Inta badan iyo ugu daroogada badanaa daroogada ah inay joojiyaan timaha
Chemotherapy waa daaweyn nidaam ah oo dhakhtarku kuu qori karo si uu ula dagaalamo kansarkaaga. Inkastoo ay jiraan waxyaabo badan oo ka iman kara daaweynta kiimikada, mid ka mid ah kuwa ugu cabsi badan waa timo lumis. Daawooyinkee intee le'eg ayay u badan tahay in ay kaa dhumaan timahaaga?
Saameynta daaweynta kiimikada
Daawooyinka kiimiko ku daaweyntu waxay u shaqeeyaan iyaga oo farageliya qaybinta iyo koritaanka unugyada degdega ah ee koraya.
Inkasta oo daroogooyinkaasi ay waxtar u yeelan karaan unugyada kansarka, waxay sidoo kale waxyeelo u geystaan unugyada caadiga ah ee jirkeena kuwaas oo si degdeg ah u qaybsan. Tani waxaa ka mid ah timaha timaha (keena timo lumis), unugyada mashiinka dheef dheefshiidka (keena lallabbo iyo matag), iyo unugyada lafahaaga lafta (oo keena unugyada dhiigga cas, yaraanta unugyada cad, iyo unugyada jirka).
Qalabka Timaha oo Ka Jira Chemotherapy
Dhumista timuhu waa mid aad u badan inta lagu jiro daweynta kiimiko ee kansarka naasaha iyo sidoo kale kansarrada kale, inkasta oo daroogooyinka qaarkood iyo hababka maamulka ay u badantahay kuwa kale inay carqaladeeyaan timaha timaha.
Haddii aad leedahay ama aanad lahayn timo lumis iyo heerka timahaaga lumay waxay ku xiran tahay dhowr arrimood oo ay ka mid yihiin:
- Qiyaas daawo kiimiko ah
- Inta jeer ee daawada kiimikada la bixiyo
- Wadada maamulka
- Daawooyinka ama isku darka daawooyinka aad heshay
Warka fiicani waxa weeye in timaha kiimikada ee kemotherabi-ku-dhacdo ay marwalba noqoto mid la beddeli karo.
Timaha luminta inta badan waxay bilaabmaa wakhtigaaga fayruska labaad ee kemotherabi, inkastoo tani ay si aad ah u kala duwan tahay.
Dadka qaar ma lumiyaan timaha oo dhan ilaa ay ka dhow yihiin kemotherabi. Dib-u-kicinta timuhu waxay caadi ahaan bilaabataa 3 bilood gudahood marka lagu soo gebogebeeyo kiimiko. Marka timahaagu dib u soo baxaan, dad badan ayaa ogaaday inay heystaan curiye chemo . Haddii timahaagu toos u ahaa kahor daaweynta kemotherabi waxaa dhici karta inuu mar kale noqdo mid toos ah, laakiin geeddi-socodkani wuxuu qaadan karaa ilaa dhowr sano.
Farsamooyinka qaarkood ayaa la isku dayey in ay ka hortagaan ama yareeyaan timo lumis (fiiri hoos).
Waa Maxay Dawooyinka Chemotherapy?
Waxaa jira tiro ka mid ah walxaha kiimiko ku daaweynta ee loo isticmaalo kansarka naasaha - oo ka mid ah iyaga oo loo isticmaalo isku dhafan. Caadooyinka caadiga ah ee daaweynta daaweynta sida Cytoxan iyo Adriamycin oo ay ku xigto Taxol ayaa badanaa lala xiriiriyaa timo lumis.
Halkan waa liiska dawooyinka kemotherabi - maaha mid gaar u ah kansarka naasaha - kuwaas oo ah kuwa ugu badan uguna yareyn kara inay timo lumiso.
