izimpawu zokwelashwa komdlavuza wezinso

Izimpawu zokwelashwa komdlavuza wezinso zingahluka kakhulu kuye ngohlobo lokwelashwa, isigaba somdlavuza, kanye nempilo yomuntu iyonke. Imiphumela emibi evamile ihlanganisa ukukhathala, ukucanuzela kwenhliziyo, ukushintsha kwesifiso sokudla, ukusabela kwesikhumba, nokunye. Ukulawula lezi zimpawu ngempumelelo kubalulekile ekwenzeni ngcono izinga lempilo yesiguli ngesikhathi nangemuva kokwelashwa. Ukuqonda le miphumela engemihle engaba khona kanye nokwazi ukuthi ungabhekana kanjani nayo kunganika iziguli amandla nabanakekeli bazo ukuthi bahambe ohambweni lomdlavuza ngokuzethemba okukhulu. I-Shandong Baofa Cancer Research Institute izinikele ekunikezeni ulwazi nezinsiza zokusiza iziguli kanye nemindeni ukuthi iqonde futhi ilawule ukwelashwa komdlavuza ngempumelelo.Uyini Umdlavuza Wezinso kanye Nokwelashwa Kwawo?Umdlavuza wezinso, owaziwa nangokuthi umdlavuza wezinso, uqala ezinso. Uhlobo oluvame kakhulu i-renal cell carcinoma (RCC). Izinketho zokwelapha zincike esigabeni kanye nebanga lomdlavuza futhi zingabandakanya ukuhlinzwa, ukwelashwa okuhlosiwe, i-immunotherapy, ukwelapha ngemisebe, kanye nokwelashwa ngamakhemikhali. Ukwelashwa Izimpawu Zomdlavuza WezinsoNgamunye izimpawu zokwelashwa komdlavuza wezinso inesethi yayo yemiphumela emibi engaba khona. Nazi ezinye ezivame kakhulu: Ukukhathala: Ukuzizwa ukhathele ngendlela engavamile, ngisho nangemva kokuphumula. Isicanucanu nokuhlanza: Ukuzizwa ugula esiswini sakho, ngezinye izikhathi okuholela ekuhlanzeni. Izinguquko Emdlalweni Wokudla: Ukungazizwa ukulamba noma ukuzizwa usuthi ngokushesha. Ukusabela kwesikhumba: Ukuqubuka, ukulunywa, ukoma, noma ukuzwela elangeni. Isifo sohudo noma ukuqunjelwa: Ukushintsha kwemikhuba yamathumbu. Izilonda zomlomo: Izilonda ezibuhlungu emlonyeni noma emphinjeni. Ukuqothuka kwezinwele: Nakuba kungavamile kakhulu ngemithi yokwelapha ehlosiwe kanye nama-immunotherapies, kungenzeka ngezinye izindlela zokwelapha. I-Hand-Foot Syndrome: Ububomvu, ukuvuvukala, nobuhlungu ezintendeni zezandla nasematheni ezinyawo (okuvame kakhulu ngemithi ethile ehlosiwe). Umfutho Wegazi Ophakeme: Ezinye izindlela zokwelapha ezihlosiwe zingakhuphula umfutho wegazi. I-Proteinuria: Amaprotheni emchameni, angabonisa ukulimala kwezinso ekwelapheni. Izinkinga ze-Thyroid: I-Immunotherapies ngezinye izikhathi ingaba nomthelela ekusebenzeni kwe-thyroid.Managing Specific Ukwelashwa Izimpawu Zomdlavuza WezinsoUkuphatha ngempumelelo kwe izimpawu zokwelashwa komdlavuza wezinso kubalulekile ekugcineni izinga lempilo. Nawa amanye amasu:Ukulawula UkukhathalaUkukhathala kuwumphumela ovame kakhulu. Amasu ahlanganisa: Ukuzivocavoca Okuvamile: Ukuzivocavoca okuthambile, njengokuhamba noma i-yoga, kungasiza