Chemotherapy

Polelo chemotherapy e sebelisetsoa ho hlalosa lithethefatsi tse bolaeang mofets'e. Chemotherapy e ka sebelisoa ho:

• Phekola mofetše
• Fokotsa mofetše
• Thibela mofetše hore o se ke oa ata
• Fokotsa matšoao a mofets'e a ka bang teng

KAMOO CHEMTHERAPY E FIHLELOANG

Ho ipapisitse le mofuta oa mofetše le moo o fumanoang teng, litlhare tsa chemotherapy li ka fuoa litsela tse fapaneng, ho kenyelletsa:

• Liente kapa ho thunya ka har'a mesifa
• Liente kapa lithunya ka tlasa letlalo
• Ho kena mothapong
• Ka mothapong (ka hare ho methapo, kapa IV)
• Lipilisi tse nooang ka molomo
• O thunya mokelikeli o potileng mokokotlo kapa boko

Ha chemotherapy e fanoa ka nako e teletsana, catheter e tšesaane e ka kenngoa mothapong o moholo haufi le pelo. Sena se bitsoa mohala o bohareng. Catheter e beoa nakong ea ts'ebetso e nyane.

Ho na le mefuta e mengata ea li-catheters, ho kenyelletsa:

• Catheter e bohareng ea venous
• Catheter e mahareng e nang le boema-kepe
• Catheter e bohareng e kentsoeng ka letsoho (PICC)

Mohala o bohareng o ka lula 'meleng nako e telele. E tla hloka ho fafatsoa beke le beke ho isa khoeli le khoeli ho thibela maqeba a mali ho theha kahare mohareng.

Lithethefatsi tse fapaneng tsa chemotherapy li ka fanoa ka nako e le ngoe kapa ka mor'a e 'ngoe. Kalafo ya radiation e ka fumanwa pele ho kamora kapa kamora kapa nakong ea chemotherapy.

Chemotherapy hangata e fanoa ka lipotoloho. Ts'ebetso ena e ka nka letsatsi le le leng, matsatsi a 'maloa, kapa libeke tse' maloa kapa ho feta. Hangata ho tla ba le nako ea phomolo ha ho se na chemotherapy e fanoang lipakeng tsa potoloho ka 'ngoe. Nako ea phomolo e ka nka matsatsi, libeke kapa likhoeli. Sena se lumella lipalo tsa 'mele le mali ho fola pele ho tekanyetso e latelang.

Khafetsa chemotherapy e fuoa tleliniki e khethehileng kapa sepetlele. Batho ba bang ba khona ho fumana chemotherapy malapeng a bona. Haeba ho fanoa ka chemotherapy ea lapeng, baoki ba bophelo bo botle ba lapeng ba tla thusa ka meriana le li-IV. Motho ea fumanang chemotherapy le litho tsa malapa a hae ba tla fumana koetliso e khethehileng.

LIEKETSENG MEFUTA EA CHEMOTHERAPY

Mefuta e fapaneng ea chemotherapy e kenyelletsa:

• Chemotherapy e tloaelehileng, e sebetsang ka ho bolaea lisele tsa mofetše le lisele tse ling tse tloaelehileng.
• Kalafo e lebisitsoeng le immunotherapy zero ho lipheo tse itseng (limolek'hule) ho lisele tsa mofetše.

LIPHOLO LITS'ELETSO TSA CHEMTHERAPY

Hobane meriana ena e haola le mali ho ea 'meleng oohle, chemotherapy e hlalosoa e le kalafo ea' mele.

Ka lebaka leo, chemotherapy e ka senya kapa ea bolaea lisele tse tloaelehileng. Tsena li kenyelletsa lisele tsa moko oa masapo, methapo ea moriri, le lisele tse molomong oa molomo le tšilong ea lijo.

Ha tšenyo ena e hlaha, ho ka ba le litla-morao. Batho ba bang ba fumanang chemotherapy:

• Ho na le monyetla oa hore o be le tšoaetso
• Khathala habonolo
• Ho tsoa mali a mangata haholo, esita le nakong ea mesebetsi ea letsatsi le letsatsi
• Utloa bohloko kapa ho shoeloa ke tšenyo ea methapo
• E-ba le molomo o omileng, liso tsa molomo, kapa ho ruruha molomong
• E-ba le takatso ea lijo e fokolang kapa u theole boima ba 'mele
• E-ba le mpa e halefileng, ho hlatsa kapa letšollo
• Ba lahleheloa ke moriri
• Ho ba le mathata a ho nahana le ho hopola ("chemo brain")

Litla-morao tsa chemotherapy li ipapisitse le lintho tse ngata, ho kenyeletsoa mofuta oa mofets'e le hore na ke lithethefatsi life tse sebelisoang. Motho e mong le e mong o itšoara ka tsela e fapaneng le lithethefatsi tsena. Lithethefatsi tse ling tse ncha tsa chemotherapy tse lebisang liseleng tsa mofets'e hantle li ka baka litlamorao tse fokolang kapa tse fapaneng.

Mofani oa hao oa tlhokomelo ea bophelo o tla u hlalosetsa seo u ka se etsang lapeng ho thibela kapa ho phekola litla-morao. Mehato ena e kenyelletsa:

• Ho ba hlokolosi ka liphoofolo tse ruuoang lapeng le liphoofolo tse ling ho qoba ho tšoaetsoa ke tsona
• Ho ja lik'hilojule le liprotheine tse lekaneng ho boloka boima ba 'mele ba hao bo phahame
• Ho thibela ho tsoa mali, le seo u lokelang ho se etsa haeba ho tsoa mali
• Ho ja le ho noa ka mokhoa o sireletsehileng
• Ho hlapa matsoho khafetsa ka sesepa

U tla hloka ho ba le maeto a ho latela le mofani oa hau nakong le kamora chemotherapy. Ho tla etsoa liteko tsa mali le liteko tsa ho nka litšoantšo, tse kang x-ray, MRI, CT kapa PET.

• Hlahloba hore na chemotherapy e sebetsa hantle hakae
• Shebella tšenyo ea pelo, matšoafo, liphio, mali le likarolo tse ling tsa 'mele

Kankere ea chemotherapy; Phekolo ea lithethefatsi ea mofetše; K'hemik'hale ea cytotoxic

• Kamora chemotherapy - ho tsoa
• Chemotherapy - seo u lokelang ho se botsa ngaka ea hau

• Meaho ea sistimi ea boits'ireletso

Collins JM. Kankere ea meriana. Ka: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, bahlophisi. Abeloff's Clinical Oncology. La 6th. Philadelphia, PA: Elsevier; 2020: khaolo ea 25.

Doroshow JH. Atamela mokuli ea nang le mofetše. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 169.

Webosaete ea National Cancer Institute. Chemotherapy ho phekola mofetše. www.cancer.gov/about-cancer/treatment/types/chemotherapy. E ntlafalitsoe ka la 29 Mmesa, 2015. E fihlile ka la 5 Phato 2020.