Chemotherapy yemukenza wemapapu. Nzira yekurapa mutsa wemapapu

Kenza yemaperembudzi ndiyo chirwere chakanyanya kukura, iyo ikozvino ndiyo inokonzera rufu rwepasi. Chirwere ichi chinowanzokonzera vakwegura, asi chinogona kusangana nevechidiki. Kanzira yekodhi yakarurama yakakurumbira kupfuura yakasara, kunyanya tumarara inowanikwa mumusoro welobe.

Zvinokonzera chirwere chacho

Zvinotyisa, makore zana akapfuura rudzi urwu rwewe oncology rwaifungidzirwa ishoma chaizvo. Kunyange zvakadaro, kuwedzera kunoramba kuripo kwevanhu vanoputa kwakakonzera kuwedzera kusati kwamboitika mumhando iyi yekenza. Nhasi, kukurudzira kushandiswa kwehupenyu hwehutano hwakanaka kuri kuitwa munyika yose, asi, pasinei neizvi, kusvuta, uye naizvozvo iyo inoramba ichikanganisa utsi hwefodya pamapapu, inoramba iri zvikonzero zvinokonzera kukura kwechirwere. Kufurikidza nekuonekwa kwemukenza wemapapu uye makemikari mumhepo yakasvibiswa, asi kusvika pamwero muduku, uchienzaniswa neutsi hweutsi.

Zviratidzo Zvokuona

Gore negore nhamba huru yevanhu vanofa kubva kune iyi maitiro e oncology. Kunyange kune dzimwe nyika dzine maitiro ehutano hwakanaka, hazvibviri kurwisa zvakasimba chirwere chinotaurwa. Ichokwadi ndechokuti muhuwandu hwemapupi emapapu emapapu chete anowanikwa mune imwe nzvimbo isingachagoni kuitika: mastasine yakapararira kune dzimwe nhengo hadzina kupa mukana wokurarama. Kuoma kunzwisisa kwekutsvaga kunotsanangurwa nedzimwe nzira yekurapa kwechirwere, pamwezve, kazhinji chirwere chacho chinotorwa nokuda kwehutano hwakasiyana. Uye zvakadaro, nyanzvi dzinyanzvi dzinoshandisa huwandu hwakazara hwemazuva ano hutachiona hutsva hunogona kuona chiremera chiri mukutanga kwekutanga; Muchiitiko ichi, mikana yekudzoka yakanyanya kuwedzera. Chirwere chinotyisa chinofanira kurapwa nenzira yakaoma, uye chemotherapy yemapapu inowanikwa chikamu chekubata kwakadaro. Ngatitaurire pamusoro payo zvakadzama.

Chii ichocho?

Chemotherapy yemukenza wemapapu inosanganisira kuparadzwa kunokonzerwa nemasero ekenza pamwe nekubatsirwa nemishonga inodhaka. Inogona kushandiswa iri yoga kana inosanganiswa nemirairo uye kurapwa kwekuvhiya. Pazvikamu zvina zvemukenza wemapapu (metastases yakapararira kune dzimwe nhengo), chemotherapy haigoni kubviswa, asi nzira iyi yekurapa inogona kushandiswa kuwedzera hupenyu hwomurwere. Zvakawanda zvinoenderana nekugadzirwa kwemarara. Nokudaro, chemotherapi yemukenza mutsva memapapu emapapu inogona kuva yakakosha, sezvo inonyanya kufunga nezvekuguma kwemakemikari emishonga. Asi kwete-duku kemukari carcinoma inowanzoratidza kusagadzikana kwemishonga iyi, saka varwere vane chirwere ichi chinowanzosarudza kushandiswa kwakasiyana.

Kuchinja pamuviri

Uye chemotherapi yemapapu ane imwe nguva nguva dzose: mishonga inoshandiswa inoshandisa zvinokanganisa kwete chete kurarama kwenguva pfupi uye nekukurumidza kuparadzanisa kenza masero, asi, nhamo, uyewo ane utano. Panguva imwecheteyo, chirwere chekudya, ropa, mafupa emitsipa, misoro yemvere inotambura zvikuru. Pamusoro pemigumisiro iyo isingadziviriki, apo chemotherapy inotarisirwa, tichataura zvishoma gare gare. Iye zvino ngatitaurirei nezvezvipi zvinodhaka zvinowanzoshandiswa kuuraya chiremara.

Chemotherapy yemukenza wemapapu

Nechisarudzo ichi chokutapa, zvinopfuura makumi matanhatu marudzi emishonga anoshandiswa. Nyaya inowanzozivikanwa nemapurisa anonzi cisplatin, gemcitabine, docetaxel, carboplatin, paclitaxel, vinorelbine. Kazhinji, mishonga inobatanidza, somuenzaniso, kushandiswa pamwe chete kwe paclitaxel uye carboplatin, cisplatin uye vinorelbine, nezvimwewo. Chemotherapy yepapu inogona kuitwa nekutora mishonga mukati kana mukati. Kazhinji kazhinji, zvinodhaka zvinoshandiswa nekunyura. Iyo oncologist inosarudza dingirwo kune mumwe murwere mumwe nomumwe, ichienda kubva padanga rekukura kwechirwere uye chimiro chayo. Mushure mokutora kamu chemotherapy, kupumha kunotorwa mukurapa kwemavhiki maviri kusvika matatu kuitira kuti muviri upone zvakare. Zvidzidzo zvinoitwa zvakanyanya sekugadzirirwa, asi nguva imwe neimwe iyo mishonga inoshandurwa, nokuti kenza dzemakemikari zvakakurumidza uye nyore nyore kutarisa kune zvinokonzerwa nazvo. Chemotherapy yemukenza wemapapu inowanikwawo nemishonga inotarisirwa kugadzirisa migumisiro yemigumisiro.

