Adjuvant a neoadjuvant chemotherapy

Oncological maʻi hoopiha i kekahi o na wahi mua ma ka helu o ka make nā hualoaʻa a. Eia naʻe, ua i hoemiia ka mea hiki wale mai o ka maʻi 'aʻai, akā, i ke mahuahua. ʻepekema, e ho'āʻo nei e loaʻa mau aoao, e hana maʻi 'aʻai pathologies i makemake Makuakane loa me ka maʻi. I kēia lā lawe mai 3 ki ina hana like e kaua maʻi 'aʻai:ʻoki kino, chemotherapy a me ka pāhawewe Inc. A pau o ia i nona ma ka wehe 'ana o kaʻeho, a hoemi ia i ka pilikia o ka recurrence. E hooki i ka ulu ana o 'āno'ē keena, ua hana adjuvant a me neoadjuvant chemotherapy. e hoʻohana 'ia kēia mau kiʻina hana kekahi e like me ka noniakahi lapaʻau, wale (ma lalo o kekahi oncological pathologies).

Adjuvant chemotherapy - mea 'aʻole ia ke ano o?

Chemotherapy - he ano o ka 'inikua lapaʻau. No kona manaʻo e hoʻohana cytostatic Luna pahuna ma pepehiʻeho keena. Nā mea maʻi pinepine kahaha no: adjuvant chemotherapy - He aha ka mea? Kēia manawa 'o ia hoʻi ka hooko ana mai' inikua lapaʻau ma hope oʻoki kino papa. Ma muli o kēia adjuvant chemotherapy - ke ana pono, e pale aku i ka hou 'ana o ka maʻi' aʻai. Kēiaʻano o ka lapaʻau ua hoʻohana 'ia i loko oʻaneʻane a pau hikoko. Ua Ua hoʻohana 'ia no ka maʻi' aʻai o ke akemāmā, umauma, opu, naʻau liʻiliʻi, a me nā loko. Chemotherapy Ua hana mua, a ma hopeʻoki kino. No kekahi 'ano o ka maʻi' aʻai (Hodgkin ka maʻi,ʻeho ulaula hapa o na lehelehe, ili), ka mea, o ka mea wale nō lapaau.

ʻano likeʻole chemotherapies

All chemotherapy ai 'i cytotoxic konohiki. Kā lākou hana ua kuhikuhi 'ana i ka inevitable loa ia'na o kaʻeho keena. He ua hana ia ma nāʻaoʻao. Ma ka hapanui o hoopii, ai 'loko o ka hoʻololi kemikala o ke kelepona hele DNA. E like me ka hopena, ka mea haalele i kona hiki e puunaue. Kue o ka DNA hoʻololi kemikala a kuleana pili i lawe mai ma ka mea o embedding i loko o ka huakai kaapuni poha linkages ma waena o nucleotides.

Chemotherapy ai 'i kekahi mau hale. Kekahi o ia mau papahana ma luna o ke kanu muli (medicament "Vincristine"), oiai kekahi poe no a hiki i ka alkylating konohiki (pāʻoihana a me "Cyclophosphamide" papa). Nō hoʻi, nā pūʻulu o chemotherapeutic Luna nā kekahi antibiotics, anthracyclines a me platinum ai '. Me ka Poeikohoia o kēia mau pūʻulu - lapaau "rubomycin", "Adriamycin". Adjuvant chemotherapy ua lawe mai ma intravenous drip. Hamo Cuticura a me ka papa palapala e manaoia e e emi mai ka hoʻokō, no laila, kākaʻikahi i hoʻohana. Ma kekahi mau hihia, ka lawelaweia ana lapaʻauʻia intraperitoneally,ʻo ia hoʻi, i loko o ka abdominal lua. I kekahi manawa, ke kōkua o ua hoʻohana 'ia no ke kūʻai'-arterial ka pahu kui.

He aha chemotherapy mea?

