Chemotherapy uye ayo Ekupedzisira-Mhedzisiro muCancer

Muchidimbu

Chemotherapy ndiyo musimboti wekenza kurapwa uye yekutanga mutsara kurapwa kwesarudzo kune mazhinji kanzira sekutsigirwa nekiriniki mirau uye humbowo. Nekudaro, kunyangwe paine kufambira mberi kwekurapa uye kuvandudzwa kwenhamba yevakapona nekenza mukati memakumi mashoma apfuura, iyo pfupi pfupi uye kwenguva yakareba mhedzisiro mhedzisiro yemakemikripsi inoramba ichinyanya kunetsa kune vese varwere nevarapi. Kusarudza chikafu chakakodzera uye zvekuwedzera zvinovaka muviri kunogona kubatsira kudzikisira mimwe yemhedzisiro.

Chii chinonzi Chemotherapy?

Chemotherapy imhando ye kenza kurapwa kunoshandisa mishonga kuparadza masero ekenza ari kukurumidza kupatsanura. Iyo zvakare ndiyo yekutanga mutsara yekurapa sarudzo yekenza yakawanda inotsigirwa nekiriniki nhungamiro uye humbowo.

Chemotherapy yakanga isingaitirwe kushandiswa kwayo kwechirwere chekenza. Muchokwadi, yakawanikwa munguva yechipiri Hondo Yenyika apo vaongorori vakaona kuti nitrogen gardard gasi rakauraya huwandu hwakawanda hweropa chena. Izvi zvakakurudzira kumwe kutsvagurudza pamusoro pekuti zvinogona kumisa kukura kweimwe inokurumidza kupatsanura nekuchinja maseru ekenza. Kuburikidza nekumwe kutsvagisa, kuyedza, uye kuyedzwa kwekiriniki, chemotherapy yakachinja kuita zvazviri nhasi.

Akasiyana chemotherapy mishonga ine akasiyana masisitimu echiito anoshandiswa kunongedza chaiwo marudzi ekenza. Iyi chemotherapy mishonga inorayirwa:

• kungave pamberi pekuvhiyiwa kuti kuderedze saizi yebundu hombe;
• kungoita zvishoma nezvishoma kukura kwesero remukenza;
• kurapa kenza yakachinjika uye ikapararira kuburikidza nenhengo dzakasiyana dzemuviri; kana
• kubvisa uye kuchenesa ese akachinjika uye anokurumidza kukura maseru egomarara kudzivirira kumwe kudzokerazve mune ramangwana.

Nhasi, kune zvinopfuura zana chemotherapy mishonga inogamuchirwa uye inowanikwa mumusika wemhando dzakasiyana dzekenza. Izvo zvakasiyana zvikamu zvechemotherapy zvinodhaka zvinosanganisira alkylating agents, antimetabolites, chirimwa alkaloids, antitumor antibiotics uye topoisomerase inhibitors. Iyo oncologist inotora danho rekuti chemotherapy mushonga unoshandiswa kurapa murwere wekenza zvichibva pazvinhu zvakasiyana. Izvi zvinosanganisira:

• mhando uye nhanho yekenza
• nzvimbo yekenza
• aripo mamiriro ekurapa emurwere
• zera remurwere uye hutano hwakazara

Chemotherapy Side-Mhedzisiro

Kunyangwe kufambira mberi kwekurapa uye kuvandudzwa kwenhamba yevakapona gomarara mumakumi mashoma emakore apfuura, mhedzisiro anti-gomarara chemotherapy inoramba iri chinhu chikuru chekunetsekana kune vese varwere nevarapi. Zvichienderana nerudzi uye hukuru hwekurapa, chemotherapy inogona kukonzeresa zvinyoro kusvika kune zvakakomba zvakashata mhedzisiro. Iyi mhedzisiro-mhedzisiro inogona kukanganisa zvakanyanya hupenyu hweanorwara nekenza.

Ipfupi Tema Rutivi-Mhedzisiro

Chemotherapy kazhinji inokuvadza maseru ari kukurumidza kupatsanurwa. Zvikamu zvakasiyana zvemuviri wedu uko zvakajairika maseru ane hutano anokamurana kazhinji zvingangonyanya kukanganiswa nekemotherapy. Bvudzi, muromo, ganda, ura uye mwongo wemapfupa zvinowanzo kukanganiswa nemakemikari madhiragi.

