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Hemioterapija
Hemioterapija
Hemioterapija
Hemioterapija
Hemioterapija
Osnovne informacije
UVOD
Ovaj tekst je namenjen pacijentima obolelim od raka koji treba da prime hemioterapiju. Potrebu
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]ORXGQRJ WXPRUD X WRNX VYRJ OHHQMD GRELMD QHNX YUVWX KHPLRWHUDSLMH +HPLRWHUDSLMD MH PHWRGD
OHHQMDUDNDNRMDVHSULPHQMXMHEH]RE]LUDGDOLVHUDNQDOD]LXRUJDQXJGHMHQDVWDRLOLMHSURLUHQSR
WHOX .DNR VH UDGL R YUOR MDNLP OHNRYLPD QHHOMHQL HIHNWL NRML VH PRJX SRMDYLWL X WRNX OHHQMD VX
UHODWLYQRHVWLLQHSULMDWQL6YUKDWHNVWDNRMLVOHGLMHGDXSR]QDSDFLMHQWHVDGHORYDQMHPKHPLRWHUDSLMH
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VDGUHHOLMHUDNDMHUMHWDGDKHPLRWHUDSLMDMHGLQDDQVDSDFLMHQWDGDVHVSUHLGDOMHSURLUHQMHEROHVWL
2GOXNDSRVWDMHWHDNDGVHQHPRHVDVLJXUQRXWYUGLWLGDVHXRUJDQL]PXMRQDOD]HPDOLJQHHOLMH
LOLMHPRGDL]OHHQMHYHSRVWLJQXWRRSHUDFLMRPRWNODQMDQMHPVDPRJWXPRUD8WDNYLPVOXDMHYLPD
PRHPRVDPRGDVHRVODQMDPRQDVWDWLVWLNHSRGDWNHNRMLVHED]LUDMXQDSRVPDWUDQMXGHVHWLQHKLOMDGD
SDFLMHQDWD REROHOLK RG UDND QD RVQRYX NRMLK VX L VYHWVNL SURWRNROL ]D OHHQMH REROHOLK RG UDND
VDVWDYOMHQL , RGOXND ]D L RGOXND SURWLY SULPHQH RYH PHWRGH OHHQMD VQRVH RGUHGMHQL UL]LN L ]DWR
SDFLMHQWPRUDELWLXSR]QDWVD]QDDMHPKHPLRWHUDSLMHDOLLVDQMHQLPUL]LFLPD
1HVPHVH]DQHPDULWLQLLQMHQLFDGDLDNRMHKHPLRWHUDSLMDMHGDQRGQDMPRQLMLKQDLQDOHHQMD
UDNDRQDQLMH XGRWYRUQRVUHGVWYR.RGRGUHGMHQRJEURMDSDFLMHQDWD WXPRU VH WRNRP JRGLQD SRQRYR
SRMDYL7R]QDLGDVXVHXRUJDQL]PXYHQDOD]LOHHOLMHUDNDSUH]DSRLQMDQMDKHPLRWHUDSLMHLGDRQD
QLMH XVSHOD GD XQLWL VYH ]ORXGQH HOLMH 1L X VOXDMX WLK SDFLMHQDWD QLMH MR VYH L]JXEOMHQR MHU
]DKYDOMXMXLPRGHUQRMPHGLFLQVNRMQDXFLGDQDVVXSR]QDWLLGRGDWQLQDLQLOHHQMD
3DFLMHQW GDNOH PRUD LPDWL SRYHUHQMD X WLP OHNDUD NRML JD OHL L SULKYDWLWL QMLKRYX SURFHQX
QHRSKRGQRVWL SUHGORHQLK PHWRGD OHHQMD SD L KHPLRWHUDSLMH V RE]LURP GD MH ]DMHGQLNL FLOM VYLK
XHVQLNDXOHHQMXSRWSXQRL]OHHQMHREROHORJ
PITANJA
3LWDQMDNRMDSDFLMHQWLREROHOLRGUDNDQDMHHSRVWDYOMDMXVXVWHUHRWLSQDLXJODYQRPVHRGQRVHQDVDP
]ORXGQL WXPRU L QD FHORNXSQL SURFHV OHHQMD KHPLRWHUDSLMRP 6DGUDM RYH EURXUH H SRNXDWL GD
RGJRYRULQDYHLQXWLKSLWDQMDDNRMDRVWDQXQHRGJRYRUHQDNDRL9DDOLQDSLWDQMDPRHWHSRVWDYLWL
VYRPLQWHUQLVWLRQNRORJX2QH9DPGDWLVYDGRGDWQDREDYHWHQMDGDELVWHu potpunosti bili spremni
za hemioterapiju.
Opta pitanja o hemioterapiji
Ne smeju se prodavati!
GUVFPHG$QGULMD*ROXERYL
Hemioterapija
3LWDQMDRQHHOMHQLPHIHNWLPDQXVSRMDYDPD
3LWDQMDRPRJXLPSRVOHGLFDPDKHPLRWHUDSLMHQDRUJDQL]DP
237,$63(.7,/((1-$=/28'1,+78025$5$.$
Tumor R]QDDYD DEQRUPDOQX PDVX WNLYD YRU LOL L]UDVOLQX 2Q PRH GD EXGH EHQLJQL
GREURXGQL LOL PDOLJQL ]ORXGQL 8 VOXDMX PDOLJQLK WXPRUD UDND QHNH HOLMH X RUJDQL]PX VH
SURPHQHLSRLQMXUDVWLQHNRQWUROLVDQRHOLMHUDNDQDSDGDMXLXQLWDYDMX]GUDYHHOLMHWHODWRpre ili
NDVQLMH DNR VH QH ]DXVWDYL ]DYUDYD VPUX REROHORJ HOLMH UDND DN PRJX L GD VH RGYRMH RG
SULPDUQRJ WXPRUD L GD GRVSHYDMX X ELOR NRML RUJDQ LOL GHR WHOD QDVWDYOMDMXL GD UDVWX 2YDM SURFHV
proirenja se zove metastaza.
3RHWNRP ;; YHND ]ORXGQL WXPRUL VX GRYRGLOL u VNRUR VOXDMHYD do smrti obolelog.
2WXGD L GDQ GDQDV ]DRVWDOR YHURYDQMH GD MH UDN QHL]OHLY 6 GUXJH VWUDQH EROHVQLFL VXPQMDMX X
PRJXQRVW SRWSXQRJ R]GUDYOMHQMD MHU QLVX GRYROMQR XSR]QDWL VD QDSUHWNRP L GRVWLJQXLPD PRGHUQH
medicinske nauke u ovoj oblasti. Danas, medjutim, 50 75% obolelih od raka na nekom organu,
RWNULYHQLP X UDQRP VWDGLMXPX VH XVSHQR L]OHL WM LYL GXH RG JRGLQD QDNRQ OHHQMD EH]
simptoma karcinoma.
