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Цель — подавить рост и распространение опухолей, уничтожить быстро делящиеся раковые клетки [1](https://www.eko-rb.ru/spravochnik-spetsialnostey/khimioterapevt/)[4](https://fnkc-fmba.ru/napravleniya/khimioterapevticheskoe-otdelenie/). \n\nХимиотерапия может назначаться как основной метод лечения, так и в комбинации с хирургическим вмешательством или лучевой терапией для уменьшения риска рецидива [4](https://fnkc-fmba.ru/napravleniya/khimioterapevticheskoe-otdelenie/).\n\n\n\n## Показания\nКонсультация химиотерапевта необходима в различных ситуациях, связанных с лечением онкологических заболеваний [7](https://cpm-devita.ru/consultations/himioterapevt/): \n* **Установленный диагноз «рак»** — врач обсуждает план лечения, обсуждает возможные протоколы, регулярность и количество курсов [7](https://cpm-devita.ru/consultations/himioterapevt/). \n* **Планирование химиотерапии** — химиотерапевт объясняет, какие препараты будут использоваться, как будет проходить лечение [7](https://cpm-devita.ru/consultations/himioterapevt/). \n* **Оценка эффективности текущего лечения** — если уже проходит химиотерапия, но не видны ожидаемые результаты или есть серьёзные побочные эффекты, консультация химиотерапевта помогает скорректировать план лечения [7](https://cpm-devita.ru/consultations/himioterapevt/). \n* **Рецидив заболевания** — консультация необходима для разработки нового плана лечения [7](https://cpm-devita.ru/consultations/himioterapevt/).\n\n## Методы лечения\nНекоторые виды химиотерапии, которые назначает химиотерапевт: \n* **Неоадъювантная** — проводится перед операцией или лучевой терапией, чтобы уменьшить объём опухоли и уничтожить возможные микрометастазы [9](https://gemotest.ru/info/spravochnik/zabolevaniya/khimioterapiya/). \n* **Адъювантная** — назначается после операции, чтобы уничтожить злокачественные клетки, которые могли остаться в организме, и предупредить рецидив [9](https://gemotest.ru/info/spravochnik/zabolevaniya/khimioterapiya/). \n* **Лечебная (паллиативная)** — показана больным с четвёртой стадией и распространёнными метастазами, препараты контролируют опухоль и сдерживают её рост, позволяя улучшить качество жизни [7](https://cpm-devita.ru/consultations/himioterapevt/).\n\n## Противопоказания\nВ некоторых ситуациях химиотерапию проводить нельзя [10](https://oncology-spb.ru/o-nas/stati/khimioterapiya-pri-rake). Это могут быть абсолютные противопоказания, когда применение химиотерапевтических препаратов может угрожать жизни пациента, и относительные, после устранения которых возможно начало или продолжение лечения [10](https://oncology-spb.ru/o-nas/stati/khimioterapiya-pri-rake).\n\n## Побочные эффекты\nХимиотерапия действует не только на опухолевые, но и на здоровые клетки, что может вызывать нежелательные явления [10](https://oncology-spb.ru/o-nas/stati/khimioterapiya-pri-rake)[16](https://accmedical.ru/snyatie-pobochnyh-effektov-himioterapii/). 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