I-BEACOPP - Iziyobisi, iShedyuli yokuDinga, kunye neempembelelo eziqhelekileyo
Ukuba utshelwe ukuba i-BEACOPP ikhemotherapy iyacetyiswa kwisifo sakho saseHodgkin, ukuthini oku kuthetha ntoni? Luphi na ukuhlanganiswa kweziyobisi?
I-BEACOPP I-Chemotherapy Regimen - Inkcazo
I-BEACOPP ligama le-regimen ye-chemotherapy (ishedyuli yeziyobisi) esetyenziswe kunyango lwe- Hodgkin lymphoma . Uhlobo oluqhelekileyo olusebenzayo lwekhemotherapy kwizigulane ezisandul
Nangona kungasetyenziswanga ngokuqhelekileyo e-US, kuthathwa njengomlinganiselo oqhelekileyo wokudibanisa i-chemotherapy kwisigaba III okanye IV Hodgkin lymphoma kwamanye amazwe aseYurophu.
Iziyobisi ezisetyenziswa kwiReimpe ye-BEACOPP
Ukuhlanganiswa kwezilwanyana eziyisixhenxe kusetyenziswa kwi-BEACOPP.
- I-Cytoxan / Neosar (i-Cyclophosphamide) -yinikwe njengengxube emithanjeni yakho ngosuku lokuqala.
- I-Adriamycin / i-Rubex (i-Doxorubicin) -nikezelwa njengengxube emithanjeni yakho ngosuku lokuqala.
- I-vePesid (i-Etoposide) -nikezelwa njengokufakelwa kweemvini zakho kwiintsuku ezi-1 ukuya kwe-3.
- UMatulane (Procarbazine) - anikezelwe njengeepilisi ezithathwe ngomlomo kwiintsuku ezi-1 ukuya ku-7.
- I-Prednisone enikezelwa njengeepilisi ezithathwe ngomlomo kwiintsuku ezi-1 ukuya kwe-14
- I-Blenoxane (i-Bleomycin) - inikwe njengemfutho emfutshane yokufakelwa kwangomhla ngomhla we-8.
- I-Oncovin (i-Vincristine) - inikwe njengomfutho omncinci we-infrained on day 8.
Ngona kanani i-BEACOPP inikezelwa?
Umjikelezo ngamnye we-BEACOPP uquka ukulawulwa kwezi ziyobisi ezi-7 kwiintsuku ezihleliweyo. Umjikelo ngamnye uphindwa rhoqo kwiintsuku ezingama-21.
Zingaphi Iimpawu Zimfuneko?
Ngokuqhelekileyo imijikelezo ye-6 kuya ku-8 ye-BEACOPP iyadingeka njengekhosi epheleleyo ye-chemotherapy kwizifo eziphambili.
Iimvavanyo ezifunekayo nge-BEACOPP Chemotherapy
Ngaphambi kokuba i-BEACOPP i-chemotherapy iqalwe, ukubala kwegazi kwakunye nokuhlolwa kwegazi ngenxa yesifo kunye nesibindi somsebenzi kwenziwa. I- echocardiogram (intliziyo ye-ultrasound) iyadingeka ukuvavanya umsebenzi wentliziyo ngaphambi kokuba unyango luqale.
Njengoko i- doxorubicin inokuchaphazela ngenye indlela intliziyo , kubalulekile ukuba olo lwazi lucatshangise kamva ngexesha lonyango. Uvavanyo lwe-x-ray kunye nemiphunga lungasetyenziselwa ukulinganisa ukuqina kwemiphunga ngaphambi kokusetyenziswa kwe-bleomycin, njengoko le nkunkuma ingathintela imiphunga (inetyhefu ye-pulmonary.)
Ngexesha le-chemotherapy, ukubalwa kwegazi kuyadingeka ngaphambi kokuba umjikelezo we-injection cycle. Ezinye iimvavanyo zingaphendulwa njengoko zifunwa.
Iimpawu eziPhakathi ngexesha leKhemotherapy
Ukususela ekuhlaseleni i-chemotherapy ngokukhawuleza ukwahlula iiseli ezinjengeeseli zeengqambela, kunokuchaphazela iiseli eziqhelekileyo emzimbeni wakho ukuba ziphindaphindiwe rhoqo ezinjengeyomnxeba wakho, isilonda sesisu, kunye neentlobo zezinwele. Oku kunokubangela:
- Inani elisezantsi lamhlophe yegazi . Ukuwa kwebala lakho elimhlophe liqhelekileyo kwaye liya kuhlolwa rhoqo. Ukukhula kwezidakamizwa ezifana neNeulasta ne-Neuopogen kusetyenziswa rhoqo kunye neyeza zamakhemikhali ukuphakamisa inani lakho legazi elimhlophe. Ukuba inani lakho elimhlophe lihlala liphantsi nangaloo mveliso yokukhula, i-chemotherapy iya kulibaziseka ukuba amazinga akho abuyele kumanqanaba amkelekileyo. Ekubeni unamaseli omzimba omzimba okukhusela ukhuseleko, kubalulekile ukuba ulandele amanyathelo okukhusela i-oncologist iya kukuxelela. Kwakhona kubalulekile ukubiza ugqirha wakho ngokukhawuleza ngelixa ulolu hlobo lwe-chemotherapy xa ufanele uhlakulele umkhuhlane okanye nayiphina impawu zentsholongwane.