0HGMXWLPSDFLMHQWPRUD]QDWLGDMHOHHQMHXVOXDMXUDNDQHRSKRGQRGDUDNQLNDGQHQHVWDMH
VDPRGVHEHLGDVYDNRRGODJDQMHL]ELORNRMLKUD]ORJDPRHELWLSRJXEQR
/HHQMH PDOLJQLK WXPRUD MH LQWHUGLVFLSOLQDUQL ]adatak koji zahteva timski rad lekara raznih
specijalnosti. Njihov zadatak je da svakom bolesniku individualno odrede za njega najadekvatniju i
QDMGHORWYRUQLMX WHUDSLMX SULPHQMXMXL VYHWVNL SULKYDHQH VWDQGDUGH %ROHVQLNX VH ]DYLVQR RG YUVWH
UDNDSURLUHQRVWLEROHVWLRSWHJVWDQMDRUJDQL]PDLGUXJLKIDNWRUDQDMHHRGUHGMXMXVOHGHHPHWRGH
OHHQMD
- operacija ( hirurko otklanjanje tumora iz tela)
- radioterapijaR]UDLYDQMHREROHORJPHVWDLOLPHVWDJGHMHELRWXPRU
- hemioterapijaOHHQMHFLWRVWDWLFLPD
+(0,27(5$3,-$8/((1-85$.$
+HPLRWHUDSLMD LOL FLWRVWDWVND WHUDSLMD VH SULPHQMXMH X OHHQMX PDOLJQLK REROMHQMD YH YLH
GHFHQLMD SD LSDN MH VWUXQMDFL VPDWUDMX ]D QHSRWSXQR LVWUDHQX REODVW =DKYDOMXMXL VD]QDQMLPD R
Knjige su besplatni primerci.
Ne smeju se prodavati!
GUVFPHG$QGULMD*ROXERYL
Hemioterapija
GHORWYRUQRVWLLQHRSKRGQRVWLKHPLRWHUDSLMHXOHHQMXUDNDRQNROR]LMHGDQDVSRYDQRVWLL]MHGQDDYDMX
sa operacijom i radioterapijom.
ta je hemioterapija i kako ona deluje?
+HPLRWHUDSLMDSUHGVWDYOMDGDYDQMHOHNRYDNRMLGRVSHYDMXLXHOLMHUDNDLKGLUHNWQRXQLWDYDMX
LOL SDN LQKLELUDMX NRH QMLKRYX GHREX VSUHDYDMXL WDNR GD WXPRU GDOMH UDVWH 7R VSUHDYDQMH L
NRHQMH UD]PQRDYDQMD HOLMD VH ]RYH citostaza D SR QMLPD VH OHNRYL NRMLPD VH WDM HIHNDW SRVWLH
nazivaju citostaticima.
0RJOL ELVPR UHL GD VX FLWRVWDWLFL OHNRYL SURWLY UDND WR EL ELOR VDPR GHOLPLQR WDQR MHU
QMLKRYRPLVNOMXLYRPSULPHQRPEH]RVWDOLKPHWRGDVDPRELVHRNREROHVQLNDL]OHLR,SDNSRUHG
RSHUDFLMH KHPLRWHUDSLMD VH VPDWUD QDMHILNDVQLMLP PHWRGRP OHHQMD UDND 8NROLNR VH RGOXL ]D QMHQX
SULPHQX QDNRQ RSHUDFLMH VD KHPLRWHUDSLMRP WUHED ]DSRHWL WR UDQLMH QDNRQ ]DUDVWDQMD UDQH RG
operacije.
Koji su tipovi hemioterapije?
1. Neoadjuvantna hemioterapija MHXSRWUHEDFLWRVWDWLNDSUHKLUXUNHLOL]UDQHWHUDSLMHGDELVH
smanjio tumor, ili pokualo zaustavljanje QDSUHGRYDQMDYHSURLUHQRJWXPRUDXWHOX. Ovaj vid
WHUDSLMHPRHELWLL]X]HWQRGHORWYRUDQXVDPRPOHHQMXUD]OLLWLKWLSRYDUDNDLOLPRHGDVOXL
za stvaranje preduslova za operaciju.
2. Adjuvantna hemioterapija R]QDDYD XSRWUHEX FLWRVWDWLND UDGL XQLWDYDQMD SUHRVWDOLK HOLMD
UDND QDNRQ KLUXUNRJ OHHQMD 'RGDWQL FLOM RYH WHUDSLMH MHVWH L GD VH VSUHL SRQRYQL QDVWDQDN
tumora, te se ona u svakodnevnoj praksi kod velikog broja karcinoma,pa tako i kod raka dojke,
rutinski primenjuje.
3. Palijativna hemioterapija predstavlja terapiju kojom se vie olakavaju simptomi
prouzrokovani rakom, nego to VHUDNOHL8RGPDNOLPVWDGLMXPLPDUDNDNDGDMHRQSURLUHQ
SRWHOXXSRWUHEDFLWRVWDWLNDMHLGHILQLWLYQROHHQMH8VOXDMXUDNDVDviestrukim metastazama
RYRMHSUDNWLQRLMHGLQDPHWRGDOHHQMD2YDWHUDSLMDRPRJXXMHEROHVQLNXGDLYLkvalitetnije.
4. Hemioprevencija VH VPDWUD WUHWPDQRP EXGXQRVWL X OHHQMX WXPRUD 6XWLQD RYH WHUDSLMH
QLMH XQLWDYDQMH PDOLJQLK HOLMD QHJR XVSRVWDYOMDQMH IXQNFLMD QRUPDOQLK HOLMD 1D WDM QDLQ
delovanjem na HOLMH SUHQDVWDQNDWXPRUDVSUHLORELVHnjegovo nastajanje. Posebno se smatra
SHUVSHNWLYQRPXVOXDMXUDNDGRMNHPHGMXWLPNOLQLNDLVSLWLYDQMDMRQLVX]DYUHQD
2GHJD]DYLVLHILNDVQRVWKHPLRWHUDSLMH"
Neki od citostatika se daju kod vie vrsta raka (kancera), dok se drugi koriste za odredjene
WLSRYH .RML H VH OHNRYL SULPHQLWL GDNOH ]DYLVL RG YUVWH UDND NRMD MH SULVXWQD NRML GHR WHOD MH
]DKYDHQRGXWLFDMDUDNDQDQRUPDOQHIXQNFLMHWHODLRGopteg zdravstvenog stanja pacijenta.
