Ukukhunjulwa Kwemitha Emva kweKhemotherapy kunye noTywala
Uyakhumbula ukuthini i-radiation and what should you know if you are receiving (or received) both chemotherapy and radiation therapy for cancer?
Sibanzi
Ukukhunjulwa kwemitha kuyindlela yokuvuvukala eyenziwa ngamanye amaxesha xa umntu efumana i- chemotherapy elandela unyango lwe-radiation yomhlaza. Iimpawu zinokuthi zenzeke emva kweentsuku ezimbalwa emva kokuba unyango lwamayeza lugqityiwe, okanye kwiminyaka kamva.
Akuqinisekanga ukuba kwenzeka kangakanani le nzekayo ekuphenduleni kakuhle, kodwa uphando oluthile lucinga ukuba lwenzeka kwiipesenti ezingama-9 zabantu abahamba ngezobini zonyango kunye ne-chemotherapy yomhlaza.
Iimpawu
Iimpawu zokukhumbula umbane zibangelwa ukuvuvukala kwiphondo eyayiphathwa ngaphambili.
I-radiation khumbula i-dermatitis - Olunye uhlobo oluqhelekileyo lokusabela ngumoya ukukhumbula i-dermatitis, ukugqithisa kwesikhumba okubandakanya ubomvu, ukuvuvukala, kunye / okanye ukukhahlela kwesikhumba. Ukukhawuleza kudla ngokubuhlungu kwaye kunokubonakala ngathi ukutshiswa kwelanga. Oku kudlalwa ngokulandelwa ngokulandelwa kwesikhumba emva kokuphilisa. Ubungakanani bexesha ukugqithisa kuqhubeka kunokuhluka kwiiyure ezimbalwa kwiintsuku eziliqela.
I-radiation khumbula i-pneumonitis (ukuphazamiseka kwemiphunga) - Ukukhumbula i-radiation kunokuchaphazela nemiphunga. Ekubeni i- radiation pneumonitis engahambelani nokukhumbula iyakwenzeka kwabanye abantu emva kokunyanga kwamayeza, oku kunokuba nzima ekuqaleni ukuhlula.
Ngombulelo baphathwa ngendlela efanayo.
Ezinye iindawo ezingasichaphazelekayo ziquka umlomo (ukukhumbula i-radios mucositis), i-larynx, isisu, isisu, isisu esincinci, imisipha (i-radiation memory myositis), kunye nengqondo.
Izizathu
Akukho mntu uyazi ngokuqinisekileyo oko kubangelwa ukuphendulwa kwemijelo yeemitha, kwaye ezininzi iingcamango ziye zacetyiswa.
Inyelelo eqhelekileyo kukuba yindlela ethile yokuphendula ngokuxhomekeka komzimba eyenziwe ngokudibeneyo kwemitha kunye ne-chemotherapy.
Iimpawu ezinokuthi zingabangela
Nangona ukukhumbula komlilo kuye kwabikwa ngokuqhelekileyo ngamachiza e-chemotherapy, amanye amayeza, njengama-antibiotiki kunye nokuxhaswa kwemifuno, ziye zadibaniswa neempendulo zokukhumbula umbane.
Amachiza amaninzi amatsha e-chemotherapy avunyelwe kwiminyaka yakutshanje kwaye kubalulekile ukuqwalasela ukukhumbuza i-radiation xa umntu ehlakulela nayiphina impawu emitsha yokuvuvukala ngexesha lokunyuka kwamakhemikhali. Amachiza e- chemotherapy aqhelekileyo anxulumene nokukhumbula i-radiation kubandakanya:
- I-Adriamycin (doxorubicin)
- I-Doxil (liposomal doxorubicin)
- I-Taxotere (docetaxel)
- I-Taxol (paclitaxel)
- Gemzar (gemcitabine)
- 5-FU (fluorouracil)
- Xeloda (capecitabine)
- I-Cosmegen (dactinomycin)
- Rheumatrex (methotrexate)
Ngomdlavuza wamaphaphu, ukukhumbula ukukhanya kwemitha kwaxelwa kwakhona kwisigulane kwipilisi ejoliswe kuyo iTarceva (erlotinib) ilandelayo imitha.
