Ukuba i-ABVD ikhemotherapy iyacetyiswa ngomhlaza wakho mhlawumbi unemibuzo eyiwaka. Oku kunikwa njani? Kaninzi kangaphi? Ziziphi iziphumo ezibi? Ngaba kukho imiphumo emide? Makhe sibone ezinye zezo mibuzo.
Yintoni i-ABVD?
I-ABVD ligama le-chemotherapy regimen elisetyenziselwa unyango lwe- lodphoma yeHodgkin . Ingaba mhlawumbi i-rhythmatic regimen eqhelekileyo isetyenziswa kwihlabathi jikelele kwizigulane ezitsha
Inhlanganisela esebenzayo yezidakamizwa kuzo zonke izigaba zesifo sikaHodgkin.
Iziyobisi ezisetyenziswa kwi-ABVD Regimen
Iziyobisi ezisetyenziswe kule rejim (inhlanganisela yeziyobisi) ziquka:
- I-Adriamycin (doxorubicin) -nikezelwa njengengxube emithanjeni yakho kwiintsuku 1 no-15.
- I-Blenoxane (i-bleomycin) - inikwe njengemfutho emfutshane ye-intravenous ngosuku 1 no-15.
- UVelban (vinblastine) - enikezwa njengento emfutshane yokufakelwa kwintsimbi emininzi ngosuku 1 no-15.
- I-DTIC (i-dacarbazine) -nikezelwa njengokungenelela kwimivilini yakho kwiintsuku 1 no-15.
Inqaku elikhawulezayo malunga nokuhlanganiswa kweKhemotherapy
Usenokuzibuza, "Kutheni uninzi lweziyobisi? Ayikwazi ukuba yodwa isichengisi sodwa sinakekele umhlaza?" Isizathu kukuba izidakamizwa ezahlukeneyo ze-chemotherapy zichaphazela iiseli kwizigaba ezahlukeneyo kwinkqubo yokwahlula nokwandisa. Ukusebenzisa ukudibanisa iziyobisi kuqinisekisa ukuba iiseli kwizigaba ezahlukeneyo kule nkqubo ziphathwa zonke. Esi sizathu sokusebenzisa unyango olungaphezulu kweyodwa.
Ukuba iseli senzeke ngexesha lokuphumla - kungekhona ukwahlula - ngelixa lonyango lokuqala, lithemba ukuba unyango olulandelayo luyakwazi ukufumana eso sisele kwinkqubo yokwahlula.
Ixesha eliqhelekileyo i-ABVD yenziwe njani?
I-ABVD yenziwe ngokujikeleza. Ngamanye kubandakanya ukunika ijojo zesigulane kwezi gulane ziphindwe kabini (kwiintsuku 1 no-15).
Iimjikelezo ziphindaphindiwe kwiiveki ezi-4. Oko kuthetha ukuba umjikelo wesibini uqala iiveki ezimbini emva komhla we-15 womjikelezo wokuqala (ngomhla we-29), njalo njalo. Ngoko impendulo ngokukhawuleza kukuba le mijikelezo iphindaphindiwe malunga neentsuku ezingama-28.
Zingaphi Iimpawu Zimfuneko?
Zingaphi iintshukumo ezifunekayo kuxhomekeke kwinqanaba le-lymphoma kunye nobukho okanye ukungabikho kweziganeko ezithile zokuxela- izinto ezinika oogqirha ingqikelela yokuba unyango olunokuthi lunokuphelisa amangqamuzana omhlaza. Izifo zokuqala zengxaki ezinokubangela umngcipheko zingadinga ii-2 ukuya kwi-4 kuphela, kanti izifo eziphambili zifuna iimitha eziyi-8.
Uvavanyo olufunekayo
Ngaphambi kokuba i-ABVD ikhemotherapy iqalwe, ukubala kwegazi, kunye nokuhlolwa kwegazi ngenxa yesifo kunye nesibindi somsebenzi, kwenziwa. I-echocardiogram iyadingeka ukuvavanya umsebenzi wentliziyo ngaphambi kokuba unyango luqale. Njengoko i-Adriamycin (doxorubicin) inokuchaphazela ngenye indlela intliziyo, kubalulekile ukuba le datha ilinganiswe ngexesha lonyango. Uvavanyo lwe-x-ray kunye neempompo zomsebenzi lungasetyenziselwa ukulinganisa ukuqina kwemiphunga ngaphambi kokusetyenziswa kwe-bleomycin, njengoko le nkunkuma ingachaphazela imiphunga.
Ngexesha le-chemotherapy, ukubalwa kwegazi kuyadingeka ngaphambi kokuba umjikelezo we-injection cycle. Ezinye iimvavanyo zingaphendulwa njengoko zifunwa.