Like a pau'ē aʻe ano o ka lapaʻau, adjuvant chemotherapy mai i kekahi nāʻikepili. Mua hoʻomaka lapaʻau me cytotoxic konohiki, ia mea pono e hoʻomaka i ka piha ninaninau o ka hoʻomanawanui. Ma hope iho o ia ke kauka loiloi i ka ka pilikia a me ka hooholo ma chemotherapy. Aia nō i ke kēia nāʻikepili no ka lapaʻau me cytostatics:

1. Hematopoietic hikoko (leukemias). Me keia palapala o ka maʻi 'aʻai chemotherapy o ka wale ala, e hana me ka'āno'ē keena.
2. Aʻeho no Muscle'aʻaʻa - rhabdomyosarcoma.
3. Horionkartsinoma.
4. Wilmsʻeho , a Burkitt ka.
5. Malignant neoplasm o ka umauma, uterus a me appendages, digestive'āpana, urinary'āpana, maʻiʻaʻai, etc. Ma kēia hihia, adjuvant chemotherapy - .. Ua he hou iaoia o ka lapaau. Ua Ua hana hope ana o kaʻeho.
6. Ma inoperable Ka maʻi 'aʻai. Ma kekahi mau hihia, lapaʻau me cytotoxic Luna ke emi o ka nui o kaʻeho. He mea pono e lawe maiʻoki lāʻau lapaʻau lapaʻau (e like, ovarian Ka maʻi 'aʻai). Nō hoʻi, i kēia iaoia hiki ke hoopili i mea e emi i ka pālākiō o kaʻoki kino (umauma hikoko). Ma kēia hihia, hana o neoadjuvant chemotherapy.
7. Palliative malama. I ka holomua ano o ka maʻi 'aʻai chemotherapy ua hoʻohana' ia e kōkua i ka hoʻomanawanui ka kulana. Loa pinepine ka mea, ua hoʻohana 'ia i loko o nā keiki. Nō hoʻi ka mea, ua hoʻohana 'ia e like me palliative malama i na naau oʻu maʻi' aʻai, lolo a me ka'ā'ī.

I ka hana o ka chemotherapy

Ua uaʻike i chemotherapy ua ole mau wawe tolerated. Ma ka hapanui o hoopii, e hoomanawanui i ka mahina ma luna o ka lehulehu o adverse hanana i kupu mai, mai ka hooponopono ana o cytotoxic konohiki. Kekahi nā mea maʻi e hoole lapaau.

Adjuvant chemotherapy me ka mākaʻi papa. Ka lōʻihi like 'ole o ka iapaau ana o 3 i 6 mahina (i kekahi manawa hou aku). Koho o ka papa nānā 'ia e ke kauka ma muli o ka hoʻomanawanui ka kulana. Ka hapanui pinepine mālama 'ia i loko o eono mahina ma kahi o 6-7 pōʻaiapuni o ka chemotherapy. Ua Ua manaoio aku i ka nui pinepine ka hoomanawanui loaʻa lapaau, i ka maikaʻi o ka hopena. No ka laʻana, chemotherapy hiki mau no ka 3 lā kēlā 2-4 pule. I ka manawa o ka iapaau ana mea pono e akahele kanaka hoʻoponopono i ka hoʻomanawanui ka kulana. Nō hoʻi, he koko ho'āʻo a me ka ana i loko o ka mokuāhana ma waena o nā papa.

Contraindications e chemotherapy

I loko nō o ka laulā o ka iapaau ana me ka cytotoxic konohiki, ka mea, i ole mau hoakaka. Kela kauka ike i adjuvant chemotherapy e loli ai,ʻaʻole wale nō kaʻeho kaʻina hana, akā, no hoi a hiki i ke ola keena. Ma kekahi, ka mea pili i ka leukocytes. ai 'kekahi i nā palapala' ole ma luna o ka mea'ōnaehana mānowai koko'ōnaehana a me ia maʻiʻaʻai. Contraindications no ka chemotherapy i manaoia maʻi nui o nā puʻupaʻa, a akepaʻa. Keia mea aie a hiki i ka nui, e hoike ana i ka pilikia o ka ole o kēia mau kino, he mea nui. No hoi chemotherapy hiki ole ke hoʻohana 'ia ma nā mea maʻi me ka mōʻaukala calculary cholecystitis (gallstones). Contraindications no ka lapaʻau me cytotoxic ai 'nā loli i mau koko hōʻike. E hoʻopaʻa i kiko'î no i lapaʻau mea ole e hiki. O nā: ka platelet helu mea emi o 100 * 10⁹, ke emi ma ka hematocrit a me ka hemoglobin. No hoi he mea hiki ole ke hali mai chemotherapy i loko o nā mea maʻi me ka loa asthenia maʻi pale. Ua Ua noʻonoʻo pono no ka iapaau ana o ke kino ke kaupaonaʻana 40 kg a oi.