Iyo pfupi pfupi mhedzisiro-mhedzisiro yemakemikari anoonekwa mune varwere vegomarara anosanganisira:

• bvudzi rinopera
• kushungurudza uye kurutsa
• kurasikirwa nechido
• kuvharirwa kana kuita manyoka
• manyaro
• kutadza kurara 
• dambudziko rekufema
• ganda rinoshanduka
• furu-kunge zviratidzo
• Pain
• esophagitis (kuzvimba kwesopu kunotungamira mukumedza matambudziko)
• maronda emuromo
• itsvo nedambudziko redundira
• anemia (yakaderedzwa nhamba yemasero matsvuku eropa)
• chirwere
• matambudziko ekuvhara ropa
• kuwedzera kubuda ropa nekupwanya
• neutropenia (mamiriro nekuda kwenzvimbo yakaderera yenyutrophils, rudzi rwemachena masero eropa)

Iyi mhedzisiro-mhedzisiro inogona kusiyanisa kubva kumunhu kuenda kumunhu uye kubva ku chemo kuenda kune chemo. Kune iye murwere mumwe chete, iyo mhedzisiro-mhedzisiro inogona zvakare kusiana mukati mekosi yavo yekemotherapy. Mazhinji emhedzisiro-yemhedzisiro anokanganisa panyama pamwe nekugadzikana kwemanzwiro evarwere vegomarara. 

Yakareba Nguva Side-Mhedzisiro

Nekushandisa kwakawanda kwemakemikari ekurapa mumapoka akasiyana evarwere vegomarara, huturu hunosanganisirwa neaya akasimba chemotherotheries akadai platinum-yakavakirwa chemotherapies ramba uchiwedzera. Nekudaro, kunyangwe paine kufambira mberi kwese kwekurapa, vazhinji vevakapona nekenza vanopedzisira vatarisana nemhedzisiro-refu mhedzisiro yeiyi chemotherapy kurapwa, kunyangwe makore akati wandei mushure mekurapwa. Sezvinoenderana neNational Pediatric Cancer Foundation, zvinofungidzirwa kuti vanopfuura 95% yevanopona nekenza muhucheche vachange vaine nyaya ine chekuita nezvehutano panguva yavanenge vaine makore makumi mana nemashanu ekuberekwa, izvo zvinogona kuve mugumisiro wekurapwa kwavo kwegomarara rapfuura (https: //nationalpcf.org/facts-about-childhood-cancer/). 

Zvidzidzo zvakasiyana zvemakiriniki zvakaitwa pavarwere vegomarara uye vakapona vemhando dzakasiyana dzekenza senge gomarara repazamu, gomarara reprostate uye lymphoma kuongorora njodzi yemhedzisiro yemhedzisiro yavo yekurapa kenza. Zvidzidzo zvekiriniki kuongorora izvi chemotherapy mhedzisiro-mhedzisiro mune vakapona vegomarara zvakapfupikiswa pazasi

Zvidzidzo zveNguva refu Yekupedzisira-Mhedzisiro yeChemotherapy

Ngozi yeCancer yeCancer

Nekurapwa kwazvino kwekenza uchishandisa chemotherapy kana radiotherapy, kunyangwe iwo mararamire ekurarama kwemamota akasimba akavandudzika, njodzi yekurapwa-inosimudzira sekenza yekenza (imwe yenguva refu chemotherapy side-mhedzisiro) yakawedzerawo. Zvidzidzo zvakasiyana zvinoratidza kuti kunyanyisa chemotherapy kurapwa kunowedzera mukana wekutora gomarara repiri mushure mekushaya kenza kweimwe nguva. 

Chidzidzo chakaitwa neNational Cancer Institute chakanyatsoongorora dhata pane vanopfuura mazana manomwe ezviuru varwere vane yakasimba kenza mamota. Ava varwere pakutanga vakawana chemotherapy kubva muna 700,000-2000 uye vakapona kweinenge gore rimwe mushure mekuongororwa. Vakanga vaine makore ari pakati pe2013 ne1. Vatsvagiridzi vakaona kuti njodzi yekurapa inoenderana nemyelodysplastic syndrome (tMDS) uye acute myeloid leukemia (AML) "yakawedzera kubva pa20-fold kusvika pamusoro pegumi-makumi maviri nemaviri makumi maviri nemaviri emhando 84 dzekenza yakasimba yakaongororwa" . (Morton L et al, JAMA Oncology. Zvita 20, 2018) 

