Chii adjuvant kurapa?

Adjuvant kurapa pane akaipa anomera chinhu ano nzira kurapa mapundu kushandisa dzakakwirira ruzivo. In womunhu, uye zvimwe zvinodhaka raitongwa fuma - antineoplastic yomuchipatara izvo kuratidza antitumor basa.

Chemotherapeutic mishonga tigume kukurumidza kukura masero nyanyisa. On ruminant utano hwevanhu masero muviri kubudisa zvishoma nemishonga zvikuvadze.

Kusiyana kubva pharmacotherapy

Musiyano inokosha iri yokuti pakurapa kuchirapa vamiririri vakachengeta vaviri yeboka - mushonga uye muviri womunhu inoda kuporeswa. Adjuvant kurapa kunosanganisira kurapwa imwe chemotherapeutic mumiririri, bundu hondo muviri kuparadzwa uye clone masero nyanyisa, avhareji matatu mativi kunetsana.

A kunzwisisa ukama matatu zvinoumba vari kurapwa kwacho ane rinorema ukoshi. Kana uchisarudza nzira yokurapa, chiremba achaita kufunga mamiriro muviri murwere, zera, dhigirii yomunyika nhengo kubatanidzwa akawana nezvikonzero zvakasiyana. Nyanzvi anoteerera zvipenyu zvechadenga bundu, ayo masoja mhando cytogenetics uye kinetic kufamba ari kufambiswa metastases.

Achienzanisa kuongorora data, kuti oncologist anoita chisarudzo pamusoro kukwanisa kubvisa mwoyo murefu nzira yokurapa. Adjuvant kurapa kemesitiri basa varwere vane mukana kurwisa bundu inoperable nzira, kana kushandiswa sezvi- nzira postoperative.

Mabasa basa kurapwa

Adjuvant kurapa inzira kurapwa zvachose anobvisa, kana anouraya kenza yekudyidzana kuchititadzisa metastasis hasha clone masero apo kubudisa zvishoma zvikuvadze dzemuviri.

In kenza mishonga hazvichinji pathogenesis pamusoro malignancy, semuenzaniso, Kusiyanisa hasha masero uye rokutendeutsa akavadzoserazve kufirwa zvikasaitika. Kwakajairika hazvirapiki nokukanganisika kuchinja uye kugadziridza chokubuda yavo.

Development rwokuzvarwa sanogenesis mashandiro kunobatsirawo kuti adjuvant kurapa. Izvi zvinorevei? Natural kuzvidzivirira maitiro pamusoro bundu masero kutambura zvikuru mishonga, vari kushata zvirwere zvenhengo mumwe munhu. The chiito iri nokuda nokukurumidza kukura masero anodzivirira, izvo zvinokuvadza dose kuti zvishoma zvishoma zvakadini kupfuura akaipa yaitongwa.

The dzose kushanda muviri uye matauriro ayo simba kunoitika sezvo kuratidzwa yechipiri pashure nebundu kuparadza kana chinokosha tava kuderera kukura kwayo, kana ine zvaparadza rimwe zvomukati.

Kuonana mishonga kuti kenza uye zvimwe zvirwere

Chemicals inoshandiswa kwete chete nokuda kuparadzwa namamota, asi kuita pamusoro siyana kutapukirwa, zvakadai notumwe, nemavhairasi, tibhii, parasitic infestations, helminths. Adjuvant kurapa kuti parasitic anosarudza kuparadza zvivako: vatorwa pamusoro vasiri uye nokukanganisika kuratidzwa muviri kuti microbe, akamira yepazasi manera yemhindumupindu.

Freedom kubva infestations akadaro kunoitika akachengeteka vanhu, sezvo kuparadzwa chisvetasimba inoshandisa zvinhu muviri ane chirwere mumiririri, uye muchitokisi dzevanhu gadziriro anenge asina maturo. Muenzaniso uri blockage kuti tsandanyama rinenge honye anthelmintics zvinodhaka: kuti chisvetasimba haisi vasiyana parusvingo ura uye inobuda pamwe faeces. On the intestinal tsandanyama mishonga havana chinoshingaira kushanda.

Kana antineoplastic kurapwa makemikari yasarudzwa chinhu zvazvinoita hasha bundu masero kuti kutiza zvirwere kudzora muviri. Vanova kenza, asi pakutanga vari masero womunhu muviri pachake.

