hyper-see. vhee. aii. dii.

hyper-see. vhee. aii. dii. haah eka chemotherapycha aahar aahe joou leukemia, uchch darjachya naun-hodgkin lymphoma aanee lymphoblastic leukemiachya kahee prakaranvar upchar karnyasathi vaparla jaato.
saransh.
hyper-see. vhee. aii. dii. kemotherapimadhye paryayi paddhatine dilya dilya aushadhanchya (aaa aanee buub abhyaskram) done sanyojanancha samavesh asato. hyper' haah shabd chemotherapychya hyperfraction swarupacha sandarbh deto, joou dushparinam qamee karnyasathi, adhik varanvar, qamee pramanat deela jaato. 'see. vhee. aii. dii.' heey cyclophosphamide, winkristin, doxorubicin (jyala tyachya vyapar naav adriamycine dekhil olakhale jaate) aanee dexamethasone yaa aushadhanmadhye vaparlya jaanarya aushadhanche sankshipt roop aahe. course buub madhye methotrexet aanee citerabine asatat. haah protocol moolatah tyachya tivratemule tarun, tandurust rugnanmadhye leukemiyavar upchar karnyasathi vikasit karnyat aala hota, parantu tevhapasoon tyacha adhik vyapakpane vapar houu lagla aahe.
sanket.
hyper-see. vhee. aii. dii. chemotherapy samanyatah hematological durbhavanachya gambhir aanee aakramak prakaranchya upcharanmadhye vaparnyasathi rakheev asate. vividh ghatakanchya prashasanamule gambhir dushparinam aanee guntagunt udbhavtat, jyasathi yogya aarogya-kalji vyavasthemadhye kaljipurvak vyavasthapan aavashyak asate. jyaa rugnanna hyper-see. vhee. aii. dii. milate, tyanna avanchhit parinam qamee karnyasathi, aahar suru honyapurvi tyanchya ekoon aarogyache moolyankan karnyasathi kaljipurvak vyayam keela jaato. protocolsathi vicharat ghetale jaanare rugna samanyatah 65 varshanpeksha qamee vayache asateel.
prashasana.
pratyek abhyaskram 4 vela deela jaato, ekoon 8 chakransah. pratyek chakr andaje teen aathvadyanche antar asate. shakya titkya qamee velet shakya titkya jaast kinwa aavashyak chakranche vyavasthapan karane haah yamagcha uddesh aahe. chakranchi vel kahee pramanat rugnachya shevatchya chakratoon barey honyavar avalambun asel. paridhiyaritya samavisht kelele madhyavarti catheter (pii. see. see.), hickman line kinwa poort-aii-cath yasarkhe satat shiranmadhye pravesh karnare upkaran vaparoon samanyatah antargarbhachya aadharavar aahar deela jaato. khalilpramane keval eka samanya margdarshak aahe; prashasanasathi vaparlya jaanarya aushadhe, matra aanee protocolche achook sanyojan samanyatah suvidha-darr-suvidha aadharavar nirdharit kele jaate. sharirache vajan, sharirachya prushthbhagache kshetrafal aanee rugnache ekoon aarogya yasarkhya ghatkanvar aadharit, matra vaiyaktik kelee jaate.
dushparinam.
hyper-see. vhee. aii. dii. madhye vaparlya jaanarya chemotherapeutic agentschya prashasanache dushparinam guntaguntiche asatat aanee bahutekda rugnanchya ekoon aarogyavar avalambun asatat.
chemotherapychya myelospressive prabhavamule bahutek rugnanna raktakshay, thrombocytopenia aanee leukopanias pansitopeniyacha kahee pramanat anubhav yeil. raktakshay aanee thrombocytopenia yamule vaidyakeey samasya udbhavu shakatat aanee laal rakt peshi aanee plateletsche sankraman heey aavashyak sahayyak upchar asoo shakatat. neutrophilchi sankhya burry hoiparyant leukopania, visheshtah neutropania rogpratikarak pranalichya sakhol tadjodis karanibhoot tharoo shakato. tyamule rugnanni taap aala aahe qaa heey tyanchya doctoranna kalavanyasathi savadh rahile pahije. samudayane midavalelya sansargapasun bachav karnyasathi, chakranchya darmyan aanee darmyan rogpratibandhak mhanoon samanyatah sansargvirodhi aushadhe dilee jaatat. rugnanna methicillin-pratirodhak staphylococcus aurius (emm. aar. ess. aii.) aanee vancomycin-pratirodhak enterococcus (vhee. aar. eae.) yasarkhya rugnalayane midavalelya sansargacha dekhil dhoka asato. sansargavar upchar karnyasathi rugnanna rugnalayat dakhal hone asamanya nahee.
tatpurte cases galane haah eka samanya dushparinam aahe. malmal aanee ulatya samanyatah prashasanadarmyan aanee nantar donhi velee anubhavalya jaatat. granisetron, ondancetron, metoclopramide aanee cyclisine yasah vividh prakarchi antimatic aushadhe vaparali jaau shakatat.
winchristinemule kadhikadhi chemotherapy-prerit paridhiy neuropathy hote, eka pragatishil aanee satatchi sthitee jyamadhye jhanjhanit sunnapana, tivra vedna aanee sardichi atisanvedanshilata yancha samavesh asato, haat aanee payanpasoon suru hote aanee kadhikadhi haat aanee payancha samavesh asato.

