Yuav ua li cas yog adjuvant therapy?

Adjuvant therapy ntawm phem hlav yog ib tug niaj hnub txoj kev uas yuav kho tau cov qog thov siab technologies. Nyob rau hauv tib neeg lub cev, thiab lwm yam tshuaj muab tshuaj yeeb dej caw - antineoplastic agents uas muaj antitumor kev ua si.

Chemotherapeutic tshuaj nyhuv dejnum rau loj hlob sai phem hlwb. Nyob rau nteg qe noj qab nyob zoo tib neeg lub cev lub hlwb tsim tsawg tshuaj ua nyhuv.

Sib txawv los ntawm pharmacotherapy

Cov yuav tsum muaj qhov sib txawv cov lus dag nyob rau hauv lub fact tias nyob rau hauv cov kev kho mob ntawm tshuaj cov neeg ua hauj cai ob ntawm tus menyuam - ib tug tshuaj thiab cov tib neeg lub cev uas yuav tsum tau kho. Adjuvant therapy yuav cov kev kho mob ntawm ib tug chemotherapeutic neeg sawv cev, ib tug mob party kab mob yuav tsum tau muab rhuav pov tseg thiab lub clone ntawm phem hlwb, thaj peb sab teeb meem.

Ib tug complex kev sib raug zoo ntawm peb lub Cheebtsam nyob rau hauv txoj kev kho mob muaj ceeb muaj nuj nqis. Thaum xaiv ib txoj kev ntawm txoj kev kho, tus kws kho mob yuav coj mus rau hauv tus account lub xeev ntawm tus neeg mob lub cev, uas muaj hnub nyoog, degree ntawm Internal hloov khoom nruab nrog kev koom tes tau rau txawv yog vim li cas. Kws muaj txuj them xim rau cov lom cov yam ntxwv ntawm lub qog, nws tiv thaiv kab mob hom cytogenetics thiab kinetic zog nyob rau hauv qhov nthuav ntawm metastases.

Muab piv rau cov daim ntawv ntsuam xyuas cov ntaub ntawv, oncologist ua ib tug txiav txim nyob rau hauv lub peev xwm los hloov tus neeg mob kev kho mob sai. Adjuvant therapy Science News for KIDS muab cov neeg mob muaj ib lub caij nyoog mus tua lub qog inoperable txoj kev, los yog siv raws li ib tug ntxiv txoj kev postoperative.

Paub tab muab rau kev kho mob

Adjuvant therapy yog ib tug txoj kev kho mob kiag li eliminates, los yog tua tus mob cancer ho cheeb metastasis txhoj puab heev clone hlwb thaum uas ua tsawg ua ntxim rau cov tib neeg lub cev.

Nyob rau hauv mob cancer kws khomob tsis hloov lub pathogenesis ntawm malignancy, e.g., ntau yam zoo txhoj puab heev hlwb thiab hloov lawv rov qab mus rau li qub tsis tshwm sim. Pa tshuaj lub npe hu kho biochemical kev hloov thiab kho lawv khiav.

Kev loj hlob ntawm tej yam ntuj tso sanogenesis mechanism kuj yuav pab tau adjuvant therapy. Qhov no txhais li cas? Ntuj kws muaj txuj ci tiv thaiv mob hlwb ntawm ntau kev txom nyem nyob rau hauv cov kws khomob, yog deteriorating tiv thaiv kab mob mechanisms lwm tus neeg. Qhov kev txiav txim yog vim lub ceev ceev txoj kev loj hlob ntawm kev tiv thaiv lub hlwb, uas yog teeb meem txhaj koob tshuaj rau ib tug me ntsis tsawg twg lub phem colony.

Lub cev tau hauj lwm ntawm lub cev thiab kev txhim kho nws cov kev loj hlob tshwm sim raws li ib tug thib ob manifestation tom qab mob kev puas tsuaj los yog tseem ceeb tseg nws txoj kev loj hlob, yog hais tias nws muaj ib tug ntsoog loj heev ntxim rau ib yam ntawm cov hauv nruab nrog cev.

Raug cov kws khomob rau cancer thiab lwm yam kab mob

Tshuaj siv tsis tau tsuas yog rau cov kev puas tsuaj ntawm hlav, tab sis kuj ua rau ntau hom kab mob, xws li fungi, cov kab mob, kab mob ntsws, cab infestations, helminths. Adjuvant therapy ntawm cab xaiv kev puas tsuaj chaw: alien rau physiological thiab biochemical paub txog tus tib neeg lub cev mus rau ib tug microbe, sawv nyob rau sab ntaiv ntawm evolution.

