ʻO R-CHOP Chemotherapy: Nā ʻaoʻao ʻaoʻao, hana, a me nā mea hou aʻe

Anter

• He aha ka hana a R-CHOP?
• Pehea e hana ai R-CHOP?
• Rituximab (Rituxan)
• Cyclophosphamide (Cytoxan)
• Doxorubicin hydrochloride (Adriamycin, Rubex)
• ʻO Vincristine (Oncovin, Vincasar PFS, Vincrex)
• ʻO Prednisolone
• Pehea e hāʻawi ʻia ai?
• He aha nā hopena ʻē aʻe?
• He aha kāu e ʻike ai ma mua o kou hoʻomaka ʻana i ka lāʻau?
• He aha hou aʻe ʻoe e ʻike ai?

He aha ka chemotherapy R-CHOP?

Hiki i nā lāʻau Chemotherapy ke hoʻoliʻiliʻi i nā tumors a i ʻole pepehi i nā hunaola maʻi ʻaʻai i haʻalele ʻia ma hope o ke ʻoki a radiation paha. ʻO ia kahi mālama ʻōnaehana, ʻo ia hoʻi ke kumu o ka pepehi ʻana i nā hunaola maʻi ʻaʻai i loko o kou kino.

Hana nā lāʻau chemotherapy āpau e pepehi i nā hunaola maʻi ʻaʻai, akā hana lākou ia i nā ʻano like ʻole. ʻO kēia ke kumu e koho pinepine ai nā oncologists i kahi hui o nā lāʻau. Hoʻokumu lākou i kā lākou koho i nā kumu e like me ke ʻano o ka maʻi ʻaʻai āu, pehea ka laha ʻana, a me kou olakino holoʻokoʻa.

Loaʻa iā R-CHOP ʻelima mau lāʻau chemotherapy:

• rituximab (Rituxan)
• cyclophosphamide
• doxorubicin hydrochloride
• vincristine (Oncovin, Vincasar PFS)
• prednisolone

Hiki iā ʻoe ke kiʻi iā R-CHOP me ka ʻole a me nā lāʻau ʻole ʻē aʻe e like me ke kahakaha ʻana a me ka radiation radiation.

He aha ka hana a R-CHOP?

Hoʻohana nui nā kauka iā R-CHOP e mālama i ka lymphoma non-Hodgkin (NHL) a me nā lymphomas ʻē aʻe. ʻO Lymphoma ka maʻi ʻaʻai e hoʻomaka i ka ʻōnaehana lymphatic.

Hiki iā R-CHOP ke mālama i nā ʻano maʻi ʻaʻai ʻē aʻe.

Pehea e hana ai R-CHOP?

ʻEkolu o nā lāʻau i loko o ka R-CHOP he cytotoxics mana, ʻo ia hoʻi ke luku nei lākou i nā hunaola. ʻO kekahi kahi ʻano o ka immunotherapy a ʻo ka hope loa he steroid, i hōʻike ʻia he hopena anticancer.

Rituximab (Rituxan)

Hoʻohana maʻamau ʻo Rituximab e mālama iā NHL. ʻO kahi mea ʻino monoclonal. Kuhi ia i kahi protein i kapa ʻia ʻo CD20 ma ka ʻili o nā hunaola keokeo i kapa ʻia ʻo “B cells. Ke hoʻopili ka lāʻau i nā hunaola B, hoʻouka a pepehi ʻia e kāu ʻōnaehana pale.

Cyclophosphamide (Cytoxan)

Hiki i kēia lāʻau lapaʻau ke mālama i nā ʻano maʻi ʻaʻai like ʻole, me ka lymphoma a me ka maʻi ʻaʻai o ka umauma a me ka akemāmā. Kuhi ʻo Cyclophosphamide i ka DNA o nā hunaola maʻi ʻaʻai a hōʻailona iā lākou e hoʻōki i ka hoʻokaʻawale ʻana.

Doxorubicin hydrochloride (Adriamycin, Rubex)

ʻO kēia lāʻau lapaʻau kahi anthracycline i hiki ke mālama i nā ʻano like ʻole o ka maʻi ʻaʻai, e like me ka umauma, māmā, a me ka maʻi ʻaʻai ovarian Palaka ʻo Doxorubicin i kahi hunaola maʻi ʻaʻai pono pono ke ulu a hoʻohua. ʻO ke kalaʻula ʻulaʻula i loaʻa iā ia ka inoa kapakapa "ka diabolō ʻulaʻula."

ʻO Vincristine (Oncovin, Vincasar PFS, Vincrex)

ʻO alkristid kahi alkaloid i hiki ke mālama i nā ʻano like ʻole o ka maʻi ʻaʻai, e like me ka maʻi ʻaʻai umauma holomua, lymphomas, a me leukemia. Hoʻopilikia ia i nā gen e kāpae iā lākou mai ke kope ʻana. ʻO kēia lāʻau lapaʻau he vesicant ia, hiki iā ia ke hōʻino i nā mea a me nā moku.

