Kugona mokwanira-komanso kugona kwabwino-ndikofunikira kuti akhale ndi thanzi labwino. Komabe kwa iwo omwe ali ndi khansa ya m'mawere, pamwamba pakumva mavuto ambiri ogona kusiyana ndi munthu wamba, kukhala ndi vuto la kugona kungakhale koopsa. Nchiyani chimayambitsa mavuto ogona kwa anthu omwe ali ndi khansa ya m'mawere , izi zingakhale zoopsa bwanji ndipo zimayambitsa zotsatira zosauka, ndipo ndi chiyani chingachitike kuti pakhale kusiyana?
Kusokonezeka tulo pa chithandizo cha khansa ya m'mawere kungakhale ndi malo ambiri, kuphatikizapo kuvutika maganizo kwa matenda a khansa, momwe zimakhudzidwa ndi mankhwala, komanso zotsatira za mankhwala, kuphatikizapo zomwe zimaperekedwa kuti zichepetse zotsatira zina zothandizira. Njira zochiritsira zomwe zimathandiza kupulumutsa miyoyo zimathandiza kuti odwala asamagone tulo. Zotsatira zovulaza tulo zikuphatikizapo:
- Kutopa
- Ululu
- Kutuluka kwa usiku kapena kutentha
- Nausea ndi mavuto ena amimba, monga kutsegula m'mimba ndi kudzimbidwa
- Nkhawa
Kutopa kumakhala kofala mu mankhwala a chemotherapy ndi mankhwala odzola. Mu mankhwala a chemotherapy, zotsatira zake zikhoza kukhala kwa masiku angapo chithandizo chitatha komanso nthawi zina. Kutopa chifukwa cha mankhwalawa kungapitirire kwa miyezi itatu pambuyo pa gawo lomaliza. Ngati ululu ndi vuto, kupweteketsa bwino kupweteka kungakhale yankho. Mwachitsanzo, ululu ukhoza kulamulidwa ndi Percodan (aspirin ndi oxycodone) kapena ululu wina wopatsirana woperekedwa ndi dokotala.
Odwala omwe kansalu imafuna estrogen kukula, yotchedwa estrogen receptor-positive khansa ya m'mawere, ikhoza kulamulidwa Nolvadex (tamoxifen) , yomwe imachepetsa estrogen yomwe imapezeka ndi maselo a khansa. Tamoxifen ikhoza kuchepetsa kupweteka kwa chifuwa ndikuchepetsa chiopsezo cha kubwereza. Tsoka ilo, lingapangitsenso kugona tulo ndi kugona tulo kusokoneza kutentha ndi kutuluka usiku.
Ma Steroids omwe nthawi zambiri amapatsidwa kuti athetsere kusuta ndi kusanza kwa chemotherapy amachititsanso kuti asayambe kugona, makamaka ngati atangotenga maola angapo akugona. Nkhawa ndi kupsinjika maganizo kungathenso kusokoneza tulo monga momwe kungatithandizire kapena kuchepetsa kuchita masewera olimbitsa thupi. Ngati mukukumana ndi mavuto aliwonse ogonawa, muli ndi zosankha.
Chinthu chimodzi chofunikira ndikuti dokotala aziwonanso mankhwala anu onse ndi mankhwala owonjezera (oTC), kuphatikizapo mankhwala a zitsamba ndi zakudya zowonjezera zakudya, kuti awone ngati akuthandizira pazovuta zanu. Dokotala wanu angakuuzeni kusintha kayendedwe kanu ka mankhwala kuti achepetse mavuto.
Kusintha zinthu zina pazochitika zanu zamasiku onse kapena usiku kungathandizenso. Yesetsani kuchita bwino "kugona tulo," zomwe zimafuna kuti mukhale ndi nthawi yodzikweza ndi kugona ndikupewa chilichonse pafupi ndi nthawi yogona yomwe ingayambitse kugona. Ndondomeko zenizeni zomwe mungachite ndi izi:
- Ikani nthawi yogona ndi nthawi yokhazikika ndi kumamatira.
- Pezani masewera olimbitsa thupi tsiku ndi tsiku, koma pasanathe maola atatu mutapita kukagona.
- Peŵani caffeine pambuyo pa 3pm kapena poyamba ngati ikupangabe mavuto.
- Muzipewa kugona, makamaka madzulo.
- Onetsetsani kudya kwanu kwa madzi. Pamene madzulo ayandikira, musamamwe mowa kwambiri kuti mukhale usiku.
- Pewani kumwa mopitirira muyeso kapena mowa mkati mwa maola atatu akugona.
- Sungani chipinda chanu chogona kuti mugone ndi kugonana. Sungani TV ndi kompyuta kuchokera kuchipinda.
- Sungani chipinda chamdima, bata, ndi kuziziritsa.
- Pezani kwa ola limodzi musanagone mwa kusamba kapena kuwerenga buku.
- Gwiritsani ntchito njira zotsitsimula, monga kupuma kwakukulu.
- Ngati kugona sikubwera pakapita mphindi 20, nyamuka ndikuchita chinachake chosangalatsa.
Musanayambe kugona mankhwala, mungafunse dokotala za zina zomwe mungachite. Ngati kuda nkhawa kapena kupanikizika ndi vuto, mukhoza kuganizira mankhwala kapena gulu lothandizira . Dokotala wanu angalimbikitsenso mankhwala otetezeka maganizo kapena mankhwala osokoneza bongo.
Komabe, onani kuti mankhwalawa amachititsa kugona kwa tsiku ndi zotsatira zina.
Ngati vuto la kugona likula kapena kupitirira milungu iwiri, mungafune kuyesa mankhwala ogona. Dokotala wanu angapereke mankhwala okhudza kugona kapena mankhwala ogulitsira mankhwala, koma izi, zingasokonezenso kugona. Ngakhale kuti mwayamvetsetsa ngati njira yomaliza, mankhwala ogona angapereke mpumulo waifupi.
Ambien (sedpidem) omwe amadziwika kuti ndi sedative (zolpidem) angakhale opanga mwayi, koma mankhwala ndi zina zotchedwa sedative-hypnotics zingakhalenso ndi zochepa kwambiri. Mu December 2006, a FDA anaitanitsa malemba ochenjeza ogwiritsira ntchito mankhwalawa ponena za chiopsezo chachikulu cha anaphylactic shock, angioedema (kupsinjika kwakukulu kwa nkhope), ndi makhalidwe owopsa omwe angaphatikizepo kukonzekera ndi kudya chakudya atagona komanso kugona ndi kugona-kuyendetsa galimoto.
Mukhozanso kukambirana za mankhwala azitsamba, monga St. John's Wort, tiyi ya chamomile kapena black cohosh. Pali umboni wochepa wa sayansi wokhudzana ndi chithandizo cha mankhwalawa, koma ali ndi zotsatira zochepa kapena zosagwira ntchito panthaŵi yochepa ya miyezi isanu ndi umodzi.
Ndikofunika kudziwa kuti, odwala pa tamoxifen ayenera kupewa tchuthi la St. John. Chowonjezeracho chingachepetse kuchuluka kwa mankhwala m'thupi ndipo, motero, ndiwothandiza. Black cohosh amanenedwa kuti amenyana ndi kutentha kwa mitsempha ya menopausal ndipo angathandize ndi omwe akugwiritsidwa ntchito ndi mankhwala otchedwa estrogen-limiting, monga tamoxifen.