Adjuvant ndi neoadjuvant Morning

matenda Oncological zatenga malo oyamba pa chiwerengero cha imfa padziko lonse. Mwatsoka, zochitika khansa si yafupika, koma kuchuluka. Asayansi akuyesetsa kupeza njira zochizira pathologies matenda a kansa kuti kwathunthu kupirira matenda. Today ikuchitika 3 njira kulimbana khansa: opaleshoni, mankhwala amphamvu ndi mankhwala cheza. Onse umalimbana kuchotsa chotupa ndi kuchepetsedwa chiopsezo zisadzachitikenso. Kuletsa kukula kwa maselo nthenda, imagwiridwa adjuvant ndi neoadjuvant mankhwala amphamvu. Njirazi ntchito kaya chithandizo Integrated yekhayekha (pansi ena pathologies oncological).

Adjuvant Morning - zikutanthauza chiyani?

Morning - njira ya mankhwala. Pakuti kukhazikitsa ntchito wothandizila cytostatic umalimbana kupha maselo chotupa. Odwala zambiri amadzifunsa kuti: adjuvant Morning - ndichiyani? Mawu amenewa amatanthauzanso wozengereza mankhwala pambuyo opaleshoni maphunziro. Kuchokera pa adjuvant izi Morning - muyeso kofunika kuteteza pofuna kukwaniritsa khansa. Mtundu wa chithandizo ntchito pafupifupi zotupa zonse. Izo ntchito khansa ya m'mapapo, chifuwa, m'mimba, matumbo ndi ziwalo zina. Morning chitachitidwa pamaso ndipo pambuyo opaleshoni. Kwa ena mitundu ya khansa (matenda Hodgkin ndi chotupa wofiira gawo la milomo, khungu), ndi mankhwala okha.

zosiyanasiyana chemotherapies

mankhwala mankhwala amphamvu ndi cytotoxic wothandizira. zochita zawo walangizidwa chiwonongeko mosalephera maselo chotupa. Izi zachitika m'njira zosiyanasiyana. Nthawi zambiri mankhwala kusokoneza kaphatikizidwe DNA ma. Chifukwa, izo wotaya mphamvu yake kugawikana. Kulakwila DNA kaphatikizidwe kapena ntchito ikuchitika mwa embedding mu dera kuswa kulumikizana nucleotides.

Morning mankhwala ndi nyumba zosiyana. Ena mwa iwo apangidwa pa mbewu maziko (medicament "Vincristine"), pamene ena a wothandizila alkylating (njira kapena "Cyclophosphamide" mapiritsi). Komanso, magulu a wothandizila chemotherapeutic monga mankhwala enieni, anthracyclines ndi mankhwala pulatinamu. Oimira magulu awa - mankhwala "rubomycin", "Adriamycin". Adjuvant Morning ikuchitika ndi kukapanda kuleka mtsempha. Mafuta ndi mawonekedwe piritsi amaonedwa kukhala sakhala ogwira, choncho kawirikawiri ntchito. Nthawi zina, mankhwala ndi kutumikiridwa intraperitoneally, ndiye, mu zonse m'mimba. Nthawi zina kupeza ntchito jekeseni kwapakati pa-wolumikizira.

Kodi mankhwala amphamvu ndi?

Monga ena onse a mtundu chithandizo, adjuvant mankhwala amphamvu ali ndi zizindikiro zina. Asanayambe mankhwala ndi wothandizila cytotoxic, m'pofunika kuchita kufufuza zonse zimene wodwalayo. Pambuyo kuti dokotala amayankha kuopsa ndi kusankha mankhwala amphamvu. Pali zizindikiro zotsatirazi mankhwala ndi cytostatics:

1. zotupa Hematopoietic (leukemias). Ndi mawonekedwe a khansa mankhwala amphamvu ndi njira yokhayo kuthana ndi maselo nthenda.
2. A chotupa minofu minofu - rhabdomyosarcoma.
3. Horionkartsinoma.
4. Wilms chotupa ndi Burkitt a.
5. Zilonda neoplasm wa m'mawere chiberekero ndi zokhudzana thirakiti m'mimba thirakiti mkodzo, mapapo, etc. Mu milandu, adjuvant Morning - .. Kodi ndi njira zina za chithandizo. Iwo anachita pambuyo kuchotsa chotupa cha.
6. Khansa inoperable. Nthawi zina, chithandizo ndi wothandizila cytotoxic akhoza kuchepetsa kukula chotupa cha. M'pofunika kuchita chithandizo opaleshoni (mwachitsanzo, khansa yamchiberekero). Komanso, njira imeneyi ungagwiritsidwe ntchito pofuna kuchepetsa lonse opaleshoni (chifuwa zotupa). Mu milandu, ntchito mankhwala amphamvu neoadjuvant.
7. chisamaliro Palliative. Pamene njira zotsogola khansa Morning ntchito kuti lithandizire alili. Nthawi zambiri ndi ntchito ana. Ndiponso ntchito monga chisamaliro palliative mu matumbo khansa, ubongo kapena khosi.

