Kupewa ndi Kuchiza Chithandizo cha Chemotherapy-Kupweteka Kwambiri ndi Kuphulika
Mphuno ndi kusanza ndi chimodzi mwa zotsatira zoopsa kwambiri za mankhwala a chemotherapy . Mwamwayi, chithandizo ndi kapewedwe ka zizindikirozi zafika kutali, ndipo anthu ambiri tsopano akusowa pang'ono kapena osasamala. Kukhala wothandizira komanso kuphunzira za chithandizo cham'tsogolo pasanapite nthawi kungapange nthawi yaitali, ndikukhala omasuka.
Kodi Zimayambitsa Nausea ndi Vomiting Pa Chemotherapy?
Chemotherapy ikhoza kuyambitsa kunyoza ndi kusanza m'njira zingapo.
Chifukwa chofala kwambiri ndi kuyambitsa malo omwe amachititsa kusanza. Nthawi zina mankhwala a chemotherapy kuphatikizapo mankhwala ena akhoza kukhumudwitsa m'mimba. Ngati mwakhalapo ndi chemotherapy musanafike, ubongo wanu ukhoza kukumbukira momwe mumamvera pa nthawi imeneyo, chinachake chomwe chimatchedwa kuti chilakolako choyembekezera.
Kodi Ndingatani Kuti Ndizidziwe Zoterezi?
Mipata yomwe mungakumane nayo ndi zifukwa zingapo. Nsea imafala kwambiri pakati pa odwala, achikazi, ndi omwe ali ndi mbiri ya matenda oyenda. Zimadaliranso mankhwala enaake omwe mumapatsidwa nawo. Nausea ikhoza kuchitika nthawi yomweyo mutayamba mankhwala a chemotherapy (mankhwala osokoneza bongo) kapena kuyamba maola oposa 24 mutachira (kuchepa msanga).
The American Society of Clinical Oncology yakhazikitsa dongosolo lofotokozera njira yowonongeka ndi kusanza ndi mankhwala osiyanasiyana a chemotherapy.
Amagawira izi ngati chiopsezo chachikulu (kusanza kwalembedwa mwa odwala 90 peresenti), pangozi yochepa (kusanza mu 30 mpaka 90 peresenti), pangozi yochepa (kusanza mu 10 mpaka 30 peresenti), ndi chiopsezo chochepa (kusanza muchepera 10 peresenti ). Mankhwala omwe amagwiritsidwa ntchito ndi khansa ya m'mapapo ndi chiopsezo chowopsya ndi kusanza ndi awa:
- Kuopsa kwake - Platinol (cisplatin)
- Matenda apakati - Paraplatin (carboplatin), Adriamycin (doxorubicin), Ifex (ifosfamide), Camptosar (irinotecan)
- Mavuto ochepa - Taxotere (docetaxel), Vepesid (etoposide), Gemzar (gemcitabine), Taxol (paclitaxel), Alimta (pemetrexed),
- Vuto lalikulu kwambiri - Oncovin (vincristine), Navelbine (vinorelbine), Avastin (bevacizumab)
N'chifukwa Chiyani Mankhwala Ndi Ofunika Kwambiri?
Kuchiza mseru ndi kusanza ndizofunika kuti mukhale ndi thanzi labwino mukamachiritsidwa. Palibe amene amasangalala akumva chisoni. Koma ndizofunikira komanso zakuthupi. Nsowa ndi kusanza zingayambitse kuchepa kwa madzi ndi kusowa kwa zakudya. Kupsinjika kosalekeza kungapangitse misonzi m'mimba . Ndipo kwa iwo amene achitidwa opaleshoni , kusanza kungakhale kowawa kwambiri ndipo kukhoza kukupangitsani kusuntha kwanu.
Njira Zothandizira
Mankhwalawa komanso mankhwala ena monga machiritso amatha kupweteka ndi kusanza mofanana ndi mankhwala a chemotherapy.
Mankhwala:
Pali njira zingapo zomwe mungapeze kuti muzitsuka khunyu kuchokera ku chemotherapy. Popeza kuti mankhwala amayamba bwino kwambiri asanayambe kunyowa, anthu ambiri amachiritsidwa ndi mankhwala a antitintic (antitintic) asanayambe kuwonetsa. Mankhwala ena amaperekedwa nthawi zonse, ndipo ena pamafunika.
