Pambuyo pokhala ndi dolo yoyamba ya Taxol (paclitaxel), ambiri odwala khansa ya m'mawere amafotokoza kuti mapazi awo, manja ndi zala zawo zimamva kuti ndi zopweteka komanso zopweteka. Nthawi zina zimatha kuzimva ngati kupweteka kofulumira, pomwe nthawi zina zimatha nthawi yaitali ndikuwoneka ngati zala ndi zala zikuyaka kuchokera mkati. Zomwe zimamveka zimakhala zizindikiro zowopsa za matenda a ubongo, zomwe zimakhudza mankhwala enaake.
Mmene Makhalidwe Ambiri Amakhudzira Khunyu (CIPN)
Matenda a ubongo, omwe amachititsa mitsempha yawonongeka, ndi zotsatira zake zomwe zimayambitsa mankhwala enaake. Mitengo ya pulogalamu ya m'mimba imachulukitsa nthawi zambiri odwala ali ndi mankhwala a chemotherapy.
Taxanes, mankhwala a platinamu, mankhwala a vinca alkaloids ndi Herceptin ndizochepa mwa mankhwala omwe mumapeza pa mndandanda wa mankhwala omwe angayambitse matenda a ubongo . Zochitika zina , matenda, mankhwala, ndi kuvulala zingayambitsenso matenda a ubongo. Matenda a m'mimba si ofanana ndi matenda a manja kapena Palmar-Plantar matenda, ena chemotherapy zotsatira zoyipa.
Momwe Chemotherapy Amayambira Nthenda ya Neuropathy
Nayi njira imodzi yoganizira momwe chemo imayambira mitsempha. Mitsempha yanu imagwira ntchito ngati mawaya, chifukwa imanyamula zizindikiro zamagetsi pamsewu wina. Mukadzatsegula kompyuta yanu kapena nyali, zindikirani kuti waya ikuphimbidwa ndi chophimba chotetezera.
Mitsempha imakhalanso ndi chophimba chomwe chimadziwika kuti myelin chomwe chimatetezera kuwonongeka ndikuonetsetsa kuti zimagwira ntchito bwino.
Ngati mankhwala omwe amachitidwa mobwerezabwereza amachotsa myelin, mitsempha yanu siingakhoze kutumiza zizindikiro bwino. Kusagwedezeka kumachitika pamene mitsempha sichikutumiziranso chizindikiro, kuyimba kumachitika ngati chizindikiro chenicheni chimatumizidwa.
Ululu umamveketsa pamene zambiri zimatulutsa mitsempha yanu yopanda chitetezo.
Mofanana ndi zotsatira zina za khansa, zizindikiro za matenda a ubongo zimatha kukula ndi kuwonjezeka pamene chithandizo chikukula koma muyenera kuchepetsa mutatha ndi chemo.
Zizindikiro
Simungathe kukhala ndi zizindikiro zonse za matenda a ubongo, koma apa pali zizindikiro zowonjezereka zomwe mungakhale nazo:
- Kunjenjemera ndi kugwedeza mmanja mwanu, mapazi, zala, ndi zala
- Zosangalatsa zoyaka moto mmanja ndi m'mapazi
- Kutengeka kochepetsedwa, vuto ndi mabatani, zovuta kulandira zinthu
- Kufooka kwa miyendo ndi miyendo ya mwendo
- Kusalankhula kuzungulira pakamwa panu
- Kutsekedwa ndi ululu panthawi ya matumbo
Mudzawona zizindikiro zoopsa kwambiri kuyambira mutangotha mankhwala pamene chemo yatsopano ikupezeka. Ngati matenda anu akukonzekera milungu itatu iliyonse, nthenda yanu ya ubongo ingawonongeke musanakonzekere. Zizindikiro za matenda a ubongo zingapitirire ndi mankhwala onse chifukwa zotsatira za mankhwala a chemotherapy ndi ochulukirapo. Pambuyo pomaliza chemo, nthenda yanu ya ubongo ingawonongeke kwa miyezi yambiri, kapena ingachepetse kuti ziwalo za thupi lanu zichepe.
Nthaŵi zina mitsempha sitingathe kumanganso kapena kukonza chophimba chophimba, ndipo pazochitikazo, matenda a ubongo amatha kukhala kwamuyaya.
Kupeza Mpumulo
Onetsetsani kuuza dokotala wanu ngati muli ndi zizindikiro zowona zapachipatala. Pali mankhwala ndi zakudya zowonjezereka zomwe mungathe kutenga zomwe zingathandize kuchepetsa ululu ndi kuuma kwa matenda a ubongo. Tsatirani malangizo a dokotala anu momwe mungagwiritsire ntchito mankhwala okhudza ubongo ndi nthawi yanji.
Mukhozanso kukhazikitsa zizoloŵezi zabwino zomwe zingachepetse kutentha ndi kuyatsa m'mapazi anu ndi manja. Nthawi zonse muzivala nsapato zabwino ndikupewa nsapato zopanda nsapato kuti musachepetse kukwiya kwanu. Valani magolovesi otetezera pamene mukulima, kuchita mbale, kapena ntchito zina zomwe zingasokoneze manja anu ndi zala. Tengani mvula yowonjezera kapena kusambira, ndipo pewani kugwiritsa ntchito madzi otentha pakhungu lanu kotero kuti musayambe kutembenuka mtima kwa kusintha kwa kutentha.
Sungani zitsulo ndi zowonjezera zowonjezera kuti muzitha khungu lanu ndipo muzigwiritsa ntchito mofatsa.
Ngati nthenda ya ubongo ikupangitsani kudzimbidwa, kumbukirani kumwa madzi ambiri ndi madzi tsiku lililonse, kudya zakudya zam'mwamba, ndi kuchita masewera olimbitsa thupi nthawi zonse.
Zotsatira:
Kusamalira Chemotherapy Side Effects. Kusintha kwa Mitsempha. Fayilo ya PDF. National Cancer Institute. Yatumizidwa: 11/24/2008.
Mankhwala Okhudza Mitsempha Yachilengedwe Amayambitsa Chemotherapy. Kodi CIPN imayamba bwanji? American Cancer Society. Kukambirana Kotsiriza kwa Zamankhwala: 12/22/2009.