'D OL H VH KHPLRWHUDSLMD SULPHQLWL X RGUHGMHQRP VOXDMX L ]D NRML QMHQ YLG H VH LQWHUQLVWD
RQNRORJLOLOHNDUVNLWLPRGOXLWLXVYDNRGQHYQRMSUDNVL]DYLVLRGYLHIDNWRUD0HGMXQMLPDNRQNUHWQR
NRG UDND GRMNH QDMELWQLML VX PHQRSDX]DOQL VWDWXV SDFLMHQWNLQMH VWDQMH OLPIQLK YRURYD NUR] NRMLK VH
limfa iz GRMNHILOWULUDLVWDWXVUHFHSWRUDQDHOLMDPDUDND2YLIDNWRULX]PQRJHGUXJHXWLXLQDL]ERU
FLWRVWDWLND NRML H VH GDYDWL 5HWNR VH GDMH VDPR MHGQD YUVWD OHND MHU WUHED ]QDWL GD VYDNL FLWRVWDWLN
GHOXMH QDSDGDMXL GUXJL VHJPHQW HOLMH UDND .RPELQRYDQMHP RGJRYDUDMXLK OHNRYD VH SRVWLH
RSWLPDOQL VSRM QMLKRYRJ GHORYDQMD X SURFHVX WR EUHJ L HILNDVQLMHJ XQLWDYDQMD FHORNXSQH PDOLJQH
HOLMH3RWRFLWRVWDWLFLQHXWLXVDPRQDHOLMHUDNDQHJRLQD]GUDYHHOLMHRUJDQL]PDYDQRMHGDVH
HIHNWL OHHQMD SRVWLX SUDYLOQRP NRPELQDFLMRP OHNRYD D QH SRYHDYDQMHP GR]D 1D WDM QDLQ VH
SRVWLH YHD HILNDVQRVW X OHHQMX EH] SRYHDQMD QHHOMHQLK HIHNDWD 3RND]DOR VH GD UDGL YHH
HILNDVQRVWLWHUDSLMDVHPRUD FLNOLno SRQRYLWL QHNROLNR SXWD (ILNDVQRVW VH PRH SRYHDWL L QDLQRP
davanja leka. Neki lekovi deluju bolje ako se daju kontinuirano, a ne odjednom.
Knjige su besplatni primerci.
Ne smeju se prodavati!
GUVFPHG$QGULMD*ROXERYL
Hemioterapija
*GHNDNRLNROLNRHVWRVHKHPLRWHUDSLMDGDMH"
GdeHVHKHPLRWHUDSLMDGDYDWL]DYLVLRGOHNRYDNRMLVHNRULVWHRGQDLQDQDNRMLVHGDMXNDNR
pacijent podnosi terapiju i od nekih subjektivnih faktora koji mogu bitno uticati na tok hemioterapije.
2QD VH PRH GDYDWL X EROQLFL XNROLNR WR ]DKWHYD RSWH IL]LNR L ]GUDYVWYHQR VWDQMH EROHVQLND DOL X
VYDNRGQHYQRM SUDNVL KHPLRWHUDSLMD VH LSDN QHMHH GDMH DPEXODQWQR GQHYQD EROQLFD 7R ]QDL GD
SDFLMHQWGROD]LX]GUDYVWYHQXXVWDQRYXJGHVHWHUDSLMDVSURYRGLSULPLWHUDSLMXLRGOD]LNXL7HUDSLMD
VHXL]X]HWQLPVOXDMHYLPDPRHGDYDWLLXNXQLPXVORYLPD
KakoVHKHPLRWHUDSLMDGDMH]DYLVLRGYUVWHOHNRYD9HLQXOHNRYDSDFLMHQWSULPDSUHNRYHQHX
YLGXLQMHNFLMHLOLLQIX]LMHDOLVHQHNLGDMXXYLGXLQMHNFLMHXPLLLOLSUHNRXVWD.DGDVHWHUDSLMDGDMH
X YHQX LQWUDYHQR]QR QDMHH QD UXFL SRVWDYL VH SODVWLQD FHYLFD EUDXQLOD NRMD VOXL GD VH OHN
EH]EHGQR XEDFL X NUYRWRN 7DM SURFHV MH VHP XERGD LJOH EH]ERODQ WH DNR VH MDYL QHSULMDWDQ RVHDM
SULOLNRP]DSRLQMDQMDGDYDQMDOHNDSHHQMHFUYHQLORNRHEROLOLRWRNRNREUDXQLOHLOLVOLQRWRWUHED
RGPDKSULMDYLWLRVREL]DGXHQRM]DVSURYRGMHQMHWHUDSLMH
8 L]X]HWQLP VOXDMHYLPD SULOLNRP GDYDQMD KHPLRWHUSLMH VH NRULVWH SRVHEQL NDWHWHUL NRML VH
SRVWDYHXYHOLNHYHQHSRUWRYLNRMLVHKLUXUNLSRVWDYOMDMXLVSRGNRHLOLVHSDNSULNOMXXMXQD posebne
HOHNWULQHSXPSH
.ROLNR HVWR L GXJR se citostatici daju zavisi od vrste oboljenja, od cilja hemioterapije u
NRQNUHWQRPVOXDMXRGYUVWHOHNRYDNRMLVHGDMXLRGWRJDNDNRSDFLMHQWSRGQRVLWHUDSLMX2QDVHPRH
davati u jednom danu, tokom jedne nedelje ili u intervalima kako to internista- onkolog odredi. Po
SUDYLOXKHPLRWHUSLMDVHGDMHXFLNOXVLPD7R]QDLGDHL]PHGMXWHUDSLMDELWLYUHPHQVNLSHULRGUD]OLLWH
GXLQHRELQRQHGHOMHNRMLHRPRJXLWLRUJDQL]PXSDFLMHQWDGDVHRSRUDYL,QIRUPDFLMHRULWPX
SULPDQMD WHUDSLMH PRH GDWL OHNDURQNRORJ NRML MH NRPSHWHQWDQ L GD GRQHVH RGOXNH R HYHQWXDOQRP
odlaganju ili prekidu hemioterapije.
1((/-(1,()(.7,35,/,.2035,0(1(+(0,27(5$3,-(
9HLQDOMXGL]DYUHPHKHPLRWHUDSLMHVHRVHDXPRUQLMHQHJRRELQRDOLQDMYHLEURMVHRVHD
GRYROMQRGREURGDQDVWDYLVYRMHLYRWQHDNWLYQRVWL6YDNLRUJDQL]DPVYDNRREROMHQMHLVYDNROHHQMH
MH UD]OLLWR WDNR GD QLMH PRJXH SUHFL]QR SUHGYLGHWL NDNR HWH 9L UHDJRYDWL ,SDN WUHED ELWL
SULSUHPOMHQGDHVH]DYUHPHSULPDQMDWHUDSLMHSRMDYLWL]QDFLNRMLHXPDQMLWL9DHGREURRSWHVWDQMH
U tom smislu je potrebno da isplanirate svoje aktivnosti nakon konsultacije sa onkologom.