Txoj kev ywj pheej los ntawm xws li infestations tshwm sim muaj kev ruaj ntseg rau cov neeg, txij li thaum kev puas tsuaj ntawm tus kab mob siv nta metabolism ntawm ib tug kab mob tus neeg saib xyuas, thiab nyob rau hauv tus tib neeg lub cell npaj muaj yuav luag tsis muaj cov nyhuv. Ib qho piv txwv yog lub txhaws ntawm nqaij cab anthelmintics tshuaj: tus kab mob yog tsis txuas mus rau cov phab ntsa hauv cov hnyuv thiab los nrog lub faeces. Nyob rau hauv cov hnyuv nqaij tshuaj tsis muaj ib tug active nyhuv.

Thaum antineoplastic kev kho mob tshuaj xaiv yam khoom tej yam txhoj puab heev mob hlwb uas muaj kev tswj kom dim ntawm lub cev tswj kab mob. Lawv ua ua cancer, tab sis chiv yog cov tib neeg lub cev tus kheej hlwb.

Lub complexity ntawm lub qog txoj kev kho

Nyob rau hauv hauv paus ntsiab lus, nws yog tsis yooj yim sua los ua xwb nyob rau kev mob hlwb uas tshwm rov rau sai faib noj qab nyob zoo ntaub so ntswg ntawm lub cev. Cov no muaj xws tiv thaiv kab mob hlwb, daim tawv nqaij epithelium, cov plaub hau thiab rau tes. Nws ntog nyob rau hauv qhov teeb meem los ntawm lub pais plab mucosa, hnyuv, mob ntsws, lub raj cua, bronchi, lub urinary system. Nyob rau hauv tej rooj plaub, cov tshuaj lom tshuaj yog, muaj teeb meem thiab kev phiv, yog neeg tuag taus.

Nyob rau qhov teeb meem los ntawm lub cev raws li muab piv rau anthelmintic tshuaj ua adjuvant therapy. Nws txhais li cas rau ib tug neeg? Ua siab mob kws khomob toxicity rau tus neeg mob tsis cia raws substantiated nyob rau hauv nws kev cov ntaub ntawv ib tug zoo tshuaj txhaj koob tshuaj. Tus xov tooj ntawm cov zaug Science News for KIDS questionable nyob rau hauv tej rooj plaub, vim teeb meem nyob rau hauv daim ntawv ntawm tsis tsim nyog toxicity thiab kev phiv yog neeg tuag taus.

Nyob rau hauv view ntawm lub kaw rau 100% tuag yuav raug rau cov kab mob ntawm oncological xwm, vim lub tsis tuaj kawm ntawv ntawm lwm txoj kev daws teeb meem ntawm tshuaj txoj kev kho, niaj hnub no muaj nyob rau zaug nrog txoj kev pheej hmoo ntawm deterioration ntawm tus neeg mob lub noj qab haus huv, tswj nyob rau hauv nws cov ciaj sia taus.

Yuav ua li cas yog ib qho adjuvant tawg txoj kev kho yog paub tias yuav muaj ntau yam cov neeg mob cancer, tab sis nqa tawm mus phais los yog tawg nyob rau hauv tej rooj plaub tsis yooj yim sua vim kev tsis saib xyuas mob tsos thiab richly tsim metastases. Nyob rau hauv xws li mob, qhov kawg lo lus rests thiaj tau tuaj nrog cov kws khomob.

Indications thiab contraindications rau kev siv ntawm cov kws khomob nyob rau hauv lub mis mob cancer

Adjuvant therapy rau ntawm lub mis mob cancer yog siv cov anticancer tshuaj thiab cytostatics. Tus neeg mob yog tus kws kho nyob rau hauv daim ntawv ntawm ib tug dropper, tso dej tshuaj los yog ntsiav tshuaj. Kws khomob yog hais txog mauj kev kho mob, raws li cytostatics, tau sab hauv, tsis txhob txoj kev loj hlob ntawm kev mob hlwb xwb tsis nyob rau hauv lub cov hloov khoom nruab nrog, tab sis kuj thoob plaws hauv lub cev.