Kuoma kunzwisisa mota mishonga

Pfungwa, hazvibviri kuita chete masero kenza pasina kukanganisa kukurumidza kupatsanura munyama utano muviri. Izvi zvinosanganisira masero masoja, ganda epithelium, bvudzi uye zvipikiri. Rikawira pasi inokuvadza zvinokonzerwa gastric mucosa, ura, bapu, trachea, principales, nezvezvimwe zvinetso zvedundira. Mune zvimwe zviitiko, chepfu dose ndiko, pane matambudziko uye marwadzo, zvinouraya.

On zvinokonzerwa pamusoro muviri sezvo zvichienzaniswa anthelmintic zvinodhaka anotungamirira adjuvant mishonga. Zvinorevei kuti munhu? Zvinokonzera yakakwirira bundu mishonga toxicity murwere haabvumiri hunonzi isimbiswe zvikurukuru nyaya yake zvinobudirira zvinodhaka dose. Kuwanda ezvidzidzo kemisitiri mubvunzo dzimwe nguva, nokuda yematambudziko ari muchimiro zvisingagamuchirwi toxicity uye nemishonga zvinouraya.

Tichifunga pedyo 100% inouraya ngozi zvirwere oncological hunhu, nokuda kusavapo dzimwe mhinduro kwemakemikari kurapa, nhasi vakabata namazvikokota pangozi Kushatiswa utano murwere, zvainanga kwayo tipone.

Chii chinonzi adjuvant nemwaranzi kurapa anozivikanwa varwere kenza zhinji, asi vanoita kuvhiyiwa kana mwaranzi mune zvimwe zviitiko zvisingabviri nokuda hanya bundu chitarisiko uye kwazvo dzakabudirira metastases. Muzviitiko zvakadaro, shoko rokupedzisira hunogara chete chete mishonga.

Zvairatidza uye contraindications pakushandisa mishonga iri kenza yemazamu

Adjuvant kurapa nokuti kenza yemazamu ndiyo kushandiswa anticancer zvinodhaka uye cytostatics. The murwere nezvaro muchimiro dropper, intravenous majekiseni kana pamahwendefa. Mishonga rinoreva systemic kwakajairika, sezvo cytostatics, kuwana mukati, kumisa kukura masero kenza kwete nedambudziko nhengo, asiwo yose muviri.

Chemistry kunoratidza kuti kwaita nyanyisa anomera munzvimbo thoracal nharaunda. Chisarudzo pamusoro kusarudza kurapwa vakadzi sei zvidzidzo zvakawanda. The zviri masero kenza, kukanganisa kusarudza zvinodhaka Danho kwavo kukura, kukura uye kukura unodiwa. Nokuti muviri murwere kunoita basa zera, nzvimbo dzidzo uye hormone zvirwere.

Adjuvant kenza yemazamu mishonga ine nhamba contraindications:

• nokuti kemikari-zvaanoda bundu zvirwere yevakadzi pashure zera kubereka;
• vakadzi vaduku vane mahomoni-nemataundi siyana kenza, kana uine yakaderera kwevari progesterone uye inonzi estrogen.

A yawapiwa makemikari

kurapwa mishonga Chokwadi kune nzvimbo inokosha mubishi ndichiva kubvisa bundu. Zvichienderana kunzwisisa waakaudzwa oparesheni kana irradiation. Zvinogara akaita adjuvant kurapa. Chii? A kutenderera ari kushandisa nguva zvinodhaka. Kuwanda zvinogara kunoenderana mamiriro nhengo, uye zvimwewo. Standard kosi rine kubva 4 kusvika 7 repetitions.

Pashure kuvhiya kubviswa bundu rinoshandisirwa prophylactic kurapwa makemikari kudzivirira apiwa panowanikwa malignancy, uye kudzivirira wava kusvutazve. Kuona zvinorehwa bundu mishonga zvakaoma - ayo efficacy aona pamberi uye avhiyiwa.

zano zamu mishonga sei? Somugumisiro kurapa anoparadza marudzi ose masero kenza munharaunda zamu. The mugumisiro kugadzwa zvinodhaka zvakawanda zvinofanira kuwedzera, asi pamwero dzokuteerera zvokuti munhu anogona kufamba nayo pasina nokutyisidzirwa kuchikosha kurwara. Uyezve, kuongorora utachiona zviri namamota, chiremba prescribes mishonga izvi, izvo zvisina hasha masero muropa.