Ukuxilongwa
Akukho luvavanyo oluthile oluchaza ukukhumbula ukukhanya kwemitha, nangona ukugqithisa kwesikhumba kunokubonakala kakuhle. Njengoko kuphawuliwe kwangaphambili, nayiphi na ixesha xa umntu ekhula ukuvuvukala kwesilwanyana esitsha emva kokuba ekhutshwe ngaphambili ngonyango lwamayeza kuloo ndawo, ukukhunjulwa kweemitha kufuneka kukhunjulwe.
Ngokuqhelekileyo ukuba indawo ebandakanyekayo yinto eqhelekileyo phambi kokutshabalala kwangoku. Ngamanye amazwi, akukhona ukugqithisa ukugqithisa okubangelwa yimitha ngexesha lotyando.
Unyango
Ukunyangwa kwempendulo yokukhumbula umbane ngokuyinhloko kukuncedisa ukunyamekela-ukulawula iimpawu kude kube yinkinga.
Ukuphelisa umthombo wempendulo (umzekelo, ukuyeka isichemotherapy isicatshulwa njengento enoxanduva) ngokuqhelekileyo isinyathelo sokuqala. Ukukhumbula i-radiation kubonakala kubekho iziyobisi ukwenzela ukuba ukutshintshela kwenye iyeza kungabangela iingxaki ukuba sisisombululo esinokwenzeka.
Amachiza afana ne- corticosteroids kunye nokulungiselelwa okuchasayo angasetyenziselwa kwezinye iimeko ukunciphisa ukuvutha.
Ukukhumbuza i-dermatitis ye-radiation, ukugqoka iingubo ezingenakuchukumisa ezenziwe ngendwangu ezingenakuchukumisa kunokukunceda ukhululeke. Ukuxinwa okupholileyo kuncede abantu abathile baphathe kakubi, kodwa kubalulekile ukujonga ugqirha wakho malunga neziphakamiso zakhe. Nangona ukukhawuleza kuphulukisa, kubalulekile ukuba ugweme nayiphi na into engadlukisayo ukukhawuleza, njengokwenyuka kwelanga kunye nokushisa kwelanga.
Thintelo
Ngelishwa, akunakwenzeka ukuqikelela ukuba umntu uya kuthatha isigqibo kwiyeza ezithile ze-chemotherapy okanye amanye amayeza emva kokunyanga kwamayeza. Ukuba umntu ubenomdla wokukhumbula ukukhumbula i-radiation ngesinye isikhathi, akuqinisekanga nokuba kuya kwenzeka okwesihlandlo sesibini.
Ukukhunjulwa kwemitha kubonakala kungenakuqhelana xa ixesha eliphakathi kweyeza kunye ne-chemotherapy lide, kodwa ukwandisa ixesha phakathi kwonyango lwe-radiation kunye ne-chemotherapy akunokuba yinto ekhethekileyo ukuba ngaba umhlaza ucinga ukuba uphendule kangcono ukuba le nyeza isondelelene.
Imithombo:
Awad, R., noL. Nott. I-radiation khumbula i-pneumonitis eyenziwa yi-erlotinib emva kwe-radiotherapy ye-thoracic ye-radiotherapy yomdlavuza wamaphaphu: ingxelo yengxelo kunye nokuphononongwa kwincwadi. I-Asia Pacific Journal ye-Clinical Oncology . 2016. 12 (1): 91-5.
Azria, D. et al. Isikhumbuzo sikhumbuzo: into eqondwa kakuhle kodwa engayihoywa. Uphononongo lweZonyango . 2005. 31 (7): 555-70.
Burris, H. noJ. Ukukhunjulwa kweemvula kukukhumbuza ngamagunya anticancer. I-Oncologist . 2010. 15 (11): 1227-37.
Caloglu, M. et al. Isiganeko esibangeleko semitha kunye neziyobisi: khumbula ukuphendula. Onkologie . 2007. 30 (4): 209-14.
Kodym, E. et al. Ukuphindaphinda kwamayeza okukhumbula i-radiation kwizigulane zabantu abadala. Onkologie . 2005. 28 (1): 18-21.