Science News for KIDS yog ib tug hais rau cov emergence ntawm phem hlav nyob rau hauv lub thoracic cheeb tsam. Qhov kev txiav txim nyob rau hauv cov kev xaiv ntawm kev kho mob rau cov poj niam cuam tshuam los ntawm ntau cov kev tshawb fawb. Cov yam ntxwv ntawm kev mob hlwb, rau cov kev xaiv ntawm cov tshuaj yog lawv theem ntawm txoj kev loj hlob, qhov luaj li cas thiab txoj kev loj hlob npaum li cas. Rau hauv lub cev ntawm tus neeg mob plays lub luag hauj lwm ntawm lub hnub nyoog, qhov chaw ntawm kev kawm ntawv thiab hormonal ntshawv siab.

Adjuvant mis kev kho mob cancer muaj ib tug xov tooj ntawm contraindications:

• rau lawm-dependent mob cov kab mob ntawm cov poj niam tom qab lub hnub nyoog ntawm lawm;
• nyob rau hauv cov pojniam hluas nrog hormone-dependent ntaub ntawv ntawm cov mob cancer, Yog hais tias koj muaj tsawg theem ntawm progesterone thiab cov tshuaj no.

A chav kawm ntawm kev kho mob tshuaj

kev kho mob tshuaj kawg occupies ib tug tseem ceeb qhov chaw nyob rau hauv tus txheej txheem ntawm tau txais tshem ntawm lub qog. Nyob rau hauv lub complexity tshuaj phais los yog irradiation. Mus ua adjuvant therapy. Yuav ua li cas yog nws? Ib tug mus los yog ib lub sij hawm siv cov tshuaj. Cov nab npawb ntawm cov mus nyob rau lub xeev ntawm tus kab mob, thiab lwm yam. Standard kawg muaj los ntawm 4 mus rau 7 repetitions.

Tom qab phais tshem tawm ntawm lub qog yog thov prophylactic kev kho mob tshuaj los mus tiv thaiv re-tshwm sim ntawm malignancy, thiab tiv thaiv kom txhob relapse. Overestimate qhov tseem ceeb ntawm lub qog txoj kev kho nyuaj - nws miv nyuas siv zug cai ua ntej thiab tom qab lub lag luam.

Yuav ua li cas puas muaj tus tswvyim mis kws khomob? Raws li ib tug tshwm sim ntawm cov kev kho mob txav tag nrho cov hom ntawm cov kev mob hlwb nyob rau hauv lub mis cheeb tsam. Cov nyhuv ntawm lub sij hawm ntawm ob peb tshuaj yuav tsum kom, tab sis cov qib ntawm raug yog xws li hais tias ib tug neeg yuav tsiv mus nyob nws tsis muaj cov kev hem thawj ntawm tseem ceeb mob noj qab haus huv. Tsis tas li ntawd, tshuaj ntsuam tus kab nta ntawm hlav, tus kws kho mob prescribes cov tshuaj, uas tsis muaj kev txhoj puab heev hlwb yees.

Alkaliruyuschie tshuaj belongs rau daim ntawv teev cov tshuaj uas txhawb txoj kev. Nyob rau hauv lub cev, lawv zoo li tawg. Tshuaj ua kom puas proteins uas tswj lub noob ntawm kev mob hlwb. Loj hlob ntawm cov tshuaj neeg sawv cev nyob rau hauv no series yog "cyclophosphamide".

Antimetabolites incorporated rau hauv lub caj txhoj puab heev cell system. Lawv puas txiav txim pib cov txheej txheem ntawm cell division uas ua rau yus nws txoj kev tuag. Cov neeg sawv cev yog gemzer thiab 5-fluorouracil. Yog li thiab thov adjuvant therapy. Thaum mob syndrome tshuaj analgesic neeg sawv cev "Seduxen", "Carbamazepine", "Phenytoin".

Tshuaj tua kab mob rau cov kev kho mob ntawm phem hlav tsis zoo li ib tug txheej txheem kho tshuaj. Lawv txiav txim no yog raws li nyob rau hauv tag nrho inhibition ntawm cell tu tub tu kiv. "Adriamycin" nyob rau hauv ua ke nrog nrog "Cytoxan" muaj ib tug zoo ntxim.

