Ka Hortagga Daaweynta iyo Daaweynta Kiimiko-daweynta-Lalabbo iyo Matag
Lalabbada iyo mataga waa mid ka mid ah dhibaatooyinka ugu caamsan ee daaweynta kiimiko . Nasiib wanaag, daaweynta iyo ka hortagga calaamadahaan ayaa soo maray hab aad u dheer, dad badanina iminka way yar yahiin ama yaan lallabo. Ahaanshaha firfircoonida iyo barashada fursadaha daaweynta ee kahor wakhti badan ayaa ku socon kara wakhti dheer marka la samaynayo, waqtigan, si aad u raaxo leh.
Maxaa sababa lalabada iyo mataga inta lagu jiro kiimiko daaweynta?
Chemotherapy waxay u horseedi kartaa lallabbo iyo matagid dhowr siyaabood.
Sababta ugu caansan waa firfircoonaanta aagagga nidaamka dareenka oo matagaya matag. Mararka qaar daawooyinka kemotherabi ee la socda daawooyinka kale waxay ka xanaajin karaan qolka caloosha. Haddii aad hore u qaadatey daaweynta kemotherabi, maskaxdaadu waxay soo xusuusin kartaa sida aad dareentay wakhtigaas, wax la yiraahdo lallabbo.
Maxay suurtagal tahay inaan ogaado calaamadahan?
Fursadaha aad ku dareemeysid lallabbo waxay ku xiran tahay dhowr arrimood. Lallabadu waxay ku badan tahay bukaanka da'da yar, dheddigga, iyo kuwa leh taariikhda jirrada mawjada. Waxay sidoo kale kuxirantahay daawooyinka kemotherabi ee lagu daaweynayo. Lalabbo ayaa dhici karta isla markaaba ka dib markaad bilowdo kiimoteraabiga (lallabo) ama billowdo wax ka badan 24 saacadood ka dib daaweyntaada (lalabada oo dib loo dhigo).
Bulshada Mareykanka ee Oncology waxay soo saartey nidaam qiimeyn ah oo suuroggal ah in lallabada iyo matagida dhowr wakiil oo kiimiko ah.
Waxay u kala soocaan halista sare (matag ayaa lagu qoray 90% bukaanada), khatarta dhexdhexaadka ah (matag 30 ilaa 90 boqolkiiba), khatarta hoose (matag 10 ilaa 30 boqolkiiba), iyo khatarta ugu yar (matagidda in ka yar 10 boqolkiiba ). Dawooyinka caadiga ah ee loo isticmaalo kansarka sanbabada iyo khatarta la xiriirta lallabada iyo mataga waa:
- Khatarta sare - Platinol (cisplatin)
- Khatarta Dhexe - Paraplatin (carboplatin), Adriamycin (doxorubicin), Ifex (ifosfamide), Camptosar (irinotecan)
- Khatarta hoose - Cunto-saaraha (docetaxel), Vepesid (etoposide), Gemzar (gaas dustin), Taxol (paclitaxel), Alimta (astexed),
- Halis aad u yar - Oncovin (vincristine), Navelbine (vinorelbine), Avastin (bevacizumab)
Waa Maxay Daaweeye Muhiim Ah?
Daaweynta lallabada iyo matagiddu, dabcan, waxay muhiim u tahay caafimaadkaaga maskaxda inta lagu jiro daaweynta. Qofna kuma raaxaysto dareemid. Laakiin sidoo kale waa muhiim jir ahaan. Lalabbada iyo matagida waxay keeni karaan fuuqbax iyo nafaqo la'aan. Dhibaatada joogtada ah waxay keeni kartaa in ilmuhu cuncun qabo. Kuwa loogu talagalay qalliin , matagiddu waxay noqon kartaa mid xanuun badan waxayna keeni kartaa in meesha lagaa jeexo.
Fursadaha Daaweynta
Labada daawo iyo daaweyn kale oo daaweyn ah sida acupuncture waxay kaa caawin kartaa lallabbo iyo matagid la xiriirta kiimiko.
Daawooyinka:
Fursado dhowr ah ayaa la heli karaa si loo daaweeyo lallabbada ka timaadda kiimiko. Maaddaama daawooyinka badanaa ay wax ku ool yihiin ka hor intaan lalabada bilaabmno, dad badan ayaa lagu daaweeyaa daawooyinka antinosis (antiemetic) ka hor intaanay wax calaamado ah lahayn. Daawooyinka qaarkood ayaa si joogta ah loo siiyaa, iyo qaar ka mid ah astaan u baahan.
