Cov Kev Kho Mob Uas Muaj Nyob Rau Kev Muaj Kab Mob Khees Xawj Qib Qib Yuav Muaj Li Cas?

Zoo Siab

• Kev kho tshuaj hormones
• Cov tshuaj phiaj
• Kws khomob
• Kev tawg
• Kev phais mob
• Tshuaj kho mob siab
• Complementary tshuaj
• Hauv qab kab

Muaj daim ntawv qhia qog ib qib zuj zus tuaj yeem hnov ​​zoo li koj muaj kev xaiv tsawg lossis tsis muaj kev kho mob. Tab sis kuj tsis yog li ntawd thiab. Tshawb nrhiav cov kev xaiv uas muaj rau koj, thiab pib tau txais kev kho mob kom zoo.

Kev kho tshuaj hormones

Nws muaj ntau txoj kev kho qoj ib ce los kho cov tshuaj ua kom muaj zog loj (cov tshuaj estrogen receptor-positive los yog progesterone receptor-positive) mob qog mis:

Tamoxifen yog qhov tshuaj noj txhua hnub rau cov poj niam premenopausal.

Aromatase inhibitors yog qhov ncauj noj rau cov poj niam postmenopausal. Cov no tej zaum yuav muab tso ua ke nrog cov tshuaj uas tsis raug cai xws li palbociclib (Ibrance) lossis everolimus (Afinitor). Lub aromatase inhibitors suav nrog:

• anastrozole (Arimidex)
• kev zam (Aromasin)
• letrozole (Femara)

Kev phiv los ntawm kev kho tshuaj hormonal muaj xws li:

• maj kub thiab tawm hws hmo ntuj
• paum dryness
• txo qis deev tsav
• mus ob peb vas sw
• kev cuam tshuam nyob rau hauv lub cev ntas rau cov poj niam premenopausal
• cataracts
• nce ntawm cov ntshav txhaws, mob hlab ntsha tawg, thiab plawv nres
• pob txha poob

Cov tshuaj los kho tsis zoo pab kho qog noj mis-tsis zoo mob qog mis.

Cov tshuaj phiaj

Muaj ntau cov tshuaj phiaj rau HER2-zoo mob cancer mis. Nco ntsoov tias cov kev kho no tsis muaj kev kho mob zoo HER2-mob cancer mis.

Trastuzumab (Herceptin) raug muab tshuaj rau hauv qhov quav tshuaj thiab feem ntau tau sau ua ke nrog kev siv tshuaj kho mob. Thawj lub tshuaj ntau zaus siv sijhawm li 90 feeb. Tom qab ntawd, cov koob tshuaj yuav ua kom me dua thiab siv sijhawm li ib nrab ib teev. Ntawm cov peev xwm tshwm sim yog:

• Txoj kev lis ntshav cov tshuaj tiv thaiv
• ua npaws
• xeev siab thiab ntuav
• zawv plab
• kis tau tus mob
• mob taub hau
• nkees
• ua pob

Pertuzumab (Perjeta) tseem tswj hwm qhov quav ntshav. Thawj koob tshuaj yuav siv sijhawm ntev li ib teev. Nws yuav rov qab ua nws peb zaug nyob rau hauv peb koob tshuaj. Nws feem ntau siv txuam nrog kev siv tshuaj kho mob. Kev phiv los ntawm pertuzumab nrog kev siv tshuaj kho mob suav nrog:

• xeev siab
• zawv plab
• plaub hau poob
• nkees
• ua pob
• loog thiab tingling (mob leeg hlwb)

Lwm cov tshuaj uas tau noj tshuaj, tshuaj ado-trastuzumab emtansine (Kadcyla) tau txais tshuaj txhua 21 hnub. Ntawm cov peev xwm tshwm sim yog:

• Txoj kev lis ntshav cov tshuaj tiv thaiv
• nkees
• xeev siab
• mob taub hau thiab mob leeg
• cem quav
• ntswg los ntshav thiab ntshav ntswg

