R-CHOP Kev Siv Tshuaj Tua Hluav Taws Xob: Sab Sab Nyab Xeeb, Noj Tshuaj, thiab Ntau dua

Zoo Siab

• Yuav kho tus mob R-CHOP li cas?
• R-CHOP ua haujlwm li cas?
• Rituximab (Rituxan)
• Cyclophosphamide (Cytoxan)
• Doxorubicin hydrochloride (Adriamycin, Rubex)
• Vincristine (Oncovin, Vincasar PFS, Vincrex)
• Prednisolone
• Nws muab li cas?
• Dab tsi yog qhov muaj feem tshwm sim?
• Koj yuav tsum paub dab tsi ua ntej koj pib kho?
• Dab tsi ntxiv uas koj yuav tsum paub?

Kev kho tshuaj R-CHOP yog dab tsi?

Kev siv tshuaj kho mob tuaj yeem ua rau cov qog lossis tua cov qog mob cancer uas ploj mus tom qab phais lossis hluav taws xob. Nws tseem yog ib qho kev kho mob, muaj ntsiab lus nws lub hom phiaj yog los tua cov qog nqaij hlav cancer thoob plaws koj lub cev.

Txhua yam tshuaj khomob ua haujlwm kom tua cov kabmob kheesxaws, tabsis lawv ua ntau yam. Qhov no yog vim li cas oncologists feem ntau xaiv ib qho kev sib txuam ntawm cov tshuaj. Lawv xaiv lawv cov kev xaiv rau ntau yam xws li hom mob cancer uas koj muaj, nws kis tau deb npaum li cas, thiab koj txoj kev noj qab haus huv tag nrho.

R-CHOP suav nrog tsib txoj kev siv tshuaj khomob:

• rituximab (Rituxan)
• cyclophosphamide
• doxorubicin hydrochloride
• vincristine (Oncovin, Vincasar PFS)
• prednisolone

Koj tuaj yeem txais R-CHOP nrog lossis tsis muaj lwm yam kev kho mob xws li kev phais mob thiab hluav taws xob kho.

Yuav kho tus mob R-CHOP li cas?

Cov kws kho mob tsuas yog siv R-CHOP los kho cov tsis mob Hodgkin lymphoma (NHL) thiab lwm yam lymphomas. Lymphoma yog mob qog nqaij hlav uas pib hauv cov leeg li.

R-CHOP tuaj yeem kho lwm hom mob qog noj ntshav.

R-CHOP ua haujlwm li cas?

Peb ntawm cov tshuaj hauv R-CHOP yog cov muaj zog cytotoxics, txhais tau tias lawv tua cov cell. Ib qho yog hom kev tiv thaiv tshuaj kho mob thiab qhov kawg yog tshuaj steroid, uas tau pom tias muaj cov teebmeem anticancer.

Rituximab (Rituxan)

Rituximab feem ntau yog siv los kho NHL. Nws yog cov tshuaj tiv thaiv monoclonal. Nws tsom lub protein hu ua CD20 nyob rau saum npoo ntawm cov qe ntshav dawb hu ua “B cell. Thaum cov tshuaj txuas rau B hlwb, koj lub cev tiv thaiv tawm tsam thiab tua lawv.

Cyclophosphamide (Cytoxan)

Cov tshuaj no tuaj yeem kho ntau yam mob qog nqaij hlav, suav nrog mob qog nqaij hlav thiab mob qog mis thiab mob ntsws. Cyclophosphamide tsom lub DNA ntawm qog nqaij hlav cancer thiab taw qhia lawv kom tsis txhob faib tawm.

Doxorubicin hydrochloride (Adriamycin, Rubex)

Cov tshuaj no yog tshuaj tiv thaiv uas kho tau ntau yam mob khees xaws, xws li mis, mob ntsws, thiab mob cancer ntawm zes qe menyuam. Doxorubicin thaiv kev cov qog hlwb mob hlwb uas yuav tsum tau loj hlob thiab rov tsim tawm dua. Nws liab ploog tau ua nws lub npe menyuam yaus "dab ntxwg nyoog liab."

Vincristine (Oncovin, Vincasar PFS, Vincrex)

Vincristine yog ib qho alkaloid uas tuaj yeem kho ntau hom mob qog nqaij hlav, suav nrog kev mob qog mis qib qog, mob qog ntshav, thiab mob ntshav dawb. Nws cuam tshuam nrog cov noob caj noob kom txwv lawv ntawm kev rov ua dua. Cov tshuaj no yog ib qho me me, txhais tau tias nws tuaj yeem ua kev puas tsuaj rau cov nqaij thiab cov hlab ntsha.