ukukhulisa amazinga wamandla. Ukuphumula Okwanele: Qinisekisa ukulala ngokwanele futhi uhlele izikhathi zokuphumula usuku lonke. Ukudla Okunempilo: Yidla ukudla okunomsoco okunothe ngezithelo, imifino, kanye namaprotheni angenalutho. I-Hydration: Phuza amanzi amaningi usuku lonke. Xhumana nodokotela wakho: Khipha ezinye izimbangela zokukhathala ezingaba khona, ezifana ne-anemia noma izinkinga zegilo. Amanye amathiphu awusizo ahlanganisa: Imithi ye-Anti-Emetic: Thatha imishanguzo edambisa isicanucanu njengoba uyalelwe udokotela wakho. Ukudla Okuncane, Okuvamile: Yidla ukudla okuncane usuku lonke esikhundleni sokudla okukhulu. Gwema Iphunga Elinamandla: Gwema iphunga elinamandla elingase libangele isicanucanu. Ujinja: I-ginger ale, itiye le-ginger, noma amaswidi e-ginger kungasiza ukuthoba isisu. Nawa amanye amathiphu: Ukudla Okunomsoco: Gxila ekudleni okunomsoco, ngisho noma ungadla amanani amancane kuphela. Izithasiselo Zekhalori Ephezulu: Cabangela ukusebenzisa izithasiselo zokudla okunomsoco ukuze uqinisekise ukudla okwanele kwekhalori. Yidla Uma Ulambile: Yidla noma nini lapho uzizwa ulambile, kungakhathaliseki isikhathi sosuku. Xhumana Nodokotela Wokudla: Isazi sezokudla esibhalisiwe singanikeza izincomo eziqondene nawe zokulawula izinguquko zesifiso sokudla.Ukuphathwa Kwesifo SesikhumbaUkusabela kwesikhumba kungase kungakhululeki. Amasu ahlanganisa: Ama-moisturizers: Sebenzisa ama-moisturizers angenawo amakha ukuze ugcine isikhumba simanzi. Izinsipho Ezimaphakathi: Sebenzisa insipho ethambile, engenawo amakha futhi ugweme ukukhuhla kanzima. Ukuvikelwa kwelanga: Gqoka izingubo zokuzivikela futhi usebenzise i-sunscreen ene-SPF engu-30 noma ngaphezulu. I-Topical Corticosteroids: Udokotela wakho angase akunikeze i-topical corticosteroids ukunciphisa ukuvuvukala nokulunywa. Izincomo zifaka: I-Hydration: Phuza uketshezi oluningi, njengamanzi, umhluzi, noma izixazululo ze-electrolyte. I-Bland Diet: Yidla ukudla okungenamsoco, okufana nobhanana, irayisi, ama-apulasi kanye ne-toast (ukudla kwe-BRAT). Imithi yokulwa nohudo: Imithi yokwelapha isifo sohudo etholakala ekhawuntaleni noma kadokotela ingase ibe usizo. Gwema Ukudla Okucasulayo: Gwema ukudla okungase kubhebhethekise isifo sohudo, njengemikhiqizo yobisi, ukudla okunamafutha, nokudla okubabayo.I-Hand-Foot Syndrome ManagementI-Hand-foot syndrome ingaba buhlungu. Amasu ahlanganisa: Izimpintsha Ezipholile: Faka ama-compress apholile ezindaweni ezithintekile. Ama-moisturizers: Gcina isikhumba siswakanyiswe ngezinto zokuthambisa ezingenaphunga. Gwema Ukucasuka: Gwema imisebenzi efaka ingcindezi ezandleni nasezinyaweni. Ukunciphisa Izinhlungu: Imithi edambisa izinhlungu ezitolo noma imithi yezinhlungu enikezwa udokotela ingase idingeke.Imithi