Adjuvant therapy ntawm melanoma

Melanoma yog ib qho mob cancer uas qhia txog ib tug pom zoo siv nyob rau hauv daim tawv nqaij. Metastases los ntawm melanoma yog kuaj tau los ntawm txhais tau tias ntawm x-ray MRI, tus tsiaj, ultrasound thiab pom fotoakkustikoy. Siv los kho ntau yam txhais tau tias cov tshuaj kho, immunotherapy, siv interferon, ntau yam venues kho los ntawm lub zos perfusion.

Melanoma yog ib qhov nyuaj rau kho, zaum tas li ua hauj lwm los tsim cov tshuaj tshiab. Los ntawm lub sij hawm rau lub sij hawm nyob rau hauv lub lag luam kws yog cov txhawb tshawb pom. Tej zaum lawv qhia tias cov kev kawm tau zoo ntawm kev kho mob, tiam sis nws yog xwb. Ib tug ntawm cov tshuaj tshiab yog "IL-2". Nrog nws tiav tas mus li thiab pab txoj kev zam txim, muaj yog ib tug tsis tshua muaj tshwm sim ntawm rov.

Lwm txhais tau tias zoo yog ib tug tshaj dhau OncoVEX GM-CSF - niaj hnub sim cov tshuaj kho mob txoj kev. Qhov no tshuaj yog nyob rau hauv lub thib peb theem ntawm kev soj ntsuam tej kev txom nyem.

Kev kho mob ntawm cancer ntawm lub qhov quav

Nyob rau hauv xyoo tsis ntev los, cov kev tshawb fawb nyob rau hauv lub tshav pob ntawm kev kho mob ntawm colorectal cancer delight zoo qhib. Tus nab npawb ntawm failures thaum uas siv cov ib tug phais cov txheej txheem yuav tshem tawm hlav nyob rau hauv lub 2 thiab 3 kauj ruam ua rau dab tsi yog nce siv adjuvant therapy ntawm cov nyuv mob cancer. Kev tshawb fawb muaj qhia cov hauj lwm zoo ua ke nrog ntawm radiotherapy kev siv tshuaj cov neeg ua hauj yog 5-fluorouracil.

Daim ntawv thov nyob rau hauv kev xyaum tus kws kho mob leej txoj kev rau tebchaws hlav thiab tshuaj cov xwm, tso cai rau preoperative txoj kev kho tsis muaj tus thawj zaug raug, lub nrhiav kom tau ntawm lub tsim ntawm tus thawj theem ntawm tus kab mob no. Es ho tshuaj no npaum li cas nce cov xwm txheej ntawm postoperative sphincter preservation thiab txo teeb meem.

Rau cov yuav txo tau ntawm tsis tshua mob heev thiab kho tsis tau ua mob ntawm kev tuag tsim postoperative txoj kev kho ua ntej thiab tshuaj txhais tau tias. Nyob rau hauv cov kev kho mob ntawm ncaj nruab nrab theem ntawm cov nyuv adenocarcinoma hauv qab daim ntawv, thov ib tug txheej txheem irradiation qauv nyob rau hauv ua ke nrog 5-fluorouracil.

Postoperative txoj kev kho manifested zoo tom qab thov sonographic txoj kev uas tso cai rau kom paub tias tsis staging. Lub relapse nqi nrog postoperative txoj kev kho yog txo mus rau 20-50% tom qab phais. Lub magnitude ntawm cov kev kho mob kev puas tsuaj yog txiav txim nyob ntawm lub sam thiaj ntawm lub qog.

Tshuaj kho ntawm sinusitis

Lub teeb theem ntawm tus kab mob kho tsis tau txoj kev siv cov tshuaj tua kab mob - siv adjuvant therapy nyob rau hauv cov kev kho mob ntawm sinusitis. Relieving tus mob los tom qab lub systematic siv ntawm cov tshuaj pleev tshuaj thiab lub cev txoj kev kho. cov kev kho mob nyhuv yog tshwm sim los ntawm vasoconstrictor tshuaj, antiseptics, tshuaj los txhim kho kev tiv thaiv.

Decongestants muaj ntau mechanisms ntawm kev txiav txim los mus tshem tawm cov tsos mob ntawm sinusitis, tab sis tag nrho cov tshuaj ua rau ib tug zoo kev kho mob ntawm tus kab mob no. Qhov zoo tshaj plaws kho nyhuv muaj aerosol formulations, raws li ib tug kho sai sai muab faib rau cov mucosa. Sinusitis nrog purulent manifestation kho antiseptic dauv, tab sis nws yog es ib qho kev pab rau qhov yooj yim kho mob.