Ndondomeko ya Morning

Amadziwika kuti ndikhale si nthawi zonse mosavuta analekerera. Nthawi zambiri, odwala nawo padziko zinthu zambiri chowawa akuwuka kwa utsogoleli wa wothandizila cytotoxic. Odwala ena amakana mankhwala.

Adjuvant Morning wochititsidwa maphunziro. Kutalika kwa mankhwala 3 mpaka 6 miyezi (zina zambiri). Kusankha kumene anatsimikiza ndi dokotala potengera mmene alili. Nthawi zambiri amachitika mu miyezi sikisi za 6-7 m'zinthu mankhwala amphamvu. Iwo ankakhulupirira kuti nthawi zambiri wodwala alandira chithandizo bwino zotsatira. Mwachitsanzo, mankhwala amphamvu ukhoza kwa masiku 3 pa masabata 2-4. Pa nthawi yolandira chithandizo ndi kofunika mosamala kuwunika alili. Komanso, kuyesa kwa magazi ndi muyeso mu yopuma pakati pa maphunziro.

Contraindications Morning

Ngakhale mphamvu ya mankhwala ndi wothandizila cytotoxic, iwo nthawi zonse zinalembedwa. Dokotala aliyense amadziwa kuti adjuvant Morning zimakhudza ndondomeko chotupa, komanso maselo athanzi. Makamaka, amanena kuti leukocytes. Mankhwala ena ndi mavuto pa dongosolo mtima ndi mapapo. Contraindications kuti mankhwala amphamvu amaonedwa ndi matenda aakulu a impso ndi chiwindi. Ichi ndi chifukwa chakuti chiopsezo kulephera kwa matupi awa ndi yayikulu. Komanso mankhwala amphamvu sangathe ntchito odwala ndi mbiri calculary cholecystitis (gallstones). Contraindications kuti ndi mankhwala cytotoxic ndi kusintha ambiri magazi. Ikani magawo enieni amene chithandizo sizingatheke. Zikuphatikizapo: ndi kupatsidwa zinthu za m'mwazi kuwerengedwa ndi zosakwana 100 * 10⁹, kuchepa mu hematocrit ndi hemoglobin. Komanso n'zosatheka kuchita Morning odwala ndi matenda aakulu asthenia. Iwo n'losaloleka zochizira thupi makilogalamu 40 kapena kuposa.

mavuto a mankhwala chemotherapeutic

Kuopsa kwa mankhwala chemotherapeutic lagona zotsatira zake zoyipa. Kuwonjezera mawonetseredwe kunja mavuto mankhwala, pali kusintha mu kafukufuku wa. Waukulu mbali zotsatira akuti ndi kupondereza dongosolo hematopoietic. Izi makamaka umakhudza leukocyte nyongolosi. Motero, mavuto pa maselo oyera, chitetezo akuvutika. Izi ziri kuwonetseredwa ndi kufooka ambiri, kujowina zosiyanasiyana matenda. zotsatira wina mbali - ndi zotsatira neurotoxic mankhwala. Odwala ena ndi maganizo, tearfulness, kugona chisokonezo. Komanso, odwala lipoti nseru, kusanza ndi kutsekula m'mimba. Zotsatira zake zoyipa za wothandizila cytostatic amakhudza maonekedwe a odwala. Kuzionetsetsa, amalembedwa alopecia (tsitsi imfa), ndi wotumbululuka khungu.

khansa ya mmimba: Morning

njira Oncological m'mimba ndi inati pafupipafupi. Kawirikawiri kukhala pa maziko a polyposis kapena chironda chachikulu. Mawonetseredwe chachikulu cha khansa chapamimba - ndi ululu m'dera epigastric, tikamapita ku nyama chakudya, regurgitation. Mu masiteji yoyamba ya khansa ndondomeko zofunika opaleshoni. Ndi chiwalo resection, ndi chilengedwe cha anastomosis pakati pa kum'mero ndipo matumbo. Adjuvant chithandizo cha mankhwala khansa chapamimba imagwiridwa pakalibe contraindications. Iwo amalola kuti kuwonjezela nthawi ya chikhululukiro, ndi kubweza metastasis. Mwatsoka, mankhwala cytotoxic si mogwira mitundu yonse ya khansa ya mmimba. Analidi zotsatira zake zabwino mu adenocarcinoma. Iye anachita monga muyeso wa chisamaliro palliative.

