Tshuaj kho mob cancer mis yog ib txoj hauv kev tseem ceeb ntawm kev kho mob. Nws yog siv los ua ib txoj hauv kev los cuam tshuam cov qog malignant. Qhov kev ua tau zoo ntawm qhov kev kho mob no ncaj qha nyob ntawm hom mob qog noj ntshav, thiab, ntxiv rau, nyob rau theem ntawm tus kab mob. Tshuaj kho mob feem ntau muaj nyob rau hauv cov tswv yim ntawm txoj kev kho mob cancer ntawm lub mis.
Tshuaj khomob ua haujlwm li cas?
Tshuaj kho mob cancer mis yog ib txoj hauv kev cytostatic uas cuam tshuam rau cov qog nqaij hlav cancer. Cov tshuaj kws khomob qhia rau hauv lub cev yog nqa nrog cov ntshav thiab faib thoob plaws hauv cov ntaub so ntswg. Kev xaiv ua yeeb yam ntshav-hlwb thaiv tsis ua raws li kev cuam tshuam rau lawv, uas ua kom muaj kev sib haum xeeb. Cov tshuaj cuam tshuam tsis tau tsuas yog lub hom phiaj tseem ceeb, tab sis kuj nyob deb metastases. Yog li ntawd, kev loj hlob ntawm malignant hlwb yog inhibited txawm nyob rau hauv tseem tsis taudiagnosed dropouts.
Drug group
Muaj ob hom tshuaj khomob:
- Tshuaj nrog cov teebmeem cytotoxic uas cuam tshuam kev ua haujlwm ntawm cov cell organelles thiab ua rau qog necrosis.
- txhais tau tias nrog cov nyhuv cytostatic, nyob rau hauv uas cov txheej txheem ntawm cell faib yog suppressed.
Cov tshuaj npaj rau kev kho mob tuaj yeem cuam tshuam cov protein molecules uas khi rau nucleic acids lossis ua lub luag haujlwm rau kev tsim cov pob txha ntawm cov hlwb. Qee tus ntawm lawv ua rau qeeb lossis cuam tshuam cov txheej txheem gene replication, thaum lwm tus tuaj yeem ua rau tsim cov tshuaj lom radicals lossis muaj cov teebmeem hauv metabolic.
Mechanism of action
Txhua cov tshuaj muaj cov txheej txheem tshwj xeeb, uas yog lub hauv paus ntawm kev faib cov tshuaj tua kab mob. Rau kev mob qog noj ntshav mis, qee yam tshuaj khomob yuav raug sau tseg, uas suav nrog kev xaiv ua tib zoo xaiv cov tshuaj sib txawv. Cov tshuaj kws khomob rau theem 2 mob qog noj ntshav mis tsis xaiv, lawv cuam tshuam tsis zoo rau kev ua haujlwm tseem ceeb ntawm cov hlwb ntawm tib neeg lub cev.
Kev nce qib
Cov qog nqaij hlav qog nqaij hlav yog tus cwj pwm los ntawm tus nqi siab tshaj plaws ntawm kev loj hlob. Qhov no, nyob rau hauv lem, yog nrog los ntawm ib tug txo nyob rau hauv cellular sib txawv nrog rau inhibition ntawm lub natural mechanism ntawm kev tswj tus kheej. Qhov no piav qhia txog kev ua haujlwm siab ntawm cytostatics,Raws li qhov tshwm sim ntawm lawv lub zog, cov qog hlwb nres tsis sib faib thiab tuag.
Tus nqi ntawm kev loj hlob ntawm cov hlwb zoo tib yam hauv tib neeg lub cev yog qis dua piv rau cov neoplastic. Yog li ntawd, txawm tias ib qho kev faib cov qauv tsis raug puas tsuaj heev. Tom qab kev tso tseg ntawm kev raug cytostatics, lawv tuaj yeem rov ua haujlwm, thiab cov kev mob tshwm sim tau txo qis lossis ploj tag.
Tshuaj kho mob cancer mis yog dab tsi?
Tshuaj khomob thiab nws hom
Cov tshuaj niaj hnub txawv ntawm cov tshuaj kho mob hauv qab no:
- Nyob rau hauv kev kho mob qog noj ntshav mis, kws khomob tuaj yeem yog tus neeg mob sab nraud lossis tus neeg nyob hauv tsev. Qhov kev xaiv ncaj qha nyob ntawm lub zog ntawm cov tshuaj uas tau sau tseg, thiab, ntxiv rau, ntawm tus neeg mob tus mob thiab qhov hnyav ntawm cov kev mob tshwm sim.
