Chemotherapy yog ib qho ntawm txoj kev kho mob plab mob, uas muaj nyob rau hauv kev siv cov tshuaj uas tuaj yeem ua rau mob hlwb thiab inhibit lawv txoj kev loj hlob. Chemotherapy yuav nqa tawm hauv cov rooj plaub zoo li no:
- Yog hais tias qhov kev lag luam yog tsis yooj yim los yog tsis tseem ceeb (muaj cov metastases loj, tsis kam lees ntawm tus neeg mob los ntawm lub lag luam, thiab lwm yam), kws khomob tau ua kom ntev rau lub neej ntawm tus neeg mob thiab txo cov kev mob tshwm sim ntawm tus kab mob.
- Preoperative chemotherapy - yog siv los txo qhov loj ntawm lub qog thiaj li yuav pab nws tshem tawm.
- Cov kws kho mob tom qab - taw los tiv thaiv qhov rov tuaj ntawm tus kab mob tom qab tshem tawm ntawm nqaij hlav.
Cov kws kho khomob rau cov mob khees xaws mis
Yog xav kho plab cancer, ntau hom kev kho mob siv nrog kev siv ob peb ntawm cov kws khomob. Kev xaiv ntawm ib qho kev khomob tshwjxeeb yog txiav txim siab los ntawm daim duab kabmob thiab kev mob ntawm tus neeg mob, nrog rau lwm yam. Cov kws kho mob yeej niaj zaus tshawb nrhiav cov tshuaj tshiab ua ke, sim nrhiav cov kev kho mob zoo tshaj plaws. Nov yog qee cov kev sib txuas ntawm cov tshuaj siv hauv chemotherapy rau mob plab cancer:
- epirubicin, cisplatin thiab fluorouracil (ECF tswvyim);
- epirubicin, cisplatin thiab capecitabine (ECX);
- epirubicin, oxaliplatin thiab capecitabine (EOX);
- mitomycin, cisplatin thiab capecitabine (MCX);
- 5-fluorouracil, epirubicin, methotrexate (FEMTX), thiab lwm tus.
Cov tshuaj yuav muab tau rau hauv daim ntawv ntawm txhaj, los ntawm infusomat, nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj. Kev kho mob yuav kav ntev li 4 mus rau 6 lub hlis, nyob ntawm seb qhov tshuaj tiv thaiv ntawm cov qog nqaij hlav mus rau cov tshuaj.
Khoom noj khoom haus rau cov kws khomob rau mob plab
Kev noj zaub mov zoo hauv kev kho mob plab cancer plays lub luag haujlwm tseem ceeb. Cov neeg mob yuav tsum muaj ntau cov calories, vitamins, proteins thiab minerals. Nyob rau tib lub sij hawm, ua raws li kev noj haus nyob rau hauv tus kab mob no yog cov nyuab, vim cov neeg mob tau txo kev noj qab haus huv thiab cov kev mob ntawm cov kws kho mob (xeev siab, ntuav, raws plab, thiab lwm yam).
Cov lus pom zoo rau kev noj haus rau hauv qhov no yog:
- noj zaub mov me me tsawg kawg yog 6 zaug ib hnub;
- nws yog tsim nyog siv kua ua ntej thiab tom qab noj mov;
- tsis pom zoo siv cov khoom qab zib, kua txiv hmab txiv ntoo, dej cov dej.
Cov hauj lwm zoo ntawm cov kws khomob rau kev mob plab nyhav
Cov nyhuv ntawm cov kws khomob muaj kev sib txawv hauv cov neeg mob sib txawv, thiab, ntawm qhov nruab nrab, yog 30-40%. Qhov no yog qhov loj vim yog qhov txawv ntawm kev ua qoob loo ntawm qog hlwb. Hauv qee cov neeg mob, cov kws khomob tsis ua rau qis qis dua. Hauv qhov no, chemotherapy tog twg los nres, los yog lwm cov tshuaj ntawm cov tshuaj.
Feem ntau, nws ntseeg tau hais tias txoj kev kho no yuav pab txhim kho lub neej zoo thiab ua rau nws lub sijhawm ntev zog.