Chimwe chidzidzo chakaitwa nguva pfupi yadarika nevatsvagiri kubva kuYunivhesiti yeMinnesota Medical School mune vanopfuura zviuru makumi maviri vakapona nekenza yevana. Vakapona ava vakatanga kubatwa nekenza pavakange vari pasi pemakore makumi maviri nerimwe ekuberekwa, pakati pa20,000-21 uye vakarapwa nekemotherapy / radiotherapy kana chemotherapy pamwe nere radiation therapy. Chidzidzo ichi chakaburitsa pachena kuti vakapona vairapwa nekemotherapy chete, kunyanya avo vaibatwa nemitero yepamusoro yeplatinum pamwe nemaalkylating agents, vakave nekaviri 1970 makanda akawedzera njodzi yekenza yakaipa inotevera kana ichienzaniswa nevanhu vazhinji. (Turcotte LM et al, J Clin Oncol., 1999) 

Imwe ongororo yekutsvagisa yakaitwawo ikaburitswa muna2016 iyo yakaongorora data kubva ku3,768 vakadzi vehukana leukemia kana vakapona gomarara resarcoma vasina nhoroondo yechipfuva radiotherapy. Vakapona nekenza vakamborapwa nemitero inowedzera yecyclophosphamide kana anthracyclines. Chidzidzo ichi chakawana kuti vapenyu ava vaibatanidzwa zvakanyanya nenjodzi yekuva nekenza yemazamu. (Henderson TO et al., J Clin Oncol., 2016)

Mune kumwe kudzidza, kwakaonekwa kuti vanhu vane Hodgkin's Lymphoma vari panjodzi huru yekuita gomarara repiri mushure me radiotherapy. Hodgkin's Lymphoma ikenza yeiyo lymphatic system inova chikamu chemuviri wemuviri. (Petrakova K et al, Int J Clin Dzidzira. 2018)

Zvakare, nepo paine huwandu hwakanyanya hwekutanga hwekubudirira kwevakadzi nekenza yemazamu, njodzi yekuvandudza yechipiri yekutanga malignant tumors post kurapwa yakawedzerawo zvakanyanya (Wei JL et al, Int J Clin Oncol. 2019).

Izvi zvidzidzo zvinomisikidza kuti kanzuru dzehucheche dzinorapwa neakakwira kuwanda kwechemotherapy senge cyclophosphamide kana anthracyclines inosangana nenjodzi yakawedzera yenguva refu-mhedzisiro yekuvandudza kanzira dzinotevera.  

Njodzi Yezvirwere zvemoyo

Imwe divi-mhedzisiro ye chemotherapy ndeyemwoyo kana chirwere chemwoyo. Ongororo dzakasiyana dzinoratidza kuti kune mukana wekuwedzera wekutadza kwemoyo muvanopona nekenza yemazamu, makore mushure mekutanga kuongororwa uye kurapwa kwekenza yavo. Kuunganidzwa kwemoyo kukundikana chiitiko chisingaperi chinoitika kana moyo usingakwanise kupomba ropa rakatenderedza muviri nemazvo.

Mune ongororo ichangoburwa, vatsvagiri veKorea vakaongorora kuwanda kwezviitiko uye njodzi zvine chekuita ne congestive moyo kutadza (CHF) mune varwere vegomarara repazamu avo vakapona anopfuura makore maviri mushure mekuongororwa kwegomarara. Chidzidzo ichi chakaitwa neNational Health Information Database yeSouth Korea uye yaisanganisira data kubva kune yakazara 2 kenza yemazamu akapona mhosva pakati pe91,227 na2007. Vatsvaguriri vakaona kuti:

• Njodzi dzekushushikana kwemoyo kukundikana dzaive dzakakwirira mune vakapona kenza yemazamu, kunyanya kune vadiki vakapona vane makore ari pasi pemakore makumi mashanu, kupfuura kutonga. 
• vakapukunyuka kenza avo vakamborapwa nekemotherapy madhiragi senge anthracyclines (epirubicin kana doxorubicin) nematekisi (docetaxel kana paclitaxel) vakaratidza njodzi yakanyanya yezvirwere zvemwoyo (Lee J et al, Gomarara, 2020). 

