Kulimbana ndi Matenda Okhudza Matenda a Mthupi Kuchokera ku Chemotherapy

by Lynne Eldridge, MD; Yofotokozedwa ndi Grant Hughes, MD

Kulimbana ndi Neuropathy ku Kuchiza Khansa

Matenda a khunyu kuchokera ku chemotherapy angakhale chizindikiro chokhumudwitsa kwambiri, zonse chifukwa cha zizindikiro zomwe zimayambitsa ndi zotsatira zomwe zingakhale nazo pa umoyo wanu. Zingasokonezenso chithandizo, zomwe zimawathandiza kuchepetsa mlingo wa mankhwala kapena kusiya mankhwala a chemotherapy palimodzi. Nthenda yamatenda tsopano imakhudza pafupifupi munthu mmodzi mwa anthu atatu aliwonse amene amadwala chemotherapy ndipo akukhala wamba .

Izi zinati, chiwerengero cha matenda a ubongo pakati pa anthu omwe ali ndi khansa sichidziŵika bwino.

Zimayambitsa

Mitsempha ya mitsempha - ndiyo, mitsempha yopanda ubongo yomwe imafika kumapeto imakhala ndi chinthu chotchedwa myelin. Myelin ikhoza kuganiziridwa kuti ndi ofanana ndi chophimba kunja pa chingwe cha magetsi ndipo amalola kuti zidziwitso ziziyenda mofulumira komanso bwino. Maselo omwe amapanga myelin amaonongeka ndi mankhwala oopsa a chemotherapy, kupatulapo myelin, ndipo zizindikiro zomwe zimayenda motsatira mitsempha zimachepa kapena zimasokonezeka.

Zizindikiro

Zizindikiro za matenda a ubongo nthawi zambiri zimachitika mu zomwe zimatchedwa "kusungira ndi kugulitsa", kutanthauza kuti zizindikiro zimatchulidwa kwambiri mmanja mwanu pamene mukanakhala kuvala magolovesi kapena mapazi anu ndi minofu komwe mungavveke masikono. Zizindikiro zina zingaphatikizepo izi:

Numbness ndi kuchepa kwa kukhudzidwa
"Zikwangwani ndi singano" zomverera

Kugwiritsa ntchito
Kupsa
Kusagwirizana kolimba

Zizindikiro izi zingapangitse zolepheretsa monga:

Kuvuta kugwiritsa ntchito manja anu kuti mutenge zinthu (kutaya zinthu ndizofala), kuyika zovala, kulemba pa kompyuta, kapena kusewera piyano
Zovuta ndi mapazi anu chifukwa cha kufooka ndi kusowa kwachisoni, zomwe zimapangitsa kuti mutengeke, kapena kuvutikira mapazi anu mukuyenda

Kutaya kwa minofu ndi mphamvu

Nthenda ya ubongo ikhoza kuthandizanso zigawo zina za thupi monga chifuwa (kuchititsa kudzimbidwa ndi mavuto a m'mimba), chikhodzodzo (kumapangitsa kuti kukhale kovuta kukodza) komanso kumayambitsa kusintha kwa kupuma ndi mtima wanu.

Kodi Kusowa kwa Neuro Kumayamba Bwanji?

Kafukufuku wamatenda amayamba kaye kokha pambuyo pa mankhwala a chemotherapy ndipo amatha kuwonongeka ndi masewera olimbitsa thupi. Potsatira mankhwala a chemotherapy, zizindikiro zimakula pang'ono pang'onopang'ono kwa miyezi yambiri, koma nthawi zina, zizindikirozo zikhoza kukhala zamuyaya.

Kodi Chemotherapy Mankhwala Amachititsa Kuti?

Mpata wodwala matenda a ubongo umasiyana pakati pa mankhwala enaake omwe amachititsa mankhwala komanso mankhwala omwe amapezeka. Mankhwala enaake omwe amachititsa kuti munthu asatengedwe ndi:

Platinol (cisplatin)
Paraplatin (carboplatin)
Eloxatin (oxaliplatin)
Oncovin (vincristine)
Navelbine (vinorelbine)
Velban (vinblastine)
VePsid (etoposide, VP-16)
Taxol (paclitaxel)
Taxotere (docetaxel)
Thalomid (thalidomide)
Revlimid (lenalidomide)
Velcade (bortezomib)

Ndani Amakhudzidwa?

Aliyense akhoza kuthandizidwa ndi matenda a mphuno pa mankhwala a chemotherapy, koma zizindikiro zingakhale zovuta ngati muli ndi vuto lina lomwe lingayambitse matenda a ubongo monga:

Matenda a shuga
Kusadya zakudya m'thupi
Kudalira mowa kwauchidakwa
Mbiri yakale ya matenda opatsirana m'mimba mwazifukwa zina kuphatikizapo chemotherapy

Kuchiza

Malingana ndi momwe matenda anu alili, dokotala wanu angakulimbikitseni kusiya mankhwala, kapena kusintha kapena kufalitsa mlingo wa mankhwala omwe amachititsa kuti mukhale ndi zizindikiro.

