Kulimbana ndi Kutopa kwa Khansa ya M'bwerero Pambuyo ndi Pambuyo Potsatira Chithandizo

by Rosalyn Carson-DeWitt

Kodi Mungatani Ngati Mudatopa Kuchokera ku Khansa Yamtundu?

Kodi mungatani kuti muthane ndi kutopa komwe kumabwera ndi khansa yapakhungu ndikupitirizabe?

Mwachidule

Kutopa nthawi zambiri ndi vuto kwa anthu omwe ali ndi khansa ya m'mawere, nthawi ndi chithandizo . Kufooka kwa khansa sikungokhala kutopa; Ndikumverera kwakukulu kwa kutopa ndi kufooka, ndipo kumakhalabe ngakhale ndi kuchuluka kwa kugona koyenera.

Ngati mukumva kutopa kotero, kumbukirani kuti simuli nokha ndipo ndizovomerezeka (ndi zovomerezeka) za khansara. Ngakhale kuti palibe njira yothetsera kutopa ndi kuyesedwa kwa magazi kapena X-ray, zizindikiro zanu ndi zenizeni, ndipo mukuyeneranso kuthandizidwa pamene mukulimbana nawo.

Kukula

Kafukufuku wina wa 2006 ku European Journal of Cancer anapeza kuti anthu 19 mpaka 38% omwe ali ndi khansa "amalephera kutopa." Azimayi omwe amalandira mankhwala a chemotherapy kapena chemo omwe amawathandiza kuti asatengere mavitamini amatha kukhala otopa kusiyana ndi omwe amatha kupweteka kwambiri .

Kafukufuku akuwonetsanso kuti mumakhala otopa ngati muli ndi zovuta zina, kuphatikizapo ululu wosadziletsa, kuvutika maganizo , nkhawa, matenda ogona kapena kuchepa kwa magazi.

Zimayambitsa

Ochita kafukufuku sanazindikire zinthu zonse zomwe zimakhudza kutopa kwa khansa. Matenda onsewa komanso zotsatira zake za mankhwala zikuwonekera.

Maselo a khansa angayambe kutopa chifukwa cha leaching zakudya kuchokera m'dongosolo lanu, kusintha mahomoni anu ndi kupanga zinthu zotchedwa "cytokines" zomwe zimapangitsa kutopa.

Mankhwala osiyanasiyana-chemo, ma radiation ndi tizilombo toyambitsa matenda-ndipo zotsatira za opaleshoni zonse zimapangitsa kutopa. Komanso mankhwala omwe amachititsa kuti musamafune kudya, amachititsa khunyu kapena kusanza kapena kupweteka pakamwa kapena mmero kumapangitsa kuti zikhale zovuta kupeza chakudya chokwanira.

Ngakhalenso mankhwala omwe amathetsa vutoli (mwachitsanzo, kupweteka ndi mankhwala osokoneza bongo) zingayambitse kutopa.

Pomalizira, nkhawa ya khansa ndi mankhwala ake ingakhale yotopetsa ndipo ikhoza kuchititsa kuvutika maganizo, kuwonjezera kutopa kwanu.

Nthawi ndi nthawi

Kudziwa nthawi yomwe mumakhala odwala matenda okhudzana ndi khansa kungakuthandizeni kukonzekera kuti muthandizidwe ngati mukufunikira. Kutopa kungayambe nthawi iliyonse, koma ofufuza apeza nthawi zina pamene zikuwoneka bwino kwambiri:

Chemotherapy:
- Mukhoza kuwonjezeka kwambiri mu maola 48 mpaka 72 a chemo, omwe amatha pafupifupi masabata atatu.
- Kuonjezera apo, nthawi zina pamakhala mpweya wachiwiri pakutopa pa masiku 10 mpaka 14 a mapepala ena a chemotherapy.
Maizoni:
- Mafilimu amachititsa kuti pang'onopang'ono masewera okwana 4 ayambe kutopa.

Nthaŵi zambiri kutopa kumatha pakatha chithandizo, odwala 40 peresenti amafotokoza kuti kutopa kumasokoneza miyoyo yawo zaka zitatu kapena kupitirira atalandira chithandizo.