Dawooyinka kiimotroolojiga ee badankood waxay u egtahay inay sabab u tahay luminta timaha
Dawooyinka kemotherabi ee keena timaha luminta dadka badankood waxaa ka mid ah:
- Adriamycin (doxorubicin)
- Cytoxan ama Neosar (cyclophosphamide)
- Taxol (paclitaxel)
- Qalabixiye (docsaxel)
- Cerubine (daunorubicin)
- Feejignaanta (epirubicin)
- VePesid (etoposide)
- Idamycin (idarubicin)
- Ifex (ifosfamide)
- Ixempra (dibad-bax)
- Camptosar (irinotecan)
- Hycamtin (topotecan)
- Navelbine (vinorelbine)
Ixempra (Ixabepilone)
Dawooyinka Chemotherapy ee Daroogada Mararka qaarkood Sababta Timaha
Daawooyinka kemotherabi ee sababa luminta timaha qaar, laakiin dadka oo dhan kuma jiraan:
- Blenoxane (bleomycin)
- Myleran ama Busulfex (busulphan)
- Cytosar-U (cytarabine)
- 5-FU , Fluorouracil, Adrucil (5-fluorouracil)
- Gemzar (gaas dustin)
- Gleostine (daawustine)
- Alkeran (melfralan)
- Thioplex (thiootepa)
- Velban (vinblastine)
- Oncovin (vincristine)
Dawooyinka Chemotherapy Maandooriyeyaasha Tijaabada ah Dhibaatada Timaha
Daawooyinka kemotherabi qaarkood waxay keenaan oo keliya timo yar oo yar, inkastoo ay badanaa la socdaan daawooyinka keena timo badan. Kuwaas waxaa ka mid ah:
- Paraplatin (carboplatin)
- Xeloda (Capecitabine)
- Gliadel (carmustine)
- Platinol (cisplatin)
- Fludara ama Oforta (vludarabine)
- Trexall, Otrexup, Rasuvo (daawada methotrexate)
- Mutamicin (mitomycin C)
- Novantrone (mitroxantrone)
- Procarbazine (oo lagu iibiyo magaca guud ee Maraykanka)
- Purinethol (6-mercaptopurine)
- Zanosar (streptozotocin)
Ka Hortagga Xinjirta Kaadi-Jabka-Kiimiko-La-Kicin
Kuwa xiiseynaya, mararka qaar waxaa suurtogal ah in laga hortago in timuhu ka lumo kemotherabi .
Qaybaha qaboojinta qaboojinta waxay hoos u dhigi karaan boqolkiiba 50 ka mid ah timaha lumista, laakiin waxay la yimaadaan qiimo. Xarumo faleebo badani ma laha cutubyadan, sidaas darteed waxaa laga yaabaa inaad kireysatid qalab qaboojiye.
Qaboojinta sariirta waxay u shaqeysaa iyadoo la dhejinayo marinnada dhiigga ee madaxa ku yaala si daawada kiimiko ku daweyntu ay u yartahay in ay gaarto timaha timaha. Iyadoo kansarrada qaarkood, gaar ahaan kansarrada la xidhiidha dhiigga sida leukemia iyo lymphomas, waxaa jiray walaac ah in qaboojinta ay yareyn karto wax ku oolnimada kiimikada. Inkastoo aysan suurtagal ahayn in ay dhibaato ka timaado kansarka naasaha, qaboojinta madaxa qabowgu wuxuu noqon karaa mid aad u dhib badan, oo la mid ah calaamadaha maskaxda qaboojiyaha aad xasuusan karto inta aad cuni lahayd jalaatada hore.
Daawooyinka sida Rogaine (minoxidil) ayaa sidoo kale la isku dayay, laakiin ma ahan mid wax ku ool ah yaraynta timaha luminta.
Joogtada ah iyo Musuqmaasuq Ku Meel Gaarka ah
Si ka duwan timo lumis ah oo la xidhiidha daaweynta shucaaca, luminta timaha ee ku dhaco kemotherabi waa inta badan ku meel gaar ah. Taasi waxay tidhi, waxaa jiray xaalado yar oo timo joogto ah oo laga soo sheegey dawooyinka kemotherabi qaarkood. Isugeynta FEC (fluorouracil / epirubicin / cyclophosphamide) oo leh docetaxel ayaa lagu soo waramey in ay keento timo joogta ah oo xoog leh dadka qaarkiis kuwaas oo ku dhacay daaweynta kansarka naasaha.