Prednisolone

Cov tshuaj no yog ib qho corticosteroid muaj nyob hauv ntau lub hom phiaj. Tsis zoo li lwm tus, qhov no yog tshuaj noj hauv qhov ncauj. Nws ua haujlwm nrog koj lub cev tiv thaiv kab mob txhawm rau pab txo:

• o
• xeev siab
• ntuav
• kev fab tshuaj tsis haum
• cov qib platelet qis, lossis thrombocytopenia
• kom muaj calcium ntau ntxiv, lossis hypercalcemia

Ua ke, cov tshuaj no tsim cov muaj peev xwm tua cov kabmob ntshav qab zib.

Nws muab li cas?

Cov txheej txheem tshuaj yog ua raws qhov siab thiab qhov hnyav. Koj tus kws kho mob tseem yuav txiav txim siab txog lwm yam kev noj qab haus huv uas koj muaj, koj lub hnub nyoog, thiab lawv xav tias koj yuav zam cov tshuaj thaum txiav txim siab noj ntau npaum li cas thiab nws muaj pes tsawg phaum.

Tib neeg feem ntau tau txais cov tshuaj no txhua ob rau peb asthiv. Feem ntau, cov kws kho mob muab qhov tsawg kawg ntawm rau koob lossis 6 hlis. Txoj kev kho yuav siv 18 lub lis piam lossis ntev dua yog tias koj muaj voj voog ntxiv.

Ua ntej txhua yam kev kho mob, koj yuav tsum tau kuaj ntshav los saib seb puas muaj ntshav nce li cas thiab seb koj lub siab thiab lub raum ua haujlwm zoo txaus li cas. Yog tias lawv tsis pom, koj tus kws kho mob yuav tsum ncua koj txoj kev kho lossis txo qhov koj cov tshuaj noj.

Cov kev kho mob ib leeg tuaj yeem siv sijhawm ntau teev, thiab cov kws saib xyuas kev noj qab haus huv yuav tswj hwm cov tshuaj cia, txhais tau los ntawm txoj hlab ntshav hauv koj txhais caj npab. Koj tseem tuaj yeem muab nws los ntawm chaw nres nkoj uas kws phais neeg tuaj yeem cog rau hauv koj lub hauv siab. Tej zaum koj yuav xav tau nyob hauv tsev kho mob kom tau txais kev kho mob, tab sis tib neeg tuaj yeem txais nws ntawm qhov chaw kho mob sab nrauv ntau zaus.

Koj yuav tsum tau saib xyuas txhua qhov kom zoo. Thaum thawj qhov kev kho mob, cov kws kho mob yuav saib xyuas koj kom zoo rau txhua qhov tsos mob ntawm kev tsis haum tshuaj lossis lwm qhov kev phom sij ntawm lub cev los ntawm kev kho mob qog nqaij hlav hu ua qog mob syysys.

Prednisolone yog ib qho tshuaj noj hauv qhov ncauj uas koj nqa hauv tsev tau ob peb hnub tom qab tau txais lwm yam tshuaj.

Dab tsi yog qhov muaj feem tshwm sim?

Kev siv tshuaj kho mob tua cov qog nqaij hlav cancer. Lawv kuj tuaj yeem ua puas cov kab mob hlwb zoo hauv cov txheej txheem. Yog vim li cas thiaj li muaj ntau qhov kev phiv ntau. Nws tsis zoo li koj yuav muaj tag nrho cov.

Kev siv tshuaj kho mob cuam tshuam rau txhua tus neeg sib txawv. Cov kev mob tshwm sim yuav hloov ntev dua koj tau siv cov tshuaj no, tab sis feem ntau nws ib txwm ua ib ntus. Koj pawg neeg saib xyuas kev noj qab haus huv tuaj yeem muab cov ntaub ntawv qhia txog yuav ua li cas nrog lawv.

Cov kev mob tshwm sim heev tshaj yog:

• voos ncig lub chaw xa khoom lossis chaw nres nkoj
• liab lossis liab zis rau ob peb hnub vim yog doxorubicin
• hloov pauv tau
• qhov hnyav hloov
• kem plab
• xeev siab
• ntuav
• nkees
• pw tsaug zog
• ntshav siab yog suav
• anemia
• los ntswg
• los ntswg
• cov pos hniav los ntshav
• qhov ncauj tawm
• qhov ncauj mob
• plaub hau poob
• ib tug poob ntawm coj khaub ncaws, lossis kev mob plab
• ib tug poob ntawm fertility
• thaum ntxov lawm
• daim tawv nqaij rhiab
• cov teeb meem hlab ntsha hlwb, lossis mob hlab ntsha hlwb

Tsawg dua cov kev mob tshwm sim tuaj yeem suav nrog:

• tawm pob khaus vim yog ua xua
• hlawv ntshav lossis mob tso zis
• hloov pauv hauv saj
• hloov rau tes rau taw thiab cov rau taw
• hloov mus rau cov leeg plawv
• zawv plab

Cov kev mob tshwm sim tsis tu ncua suav nrog kev hloov pauv cov ntsws thiab txoj kev hloov ua lwm hom mob cancer yav tom ntej.

