Adjuvant me te hahau neoadjuvant

mate Oncological noho tetahi o nga wahi tuatahi i runga i te maha o ngā matenga te ao. Kia aroha mai, e kore e heke te pā o te mate pukupuku, engari nui haere. Kei te ngana Scientists ki te kitea huarahi ki te hamani pathologies mate pukupuku e pai tino fekuki ki te mate. kawea teie mahana i roto i 3 tikanga ki te whawhai mate pukupuku: pokanga, hahau, me te radiation therapy. Kei te aro katoa o ratou i te tango o te puku, me te heke te mōrea o te hohokitanga. Hei aukati i te tupu o ngā pūtau rerekē, kua whakamana adjuvant me te hahau neoadjuvant. E whakamahia ēnei tikanga rānei hei maimoatanga integrated, anake (i raro i etahi pathologies oncological).

hahau Adjuvant - he aha te auraa i te reira?

Hahau - he tikanga o te maimoatanga hauora. Kua whakamahia hoki tona whakatinanatanga māngai cytostatic e hāngai ana te patu pūtau puku. maha fifili tūroro: hahau adjuvant - he aha te mea te reira? tikanga o tēnei wā e mau ana i roto i te maimoatanga hauora i muri akoranga pokanga. I runga i tenei hahau adjuvant - he mehua e tika ana ki te aukati i te whanaketanga atu o te mate pukupuku. whakamahia tēnei momo o te maimoatanga e i roto i tata pukupuku katoa. Kei te whakamahia te reira mo te mate pukupuku o te pūkahukahu, uma, puku, whēkau, me te tahi atu whēkau. whakamana hahau i te aroaro o, me te i muri i te pokanga. Hoki te tahi mau momo o mate pukupuku (mate o Hodgkin, puku wahi whero o nga ngutu, kiri), ko reira anake te maimoatanga.

Ngā momo chemotherapies

raau taero hahau katoa he āpiha cytotoxic. whakahaua ratou mahi e ki te whakangaromanga mooni o te pūtau puku. meatia tenei i roto i ngā huarahi. I roto i te nuinga o te wā, whakapōrearea taero te kōtuitui o DNA pūtau. Ka rite ki te hua, ka mate ano tona kaha ki te wehe. kawea Tūkinotanga o ariā DNA mahi ranei i na te tikanga o te tāmau ki te ara iahiko whawhati hononga i waenganui i nucleotides.

taero hahau i ngā hanganga rerekē. Etahi o ratou e hangaia i runga i te pūtake tipu (medicament "Vincristine"), i no etahi ki nga āpiha alkylating (otinga ranei "Cyclophosphamide" papa). Ano, te rōpū o āpiha chemotherapeutic ngā paturopi motuhake, anthracyclines me taero konukawata. Māngai o enei rōpū - rongoā "rubomycin", "Adriamycin". kawea hahau Adjuvant te roto i te maturuturu rō-uaua. E whakaaro hinu, me te puka papa ki te kia iti whai hua, kia uaua whakamahia. I roto i ētahi wā, kua whakahaere rongoā intraperitoneally, e ko, ki te kōhao puku. I ētahi wā kei te whakamahia te uru mō te werohia kōtuitui-matua.

He aha te hahau ko?

Ka rite ki te tahi atu katoa momo o te maimoatanga, kua he tetahi tohu hahau adjuvant. I mua i tīmata maimoatanga ki āpiha cytotoxic, he mea e tika ana ki te whakahaere i te whakamātautau ki tonu o te manawanui. I muri i taua te tākuta aro mātai ana te tūponotanga, me te whakatau i runga i te hahau. He nga tohu e whai ake nei mō te maimoatanga ki cytostatics:

1. puku Hematopoietic (leukemias). Ki tenei puka o te hahau mate pukupuku he anake te ara ki te mahi ki te pūtau rerekē.
2. He puku o te uaua kiko - rhabdomyosarcoma.
3. Horionkartsinoma.
4. Wilms puku a Burkitt o.
5. neoplasm mārere o te uma, kōpū me konga, wahi kūnatu, mimi, pūkahukahu, me ētahi atu I roto i enei take, hahau adjuvant - .. He he tikanga atu o te maimoatanga. Kei te whakamana te reira i muri i tango o te puku.
6. I roto i te mate pukupuku mahi tika. I roto i ētahi wā, maimoatanga ki āpiha cytotoxic taea whakaiti i te rahi o te puku. Ko reira e tika ana ki te kawe i roto i te maimoatanga hāparapara (hei tauira, mate pukupuku ovarian). Ano, Ka taea te tono tenei tikanga i roto i te tikanga ki te whakaiti i te tauine o te pokanga (pukupuku uma). I roto i enei take, te whakamahi o te hahau neoadjuvant.
7. whànau. A, no te whakamahia momo matatau o te hahau mate pukupuku te ki te whakahaere i te huru o te manawanui. Nuinga o ngā wā e whakamahia ai i roto i ngā tamariki. Kei te whakamahia hoki reira rite whànau i roto i whēkau pukupuku, roro kaki ranei.