I kaʻaoʻao waiwai o chemotherapeutic ai '

Ke oolea o ka chemotherapeutic lapaʻau moe i loko o konaʻaoʻao ole. Ma waho mawaho hoikeana adverse 'ole o ka ai', ma laila nō nā loli i nā assays. I ka papa kuhikuhiEʻaoʻao hookoia ua manaoia e ia i ka luhi o ka hematopoietic nenoaiu. Heʻano nui e loli ai leukocyte germ. E like me ka hopena, adverse 'ole ma keʻokeʻo koko keena,'ōnaehana paleʻea nenoaiu poino. Keia ua hoikeia aku ai e mau nawaliwali, e pili ana i keʻano o nā mea palahēhē. Kekahiʻaoʻao ole - e Aloha neurotoxic 'ole o ka ai'. Kekahi nā mea maʻi i kaumaha, tearfulness, hiamoe ka haunaele. No hoi, e hoomanawanui i hoike nausea, ka luaʻi, a diarrhea. ʻaoʻao 'ole o cytostatic Luna e loli ai i ka ano o ka hoʻomanawanui iki mai. Ma hookolokolo, ia alopecia (lauoho poho), a me ka lenalena ili.

'ōpū Ka maʻi 'aʻai: chemotherapy

Oncological keʻano o ka hanaʻana i loko o ka'ōpū, ua malama pinepine ia. IeAUPIIe, IAa IO lākou e hoʻomōhala ana ma luna o ke kumu o ka polyposis a peptic ulcer. I ka papa kuhikuhiE hoikeana o gastric Ka maʻi 'aʻai - ka mea,ʻo kaʻeha i loko o ka epigastric aina, aversion i ka mōhaiʻai, regurgitation. Ma nā kuʻina ka loiloi mua o ka maʻi 'aʻai kaʻina ponoʻoki kino. He ka hui, resection, a me ka hanaia'na mai o anastomosis ma waena o ka esophagus a me ka naʻau liʻiliʻi. Adjuvant chemotherapy no ka gastric Ka maʻi 'aʻai ua hana i loko o ka wa e kaawale aku o contraindications. Ua apono 'oe, e hohola aku i ke au o ke kala, a me ka lohi o metastasis. Eia naʻe, cytotoxic ai 'i ole mana i loko o nā' ano apau loa o ka'ōpū Ka maʻi 'aʻai. Ua hoao kona maikaʻi 'ole i loko o adenocarcinoma. I kekahi hana e like me ke ana o ka palliative malama.

Adjuvant Inc no ka umauma Ka maʻi 'aʻai

Adjuvant chemotherapy ma ka umauma Ka maʻi 'aʻai ua pono ai no kekahi histological ano o ka maʻi' aʻai kaʻina. Ua ua hana ma hope oʻoki kino, ka nānā 'ana i ka buke o keʻoki kino (mastectomy a māhele resection o ka umauma). He mea pono e pale aku i ka metastasis o'āno'ē keena ma ka lymph aka wahi a me ka loihi mai nā loko. Ma pohihihi keia hoopii, chemotherapy mea ole OAXA lapaʻau no ka umauma Ka maʻi 'aʻai. No ka laʻana, inaʻeho nui ka emi o 1 knm, aʻaʻole māhele i ka lymph aka wahi. No hoi me ka mālama nui ia e ke hoʻohana 'ia i loko o nā mea maʻi opiopio. Ma premenopausal lapaʻau me cytotoxic ai 'ua lawe mai i loko o nā mea a pau nā mea maʻi, koe ka poe i contraindications.

