Kodi adjuvant mankhwala?

Adjuvant mankhwala a zotupa zilonda ndi njira zamakono zochiritsira zotupa kutsatira njira zamakono mkulu. Mu thupi, ndi mankhwala ena kutumikiridwa mankhwala - antineoplastic wothandizira amene kuonetsa ntchito antitumor.

mankhwala Chemotherapeutic zimawononga mphamvu pa kukula mofulumira maselo zilonda. Pa kuswana wathanzi anthu maselo a thupi kubala zochepa mankhwala sichikupindulitsani kwenikweni.

Kusiyana kwa pharmacotherapy

Kusiyana lofunika kwagona kuti mankhwalawa wothandizila achire anati awiri a ophunzira a - mankhwala ndi thupi la munthu kuti akusowa machiritso. mankhwala Adjuvant kumafuna mankhwalawa wothandizila chemotherapeutic, chotupa khamu lake kuti kuwonongedwa ndi choyerekeza maselo zilonda, pafupifupi mbali zitatu nkhondo.

A ubale wa zigawo zitatu mu ndondomeko mankhwala ndi phindu waukulu. Posankha njira mankhwala a dokotala kuganizira boma la thupi wodwala, zaka, ndikachita nawo mkati limba analandira pa zifukwa zosiyanasiyana. Katswiri amamvetsera makhalidwe zamoyo chotupa cha, cytogenetics ake m'thupi mtundu ndi gulu kayendedwe mu kufalitsa a metastases.

Poyerekeza deta kafukufuku, ndi oncologist chiganizo pa luso kusamutsa mtima chamankhwala. Adjuvant mankhwala umagwirira anatumizidwa odwala ndi mwayi kulimbana ndi chotupa njira inoperable, kapena ntchito ngati zina njira postoperative.

Ntchito anatumizidwa chithandizo

mankhwala Adjuvant ndi njira mankhwala kwathunthu kumatha, kapena amapha khansara kwambiri kumabwezera mmbuyo metastasis aukali maselo choyerekeza pamene kubala zotsatira zochepa sichikupindulitsani pa thupi la munthu.

Khansa Morning sasintha pathogenesis a chotupa chija, mwachitsanzo, zosiyanasiyana maselo mwamakani ndipo akatembenuka iwo kubwerera mwakale zimachokeradi. mankhwala ochiritsira odziwika mankhwala kusintha amuzolengedwa kusintha otaya awo.

Development wa limagwirira zachilengedwe sanogenesis kumathandizanso adjuvant mankhwala. Kodi izi zikutanthauza chiyani? Natural chitetezo dongosolo ndi maselo chotupa cha kuvutika kwambiri mankhwala amphamvu, ndi kufooka kwa njira mthupi munthu wina. kanthu ndi chifukwa chitukuko mofulumira maselo zoteteza, amene zimawononga mlingo Pamlingo pang'ono wamng'ono kuposa njuchi zilonda.

Uziyenda yachibadwa thupi ndi kutukula umoyo wake kumachitika ngati kusonyezedwa sekondale pambuyo chotupa chiwonongeko kapena kwambiri liwiro kukula, ngati ali mavuto aakulu pa chimodzi cha ziwalo mkati.

Ndinakumana ndi chithandizo cha mankhwala khansa kapena matenda ena

Mankhwala ntchito osati chifukwa kuwononga zotupa, komanso kuchita mitundu yosiyanasiyana ya matenda, monga bowa, mavairasi, TB parasitic infestations, helminths. Adjuvant mankhwala a parasitic amasankha chiwonongeko malo: mlendo pa mawonetseredwe thupi ndi amuzolengedwa thupi la munthu kuti tizilombo toyambitsa matenda akuimirira pa makwerero m'munsi chirengedwe.

Ufulu ku infestations amenewa amapezeka abwino anthu, kuyambira kuwonongedwa kwa tiziromboti amagwiritsa ntchito mbali kagayidwe wa wothandizila opatsirana, ndi kukonzekera maselo a munthu ndi pafupifupi ziribe mphamvu. Chitsanzo ndi blockage minofu minofu mankhwala mbozi anthelmintics: tiziromboti si Ufumuyo mpanda wa intestine ndipo akutuluka ndowe za. Pa minofu m'mimba mankhwala alibe zotsatira yogwira.