Lapatinib (Tykerb) yog qhov ncauj noj tshuaj. Nws tuaj yeem siv ib leeg los yog ua ke nrog kev kho mob lossis lwm yam tshuaj tua kab mob. Nyob ntawm cov tshuaj twg nws tau ua ke nrog, lapatinib yuav ua rau:

• zawv plab
• xeev siab thiab ntuav
• ua pob
• nkees

Cov kev kho mob hauv qab no yog siv los kho kev loj hlob hormone receptor-positive / HER2-tsis zoo mob cancer mis:

Palbociclib (Ibrance) yog qhov tshuaj tiv thaiv kab mob nrog rau cov tshuaj ua kom muaj aromatase. Cov kev mob tshwm sim tuaj yeem suav nrog:

• xeev siab
• qhov ncauj tawm
• plaub hau poob
• nkees
• zawv plab
• nce kev pheej hmoo kis mob

Tshuaj tiv thaiv tshuaj hu ua everolimus (Afinitor) noj ntawm qhov ncauj thiab siv nrog kev sib xyaw nrog cov tshuaj tiv thaiv (Aromasin). Feem ntau nws tsis tau siv kom txog rau thaum tom qab letrozole lossis anastrozole tau sim lawm. Cov teeb meem tshwm sim muaj xws li:

• txog siav
• hnoos
• tsis muaj zog
• nce kev pheej hmoo rau kev kis mob, ntshav lipids, thiab ntshav qab zib cov ntshav qab zib

Kws khomob

Kev siv tshuaj kho mob yuav siv rau txhua yam mob qog noj ntshav mis. Feem ntau ntawm cov sij hawm no, qhov no yuav koom nrog ib qho kev ua ke ntawm ntau cov kev siv tshuaj kho mob.

Tsis muaj cov tshuaj hormones los yog kev kho mob rau cov qog mis mob cancer uas yog ob qho tib si hormone receptor-negative thiab HER2-tsis zoo (tseem hu ua triple-negative mis mob cancer mis, lossis TNBC). Kev siv tshuaj khomob yog thawj txoj kev kho mob nyob rau hauv cov rooj plaub no.

Kev siv tshuaj kho mob yog ib qho kev siv tshuaj kho mob. Nws tuaj yeem ncav cuag thiab rhuav tshem cov qog nqaij hlav ntshav hauv txhua qhov chaw hauv koj lub cev. Hauv qee kis xwm txheej, kev siv tshuaj kho mob tuaj yeem xa ncaj qha rau thaj chaw ntawm metastasis, xws li koj lub siab lossis kua dej ntawm koj lub hlwb.

Cov tshuaj yog muab tso dej tshuaj. Txhua ntu kev kho mob tuaj yeem siv sijhawm ntau teev. Nws tau muab sijhawm nyob rau hauv ntau txog ntau lub lis piam. Qhov no yog cia koj lub cev rov zoo li cas ntawm kev kho mob.

Kev siv tshuaj kho mob kom zoo vim tias lawv tua cov qog nqaij hlav cancer sai sai. Hmoov tsis zoo, lawv tseem tuaj yeem tua qee cov hlwb noj qab nyob zoo. Uas tuaj yeem ua rau tus tswv tsev muaj cov kev mob tshwm sim, suav nrog:

• xeev siab thiab ntuav
• plaub hau poob
• tsis qab los noj mov
• cem quav lossis raws plab
• nkees
• hloov rau daim tawv nqaij thiab ntsia hlau
• qhov ncauj tawm thiab cov pos hniav los ntshav
• mus ob peb vas hloov
• poob phaus
• poob ntawm kev sib deev tsav
• teeb meem kev muaj me nyuam

Kev tawg

Qee lub sijhawm, kev siv hluav taws xob kho tuaj yeem pab kho mob cancer mis nce siab. Qee cov qauv yog:

• tsom metastasis hauv ib qho chaw tshwj xeeb, xws li koj lub hlwb lossis tus txha caj qaum
• pab txhawm rau tiv thaiv kom tsis txhob muaj pob txha tsis muaj zog
• tsom cov qog uas ua rau nqaij to
• kho mob ntshav txhaws hauv koj lub siab
• muab tshuaj kho tus mob

Kev ntsuas hluav taws xob yog qhov tsis muaj mob. Tab sis nws tuaj yeem ua rau tawv nqaij ib ntus thiab ua kom qaug zog ntev ntev. Nws ib txwm muab tshuaj rau txhua txhua hnub txog li xya lub asthiv, yog li muaj lub sijhawm niaj hnub cog lus.