=DWRQDVWDMXLNROLNRWUDMXQHHOMHQLHIHNWLQXVSRMDYH"
Nastajanje nuspojavaVHPRHREMDVQLWLLQMHQLFRPGDFLWRVWDWLFLSUYHQVWYHQRRWHXMXHOLMHX
RUJDQL]PXNRMHVHEU]RGHOHHOLMHUDNDVHGHOHEUHQHJRQRUPDOQHHOLMHRGNRMLKVXQDVWDOHSDVH
RQH SULOLNRP SULPHQH FLWRVWDWLND RWHXMX X QDMYHRM PHUL 8 RUJDQL]PX SRVWRMH L PQRJH QRUPDOQH
HOLMHNRMHVHSRSULURGLEUHGHOHNDRWRVXHOLMHNUYLNRWDQHVULNRHVOX]RNRHXVWDMHGQMDND
HOXFDFUHYDVHNVXDOQLKRUJDQDNRUHQDGODNDLVO3RJDGMDMXLLRWHXMXLPDOLJQHHOLMHFLWRVWDWLFL
LVWRYUHPHQR XQLWDYDMX L QHNH RG RYLK QRUPDOQLK ]GUDYLK HOLMD 1HHOMHQL HIHNWL SULOLNRP SULPHQH
KHPLRWHUDSLMHXOHHQMXUDNDXSUDYRSURL]LOD]HL]WDNYRJGHMVWYDFLWRVWDWLND/HNDULHRGUHGLWLVYDNRP
SDFLMHQWX ]D QMHJD QDMDGHNYDWQLMX NRPELQDFLMX OHNRYD NRML H X] PDNVLPDOQR GHMVWYR L]D]YDWL
PLQLPDOQHQHHOMHQHHIHNWH]DLMHXEODDYDQMHWDNRGMHSRVWRMHOHNRYL
1HNLQHHOMHQLHIHNWLVX]DSDFLMHQWDVXEMHNWLYQRYHRPDQHSULMDWQLDOLQLVXRSDVQL]DRUJDQL]DP
PXQLQDRSDGDQMHNRVHLWG0HGMXWLPSRMHGLQLFLWRVWDWLFLQHL]D]LYDMXQHSULMDWQHVLPSWRPHali ipak
PRJX RWHWLWL HOLMH YLWDOQLK RUJDQD NDR WR VX VUFH EXEUH]L PRNUDQD EHLND SOXD QHUYQL VLVWHP
jetra, itd.
Mora se napomenuti, takodje, da pojava ili odsustvo QHHOMHQLK HIHNDWD QLMH SRND]DWHOM GD OL
lekovi deluju ili ne. Poto su nuspojave subjektivne i individualne, a citostatici deluju nezavisno od
Ne smeju se prodavati!
GUVFPHG$QGULMD*ROXERYL
Hemioterapija
njih, pogreno bi bilo verovati da lekovi nemaju efekta ako QH SULPHWLWH ]QDDMQLMX SURPHQX 9DHJ
opteg stanja dok primate hemioterapiju.
9HLQD nuspojava traje kratko i nestaje nekoliko dana nakon zavretka hemioterapije, kad se
QRUPDQHHOLMHSRQXRSRUDYOMDWLDOLMHLWRLQGLYLGXDOQR9UHPHNRMHWUHEDGDSURWHNQHGRSRWSXQRJ
RSRUDYND]DYLVLRGPQRJLKIDNWRUDXNOMXXMXLLRSWHVWDQMH9DHJRUJDQL]PDNDRLRGOHNRYDNRMH
ste dobili.
0RJXLQHHOMHQLHIHNWLSULOLNRPSULPHQHKHPLRWHUDSLMH
%H]RE]LUDWRFLWRVWDWLFLUD]OLLWRGHOXMXQDVYDNLRUJDQL]DPYUORMHYHURYDWQRGDHWHL9LRVHWLWL
QHNHQXVSRMDYH'REURREDYHWHQDRVREDMHVSUHPQLMDGDVHXVSHQRQRVLVDVYLPPRJXLPSRMDYDPD
u toku hemioterapije.
1.
Ne smeju se prodavati!
Hemioterapija
GUVFPHG$QGULMD*ROXERYL
SRMDYL SDG YUHGQRVWL WURPERFLWD X 9DRM NUYL ]D YUHPH SULPDQMD KHPLRWHUDSLMH OHNDU H 9DP
SUHSRUXLWLRGUHGMHQHOHNRYH$NRQLRQLQHSRPRJQXELHQHRSKRGQDWUDQVIX]LMDWURPERFLWD
/HNDUXWUHEDGDVHMDYLWHXNROLNRSULPHWLWHQHNHRGVOHGHLKSRMDYD
PRGULFXQDNRL]DNRMHQHPDWHSUDYRREMDQMHQMH
FUYHQHWDNLFHSRGNRRP
FUYHQNDVWXPRNUDX
crnu ili krvavu stolicu
krvarenje iz desni ili nosa
YDJLQDOQRNUYDUHQMHNRMHMHQHRHNLYDQRLOLWUDMHGXHRGUHGRYQHPHQVWUXDFLMH
glavobolje ili probleme sa vidom
RVHDMGDVX9DPQRJHLOLUXNHWRSOLMHQHJRLQDH
0HUHSUHGRVWURQRVWLXNROLko imate niske vrednosti trombocita
3RVDYHWXMWHVHVD9DLPOHNDURPSUHX]LPDQMDELORNDNYLKYLWDPLQDELOMQLKSUHSDUDWDLOLVOLQRMHU
PRJXGDVDGUHDVSLULQNRMLQHJDWLYQRXWLHQDWURPERFLWH
3URYHULWHGDOLVPHWHGDNRQ]XPLUDWHELORNRMXNROLLQXDONRKROQLKQDSLWDND
.RULVWLWHYUORPHNHHWNLFH]D]XEH
2GUDYDMWHKLJLMHQXQRVQHGXSOMHNRULVWHLPHNHSDSLUQHPDUDPLFH
%XGLWHYUORSDOMLYLNRGXSRWUHEHRWULKSUHGPHWDGDQHELGRORGRSRYUHLYDQMD
9RGLWHUDXQDNRGSHJODQMDLOLNXYDQMDGDQHGRHGRRSHNRWLQD
,]EHJDYDMWHDNWLYQRVWLNRMHPRJXSURX]URNRYDWLSRYUHGHXNOMXXMXLLRGUHGMHQHVSRUWRYH
3RVDYHWXMWHVHVDOHNDURPXYH]LVDVHNVXODQLPLYRWRP
.RULVWLWHHOHNWULQLEULMDXPHVWRRELQRJ
Crvena krvna zrnca LPDMXIXQNFLMXGDUD]QRVHNLVHRQLNSRWHOX+HPLRWHUDSLMDPRHVPDQMLWL
VSRVREQRVWNRWDQHVULGDVWYDUDFUYHQDNUYQD zrnca. Ukoliko dodje do pada njihove vrednosti, tkiva
nemaju dovoljno kiseonika za funkcionisanje. Ovo se stanje naziva anemija (malokrvnost). Anemija
PRHX]URNRYDWLQHGRVWDWDNGDKDVODERVWPDODNVDORVWYUWRJODYLFXXEU]DQVUDQLUDGLWG8NROLNR
SULPHWLWH QHNH RG RYLK VLPSWRPD WUHED GD VH MDYLWH VYRP OHNDUX 8 VOXDMX YHRPD L]UDHQH
PDORNUYQRVWLOHNDUPRHGDRGUHGLWUDQVIX]LMXNUYLLOLWUDQVIX]LMXVDPLKNUYQLK]UQDFD
8WLFDMFLWRVWDWLNDQDVOX]RNRXGLJHVWLYQRJWUDNWDRUJDQD]DYDUHQMH
1HHOMHQL HIHNWL NRML VH MDYOMDMX ]ERJ QHJDWLYQRJ XWLFDMD FLWRVWDWLND QD VOX]RNRX RUJDQD ]D
varenje su za pacijente subjektivno najneprijatniji, ali su mahom bezopasni za organizam.