Pamene antineoplastic mankhwala mankhwala anasankha chinthu amadza aukali maselo chotupa amene anathawa kuchokera m'thupi ulamuliro chamoyo. Iwo amakhala khansa, koma poyamba ndinu thupi la umunthu maselo yekha.

Kuvuta mankhwala chotupa

Mfundo n'zosatheka kuchita kokha pa maselo a khansa popanda okhudza mofulumira kugawa zimakhala thanzi la thupi. Zikuphatikizapo maselo m'thupi, khungu epithelium, tsitsi ndi misomali. Imagwera pa mavuto wa chapamimba mucosa, intestine, m'mapapo, trachea, bronchi, dongosolo mkodzo. Nthawi zina, mlingo poizoni, pali mavuto ndi mavuto, amapha.

Pa mavuto pa thupi poyerekeza mankhwala anthelmintic amatsogolera adjuvant mankhwala. Kodi zikutanthauza kuti munthu? Zimayambitsa mkulu chotupa Morning kawopsedwe kwa wodwala salola theoretically m'Malemba mlandu wake makamaka wogwira mtima mankhwala mlingo. chiwerengero cha umagwirira magawo ndi lakuti nthawi zina, chifukwa mavuto mu mawonekedwe a kawopsedwe ndi mankhwala osavomerezeka amapha.

Polingalira za pafupi 100% chiopsezo woopsa matenda a chikhalidwe oncological, chifukwa pakalibe njira zina zothetsera kusamvana mankhwala mankhwala, lero unachitikira magawo ndi chiopsezo cha kuwonongeka kwa thanzi wodwalayo, umalimbana kupulumuka.

Kodi ndi adjuvant cheza mankhwala amadziwika kuti ambiri odwala khansa, koma agwire opaleshoni kapena cheza zina zosatheka chifukwa kunyalanyaza chotupa maonekedwe ndi metastases molemera otukuka. Zikatero, mawu otsiriza apuma basi ndi mankhwala amphamvu.

Zizindikiro ndi contraindications kugwiritsa ntchito mankhwala amphamvu khansa ya m'mawere

Adjuvant mankhwala a khansa ya m'mawere ndi kugwiritsa ntchito mankhwala anticancer ndi cytostatics. Wodwala Kwalamulidwa mu mawonekedwe a dropper ndi, jakisoni mtsempha kapena miyala. Morning amatanthauza mankhwala zokhudza zonse, monga cytostatics, kupeza mkati, siyani kukula kwa maselo a khansa osati limba akhudzidwa, koma thupi lonse.

Umagwirira kumasonyeza kuti zikamera a zotupa zilonda m'dera thoracic. chigamulo pa kusankha chithandizo kwa akazi anakhudzidwa ndi maphunziro ambiri. Mbali ya maselo a khansa, okhudza kusankha mankhwala ndi gawo lawo chitukuko, kukula ndi kukula kugunda. Pakuti thupi la wodwalayo atenge mbali ya zaka, malo maphunziro ndi matenda m'thupi.

Adjuvant khansa mankhwala angapo a contraindications:

• matenda timadzi amadalira chotupa cha akazi pambuyo zaka kusintha;
• mu atsikana ndi mitundu timadzi amadalira khansa, ngati muli pamlingo wochepa wa progesterone ndi esitirojeni.

A njira ya mankhwala mankhwala

mankhwala mankhwala Inde ukutchulidwa kwambiri m'kati ndiyotani pakuchotsa chotupa cha. Malinga zovuta Kwalamulidwa opaleshoni kapena walitsa. M'zinthu anachita mankhwala adjuvant. Ndi chiyani icho? mkombero ndi nthawi kugwiritsa ntchito mankhwala. chiwerengero cha m'zinthu zimadalira mkhalidwe lake, ndi zinthu zina. Standard Inde lili ku kubwereza 4 mpaka 7.

Pambuyo kuchotsa opaleshoni ya chotupa cha umagwiritsidwa prophylactic mankhwala mankhwala kuteteza kukonzanso yatsoka a chotupa chija, ndi kupewa kumwa. Musaone tanthauzo la mankhwala chotupa zovuta - kugwira kwake anati isanayambe kapena itatha ntchito.