mankhwala Adjuvant a khansa ya m'mawere

Adjuvant Morning mu khansa zingamuthandize njira iliyonse histological la ndondomeko khansa. Iwo anachita pambuyo opaleshoni, kaya voliyumu ya opaleshoni (mastectomy kapena m'makalata resection ya bere). Izi ndi zofunika kupewa kuti metastasis maselo nthenda mu mfundo za lymph ndi ziwalo lakutali. Nthawi zina, mankhwala amphamvu sikowumiriza mankhwala a khansa ya m'mawere. Mwachitsanzo, ngati chotupa kukula ndi zosakwana 1 cm osati anagawira mwanabele. Komanso mosamala ayenera kugwiritsidwa ntchito pa achinyamata amene akudwala. Mankhwala premenopausal ndi mankhwala cytotoxic ikuchitika odwala onse kupatula Okhawo contraindications.

Kodi adjuvant chithandizo cha mankhwala Border cystadenoma?

akazi ambiri amadziwa matenda cha chotupa (cystadenoma) wa n'kuwasanganiza lapansi. Nthawi zambiri, mapangidwe mtima wabwino ndi mwakamodzikamodzi apita njira khansa. Komabe, pali mitundu ina ya cystadenoma, amene imvera kusintha zilonda. Zikuphatikizapo serous zotupa mmalire ndi papillary. Zizindikiro za dongosolo zimenezi zingakhale ululu m'mimba, matenda kusamba. Zikupezeka ultrasound m'chiuno. matenda zolondola likhoza kupangidwa ndi cystadenoma biopsy. Pamene mapangidwe chofunika malire ntchito mankhwala, kuchuluka kwa zomwe zimadalira m'badwo wodwalayo. Adjuvant Morning ikuchitika mu nthawi zina pamene chiopsezo mkulu chotupa metastasis. Komanso imasonyezedwa pa muyambirenso ndondomeko khansa ya n'kuwasanganiza ena.

Chithandizo cha mankhwala khansa ya m'mapapo

The khansa ambiri ndi khansa ya m'mapapo. Iye akutenga mamiliyoni ambiri padziko lonse. Adjuvant Morning khansa ya m'mapapo pafupifupi nthawi zonse asonyeza. M'pofunika osati pambuyo opaleshoni, komanso ngati njira wodzilamulira mu akakufunsani zotupa yaing'ono selo. Ntchito zosiyanasiyana mankhwala. Pakati pawo, "Tsisplastin" mankhwala "Vinorelbine", "gemcitabine" ndi ena. The chosonyeza chachikulu mankhwala amphamvu ndi zotumphukira ndi pakati m'mapapo khansa ndi kudzipeleka kwa mfundo thoracic lymph. Ndi mankhwala cytotoxic si ikuchitika okha mwambo kulephera kwa wodwalayo, pamaso pa matenda decompensated, ukalamba ndi gawo 4 kwa ndondomekoyi khansa.

Morning zogwirizana ndi chitukuko cha metastases

Chimodzi mwa zolinga zikuluzikulu za mankhwala - kuchotsa metastases ndi mankhwala amphamvu adjuvant. Akukhulupirira kuti mwa zochita za mankhwala cytotoxic kwambiri yafupika chiopsezo chotupa zisadzachitikenso. Chifukwa Morning mu nthawi postoperative mu khansa, m'mapapo, chiberekero ndi zokhudzana pali wathunthu kuchotsa metastases mu mfundo dera lymph. Komanso amachepetsa chiopsezo cha maonekedwe awo ziwalo lakutali. Motero, mankhwala a Cancer khansa amathandiza liwonongeke ndi zina - zonse mankhwala.

akatswiri Reviews ndi odwala za mankhwala amphamvu adjuvant

Malinga oncologists, mankhwala amphamvu ndi njira aukali kukhudzana. Iwo osati limaleka chitetezo cha m'thupi la wodwalayo, koma bwino analekerera ndi odwala. Komabe, masiku ano chithandizo cha mankhwala cytotoxic ali positives kuposa minuses. Iwo anafotokoza kuti njira amaphatikizidwa ndi kulimbana ndi khansara mwayi kuwonjezeka kupulumuka.