,VKUDQD ]D YUHPH KHPLRWHUDSLMH MH YHRPD YDQD 2XYDQMH YLWDOQRVWL RUJDQL]PD REQDYOMDQMH
WHUDSLMRP RWHHQLK QRUPDOQLK HOLMD RGUDYDQMH WHOHVQH WHLQH NDR L VPDQMHQMH QHNLK nuspojava u
PQRJRPH]DYLVHRGSUDYLOQHLVKUDQH-DLRUJDQL]DPVHXVSHQLMHEUDQLLRGLQIHNFLMD
+HPLRWHUDSLMDSRQHNDGL]D]LYDJXELWDNDSHWLWD9DQRMHPHGMXWLPUD]JUDQLLWLGDOL9DPVH
QH MHGH ]ERJ JXELWND DSHWLWD LOL ]ERJ L]UDHQLK nuspojava X YLGX PXQLQH JDHQMD SRYUDDQMD
problema sa usnom dupljom,itd.
2.
0XQLQDLSRYUDDQMH
0QRJL SDFLMHQWL VH SODH GD H LPDWL PXQLQX SRYUDDQMH LOL WRWDOQL JXELWDN DSHWLWD ]D YUHPH
SULPDQMDKHPLRWHUDSLMH7DNYLVWUDKRYLVXYUORHVWRLRSUDYGDQLPDGDPQRJLQRYLFLWRVWDWLFLX]URNXMX
ove nuspojave ]QDWQR UHH L EODH QHJR RQL NRML VX VH UDQLMH SULPHQMLYDOL 'DQDV SRVWRMH UD]QL YUOR
HILNDVQL DQWLHPHWLFL OHNRYL SURWLY SRYUDDQMD NRMLPD VH YHLQD RYLK VLPSWRPD PRH VYHVWL QD
WROHUDQWQX PHUX LOL DN L SUHGXSUHGLWL 3UHSRUXXMH VH GD SDFLMHQW QDEDYL QHNL RG SRPHQXWLK OHNRYD
SUHSRHWNDKHPLRWHUDSLMHGDELVHVDQMLKRYLPX]LPDQMHPSRHORXWUHQXWNXNDGDVHXWYUGLGDHVH
QHHOMHQL HIHNWL ]DLVWD SRMDYLWL 2GUHGMHQL DQWLHPHWLFL VH PRJX GDWL LVWLYUHPHQR VD FLWRVWDWLFLPD X
ambulanti gde se terapija prima.
7HL REOLFL WUDMQRJ RWHHQMD VOX]RNRH RUJDQD ]D YDUHQMH VX UHWNL L WDNRGMH VH PRJX XVSHQR
OHLWLXNROLNRVHLSRMDYH
Knjige su besplatni primerci.
Ne smeju se prodavati!
6
GUVFPHG$QGULMD*ROXERYL
Hemioterapija
.DNRVPDQMLWLPXQLQXLSRYUDDQMH"
3LMWHWHQRVWQDMPDQMHVDWYUHPHQDSUHLOLQDNRQMHODDQH]DYUHPHRUERND3LMWHHHDPDOR
Jedite i pijte polako.
Umesto jednog ili dva velika obroka, jedite u vie navrata po malo u toku dana.
Hranu jedite hladnu ili mlaku, da Vam ne bi smetali njeni mirisi.
'REURVDYDLWHKUDQXSUHJXWDQMD
$NRVHPXQLQDSRMDYOMXMHXMXWUXSRMHGLWHQHWRVXYRNDRLWDULFHWRVWLOLNHNVSUHXVWDMDQMDVHP
ako su Vam suva usta).
3LMWHKODGQDELVWUDQH]DVODHQDSLDVRNRGMDEXNHLOLJURD
Sisajte mentolne ili kisele bombone (sem ako imate ranice u ustima).
Unapred pripremite hranu za period kada dobijate hemioterapiju, da je ne biste morali tada
pripremati .
1RVLWHNRPRWQXRGHXNRMD9DPQHHVWH]DWLSUHGHRWUEXKD
'LLWHGXERNRLSRODNRNDGDRVHWLWHPXQLQX
'D ELVWH VNUHQXOL SDQMX VD VYRMLK SUREOHPD DVNDMWH VD 9DPD GUDJLP RVREDPD VOXDMWH WLKX
UHODNVLUDMXXPX]LNXJOHGDMWH]DEDYQH filmove ili TV emisije.
Izbegavajte jake mirise koji Vam smetaju, kao to su mirisi hrane, dim od cigareta ili jaki parfemi.
,]EHJDYDMWHMDNRVODWNXSUHQXLOLPDVQXKUDQX
Odmarajte se, ali izbegavajte da legnete ravno, bar dva sata nakon obroka.
