin steroid .
- Delirium - Cusion, da delirium na iya faruwa, musamman idan an hade shi tare da maganin likita masu guba a cikin mutanen da ke ciwon ciwon daji.
Sakamakon sakamako mai tsawo na steroids na kowa ne kuma zasu iya hada da:
- Rashin ciwo da cututtuka - Cikakke kadai zai iya haifar da maganin maye gurbin wanda, lokacin da aka kara wa maye gurbin ɓawon jini saboda ciwon daji a cikin kututture ko chemotherapy, zai iya zama mai tsanani. Wannan zai iya ƙara yawan kamuwa da kamuwa da cuta ko haifar da cututtuka da yawa.
- Amfanin nauyi - Mutanen da suke daukar steroid don lokaci mai tsawo sukan ƙare tare da abin da ake kira "wata moon" wanda yawancin kitsen ya gina a gefen fuska.
- Rashin rauni (musamman gawar rauni ta tsoka).
- Zuciyar zuciya ko saurin yanayi (duba ƙasa).
- Cutar da ciwon gastritis - Wasu lokuta mutane a kan kwayoyin cututtuka suna ba da maganin likita don rage yiwuwar bunkasa ciwon ciki.
- Tsawan jini mai karfin jini.
- Barci na damuwa.
- Hanyoyin jini mai girma (musamman ma idan kana da ciwon sukari) - Ba abu ne wanda ba a sani ba a lokacin da ake amfani da asarar steroid don mutum ya zama "ciwon sukari na dan lokaci" kuma yana buƙatar yin maganin insulin ( cututtukan ciwon sukari ).
- Osteoporosis (kasusuwa na kasusuwa) - Ko da gajeren lokacin yin amfani da steroids zai iya haifar da asarar kasusuwa, wanda zai iya haifar da haɗari na fractures.
- Hannun hannaye ko ƙafa saboda ruwa da gishiri.
- Cataracts.
- Kuraje.
Wasu shafuka masu illa na iya zama nagari ko mara kyau dangane da halin da ake ciki na asibiti. Alal misali, yawan ci abinci da riba mai karɓa na iya zama da amfani a cikin mutane marasa nauyi da ciwon daji.
Yin amfani da maganin ku tare da abinci zai iya taimakawa tare da wasu matsalolin da kwayoyin cututtuka zasu iya haifar da yankinku na narkewa. Hakanan zaka iya zaɓar ya dauki waɗannan magunguna a farkon rana don kada su yi tasiri a cikin barci da dare.
Kamar yadda yawancin maganin magungunan magani, likitan ku, likita, ko likitan kaya yana iya ba ku dabarun don taimakawa wajen sarrafawa ko rage musu. Tabbatar ka sanar da likitanka idan ka fuskanci kowace alama ko tasiri.
Halin Steroids a yanayin
Duk da yake kun ji maganganun "tsokanar fushi," wanda aka yi amfani dashi don bayyana halin halayya da kuma halayyar mutanen da ke dauke da kwayoyin cutar tabolic anabolic, yana da muhimmanci a lura cewa corticosteroids na iya haifar da mummunar tasiri a yanayin.
Hanyoyi masu illa na corticosteroids na iya zamawa daga rashin jin dadi, rashin damuwa, da kuma fushi har ya zuwa paranoia, rikicewa, da kuma mania. Sabanin haka, ba abu ne wanda ba a sani ba don samun rashin tausayi ko ma ciki bayan da ka dakatar da waɗannan magunguna.
Abin takaici, tare da duk abin da ke gudana a rayuwarka tare da ciwon daji, zai iya zama da wuya a tantance ainihin waɗannan ji. Haka ne, kun kasance a kan steroids, amma ana samun ku don maganin ciwon daji da kuma ƙoƙarin ci gaba da rayuwa. Yana da al'ada don samun kwarewar motsin rai yayin da kake fama da ciwon daji .
