Zimayambitsa ndi Zosankha Zowononga Chisoni ndi Khansa Yamagazi
Anthu ambiri omwe ali ndi khansa ya magazi monga khansa ya m'magazi , lymphoma kapena myeloma amafunikira kupumula kupweteka panthaŵi inayake pa nthawi ya matenda awo. Koma ngakhale kupweteka kungakhale chizindikiro chofala, sikungapeweke ndipo ndi chimodzi chomwe chingathe kusamalidwa.
N'chifukwa Chiyani Odwala Matenda a Khansa Amavutika?
Pali mitundu yambiri ya ululu wa khansa. Nthaŵi zina, anthu omwe ali ndi khansa amavutika chifukwa cha chotupacho kuyika ziwalo kapena zinyama zakufupi.
Pankhani ya khansa ya magazi, kumene nthawi zambiri sakhala ndi chotupa chachikulu, ululu ukhoza kuchitika pa zifukwa zingapo. Mwachitsanzo, maselo a khansa ya khansa ya m'magazi amatha kukhumudwitsa pamene amadziunjikira mu ziwalo ngati chiwindi kapena ntchentche .
Odwala khansa ya m'magazi nthawi zambiri amadandaula chifukwa cha kupweteka m'mapfupa awo ndi mafupa awo, omwe amayamba chifukwa cha mchere wochulukirapo umayikani mafupa kuchokera mkati. Mofananamo, ululu ukhoza kuchitika pamene minofu yotupa yomwe mumakhala nayo kuchokera ku lymphoma ili pafupi ndi chiwalo kapena ili pamalo omwe amachititsa kuti anthu asayende (monga kuphulika).
Maselo a Myeloma amamasula mankhwala m'magazi omwe amachititsa fupa kugwa. Izi zimatchedwa zilonda za osteolytic, ndipo zingayambitse kugwa kwa mitsempha ya msana kapena mafupa. Zina mwazochitika chifukwa cha chithandizo cha khansa yanu zingakhalenso zopweteka. Mwachitsanzo, mankhwala a chemotherapy kapena kugona pabedi lachilendo kuchipatala angayambitse zilonda zam'mimba ndi ululu wa m'mimba .
Kodi Mungatani Kuti Mupulumutsedwe?
Pali zosiyana zambiri zomwe zimapezeka pa ululu wokhudzana ndi khansa, ndipo nthawi zambiri ndizophatikizapo mankhwala omwe amabweretsa mpumulo wabwino. Kupeza ndondomeko yabwino kungatenge chipiriro, koma khalani olimbikira. Komanso kawirikawiri ndi khansara anthu amayesetsa "kuzimitsa" kapena kuopa kuti kuyankhula kwa dokotala kumawathandiza kumveka bwino.
Palibe mphotho yothetsera khansa kupweteka m'malo momasuka ndi ululu. Musachite mantha kuti mupitirize kuyankhula kwa dokotala wanu mpaka mutatha kukhala ndi moyo panthawiyi.
Kuchiza Khansa Kuti Ichitire Zowawa
Nthawi zambiri, mankhwala a khansa yanu imathandiza kuthetsa mavuto ena. Chemotherapy ndi mankhwala opatsirana pogwiritsa ntchito ma radiation amathandiza kuchepetsa matenda a khansa m'thupi lanu, ndipo imatha kuthetsa mavuto ena pamapfupa anu, ziwalo ndi ziwalo.
Mankhwala Opweteka
Anthu ambiri omwe amamva ululu wa khansa adzatha kuthetsa mavuto awo pogwiritsa ntchito mankhwala opweteka kapena analgesics. Pali mitundu iwiri yambiri ya analgesics, yopanda opioid ndi opioid.
Mankhwala osagwiritsa ntchito opioid amayamba kuyesedwa poyamba ndipo amagwiritsidwa ntchito bwino kwa anthu omwe ali ndi ululu wofatsa kapena wochepa wa khansa yawo. Mankhwala osagwiritsa ntchito opioid sikuti amachititsa kugona ndipo amakhala ndi zotsatira zochepa zoyipa ngati atengedwa monga dokotala anamuuza. Mankhwala ena omwe si opioid omwe si opioid ndi aspirin , acetaminophen (Tylenol), ibuprofen (Advil kapena Motrin) ndi naproxen (Aleve, Naprosyn).
Mankhwala otchedwa opioid analgesics (mankhwala osokoneza bongo) amagwiritsidwa ntchito ngati palibe opioids samawoneka akuchita chinyengo. Osokoneza bongo apeza dzina loipa zaka zambiri, ndipo nthawi zambiri anthu amawasonkhanitsa ndi kuledzera kapena kugulitsa mankhwala osokoneza bongo.
N'zomvetsa chisoni kuti izi zachititsa odwala kuti asayese kugwiritsa ntchito kapena kuyesera. Komabe, izi ndizo mankhwala abwino kwambiri oletsa kupweteka kwa khansa ndipo sizingayambitse kugwiritsidwa ntchito moyenera.
Mankhwala opioid amachititsa kuti ubongo wanu umvetse ululu. Iwo akhoza kukhala ofatsa kapena amphamvu ndipo alibe malire a mlingo - kotero pali kusintha kwakukulu podziwa kuti mukwaniritse zosowa zanu. Opioids amaperekedwa mowa, koma amatha kuperekedwanso ndi jekeseni, mu rectum mu mawonekedwe a suppository, kapena pakhungu pa fomu "patch". Nthawi zambiri madokotala amayambira pa mlingo wochepa kwambiri ndipo amawonjezera mlingowo mpaka mutapwetekedwa mtima kapena zotsatira zosautsa.
