Ndi zotsatira zotani zomwe zingachitike pa matenda a kansa ya m'mapapo?
Kodi mankhwala omwe amagwidwa ndi khansa yamapapo ndi otani? Kodi muyenera kuyang'ana zizindikiro ziti, ndipo mungachite chiyani kuti muthane ndi mavutowa?
Zotsatira Zotsatira (Zotsatira Zoipa) Kuchokera ku Chemotherapy
Kumvetsetsa zotsatira zovuta kumakhala kovuta kumvetsa pamene mukuganizira momwe mankhwalawa amagwirira ntchito. Mankhwala a chemotherapy amachititsa kuti maselo a khansa ayambe kusokoneza njira zosiyanasiyana zomwe zimachitika mu selo logawanitsa.
Maselo a khansa amapitirirabe kugawikana ndipo amatha kukhala ndi mankhwalawa, koma maselo enaake omwe amagawanika mobwerezabwereza (monga omwe akugona m'mimba ndi pakamwa, tsitsi la tsitsi, ndi mafupa) amakhudzanso.
Aliyense amakumana ndi mankhwala a chemotherapy mosiyana malinga ndi mankhwala omwe amagwiritsidwa ntchito ndi zina, monga zaka, kugonana, ndi thanzi labwino. Mukhoza kukhala ndi zizindikiro zingapo m'munsimu, kapena simungathe kukhala ndi zizindikiro zilizonse. Mwamwayi, kuyendetsa kwa zizindikiro izi kwakula bwino kwambiri m'zaka zaposachedwa
Onetsetsani kuti gulu lanu la khansa lidziwe za zizindikiro zirizonse zomwe mukukumana nazo mukamaliza mankhwala a chemotherapy, kotero iwo akhoza kukuthandizani kuti mupite ulendo wabwino. Kusamalira zotsatira zazomwe zafika pamtunda kwa zaka makumi angapo zapitazi, ndipo zambiri mwazikhoza kuyendetsedwa ndi mankhwala ndi mankhwala ena.
Mabokosi a mafupa Kuchokera ku Chemotherapy
Maselo ofiira a m'magazi, maselo oyera a magazi, ndi mapaleti amapangidwa mosalekeza ndipo nthawi zambiri amakhudzidwa ndi chemotherapy.
Mawu omwe akufotokoza kuchepetsa kwa maselo onsewa chifukwa cha chemotherapy ndi mankhwala a chemotherapy omwe amachititsa kuti mafupa asokonezeke . Mafupa athu ali ndi maselo am'mbuyo (maselo otchedwa hematopoietic stem cells) omwe potsirizira pake amakhala maselo oyera a magazi, maselo ofiira a magazi, ndi mapuloletsiti. Pamene maselo amenewa amathyoledwa ndi mankhwala, mitundu yonse ya selo imachepetsedwa.
Oncologist wanu adzayang'anira maselo awa ndi ziwerengero za magazi pa nthawi ya mankhwala anu. Nkhani zotsatirazi ziwonetsetse zizindikiro zomwe zingatanthauze kuti mukuchepetseratu maselo ena a magazi, komanso mmene chithandizochi chingachitire.
- Kulimbana ndi Matenda a Anemia (Nambala Yochepa Yamagazi Ochepa)
- Kulimbana ndi Neutropenia (Nambala Yochepa Yamagazi Oyera)
- Kulimbana ndi Thrombocytopenia (Low Platelet Count)
Zizindikiro za m'mimba Zokhudza Chemotherapy
Nausea ndi imodzi mwa zotsatira zoopsa za chemotherapy, koma njira zothandizira matendawa zakhala zikuyenda bwino kwambiri m'zaka zaposachedwapa. Dokotala wanu angapereke mankhwala osokoneza bongo panthawi ya chithandizo chanu pofuna kuyesetsa kuti chisautso chisadzachitike palimodzi. Kutsekula m'mimba kungakhale chizindikiro choopsa, nthawi zambiri kumapangitsa kusintha kwa mankhwala a chemotherapy kapena kusiya mankhwala. Kutaya madzi m'thupi kumakhudzanso ngati kutsekula m'mimba kulipo. Kutaya kwa njala kumakhala ngati zotsatira za mbali ya chemo, koma kungakhalenso chifukwa cha khansa yokha. Kukhumudwa konse ndi kusowa kwa njala kungabweretse kulemera. Ngakhale anthu ambiri amalandira kuchepa pang'ono, izi zingakhale zoopsa pamayendedwe a khansara. Tengani kamphindi kuti mudziwe momwe mungathetsere zizindikirozi , komanso momwe mungadziwire kuti matenda a kansa - matenda a kulemera kwa khansa ndi omwe amachititsa anthu ambiri kufa kwa khansa.
Kuchotsa Khungu Kwambiri kwa Chemotherapy
Kutaya tsitsi kumakhala kovuta kwambiri kuposa chizindikiro, koma kungakhale kovuta ngakhalebe. Malingana ndi kafukufuku, kupweteka tsitsi ndi chimodzi mwa zotsatira zoopsa kwambiri za mankhwala a chemotherapy. Mankhwala ena amachititsa kuti tsitsi liwonongeke kuposa ena, ndipo kutaya tsitsi kumatha kuchoka ku kupatulira pang'ono mpaka kumtambo kwathunthu. Zimathandizira kuzindikira (ndipo nthawi zambiri zimadabwitsa) kuti tsitsi lonse lingakhudzidwe, ndipo si zachilendo kutaya tsitsi, nkhope, komanso ngakhale tsitsi losindikizira. Kutaya tsitsi kumayamba kawirikawiri kapena patangotha chiyambi cha chemotherapy ndipo imayamba kukula pakapita masabata 6 mpaka 8 mutatha mankhwala.