Kodi chiwembu chifuwa mankhwala amphamvu? Chifukwa cha mankhwala wawononga mitundu yonse ya maselo a khansa m'dera m'mawere. Zotsatira za poika mankhwala angapo ayenera kukula koma mlingo wa kukhudzana ndi chotero kuti munthu akhoza kusuntha popanda kuopseza thanzi kwambiri kudwala. Komanso, kufufuza zinthu zamoyo zotupa, dokotala n'kukulemberani mankhwala, amene alibe maselo aukali kusiya.

Alkaliruyuschie mankhwala wa mndandanda wa mankhwala omwe amalimbikitsa kuchira. Mu thupi, iwo amafanana cheza. Mankhwala kuwononga mapulotini kulamulira majini wa maselo a khansa. Kuchuluka kwa wothandizila mankhwala zino ndi "cyclophosphamide".

Antimetabolites inalowa mu dongosolo majini aukali selo. kanthu oipawa imayamba magawano selo kuti kumabweretsa imfa yake. Nthumwi gemzer ndi 5-fluorouracil. Choncho ndi ntchito mankhwala adjuvant. Pamene ululu syndrome Kwalamulidwa analgesic wothandizila "Seduxen", "Carbamazepine", "Phenytoin".

Mankhwala zochizira zotupa zilonda sizikuwoneka ngati mankhwala muyezo achire. zochita zawo zachokera chopinga lathunthu la kubalana selo. "Adriamycin" osakaniza "Cytoxan" ndi zotsatira zabwino.

Adjuvant mankhwala a khansa

Khansa ndi khansa wamba amene amasonyeza zotsatira kuonekera pa khungu. Metastases ku khansa ali wapezeka mwa x-ray Kujambula, PET, ultrasound napeza fotoakkustikoy. Amagwiritsidwa ntchito pofuna kuchiza njira zosiyanasiyana mankhwala mankhwala, immunotherapy, ntchito interferon, enawo zosiyanasiyana kuchizidwa perfusion m'deralo.

Khansa zovuta kuchiza, asayansi zonse ntchito kukhala mankhwala atsopano. Nthawi makampani mankhwala akulimbikitsa anapezazo. Nthawi zina amasonyeza bwino chithandizo, koma ndi zochepa. Mmodzi wa mankhwala atsopano ndi "IL-2". Ndi unakwaniritsa mosalekeza ndi wolingalira chikhululukiro, pali zosayembekezereka osowa wa musabise.

njira inanso othandiza si kwakukulu OncoVEX GM-CSF - makono komanso njira mankhwala. Izi mankhwala ali mu gawo lachitatu la mayesero matenda.

Chithandizo khansa ya rectum

M'zaka zaposachedwapa, kafukufuku m'munda wa mankhwala a colorectal khansa kusangalala bwino lotseguka. chiwerengero cha zolakwa ntchito njira opaleshoni kuchotsa zotupa mu 2 ndi 3 masitepe kuyambitsa zimene ochuluka ntchito mankhwala adjuvant a khansa ya m'matumbo. Studies ndi kusonyeza mphamvu ya mitundu radiotherapy ntchito wothandizila mankhwala 5-fluorouracil.

Ntchito kuchita dokotala njira lenileni kupeza zotupa ndiponso kufufuza chilengedwe chake, amalola mankhwala preoperative popanda padzuwa koyamba, kudziwika mapangidwe pa gawo loyamba la matenda. Disinfection mankhwala zambiri kuchuluka zochitika za postoperative sphincter kuteteza ndi mavuto yafupika.

Pakuti kuchepetsa zisadzachitikenso ndi mankhwala popanda kuwonjezera milandu imfa anayamba mankhwala postoperative patsogolo ndi njira mankhwala. Mankhwalawa molunjika siteji pakati ya m'matumbo adenocarcinoma khadi pansi, ntchito muyezo walitsa chitsanzo osakaniza 5-fluorouracil.

mankhwala Postoperative akuwonetseredwa bwino kuthira sonographic njira zimene zimathandiza kudziwa zolakwa staging. Mlingo kusuta mankhwala postoperative yafupika 20-50% pambuyo opaleshoni. Ukulu wa kuwononga thanzi anatsimikiza malingana siteji ya chotupa cha.

mankhwala a sinusitis

Kuwala siteji ya matenda popanda kugwiritsa ntchito mankhwala - ntchito mankhwala adjuvant mankhwalawa sinusitis. Kuchepetsa matenda akubwera pambuyo ntchito mwadongosolo mankhwala apakhungu ndi mankhwala thupi. zotsatira mankhwala chifukwa cha vasoconstrictor mankhwala, antiseptics, mankhwala kusintha chitetezo chokwanira.