$NRVHPXQLQDMDYOMDba za vreme primanja terapije, izbegavajte da jedete bar nekoliko sati pre
WHUDSLMH8]PLWHVDPRQHNROLNR]DORJDMDGD9DPHOXGDFQLMHSUD]DQ
1HHOMHQLHIHNWLNRMLVXVSRPHQXWLPRJXELWLQHSULMDWQLDOLHoni nestati odmah ili nakon par
GDQDSR]DYUHWNXWHUDSLMH1HPRMWH]DERUDYLWLGDMHQMLKRYXLQDNRJURPDQLYUHGLWUSHWLLQHSULMDWQH
VWYDULUDGLRSRUDYNDLOLL]OHHQMDRGUDND
3.
Zamor i iscrpljenost
7DDQUD]ORJ]DQDVWDQDN]DPRUDVHQH]QDDOLMHRQQDMHLVLPSWRPQDNRMLVHSDFLMHQWLDOH
6PDWUD VH GD QD QMHJRY QDVWDQDN L LQWHQ]LWHW XWLX PQRJL IDNWRUL NDR WR VX VDPR REROMHQMH
KHPLRWHUDSLMD ]UDHQMH KLUXUND LQWHUYHQFLMD PDORNUYQRVW QHGRVWDWDN VQD ERO VWUHV OR DSHWLW LWG
=DPRU X]URNRYDQ KHPLRWHUDSLMRP QDVWDMH QDJOR QLMH SRSXW RELQRJ VYDNRGQHYQRJ XPRUD L HVWR QH
QHVWDMHQLSRVOHRGPRUD2VHDMYDULUDRGEODJRJXPRUDGRWRWDOQHLVUSOMHQRVWL
Kako otkloniti zamor i iscrpljenost?
Isplanirajte svoje dnevne obaveze tako, da imate vremena za odmor. Bolji su vie kratkih perioda
RGPRUDQHJRMHGDQGXL
1DSUDYLWHVHOHNFLMXYDLKGQHYQLKREDYH]DSRYDQRVWL
,GLWHXNUDWNHHWQMHX]ODJDQHYHEH .
-HGLWHNYDOLWHWQXKUDQXXPDOLPREURFLPDLX]LPDMWHGRVWDWHQRVWL
Dozvolite drugima da Vam pomognu u redovnim dnevnim aktivnostima.
4.
.DNRVSUHLWLSUREOHPHXVQHGXSOMHGHVQLLJUOD"
%LOR EL GREUR GD SRVHWLWH VWRPDWRORJD SUH ]DSRLQMDQMD KHPLRWHUDSLMH L GD RWNORQLWH VYH NYDURYH
zuba ili nedostatke proteze.
2SHULWH ]XEH SRVOH VYDNRJ MHOD .RULVWLWH PHNH HWNLFH ]D ]XEH 8VWD LVSLUDMWH PODNRP VODQRP
vodom nakon obroka i pre spavanja.
2SHULWHVYRMXHWNLFX]D]XEHSRVOHVYDNHXSRWUHEHLGULWHMHQDVXYRP
Ne smeju se prodavati!
Hemioterapija
GUVFPHG$QGULMD*ROXERYL
,]EHJDYDMWH JUXEX L WYUGX KUDQX NRMD PRH R]OHGLWL VOX]RNRX XVWD NDR L MDNR WRSOD L LQWHQ]LYQR
NLVHOD MHOD $NR YH LPDWH SRHWQH ]QDNH LQIHNFLMH NRULVWLWH NDDVWX PHNX UDVKODHQX KUDQX L
PHNRYRHGDQHELVWHGRGDWQRLULWLUDOLVOX]RNRXXVQHGXSOMH
.DNRXEODLWLVXYRXXVWD"
3LMWHSXQRWHQRVWL
.RULVWLWHYDNDXJXPXEH]HHUDLMHGLWHVODGROHG
-HGLWHPHNXVRQXKUDQX
2PHNDMWHVXYXKUDQXGRGDMXLMRMEXWHUPDUJDULQLOLprelive.
6SUHLWHVXHQMHXVDQDPDXLLKDGHNYDWQLPNR]PHWLNLPVUHGVWYLPD
5.
Bol
3RQHNDG KHPLRWHUDSLMD PRH X]URNRYDWL ERO X YLGX NUDWNRWUDMQLK SUREDGDQMD SHHQMD
XWUQXWRVWL JODYREROMH PLLQRJ EROD WUEXQLK ERORYD LWG %RORYL PRJX ELWL X]URNRYDQL RWHHQMHP
nerava zbog upotrebe lekova, ali i drugim razlozima, koji ne moraju biti povezani sa upotrebom
citostatika. Ukoliko bol nije postojao pre primene hemioterapije, posavetujte se sa Vaim onkologom.
3RSRWUHELXVOXDMXERODNRMLVHQHPRHRWNORQLWLXRELDMHQLPDQDOJHWLFLPD9DRQNRORJHXNOMXLWL
i anesteziologa, neurologa, neurohirurga, farmaceuta ili drugog specijalistu koji se bavi terapijom bola.
7.
Hemioterapija
GUVFPHG$QGULMD*ROXERYL
GRMNH QDMHH QH XWLX ]QDDMQR QD QHUYQL VLVWHP 3RPHQXWL VLPSWRPL WDNRH QHVWDMX NDGD VH
KHPLRWHUDSLMD]DYUL8NROLNRGRHGRSRMDYHQHNLKRGVLPSWRPDWUHEDREDYHVWLWL9DHJRQNRORJD
8.
Dijareja (proliv)
'LMDUHMDSUHGVWDYOMDSRMDYXL]UD]LWRPHNHLOLWHQHVWROLFH2QDVH]DYUHPHKHPLRWHUDSLMHMDYOMD
]ERJGHORYDQMDFLWRVWDWLNDQDVOX]RNRXNRMDREODHXQXWUDQMRVWHOXFDLFUHYD8NROLNRWUDMHGXHRG
VDWDQHRSKRGQRMHQMHQRHQHUJLQROHHQMHWHVYDNDNRWUHEDGDVHMDYLWHVYRPOHNDUX
Zatvor
Neki citostatici, ali i neki lekovi protiv bolova, mogu izazvati izostanak stolice za dan, dva ili
GXH=DVWRMXGRSULQRVL9DDIL]LNDQHDNWLYQRVWLOLLVKUDQDEH]GRYROMQRFHOXOR]HLWHQRVWL
+HPLRWHUDSLMDXWLHQDSROQHRUJDQHSUYHQVWYHQRQDMDMQLNHGRYRGHLGRVPDQMHQHSURGXNFLMH
KRUPRQD0QRJHHQHNRQVWDWXMXSURPHQHXVYRPRUJDQL]PXza vreme hemioterapije.One mogu biti
prolazne ili trajne.