Mune imwe ongororo yakaitwa nePaulista State University (UNESP), Brazil, vaongorori vakaongorora zvinhu zvine njodzi zvine chekuita nematambudziko emoyo mumashure mevachapfuura nekenza yemazamu. Ivo vakafananidza data kubva kune makumi mapfumbamwe makumi mapfumbamwe emasopaopaopaalal vapenyu vakapona vane makore anopfuura makumi mana nemakumi mashanu nevane makumi maviri nevasere vakadzi vanoperaopaopa vasina kenza yemazamu. Chidzidzo ichi chakagumisa kuti vakadzi vepostmenopausal avo vakapona kenza yemazamu vane hukama hwakasimba pamwe nenjodzi dzezvirwere zvemoyo uye kuwedzera kufutisa kwepamuviri zvichienzaniswa nevakadzi vanotevera postopaopausal vasina nhoroondo yekenza yemazamu (Buttros DAB et al, Menopause, 96).

Mune ongororo yakaburitswa naDr Carolyn Larsel nechikwata kubva kuMayo Clinic, United States, vakaongorora data kubva ku 900+ kenza yemazamu kana varwere ve lymphoma vanobva kuOlmsted County, United States. Vatsvakurudzi vakawana kuti kenza yemazamu uye varwere vema-lymphoma vaive panjodzi yekuwedzera kwekutadza kwemoyo mushure megore rekutanga rekuongororwa iro rakaramba richiita makore makumi maviri Chidzidzo ichi chakawana zvakare kuti varwere vanorapwa neDoxorubicin vaive nemukana wakapetwa kaviri wekutadza kwemoyo uchienzaniswa nemamwe marapirwo. (Carolyn Larsen et al, Zvinyorwa zveAmerican College yeCardiology, Kurume 20)

Izvi zvakawanikwa zvinotsigira chokwadi chekuti mamwe marapirwo ekenza anogona kuwedzera njodzi yemhedzisiro-yekukura kwematambudziko emoyo mune vakasiyana kenza vakapona kunyangwe makore akati wandei mushure mekuongororwa uye kurapwa.

Ngozi yeLung Zvirwere

Zvirwere zvemapapu kana mapurmoni matambudziko akaiswazve senge yakaipa nguva refu parutivi-mhedzisiro yekemotherapy. Ongororo dzakasiyana dzinoratidza kuti vanopona nekenza yehucheche vane huwandu hwakanyanya hwezvirwere zvemapapu / matambudziko akaita sekukosora kusingaperi, asthma uye nyonganiso inowanzoitika sevanhu vakuru uye njodzi yaive yakakura kana ichirapwa nemwaranzi pazera diki.

Mune ongororo yakaburitswa neAmerican Cancer Society, vaongorori vakaongorora data kubva kuChidiki Kenza Yekupona Yekudzidza iyo yakaongorora vanhu vakapona makore angangoita mashanu mushure mekuonekwa kwehucheche hwegomarara senge leukemia, yepakati yenzwi system malignancies uye neuroblastomas. Kubva pane dhata kubva kuvarume vanopfuura zviuru gumi nezvina, vaongorori vakaona kuti nezera remakore makumi mana nemashanu, kuwanda kwechero mamiriro epulmonary yaive 14,000% yevakapona nekenza uye 45% yehama dzavo. Vakagumisa kuti mapapu / mapapu matambudziko akakosha pakati pevakapona vakuru vegomarara remucheche uye anogona kukanganisa zviitiko zvezuva nezuva. (Dietz AC et al, Kenza, 2016).

Mune kumwe kuongorora kwakaitwa nevatsvagiri vekuColumbia University kuNew York, vakaita ongororo yakafanana neyakavakirwa padhata kubva kuvana makumi matanhatu nevatanhatu vakave nemwaranzi yemapapu uye vakaita ongororo yemapapu. Vakawana kuwirirana kwakanangana kunoratidza kuti pulmonary / mapapu kusagadzikana kwakapararira pakati pevapenyu vegomarara revana vanogashira mwaranzi kumapapu sechikamu chehurongwa hwavo hwekurapa. Vatsvakurudzi vakaona zvakare kuti paive nenjodzi huru yekukura kwemapapu / mapapu kusagadzikana apo kurapwa kwakaitwa pazera diki nekuda kwekukura kwekukura (Fatima Khan et al, Kufambira Mberi muRadiation Oncology, 61).

