U-Adriamycin-owaziwa nangokuthi nguRubex, i-Doxil, i-doxorubicin kunye ne-Red Devil (i-term informal) -iyichiza ye- chemotherapy . Ngokukhethekileyo, luhlobo lwe-anthracycline antibiotic esilwayo isilonda se-tumor. Yenziwe kwi-british Streptomyces.
Ukusebenzisa i-Adriamycin
I-Adriamycin ingasetyenziselwa ukuphuluza isigaba sokuqala okanye umdlavuza webele ongena-node-positive, umdlavuza webele we-HER2, kunye nesifo se-metastatic.
Ngamanye amaxesha i-Adriamycin idibene neCytoxan kunye / okanye i- 5-fluorouracil yokwenza i-cocktail yezilwanyana zamachiza e-anti-cancer.
Esi sigqirha siphinde samukelwe unyango lweminye i-cancer, kuquka i-ovarian, i-vestile, isisu esithambileyo kunye ne-ostogic sarcoma, umdlavuza omncinci wesifo samaphaphu, i-thyroid kunye nesisu somhlaza, kunye neuroblastoma, i-lymphoma, i-leukemia, i-tumor tumors kunye ne-Kaposi's sarcoma.
I-Adriamycin isebenza njani
U-Adriamycin ulwa nomdlavuza ngokunciphisa okanye ukuyeka ukukhula kwamaseli omhlaza. Esi siza singena kumaseli omhlaza, sidibanisa kwisakhiwo se-DNA kwaye siyeka ukuphindaphinda kwesilingo ngokumvimbela umsebenzi we-enzyme ebizwa ngokuthi ipopoisomerase-II. I-Adriamycin yenza i-oksijeni yama-radicals ekhululekile, eyonakalisa i-membrane yeselflethi kunye nama-protein kwaye inokuchaphazela intliziyo.
I-Adriamycin Inikwa Njani
Esi sidakamizwa sinikezwa ngejoza ngexesha lokunyuka kwamakhemikhali . Ukuba inani le-Adriamycin enikezelwayo likhulu kakhulu, linokuthi linikezelwe njenge-"push" injection, kunokuba iqhube i-intravenous drip.
Isilwanyana esibomvu esiya kubomvu siza kuhanjiswa kwisirinji esikhulu seplastiki, esiya kufakelwa kwi-tubing yakho ye-catheter, kwaye unesi-infusion yakho iya kuphazamisa ngokukhawuleza i-plunger ngesandla, ukuba uyijobe i-Adriamycin yakho.
Ngaphambi kokuqala unyango
Ngenxa yokuba le nkunkuma ingabangela iingxaki zeentliziyo, kufuneka ube ne- scan ye-MUGa , i-LVEF (ukuhluleka kwe-ventricular failure) okanye ukuhlolwa kwempilo yenhliziyo eyenziwe ngaphambi kokuqala unyango.
Olu vavanyo lwesiseko luya kusetyenziswa ukuthelekisa nomsebenzi wakho wenhliziyo ngexesha nangemva kwonyango. Ezinye iimvavanyo zesifo sezintso kunye nesibindi sinokufuneka kwakhona.
Iingcebiso Ngethuba loNyango
- Sebenzisa ukukhulelwa okuthembekileyo - khusela ukukhulelwa
- Phuza amaninzi amaninzi, ngakumbi amanzi, ukucoca iintso zakho kunye nesibindi
- Gwema ukusela utywala kunye ne-caffeine-ezi zityhuzulisa izicubu zakho
- Musa ukuthatha i-aspirin, kuba ithambisa igazi lakho
- Musa ukugonywa
Mngcipheko
- Ukuguquka kwamanzi kuya kwi-adriamycin
- Inokulimaza umntwana, ukuba ukhulelwe ngexesha lotyando
- Unokungenakwenzeka kwexesha elizayo
- Ixabiso legazi eliphantsi, ingozi enkulu yezifo
- Kwezinye iimeko, kukho umngcipheko wentliziyo
Iimiphumo zangaphandle
- Umlambo obomvu obomvu kuqala iintsuku ezimbini emva kokonyango
- I-Neutropenia ( inani eliphantsi lamaseli egazi lamhlophe, ingozi enkulu yentsholongwane)
- I-anemia ( eyenziwa yi- red red count count)
- I-Thrombocytopenia ( inani eliphantsi leplatelet )
- Ukulahleka kweenwele, okanye iinwele ezinqabileyo
- I sizathu
- Ukuvutha
- Uhudo
- Ukukhathala
- I-Mucositis ( inomfutho emangele emlonyeni emlonyeni wakho, isisu, kunye nomgudu wokutya)
- I-Amenorrhea (umjikelezo wenyanga ukuya kwinyanga).
- Utshintsho kwiikhonkwane (brittle okanye yellowed)
Nini ukubiza uDokotela wakho
Ukuba unayo nayiphi na impawu, biza ugqirha wakho:
- Umlilo we-100.5F okanye ngaphezulu
- Ubuhlungu okanye ubomvu kwisayithi lakho lokungena
- Umchamo wegazi okanye isithukuthezi esibomvu
- Izibhamu ezingavamile okanye ukuphuma kwegazi
- Ukukhwehlela okuqhubekayo, umqala womqala, isifo se-pneumonia
- Izimpawu zokugula: ukuphefumula okufutshane, ukuvuvukala kweenyawo okanye ama-ankle, ukugqithisa, ukuvutha komlomo okanye ulwimi
Nceda uqaphele ukuba i-Extravasation yenzeka kuphela ngexesha lokumnika.
Imithombo
US Food and Drug Administration. I-FDA Doxorubicin I-PI Update Proposed. I-Label evunyelweyo yokugqibela-ngoMeyi 8, 2003.
National Cancer Institute. Ulwazi Lwezobisi - Doxorubicin Hydrochloride.
Medline Plus. Iziyobisi kunye neZongezelelo. Doxorubicin.