Kugwiritsidwa ntchito kwa zopatsa mphamvu kuti zithane ndi zotsatira za chemobrain
Linda W. atatha mankhwala ake otsiriza a chemotherapy kuti adziwe khansa ya m'mawere, adayembekezera kukhala ndi moyo wathanzi, wopanda khansa. Pafupifupi chaka chimodzi atatha kuchiza, Linda anayamba kukumana ndi mavuto ndi kukumbukira kwake. Wopambana ndi khansa wazaka 51 anafanizira mavuto omwe amayamba mwadzidzidzi wodwala kuphunzira.
"Zinganditengere kawiri kawiri kuti ndichite ntchito zosavuta, monga kulingalira zolemba zanga kapena kujambula mapepala kuntchito. Ndimawerenga chinachake ndikuwerenga kachidziwitso kangapo chifukwa sindingathe kukumbukira zomwe ndawerenga."
Zizindikiro za Linda zinali zofanana ndi zomwe zimatchedwa chemobrain , kuchepa kwa chidziwitso kapena kupweteka kumene odwala matenda a kansa amatha atalandira mankhwala a chemotherapy. Dzina, "chemobrain" lingathe kusocheretsa, komabe. Kafukufuku wambiri wasonyeza kusamvana kwachidziwitso pambuyo pa chithandizo cha khansa, komabe akatswiri ambiri amadziwa kuti pinning chemotherapy ndi yonyansa chabe. Amatsutsana kwambiri pazochipatala, popeza pali ziganizo zosiyanasiyana za "chemobrain" ndi chifukwa chake. Kafukufuku wowonjezereka amafunikira ndithu kuti amvetse bwino momwe khansara ndi mankhwala a khansa zimakhudzira ubongo. Masiku ano, tikudziwa kuti odwala ena amatha kusokonezeka maganizo pambuyo pochiritsidwa ndi chemotherapy, koma alibe umboni weniweni wokhudzana ndi zomwe zimayambitsa.
Asanafike kafukufuku wamakono, madokotala nthawi zambiri amasiya zizindikilo monga kukumbukira, kukumbukira, komanso kutaya maganizo monga kusokonezeka maganizo chifukwa chokhala ndi khansa komanso zotsatira za ukalamba. Odwala anatsala opanda mayankho ndikuthandiza zizindikiro zakumidzi zomwe anali nazo.
Masiku ano, odwala alibe mayankho ochepa, koma madokotala ena akulimbana ndi matendawa povomereza mankhwala ndi mankhwala osokoneza bongo.
Palibe chithandizo chovomerezeka kapena chachindunji chosavomerezeka kwa chidziwitso chotsatira chithandizo cha khansa, madokotala ena akhala akufotokozera zolimbikitsa zomwe zimagwiritsidwa ntchito kuti zisawonongeke chifukwa cha matenda osokoneza bongo (ADHD) kuthandiza odwala kuwonjezera kuika maganizo awo. Linda anauzidwa mlingo wochepa wa Adderall (amphetamine, dextroamphetamine salt salt) ndipo mankhwala amuthandiza kuganizira ndi kusamalitsa. "Ndinazindikira pamene ndayiwala kutenga mwana wanga wamwamuna ndikugwira ntchito ya baseball, sindinapitirizebe kuchita zimenezi. Dokotala wanga anandiuza Adderall ndipo zandithandiza kwambiri. Ndikumva ngati ndikugwirizana ndi munthu wakale monga momwe ndingathere Ndimamenyabebe kamodzi kanthawi, koma ndani satero? ".
Zizindikiro za chemobrain, kapena kuperewera kwa chidziwitso, ziri zofanana ndi zizindikiro za ADHD. Kuvuta kuika maganizo, kutaya mtima, komanso kukhala ndi vuto ndi kukumbukira kumawonanso kwa ana ndi akulu omwe ali ndi ADHD. Zopatsa mphamvu zimagwira ntchito posintha mavoti a ubongo mu ubongo, makamaka dopamine ndi norepinephrine. Ndikofunika kudziwa kuti zolimbikitsa sizichiritsa matenda a chemobrain, kapena vuto lakusokonezeka kwa vuto.
