Pakati pa nkhondo yachiŵiri yapadziko lonse, madokotala adapeza kuti zinthu zina zomwe zingakhudze maselo a khansa, kuziwonongera kapena kuyambitsa pulogalamu yachilengedwe ya kudziwonongera mwa iwo.
Mitundu ya chemotherapy
Pali mitundu yambiri ya mankhwala a chemotherapy:
- Adjuvant ndi sanali adjuvant. Zimagwiritsidwa ntchito ngati zochitika zovulaza zingagwiritsidwe ntchito. Chemotherapy imatha kulembedwa (osati adjuvant) ndipo itatha opaleshoni (adjuvant), ndipo phindu lake ndi lakuti asanayambe kuchipatala n'zotheka kuzindikira kuti chiwombankhanga ndi mankhwalawa ndi othandiza.
- Thandizo. Mtundu uwu wa chemotherapy umayikidwa pamaso pa metastases ndipo cholinga chake ndi kuchepetsa iwo.
- Kuchotsa. Amachitidwa ndi mtundu wapamwamba wa matendawa, pomwe ndizosatheka kugwira ntchito. Amagwiritsidwa ntchito kuchepetsa chotupa kuti chichotsedwe.
Popeza mankhwala a chemotherapy amagwiritsa ntchito poizoni ndi poizoni zomwe zimakhudza kwambiri mabala a tizilombo toyambitsa matenda, koma ndi thanzi labwino, izi zimayambitsa zotsatira zosiyanasiyana, zomwe zimapangitsa kuti zikhale zovuta kuchira pambuyo chemotherapy.
Zotsatira za chemotherapy
Pali mankhwala 5 a zotsatira za chemotherapy - kuyambira 0 mpaka 4. Zimadalira kukula kwa thupi kwa poizoni ndi poizoni.
Kawirikawiri, zotsatira za mbali zikuwonetsedwa monga:
- Kutaya njala, kunyoza ndi kusanza, chifukwa cha zotsatira za pamimba m'mimba ndi m'kamwa, komanso chiwindi.
- Kutaya tsitsi ngati doxorubicin, etoposidone, epirubicin kapena matankhwala amagwiritsidwa ntchito pa mankhwala. Mankhwalawa amakhudza mtundu wa tsitsi, chifukwa cha mankhwala omwe amachokera pambuyo poti mankhwala a chemotherapy amatuluka mpaka kumeta. Kubwezeretsedwa kwa kukula kwawo kumachitika patatha nthawi yothetsa njira (mpaka miyezi 6).
- Ши д Cши Cши д C Cши д C Cши д C Cши д C Cши д C Cшиши Cши дши Cши C + C C C C C C C C C C C + Kutentha kwa chemotherapy ndi bleomycin kumawonedwa mu odwala 60-80%, ndipo imagwirizanitsidwa ndi mankhwala owopsa a mankhwala, koma amatha kupezeka ndi kugwiritsa ntchito mitomycin C, etoposide, cytosar, L-asparaginase, adriamycin, ndi fluorouracil.
- Kutupa kwa mitsempha, yomwe imawonetseredwa ndi ululu ndi kuyaka pambuyo pa chemotherapy, ngati mankhwala ena angapo amalowetsedwa mobwerezabwereza mu mitsempha imodzi. Kuphatikizana kwa cytosar, embihinoma, doxorubicin, vinblastine, rubomycin, dactinomycin, dacarbazine, epirubicin, taxanes ndi mitomycin C zimapangitsa kuti izi zitheke, kutsekemera kwa mitsempha ndi edema patapita nthawi yaitali.
- Kusokonezeka kwa mankhwala otchedwa hematopoiesis omwe amabwera chifukwa cha zipsinjo za mankhwala osokoneza bongo. Kawirikawiri, lekocyte ndi mapuloteni zimakhudzidwa, makamaka mobwerezabwereza - maselo ofiira a magazi.
Mbali za kukonzanso pambuyo chemotherapy
Kuchotsa mankhwala pambuyo pa chemotherapy kumatenga nthawi yaitali ndipo ndi kosavuta: muyenera kubwezeretsa pang'onopang'ono machitidwe osokonezeka, komanso kukhazikitsa mikhalidwe yabwino kwa thupi lomwe iye mwini amayesa kuyendetsa ntchito yake.
Kugonjetsedwa koopsa ndi kwakukulu chifukwa cha chemotherapy ndi dongosolo lozungulira. Kawirikawiri, kuchuluka kwa leukocyte kumasokonezeka, zomwe zimapangitsa wodwalayo kuti azivutika ndi matenda opatsirana, opatsirana ndi mabakiteriya.
Kodi mungatani kuti muzitsatira maselo oyera a magazi pambuyo pa mankhwala?
Pachifukwa chimenechi, chakudya choyenera chimaperekedwa pambuyo pa mankhwala a chemotherapy, omwe amadya zakudya zam'madzi, walnuts, beets, kaloti, mazira a nkhuku kapena ng'ombe, komanso nsomba ndi ndiwo zamasamba.
Chowonadi ndi chakuti chimodzi mwa zipangizo zomangira zofunika m'thupi ndi mapuloteni ovuta, komanso
Kuchulukitsa msinkhu wa leukocyte, palinso njira ina, mankhwala. Mankhwala monga: granacite, neypogen, leukogen, imunofan ndi polyoxidonium kumawonjezera kuchuluka kwa leukocyte.
Cши Cшишиши C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C Cbas
Njira zina zowonetsera zowonongeka ndizobwezeretsanso ziwalo zomwe zakhudzidwa ndizokha.