ʻO Prednisolone

ʻO kēia lāʻau lapaʻau he corticosteroid i loaʻa ma lalo o nā ʻano inoa inoa. ʻAʻole like me nā mea ʻē aʻe, he lāʻau lapaʻau waha kēia. Hana ia me kāu ʻōnaehana pale e kōkua i ka hōʻemi:

• pehu
• nausea
• ka luaʻi
• hopena maʻi ʻaʻai
• nā pae platelet haʻahaʻa, a i ʻole thrombositopenia
• kiʻekiʻe pae calcium, a i ʻole hypercalcemia

Hoʻohui pū, hana kēia mau lāʻau i ka cocktail hakakā ikaika i ka maʻi ʻaʻai.

Pehea e hāʻawi ʻia ai?

Hoʻokumu ʻia ka hana maʻamau i ke kiʻekiʻe a me ke kaumaha. E noʻonoʻo pū kāu kauka i nā ʻano olakino ʻē aʻe āu, kou makahiki, a me ka maikaʻi e manaʻo ai lākou iā ʻoe e hoʻomanawanui i nā lāʻau i ka hoʻoholo ʻana i ka hana a me ka helu o nā pōʻaiapuni.

Loaʻa i ka poʻe i kēia mau lāʻau i kēlā me kēia ʻelua a ʻekolu mau pule. ʻO ka maʻamau, hāʻawi nā kauka i ka huina o ʻeono mau kaha a i ʻole nā ​​pōʻaiapuni. Lawe ʻia ka mālama ʻana i 18 mau pule a ʻoi paha inā lōʻihi kāu mau pōʻaiapuni.

Ma mua o kēlā me kēia lapaʻau ʻana, pono ʻoe i kahi hoʻāʻo koko e nānā i nā helu o ke koko a no ka hoʻoholo inā holo pono kāu ate a me nā puʻupaʻa. Inā ʻaʻole lākou, pono paha i kāu kauka e hoʻolohi i kāu lapaʻau ʻana a hōʻemi paha i kāu lāʻau.

Hiki i nā mālama ʻana i kēlā me kēia kanaka ke hala i mau hola, a lawelawe ka mea mālama ola i nā lāʻau i loko o ka lima, ʻo ia hoʻi ma o ka aa i kou lima. Hiki iā ʻoe ke lawe iā ia ma loko o kahi awa i hiki i kahi kauka ke hoʻokomo i loko o kou umauma. Pono ʻoe e noho i ka haukapila e loaʻa ai kāu lāʻau, akā hiki i ka poʻe ke loaʻa iā ia ma kahi kikowaena infusionent outpatient i nā manawa he nui.

E kiaʻi pono mau ʻia ʻoe. I ka wā o ka mālama mua ʻana, e nānā pono nā mea mālama ola iā ʻoe no nā hōʻailona o ka hopena maʻi ʻaʻai a i ʻole kahi hopena hoʻoweliweli ʻē aʻe o ka mālama ʻana i ka maʻi ʻaʻaʻi i kapa ʻia ʻo tumor lysis syndrome.

He lāʻau waha ʻo Prednisolone āu e lawe ai ma ka home no kekahi mau lā ma hope o ka loaʻa ʻana o nā lāʻau ʻē aʻe.

He aha nā hopena ʻē aʻe?

Hoʻouka nā lāʻau Chemotherapy i nā hunaola maʻi ʻaʻai. Hiki iā lākou ke hōʻino i nā hunaola olakino i ke kaʻina. ʻO ia ke kumu he nui nā hopena ʻē aʻe i hiki. ʻAʻole paha ʻoe e loaʻa iā lākou āpau.

Hoʻololi ka Chemotherapy i nā mea āpau. Hiki ke hoʻololi i nā hopena ʻē aʻe i ka lōʻihi o kāu kau ʻana i kēia mau lāʻau, akā he manawa pōkole lākou. Hiki i kāu hui olakino ke hāʻawi i ka ʻike e pili ana i ka hana pū me lākou.

ʻO nā hopena ʻaoʻao maʻamau ka:

• ka huhū a puni ka pūnaewele intravenous a i ʻole awa
• mimi ʻulaʻula a ʻulaʻula paha no kekahi mau lā ma muli o doxorubicin
• loli ka makemake
• loli ke kaupaona
• hoʻomālō
• nausea
• ka luaʻi
• luhi
• nā pilikia hiamoe
• helu haʻahaʻa ke koko
• anemia
• kahe ka ihu
• he ihu ihope
• gums kahe
• ʻeha nā waha
• ulcer waha
• poho lauoho
• kahi nalowale o ka menstruation, a i ʻole amenorrhea
• he nalowale ʻana o ka momona
• menopause mua
• ʻike maka o ka ʻili
• nā pilikia nerve, a i ʻole neuropathy

Hiki paha i nā hopena ʻaoʻao liʻiliʻi ke hoʻopili ʻia:

• kahi hū o ka ʻili ma muli o ka hopena maʻi
• wela a i ʻole urination ʻeha
• hoʻololi i ka ʻono
• hoʻololi i nā manamana lima a me nā manamana wāwae
• hoʻololi i nā mākala puʻuwai
• pāhoehoe

Loaʻa nā hopena ʻē aʻe i nā loli i nā kiko o ka māmā a me ka hoʻomohala ʻana i kahi ʻano ʻē aʻe o ka maʻi ʻaʻai i ka wā e hiki mai ana.