Kuziva njodzi dzekurapa zvine hukasha senge chemotherapy, vekurapa vanogona kuwedzera kukwidzirisa kenza yekurapa muvana kuti vadzivise iyi mhedzisiro mhedzisiro mune ramangwana. Zviratidzo zvezvinetso zvemapapu zvinofanira kuongororwa zvakanyanya uye matanho anofanirwa kutorwa kuzvidzivirira. 

Njodzi Yeinotevera Stroke

Kuongororwa kwedata kubva kune dzinoverengeka dzakazvimiririra kiriniki zvidzidzo zvinoratidza kuti vakapona vegomarara vakawana radiation radiation kana chemotherapy kurapwa vanogona kuve nenjodzi yakawedzera yemhedzisiro-mhedzisiro yekurohwa kunotevera. 

Mune ongororo yakaitwa nevatsvagiri muSouth Korea, vakaongorora dhata revarwere vegomarara makumi maviri nemakumi manomwe nenomwe kubva kuKorea National Health Insurance Service National Sample Cohort dhatabhesi pakati pa20,707-2002. Vakawana kusangana kwakanaka kweiyo yakakwira njodzi yekurohwa nevarwere vegomarara kana vachienzaniswa nevasiri vekenza varwere. Chemotherapy kurapwa kwaive kuzvimiririra kwakabatana neyakawedzera njodzi yekurohwa. Njodzi yacho yaive yakakwira kuvarwere vane kanzira yenhengo dzekugaya, gomarara rekufema uye vamwe vakaita sekenza yemazamu uye kanzira yenhengo dzevanhurume nevakadzi dzekubereka. Chidzidzo ichi chakagumisa kuti njodzi yekurwara nekenza varwere yakawedzera pamakore matatu mushure mekuongororwa uye njodzi iyi yakaramba ichienderera kusvika makore manomwe ekutevera. (Jang HS et al, Pamberi. Neurol, 2015)

Chidzidzo chakaitwa neXiangya Chikoro cheHuzhinji Hutano, Central South University, China, chakaita meta-ongororo ye12 yakadomwa yakazvimirira retrospective yakaburitswa zvidzidzo pakati pa1990 kusvika 2017, iine 57,881 varwere vese, vakarapwa nemushonga wemwaranzi. Ongororo iyi yakaratidza huwandu hwakakura hwehutachiona hwevane gomarara vakapiwa kurapwa nemwaranzi zvichienzaniswa neavo vasina kurapwa nemwaranzi. Vakaona kuti njodzi yaive yakakwira muradiotherapy kurapwa varwere vane Hodgkin's lymphoma nemusoro, mutsipa, huropi kana nasopharyngeal cancer. Uku kusangana kwe radiation radiation uye sitiroko kwakaonekwa kuve kwakakwira kune varwere vari pasi pemakore makumi mana kana ichienzaniswa nevarwere vakuru. (Huang R, et al, Mberi Neurol., 40).

Zviwanikwa kubva kuzvidzidzo zvekiriniki izvi zvakaratidza njodzi yakakwira yekurohwa mushure mevapenyu vegomarara avo vakamborapwa ne radiation radiation kana chemotherapy.

Ngozi yeOsteoporosis

Osteoporosis imwezve yakareba-divi-mhedzisiro inoonekwa mune varwere vegomarara uye vakapukunyuka avo vakagamuchira kurapwa senge chemotherapy uye hormone therapy. Osteoporosis chirwere chemuviri umo kuderera kwepfupa kunoderedzwa, zvichiita kuti pfupa rishaye simba uye ripwanye. Ongororo dzakawanda dzinoratidza kuti varwere uye vakapona vemhando dzekenza senge gomarara repazamu, gomarara reprostate uye lymphoma vari panjodzi yekuwedzera osteoporosis.