Mankhwala amtundu wotchedwa opioid analgesics ndi morphine, codeine, fentanyl, hydromorphone ndi oxycodone. Mankhwala opioid amachititsa kugona, chisokonezo ndi zotsatira zina. Ndikofunika kudziwa zotsatira zake pamene mukuyendetsa galimoto kapena kuchita zinthu zomwe zimafuna kuti mukhale osamala.
Mankhwala Opweteka. Odwala a Myeloma angakhale ndi ululu waukulu chifukwa cha kuwonongeka kwa mafupa. Pazochitikazi, kalasi yapadera ya mankhwala ingagwiritsidwe ntchito. Mankhwalawa amatchedwa bisphosphonates ndipo nthawi zambiri amaperekedwa ndi kulowetsedwa. Mankhwala ofanana nawo angaperekedwe pakamwa kapena pamphuno. Ma bisphosphonates ambiri amapezeka ndi Bonefos (clodronate), Aredia (pamidronate), ndi Zometa (zoledronate.) Zitha kutenga masabata angapo kuti mankhwalawa adziwe bwino.
Steroids. Mankhwala a steroid amathandiza kwambiri anthu omwe ali ndi ululu wopanikizika ndi msana (wamba mu myeloma) ndi ululu wa mitsempha. Ngakhale kuti nthawi zambiri sagwiritsidwa ntchito paokha, zimakhala zothandiza ndipo nthawi zambiri zimachepetsera kufunikira kwa mankhwala ena opweteka.
Mankhwala Ena. Kwa anthu amene amamva ululu chifukwa cha mankhwala awo, kupeza chithandizo kungakhale kovuta kwambiri. Kupweteka kotereku kumatchedwanso ululu wa ubongo, nthawi zambiri sikumvera mankhwala opioid ndi mankhwala ena opweteka. M'mayeserowa, mankhwala oletsa kupweteka ndi mankhwala oponderezedwa angakhale othandiza. Mankhwala osokoneza bongo, monga carbamazepine ndi gabapentin, komanso anti-depressants monga amitriptyline, nortriptyline ndi imipramine ntchito pokhudza zowawa zomwe ubongo wanu umapeza ku mitsempha yowonongeka.
Mpumulo Wopanda Matenda
N'zosavuta kuiwala kuti pali mankhwala ena kuphatikizapo mankhwala omwe angathandize bwino kuthetsa ululu. Zosankha zina ndi izi:
Mankhwalawa akhoza kulamulidwa kuti akhale ochepa - makamaka kuti achepetse ululu ndi zizindikiro. Oposa theka la odwala adzapambana ndi kupweteka kupyolera mu njirayi.
Kuchiza kwapakati kwapakati monga mitsempha ndi njira zina zamagazi zingakhale zothandiza, makamaka ndi ululu wopitirira. Zina mwa njirazi, mitsempha yomwe imatulutsa kupweteka kwa ubongo kumadulidwa.
Mpumulo Wopanda Matenda. Pali njira zingapo zopumula kupweteka zomwe sizikufuna kumwa mankhwala, ndipo zingapo zimakhala ndi ubwino wina pakuchepetsa zizindikiro za anthu omwe ali ndi khansa. Zina mwa mankhwalawa othandizira khansa (njira zina zochiritsira zomwe zimagwiritsidwa ntchito pamodzi ndi mankhwala ochiritsira) zimaphatikizapo.
- Kuchiza Mankhwala - Misala imagwira ntchito mwachindunji kuti imasule endorphins mu ubongo wanu yomwe ingachepetse ululu.
- Kupangidwanso - Kutsegula m'mimba kungathandize ndi ululu wa khansa ndipo kwapezeka kuchepetsa kuchuluka kwa mankhwala opweteka omwe anthu ena ali ndi khansa.
- Kusinkhasinkha
- Qigong
- Kupuma
- Chithunzi chotsogolera
- Kusintha kwa magetsi kumagetsi (TENS)
- Kuchiza thupi
- Hypnosis
Mfundo Yofunika Kwambiri
Anthu ena omwe ali ndi khansa ya magazi ali ndi ululu, koma ena ambiri samatero. Nthaŵi zambiri, ululu ukhoza kuyang'aniridwa ndi kuyang'aniridwa kumagulu ovomerezeka ndi thandizo lachipatala komanso lachipatala. Monga ndi mtundu uliwonse wa mankhwala, njira zina zimagwira ntchito kwa ena koma osati kwa ena.
Monga momwe mungalimbikitsire bwino pa chisamaliro chanu cha khansa, nkofunika kuti muyankhule ndi adokotala za ululu uliwonse womwe mukukumana nawo; Gwiritsani ntchito limodzi kuti mupange ndondomeko yoyendetsa. Ngati gulu lanu lachipatala simudziwa za ululu wanu kapena zomwe zimakhudza moyo wanu, sangathe kukuthandizani.
Ngati mukuganiza kuti nkhaŵa zanu sizikukhudzidwa kwambiri, kapena ngati dokotala sakuwoneka kuti akulephera kuthetsa ululu wanu, khalani otsimikiza kuti mupemphe lingaliro lachiwiri kuchokera kwa katswiri kapena ululu wowawa.
Zotsatira
American Society of Clinical Oncology. Cancer.Net. Ululu: Kutenga ululu ndi mankhwala. 08/2015. http://www.cancer.net/navigating-cancer-care/side-effects/pain-treating-pain-medication
Eyre, H., Lange, D., Morris, L. (2002) Odziwitsidwa Zosankha 2 mpaka 2. American Cancer Society. Atlanta, GA.
Kelvin, J., Tyson, L. (2005) 100 Mafunso ndi Mayankho Zokhudza Zizindikiro za Khansa ndi Cancer Treatment Side Effects. Jones ndi Bartlett: Sudbury, MA