Chemotherapy ndi imodzi mwa njira zovuta kugwiritsira ntchito khansa ya m'mimba, yomwe imagwiritsa ntchito mankhwala omwe angawononge maselo a khansa ndi kulepheretsa kukula kwawo. Chemotherapy ikhoza kuchitidwa pazochitika zoterezi:
- Ngati opaleshoniyo sichitha kapena yopanda phindu (kukhalapo kwa metastases, kukana kwa wodwala kuchokera kuntchito, etc.), chemotherapy imayesetseratu kuti apitirize moyo wa wodwalayo ndikuchepetsa maonekedwe olakwika a matendawa.
- Preoperative chemotherapy - amagwiritsidwa ntchito kuchepetsa kukula kwa chotupa kuti athetse kuchotsa.
- Chemotherapy yotchedwa Postoperative - yosankhidwa kuti iteteze kubwerera kwa matendawa atachotsedwa.
Chemotherapy amachititsa khansa yapakhungu
Pofuna kusamalira khansa ya m'mimba, mitundu yosiyanasiyana ya mankhwala imagwiritsidwa ntchito pogwiritsa ntchito mankhwala a chemotherapeutics. Kusankhidwa kwa regimen ya mankhwala ena kumatsimikiziridwa ndi chithunzi cha chithandizo cha kuchipatala komanso matenda a wodwalayo, komanso ndi zina. Akatswiri amakhala akufufuza mankhwala osokoneza bongo nthawi zonse, poyesera kupeza njira zothandizira kwambiri mankhwala. Nazi mankhwala ena omwe amagwiritsidwa ntchito mu chemotherapy kwa khansa ya m'mimba:
- epirubicin, cisplatin ndi fluorouracil (ECF scheme);
- epirubicin, cisplatin ndi capecitabine (ECX);
- epirubicin, oxaliplatin ndi capecitabine (EOX);
- mitomycin, cisplatin ndi capecitabine (MCX);
- 5-fluorouracil, epirubicin, methotrexate (FEMTX), ndi ena.
Mankhwala amatha kuperekedwa mwa mawonekedwe a jekeseni, kupyolera mu mankhwala, mwa mapiritsi. Kuchiza kungakhale kwa miyezi 4 mpaka 6, malinga ndi momwe maselo amagazi amachitira ndi mankhwala.
Chakudya cha chemotherapy cha khansa ya m'mimba
Chakudya choyenera pochizira khansa ya m'mimba chimathandiza kwambiri. Odwala amafunika kuchuluka kwa mavitamini, mavitamini, mapuloteni ndi mchere. Panthawi imodzimodziyo, kugwirizana ndi zakudya mu matendawa ndi kovuta, monga odwala asachepera ndi zotsatira za mankhwala a chemotherapy (kunyoza, kusanza, kutsegula m'mimba, ndi zina zotero).
Malingaliro onse okhudzana ndi zakudya pa nkhaniyi ndi awa:
- Tengani chakudya mu magawo ang'onoang'ono kasanu ndi kamodzi patsiku;
- Ndikofunika kugwiritsa ntchito madzi asanafike ndi pambuyo pake;
- Osalimbikitsidwa kugwiritsa ntchito maswiti, madzi, madzi a carbonate.
Mphamvu ya chemotherapy ya khansa yapakhungu
Zotsatira za chemotherapy zimasiyana ndi odwala osiyanasiyana, ndipo, pafupifupi, ndi 30-40%. Izi makamaka chifukwa cha zinthu zosiyana siyana za maselo otupa. Odwala ena, chemotherapy sachititsa kuchepa kwa chifuwacho. Pachifukwa ichi, chemotherapy imasiya, kapena mankhwala ena amadziwika.
Kawirikawiri, amakhulupirira kuti njira iyi ya chithandizo imatha kusintha umoyo wa moyo ndi kuonjezera nthawi yake.