Ko te tukanga o te hahau

Kei te mohiotia te reira e kore te tonu ngāwari nohotahi hahau. I roto i te nuinga o te wā, wheako tūroro i runga i te tini o ngā kino i puta ake i te whakahaere o āpiha cytotoxic. Ētahi tūroro kore maimoatanga.

whakahaere hahau Adjuvant te akoranga. Ko te roanga o te maimoatanga he 3 ki te 6 marama (i ētahi wā atu). Tīpakonga o te akoranga i whakaritea e te rata e hāngai ana i runga i te huru o te manawanui. Nuinga o ngā wā whakahaere i roto i te ono marama e pā ana ki 6-7 huringa o te hahau. Kei te whakapono te reira e e tango te he manawanui ake maha maimoatanga, te pai te hua. Hei tauira, ka taea e hahau muri hoki 3 ra katoa 2-4 wiki. I te wa o te maimoatanga he tika ki te āta aroturuki huru o te manawanui. Ano, he whakamātautau toto me te mehua i roto i te mea kiano i matao i waenganui i ngā akoranga.

Contraindications ki te hahau

Ahakoa te tōtika o te maimoatanga ki āpiha cytotoxic, e kore e whakaritea nga wa katoa ratou. Katoa tākuta mohio e pā hahau adjuvant kore anake te tukanga puku, engari ano hoki ki te pūtau hauora. I roto i ngā, e pā ana te reira ki leukocytes. Ētahi taero i ngā pānga kino i runga i te pūnaha Cardiovascular me pūkahukahu. E whakaaro Contraindications mō te hahau mate nui o te whatukuhu, me te ate. Ko e tika ana ki te meka i te mōrea o te kore o enei tinana he nui rawa tenei. Hoki e kore e taea te whakamahi hahau i roto i te tūroro ki te cholecystitis calculary hītori (gallstones). Contraindications mō te maimoatanga ki taero cytotoxic he huringa i roto i te whakamātautau toto whānui. Whakatakotoria he tawhā motuhake hoki e kore te mea taea maimoatanga. Ko ētahi o ēnei: te tatau mōtepe he iti iho i te 100 * 10⁹, iti i roto i te hematocrit me te pūtoto. Hoki e kore e taea ki te kawe i roto i te hahau i roto i te tūroro ki te nui syndrome asthenia. Kei te whakaaro te reira manakohia mo te maimoatanga o te taimaha 40 kg, neke atu rānei te tinana.

Ko te pānga taha o raau taero chemotherapeutic

Ko te pakeke o te maimoatanga chemotherapeutic takoto i roto i ona pānga taha. Haunga faaiteraa waho paanga kino o taero, i reira he huringa i roto i te assays. whakaaro te pānga taha matua te ki hei te tukino o te pūnaha hematopoietic. Tenei pā te nuinga leukocyte iroriki. Ka rite ki te hua, pānga kino i runga i ngā pūtau ma toto, mamae pūnaha ārai mate. whakakitea ana tēnei e te ngoikore whānui, hono i te momo o te mate. Ko tētahi atu pānga taha - te reira pānga neurotoxic o taero. Ētahi tūroro i whakaoho korekore, tearfulness, moe. Ano, korerotia tūroro whakapairuaki, ruaki me te korere. pānga te taha o āpiha cytostatic pānga te ahua o nga tūroro. I te whakamātautau, tohua alopecia (huruhuru mate), me te kiri koma.

mate pukupuku puku: hahau

E kitea pinepine tukanga Oncological i roto i te kopu. Ko te tikanga whakawhanake ratou i runga i te pūtake o te polyposis whewhe keté ranei. Ko te mau faaiteraa matua o te mate pukupuku pekitīlia - te reira i te mamae i roto i te rohe epigastric, whakakonekone ki te kai kai, regurgitation. I roto i te wāhanga tuatahi o te tukanga pukupuku pokanga tika. Ko te reira i te resection okana, me hanga o anastomosis i waenganui i te pū kai, me te paru. whakamana hahau Adjuvant mō te mate pukupuku pekitīlia te i roto i te ngaro o contraindications. āhei te reira ki a koutou whakawhānui i te wā o te murunga, ka pōturi metastasis. Kia aroha mai, e kore e whai hua i roto i ngā momo katoa o te mate pukupuku puku taero cytotoxic. whakamatauria te reira i ona pānga pai i roto i te adenocarcinoma. i mahi ano hoki ia kia rite ki te mehua o te whànau,.