Kulankhula za zinthu monga wigs ndi zophimba kumutu musanathe tsitsi lanu kungathetsere nkhawa zina panthawiyi.
Njira yomwe imatchedwa "reframing" ndi yodabwitsa kwambiri kuthandizira kuthana ndi tsitsi ngati mukulimbanabe. Potsitsimutsa, simusintha zinthu, koma mumasintha momwe mumamvera pazochitikazo. Mwachitsanzo, mmalo molira tsitsi lanu lokongola, amai akhoza kumwetulira kuti asameta ndekha (ndi amuna, nkhope zawo) kwa miyezi yambiri. Kutsitsa fodya kungakhale kothandiza ndi zotsatira zambiri za khansa koma monga zinthu zambiri, mungafunikire "kupusitsa" mpaka mutapanga. "
Kutopa Kwambiri kwa Chemotherapy
Pa mankhwala onse a chemotherapy, zotsatira zake zimakhala zovuta kwambiri. Mosiyana ndi kutopa kwachizoloŵezi, kutopa kwa chemotherapy kumatchulidwa kaŵirikaŵiri ngati kutopa kumene sikungathetsere kupuma, "thupi lonse" kutopa kapena kumverera komwe ngakhale ntchito zosavuta kwambiri zimafuna khama. Kutopa kungayambe posachedwapa kupita kuchipatala ndipo ikhoza kupitirira mpaka chaka, ndipo mwinamwake zambiri, zitatha kutsirizidwa.
Chinthu choyamba cholimbana ndi matenda okhudzana ndi khansa ndiko kuzindikira kuti ndi zachilendo komanso zachilendo. Popeza pali zifukwa zambiri zowonongeka pamene mukudwala matenda a khansa, nkofunika kutchula mbali iyi pamtundu wanu wa oncologist. Zina zimayambitsa, monga kuchepa kwa magazi m'thupi, zingachiritsidwe. Zambiri zomwe zimayambitsa kutopa sizingatheke kuchiritsidwa, koma pali zitsatanetsatane zambiri zomwe mungatsatire kuti muthane ndi kutopa. Kufunsa ndi kuvomereza thandizo, ndipo kuika patsogolo patsogolo masiku anu ndizofunikira.
Zizindikiro Zamlomo Zochokera ku Chemotherapy
Zilonda zonse zamilomo ndi kulawa zimapangitsa kuti anthu ena azivutika. Zilonda zam'kamwa ndi kulawa zimasintha pakatha mlungu umodzi atayamba mankhwala a chemotherapy ndi kuthetsa vutoli litatha. Pali njira zambiri zomwe mungasinthire zakudya zanu kuti muchepetse zizindikiro za zilonda zam'kamwa (ndi kuchepetsa kusintha kwachisangalalo cha kukoma mtima.) Anthu angapeze kuti zothandiza kupewa zakudya zomwe zimadumpha monga madzi a lalanje ndi zina zambiri. Chifukwa chodziwika kwambiri "pakamwa pakamwa" pogwiritsa ntchito siliva pulasitiki zingathandize, monga momwe mungadye zakudya zokhala ndi zokoma kwambiri.
Chemotherapy-Mmene Makhalidwe Ambiri Amagwirira Ntchito Neuropathy
Mankhwala ena angayambitse zizindikiro za kupweteka, kuyamwa, kapena kuwotcha m'manja ndi m'mapazi. Ndi khansa yamapapu, izi zimawoneka bwino ndi Platinol (cisplatin), Navelbine (vinorelbine), Taxotere (docetaxel), ndi Taxol (paclitaxel). Zizindikirozi zikhoza kuchitika nthawi yayitali pochiza ndi kupita, kapena zikhoza kufika milungu ingapo pambuyo pa chithandizo, ndipo nthawi zina zingakhale zamuyaya. Mayesero am'chipatala akupitiriza kupeza njira zothetsera matenda a mphuno zokhudzana ndi mankhwala a chemotherapy.
Maganizo Otsatira pa Zotsatira Zotsatira za Khansa Yam'mimba Chemotherapy
Chemotherapy, komanso mankhwala ena opatsirana khansa, amachotsedwa mwakuthupi komanso m'maganizo. Koma ndi mwayi wowona galasi ngati theka lodzaza m'malo moposa theka opanda kanthu. Pomwe ndimagwiritsa ntchito mankhwala enaake, ndinasankha mnzanga wina kuti apite nane ku "ulendo" uliwonse. Ndimasangalala nthawiyi kuti ndikhale ndi maola angapo ndi amzanga onse popanda kusokonezeka kwa ana komanso ... bwino ... moyo. Kusamalira zotsatirazo kungakhalenso mpata wokha kulandira zachilendo zatsopano koma kuyesetsa zozizwitsa zatsopano. Ndinasankha kuwonjezera njira zothandizira monga kuchitapo kanthu , kusinkhasinkha , ndi qigong kuti zithandizire kupirira, komanso ndikufikira kwa anzanga omwe "amapeza" koma sindinakhale nawo nthawi yambiri. Aliyense ndi wosiyana. Kodi chingakuthandizeni bwanji kuti musamangogonjetsa zizindikirozi koma mutha kuchira panthawi yachipatala?
> Zotsatira:
> National Cancer Institute. Zotsatira Zotsatira. Kusinthidwa 09/22/17.