U-Herceptin, owaziwayo ngegama lakhe elibizwa ngokuba yi- trastuzumab , usuhlobo lwe- chemotherapy lokunyusa amayeza olwamkelwe ukuphatha umdlavuza webele we- adjuvant kunye nomhlaza wesifo somhlaza. Ngokuqinisekileyo iprotheni ekujoliswe kuyo kwaye ibophelela kwiprotheni yeHER2 (i-epidermal growth factor receptor2). Abantu aba-1 kwabangu-4 abanomdlavuza wesibeleko banomdlavuza webele we-HER2 okanye iprotein ye-epidermal growth factor receptor2.
I-HER2 ngumhlaza wesifuba esiswini okhula ngokukhawuleza kwaye usasazeka ngokukhawuleza.
Sibanzi
I-Adjuvant Breast Cancer kunye no-Herceptin
U-Herceptin uthatha isifo somhlaza wesifuba esisekuqaleni kwe-HER2-positive kwaye isenokungenakwenzeka nakwii- lymph nodes . Ngomdlavuza webele we-adjuvant, i-Herceptin isetyenziswe njengenxalenye yenkqubo yokonyango ngexesha le-chemotherapy.
I-Metastatic Breast Cancer kunye no-Herceptin
U-Herceptin uvunyiwe ukuba aphathe umdlavuza webele we-metastatic ngeendlela ezimbini. Ingasetyenziselwa ukudibanisa neyeza-chemotherapy i-paclitaxel okanye ingasetyenziselwa yodwa kwizigulane ezisele zifumana i-chemotherapy kwisifo somhlaza we-metastatic.
Ingaba isebenza kanjani
I-Herceptin inxalenye yeklasi yeziyobisi ezibizwa ngokuba yi-biologic therapies. Eli liza lisebenza ngokuzingela kuphela loo maseli omhlaza ane-HER2 / neu receptors kummandla ongaphandle. I-H22 i-gene isenza i-protein receptor ephezulu kwesoli yesisu. Le receptor ibonisa iseli ukwahlula nokuphindaphinda.
Xa kuninzi kakhulu i-HER2 kwimisipha yomhlaza yesifuba, ukwahlula iseli kuya kuphuma, kukhula ngokukhawuleza kakhulu. U-Herceptin unamathela kwii-receptors ze-HER2 kwaye uvimba ibonakaliso lokukhula, ukuthintela ukwahlula kweselula kunye nokunciphisa ukuqhubela phambili komhlaza.
Ingumgubo omhlophe okanye ophuzi oqhelekileyo olawulwa ngokusetyenziswa kwe-chemotherapy.
Lawulo
I-Herceptin ilawulwa nge- chemotherapy infusion. I-dose yakho yokuqala iya kunikwa ngeseshoni kwimizuzu engama-90 ukuze ubone indlela onyamezela ngayo izidakamizwa kwaye ubukele ukuphendulwa kwemizwa. Ukuba wenza kakuhle noHerceptin, ukulandelelana kwakho kunokunikezwa ngeeseshoni ezingama-30.
Imiphumela
Ezinye izigulane ezithola i-Herceptin ngomhlaza wesifuba zaziphumo ezilandelayo:
- Fever
- Ukuziva ugula kwisisu sakho (isicupunu)
- Ukuphosa (ukuhlanza)
- Ukuxutywa kwamanzi
- Uhudo
- Izifo
- Ukukhwehlela
- Intloko
- Ndiziva ndikhathele
- Ukuqhawukelwa ngumphefumlo
- Rash
- Iqoqo legazi elibomvu nelomvu libala
- Ubuhlungu besisu
Ezinye izigulane ezithola i-Herceptin kwi-metastatic tummy cancer zineempembelelo ezilandelayo:
- Isalathisi segazi elimhlophe libala
- Uhudo
- Ndiziva ndikhathele
- I-cell ebomvu yegazi ibalwa
- Ukuvuvukala komlomo
- Ukuhla ukusinda
- Izifo ezithintekayo zokuphefumula
- Fever
- Ukubala okuphantsi kweplatelet
- Ukuvuvukala kweembrane ezinamaqabunga
- Ukuvuvuka kwempumlo nomqala
- Tshintsho kwintle
Ezi zimpawu zivame ukuvela kwiiyure ezingama-24 zokufumana i-Herceptin.
Ukuba unesifo sokumelana ne-Herceptin, biza ugqirha wakho ngokukhawuleza. Iimpawu zokugula ziquka ukuphefumula okufutshane, ukuvutha, ukuvuvukala komqala okanye umlomo kunye nemihlathi. Izimpawu eziphuthumayo ziquka ukuphefumula kwentlungu kunye nentlungu yesifuba.
Mngcipheko
I-Herceptin inokubangela iingxaki zeentliziyo kunye nokungaphumeleli kwentliziyo. Umsebenzi wakho wekhohlo wekhohlo kufuneka uhlolwe ngokukhawuleza ngaphambi kokuba uqale u-Herceptin, ngexesha eliqhelekileyo kwixesha elithile kwi-Herceptin (isincomo sokufakwa kwiphakheji rhoqo kwiinyanga ezintathu), nangemva kokugqitywa kweyeza likaHerceptin. Umngcipheko weengxaki zentliziyo ukwanda xa uphathwa ngo-Adriamycin no-Cytoxan kunye no-Herceptin.
Musa ukuthabatha inkohlakalo Ukuba:
- Uhlaselwa ku-Herceptin
- Ukhulelwe okanye uncelisa
Iingcebiso Ngethuba loNyango
Uninzi lwe-oncologists uncoma ukuba ugweme ukusetyenziswa kotywala, ucuba, okanye i-caffeine ngexesha lotyando noHerceptin.
I-caffeine ibangela ukomiswa kwezicukoma zakho, ezongeza kuphela kwimiphumo eyomileyo esele ibangelwa ziziyobisi zakho ze-chemo. Tshela iqela lakho lezempilo ukuba usebenzisa itywala, utywala okanye izidakamizwa zokuzonwabisa, kwaye ucela uncedo ekuphekeni ukusetyenziswa kwezi zi yobisi. Sebenzisa ukukhulelwa kwengqondo ngelixa unyango kunye noHerceptin, kuba le nkunkuma ingabangela ingozi kumntwana ukuba ukhulelwe. Ukuba usukhulelwe, qiniseka ukuxelela ugqirha wakho.
Iingcebiso Zokuzinakekela
- Hlalani kakuhle kakuhle ngokusela ezimbini okanye ezintathu kwiimitha ezingama-24 nganye iiyure
- Ukuba kuyimfuneko, thabatha imishanguzo yakho yokulwa neengcambu njengoko iyalathwayo
- Ezinye izigulane zifumana utywala kunye nokulala, ngoko zithatha lula ude ezi ziphazamiso
- Ukuba unempawu ezinjengomkhuhlane, bamba iingubo kwaye uphuze amaninzi amaninzi (izixhobo zokusela ezemidlalo kunokunceda)
- Iisente kunye neentlungu ziyakunqulwa kunye ne-acetaminophen okanye ibuprofen, kodwa jonga ugqirha wakho kuqala
- Phumla njengoko unako
- Yidla ukutya okulungileyo, okunomsoco
Umthombo
FDA. Ulwazi lwezobisi. I-Trastuzumab yeeLayibrari yeMveliso yeeMveliso Ukuhlaziywa: Septemba 2013.