therapy Adjuvant mō te mate pukupuku uma

hiahiatia hahau Adjuvant i roto i te mate pukupuku uma te hoki tetahi momo histological o tukanga mate pukupuku. Kei te whakamana te reira i muri i te pokanga, ahakoa o te rōrahi o te pokanga (mastectomy resection rängai o te uma ranei). Ko te tika tenei ki te karo e te metastasis o ngā pūtau rerekē i roto i te taikiri me whekau tawhiti. I roto i te wā onge, e kore he hahau maimoatanga whakahauanga mō te mate pukupuku uma. Hei tauira, ki te he iti iho i te 1 cm, me te kore wehea ki te taikiri rahi puku. Hoki ki te tūpato kia whakamahia te reira i roto i te tūroro taitamariki. I roto i te maimoatanga premenopausal ki taero cytotoxic kawea i roto i roto i te tūroro katoa anake te hunga ki te contraindications.

E adjuvant hahau mo te Taitapa cystadenoma?

E mōhio ki tenei tātaritanga o te whēwhē (cystadenoma) o te kura kākano maha wahine. I roto i te nuinga o te wā, te hanganga o te mārire, me te varavara haere ki te tukanga pukupuku. Otiia, i reira e etahi momo o cystadenoma, e riro nei ki raro ki te te hurihanga mārere. Ēnei ngā serous puku borderline me papillary. pea te tohu o enei ngā mamae puku, disorders paheketanga. E kitea ratou i roto i te ultrasound papatoiake. taea anake te hanga tātaritanga Accurate i cystadenoma unuhanga. A, no te hanganga o te maimoatanga rohe operative hiahiatia, te nui o e tei runga i tau o te manawanui. kawea hahau Adjuvant te roto i roto i te wā onge te wahi te mōrea he metastasis puku tiketike. Kei te whakaaturia hoki reira i te tukanga mate pukupuku matahoki i runga i te tahi atu kura kākano.

Hahau mo te mate pukupuku pūkahukahu

Ko te mate pukupuku tino noa he pukupuku pūkahukahu. e ia milioni o ora te ao. Kei te whakaaturia tata tonu hahau Adjuvant i roto i te mate pukupuku pūkahukahu. E mea titauhia i muri i te pokanga kore anake, engari ano hoki i rite te tikanga motuhake i roto i te E ruia ana te pukupuku pūtau iti. Whakamahia he momo o te raau taero. I roto ia ratou, "Tsisplastin" rongoa "Vinorelbine", "gemcitabine" me etahi atu. Ko te tohu matua mō te hahau ko te mate pukupuku pūkahukahu piringa me te pokapū ki te whai wāhi o taikiri rei. e kore te maimoatanga ki taero cytotoxic kawea atu anake i roto i te hui o te kore o te manawanui, aroaro o mate decompensated, koroheketanga me te atamira 4 o te tukanga pukupuku.

Hahau hono ki te whanaketanga o metastases

Ko tētahi o nga whāinga matua o te maimoatanga - ki te tango metastases ki te hahau adjuvant. Kei te whakapono te reira e na roto i te mahi o te raau taero cytotoxic tino heke te mōrea o te puku hohokitanga. Nā ki te hahau i te wā postoperative i roto i te mate pukupuku uma, pūkahukahu, kōpū me hu'ahu'a reira he oti tango o metastases i roto i taikiri rohe. Reira te whakaiti hoki te mōrea o ratou ahua i roto i whekau tawhiti. Nä, ko te maimoatanga hauora o te Cancer mate pukupuku āwhina tukanga puhoi me i roto i ētahi wā - he rongoa ki tonu.

ngaio Reviews me tūroro e pā ana ki te hahau adjuvant

E ai ki oncologists, hahau ko te tikanga pukuriri o te rongo. Reira Kōpeke kore anake te pūnaha ārai mate o te manawanui, engari hei painga nohotahi e tūroro. Otiia, i tenei ra i te maimoatanga o te raau taero cytotoxic kua nui ake ngā pai atu i minuses. Kei te kï hoki, e i roto i te huarahi ngā ki tohe ki te mate pukupuku i te tūponotanga o te oranga hua.