Pamene chemotherapy amagwira bwino kwambiri ndipo odwala amakhala ndi moyo wautali, moyo wathanzi, opulumuka amakhala ndi zotsatirapo zomwe zingakhudze kwambiri moyo. Chimodzi mwa zoterezi ndi ototoxicity - kuwonongeka kwa khutu lamkati ndi poizoni.
Mankhwala Okhudza Khansa Amene Angamve Kumva
- Chemotherapy kuchokera ku "platinum" gulu, monga cisplatin kapena mlingo waukulu wa carboplatin. Platinum chemotherapy ndi aminoglycoside maantibayotiki amawononga maselo a tsitsi la mkati mwa khutu la mkati, kuchititsa kupweteka kwa kumva kumverera. Kawirikawiri, zotsatira zimakhala zofanana m'makutu onse ndipo ndizokhazikika.
- Mlingo waukulu wa ma radiation mpaka kumutu kapena ubongo, makamaka ngati mtengowo unkapita ku ubongo kapena khutu. Kuphulika kwa khutu kapena ubongo kungayambitse kutupa kapena khutu kumangiriza khutu kunja, mavuto okhudzidwa ndi madzi mkati mwa khutu, kapena kuuma kwa mafupa a khutu kapena pakati. Zonse mwa mavutowa zingabweretse vuto lakumvetsera. Mazira amatha kuwononga maselo a tsitsi omwe amamva mkati mwa khutu la mkati, zomwe zimachititsa kuti thupi lisamve bwino. Kuwonongeka kwa ma radiation kungakhudze imodzi kapena makutu onse awiri, malingana ndi malo ochizira mazira.
- Opaleshoni yokhudzana ndi ubongo, khutu, kapena mitsempha yowonjezera.
- Maantibayotiki ena ndi ma diyolotiki. Kuonongeka kwa ma diuretiki wambiri kumayambitsidwa ndi kusintha kwa madzi ndi mchere mkati mwa khutu la mkati, zomwe zimapangitsa kuti minofu ikuphulika ndi mavuto ndi kutumiza zizindikiro za mitsempha. Mwamwayi, mtundu woterewu umakhala wochepa, koma nthawi zina ukhoza kukhala wamuyaya, makamaka pamene diuretic imaperekedwa pamodzi ndi platinum chemotherapy kapena aminoglycoside antibiotics.
Amene Ali Pangozi Yapamwamba Kwambiri Kumva
- Zina mwazidzidzidzi zomwe zimayambitsa kumva kutayika musanatengere matenda a kansa (monga chithandizo chamankhwala ndi aminoglycoside antibiotics, kuchepetsa kuchepa, kapena meningitis).
- Anali aang'ono kuposa zaka 4 panthawi imene analandira chithandizo chomwe chingawononge khutu.
- Analandira cisplatin kapena carboplatin.
- Kupeza ma radiation ku khutu, ubongo, mphuno, uchimo, mmero, kapena pakati pa nkhope kumbuyo kwa masaya.
- Anali ndi chotupa, opaleshoni, kapena matenda oopsa omwe ankakhudza ubongo, khutu, kapena mitsempha yowonjezereka, kapena kufunika koyika shunt.
- Amalandira mitundu yambiri ya chithandizo chomwe chingayambitse kupweteka kwa kumva (monga kuphatikiza kwa ubongo ndi cisplatin chemotherapy, kapena chithandizo cha cisplatin ndi carboplatin chemotherapy)
- Anali ndi vuto la impso panthawi yomwe analandira mankhwala enaake omwe amatha kuwononga kumva.
Zizindikiro za Kumva Kutayika
- Kumva zovuta pamaso pakumveka kwakumbuyo.
- Osamvetsera mawu (monga mawu, mau a chilengedwe)
- Kumva kulira ( kumalira, kukungula, kunyoza, kapena kunyoza ) mu khutu lanu pamene palibe zizindikiro zakunja zilipo. Phokoso likhoza kukhala losiyana kapena limasintha kuchokera kumutu mpaka kumutu.
- Anthu ena sangakhale ndi zizindikiro konse.
Ngati mvula yodzidzimutsa yokhudzana ndi chemo imapezeka, wodwalayo angakhale woyenera kujected intratympanic steroid kuti asamve kupweteka kwakumva kapena mwina kubwezeretsa ntchito.
Aliyense amene ali ndi matenda a kansa omwe angakhudze makutu (monga cisplatin, mlingo waukulu wa carboplatin, mlingo waukulu wa ma radiation mpaka ubongo) ayenera kumveketsa kamodzi kamodzi kokha pambuyo pomaliza mankhwala.
Kufunika kwa kuyesedwa kwina kumadalira mtundu ndi mlingo wa mankhwala a kansa omwe amagwiritsidwa ntchito. Ngati kutayika kwakumva kukupezeka, kuyesedwa kuyenera kubwerezedwa chaka chilichonse kapena kulangizidwa ndi katswiri wa zamagetsi. Kuwonjezera apo, kumvetsera kuyenera kuyesedwa nthawi iliyonse vuto lakumveka likudandaula.
Ngati kutayika kumveketsa, ndikofunikira kuti muyambe kuyesedwa ndi katswiri wa zamagetsi . Kumva kutayika kungayambitse mavuto ndi mphamvu ya munthu yolankhulirana ndikuchita ntchito za tsiku ndi tsiku. Ndichofunika kwambiri kwa munthu yemwe ali ndi vuto lokumva kuti apeze ntchito zomwe zingathandize kwambiri kuti azigwiritsa ntchito bwino momwe amalankhulira bwino.
Pali zambiri zomwe mungachite, ndipo izi zingagwiritsidwe ntchito mosiyana, malinga ndi vuto lakumva.
Zotsatira:
Prevenas, Nick. Dokotala wa opaleshoni wa khansa ku UA amathandiza odwala amene amamva kupweteka kwa kumva mankhwala. Yunivesite ya Arizona Cancer Center. Feb. 26, 2013.
Gulu la Ana la Oncology Gulu Lotsatira Zotsatira
kwa opulumuka aubwana, achinyamata, ndi achinyamata akuluakulu khansa
www.survivorshipguidelines.org