La Qabsashada Xinjirta Timaha
Waxay noqon kartaa mid dareen badan leh oo la xiriirta timaha lumay oo aad la kulantid muddada daaweynta kemotherabi. Inkasta oo dhibaatadani ay tahay mid buuq badan, waxay weli tahay mid ka mid ah dhibaatooyinka ugu cabsi badan. Dhakhtarrada badani waxay kugula talinayaan inaad iibsato doofaarka , koofiyadaha, ama maryaha inta aanay bilaabin daweynta kiimiko. Dhamaan ama qayb ka mid ah kharashka wig ayaa laga yaabaa inuu daboolo caymiskaaga. Si aad u ogaato, si kastaba ha ahaatee, waxaad u baahan doontaa inaad dhakhtarkaaga u qoro warqad rijeeto ah "daaweynta timaha."
Ka hor intaanad tagin, waxaa laga yaabaa inaad rabto inaad eegto aasaaska aasaasiga ah ee iibsashada maskaxda chemotherapy . Waxaa sidoo kale jira ururo bixiya doogo doog ah, koofiyado, ama khariidado loogu talagalay dadka qaba kansarka.
Waa muhiim inaad maskaxda ku hayso in timo luminta ay ku dhici karto dhammaan jidhkaaga. Tan waxaa ka mid ah indhaha, indhaha, timaha maqaarka, iyo waxyaabo kale oo badan. Inkasta oo ay dumarku ku faraxsanyihiin in ay ka xishoodaan lugaha (iyo ragga, wejiyadoodu), indhaheennu waxay qabtaan howl ilaalin ah oo aanad garanayn ilaa aad ka furayso albaab foorno ah ama meel banaanka ah ku jirto. Iska hubi 6 siyaabood oo loo diyaariyo timo lumis ka timaadda kiimiko .
Ereyga laga bilaabo Qalitaanka Timaha inta lagu jiro Chemotherapy
Daawooyinka kemotherabi badanaa waxay keenaan timo lumis, oo ay ku jiraan kuwa loo isticmaalo kansarka naasaha. Dadka qaarkood waxay doortaan qaboojiyaha maqaarka sida habka lagu yareeyo timo luminta halka kuwa kale ay doorbidaan raaxada madaxa diiran iyo qorsheynta horay loogu maro maro ama wig. Xushmadu waa shakhsi ahaaneed waana muhiim inaad sameyso waxa adiga kuu fiican. Nasiib wanaag, badi timaha ayaa ah mid ku meelgaar ah, dumar badanna waxay ogaadaan in timahooda dib ugu soo laabtaan xitaa ka caafimaad badan.
> Ilo:
> Dunnill, C., Al-Tameemi, W., Collett, A., Haslam, I., iyo N. Georgopoulos. Tilmaamaha Qalliinka iyo Bayoolaji ahaaneed ee loogu talagalay Fahamka "Chemotherapy-Alopecia-Alphecia" iyo "Kahortag". Oncologist . 2017 Sep 26. (Epub ka hor daabac).
> Kluger, N., Jacot, W., Frouin, E. et al. Jooniska Joogtada ah ee Alopecia la Xidhiidha Kansarka Naasaha Chemotherapy by Sequential Fluorouracil / Epirubicin / Cyclophosphamide (FEC) iyo Docetaxel: Daraasad Daqli ah oo ah 20 bukaanka. Annals of Onology . 2012. 23 (11): 2879-84.
> Nangia, J., Wang, T., Osborne, C. et al. Saameynta Mucaarad Qaboojiye ee Alopecia ee Haweenka Qaadata Chemotherapy Kansarka Naasaha: SCALP Isbedelka Dacwada Kiliiniga. JAMA . 2017. 317 (6): 596-605.
> Galbeed, H. Chemotherapy-Dhibaatada Timaha (Alopecia). JAMA Onkoloji . 2017. 3 (8): 1147.