Chidzidzo chakatungamirwa nevatsvagiri veJohns Hopkins Bloomberg Chikoro cheHuzhinji Hutano, Baltimore, United States, vakaongorora huwandu hwezviitiko zvekurasikirwa nemabhonzo senge osteoporosis uye osteopenia mune 211 vakapona nekenza yemazamu. Ava vakapona gomarara repazamu vakaonekwa vaine gomarara pazera rinoreva makore makumi mana nemanomwe. Vatsvagidzi vakafananidza iyo data kubva kune vakapona kenza yemazamu ne47 vakadzi vasina gomarara. Kuongororwa kwakawana kuti paive ne567% yakanyanya njodzi ye osteoporosis mune vakapona kenza yemazamu kana ichienzaniswa nevakadzi vasina gomarara.Mhedzisiro yacho yaive yakakurumbira kune avo vanorapwa nearomatase inhibitors voga, kana musanganiswa wemakemikari uye aromatase inhibitors kana Tamoxifen. (Cody Ramin et al, Ongororo yeCancer yeCancer, 68)

Mune imwe kiriniki yekudzidza, data kubva ku2589 Danish varwere vakawanikwa vaine hutachiona hwakakura B-cell lymphoma kana follicular lymphoma yakaongororwa. Varwere vema-lymphoma vainyanya kurapwa nesteroid se prednisolone pakati pa2000 na2012. Iyo data kubva kuvarwere vegomarara yakaenzaniswa ne12,945 yekudzora zvidzidzo kuti zviongorore zviitiko zvekupererwa kwemapfupa senge zviitiko zve osteoporotic. Kuongorora kwakawana kuti varwere vema-lymphoma vane njodzi yakawedzera yemapfupa-kurasikirwa mamiriro kana ichienzaniswa nekutonga, iine makore mashanu uye gumi-makore ekuwedzera njodzi anonzi 5% uye 10% yevarwere ve lymphoma zvichienzaniswa ne10.0% uye 16.3% yekutonga. (Baech J nevamwe, Leuk Lymphoma., 2020)

Izvi zvakawanikwa zvinoratidza kuti varwere vekenza uye vakapukunyuka avo vakagamuchira kurapwa senge aromatase inhibitors, chemotherapy, kurapa kwehomoni senge Tamoxifen kana mubatanidzwa weizvi, vari panjodzi yekuwedzera yekurasikirwa kwemapfupa.

Manejimendi yeChemotherapy Side-Mhedzisiro nekusarudza Rudyi Nutrition / Nutritional Supplements

Mimwe yemhedzisiro-mhedzisiro yekemotherapy inogona kunyatsoderedzwa kana kutarisirwa nekutora iyo kudya kwakakwana / zvekuwedzera zvinovaka muviri pamwe nemushonga. Zvinowedzera uye zvokudya, kana ikasarudzwa nesainzi, inogona kugadzirisa mhinduro dzemakemikari uye kudzikisira mhedzisiro yavo muvarwere vegomarara. Zvisinei, kusarudzika kusarudzwa kwehutano uye zvinovaka muviri zvekuwedzera zvinogona kunowedzera mhedzisiro.

Zvidzidzo zvakasiyana zvemakiriniki / humbowo hwakatsigira mabhenefiti echimwe chikafu / chekuwedzera mukuderedza chemo chemberi-mhedzisiro mune imwe mhando yekenza yakapfupikiswa pazasi. 

1. Chikamu chechipiri chemakiriniki chakaitiswa nevatsvaguriri veShandong Cancer Hospital uye Institute kuChina chakagumisa kuti EGCG yekuwedzera inogona kudzora kumedza matambudziko / esophagitis pasina kukanganisa kukanganisa kwechemoradiation kana radiation radiation mukenza esophageal cancer. (Xiaoling Li et al, Chinyorwa cheMishonga Chikafu, 2019)
2. Ongororo isina kuongororwa isina bofu yakaitwa pamusoro uye varwere vegomarara remutsipa yakaratidza kuti zvichienzaniswa neboka rinodzora, vangangoita 30% yevarwere havana kuwana giredhi 3 yemumuromo mucositis (maronda emumuromo) pavakawedzeredzwa nehumambo jelly. (Miyata Y et al, Int J Mol Sci., 2018).
3. Chidzidzo chakaitwa nevatsvagiri kubva kuShakrekord University yeMedical Sayenzi muIran chakaratidza kuti lycopene inogona kushanda mukuderedza matambudziko nekuda kwecisplatin-inded nephrotoxicity (matambudziko eitsvo) nekukanganisa mamwe mamaki ehunzwa basa. (Mahmoodnia L et al, J Nephropathol., 2017)
4. Chidzidzo chekiriniki kubva kuYunivhesiti yeTanta kuEgypt chakaratidza kushandiswa kwe Mukaka Thistle anoshanda Silymarin pamwe neDoxorubicin inobatsira vana vane acute lymphoblastic leukemia (ZVA) nekudzora iyo Doxorubicin-inosimudzira cardiotoxicity. (Hagag AA et al, Infect Disord Zvinodhaka Zvinangwa., 2019)
5. Chidzidzo chimwe chete chakaitwa neRigshospitalet neHerlev hospital, kuDenmark pavarwere makumi manomwe neshanu vakaona kuti Mannitol vanoshandisa mumusoro nemutsipa kenza varwere vanowana cisplatin therapy inogona kudzora kukuvara kweitsvo yeCisplatin (Hagerstrom E, et al, Clin Med Kunzwisisa Oncol., 2019).
6. Chidzidzo chakaitwa paYunivhesiti yeAlexandria muEjipitori chakawana izvo kutora mbeu nhema nhema muThymoquinone pamwe nekemotherapy kunogona kudzikisira kuitika kwefebrile neutropenia (yakadzika masero machena eropa) muvana vane mamota europi. (Mousa HFM et al., Yevana Yekutya Syst., 2017)