Koj yuav tsum paub dab tsi ua ntej koj pib kho?

Ua ntej pib siv tshuaj khomob, koj yuav ntsib nrog koj tus kws kho mob hauv pob. Nov yog lub sijhawm nug cov lus nug txog yam koj tuaj yeem xav tau thaum lub sijhawm thiab tom qab kho. Ua raws li cov lus qhia no:

• Qhia koj tus kws kho mob yog tias koj tau noj tshuaj txwv, lwm yam tshuaj noj, lossis tshuaj noj pab rau lub cev. Qee cov khoom lag luam, txawm tias cov khoom siv dhau qhov txee, yuav ua rau muaj kev cuam tshuam tsis zoo.
• Yog tias koj tab tom pub mis, koj yuav tsum tso tseg vim tias cov tshuaj no tuaj yeem hla hauv niam cov kua mis rau koj tus menyuam.
• Qhia rau koj tus kws kho mob yog tias koj xav tias koj tuaj yeem cev xeeb tub. Cov tshuaj no tuaj yeem tsim kev puas tsuaj rau koj tus menyuam thiab ua rau muaj menyuam tsis taus.
• Kev siv tshuaj kho mob yuav cuam tshuam rau koj lub cev xeeb tub thiab ua rau lub sijhawm ntxov lawm. Yog tias koj tab tom npaj ib tsev neeg, nrog koj tus kws kho mob tham txog cov kev xaiv phiaj xwm hauv tsev neeg thiab tej zaum yuav ntsib nrog cov kws paub tab (fertility) yog tias tsim nyog ua ntej koj yuav kho thawj zaug.
• Kev siv tshuaj kho mob cuam tshuam rau koj lub cev tsis muaj zog. Tsis txhob txhaj tshuaj thaum lub sijhawm muab tshuaj tua, thiab nug koj tus kws kho mob thaum nws muaj kev nyab xeeb los ua li ntawd.
• Cov kev mob tshwm sim los ntawm kev siv tshuaj kho mob yog qhov yuav tsum tau, tab sis tuaj yeem tswj tau nrog kev siv tshuaj, tshuaj hauv tsev, thiab tshuaj ntxiv. Tsis txhob yig nrog koj tus kws kho mob tham txog qhov teeb meem tshwm sim.

Dab tsi ntxiv uas koj yuav tsum paub?

Raws li lub lis piam dhau mus, koj yuav tau siv rau kev kho mob sijhawm, tab sis muaj kev cuam tshuam yuav tas mus li. Koj yuav dhau los ua neeg sab rog. Nws yog lub tswv yim zoo kom muaj lwm tus tsav koj los ntawm kev kho tshuaj thiab txhawb koj lwm txoj hauv kev thaum kho mob.

Cov lus qhia no tuaj yeem pab koj ua kom muaj kev kho mob zuaj zis thiab tsis ntxhov siab:

• Hnav khaub ncaws kom yooj yim thiab nqa ib lub tsho tiv no lossis daim pam. Qee tus neeg txawm nqa lawv cov tog hauv ncoo lossis cov khau khiab.
• Nqa cov khoom nyeem lossis khoom ua si dhau lub sijhawm.
• Yog tias koj nkees, cia koj tus kheej ua kom poob tsaug zog thaum kho.
• Qhia koj tus nais maum lossis kws kho mob yog tias koj muaj cov tsos mob txawv txawv.

Dhau ntawm cov kws kho mob, nws tseem ceeb heev uas yuav tsum ua cov hauv qab no:

• Txuas ntxiv noj cov zaub mov muaj txiaj ntsig, txawm tias koj tsis qab los noj mov.
• Haus dej kom ntau thiab haus dej kom tsawg.
• So kom txaus.
• Koom nrog kev ua tej yam me me thaum twg koj ua tau.
• Ncav tes pab ua haujlwm thiab haujlwm.
• Zam kev nyob puag ncig cov neeg uas muaj kis mob kis tau vim tias koj lub cev tiv thaiv yuav tsis muaj zog.
• Koom nrog kev sib raug zoo nrog koj tsev neeg thiab cov phooj ywg, tab sis siv sijhawm rau koj tus kheej thaum koj xav tau.