Alkaliruyuschie mushonga ndohwaJehovha pamazita zvinodhaka kuti pave kupora. Mumuviri, akafanana nemwaranzi. Drugs kuparadza mapuroteni kuti kudzora majini nemasero kenza. Kuwanda kwemakemikari mumiririri mune dzino ndechokuti "cyclophosphamide".

Antimetabolites wakazopinzwa majini hasha muchitokisi hurongwa. Zvavakaita dzinoparadza anotanga muitiro foni weboka inotungamirira kurufu kwayo. Representatives vari gemzer uye 5-fluorouracil. Saka uye akashandisa adjuvant kurapa. Kana marwadzo chirwere ushandiswe unonyaradza marwadzo mumiririri "Seduxen", "Carbamazepine", "Phenytoin".

Mishonga nokuti pakurapa nyanyisa anomera usatarise somunhu mureza zvinodhaka kuchirapa. Zvavakaita kwakavakirwa zvakakwana chinovhiringidza foni kubereka. "Adriamycin" akabatana "Cytoxan" vane zvakwakanakira.

Adjuvant kurapa kuti melanoma

Melanoma vanowanzochema kenza kuti anoratidza chinooneka zvainoita ganda. Metastases kubva melanoma aonekwa achishandisa X-ray MRI, PET, Ultrasound uye akawana fotoakkustikoy. Anoshandiswa kurapa nzira dzakasiyana-siyana kwemakemikari kurapa, immunotherapy, shandisa interferon, yokuitira siyana kurapwa munzvimbo perfusion.

Melanoma zvakaoma kurapa, masayendisiti ari kuramba kushanda kutanga zvinodhaka itsva. Nguva nenguva neindasitiri inogadzira mishonga vari kukurudzira zvakawanikwa. Dzimwe nguva vanoratidza kubudirira kurapwa, asi zviri zvishoma. Rimwe mishonga mitsva iyi ndiyo "IL-2". Narwo yakawana kuramba uye akatsigira ruregerero, pane isingawanzowanikwi panowanikwa zvazvo.

Chimwe nzira chinobatsira yakakura OncoVEX GM-CSF - ano experimental zvinodhaka kurapwa nzira. mushonga uyu ari wechitatu chemiedzo zvekuchipatara.

Mabatirwo nekenza mugaranhoko

Mumakore achangopfuura, tsvakurudzo mumunda kurapwa kuti colorectal kenza anofarira zvinobudirira rakashama. Nhamba yezvikanganiso kana uchishandisa imwe nzira nzira kubvisa mapundu muna 2 uye 3 matanho kutungamirira zviri kuwedzera kushandiswa adjuvant kurapa kenza muura. Studies vane kuratidza kubudirira wemishonga radiotherapy kushandisa makemikari yomuchipatara ndiyo 5-fluorouracil.

Kushandiswa pamaitiro chiremba chaiwo nzira kuti Detective namamota uye kuferefeta hunhu waro, achibvumira preoperative kurapa pasina pokuiswa nokufumurwa, kuti kuonekwa kuti paumbwe dzimwe padariro rokutanga chirwere. Disinfection mishonga ichiwedzerwa zvikuru kuitika postoperative sphincter Kuchengetedzwa uye kuderedzwa matambudziko.

Nokuti rutapudzo kuti dzokororo uye mushonga pasina kuwedzera nyaya dzetsaona dzakabudirira postoperative kurapa pamberi uye nemakemikari nzira. In pakurapa yakarurama pakati padanho muura adenocarcinoma pasi kadhi, shandisa mureza irradiation muenzaniso akabatana 5-fluorouracil.

Postoperative kurapa akaratidza zvinobudirira pashure nokushandisa nzira sonographic runovabvumira kuziva zvikanganiso inoshandiswa pakutsigira. The kuitazve zvazvingava pamwe postoperative kurapa ipfupi kuti 20-50% pashure kuvhiyiwa. Kwakakura zvaparadzwa utano akatsunga zvichienderana padariro bundu.