Mankhwala angaperekedwe pamlomo, mwachindunji, mwachindunji, kapena pamasewera (pansi pa lilime lanu). Mankhwala ambiri otsutsa nkhanza amagwira ntchito poyambitsa njira zosiyanasiyana, motero kugwiritsa ntchito mankhwala osiyanasiyana kungakhale kovuta kuposa mankhwala amodzi okha. Ena mwa mankhwala omwe amagwiritsidwa ntchito paokha kapena kuphatikiza ndi awa:
- Sintha (aprepitant)
- Decadron (dexamethasone)
- Anzemet (dolasetron)
- Kytril (granisetron)
- Droperidol (haloperidol)
- Ativan (lorazepam)
- Reglan (metoclopramide)
- Zofran (ondansetron)
- Aloxi (palonosetron)
- Compazine (prochlorperazine)
- Phenergan (promethazine)
Njira Zochiritsira / Zowonjezera
Mankhwala ena othandizira angathandizenso kuchepetsa kunyowa panthawi ya mankhwala.
Nyuzipepala ya National Institute of Health yatulutsa ndondomeko yonena kuti kugwira ntchito mosavuta kumathandiza kuti mankhwala a chemotherapy asokonezeke , ndipo amachepetsa kusowa kwanu kwa mankhwala. Mankhwala a puloteni amatha kukhala othandiza.
Mankhwala osokoneza bongo
Kusemphana kwakukulu kumaphatikizapo kugwiritsa ntchito mankhwala osokoneza bongo (chamba) chifukwa cha khunyu panthawi ya chemotherapy, ndipo ntchito yake imasiyanasiyana padziko lonse lapansi. Nyuzipepala ya National Cancer Institute imanena kuti, kuposa malamulo, angagwiritse ntchito pofuna kuletsa kusanza chifukwa cha mitundu ina ya mankhwala a chemotherapy.
Kulimbana ndi Nausea ndi Vomiting Pa Chemotherapy
Mankhwala amatha kuchita zambiri kumachepetsa kunyoza ndi kusanza zomwe zingachitike pa mankhwala a chemotherapy, koma zingapo zing'onozing'ono zingathandizenso:
- Kudya zakudya zazing'ono, nthawi zambiri - Pewani kudya kwambiri, kapena kupita kutali kwambiri popanda kudya
- Pewani kumwa madzi pakudya
- Khalani olimba mukatha kudya kwa theka la ora
- Pewani zonunkhira zomwe zimakupangitsani kuti mumveke ngati mukusowa
- Pewani zakudya zam'mimba ndi mafuta obiriwira musanayambe mankhwala a chemotherapy
- Valani zovala zomwe ziri zotayirira pamimba mwanu
- Sungani zakudya zomwe mumazikonda kwambiri mukamaliza mankhwala ndi chemotherapy
- Imwani madzi ambiri
- Pewani kusuta
- Pewani kuchita masewera olimbitsa thupi mukatha kudya
- Pangani chilengedwe chanu ndi zakudya monga zokondweretsa
Nthawi yoitanira Dokotala Wanu
Lolani wanu wa oncologist adziwe za mseru uliwonse kapena kusanza kwanu pa nthawi iliyonse. Pakati pa maulendo, onetsetsani kuti mumutcha ngati:
- Mankhwala anu sakuletsa kusuta kwanu
- Mumavutika kusanza
- Mumayambitsa ululu m'mimba
- Mukukumana ndi zotsatira zina zomwe mukuganiza kuti zimakhudzana ndi mankhwala anu osokoneza bongo
- Ngati nseru yanu ikukusokonezani ndi zomwe mungathe kudya kapena kumwa madzi
> Zotsatira:
> Fukazawa, Y. et al. Njira yosamalirako mankhwala. Panopa mukuganiza mofufuza mankhwala osokoneza bongo . 2009. 10 (1): 62-9.
> Hesketh, P. Chemotherapy-Kutenga Nausea, ndi Kutupa. The New England Journal of Medicine . 2008. 358: 2482-2494.
> National Cancer Institute. Nausea ndi Vomiting (PDQ). Health Professional Version. Kusinthidwa 01/04/16. https://www.cancer.gov/cancertopics/pdq/supportivecare/nausea/healthprofessional
> National Cancer Institute. Mankhwala a kannabis ndi Cannabinoids. Kusinthidwa 01/08/16. https://www.cancer.gov/about-cancer/treatment/cam/patient/cannabis-pdq/#link/_13
> National Cancer Institute. Kusamalira Chemotherapy Side Effects. Mphuno ndi Kutupa. 11/24/08. https://www.cancer.gov/cancertopics/chemo-side-effects/nausea
> Navari, R. Pharmacological management of chemotherapy-Kudwalitsa ndi kusanza: ganizirani zochitika zatsopano. Mankhwala . 2009. 65 (5): 515-33.