Iimpawu zokusebenzisa i-Ixempra kwi-Metastatic Breast Cancer
U-Ixempra uyisistim e- chemotherapy esisetyenziselwa ukuphatha umdlavuza webele . Isetyenziswe emva kokuba ezinye iziyobisi ziye zazama kwaye umhlaza wakho awuphendulanga, okanye awusayi kuphendula unyango. Ixempra ilungu le-epothilones, kwaye yavunywa yi-FDA ekwenzeni unyango lomhlaza we-metastatic ngo-2007.
Kwaziwa nangokuthi: Ixabepilone
Ukusetyenziswa kweCanscer Breast
Eli seziyobisi lisetyenziselwa ukuphatha umdlavuza wesifuba se-metastatic okanye sasekhaya.
Ixempra imiselwe ngokukodwa kwizigulane ezinokuxhatshazwa kwezidumbu, okanye ezingenakunceda kwi-anthracyclines (njenge- Adriamycin ), iirhafu (ezifana ne-Taxol), kunye ne-capecitabine (Xeloda). Ixempra inokuba yinto encinci kunamanye ala mayeza athile ukuba asebenze ngethuba lexesha (ukukhuphaza.)
Ingaba isebenza kanjani
Ixempra yinxalenye yeklasi ye-antinoplasti yeklasi yeziyobisi. Esi sidakamizwa sithintela okanye sivimbela ukukhula kwe-neoplasm, okanye isisu, ngokuthintela ukwahlula kwesellu. Ekubeni iichiza liphazamisa ukwahlukana kweeseli, kubangele ukuba nemiphumo echaphazelekayo yechemotherapy (jonga iphepha 2).
Indlela i-Ixempra inikwe ngayo
I-Ixempra inikezwa njenge-infusion engenayo i-intravenous infusion kwi-vein okanye kwi- portotherapy port . Inokunikezwa yodwa, okanye ngokubambisana nesichengiselwano somlomo Xeloda (capecitabine.)
Phantse iyure ngaphambi kokunyuswa kwakho, uya kunikwa ukulungiswa okunciphisa ithuba lakho lokuphendula. Ukuba unayo impendulo, uyakunikwa i-steroid ngaphambi kokungeniswa kwakho.
Esi sigqirha sisoloko sinikwa kanye emva kweeveki ezintathu, kwaye ukunyanzelisa kuthatha iiyure ezintathu nganye.
U-Ixempra uyisistim e-chemotherapy esisetyenziselwa ukuphatha umdlavuza webele we-metastatic. Njengoko naliphi na isicatshulwa, inomngcipheko wezityalo ezichaphazelekayo - kungekhona zonke eziza kuba nazo wonke umntu ozithathayo.
Iimpembelelo eziqhelekileyo ze-Ixempra
- I-peripheral neuropathy - I- neuropathy ngenxa ye-chemotherapy ingabangela ukuphazamiseka kunye nentlungu ezandleni nasezinyaweni.
- Ukukhathala
- Ukulahleka kokutya
- Ukulahleka kweenwele
- Iingxaki ngeeminwe kunye nezikhonkwane
- Fever
- I-anemia (inani elibomvu leeseli legazi)
- I-Thrombocytopenia (inani eliphantsi leplatelet)
- Intloko
- Intlungu ehlangeneyo kunye neentlungu
- Isihlunu kunye nokuhlanza
- Idayarrhea okanye ukuzitywa; intlungu zesisu
- Izilonda emlonyeni wakho, ngaphakathi emlonyeni wakho kunye nesifo
- Isifo seenyawo zonyawo (ithenda, ebomvu, esomileyo kunye ne-peeling skin)
Imiphumo emibi ye-Ixempra
- I-Neutropenia ( inani elisezantsi legazi legazi elimhlophe; umngcipheko wesifo)
- Ukusabela okuvakalayo (ukucheka; ukuvuthwa; ukugqithisa; ubuso obushushu;
Ezinye izingozi zokusebenzisa Ixempra
- Ingabangela ingozi kwiintsana ezingakazalwa
- Kwangathi ungene ubisi lwebele
- Ingabangela iziphumo ezimbi kwizigulane ezinesifo senhliziyo
Khumbula i Radiation
Ukuba i-Ixempra isetyenziswe kungekudala emva kwesigulane sithola unyango lwe-radiation, kunethuba lokuhlakulela ingxaki ebizwa ngokuba yi-radiation . Ukukhunjulwa kwemitha kwenzeka ngenxa yokuvuvukala kummandla apho kunikwe umbane, kwaye kunokubangela ukuba ubomvu, ukuvuvukala, kunye nokuhluma.
Ungathathi i-Ixempra Ukuba:
- Unobungozi obusondelene nesibindi
- Unengxaki yesibindi kwaye sele usuthatha i-capecitabine
- Unomdla we-Cremophor EL okanye ioli ye-castor
- Isalathisi segazi elimhlophe liphantsi kwama-1500 amaseli / mm3 okanye izibalo zeplatelet zingaphantsi kwe <100,000 cells / mm3
- U khulelwe
Iingcebiso Ngethuba loNyango
- Sebenzisa ukukhulelwa kwezilwanyana ukukhusela ukukhulelwa
- Gwema i-juice ye-grape ngexesha le-infusion, njengoko inokuphucula imiphumo yakho
- Gweba ukuqhuba okanye ukusetyenziswa kwamatshini, njengoko utywala e-Ixempra kunokubangela ukulala nokusila
Ukusebenzisana kweziyobisi
Ngenxa yokusebenza kwayo, i-Ixempra inokusebenzisana namanye amachiza athile. Thetha kwi-oncologist yakho ngaphambi kokuba uthathe nawaphi na amanye amayeza okanye ukuncedisa okunomsoco ngelixa usebenzisa i-Ixempra.
> Imithombo:
> Denduluri, N., noS S. Swain. Ixabepilone: indima yeklinikhi kumdlavuza webele weemetastatic. Cancer Clinic . 2011. 11 (3): 139-45.
> Schott, A. Ukwelashwa kwenkqubo yomhlaza wesifo se-metastatic kubesifazane: I-Chemotherapy. Isemgangathweno. Ukuhlaziywa 08/21/15. http://www.uptodate.com/contents/systemic-treatment-of-metastatic-breast-cancer-in-women-chemotherapy
> Takiar, V. et al. Ukusebenzisana kwe-locoregional ye-ixabepilone (ixempra) emva komhlaza webele webele. Oncologist . 2013. 18 (3): 265-70.