I-Chemotherapy enye yeendlela zokwenza utywala lomhlaza wesisu, olubandakanya ukusetyenziswa kweziyobisi ezinokutshabalalisa iiseli zomhlaza kwaye zivimbele ukukhula kwazo. I-Chemotherapy ingenziwa kwiimeko ezinjalo:
- Ukuba umsebenzi awunakwenzeka okanye awunanto (ubuninzi beemastastas, ukugatya kwesigulane ukusuka kwintsebenzo, njl.), I-chemotherapy eyenziwa ukunyusa ubomi besigulane kunye nokunciphisa ukubonakaliswa okubi kwesifo.
- I-chemotherapy engaphambili yokusebenzisa i-preoperative - isetyenziselwa ukunciphisa ubukhulu be-tumor ukwenzela ukuququzelela ukususwa kwayo.
- I-chemotherapy engaphantsi kwe-postoperative - inqunywe ukukhusela ukubuyela kwesi sifo emva kokususwa kweethambo zesisu.
I-Chemotherapy regimens yomhlaza wesisu
Ukunyanga umdlavuza weesisu, iirmimen ezahlukeneyo zonyango zisetyenziselwa ukudibanisa i-chemotherapeutics. Ukukhethwa kwirejimeni yonyango oluthile lugqityiweyo ngumfanekiso weklinikhi kunye nesimo esiqhelekileyo sesigulane, kunye nezinye izinto. Iingcali zihlala zifuna uphando olutsha lwamachiza, zizama ukufumana iinkqubo zonyango ezichanekileyo. Nazi ezinye izidibaniso zamachiza ezisetyenziswa kwikhemotherapy yomhlaza wesisu:
- i-epirubicin, i-cisplatin kunye ne-fluorouracil (i-ECF scheme);
- i-epirubicin, i-cisplatin kunye ne-capecitabine (ECX);
- i-epirubicin, i-oxaliplatin kunye ne-capecitabine (i-EOX);
- mitomycin, i-cisplatin kunye ne-capecitabine (MCX);
- 5-fluorouracil, epirubicin, methotrexate (FEMTX) kunye nabanye.
Iziyobisi ziyakunikwa ngohlobo lweejoza, ngokunyusa, ngendlela yamacwecwe. Unyango lunokuhlala kwiinyanga ezi-4 ukuya kwezi-6, kuxhomekeke ekuphenduleni kweeseli zesisu kumachiza.
Isondlo se-chemotherapy kwisifo somhlaza wesisu
Isondlo esifanelekileyo kunyango lomdlavuza wesisu lendima ebalulekileyo. Iziguli zidinga inani elaneleyo leekhalori, iivithamini, iiprotheni kunye neemaminerali. Ngelo xesha, ukuthotyelwa kokutya kwesi sifo kunzima, njengoko izigulane ziye zanciphisa ukutya kunye nemiphumo emibi ye-chemotherapy (isicupulu, ukuhlanza, isifo sohudo, njl njl).
Iingcebiso eziqhelekileyo zokunondla kulo mzekelo zi:
- kuthatha ukutya kwiincinci ezincinci amaxesha angama-6 ngosuku;
- kuyimfuneko ukusebenzisa umbane ngaphambi nangemva kokutya;
- ayikhuthazwa ukusebenzisa iifomese, ijezi, amanzi e-carbonate.
Ukusebenza kwe-chemotherapy yomhlaza wesisu
Impembelelo ye-chemotherapy iyahlukileyo kwizigulane ezahlukeneyo, kwaye, ngokuqhelekileyo, i-30-40%. Oku kubangelwa ikakhulu kwizinto eziphilayo ze-biological cell cells. Kwezinye izigulane, i-chemotherapy ayikho ekukhohliseni kwi-tumor. Kule meko, i- chemotherapy iyayeka, okanye enye inhlanganisela yeziyobisi imiselwe.
Ngokuqhelekileyo, kukholelwa ukuba le ndlela yokonyango ingaphucula umgangatho wobomi kwaye yandisa ixesha layo.