Drug kurapa kuti sinusitis

Light pavaipfuura chirwere kubatwa pasina kushandisa mishonga inorwisa mabhakitiriya - vakashandisa adjuvant kurapa pakurapa sinusitis. Achimbozvizorodza ezvinhu anouya mushure hurongwa kushandiswa kukamura uchishandisa mishonga uye mumuviri kurapa. marapirwo kwepasi kunokonzerwa vasoconstrictor zvinodhaka, antiseptics, mishonga kunatsiridza kutapata.

Decongestants vane nzira dzakasiyana kuita kubvisa zviratidzo sinusitis, asi mishonga zvose kutungamirira anobudirira pakurapa chirwere. Yakanakisisa kuchirapa mugumisiro vane aerosol Formulations, sezvo mushonga nokukurumidza akagovera mucosa. Sinusitis pamwe purulent kuratidzwa akaitira akambozvishandisa kuuraya utachiona madonhwe, asi zviri nani kuyamura inokosha kurapwa.

In zvakakomba uye chakaoma kunzwisisa nzira hosha zvinoda kushandiswa inorwisa mabhakitiriya pamahwandefa. Kuomesa anotevera chenjera nguva iri kubatwa jekiseni.

The adjuvant nzira chokubata uterine fibroids

mhando iyi dzidzo kazhinji benign neoplasm yomunyika hadzi sikarudzi. Vamwe varwere havazivi chimiro fibroids, sezvo nguva hazvirevi kupfuura kuongorora, uye chirwere chinonzi asymptomatic.

Common zviratidzo, rinoita murwere kuenda kwachiremba, muri uterine kubuda ropa. Marwadzo kuchengetwa ose murwere wechina, kukura nokukurumidza bundu iri okubereka nguva muna 60% wevarwere pamberi kubereka - 44% yevakadzi.

Nokuti pakurapa benign fibroid zviratidzo vaishandisa adjuvant kurapa. Iri basa rakaoma uye Migumisiro hunoenderana ruzivo, dzidzo uye michina ezvinhu chiremba. Kufadza zvichibvira kushandisa kuchinja kurapwa, asi hapana nguva kukosha kuita chisarudzo pamusoro kuvhiya kubviswa fibroids.

Nzira zvinodhaka mishonga wokutanga kuderedza paumbwe ovarian mahormone zvakapfuuridza pamwero, nokudaro kuderedza mwero vomunharaunda gormenomii dumbu. nzira wechipiri kuti pave blockade anomalous zvikamu ukatambararira. Nokuti ichi chinotarisirwa mishonga duku progestins kuderedza mahormone muropa murukova uye kuderedza aikanganiswa pakati bundu rinenge kuti kuitwa inonzi estrogen.

In mushonga ano, anoshandiswa kurapa fibroids progestogens, Anti-estrogens, antigonadotropiny, antigestagens. Zvipatara zviri hormone uye non-hormone zvinodhaka. Kuchinja kurapwa kunosanganisira Antistress, immnokorregiruyuschie, mishonga nootropic, mavhitaminzi, uye antioxidants.

Achishandisa Mabatirwo periodontitis

Periodontitis rinowanikwa mune zvimwe zviitiko, zvakadai rinopfungaira kuzvimba mu rhinitis, osteomyelitis, sinusitis kana otitis. chirwere ichi kunoratidzwa kuzvimba zino midzi pedyo munyama zvakaoma. Dzimwe nguva unonzi zino pulpitis, gingival kukuvara. Kuwedzera kune zvetsika zvokuimba nzira kurapwa rinoshandiswa adjuvant marapirwo ose periodontitis.

Chikonzero anova cheshuga, murombo replenishment mavhitamini uye zvicherwa muviri, ane sema mhinduro pakushandisa zvimwe mishonga. Late kutsvinda uyewo kunotungamirira kuti chirwere, nokuti dambudziko periodontitis vaishandisa adjuvant kurapa. Zvinorevei? Nzira pazvikanganiso nokungwarira akambozvishandisa kuuraya utachiona zino uye gwara basa nechomukati karusiyamu gadziriro. Nzira iyi ichakurukurwa inobudirira kana paine mukana refu rokumirira mugumisiro. Mune zvimwe zviitiko, pane mukana exacerbation.

Mukugumisa, zvinofanira kucherechedzwa kuti kushandiswa adjuvant mishonga inoita basa rinokosha pakurapa kenza. Zvipatara hwezvekukurukurirana ari regadziriro pavaipfuura oparesheni, uye pashure kubviswa malignancy kunoderedza mukana dzokororo uye bundu reappearance.