Tsarin doka na babban yatsa shi ne cewa idan yanayinka ya canza yana tasiri kan rayuwarka ko lafiyar dangantakarka, ya kamata ka yi magana da ƙungiyar aikin ka na oncology. Idan jininku yana da tsanani, kuna iya buƙatar taimako na gaggawa.
Muhimman Bayanai game da Karuwar Steroids
Kamar yadda mafi yawan maganin magungunan ciwon daji, yana da muhimmanci a dauki steroid kamar yadda likitanku ya bayyana. Ga wasu tambayoyi masu kyau don tambayi lafiyar lafiyar ku game da steroid kafin ku fara:
- Har yaushe zan sa ran zan dauki wannan magani?
- Wanene zan iya tuntube idan ina da mummunan dauki ga wannan magani?
- Mene ne idan na rasa kashi? (Kada kawai ka ɗauki karin kashi na magani).
- Mene ne idan na vomit na magani?
- Wadanne cututtukan da kake gani da yawa ana ganin su tare da wannan magani musamman tare da gajeren lokaci kuma tare da amfani da dogon lokaci?
Ka guje wa rashin daidaituwa na steroids
Kamar yadda muka gani a baya, shan magungunan maganin steroid yana da tasiri kan nauyin yanayin jikin da jikinka ya samar. Saboda wannan dalili, lokacin da ba'a buƙatar karan sittin a matsayin ɓangare na farjinka, likita zai sauƙaƙe kashi kashi maimakon dakatar da su abruptly. Yana da mahimmanci kada ku daina shan wannan magani sai dai idan likitanku ya gaya muku. A wasu lokuta mawuyacin, dakatar da steroid a hankali zai iya haifar da rikici na rayuwa.
Ko da idan kana bin tsarin ladabi, bari likitanka ya san idan bayyanar cututtuka ta zama damuwa. Wajibi ne a rage wasu mutane daga waɗannan magunguna sosai a hankali a cikin makonni ko ma watanni.
Ƙarƙashin Riga akan Yanayin Steroid a Ciwon Cutar Cancer
Steroids sune masu jaruntaka na ciwon daji. Duk da yake maganin ilimin cutar shan magani, radiationrapy, da mahimmanci dabarun da aka saba da su da kuma immunotherapy sun sami yabo ga kashe ciwon daji, masu kwantar da hankali suna aiki a hankali a bayan al'amuran, hanawa da kuma rage rikice-rikice har ma da sauran hanyoyin kwantar da hankali. Wannan shine dalilin da ya sa suke taka muhimmiyar rawa wajen magance ciwon sukari da kuma ciwon sukari.
Wannan ya ce, wadannan kwayoyi suna da ƙididdiga masu yawa na sakamako mai zurfi da dogon lokaci, wasu daga cikinsu na iya zama mai tsanani. Tabbatar yin tambayoyi da kuma magana game da duk wani alamun da ke fuskantar, koda kuwa "gajiya" kawai. Ka kasance mai ba da shawara a cikin kulawar ciwon daji .
Sources
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- Matsuo, N., Morita, T., Matsuda, Y. et al. Masanan abubuwan da ke amsawa ga Corticosteroids na Anorexia a Cikin Ciwon Kwayoyin Ciwon Ƙwayar Ciwon Ƙwayar cuta. Taimakon tallafi a Ciwon daji . 2017. 25 (1): 41-50.
- Matsuo, N., Morita, T., Matsuda, Y. et al. Masanin ilimin Delirium a Corticosteroid-Bi da marasa lafiya da ciwon daji na ciwon sukari: Mai bincike, Maɗaukaki, Tsammani, Nazarin Tsaro. Journal of Medicine Palliative
- Mori, M., Shirado, A., Morita, T. et al. Maganar amsawa ga Corticosteroids don Dyspnea a Advanced Cancer Patients: A farko da Multicenter wanda zai yiwu Nazarin Nazarin. Taimakon tallafi a Ciwon daji . 2017. 25 (4): 1169-1181.