Esetshenziselwa Ukwelapha Umdlavuza Wezinso kanye Nemiphumela Yazo Emibi Ukwelashwa komdlavuza wezinso kuthuthuke kakhulu, njengoba imithi ehlukahlukene idlala indima ebalulekile. Nasi isifinyezo semithi evamile kanye nemiphumela yayo engemihle engase ibe nayo: Uhlobo Lomuthi Isibonelo Imithi Imithi Evamile Emibi I-Tyrosine Kinase Inhibitors (TKIs) Sunitinib (Sutent), Sorafenib (Nexavar), Pazopanib (Votrient), Axitinib (Inlyta), Cabozantinib (Cabometyx) I-rash-foot, i-rash-foot, ukukhathala kwesikhumba, ukukhathala okukhulu isicanucanu, izinguquko emsebenzini wegilo. mTOR Inhibitors Everolimus (Afinitor), Temsirolimus (Torisel) Izilonda zomlomo, ukuqubuka kwesikhumba, ukukhathala, isicanucanu, ukungakuthandi ukudla, ukwanda kukashukela egazini, ukwanda kwe-cholesterol. I-Immunotherapy (I-Immune Checkpoint Inhibitors) i-Nivolumab (Opdivo), i-Pembrolizumab (Keytruda), i-Ipilimumab (Yervoy), i-Atezolizumab (Tecentriq) Ukukhathala, ukuqubuka kwesikhumba, isifo sohudo, i-colitis, i-pneumonitis (ukuvuvukala kwamaphaphu, ukuvuvuka kwesibindi), i-hepatitis ye-thyroid (isifo sesibindi). I-Vascular Endothelial Growth Factor (VEGF) Inhibitors I-Bevacizumab (Avastin) Umfutho wegazi ophakeme, i-proteinuria, ukopha, amahlule egazi, ukuphola kwenxeba okukhubazekile. Iqhaza Lesivivinyo SemitholampiloIzivivinyo Zomtholampilo zinikeza ukufinyelela ekwelashweni okusezingeni eliphezulu futhi zifaka isandla ekuthuthukiseni ukuqonda kwethu izimpawu zokwelashwa komdlavuza wezinso. Uma uthanda, xoxa ngezinketho zesilingo somtholampilo ezingase zibe khona nethimba lakho lezempilo. Ulwazi olwengeziwe ngocwaningo lwethu lungatholakala kokuthi I-Shandong Baofa Cancer Research Institute.Ufuna Nini Ukunakekelwa KwezokwelaphaKubalulekile ukuthintana nethimba lakho lezempilo uma uba nanoma yikuphi kwalokhu okulandelayo: Izimpawu ezinzima noma ezingapheli Izimpawu zokutheleleka (umkhuhlane, ukugodola, ububomvu, ukuvuvukala) Ukuphefumula kanzima Ubuhlungu besifuba Ubuhlungu obukhulu besisuUkuphila Kahle Phakathi Nangemuva KokwelashwaGxila ekulondolozeni indlela yokuphila enempilo: dla ukudla okulinganiselayo, ukuzivocavoca umzimba njalo, ukuzivocavoca umzimba njalo. Amaqembu okusekela kanye nokwelulekwa kungase kube izinsiza ezibalulekile.Umshwana wokuzihlangula: Lolu lwazi luhloselwe ulwazi olujwayelekile kanye nezinjongo zolwazi kuphela, futhi aluhlanganisi iseluleko sezokwelapha. Kubalulekile ukubonisana nochwepheshe bezempilo abaqeqeshiwe nganoma yikuphi ukukhathazeka ngezempilo noma ngaphambi kokwenza noma yiziphi izinqumo ezihlobene nempilo noma ukwelashwa kwakho.Izithenjwa: I-National Cancer Institute. https://www.cancer.gov/ I-American Cancer Society. https://www.cancer.org/ IMayo Clinic. https://www.mayoclinic.org/