Mu matenda otchedwa chemotherapy-omwe amachititsa kuti pakhale matenda a m'mimba (CIPN), mankhwala ena ochizira khansa amachititsa kuti mitsempha yanu iwonongeke.
Mitsempha yanu imanyamula zizindikiro kuchokera mu ubongo wanu ndi msana wanu kuti muzitha kuyenda. Iwo amanyamula uthenga wokhudzidwa kumbuyo kwa ubongo wanu ndi msana.
Zizindikiro
Kachitidwe kake ka khunyu ka khemotherapy kamene kangayambitse matenda ena amachititsa zizindikiro zosiyanasiyana malingana ndi momwe mitsempha ya mthupi imakhudzira.
Zitsanzo za zizindikiro zofala zimaphatikizapo:
- Numbness
- Kujambula, monga "zikhomo ndi singano" kumverera
- Kuwotcha m'manja ndi m'mapazi
- Kuwombera kapena kupweteka ululu waukulu womwe ukhoza kukhala pakati pena kapena wopitirira
- Kusamalitsa mavuto
- Kutaya zinthu
- Kuthamanga
Popeza mitsempha yowopsa imayambitsanso chikhodzodzo ndi chifuwa, mankhwala opatsirana opatsirana pogwiritsa ntchito mankhwala omwe amachititsa kuti thupi likhale ndi ubongo zingayambitse kudzimbidwa kapena kuvuta.
Zimayambitsa
Malingana ndi American Cancer Society, apa pali mankhwala omwe ali ndi mankhwala ambiri omwe amagwirizanitsidwa ndi kuchititsa CIPN:
- Mankhwala a platinum monga Cisplatin, Carboplatin, ndi Oxaliplatin
- Ma Taxanes monga Taxol (paclitaxel), Taxotere (docetaxel), ndi Jevtana (cabazitaxel)
- Zojambula ngati Ixempra (ixabepilone)
- Chomera chomera monga vinblastine, vincristine, vinorelbine, ndi etoposide (VP-16)
- Thalomid (thalidomide), Revlimid (lenalidomide), ndi Pomalyst (pomalidomide)
- Velcade (bortezomib) ndi Kyprolis (carfilzomib)
- Halaven (eribulin)
Inde, chifukwa chakuti wapatsidwa chimodzi kapena zingapo za mankhwala omwe ali pamwambawa, sizikutanthauza kuti mumakhala ndi CIPN.
Pali mitundu yambiri yomwe ili pangozi, monga mlingo wa mankhwala, kuphatikiza kwa mankhwala operekedwa, ndi msinkhu wanu.
Kupewa
Ngati nthenda yanu ya ubongo imakhala yoipa kwambiri, sizingangopangitsani umoyo wanu, koma ikhoza kusokoneza chithandizo chanu, makamaka ngati mukuyenera kugwiritsa ntchito mankhwala ochepa a mankhwala a chemotherapy chifukwa cha zizindikiro zanu zofooketsa.
Mwamwayi, palibe mankhwala ovomerezeka a FDA pofuna kupewa matenda opatsirana pogwiritsa ntchito chemotherapy. Komabe, pakhala pali njira zambiri zothandizira zowonongeka; ngakhale umboni wa sayansi womwe ukuwatsimikizira iwo uli wochepa, wosakwanira kapena onse awiri.
L-Glutamine
Izi zati, supplement imodzi yomwe yasonyezedwa (mwinamwake yowonjezereka kuposa ena) kukhala ndi chitetezo m'mitsempha ndi L-glutamine. Zowonjezera izi zikukhulupiriridwa kuti zimagwira ntchito popanga mitsempha m'manja mwanu, m'mapazi, ndi m'mimba. "Chophimba" ichi "amachepetsa kapena kusokoneza kuwonongeka komwe kungayambitsidwe ndi chemotherapy.
Kwenikweni, phunziro lopenda muzofufuza zofunikira pa Oncology / Hematology linatchulidwa L-glutamine monga lonjezo pofuna kupewa chiwopsezo ndi kuuma kwa mankhwala omwe amachititsa kuti thupi likhale ndi matenda a m'mimba.
Inde, ngakhale kuti glutamine ikuwoneka kuti ndi yotetezeka kwambiri ndipo ikuwoneka kuti siyasokoneza chithandizo cha khansa (zochepa mu maphunziro mpaka lero) ndikofunikira kuti uyankhule ndi dokotala musanatenge zakudya zina kapena vitamini.
Ichi ndi chifukwa chakuti mankhwala owonjezera ndi mavitamini, omwe nthawi zambiri amatchedwa "zachirengedwe," satetezedwa nthawi zonse. Kwenikweni, mankhwala "achirengedwe" amodzi, acetyl - l - carnitine, omwe amalingaliridwa kuti angathandize m'mbuyomu, akhoza kwenikweni kuwonjezereka kwambiri ndi matenda opatsirana pogwiritsa ntchito chemotherapy.
Komanso, zinthu izi "zachirengedwe" zingagwirizane ndi chithandizo cha khansa, ngakhale kuchepetsa mphamvu zawo.
Zonsezi, ngati dokotala wanu akuvomereza kuti glutamine ikhoza kukhala yotetezeka komanso yothandiza kwa inu, funsani mlingo umene akuwayamikira. Mlingo wodziwika ndi 15 milligrams kawiri patsiku, ngakhale nthawi yoyamba iyi ndi nthawi yotha kugwiritsa ntchito mankhwala owonjezerawa amasiyana chifukwa cha mankhwala enaake a chemotherapy.
Zochiritsira Zina Zowathandiza
Mankhwala ena omwe angathandize kuchepetsa CIPN, amawonjezera vitamini E ndi omega-3 fatty acids, ngakhale kuti, sayansiyo ikuthandizira kuti izi zitheke. Kuwonjezera pa mavitamini ndi mavitamini, mankhwala omwe angathandize kupeletsa CIPN
- Ena otetezera maganizo monga Effexor (venlafaxine)
- Mankhwala ena oletsa kupweteka monga Tegretol (carbamazepine)
Mawu Ochokera
Kuwonongeka kwa matenda a khunyu kuchokera ku chemotherapy kungakhale vuto lolepheretsa, osati chifukwa cha mavuto omwe amachititsa komanso chifukwa chingakhudze kanthana kawirikawiri ya mankhwala a kansa.
Ngakhale zilibe kanthu, ndizofunikira kwambiri kudziwitsa dokotala ngati mukukumana ndi zizindikiro zilizonse za matenda a ubongo-ndipo posakhalitsa bwino, kuthetsa vutoli nthawi yomweyo kungalepheretse matendawa kuti asakhalenso aakulu.
> Zotsatira:
> American Cancer Society. Matenda Okhudza Mitsempha Yopanda Mitsempha Yachitidwa ndi Chemotherapy.
> Brami, C., Bao, T., ndi G. Deng. Zachilengedwe ndi mankhwala othandizira odwala matenda opatsirana pogwiritsa ntchito mankhwala omwe amachititsa kuti asagwiritsidwe ntchito. Zofufuza Zovuta pa Oncology ndi Hematology . 2016. 98: 325-34.
> Dana Farber Cancer Institute. Kuchepetsa Mliri Zizindikiro Zokhudzana ndi Matenda a Nthenda. Inapezeka pa 03/05/16. http://www.dana-farber.org/Health-Library/Alleviating-Peripheral-Neuropathy-Symptoms.aspx
> Wang, W., Lin, J., Lin, T. et al. Mankhwalawa amathandiza kupewa matenda a khunyu omwe amachititsa kuti odwala azidwala khansa. Oncologist . 2007. 12 (3): 312-9.