Decongestants ndi njira zosiyanasiyana kanthu kuthetsa zizindikiro za sinusitis, koma mankhwala chotani mankhwala a matenda. The achire zotsatira zabwino ndi formulations aerosol, monga achira msanga anawagawira mucosa lapansi. Sinusitis ndi purulent mawonetseredwe ankachitira madontho antiseptic, koma m'malo chithandizo kwa chithandizo zoyamba.

Mu kwambiri ndi zovuta njira ya matenda amafuna kugwiritsa ntchito mankhwala a mapiritsi. Vuto zotsatirazi nthawi pachimake alandire jekeseni.

The njira adjuvant zochepetsera fibroids uterine

Mtundu uwu wa maphunziro zambiri chosaopsa neoplasm a kumaliseche mkati wamkazi. Odwala ena sadziwa maonekedwe a fibroids, monga nthawi yanji sudzatha kumupima, ndi matenda ndi asymptomatic.

Zizindikiro Common, amachititsa wodwalayo kupita kwa dokotala, ndi magazi uterine. Ululu anati mu yense wopirira chachinayi, kukula mofulumira chotupa mu nthawi yobereka 60% odwala pamaso kusintha - 44% ya Amayi.

Zochizira zizindikiro fibroid chosaopsa ntchito mankhwala adjuvant. Izi ndi yovuta ndi Phindu kumadalira zinachitikira, maziko maphunziro ndi zinthu luso dokotala. The pazipita zotheka kugwiritsa ntchito mankhwala ndiwofatsa, koma palibe nthawi zochepa zofunika kusankha za kuchotsa opaleshoni ya fibroids.

Yoyamba njira ya mankhwala ndi kuchepetsa mapangidwe mahomoni yamchiberekero mlingo kwambiri, potero kuchepetsa mlingo wa m'deralo gormenomii chiberekero. Yachiwiri njira ndi kulenga anatseka misewu mabacteria anomalous kukwawira. Pakuti ichi kutumikiridwa Mlingo ka progestins kuchepetsa mahomoni mu mtsempha wa magazi ndi kuchepetsa tilinazo chotupa minofu ndi zochitika timafunika.

Mu mankhwala amakono, ntchito pofuna kuchiza fibroids progestogens, odana estrogens, antigonadotropiny, antigestagens. Therapy ndi mahomoni ndi mankhwala si m'thupi. chithandizo ndiwofatsa zikuphatikizapo Antistress, immnokorregiruyuschie, mankhwala nootropic, mavitamini, ndi antioxidants.

Njira zochizira periodontitis

Periodontitis amapezeka zina, monga anagubuduza kutupa mu rhinitis, osteomyelitis, sinusitis kapena otitis. matenda akuwonetseredwa ndi kutukusira kwa muzu dzino ndi pafupi zimakhala zovuta. Limatchedwa dzino pulpitis, gingival choipa. Kuwonjezera pa miyambo mawotchi njira mankhwala ntchito mankhwala adjuvant wa periodontitis.

Chifukwa amakhala shuga, osauka kubwezeretsa mavitamini ndi mchere m'thupi, munthu amene matupi awo sagwirizana ndi kugwiritsa ntchito mankhwala ena. Mochedwa ukhondo komanso kumabweretsa matenda, zochizira periodontitis ntchito mankhwala adjuvant. Kodi zikutanthauza chiyani? njira zachokera mosamala antiseptic dzino ndi njira ntchito mkati kukonzekera calcium. Njira imatengedwa ogwira pamene pali kuthekera zotsatira kuyembekezera. Nthawi zina, pali chiopsezo exacerbation.

Pomaliza, tisaiwale kuti kugwiritsa ntchito mankhwala adjuvant amagwira ntchito yofunika kwambiri pa matenda a khansa. Therapy facilitates siteji kukonzekera ntchito, ndipo pambuyo kuchotsa chotupa chija amachepetsa kuthekera zisadzachitikenso ndi chotupa reappearance.