- Isisindo kunye nokuhlanza kunokuqhelekileyo, kunye ne-anti-emetics (iziyobisi ezikhusela nokulawula isicupunu kunye nokuhlanza) ziya kulandelwa rhoqo. Amanye amayeza anikwe ukukhusela isicupunu kunye nokuhlanza, ngelixa ezinye zimiselwe ukunyamezela isicupunu esivele sikhona. Kubaluleke kakhulu ukusebenzisa imithi yokukhusela ngaphambi kokuba uhlakulele nayiphi na isicathulo, njengoko singasebenzi kakuhle emva kokuba sele unempawu. Ugqirha wakho uya kuthetha nawe ngeentlobo ezahlukeneyo zezibilini , kunye nendlela amayeza asebenza ngayo nganye kwezi.
- Ukulahleka kweenwele kuqhelekileyo kwaye ngokuqhelekileyo kuqalisa iiveki ezimbalwa emva kweeseshoni zokuqala ze-chemotherapy. Ukulungiselela phambili - ukufumana iigu okanye i-head cover-inceda kwabanye abantu. Izinwele zakho ziza kukhula, ngoko abanye abantu bakufumene luncedo ukuhlaziya kwaye bacinge ukuba i-chemotherapy yenza umsebenzi wayo ekubukeni iincwele zayo zibe zincinci kwaye ziphume.
- Izilonda zomlomo ezivela kwi-chemotherapy ziyiyona nkathazo, kodwa ngamanye amaxesha isifo singakhula kwindawo yezilonda. Kungakunceda ukuphepha ukutya "okubukhali" njengendlela yokugcoba kunye ne-crackers, kwaye udle ukutya endaweni epholileyo-njengamaqanda aqhekezayo kunye namazambane ahlambulukileyo. Ukutya okunesonka kunye nalabo abane-citric acid nabo banokubangela ukungahambi kakuhle. Ukufunda ukuba kukuphi ukutya okulungileyo nokubi kakhulu ukutya kunye nezilonda zomlomo kunokuhamba ixesha elide ukwenzela ukuba lo mgca uthinteke ngakumbi.
- Uhudo - I-diarrhea ingaba yingozi xa uhamba nge-chemotherapy. Qinisekisa ukuthetha nodokotela wakho ukuba uhlakulele le mpawu, kwaye uqinisekise ukuba uphuze amanzi amaninzi ukunciphisa umngcipheko wokudambisa amanzi.
- Ukuqhekeka kwesikhumba kunye nezipikili - Utshintsho lwe-Fingernail kunye neenguqulelo ze-toenail ziqhelekileyo kunye neziyobisi ze-chemotherapy kule regimen.
- I-peripheral neuropathy - Unokubona ukuba utshintsho olunzulu lwezandla ezandleni zakho nasezinyaweni.
Inkxaso
Ukuba usandululwazi nje ukuba, Kuyakunzima ukwazi ukuba uqale kuphi. Fumana kwiintsapho kunye nabahlobo. Ungazami ukuba yiqhawe - eli lixesha elifanelekileyo lokufunda ukuvumela abantu bakuncede. Cinga ukujoyina iqela lokuxhasa kuluntu lwakho, okanye uqhagamshelane nabanye abantu kwi-intanethi ngokusebenzisa i-media media. Uze uxhomeke kwithemba. Ionyango zonyango - kunye nokulawulwa kwemiphumo emibi - ziye zaphucula kakhulu kwiminyaka yamuva.
Bathandekayo
Ukuba ngumhlobo wakho oye wafunyaniswa, hlola ezi ngcebiso malunga noko ungathethi kumntu onomhlaza kwaye ujonge ezinye zezinto eziza kubhekana nazo kwiiveki ezizayo kunye neenyanga.
Imithombo:
Engert, A. ABVD okanye BEACOPP kwi-Advanced Hodgkin Lymphoma. Umbhalo we-Clinical Oncology . Ngomhla wama-28 kuMgqibelo 28. (Epub ngaphambi kokuprinta).
Incwadi yeCarcer Chemotherapy. Uluhlu lweShenxe. Umhleli: Roland T Skeel. Ipapashwe nguLippincott Williams noWilkins, ngo-2007.
Uhm, J., noJ. Kuruvilla. Unyango lwe-Hodgkin lymphoma. Iingcebiso zeGazi . 2012. 26 (4): 167-74.