Ukuba uye wafumanisa ukuba unomdlavuza wesikhumba , ugqirha wakho uya kuxoxa ngeendlela zokwenza unyango ekholelwa ukuba uya kunika iziphumo ezingcono. Nangona kunqabile kunqabile, inketho enye yonyango engaboniswa yi-chemotherapy. I-Chemotherapy yindlela yokusebenzisa izidakamizwa ezithile zokulwa nomhlaza ukutshabalalisa iiseli zomhlaza. Iziyobisi ze-Chemotherapy zisebenza ngokucotha okanye ukuyeka ukukhula kweeseli zomhlaza, ezahlula ngokukhawuleza ngaphezu kweeseli eziqhelekileyo, ngokuphazamisa indlela iiseli zomhlaza ezisebenza ngayo.
Xa isetyenziselwa ukhathaza umdlavuza wesikhumba, i-chemotherapy ineendlela ezimbini ezahlukileyo kunye ezahlukileyo. I-Chemotherapy isenokusetyenziswa:
- Njengamachiza angamayeza okuphambi kwexesha le-basal cell carcinomas okanye ukukhula kancinci kwesikhumba, njenge-actinic keratosis okanye isifo se-Bowen
- Njengamachiza e-systemic ukunyanga umdlavuza wesikhumba oye wasasazeka kwezinye iindawo zomzimba
Ukusetyenziswa kwe-chemotherapy kwonyango lomhlaza
I-Chemotherapy ingasetyenziswa ngeendlela ezahlukeneyo zokunyanga umdlavuza wesikhumba. Indlela esetyenziselwa ngayo iya kuxhomekeka ekuqhubekeni komhlaza wakho kwaye nokuba usasazeka kwezinye iindawo zomzimba. I-Chemotherapy ingasetyenziselwa kunyango lomhlaza:
- Njengendlela yokuqala yonyango, ukusebenzisa imithi ye-topical 5- fluorouracil (5-FU)
- Njengendlela yokunciphisa isisu somhlaza
- Ukutshabalalisa nayiphi na iseli yomhlaza emva kokuba i-tumor isuswe
- Ukunciphisa iimpawu zomhlaza ophezulu (unyango olusisigxina)
Unyango nge Chemotherapy
Utyando kunye ne-chemotherapy luyahluka ngokusekelwe kwindlela apho isilwanyana sithunyelwa khona, mhlawumbi ngokusesikhumbeni okanye kwinkqubo ngokusesikweni okanye ngomlomo.
IChemotherapy Cream
Iyeza-chemotherapy 5-fluorouracil ifumaneka njengekrimu eneendlela ezininzi ezahlukahlukeneyo, ezifakwe kwiindawo ezisemgangathweni kunye nakwiindawo zesifo somhlaza okanye isikhumba se-pre-cancer. Nge-chemotherapy ye-topical, le nkunkuma isebenza kwendawo apho isetyenziselwa khona, kunye neyona ncinane kakhulu yeziyobisi ezixhamle emzimbeni.
Oku kuvimbela ezininzi iziphumo ezichaphazelekayo ezinxulumene ne-chemotherapy yenkqubo.
Ukuba ugqirha ugunyaza i-5-FU, uya kunikwa imiyalelo ethile malunga nendlela kunye nexesha lokusebenzisa ukhilimu. Kwiimeko ezininzi, uya kufundiswa ukuba usebenzise ukhilimu kanye okanye kabini ngemini phezu kwendawo echaphazelekayo enye ukuya kwiiveki ezimbalwa.
Ngethuba lokunyanga, isikhumba sakho singabomvu, sitshatywe, sibe sisifo. Ezinye izigulane zinokuhlangabezana nemiphumo emibi kakhulu, kunye nokwenza i-blister kunye neentlungu kwisayithi yesicelo. Abanye abantu bafumana isidima esikhulu sokuvuvukala kunabanye. Iveki okanye ezimbini ukuya kwonyango, unokuqaphela ukubunjwa kwe-crust okanye isikalwe. Njengoko i-tumor idibanisa kwaye i-skin exfoliates, i-crust iya kuwela kwaye i-lesion ayiyi kubonakala. Kwiiveki ezilandelayo, isikhumba sakho siza kuzalisa inkqubo yaso yokuphilisa kwaye isikhumba esitsha siya kubuyela kwindawo yonyango.
Systemic Chemotherapy
I-Chemotherapy inokungeniswa kwi-vein okanye ithathwe ngomlomo ukunyanga umdlavuza wesikhumba oye wasasazeka kwezinye iindawo zomzimba. Nangona oku kwenzeka ngokugqithiseleyo ngomdlavuza wesikhumba, oku kuyindlela ebalulekileyo kwizigulane ezinezifo eziphambili. Unyango lunokwenziwa ukuba luncitshise ukukhula komhlaza okanye ukunciphisa iimpawu ezibangelwa ngumhlaza.
Le nyeza isetyenziswa rhoqo ukuphatha i-metastatic squamous cell carcinoma okanye i- melanoma . Unyango lunokubandakanya esinye isilwanyana okanye ukudibanisa iziyobisi.
Ziziphi Iintlobo Zengqumbo Yesikhumba Ngaba i-Chemotherapy iyayiphatha?
I-chemotherapy ye-topical isetyenziswa ngokuphangaleleyo, engekho-invasive basal cell carcinoma kunye nezilonda ezinqabileyo, ezifana nesifo sika-Bowen kunye ne-actinic keratosis. I-chemotherapy engabonakaliyo okanye yomlomo ingasetyenziselwa ukunyanga nawuphi na uhlobo lomhlaza wesikhumba oye wasasazeka kwezinye iindawo zomzimba kodwa oqhelekileyo kusetyenziswa ukuphatha i-squamous cell carcinoma kunye ne-melanoma.
Iingozi kunye neNzuzo
I-chemotherapy ye-topical iyakwazi ukunyanga i-basal cell carcinomas kunye nezinye izilonda ezinqabileyo ezincinci kuneenkqubo zokucwangcisa, okwenza kube yimpatho enqwenelekayo.
I-chemotherapy ye-topical, kodwa, ayisebenzisekanga njengezinye iindlela, ezifana nokutshatyalaliswa kokugqithiselwa okanye ukuhlinzwa okwenziwa nge-Mohs micrographic, kwaye kukho ithuba eliphezulu lokuba umhlaza ungabuya. I-chemotherapy ye-topical ihambelana nezinye iziphumo ezinjengeentlungu kunye nobuhlungu kwiindawo zonyango, uvakalelo ekukhanyeni kwelanga kunye nangemva kokunyanga, kunye nelinxeba elingakhange liboniswe ngexesha lokunyanga. I-chemotherapy engaxhamliyo kunye neyomlomo idibene nefuthe lemininzi yemiphumo emibi, eya kuhluka ngokusekelwe kwisicatshulwa okanye iziyobisi ezisetyenziswayo kunye nesigulane esipheleleyo sempendulo kwonyango.