mhedziso

Muchidimbu, kurapwa kwehasha nechemotherapy kunogona kuwedzera njodzi yekuva nemhedzisiro yenguva pfupi uye yenguva refu zvinosanganisira matambudziko emoyo, zvirwere zvemapapu, kurasikirwa kwemapfupa, chechipiri. kanzira uye sitiroko kunyange makore akati wandei mushure mekurapwa. Nekudaro, usati watanga kurapa, zvakakosha kuti udzidzise varwere vegomarara nezvezvinokonzeresa zvinokonzeresa kurapwa uku pahutano hwavo hweramangwana uye hupenyu hwehupenyu. Kuongororwa kwengozi-benefit yekurapwa kwegomarara kuvana nevakuru vechidiki kunofanira kufarira kurapwa kudzikisira kuwanda kweiyo chemotherapy uye kufunga kweimwe nzira kana zvimwe zvakanangwa kurapa sarudzo kudzora njodzi yemhedzisiro-mhedzisiro mune ramangwana. Kusarudza chikafu chakakodzera uye zvekuwedzera zvinovaka muviri zvinogona zvakare kubatsira kudzikisira mimwe yemhedzisiro.

Chikafu chipi chaunodya uye chinowedzera iwe kutora chisarudzo chaunoita. Sarudzo yako inofanirwa kusanganisira kutarisisa kwecancer genes shanduko, iyo kenza, kurapwa kuri kuenderera uye zvinowedzerana, chero mairigeji, ruzivo rwemararamiro, huremu, kukwirira uye maitiro.

Kurongeka kwehutano kwekenza kubva kuAddon hakubvi pakutsvaga kweinternet. Iyo inoshandura sarudzo kuitirwa iwe zvichibva pane samorekuru sainzi inoitwa nemasayendisiti edu uye mainjiniya esoftware. Zvisinei kuti une hanya here nekunzwisisa iyo yepasi biochemical molecular pathways kana kwete - yekuronga kudya kwemukenza kunzwisiswa kunodiwa.

Tanga IZVOZVO nekuronga kwako kudya kunovaka muviri nekupindura mibvunzo pazita rekenza, majini masayendisiti, kurapwa kuri kuenderera uye zvinowedzerana, chero kurwara, tsika, mararamiro, boka rezera uye murume kana murume.

Varwere veCancer kazhinji vanofanirwa kubata akasiyana chemotherapy mhedzisiro mhedzisiro iyo inokanganisa hupenyu hwavo uye kutarisa kune dzimwe nzira dzokurapa kenza. kudya kwakakwana uye zvekuwedzera zvinoenderana nesainzi (kunzvenga kufungidzira uye kusarudzika kusarudza) ndiwo mushonga wepanyama wekenza uye mitezo inoenderana nekurapwa.

• Kuwedzera Njodzi Yezvirwere zveMwoyo muVanopona neCancer yeCancer
• Vanopona Gomarara Vacheche Vanorapwa neChemotherapy vane Njodzi Yakakwirira Yeinotevera Kenza
• Ko chemotherapy yako inogona kukonzera imwe cancer.
• Mhedzisiro yeAggressive Kurapa muVacheche Kenza Yevapenyu - Njodzi yePulmonary Matambudziko