Rau hauv loj heev thiab nyuab kawg ntawm tus kab mob yuav tsum siv cov tshuaj tua kab mob nyob rau hauv cov ntsiav tshuaj. Yam tab kaum nram qab no mob lub sij hawm yog kho los ntawm kev txhaj tshuaj.

Lub adjuvant txoj kev los kho tus mob uterine fibroids

Qhov no zoo ntawm kev kawm ntawv yog feem ntau ib tug benign neoplasm ntawm Internal poj niam genitals. Ib txhia neeg yeej tsis paub txog cov tsos ntawm fibroids, raws li lub sij hawm tsis dhau qhov kev xeem, thiab tus kab mob no yog asymptomatic.

Cov tsos mob, ua rau tus neeg mob mus rau tus kws kho mob, yog uterine los ntshav. Mob cai nyob rau hauv txhua txhua plaub neeg mob, loj hlob sai qog nyob rau hauv lub tsev me nyuam lub sij hawm nyob rau hauv 60% ntawm cov neeg mob ua ntej lawm - 44% ntawm cov poj niam.

Rau cov kev kho mob ntawm cov benign fibroid cov tsos mob siv adjuvant therapy. Qhov no yog ib tug yooj yim ua hauj lwm thiab qhov zoo los nyob lom zem ntau rau kev, kev kawm ntawv tom qab thiab kev mob tus kws kho mob. Qhov siab tshaj plaws tau siv conservative kev kho mob, tab sis tsis muaj tsis tseem ceeb lub sij hawm kom ib tug txiav txim txog kev phais tshem tawm ntawm fibroids.

Tus thawj txoj kev ntawm yeeb tshuaj kho yog los txo cov tsim ntawm zes qe menyuam cov tshuaj hormones rau ib tug huab theem, li no kom txhob muaj cov theem ntawm lub zos gormenomii lub tsev me nyuam. Qhov thib ob txoj kev yog mus tsim ib tug blockade anomalous aav sprawl. No muab me me koob tshuaj ntawm progestins txo cov tshuaj hormones nyob rau hauv cov hlab ntsha thiab kom txhob muaj qhov rhiab heev ntawm lub qog nqaij mos rau lub kev txiav txim ntawm cov tshuaj no.

Nyob rau hauv niaj hnub tshuaj, siv los kho fibroids progestogens, anti-estrogens, antigonadotropiny, antigestagens. Therapy yog hormonal thiab uas tsis yog-hormonal tshuaj. Conservative kev kho mob muaj xws li Antistress, immnokorregiruyuschie, nootropic tshuaj, vitamins, thiab antioxidants.

Txhais tau tias kev kho mob ntawm periodontitis

Periodontitis tshwm sim nyob rau hauv tej rooj plaub, xws li dov o nyob rau hauv rhinitis, osteomyelitis, sinusitis los yog otitis. Tus kab mob no yog manifested los ntawm o ntawm tus hniav hauv paus thiab lub nyob ib sab nyuaj ntaub so ntswg. Tej zaum hu ua hniav pulpitis, gingival raug mob. Nyob rau hauv tas li ntawd mus rau lub txwm cov neeg kho tshuab cov qauv ntawm cov kev kho mob yog siv adjuvant therapy ntawm periodontitis.

Ua yuav mob ntshav qab zib, cov neeg pluag replenishment ntawm cov vitamins thiab minerals rau hauv lub cev, ib tug tsis haum lo lus teb rau qhov kev siv ntawm tej yam tshuaj. Lig kev ntxuav tu kuj ua rau tus kab mob, rau cov kev kho mob ntawm periodontitis siv adjuvant therapy. Ua li cas nws txhais li cas? Cov qauv no yog raws li nyob rau hauv ceev faj antiseptic hniav thiab channel ntus inward calcium npaj. Qhov no yog xam tias yog thaum muaj ib tug tau ntawm ntev tos tshwm sim. Nyob rau hauv lwm yam mob, muaj ib tug uas yuav ntawm exacerbation.

Nyob rau hauv xaus, nws yuav tsum tau muab sau tseg tias kev siv ntawm adjuvant therapy plays ib qho tseem ceeb luag hauj lwm nyob rau hauv cov kev kho mob ntawm cancer. Therapy tswj txoj kev npaj theem ntawm lub lag luam, thiab tom qab tshem tawm ntawm malignancy thiaj li tau kev rov muaj dua thiab qog reappearance.