"Tloaelehileng" Sefubelu se Lefubelu ho tloha Adriamycin vs Hemorrhagic Cystitis
Na ke ntho e tloaelehileng ho ba le moroto o khubelu ha o se o e-na le chemotherapy? Yikes! Empa haeba u hlokometse mocheso o khubelu bosiung ba chemotherapy, u se ke ua tšoha. U ka 'na ua imoloha haholo ha u utloa hore e ka' na ea e-ba letho empa e le ntho e mpe ho e-na le hore e be letšoao la temoso.
Mabaka a Hao Leboteng la Hao le ka 'na la Etsahala le Lefubelu Ka mor'a Chemotherapy
Ho na le mabaka a seng makae a hore motsoako oa hau o be o khubelu ka mor'a chemotherapy.
Hangata sena se amana feela le 'mala oa lithethefatsi, ka baka leo, ha se bothata. Ka linako tse ling e ka ba bothata. A re ke re bue ka menyetla ena, 'me ka tšepo, re fokotsa kelello ea hau.
Anthracyclines le Moriri o Mofubelu: Doxorubicin, Daunorubicin, le Idarubicin
Haeba u fumane CHOP-R chemotherapy kapa chemo ea pele ea chemo bakeng sa kankere ea matsoele le Adriamycin , lebaka le ka sehloohong la mochini oa hau o khubelu ke feela 'mala oa lithethefatsi (empa etsa bonnete ba hore u boloke ho bala haeba u boetse u na le Cytoxan).
Lebaka le ka sehloohong la sena ke doxorubicin ea meriana, "H" ho protocol ea CHOP. Doxorubicine eo u ka e tsebang ka lebitso la Adriamycin e bitsoa "diabolose e khubelu." Haeba u hlokometse hore mokelikeli o khubelu o kenella meleng ea hau, sena se bakoa ke 'mala o bofubelu o ts'oanang le o motsoako oa hau, o etsa hore o shebahala o khubelu. Le hoja e ka 'na ea e-ba e tšosang qalong, sena se tloaelehile haholo. O ka lebella hore sena se tla hlahisa lihora tse 48 tse latelang kapa joalo.
Doxorubicin hase eona feela meriana ea chemotherapy e ka etsang hore motsoako oa hao o khubelu. Meriana e meng e sebelisetsoang ho phekola kankere ea mali le marora e ka etsang hore motsoako oa hao o khubelu ke Cerubidine (daunorubicin) le Idamycin (idarubicin), sehlopha sa chemotherapy tse tsejoang e le anthracyclines.
Nahana hore ke ntho e makatsang?
Novantrone (mitoxantrone), e meng ea meriana e sebelisoang ho phekola kankere ea mali, e ka etsa hore motsu oa hao o be le 'mala oa botala bo botala!
Hemorrhagic Cystitis Ho tloha Chemotherapy
Pele u baleha ka phomolo e feletseng, bala ka hanyenyane feela. Mali a morong a ka boela a etsa hore e shebahala e khubelu. Ho na le lisosa tse ngata tsa mali meleng, ho kenyeletsa boemo bo bitsoang hemorrhagic cystitis. Le hoja ho ke ke ha etsahala hore ebe sena se tla etsahala letsatsing la chemo ea hao, meriana ea Cytoxan (cyclophosphamide), "C" ka protocol ea CHOP, kapa sethethefatsi se atisang ho sebelisoa hammoho le Adriamycin (doxorubicine) nakong ea likhetho tsa pele tsa kankere ea matsoele chemotherapy, e ka baka haemorrhagic cystitis.
Hemorrhagic cystitis e tsoang chemotherapy e etsahala ha ho etsoa sehlahisoa sa meriana e bitsoang acrolein e halefisa lesela la senya le ho baka seso le mali. Ifex (ifofsamide) ke meriana e 'ngoe ea chemotherapy e sebelisoang ho phekola kankere ea hematologic e ka bakang ho bolaoa ha cystitis. Meriana ea mahlaseli a mahlaseli a pelvis a ka boetse a etsa hore motho a fokotsehe haholoanyane, haholo ha a sebelisoa hammoho le lithethefatsi tsena tsa chemotherapy.
Hemorrhagic cystitis ke phello e tebileng ea phello ea kankere. Haeba u nahana hore u na le mali ka morong oa hau, u lokela ho ikopanya le mofani oa tlhokomelo ea bophelo hang-hang.
Matšoao a bontšang hore u na le ho hong ho ka 'na ha kenyelletsa bohloko ha u ntse u sisinyeha, u sa phutholoha ka mpeng, u itokisa khafetsa, u potlaka kapa ka linako tse ling esita le likotsi.
Na ke dae kapa ntho e kholo ka ho fetisisa?
U ka tseba joang hore na ke eng e bakang khubelu? Ho ka ba thata ho khetholla. Mali a morong a ka 'na a bonahala a pinki, a khubelu kapa moriri o mosoeu, joaloka' mala oa tee. U ka ba ua feta li-clots tse nyane. E mpa feela e nka mali a mangata ka metsing hore e bonahale. Hangata mofuta ona o mofubelu o mofubelu o shebahala eka ke mali. Hangata e tsoela pele ho feta maeto a seng makae a ho hlapela, 'me hangata e tsamaisana le matšoao a mang, a kang bothata ba senya le maikutlo a tloaelehileng a "ho hlokahalang ho ea."
Motsoako o mofubelu o bakoang ke li-chemotherapy hangata e le khubelu ea lamunu kapa e pinki, joaloka 'mala oa meriana ea sering ha mooki oa hau a le fa eona. Hangata e tla fela ka mor'a makhetlo a seng makae ho ea ho hlapela. U ke ke ua ba le matšoao a mang a senya ho phaella ho 'mala o mofubelu haeba sena ke sesosa.
Haeba o sitoa ho bolela phapang, ke maikutlo a matle ho bitsa mofani oa tlhokomelo ea bophelo bakeng sa keletso e eketsehileng. Ho sa le joalo, noa metsi a mangata le nako le nako ho thusa ho hlakola senya.
Lisebelisoa:
Camp-Sorrel, D. Chemotherapy: Tlhahiso ea Chefo. Yarbro, C., Frogge, M., Goodman, M., Groenwald, S. (eds.) (2000) Tlhokomelo ea Kankere: Melao-motheo le Boitšoaro. Jones le Bartlett: Sudbury, MA. (maq. 444-486.)
Gonella, S., di Pasquale, T., le A. Palese. Mehato ea thibelo ea li-cyclophosphamide tse amanang le lefu la cystitis le mali le lesapo la 'mele oa motsoako oa motsoako: thuto ea setaliana ea Italy e ikemetseng. Clinical Journal ea Oncology Nursing . 2015. 19 (1): E8-E14.
Mendenhall, W., Henderson, R., Costa, J. le al. Hemorrhagic radiation cystitis. Journal of American Medical Clinic Oncology . 2015. 38 (3): 331-6.
Moy, B. Cystitis ho bakuli ba nang le kankere. E maemong. E ntlafalitsoe ka 10/15/15. http://www.uptodate.com/contents/cystitis-in-patients-with-cancer
Riberiro, R., Lima-Junior, R., Leite, C. le al. Chemotherapy-e bakoang ke hemorrhagic cystitis: li-pathogenesis, mekhoa ea litlhare le litlhaloso tse ncha. Journal ea Meriana ea Boiteko le ea ho Kopanya . 2012. 2 (2): 95-112.