SterilnostQHPRJXQRVW]DHD]ERJSULPHQHKHPLRWHUDSLMHPRHELWLSULYUHPHQDLOLVWDOQD2QD
]DYLVLL]PHGMXRVWDORJRGSULPHQMHQRJOHNDQMHJRYHGR]HL9DHLYRWQHGREL
8WLFDMKHPLRWHUDSLMHQDPHQVWUXDOQLFLNOXVHQHVHQHPRHXSRWSXQRVWLSUHGYLGHWLNDRWRVH
QH PRH XQDSUHG ]QDWL NRG NRMH HQH H VH WDNYL XWLFDML X NRP REOLNX PDQLIHVWRYDWL .DR
SULYUHPHQLQHHOMHQLHIHNDWPRHGDVHSRMDYLQHUHGRYQDPHQVWUXDFLMDNRMDHVHNRGPODGMLKHQD
UHJXOLVDWL QDNRQ ]DUYHWND WHUDSLMH .RG VWDULMLK HQD RQD PRH GD GRYHGH GR WUDMQRJ SUHVWDQND
menstruacije (menopauza ili NOLPDNWHULMXP 7HJREH SRSXW WRSORWQLK WDODVD YUWRJODYLFD L VXYRH
YDJLQDOQHVOX]RNRHXJODYQRPXND]XMXQDWR
7UXGQRDza vreme hemioterapije VHQLNDNRVHQHSUHSRUXXMH6UHRPUDNVH]QDWQRUHHMDYOMD
NRGPODGLKHQDVSRVREQLK]DUDGMDQMH.RGSULPHQHKHPLRWHUDSLMHVHPRUDYRGLWLUDXQDQHVDPR
REXGXRMPDMFLQHJRLRplodu, koji treba da se razvije pod takvim okolnostima. Citostatici deluju
Knjige su besplatni primerci.
Ne smeju se prodavati!
9
GUVFPHG$QGULMD*ROXERYL
Hemioterapija
GYRVWUXNR 3UYR GLUHNWQR RWHXMX SORG D ]DWLP RWHXMXL MDMQH HOLMH L QHNH NDVQLMH WUXGQRH
mogu dovesti do radjanja dece sa genetskim anomalijama (RWHHQMLPD. Zato, NRG ]DSRLQMDQMD
hemioterapije YH SRVWRMHX WUXGQRX X SUYRP WURPHVHMX WUHED SUHNLQXWL DNR MH KHPLRWHUDSLMD
QHRSKRGQD]DSUHLYOMDYDQMHPDMNH3UHPDWRPHWUHEDYRGLWLUDXQDGDHQDQH]DWUXGQL]DYUHPH
VSURYRGMHQMD KHPLRWHUDSLMH L EDUHP MR PHVHFL SRVOH QMHQRJ ]DYUHWND , NDVQLMH X VOXDMX
WUXGQRHWUHEDVSURYHVWLJHQHWVNRLVSLWLYDQMHDQDOL]RPSORGRYHYRGHLOLGUXJLPPHWRGDPD
=D YUHPH WUDMDQMD KHPLRWHUDSLMH VH VDYHWXMH NRULHQMH UD]QLK VUHGVWDYD SURWLY ]DHD .RG
NDUFLQRPDGRMNHVH]DVSUHDYDQMHWUXGQRHQHSUHSRUXXMXKRUPRQDOQHWDEOHWH
Mukarci
&LWRVWDWVND WHUDSLMD PRH GRYHVWL GR VPDQMHQRJ EURMD VSHUPDWR]RLGD LOL QMLKRYH VPDQMHQH
SRNUHWOMLYRVWLWRPRHX]URNRYDWLSULYUHPHQXLOLWUDMQXVWHULOQRVWQHPRJXQRVWRSORGQMH3RJUHQR
MH YHURYDQMH GD RYL OHNRYL PRJX GLUHNWQR XWLFDWL QD PRJXQRVW RGUDYDQMD VHNVXDOQLK RGQRVD *RUH
navedene nuspojavePRJXPHXWLPLQGLUHNWQRXWLFDWLQDQMLK&LWRVWDWLFLPRJXLPDWLWHWDQXWLFDMQD
VSHUPDWR]RLGHWRPRHGRYHVWLGRRWHHQMDSORGD,]RYLKUD]ORJDELELORSRHOMQRXNROLNRVHHOL
GHWH QDNRQ KHPLRWHUDSLMH VDXYDWL VHPHQX WHQRVW X DGHNYDWQLP XVWDQRYDPD =D YUHPH SULPDQMD
KHPLRWHUDSLMHMHSRHOMQRNRULVWLWLVUHGVWYDSURWLY]DHD
11. 8WLFDMFLWRVWDWLNDQDQHUYHLPLLH
&LWRVWDWLFL XWLXL QD QHUYH WRNVLQR PRJX X]URNRYDWL QHSULMDWQH QHHOMHQH HIHNWH 6LPSWRPL
VHMDYOMDMXXYLGXSHHQMDVODERVWLLOLXWUQXWRVWLDNDLOLVWRSDODEROD]DYUHPHKRGDQMDERORYDXQHNLP
PLLLPD JXELWND UDYQRWHH GUKWDYLFH VODEOMHQMD VOXKD HOXGDQLK ERORYD QHVSUHWQRVWL SULOLNRP
KYDWDQMDLGUDQMDSUHGPHWDERORYDXYLOLFDPDLWG
3RPHQXWL QHHOMHQL HIHNWL VX QDMHH YUOR QHSULMDWQL DOL EH]RSDVQL $NR LSDN GRGMH GR
R]ELOMQLMLK SUREOHPD X YH]L VD QHUYLPD LOL PLLLPD OHNDU H 9DP SUHSRUXLWL DGHNYDWDQ WUHWPDQ 8
YHLQLVOXDMHYDnuspojaveEU]RQHVWDMXPHGMXWLPSRQHNDGYUDDQMHQDQRUPDOQRVWDQMH]DKWHYDGXL
vremenski period.