- Tshuaj khomob tej zaum yuav yog kev kho mob tseem ceeb rau mob qog noj ntshav. Cov txheej txheem no feem ntau yog siv nyob rau hauv lub xub ntiag ntawm cov qog uas yog rhiab heev rau cov tshuaj. Nws kuj raug sau tseg thaum nws tsis tuaj yeem siv lwm txoj kev kho mob qog noj ntshav, piv txwv li, nyob rau hauv muaj ntau yam metastases. Nyob rau hauv cov ntaub ntawv no, raws li ib tug txoj cai, muaj hwj chim kho regimens yog siv uas tso cai rau koj los cuam tshuam cov qog nqaij hlav cancer ntawm tag nrho cov theem ntawm proliferation.
- Lwm qhov kev hloov pauv yog kev kho tshuaj kho mob ntxiv. Nyob rau tib lub sijhawm, kev siv tshuaj tua kab mob ua haujlwm ntxiv rau lwm txoj hauv kev kho mob qog noj ntshav, thiab cov qog nws tus kheej raug tshem tawm.txoj kev phais. Hauv kev xyaum kho mob niaj hnub no, siv ob txoj kev xaiv: neoadjuvant thiab postoperative chemotherapy. Hauv thawj kis, lub hom phiaj tseem ceeb yog kom muaj kev loj hlob ntawm cov qog nrog rau kev tiv thaiv ntawm metastasis. Tom qab ua haujlwm, cov tshuaj chemotherapy tau muab tshuaj rau kev tiv thaiv rov qab los.
- Ntawm lwm yam, muaj induction chemotherapy, uas yog nqa tawm ua ntej kev phais. Nrog kev pab ntawm qhov kev kho mob no, qhov loj ntawm cov qog txo qis, ua tiav qhov muaj peev xwm hloov cov qog nqaij hlav rau hauv daim ntawv ua haujlwm.
Yuav ua li cas thiaj yuav tshuaj kho mob qog noj ntshav tom qab phais?
Cov xim xim rau cov tshuaj khomob khomob
Qhia txog hom kev kho mob siv, cov ntsiab lus ntawm cov tshuaj kho liab, xiav, dawb thiab daj yog siv. Nws nyob ntawm cov xim ntawm cov tshuaj kho mob muab tso rau hauv cov hlab ntsha.
Tshuaj kho liab rau mob qog noj ntshav yog suav tias yog qhov muaj zog tshaj plaws thiab tib lub sijhawm muaj tshuaj lom heev. Nyob rau hauv no hais txog, nws yog heev zam, nrog los ntawm ib tug loj tus naj npawb ntawm ntau yam teeb meem. Nrog rau cov tswv yim no, "Doxorubicin" thiab "Idarubicin" nrog cov nyhuv cytostatic yog siv.
Nyob rau hauv cov tswv yim daj, cov tshuaj xws li Methotrexate thiab Cyclophosphamide tau sau tseg. Cov tshuaj no tsis tshua muaj tshuaj lom, thiab kev kho mob me dua. Cov tshuaj kho mob xiav thiab dawb siv rau kev mob qog noj ntshav mis yog siv thaum muaj qee yam qhia.
Kuv yuav tsum xav txog dab tsi thaum txiav txim siab seb puas yuav kho tshuaj khomob?
Tshuaj kho mob qog noj ntshavmammary caj pas tuaj yeem raug sau rau ntawm txhua theem. Nyob rau tib lub sijhawm, cov kws kho mob tuaj yeem ua raws cov hom phiaj sib txawv, uas yuav cuam tshuam rau qhov kev xav tau ntawm qhov kev npaj kho mob. Thaum ntsuas qhov xav tau ntawm kev siv cytostatics, cov hauv qab no tau muab coj los rau hauv tus account:
- Qhov loj ntawm cov qog nrog rau nws qhov chaw thiab qib ntawm kev ntxeem tau.
- Qhov xwm txheej ntawm qhov kev nthuav qhia ntawm oncogene, thiab, ntxiv rau, qib ntawm nws qhov sib txawv.
- Kev koom tes ntawm cov qog ntshav hauv cov qog nqaij hlav.
- Tumor hormonal status.
- Tumor growth dynamics.
- Cov tshuaj hormonal ntawm tus neeg mob nrog rau kev ua haujlwm tag nrho ntawm nws lub zes qe menyuam.
- Hnub nyoog ntawm tus neeg mob thaum lub sijhawm kuaj mob qog noj ntshav, nrog rau ncaj qha thaum kho.
Rau txhua tus neeg mob, ib qho kev kho mob rau tus kheej raug teeb tsa. Ua ntej pib siv tshuaj, cov noob caj noob ces tau kawm.
Tshuaj kho mob li cas rau theem 2 mob qog noj ntshav?
Tshuaj kho mob nyob ntawm tus neeg mob tus mob thiab nws xav li cas. Ua ntej pib qhov kev kawm thawj zaug, kev kuaj mob tau raug sau tseg, ntsuas lub xeev ntawm lub plawv, thiab, ntxiv rau, suav ntshav. Qhov no yog qhov yuav tsum tau ua raws li kev soj ntsuam ntawm kev ua siab ntev ntawm kev kho mob lub sijhawm, uas yuav tso cai rau kev tshawb pom qhov teeb meem loj.