Zizindikiro

Kafukufuku amasonyeza kuti anthu omwe ali ndi matenda odwala matenda a khansa amakhala otopa kwambiri-ngakhale osasangalala-atakhala ndi mphamvu, zofooka, kukhudzidwa kwambiri m'mikono ndi miyendo, chilakolako chochepa kapena luso lochita ntchito zofunikira kapena kuchita nawo ntchito zachizolowezi, mavuto omwe akukumana nawo mwamsanga, kukumbukira kugona, kugona tulo (kusowa tulo) kapena kugona tulo sikutulutsa kutopa kapena kuonjezera mphamvu yapamwamba komanso kugwirizana kwachisoni, kukhumudwa kapena kukhumudwa.

Kudziwa

Palinso zina zomwe munganene kuti mukutopa. Dokotala wanu angayese kukuyang'anirani kuti mukumva ululu, kuvutika maganizo, kugona tulo, kuchepa kwa magazi, kuchepa kwa zakudya, kuchepetsa kuchita masewero olimbitsa thupi, kukhala ndi mitsempha, mapira, mtima, mapapo, impso, chiwindi kapena chithokomiro.

Kuchitira zinthu izi kungathandize kuthetsa kutopa kwanu.

Utsogoleri

Ngakhale ndi zizindikiro zokhudzana ndi zovuta zogwirizana, mukhoza kulimbikitsidwa kuti khansa kapena matenda okhudzana ndi matenda a chemo amachiritsidwa mosavuta, zomwe zingathetsetu kutopa kwambiri. Nazi zina zomwe mungatenge kuwonjezereka kwa dokotala wanu:

Phunzirani kupempha thandizo. Izi zingakhale zovuta. Si zophweka kufunsa ena kuti azigwira ntchito zomwe mwatha kuzigwira koma ndikuganizirani kuti ndizomwe mukuyenera kuchita, ndipo mutakhala ku mbali ina, mukhoza kutenganso.
Sakani pamene mungathe. Ngakhalenso ziphuphu zingakuthandizeni, koma ngati mumagona kwambiri patsiku lomwe limakulepheretsani kugona usiku, ndiye kuti mungafunike kusintha ndondomeko yanu yogona.
Ntchito zapakhomo zapakhomo monga momwe zingathere.
Funsani dokotala kuti masewera olimbitsa thupi ali otetezeka bwanji kwa inu. Kupeza mpumulo n'kofunika, koma kuchita masewera olimbitsa thupi kwatsimikizira kuti phindu limakhala lokhazikika, limapereka chitsimikizo chokhala ndi moyo wabwino komanso kuthetsa kutopa.
Phunzirani njira zodzikongoletsa kuti muthetse nkhawa - mwachitsanzo, kusinkhasinkha , zoga kapena njira zowonetsera.
Ngati nkhawa kapena kupanikizika (kapena zonsezi) zikukusokonezani ndi moyo wanu, mungafunike kulingalira uphungu ndi katswiri wa maganizo, kulowetsa gulu lothandizira amayi omwe ali ndi kansa ya m'mawere kapena kulankhula ndi mlangizi wachipembedzo.
Sungani zakudya zanu:
- Funsani ndi wodyetsa zakudya zothandizira.
- Onetsetsani kuti mlingo wanu wa kalori wa tsiku ndi tsiku ndi wokwanira. (Kuti mupitirize kulemera kwenikweni, lamulo la chala chachikulu ndi 15 makilogalamu pa tsiku pa paundi wolemera).
- Pezani mapuloteni okwanira. (Zosowa zanu za tsiku ndi tsiku ziri zofanana ndi kulemera kwa thupi nthawi ya 0.5 mpaka 0.6 magalamu a mapuloteni pa tsiku).
- Osataya madzi. Muyenera kumwa zamadzimadzi 64 pa tsiku (osati kuwerengera zakumwa za khofi).
- Idyani zipatso zambiri, ndiwo zamasamba ndi mbewu zonse .

_Zotsatira:

_{American Society of Clinical Oncology.} _Cancer.Net. _Kutopa. _{Kusinthidwa 04/2014.}

_{Bardwell WA "Khansa ya m'mawere ndi Kutopa. Kugona madokotala Amayi odwala Mayi 2008. 3 (1): 61-71.}

_{Kusokoneza V. "Kutopa."} _{Clinical Oncology, Chachitatu.} _{Philadelphia: Elsevier, 2004. 835-843.}

_{Prue G., Rankin J., Allen J., et al.} _{"Kufooka kwa Khansa: Kufufuza Kwambiri." European Journal of Cancer . "2006: 42 (7): 846-863.}