I-Chemotherapy ingenye yezindlela zokwelashwa okuyinkimbinkimbi yomdlavuza wesisu, ohlanganisa ukusetshenziswa kwezidakamizwa ezingaphazamisa amangqamuzana omdlavuza futhi zivimbele ukukhula kwazo. I-Chemotherapy ingenziwa ezimweni ezinjalo:
- Uma ukusebenza kungenakwenzeka noma kungenasisekelo (ukutholakala kwemithi ejulile, ukulahla kwesiguli kusukela ekusebenzeni, njll), i-chemotherapy yenziwa ukukhulisa impilo yesiguli nokunciphisa ukubonakaliswa okungekho kwesifo.
- I-chemotherapy ye-preoperative - isetshenziselwa ukunciphisa ubukhulu besisu ukuze kukhishwe ukususwa kwayo.
- I-postotheative chemotherapy - eyakhelwe ukuvimbela ukubuya kwesifo ngemuva kokususwa kwezicubu zesisu.
I-Chemotherapy imilavuza yomdlavuza wesisu
Ukwelapha umdlavuza wesisu, izinqubo ezihlukahlukene zokwelashwa zisetshenziselwa ukusetshenziswa kwezinhlanganisela ze-chemotherapeutics. Ukukhethwa komuthi othile wokwelapha kunqunywa ngesithombe somtholampilo kanye nesimo jikelele sesiguli, kanye nezinye izici. Ochwepheshe bahlale befuna inhlanganisela emisha yezidakamizwa, bezama ukuthola imithi yokwelashwa ephumelela kakhulu. Nazi ukuhlanganiswa okunye kwezidakamizwa ezisetshenziswa ekhemotherapy yomdlavuza wesisu:
- i-epirubicin, i-cisplatin ne-fluorouracil (i-ECF scheme);
- i-epirubicin, i-cisplatin ne-capecitabine (ECX);
- i-epirubicin, i-oxaliplatin ne-capecitabine (i-EOX);
- i-mitomycin, i-cisplatin ne-capecitabine (i-MCX);
- 5-fluorouracil, i-epirubicin, i-methotrexate (i-FEMTX), nabanye.
Izidakamizwa zinganikezwa ngendlela yezijovo, ngokufaka ama-tablet, ngendlela yamathebulethi. Ukwelashwa kungadlulela ezinyangeni ezingu-4 kuya kwezingu-6, kuye ngokuthi ukusabela kwamangqamuzana e-tumor kuya kwezidakamizwa.
Ukudla okunomsoco we-chemotherapy wesifo somdlavuza wesisu
Ukudla okunempilo ekwelapheni umdlavuza wesisu kudlala indima ebalulekile. Iziguli zidinga inani elanele lama-calories, amavithamini, amaprotheni namaminerali. Ngesikhathi esifanayo, ukuhambisana nokudla kule sifo kuyinkimbinkimbi, njengoba iziguli ziye zanciphisa ukudla kanye nemiphumela emibi ye-chemotherapy (isicanucanu, ukuhlanza, isifo sohudo, njll).
Izincomo jikelele zokudla okunomsoco kuleli cala yizi:
- thatha ukudla ngezigaba ezincane okungenani izikhathi eziyisithupha ngosuku;
- kuyadingeka ukusebenzisa amanzi ngaphambi kokudla nangemva kokudla;
- hhayi Kunconywa ukusetshenziswa kwamaswidi, ama-juice, amanzi aphethwe yi-carbonate.
Ukusebenza kwe-chemotherapy yomdlavuza wesisu
Umphumela we-chemotherapy uhlukile kwiziguli ezahlukene, futhi, ngokwesilinganiso, u-30-40%. Lokhu ikakhulukazi ngenxa yemisebenzi ehlukahlukene yezinto eziphilayo zamangqamuzana omzimba. Kwezinye iziguli, i-chemotherapy ayikho ekwehleni kwesisu. Kulokhu, i- chemotherapy iyayeka, noma enye inhlanganisela yezidakamizwa inqunywe.
Ngokuvamile, kukholelwa ukuthi le ndlela yokwelashwa ingathuthukisa izinga lokuphila futhi yandise ubude bayo.