Kev phais mob

Kev phais mob tej zaum yuav yog ib feem ntawm kev kho mob qog mis cancer rau qee qhov laj thawj. Ib qhov piv txwv yog kev phais kom tshem tawm cov qog uas tau nias rau koj lub hlwb lossis tus txha caj qaum.

Kev phais mob tuaj yeem siv ua ke nrog kev ntsuas hluav taws xob.

Tshuaj kho mob siab

Ntau yam tshuaj muaj peev xwm siv los kho mob cuam tshuam nrog mob cancer mis nce siab.

Koj tuaj yeem pib nrog cov tshuaj tiv thaiv kev tsis haum tshuaj kho mob. Ntawm lawv yog:

• tshuaj acetaminophen (Tylenol)
• ibuprofen (Advil, Motrin)
• naproxen (Aleve, Naprosyn)

Tham nrog koj tus kws kho mob ua ntej siv cov tshuaj yuav tom khw. Qee qhov tuaj yeem cuam tshuam nrog koj lwm yam kev kho mob.

Txog rau mob hnyav, koj tus kws kho mob tuaj yeem sau tshuaj noj opioid rau lub qhov ncauj xws li:

• morphine (MS Txuas ntxiv)
• oxygencodone (Roxicodone)
• hydromorphone (Dilaudid)
• fentanyl (Duragesic)
• Tshuaj txiav yeeb (Dolophine)
• oxymorphone (Opana)
• buprenorphine (Buprenex)

Cov kev mob tshwm sim yuav suav nrog kev tsaug zog, quav, thiab xeev siab. Cov tshuaj muaj hwj chim loj no yuav tsum tau ua raws nraim li cov lus qhia.

Cov no feem ntau siv rau qhov mob vim pob txha metastasis:

• bisphosphonates: zoledronic acid (Zometa) lossis pamidronate (Aredia), muab rau txoj leeg
• RANK ligand inhibitor: denosumab (Xgeva lossis Prolia), muab los ntawm kev txhaj tshuaj

Cov tshuaj no tseem tuaj yeem pab txo qis pob txha pob txha. Mob thiab pob txha mob yog cov kev mob tshwm sim heev.

Lwm yam tshuaj rau qhov mob ntawm tus mob cancer mis tshwj xeeb yog:

• tshuaj tiv thaiv kab mob
• tshuaj thaiv kab mob
• tshuaj yuam
• tshuaj loog hauv zos

Qee tus neeg muaj teeb meem nqos ntsiav tshuaj. Yog li ntawd, qee qhov tshuaj loog mob muaj ua kua lossis daim tawv nqaij. Lwm tus tuaj yeem siv cov tshuaj pleev leeg lossis los ntawm chaw kho mob kws kho mob lossis chaw tso pa tawm.

Complementary tshuaj

Qee yam kev kho mob uas tuaj yeem pab tswj tau qhov mob yog:

• tshuaj pleev ib ce
• kev tshav kub thiab txias kho
• zaws kho
• maj ua kom tawm dag zog lossis kev tawm dag zog lub cev
• kev qhia so xws li kev xav thiab coj kev xav

Hauv qab kab

Kev kho rau mob qog noj ntshav siab yuav ua raws li koj cov kev xav tau ib yam thiab koj tus mob. Nws yuav muaj feem nrog ntau txoj kev kho tib lub sijhawm. Nws yuav tsum hloov tau, hloov raws li qhov koj xav tau hloov.

Koj tus kws kho mob yuav saib xyuas koj li kev noj qab haus huv thiab cov tsos mob. Koj tsis tas yuav mus txuas ntxiv nrog kev kho mob uas tsis ua haujlwm.

Kev sib txuas lus zoo nrog koj tus kws kho mob yog qhov tseem ceeb kom ua tiav lub neej zoo tshaj plaws.