Zimangowathandiza kuthetsa zizindikiro za matendawa. Zimakhala ngati wina atenga mankhwala ophera ozizira pamene akuzizira. Mankhwala ozizira amachepetsa zizindikiro, monga kutsokomola ndi mphuno, koma samachiza kuzizira.
Ngakhale chemobrain ikukhala yovomerezeka kwambiri ndipo ikudziwika ku dera lachipatala, madokotala ena samadziwa kuti kulipo kwake ndipo mwina safuna kapena sakayikira kupereka mankhwala, monga zolimbikitsa, kuti athetse zizindikiro. Madokotala ena amadziwanso kuti amatha kusamvetsetsana pambuyo pa chithandizo, koma safuna kulamula zokopa, chifukwa ndizo mankhwala olamulidwa.
Zotsatira Zotsatira za Zolimbikitsa
Pali zowonjezera zokha zomwe zingaperekedwe ndi dokotala wanu.
Adderall, Vyvanse (lisdexamfetamine dimesylate), Concerta (methylphenidate HCl), Dexedrine (dextroamphetamine sulfate), ndi Ritalin methylphenidate hydrochloride ndiwo omwe amachititsa kuti anthu ayambe kukondweretsa. Chotsitsa chilichonse chimakhala ndi zotsatira zosiyana, koma kaŵirikaŵiri, zochititsa chidwi zimatha kupweteka mutu, kuchepa kwa kudya, kulemetsa, kupweteka m'mimba, kusowa tulo, ndi mantha. Zambiri za zotsatirazi zimachoka ndi ntchito, komabe. Anthu ambiri wathanzi amalekerera zowonjezera bwino pa mlingo woyenera, koma mungafunikire kuyesa zochepa zochepa musanayambe kupeza zomwe zimakupindulitsani.
Amene sayenera kutenga zolimbikitsa
Zosangalatsa sizitetezedwa kuti aliyense azitenga. Ngati mukukumana ndi zovutazi, musamangokhalira kutengeka:
- nkhawa; nkhaŵa, mantha, ndi kusokonezeka zikhoza kuwonjezeka ndi kugwiritsa ntchito mankhwalawa.
- glaucoma
- chithokomiro chowonjezera
- kuthamanga kwa magazi kapena kuthamanga kwa magazi
- mbiri ya psychosis kapena zochitika za psychotic kapena zochitika
- matenda a mitsempha yamakono
Anthu omwe amagwiritsira ntchito MAOI sayenera kulamulidwa zolimbikitsa, komanso.
Mankhwala ena amanyamula machenjezo kwa anthu omwe ali ndi zifukwa zina zomwe sizinalembedwe pano. Ndikofunika kuti mupereke mbiri yachipatala yaumwini / banja kwa dokotala kuti mudziwe ngati zolimbikitsa zimakhala zotetezeka kwa inu.
Kodi Kukhumudwitsa Kumayambitsa?
Zosangalatsa zingakhale chizoloŵezi chopanga ndi kusuta. Ngati mwauzidwa zolimbikitsa, musazengere kuwatenga popanda kuvomereza dokotala. Kusiyiratu mankhwala anu mwadzidzidzi kungabweretse zizindikiro za kuchotsa. Pofuna kuchepetsa zizindikiro za kuchotsa, dokotala wanu angapangire mlingo wanu pang'onopang'ono kuti akuchotseni mankhwala anu.
Amalangizidwa kuti anthu omwe ali ndi mbiri kapena mankhwala osokoneza bongo kapena kumwa mowa mwauchidakwa kapena mtundu wa mankhwala osokoneza bongo, samapewa kumwa mankhwala othandiza. Mankhwala awa amaonedwa kuti ndi olamulidwa omwe angathe kuledzera ndipo mitundu ina ingathe kuchitiridwa nkhanza.
Zotsatira:
Adderall ndi Adderall XR (amphetamines) Information. Chidziwitso cha Odwala Mankhwala Osokoneza Bongo Akudziwitsa Odwala ndi Omwe Amawapatsa. US Food and Drug Administration.
Chemo Ubongo. American Cancer Society
Mayi Guide Vyvanse (lisdexamfetamine dimesylate). Chidziwitso cha mankhwala osokoneza bongo kwa Ogula.