Kev khomob feem ntau suav nrog kev txhaj tshuaj hauv cov hlab ntsha. Nws tuaj yeem nqa tawm hauv tsev kho mob ib puag ncig lossis ib hnub, qee zaum qhov noua tom tsev. Tam sim no, ntau txoj hauv kev tau ua kom nquag plias uas tso cai rau zam qhov kev sib tsoo txhua hnub ntawm cov leeg rau vascular nkag. Piv txwv li, qee lub tsev kho mob muab rau nruab qhov chaw nres nkoj tshwj xeeb rau kev tswj hwm kev siv tshuaj. Feem ntau muab tso rau hauv venous catheter.
Lub sijhawm sib tham ntev npaum li cas?
Yog li, siv sijhawm tshuaj khomob rau ob peb teev. Cov neeg mob uas muaj kev noj qab haus huv zoo feem ntau tsis tas yuav nyob hauv tsev kho mob ib puag ncig. Tom qab kuaj xyuas los ntawm tus kws kho mob, cov neeg mob raug xa mus tsev, thiab tseem tso cai rov qab mus rau qhov chaw ua haujlwm. Nyob rau hauv cov xwm txheej uas muaj kev phiv tshwm sim, cov tshuaj ntxiv tau raug sau los yog kho cov txheej txheem kho mob. Hauv kev siv tshuaj kho qhov ncauj, cov tshuaj tau muab rau cov neeg mob rau cov hnub hauv tsev, thiab cov lus qhia txog kev noj haus thiab kev ua neej kuj tau muab.
Yuav ua li cas tom qab kho mob qog noj ntshav mis?
Tsis xav tau qhov tshwm sim
Tshuaj kho mob yog kev kho mob lom heev, yog li cov kev mob tshwm sim tuaj yeem tshwm sim hauv cov neeg mob feem ntau. Tej yam tshwm sim los ntawm kev siv tshuaj khomob yog raws li nram no:
- xeev siab, ntuav, saj tsis zoo hauv lub qhov ncauj nrog rau kev tsis qab los.
- Qhov tsos mob ntawm qhov ncauj mucosa.
- Qhov tshwm sim ntawm qhov tsis xis nyob hauv plab, nrog rau kev ua txhaum ntawm cov quav.
- plaub hau plam kom tiav baldness.
- Kev txhim khobrittleness nrog rau discoloration ntawm cov rau tes.
- Nyob ntawm daim tawv nqaij ntawm qhov sib txawv.
- Kev tshwm sim ntawm subfebrile lossis febrile lub cev kub.
- Kev txhim kho ntshav qab zib.
- Immunosuppression ua rau muaj kev sib kis ntev thiab nyuaj.
- tsis ua raws li kev coj khaub ncaws thiab tsis muaj menyuam.
- Kev txhim kho mob toxic myocardiopathy.
Qhov tshwm sim ntawm kev kho mob qog noj ntshav hauv cov poj niam tau tshwm sim ntau txoj hauv kev.
Ntau yam ntawm cov npe teev tseg yog thim rov qab thiab yuav dhau sai tom qab kawm tiav. Cov plaub hau thiab rau tes loj hlob sai sai. Txawm li cas los xij, tom qab siv tshuaj kho mob, cov neeg mob feem ntau xav tau kev rov zoo.
Lub sijhawm rov qab los
Kev rov qab los tom qab siv tshuaj kho mob cancer mis tuaj yeem siv sijhawm qee lub sijhawm, uas ncaj qha nyob ntawm qhov hnyav ntawm cov kev mob tshwm sim, thiab, ntxiv rau, ntawm qib kev puas tsuaj ntawm lub cev. Txhawm rau ua kom cov txheej txheem no nrawm dua, cov kws kho mob tau sau tshuaj immunomodulatory thiab hepatotropic.
Khoom noj khoom haus ua lub luag haujlwm tseem ceeb hauv kev kho mob qog noj ntshav mis. Cov ntawv qhia zaub mov yuav tsum sib npaug, nco ntsoov noj zaub tshiab thiab txiv hmab txiv ntoo nrog rau cov khoom noj mis nyuj, proteins thiab zaub mov muaj hlau. Khoom noj khoom haus tom qab chemotherapy yuav tsum muab lub cev nrog cov khoom tsim nyog ntawm cov as-ham thiab kab kawm, tiv thaiv kev txhim kho ntawm hypovitaminosis. Kev tshaib kev nqhis yog qhov tsis txaus ntseeg, noj yuav tsumtshwm sim ntau txaus, tab sis nyob rau hauv me me.
Tshuaj kho mob ua kom cov neeg mob muaj sia nyob, txawm tias cov neeg mob qog noj ntshav theem 3 lossis 4.