12. 8WLFDMFLWRVWDWLNDQDNRXLQRNWH
=D YUHPH KHPLRWHUDSLMH VH PRJX SRMDYLWL FUYHQLOR NRH RVLS VYUDE OMXHQMH VXYRD NRH
DNQH SRMDDQD RVHWOMLYRVW QD VXQHYH ]UDNHLWG 3RQHNDG VH MDYOMD L WDPQD SLJPHQWLVDQRVW GX YHQH
NRMRP VH KHPLRWHUDSLMD GDMH 1RNWL PRJX SRVWDWL WDPQLML XNDVWL ORPOMLYL LOL VH QD QMLPD PRJX
SRMDYLWLYHUWLNDOQHOLQLMH6YLRYLVLPSWRPLQLVXRGYHHYDQRVWLLLPDMXSUROD]QLNDUDNWHU
13. 8WLFDMFLWRVWDWLNDQDEXEUHJHLPRNUDQXEHLNX
&LWRVWDWLFLVHQDMHHL]OXXMXSUHNRPRNUDHSXWHPEXEUHJD,]OXLYDQMHVHPRHRGYLMDWLL
SUHNRXLLVWROLFHXHPXRGOXXMXXXORJXLPDMHWUD3RQHNDGMHL]OXLYDQMHNRPELQRYDQR%U]LQDL
QDLQ L]OXLYDQMD FLWRVWDWLND L] RUJDQL]PD YDULUD X ]DYLVQRVWL RG YUVWH XSRWUHEOMHQLK OHNRYD QMLKRYLK
GR]D QDLQD SULPHQH L GUXJLK IDNWRUD 0RJX GD VH L]OXH QHSURPHQMHQR GHOLPLQR SURPHQMHQR X
obliku nekih metabolita ili u drugim oblicima.
&LWRVWDWLFLNRULHQLXOHHQMXUDNDGRMNH]DUD]OLNXRGYHLQHRVWDOLKQHRWHXMXEXEUHJHLOL
VDPRXUHWNLPVOXDMHYLPDLWRXQH]QDWQRMPHUL.RQWURODUDGDEXEUHJDDQDOL]RPNUYLLOLPRNUDHMH
LSDNYDQDLWRYLH]ERJWRJDWRELORNDNYDVPDQMHQDIXQNFLMDEXEUHJDPRHGDSRYHDWRNVLQRVW
FLWRVWDWLND 1HNL FLWRVWDWLFL XWLX QD UDG EXEUHJD PHQMDMXL ERMX PRNUDH RG XWH X QDUDQGDVWX LOL
FUYHQNDVWXLX]WRXULQPRHGDLPDPLULVQDOHNRYHRELQRXWUDMDQMXRGGDQD
NeprijatQD L EROQD XSDOD PRNUDQH EHLNH NRMD VH SRQHNDG MDYOMD PDQLIHVWXMH VH HVWLP
QDJRQRP]DPRNUHQMHPLOLSRMDYRPNUYDYHPRNUDH%ODLREOLFLXSDOHVHPRJXUHJXOLVDWLX]LPDQMHP
YHOLNLK NROLLQD WHQRVWL D X WHLP VOXDMHYLPD H ELWL SRWUHEQR OHHQMH UD]QLP OHNRYLPD
-HGQRVWDYQLMD MH LSDN SUHYHQWLYD XSDOH PRNUDQH EHLNH NRPELQRYDQMHP FLWRVWDWLND VD YHOLNRP
NROLLQRP LQIX]LMH SR SRWUHEL X] GRGDYDQMH XURSURWHNWLYQLK VUHGVWDYD sredstva NRMD WLWH VOX]RNRX
PRNUDQLKSXWHYD
Knjige su besplatni primerci.
10
Ne smeju se prodavati!
GUVFPHG$QGULMD*ROXERYL
Hemioterapija
Za vreme trajanja hemioterapiMH SRWUHEQR MH SLWL PQRJR WHQRVWL GD EL VH REH]EHGLOD RELOQD
PRNUDDLGDELVHL]EHJOLSUREOHPLVDEXEUH]LPDLOLPRNUDQRPEHLNRP
.DNRHIHNWLQDEXEUHJHLPRNUDQXEHLNXPRJXELWLSUROD]QLDOLLWUDMQLVLPSWRPHNDRWRVX
ERORYL L SHHQMH SULOLNRP PRNUHQMD XHVWDOR PRNUHQMH QHPRJXQRVW PRNUHQMD FUYHQNDVW LOL NUYDY
urin, groznicu ili drhtavicu, treba ozbiljno shvatiti i odmah se javiti lekaru.
14. 3RYUDWQLHIHNDW]UDHQMD
1HNDGDVHQDNRQ]DYUHQH]UDQHWHUDSLMHDSR]DSRLQMDQMXKHPLRWHUDSLMHPRHUD]YLWLRYDM
IHQRPHQ NRML SRGUD]XPHYD SRMDYX FUYHQLOD ]DWHJQXWRVWL L OMXWHQMD NRH NRMD MH SUHGKRGQR ELOD
]UDHQD X] RVHDM SHHQMD 8NROLNR VH RYR GHVL KODGQL YODQL REOR]L PRJX SRPRL X RWODQMDQMX
tegoba.
15. 1DNXSOMDQMHWHQRVWL
1DNRQ]DSRLQMDQMDWHUDSLMHPRHGDVHMDYLRWRNOLFDUXNXVWRSDODLOLWUEXKD8NROLNRWHJREH
QLVX L]UDHQH GRYROMQD MH GLMHWD VD VPDQMHQLP XQRVRP VROL D XNROLNR VH UDGL R WHHP SRUHPHDMX
PRJXVHGDYDWLLOHNRYL]DL]EDFLYDQMHWHQRVWL
16. 6LPSWRPLNRMLSRGVHDMXQDJULS
1HNROLNRVDWLGRQHNROLNRGDQDQDNRQ]DSRLQMDQMDKHPLRWHUDSLMHPRJXVHMDYLWL]QDFLXYLGX
ERORYDX PLLLPD L ]JORERYLPD JODYREROMH XPRUD PXQLQH WHPSHUDWXUH GUKWDYLFH L ORHJ DSHWLWD
2YLVLPSWRPLRELQRWUDMXGDQD2YDNYLVLPSWRPLtakodje iziskuju konsultaciju sa onkologom.
=$./-8$.
Hemioterapija, iako nesavrena, ostaje jedan RG QDMYDQLMLK YLGRYD OHHQMD PDOLJQLK WXPRUD
6YHWVND NOLQLND LVSLWLYDQMD NRMD VH EDYH XVDYUDYDQMHP PHWRGD OHHQMD UDND VYH YLH REXKYDWDMX L
XNOMXLYDQMH GRVWLJQXD PROHNXODUQH ELRORJLMH ,VWUDLYDQMD X RQNRORJLML LGX ND FLOMX VSUHDYDQMD
nastanka nekih malignih tumora uticajem na faktore koji dovode do njihovog nastanka. Ali, dok do
WRJDQHGRGMHSDFLMHQWLPDREROHOLPRGUDNDRVWDMHDQVD]DSUHLYOMDYDQMHNDRL poboljanje kvaliteta
LYRWDSULPHQRPGRVDGDSULKYDHQLKPHWRGDOHHQMDKLUXUJLMH]UDQHWHUDSLMHLKHPLRWHUDSLMH
11
Ne smeju se prodavati!