Chemotherapy ndeimwe yenzira dzekushungurudzika kwekenza yemuviri, inosanganisira kushandiswa kwezvinodhaka zvinogona kuparadza masero ekenza uye kudzivisa kukura kwavo. Chemotherapy inogona kuitwa mumamiriro ezvinhu akadaro:
- Kana kushanda kusingakwanisi kana kusina maturo (kuvapo kwemasimba akazara, kuramba kwemurwere kubva mubasa racho, nezvimwewo), chemotherapy inowanikwa kuti iwedzere hupenyu hwomurwere uye kuderedza kusaratidzwa kwakaipa kwechirwere chacho.
- Preoperative chemotherapy - inoshandiswa kuderedza ukuru hwechirwere kuitira kuti ishandise kubviswa kwayo.
- Postoperative chemotherapy - yakagadzirirwa kuchengetedza kudzoka kwechirwere mushure mekubviswa kwechirwere chemuviri.
Chemotherapy inokonzera kenza yemukati
Kuchengetedza kenza yemudumbu, mitemo yakasiyana-siyana yemishonga inoshandiswa nekushandiswa kwekubatanidza chemotherapeutics. Kusarudzwa kwedzimwe chirongwa chekurapa kunoratidzwa nechirwere chemakiriniki uye chimiro chemu murwere, pamwe nezvimwe zvinhu. Nyanzvi dzinogara dziri kutsvaga kutsvaga kwezvinodhaka zvitsva, kuedza kuwana mishonga inobatsira zvikuru yerapa. Heano mamwe mishonga yemishonga inoshandiswa mumakemikirasi emukenza wepamu:
- epirubicin, cisplatin uye fluorouracil (ECF scheme);
- epirubicin, cisplatin uye capecitabine (ECX);
- epirubicin, oxaliplatin uye capecitabine (EOX);
- mitomycin, cisplatin uye capecitabine (MCX);
- 5-fluorouracil, epirubicin, methotrexate (FEMTX), uye vamwe.
Zvinodhaka zvinogona kupiwa nenzira yejojo, kuburikidza nekunyora, nenzira yemapiritsi. Mishonga inogona kupera kubva kumwedzi 4 kusvika ku6, zvichienderana nekuita kwemasero emarara kumishonga.
Chikafu chemhemotherapy yekenza yemuviri
Chikafu chakakodzera mukurapa kenza yemumumvu inobata basa rinokosha. Varwere vanoda nhamba yakakwana yeiori, mavitamini, mapuroteni nemaminerari. Panguva imwecheteyo, kutevedza nekudya kwechirwere ichi kwakaoma, sezvo varwere vakaderedza kudya uye nemigumisiro yechemotherapy (kushushikana, kushusha, chirwere, uye zvimwewo).
Zvose zvinorayirirwa nezvekudya kunovaka muviri munyaya iyi ndezvi:
- tora zvokudya muzvikamu zviduku kanenge kanomwe pazuva;
- zvakakosha kushandisa mvura isati yasvika uye shure kwekudya;
- kwete kukurudzirwa kushandiswa kwemasipi, jisi, mvura yakakonzera.
Kubudirira kwechemotherapy yekenza yemukati
Mhedziso yechemotherapy yakasiyana nevarwere vakasiyana, uye, paavhareji, iri 30-40%. Izvi zvinonyanya kukonzerwa nebasa rakasiyana-siyana rezvinyorwa zvemarara masero. Mune vamwe varwere, chemotherapy haina kutungamirira pakuderera kwechirwere. Muchiitiko ichi, chemotherapy inomira, kana kumwe kumwe kusanganiswa kwezvinodhaka kunorayirwa.
Muzhinji, inofungidzirwa kuti iyi nzira yekurapa inogona kuvandudza hupenyu hwehupenyu uye kuwedzera nguva yayo.