He aha kāu e ʻike ai ma mua o kou hoʻomaka ʻana i ka lāʻau?

Ma mua o ka hoʻomaka ʻana i ka chemotherapy, e launa ʻoe me kāu oncologist. ʻO kēia ka manawa e nīnau i nā nīnau e pili ana i nā mea āu e manaʻo ai i ka wā a ma hope o ka mālama ʻana. E hāhai i kēia mau ʻōlelo aʻoaʻo:

• E haʻi i kāu kauka inā lawe ʻoe i nā lāʻau hoʻomalu hānau, nā lāʻau ʻē aʻe, a i ʻole nā ​​mea hoʻopihapihaʻai. ʻO kekahi o kēia huahana, ʻoi aku paha o nā mea i luna o ka pāʻai, e hoʻopōʻino ai i ka launa pū ʻana.
• Inā ʻoe e hānai umauma ana, pono ʻoe e oki no ka mea hiki i kēia mau lāʻau ke hele i waena o kāu waiū i kāu pēpē.
• E haʻi i kāu kauka inā manaʻo ʻoe he hāpai ʻoe. Hiki i kēia mau lāʻau ke hōʻeha i kāu pēpē a hōʻeha i nā hānau hānau.
• Hiki i nā lāʻau Chemotherapy ke hoʻololi i kāu momona a hoʻoulu i ka menopause mua. Inā ʻoe e hoʻolālā i kahi ʻohana, e kamaʻilio me kāu kauka e pili ana i nā koho hoʻolālā ʻohana a hiki paha ke hui pū me kahi loea hānau inā pono ma mua o kāu lapaʻau mua.
• Hoʻopili nā lāʻau Chemotherapy i kāu ʻōnaehana pale. Mai kiʻi i nā lāʻau āpau i ka wā o ka chemotherapy, a nīnau i kāu kauka ke hiki ke palekana ke hana pēlā.
• Kuhi ʻia nā hopena o ka chemotherapy, akā hiki iā lākou ke mālama ʻia me nā lāʻau, nā lāʻau home, a me nā hoʻoponopono kōkua. Mai kānalua i ka kamaʻilio ʻana me kāu kauka e pili ana i nā hopena ʻaoʻao kūpilikiʻi.

He aha hou aʻe ʻoe e ʻike ai?

I ka hala ʻana o nā hebedoma, e maʻa ʻoe i ka papa hana hoʻomaʻamaʻa, akā e mau paha nā hopena. E luhi paha ʻoe. He manaʻo maikaʻi e hoʻokele kekahi iā ʻoe a mai ka chemotherapy a kākoʻo iā ʻoe i nā ʻano ʻē aʻe i ka wā o nā mālama.

Hiki i kēia mau ʻōlelo aʻoaʻo ke kōkua iā ʻoe e hana i ka chemotherapy a ʻoi aku ka ʻoluʻolu a me ke kaumaha ʻole.

• E komo i nā lole ʻoluʻolu a lawe mai i ka huluhulu a i ke kapa paha. Lawe pū kekahi poʻe i kā lākou mau uluna punahele a mau pahee.
• Lawe mai i nā mea heluhelu a i nā pāʻani paha e hoʻolilo i ka manawa.
• Inā ua luhi ʻoe, e ʻae iā ʻoe e heʻe i ka hiamoe i ka wā o ka mālama ʻana.
• E haʻi i kāu kahu a i ʻole kauka inā loaʻa iā ʻoe kekahi mau hōʻailona ʻokoʻa.

Ma waho o ka chemotherapy, he mea nui nō e hana i kēia mau mea:

• E hoʻomau i ka ʻai i nā meaʻai momona, ʻoiai inā ʻaʻohe ou makemake.
• Inu i ka nui o nā wai a noho hydrated.
• E hoʻomaha nui.
• Komo i ka hoʻoikaika kino hoʻoikaika kino ke hiki.
• E kiʻi aku i ke kōkua me nā hana a me nā hana.
• Hōʻalo i ka puni ʻana i ka poʻe i loaʻa i nā maʻi lele no ka mea nāwaliwali kou ʻōnaehana pale.
• Noho pili kaiapili me kou ʻohana a me nā hoaaloha, akā e lawe manawa no ʻoe iho ke pono ʻoe e hana pēlā.