Mankhwala angagwiritsidwe ntchito ngati mukuvutika. Kwa zizindikiro zofatsa, mankhwala opweteka ngati Tylenol (acetaminophen) kapena Advil (ibuprofen) angapereke chithandizo chokwanira. Mankhwala ena omwe nthawi zina amagwiritsidwa ntchito ndi awa:

Mavitamini monga B-complex supplements
Matenda opatsirana monga Pamelor (nortriptyline) kapena Elavil (amitriptyline), makamaka Cymbalta (duloxetine)
Mankhwala a antiepileptic (mankhwala osokoneza bongo) monga Neurontin (gabapentin) kapena Lyrica (pregabalin)

Mazira opangidwa ndi tizilombo toyambitsa matenda omwe ali ndi baclofen, amitriptyline, ndi ketamine (kuphatikizapo zina, kuphatikizapo, topical ketoprofen ndi gabapentin)
Matenda a lidocaine (lidocaine patches)
Mankhwala osokoneza bongo chifukwa cha ululu waukulu

Mankhwala othandizira angathandizenso kuchepetsa kupweteka kwa ubongo. Mankhwala ena omwe ayang'anitsidwa ndi mankhwala opatsirana pogwiritsa ntchito mankhwala okhudza ubongo ndi awa:

Kuchiza mankhwala
Thandizo la thupi ndi / kapena mankhwala opaleshoni
ZINTHU ZOTHANDIZA (magetsi osokoneza bongo)
Kupangidwanso
Biofeedback
Chithunzi chotsogolera ndi zosangalatsa

Kupewa

Mankhwala ambiri adayesedwa kuti awone ngati angateteze ku matenda opatsirana pogwiritsa ntchito mankhwala a chemotherapy. Kafukufuku apeza kuti kugwiritsa ntchito calcium ndi magnesium, komanso Cymbalta, kungathandize kupewa matenda a khunyu, koma pali nkhawa kuti izi zingachepetse mphamvu ya chemotherapy.

Ndemanga ya 2016 inapeza kuti kugwiritsa ntchito L-glutamine kuteteza ubongo wa mankhwala kuchokera ku chemotherapy kumalonjeza . Mlingo umene unagwiritsidwa ntchito pa mayesero unali 15 milligrams kawiri patsiku, koma ndikofunika kuti uyankhule ndi dokotala wanu za mankhwala enaake pokhapokha mutagwiritsa ntchito chemotherapy. Ndipotu, vitamini ndi mineral zowonjezera zakudya zingachepetse mphamvu ya chemotherapy.

Vitamini E ingathandizenso kuteteza mitsempha ya m'mimba, amaganiza kuti mtundu wa vitamini E ukhoza kukhala wofunikira. Zinali kuganiza kuti acetyl-l-carnitine ingathandize kuthana ndi matenda a ubongo, koma kafukufuku waposachedwapa amasonyeza kuti zizindikiro zowonjezereka zimakhala zoopsa kwambiri.

Kuonjezera apo, cryotherapy (kugwirana manja ndi mapazi m'madzi ozizira kapena magalasi otukumula / masokosi a mwendo) amakhulupirira kuti ambiri amagwira ntchito.

Kulimbana

Chinthu choyamba cholimbana ndi matenda a ubongo ndi kukambirana za matenda anu ndi dokotala wanu. Angapangire kusintha kwa mankhwala anu a chemotherapy regimen. Ngati kusintha mankhwala anu sikutheka, akhoza kukhala ndi malangizo othandizira kuthana ndi zizindikiro kapena akhoza kupereka mankhwala othandizira ululu ngati akufunikira.

Zina zomwe mungatenge nokha ndizo:

Kuteteza manja anu ndi mapazi anu kutentha ndi kuzizira kwambiri - kuvala nsapato zabwino, zabwino komanso pogwiritsa ntchito magolovesi mukamazizira kapena mukamayeretsa kapena mukulima.
Kufufuza manja ndi mapazi anu tsiku ndi tsiku pa zilonda zilizonse zomwe simungamve chifukwa cha kuchepa kwa chisokonezo.
Khalani osamala mukamakonza zinthu (monga kuphika) kuti musagwire bwino.
"Kugwa-proofing" malo anu okhala, pokhala osamala kuchotsa zinthu zomwe zingakuchititseni kuti mupite.
Kupewa kuima kwa nthawi yaitali.
Kupewa mowa.
Kugona mokwanira - kusowa tulo kwa anthu omwe ali ndi khansa kungawononge zinthu zambiri, kuphatikizapo ubongo.
Ngati muli ndi shuga, mukugwira ntchito kuti musunge shuga wanu m'magazi omwe dokotala wanu akukuuzani.

_Zotsatira:

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