Daawooyinka waxaa laga yaabaa in lagu siisto afka, lafdhabarta, maskax ahaan, ama sublayn ahaan (carrabkaaga hoostiisa). Qaar badan oo ka mid ah dawooyinka ladagaallanka ladagaallanka waxay ku shaqeeyaan weerarro farsamooyin kala duwan, sidaas awgeed isticmaalida isku-dar ah daawooyinka ayaa laga yaabaa inay ka waxtar badan yihiin hal dawo oo kali ah. Qaar ka mid ah daawooyinka caadiga ah ee loo isticmaalo kali ama isku jira ayaa waxaa ka mid ah:
- Dareeso (xakameyn)
- Decadron (dexamethasone)
- Anzemet (dolasetron)
- Kytril (granisetron)
- Droperidol (haloperidol)
- Ativan (lorazepam)
- Reglan (metoclopramide)
- Zofran (ondansetron)
- Aloxi (palonosetron)
- Compazine (prochlorperazine)
- Phenergan (promethazine)
Daaweyn Kale / Dhammaan Daawooyinka
Qaar ka mid ah daaweynta isku dhafan ayaa sidoo kale kaa caawin kara xakamaynta lalabada inta lagu jiro kiimoteraabiga.
Machadka Qaranka ee Caafimaadka ayaa soo saartay hadal sheegaya in acupuncture uu waxtar u leeyahay lallabo-ku-sheegidda laf-dhabarka , waxaana laga yareeyn karaa baahidaada daawooyinka. Bucshirada Acupressure ayaa sidoo kale caawin kara.
Cannabinoids
Muran weyn oo ku hareereysan isticmaalka cannabinoids (marijuana) ee lallabada inta lagu jiro kiimoterapiga, isticmaalkuna waa uu ku kala duwan yahay dunida oo idil. Machadka Kansarka Qaranka wuxuu ka dhigan yahay cannabinoids, halkaas oo sharci ahaan, laga yaabo inay ka shaqeyso sidii looga hortagi lahaa matagga ay sababto noocyo kala duwan oo kiimiko ah.
La Qabsashada Lalabbada Iyo Matag Inta lagu Jiro Kiimiko
Daawooyinku waxay samayn karaan waxyaabo badan oo yareeya lallabbo iyo matag kuwaas oo dhici kara inta lagu jiro daweynta kiimiko, laakiin tallaabooyin yar oo fudud ayaa sidoo kale caawin kara sidoo kale:
- Cun cuntooyin yaryar, cunto badan - Ka fogow cunista cunto badan, ama aad u dheer oo aan cunin
- Ka fogow cabitaanka cabitaannada waqtiga cuntada
- Ku dhaji qummanaanta ka dib cunista nus saac
- Iska ilaali urta kaa dhigi kara inaad lalabbasho
- Iska ilaali cuntooyinka dufanka badan iyo dufanka ka hor intaysan dawooyinka kiimiko ku daaweyn
- Xiro dhar daboolaya calooshaada
- Badbaadi cuntooyinka aad ugu jeceshahay markii lagugu sameeyo kiimiko
- Cab cabitaano fara badan
- Ka fogow sigaarka
- Iska ilaali jimicsiga ka dib markaad wax cunaysid
- Cuntadaada iyo raashinkaaga ka dhig sida suurtogalka ah ee suurtogalka ah
Markaad wacdo Dhakhtarkaaga
U ogolow dhakhtarkaagu inuu ogaado lallabo ama matag aad ku aragto booqasho kasta. Inta u dhaxaysa booqashooyinka, hubi inaad u soo wacdo haddii:
- Daawooyinkaaga maaha kuwo xakameynaya lalabadaada
- Waxaad leedahay matag joogto ah
- Waxaad yeelataa xanuunka caloosha
- Waxaad la kulantaa waxyeelo aad u maleyneyso inay la xiriirto daawooyinka ladagaallankaaga
- Haddii lalabadaada ay faragalin ku yeelato awoodda aad u leedahay inaad cunto ama cabto cabitaano
> Ilo:
> Fukazawa, Y. et al. Qalabka daaweynta fayo-dhawrka ee elektroakupuncture. Fikradda hadda ku jirta daroogada baaritaanka . 2009. 10 (1): 62-9.
> Hesketh, P. Chemotherapy-La Lumiyo Lallabo, iyo Matag. Wargeyska New England Journal of Medicine . 2008. 358: 2482-2494.
> Machadka Kansarka Qaranka. Lalabbo iyo Matag (PDQ). Tafaasiisha Caafimaadka ee Caafimaadka. La sii daayo 01/04/16. https://www.cancer.gov/cancertopics/pdq/supportivecare/nausea/healthprofessional
> Machadka Kansarka Qaranka. Cannabis iyo Cannabinoids. La sii daayay 01/08/16. https://www.cancer.gov/about-cancer/treatment/cam/patient/cannabis-pdq/#link/_13
> Machadka Kansarka Qaranka. Wax ka qabashada saameynta daaweynta kemotherabi. Lalabbo iyo Matag. 11/24/08. https://www.cancer.gov/cancertopics/chemo-side-effects/nausea
> Navari, R. Maamulaha Faragelinta ee lallabo-ku-daweynta lalabada iyo matagidda: diiradda saara horumarkii dhawaa. Daroogooyinka . 2009. 65 (5): 515-33.