Matambudziko

Sezvatotaurwa, pamwe nemigumisiro iyo muviri unowana kubva pakushandiswa kwamakemikari (nekuparadza nekudzikisa kupararira kwekenza masero), zvinokonzera kukuvara. Kare mushure mekutanga kurapwa, varwere vanotanga kunangana nematambudziko: vane chirwere, kusuruvara, kusuruvara, manzwiro ekuneta zvakanyanya, muronda wemuromo zvinogona kuonekwa. Bvudzi mushure mekemotherapy rinokurumidza kubuda, saka vazhinji havana chokusarudza kunze kwekuti vveve misoro yavo. Zvadaro zviratidzo zvekudzvinyirirwa hemopoiesis zvinokura: hemoglobin uye nhamba yehurocyte inoderera, chirwere chepfungwa chinoratidzika, uye hutachiona hwepachipiri hunobatanawo. Zvimwe migumisiro yechirwere mune varwere zvinowanzokonzera kuora mwoyo kwakanyanya, izvo zvinowedzera kunaka kwehutano, saka iye zvino vanachiremba vanoshingaira kushandisa nzira dzakasiyana-siyana kuderedza mamiriro evarwere. Somuenzaniso, kudzivirira kusuruvara, kushandisa mushonga unorwisa antiemetic, uye kudzivisa kusuruvara kwebvudzi, ivo vanonatswa, vasati vaisa doro.

Chikafu panguva yekurapa kwakadaro

Apo chemotherapy inogadzirwa nemukenza wemapapu, kudya kwakakosha kunofanira kuonekwa. Chikafu chakakosha kune vanorwara nekenza hachina kupiwa, asi zvinoratidzwa kuti idye zvokudya zvine mavitamini uye kuvandudza basa rematumbo. Zvakakosha kuisa mimwe miriwo nemichero sezvinobvira muzvokudya (zvinogona kudyiwa zviri zviviri zvitsva uye zvakabikwa, zvakabikwa, mumashizha zvakagadzirirwa kuvhara) uye zvinonatswa nemiti. Zvose izvi zvichava simba rakanaka remushonga kune murwere. Mukuwedzera, unofanirwa kudya zviya zvine proteine (huku, hove, cottage cheese, nyama, mazai, marumusi, marimu, gungwa) uye ma carbohydrates (mbatatisi, rizi, zviyo, pasta). Yoghurts, mazai emukaka, sweet cream, maruva akasiyana-siyana anogamuchirwawo. Kuramba panguva yekushandiswa kwemakemikari kunofanira kubva kune mafuta uye zvinonaka zvezvokudya, anyanisi, garlic, zvinonhuwira. Zvakakosha kunwa mvura yakawanda, kunyanya pamazuva ekutora makemikari, nokuti mvura inobatsira kubvisa tsvina kubva mumuviri. Nokurapa kwakadaro, varwere vane maonero ekunhuhwirira uye zvinovhenekera, saka pane kungasava nechido, asi iwe haungavi nenzara chero ipi zvayo, iwe unoda kudya kazhinji uye mune zviduku zvishoma. Inofanira kuyeukwa kuti chikafu chikamu chekuporesa, nokuti zvokudya zvinopa simba rekudzorera.

Nzira yekuchechechera chemotherapy iri nyore sei

Pakati pemakemikari, nzira yekushandisa mazambiringa kana maapuro inobatsira kukurira kusangana kwekunyara, asi kunwa mvura yakakonzerwa panguva dzakadaro kunorambidzwa zvachose. Mushure mekudya, zvinokurudzirwa kuti ugare kwemaawa mashomanana uri pachigaro, usaenda kunorara, sezvo izvi zvinokonzera kuora mwoyo. Chemotherapi yemukenza wemapapu ichapa zvakanakisisa zvingaguma kana murwere ari panguva yakadaro kuti awane huwandu hwakanaka hwekunzwa, iyi ndiyo inenge iri mamiriro makuru ekubudirira kubudirira. Kukurukurirana nemhuri uye shamwari, kuverenga mabhuku anonyadzisa, kutarisa zvirongwa zvekuvaraidza zvichabatsira kukunda zvakaipa. Murwere anodikanwawo kutora mabhakitiriya emukaka, nokuda kweizvi zvinetso zvakadai se "Bifidofilus" kana kuti "Floradofilus" zvakakodzera, nekuda kwekudya kwavo, kurasikirwa kwebvudzi kunogona kumira. Mushure mokurapa, mushonga we "Chiropa 48" unorayirwa, unobatsira pakudzorerwa kwechiropa uye kuwedzerwa kwehemoglobin.

Migumisiro yekurapa

Kubudirira kwechemotherapy yemapapu emapapu kuchave yakakwirira kare kare chirwere chacho chakaonekwa. Zvakawanda zvinoenderanawo nezvinoitwa nemuviri, izvo zvinodiwa zvechiremba vanachiremba, iyo midziyo yekenza nzvimbo iyo kurapwa kunoitwa. Varwere vakawanda vanobatanidza kubudirira kwemakemikrasi uye kuoma kwemigumisiro, asi izvi hazvina kururama. Mazuva ano oncology inokonzera kunyanya kurwisa zvinetso zvekurapa uku, uye zvisinei nemigumisiro yakaipa ye chemotherapy yakawanda kwazvo. Asi usakanganwa kuti zvose ndezvenguva pfupi, uye nokukurumidza zvinonyangarika, uye kuitira kuti pashure uve munhu ane hutano uye anofara, unogona kutsungirira chero matambudziko!