Imiphumela
Imiphumo emibi ye-chemotherapy ihambelana nomphumo we-chemotherapy ngokukhawuleza ukwahlukana kweeseli ngaphezu kweeseli zeengqambela, kwaye zingabandakanya:
- Isihlunu kunye nokuhlanza - I-nausea ingaqhelekanga, kwaye i-ant-emeetics (iziyobisi ezithintela nokulawula isicarucu kunye nokuhlanza) ziyakunikwa ngokuqhelekileyo. Ngezilwanyana zokukhusela, abaninzi abantu bayamangaliswa ukubona ukuba isicupunu sinokuphela.
- Umlambo obomvu - u-Adriamycin, obizwa ngokuthi "umtyholi obomvu" ngezigulane ezithile zomhlaza, unokubangela umchamo obomvu obomvu ngosuku okanye emibini emva kokhemotherapy. Oku akuyingozi kwaye ngenxa yombala weyeza kuphela.
- Ukutshisa i-Heartburn / reflux ye-asidi - Ukuvuthwa komlilo kuyimpembelelo ecaleni kakhulu ye-ABVD chemotherapy. Abanye oogqirha bancomela imishanguzo efana ne-Prilosec, iPepcid, okanye i-Nexium, kodwa ngokuqinisekileyo unokuthetha ne-oncologist yakho ngaphambili kwexesha elikucebisa lona.
- Izimpawu ezinjenge-Flu - I-DTIC inokukunika iimpawu ezivakalelwa ngumkhuhlane, umzekelo, izihlunu kunye nomzimba.
- Ukulahleka kweenwele
- Ukuwa kwiibalo zegazi - Izibalo zeeseli zegazi ziya kuhlolwa rhoqo. Ukubalwa kweeseli ezimhlophe zegazi kungabangela ukujikeleza, kunye neemfuno zokukhula kunye nemilinganiselo yokukhusela isifo. Qinisekisa ukubika ngentsholongwane ugqirha wakho ngokukhawuleza.
- Izilonda zomlomo - Izilonda zomlomo ziqhelekile, kodwa ukutshintsha ukutya kwakho ngeendlela ezithile kunokukunceda kakhulu ngoku kuphazamiseka.
- Uhudo
- Ukutyunjwa - Ugqirha wakho unokuncoma imishanguzo ukunceda ukukhutshwa.
- Ukungcoliswa kwesikhumba kunye nezipikili
- Ukuguqulwa okutshintshileyo kwezandla ezandleni nasezinyaweni - I-peripheral neuropathy ingaba yiphumo elibi elichaphazelayo kunye ne-oncologists bajonga iindlela zokuthintela ukuba le mpu.
Iimiphumo zangexesha elide ezinokwenzeka
Xa uphakathi kwe-chemotherapy awufuni ukuba ucinge ngemiphumo yexesha elide le-chemotherapy. Emva koko, oko kubalulekile namhlanje kusasaza umdlavuza. Kodwa kubalulekile ukuba uqaphele ezinye zezi ngxaki.
- Isifo se-Lung - I- pulmonary toxicity (umonakalo wemiphunga) ukusuka kwi-chemotherapy yinto echaphazelekayo yecalaomycin, ngokukodwa kwizigulane ezidala. Xoxa noogqirha malunga neempawu onokuzilindela, kwaye kuya kwenzeka ntoni ukuba uphuhliso lwalolu cala.
- Isifo senhliziyo - i- Adriamycin (doxorubicin) ingonakalisa intliziyo kwabanye abantu. Ugqirha wakho uya kuthetha nawe malunga neemvavanyo ukujonga intliziyo yakho ngaphambi kokuba unyango, kunye neempawu zalo mphumo.
- Ukungenzi lutho - Ukwelashwa kwe-Hodgkin isifo kunokuchaphazela ukuzala kwakho emva koko. Thetha ugqirha wakho malunga namathuba oku kuza kwenzeka, kwaye oko ungakwenza ngaphambi kokuba unyango ulondoloze ukuzala kwakho.
> Imithombo:
> I-American Cancer Society. I-Chemotherapy kwiHodgkin Izifo. Ukuhlaziywa 02/09/16.
> IYunivesithi yaseMichigan Centre yeCarcer Comprehensive. I-ABVD Chemotherapy I-Regimen yezifo zeHodgkin.
> Stamatoullas, A., Brice, P., Bouabdallah, R. et al. Isiphumo sabanyango abadala kunama-60 engama-classical i-Hodgkin Lymphoma Ephathwayo Ngaphambili I-ABVD I-Chemotherapy: Iziganeko eziPhezulu zePulmonary Zithethelela ukunciphisa ukusetyenziswa kweBleomycin kwi-Elderly. IBritish Journal yeHematology . 2015. 170 (2): 179-84.