Adriamycin-wanda aka fi sani da Rubex, Doxil, doxorubicin da The Red Devil (na yau da kullum) -a maganin ƙwayar cutar shan magani . Mafi mahimmanci, yana da irin maganin cututtuka na anthracycline wanda yake maganin miyagun kwayoyi. Ana sanya shi daga kwayar cutar Streptomyces.
Yana amfani da Adriamycin
Adriamycin za'a iya amfani da shi don farawa da wuri ko ciwon baki mai kwakwalwa, cutar HER2-tabbatacciyar ciwon daji, da kuma cututtukan da suka dace.
Adriamycin wani lokaci ana hade shi tare da Cytoxan da / ko 5-fluorouracil don yin gwaninta na maganin ciwon daji-yaki da kwayar cutar shan magani.
An kuma yarda da wannan magani don maganin wasu cututtuka, ciki har da ovarian, mafitsara, nama mai laushi da sarcoma osteogenic, ciwon ƙwayar cutar kanjamau, ciwon daji da kuma cututtuka na ciki, da neuroblastoma, lymphoma, cutar sankarar bargo, wutsiyoyin Wilms da sarcoma na Kaposi.
Yadda Adriamycin ke aiki
Adriamycin yana fama da ciwon daji ta hanyar jinkirin ko ci gaba da ciwon ciwon daji. Wannan miyagun ƙwayoyi yana shiga cikin kwayoyin cutar kanjamau, yana shiga cikin tsarin DNA kuma yana dakatar da yin amfani da kwayoyin halitta ta hanyar hana aikin wani enzyme da ake kira topoisomerase-II. Adriamycin kuma yana samar da iskar oxygen kyauta, wanda zai lalata kwayoyin halitta da sunadaran kuma yana iya shafar zuciya.
Ta yaya aka ba Adriamycin?
An ba wannan magani ne ta hanyar allura a lokacin yaduwar shan magani . Idan yawancin Adriamycin da aka ba ku yana da haske sosai, ana iya ba da shi a matsayin "allurar" inji, maimakon ta hanyar raguwa.
Za a yi amfani da miyagun ƙwayoyi mai ruwan sanyi a cikin babban shinge na filastik, wanda za a haɗa shi zuwa tubing your catheter, kuma jaririnka na jigilar za ta sannu a hankali da zubar da hannu tare da hannu, don kwantar da Adriamycin a cikin jikinka.
Kafin farawa Far
Saboda wannan miyagun ƙwayoyi na iya haifar da matsalolin zuciya, ya kamata a sami jarrabawar MUGa , LVEF (gwajin haguwar ventricular hagu) ko aikin kula da lafiyar zuciya kafin a fara farawa.
Za a yi amfani da wannan jarrabawar basira don kwatanta da aikin zuciya a yayin da bayan jiyya. Wasu gwaje-gwaje na koda da hanta zasu iya buƙata.
Bayanai yayin Jiyya
- Yi amfani da maganin ƙwaƙwalwa mai aminci - kauce wa ciki
- Sha ruwa mai yawa, musamman ruwa, don shayar da kodanku da mafitsara
- Ka guji sha barasa da maganin kafeyin - waɗannan sun bushe kayan jikin ka
- Kada ka dauki aspirin, saboda ya zubar da jininka
- Kada ku samu vaccinations
Risks
- Sashin jiki zuwa ga adriamycin
- Zai iya cutar da tayin, idan kun yi ciki a lokacin magani
- Matsaloli da za a iya yiwuwa a nan gaba
- Ƙananan jini yana ƙidaya , mafi hatsarin haɗari
- A wasu lokuta, akwai haɗarin lalacewar zuciya
Hanyoyin da za a iya yiwuwa
- Ƙungiyar fitsari mai launin ja-launi ta fara kwana biyu bayan jiyya
- Neutropenia (ƙananan ƙwayoyin jinin jini, babban hadarin kamuwa da cuta)
- Animiya-ƙaddamar da cutar anadia (ƙananan jinin jinin jini)
- Thrombocytopenia ( low platelet count )
- Gashi na gashi, ko kuma bakin ciki, ƙusar gashi
- Jiɗa
- Vomiting
- Diarrhea
- Wulo
- Mucositis ( mummunan membrane a cikin bakinka, ciki, da kuma digestive tract)
- Aminorrhea (watannin tsararraki na wata yana tsayawa)
- Canje-canje a kusoshi (ƙwanƙiri ko yellowed)
Lokacin da za a kira likitanku
Idan kana da wasu daga cikin wadannan cututtuka, kira likitanka:
- Fever of 100.5F ko mafi girma
- Pain ko redness a wurin gizonku
- Blorin fitsari ko ruwan gumi
- Kuskuren da ba shi da zubar da jini
- Mawuyacin tari, ciwon makogwaro, ciwon huhu
- Maganin rashin lafiyar jiki: rashin ƙarfi na numfashi, kumburi ko ƙafãfun kafa, rash, kumbura ko harshe
Lura cewa Extravasation ya faru ne kawai a lokacin jiko.
Sources
Cibiyar Abinci da Drug. FDA Doxorubicin da aka gabatar PI Update. Label na ƙarshe - May 8, 2003.
Cibiyar Cancer ta Kasa. Bayanin Drug - Doxorubicin Hydrochloride.
Medline Plus. Drugs & Supplements. Doxorubicin.