Chemo ikhoza kuyambitsa kupweteka kwa mafupa
Ngati mwangomaliza mankhwala a chemotherapy pa khansara ya m'mawere, mungafunse dokotala wanu wa banja kapena wanu wa oncologist kuti akutumizireniko kufufuza kwapafupa. Awa ndi mayesero osapweteka omwe angasonyeze ngati mafupa anu ataya minofu, kapena kuchepetsedwa, panthawi ya mankhwala anu. Mitsempha imatha kuchepa chifukwa cha m'munsi mwa estrogen, mahomoni omwe amathandiza kumanga ndi kuteteza mafupa anu.
Mmene Chemo Ingayambitsire Kuwotcha Thupi
Chemo yomwe imaphatikizapo cyclophosphamide , methotrexate, ndi fluorouracil (CMF) ndi kuphatikiza komwe kumayambitsa chisokonezo cha estrogen. Mankhwala a post-chemo, monga Tamoxifen ndi Raloxifene amathandizanso kuchepetsa mayendedwe a estrogen ndipo ndi ofunika monga otsatira kwa odwala omwe ali ndi zotupa za estrogen-receptor positive (ER +).
Maselo a Estrogen amasiya mwachibadwa panthawi yopuma, ndipo pakapita mankhwala amodzi, amayi ambiri omwe amayamba kumwa mankhwalawa amakhala ndi " chemo-pause " (nthawi zonse zimatha kapena sizikhala zosasintha). Mosasamala kaya ma level estrogen akugwa chifukwa cha kuwonongeka kwa thupi kapena mankhwala, kupuma kwa fupa kumakhala chinthu chofunika kukambirana ndi gulu lanu la thanzi.
Zomwe Mungathe Kutenga Chithandizo
Mukhoza kupempha kuyeza magazi zomwe zingakuthandizeni kuti musamalize mankhwala a khansa ya m'mawere. Komabe, zotsatira zingasiyane kwambiri, malingana ndi msinkhu wanu, thanzi lanu lonse, ndi nthawi yochuluka bwanji kuchokera pamene chithandizo chanu chatsirizidwa.
Mazira a mazira amabala estrogen, ndipo angatenge kuchokera pa miyezi 6 mpaka 2 kuti mazira angabwezeretsere ngati atakhala opindulitsa ngati asanakhale mankhwala. Lankhulani izi ndi dokotala wanu wamagulu kapena dokotala wanu, kuti mupeze chithandizo kusankha nthawi ya mayesero awa, kuti mupeze zotsatira zolondola kwambiri kwa inu.
Ngati mazira anu ayamba kugwira ntchito (kupanga ma estrojeni, kukumbitsani miyezi yamwezi), ndiye mafupa anu akhoza kubwezeretsanso mphamvu zawo komanso mphamvu zawo zokha. Ngati mwakhala mukupita kusamba (palibe mwezi uliwonse kwa miyezi itatu kapena kuposerapo, yesero la mimba liri ndi zotsatira zoipa, ndi mayeso a magazi a FSH (kupweteka kwa mahomoni ) omwe amachepetsa 30 milli-international units per milliliter), ndiye angafunikire kumwa mankhwala kuti amangenso fupa.
Mukhozanso kuthandizira thupi lanu kulimbitsa mafupa powonjezera calcium ndi vitamini D ku multivitamin yanu tsiku ndi tsiku, komanso kuwonetseratu zolemera. Tai Chi ndi njira yabwino, yodzichepetsa yogwiritsira ntchito komanso kuyambiranso mphamvu. Kuyenda, kapena kugwiritsira ntchito makina opangira masitepe kapena masitepe kudzathandizanso. Ngati muli pamsana pawo, tengani makalasi olimbitsa thupi kuti muthandizenso mphamvu yanu, mphamvu, ndi chidaliro. Kumbukirani kumwa zakumwa zambiri ndikudyetsa chakudya choyenera, zonse zomwe zingakuthandizeni kuti mupeze bwino.
Malangizo Ambiri Othandizira Mabulu Anu
Pano pali malangizo ena awiri omwe angakuthandizeni kuti mafupa anu azitsatira pakatha khansa ya m'mawere: kusiya kusuta , ndi kuchepetsa kumwa mowa . Kusuta kumapangitsa kuti osteoporosis iwonongeke. Ngakhale kuti n'zovuta kusiya, mungachepetse chiopsezo cha khansa ya m'mawere, komanso kuchepetsa chiopsezo cha khansa zina.
Kugwiritsa ntchito mowa kwambiri kumayambitsa matenda a osteoporosis, komanso kumapangitsa thupi lanu kuwonjezera ma level estrogen m'magazi anu.