I adjuvant chemotherapy no ka palena cystadenoma?

He nui na wahine i kama'āina i kēiaʻike o ka cyst (cystadenoma) o ka ovary. Ma ka hapanui o na hihia, ke kahua o ka benign a me ke kuka hele i ka maʻi 'aʻai kaʻina. Aka hoi, eia kekahi ano o ka cystadenoma, a mea paha i malignant hou '. Mau nā serous borderline hikoko a me papillary. Nā symptoms o kēia mau me ka ho okumu i e abdominal eha, menstrual kāna hana. Ka mea i loaʻa i loko o ka pelvic ultrasound. Pololeiʻike, hiki wale nō ke i ma biopsy cystadenoma. I ka ho okumu ana o ke koi palena operative lapaau, i ka nui o ka i hilinaʻi nui ma luna o ka hoʻomanawanui i ka makahiki. Adjuvant chemotherapy ua lawe mai i loko o ka pohihihi keia hihia ma ke kamepiula mea kiʻekiʻeʻeho metastasis. Nō hoʻi ka mea, ua hōʻike 'ia ma relapse Ka maʻi' aʻai kaʻina hana ma nā 'ē aʻe ovary.

Chemotherapy no ka akemāmā Ka maʻi 'aʻai

Ka loa, he pono ole Ka maʻi 'aʻai ka akemāmā Ka maʻi' aʻai. He lawe miliona o ola nā hualoaʻa a. Adjuvant chemotherapy ma akemāmā Ka maʻi 'aʻai ua aneane mau hōʻike. Ia mea e pono ai,ʻaʻole wale nō ma hope oʻoki kino, akā, no hoi me he kuokoa hana i loko o eiei? Liʻiliʻi aeea hikoko. Hoʻohana 'ia i keʻano o ka ai'. I waena o lākou, "Tsisplastin" lapaau "Vinorelbine", "gemcitabine" a me na mea e ae. I ka papa kuhikuhiE PAaIEN no ka chemotherapy o kaʻike ākea, a kikowaena akemāmā Ka maʻi 'aʻai me ka komo o thoracic lymph aka wahi. ua i lawe mai lapaʻau me ka cytotoxic ai 'wale nō i loko o ka hanana o ka ole o ka hoomanawanui, imua o decompensated maʻi, wa elemakule, a me ka 4th ke kahua o ka maʻi' aʻai kaʻina.

Chemotherapy ua hoʻopili i ka ulu ana o metastases

Kekahi o na kumu nui pahu hopu o ka lapaʻau - e wehe metastases me adjuvant chemotherapy. Ua Ua manaoio ia ma ka hana o cytotoxic ai 'me ka nui loa hoemi ia i ka pilikia o kaʻeho recurrence. Ma muli o ka chemotherapy i loko o ka postoperative wā i loko o ka umauma Ka maʻi 'aʻai, akemāmā, uterus a appendages he mea piha ana o metastases i loko o nā' āina 'lymph aka wahi. Ua hoi ho'ēmi i kā ka pilikia o ko lākou mau helehelena i loko o ke kaawale ana o nā loko. Alaila, o ka 'inikua lapaʻau o ka maʻi' aʻai Cancer kōkua lohi kaʻina, a ma kekahi mau hihia - piha daimonio.

Reviews 'Oihana a me nā mea maʻi e pili ana adjuvant chemotherapy

E like me ia oncologists, chemotherapy mea heʻano pākīkē iaoia o ka waiū. Ua suppressesʻAʻole wale i ka'ōnaehana paleʻea'ōnaehana o ka hoomanawanui, akā, poorly tolerated e hoʻomanawanui iki mai. Aka hoi, i keia la i ka iapaau ana o cytotoxic ai 'ua oi' oluʻolu ma mua o minuses. Ua Ua kaulana ia i loko o ka hui kokoke i ka paioʻana me ka maʻi 'aʻai ka manawa o ke ola hooulu.