Kodi N'zotheka Zotsatira Zotani za Chemotherapy?
Zotsatira zoopsa za mankhwala a chemotherapy sizomwe zimakukhudzani poyamba mukapeza kuti chemotherapy ikuthandizidwa ku khansara yanu. Ndipo umo ndi momwe ziyenera kukhalira. Nthaŵi zambiri, ubwino wa chithandizo umaposa mavuto alionse pansi pa mzere. Koma ndi kupulumuka kwa mitundu yambiri ya khansa, nkofunika kumvetsetsa zotsatira za nthawi yaitali za chemotherapy zomwe zingachitike miyezi kapena zaka mutatha mankhwala .
Musanayambe kuikapo zotsatira zoyenera zotalika, kumbukirani kuti aliyense ali wosiyana . Anthu ena akhoza kukhala ndi zotsatirapo zingapo, pamene ambiri sadzakhala nawo. Zotsatirapo zimasiyananso kwambiri malinga ndi mankhwala enaake omwe amagwiritsidwa ntchito.
Kuganizira za mtima
Chemotherapy ikhoza kuyambitsa zotsatira za mtima musanayambe kuchipatala, koma nthawi zina, zotsatira zake sizingayambe mpaka patapita nthawi zambiri. Chinthu chodziwika kwambiri ndi kuwonongeka kwa mtima pakutsata mankhwala ndi mankhwala a Adriamycin (doxorubicin ). Ndi mankhwalawa, zomwe zingakhalepo kwa nthawi yayitali zimakhala zofooketsa minofu ya mtima, zomwe zimapangitsa kuti thupi lichepetse kupyolera magazi kudzera mu thupi ( mtima wosalimba ). Zizindikiro zingaphatikizepo kuwonjezereka kwa mpweya, kutopa, ndi kutupa kwa mapazi ndi mabotolo. Ngati mwakhala mukuchitidwa ndi Adriamycin, dokotala wanu angapangire kanthano la MUGA kuti muwone momwe mtima wanu ukuyambira.
Mankhwala ena a khansa , monga mankhwala omwe amawunikira ku chifuwa, amatha kuwononga minofu ya mtima.
Popeza ma radiation a pamtunda wa khansa ya m'mawere angasokoneze mtima ndi kuwononga mitsempha yamakono, ndi kofunika kwambiri kuti muyankhule ndi oncologist wanu mukalandira mankhwala awa. Dziwani zambiri za mavuto a mtima omwe amapezeka ndi Adriamycin (doxorubicin) .
Kutopa
Pa mankhwala a chemotherapy, anthu ambiri amatha kutopa - komatu gawo limodzi mwa magawo atatu a anthu akupitirizabe kutopa kwa miyezi ndi zaka pambuyo poti chemotherapy yatha.
Ndikofunika kufotokoza chizindikiro ichi ndi dokotala chifukwa zifukwa zambiri za kutopa zimasinthika. Dziwani momwe kutopa kwa khansa kuli kosiyana ndi kutopa , ndipo onani ndondomeko izi pa kuthana ndi chisonkhezero chokhumudwitsa cha kutopa kwa khansa
Chemobrain
"Chemobrain" - gulu la zizindikiro zomwe zimaphatikizapo mavuto ndi kukumbukira - zakhala zikudziwika kuti ndi mankhwala a chemotherapy. Zizindikiro za Chemobrain zingakhale zokhumudwitsa kwambiri, koma kuzindikira zinthu zomwe mungachite kuti mupirire zizindikiro zingakhale zothandiza kwambiri. Nthaŵi zambiri, zizindikiro za chemobrain zimakhala bwino pakapita nthawi. Phunzirani zambiri za zizindikiro ndi mankhwala a chemobrain .
Kusadziletsa
Chofunika kwambiri makamaka kwa achinyamata omwe ali ndi khansara, kutayika kwa chiberekero pambuyo poti chemotherapy ikhoza kukhumudwitsa. Kupanda chithandizo pakutsata mankhwala kumasiyana ndi mlingo ndi mtundu wa mankhwala a chemotherapy ogwiritsidwa ntchito ndipo samakhudza aliyense. Ngati mukukhulupirira kuti mungafune kukhala ndi ana pambuyo pa chithandizo (amuna ndi akazi), kambiranani ndi dokotala wanu za zomwe mungachite musanayambe mankhwala.
- Chemotherapy Mankhwala Osokoneza Bongo Amadziwika Kuti Akusowa Kanthu
- Kupanda Phindu Patatha Chithandizo
Matenda a Mitsempha
Matenda a ubongo, omwe amadziwika kawirikawiri monga kumverera kwa kupweteka ndi kuwotcha kumapazi anu ndi manja, pamodzi ndi kudzimbidwa, ndi zotsatira zina za mankhwala a chemotherapy.
Zotsatira za mbali imeneyi zimapezeka kawirikawiri kwa anthu omwe ali ndi mbiri ya shuga, uchidakwa, kapena kusowa kwa zakudya.
Mankhwala ena omwe angapangitse mbaliyi kukhala yachitatu ndi Taxotere (docetaxel) ndi Taxol (paclitaxel), Mankhwala ena, monga Platinol (cisplatin), Oncovin (vincristine), ndi Novelbine (vinorelbine), amathandizanso mu mliri wa m'mimba.
Kumva Kutayika
Imodzi mwa zotsatira zoyamba za nthawi yaitali za Platinol (cisplatin), mankhwala omwe amagwiritsidwa ntchito kwa khansa ambiri kuphatikizapo khansa ya m'mapapo, ndikumva kutaya. Mankhwala ena angayambitsenso kumva kumva ndi tinnitus (kumalira m'makutu).
Ziphuphu Zotsatira
Mafupa Osteoporosis (kupopera mafupa) ndi omwe amayamba kuchepetsa mankhwala a chemotherapy. Mankhwala ambiri amadzimadzi amachititsa kuti minofu isamafulumire komanso kusintha kwa zakudya zomwe zimaphatikizapo khansa komanso chithandizo chake chingathe kuchepetsa vutoli. Chodetsa nkhaŵa chachikulu pa nthawi yonseyi ndi zophulika zomwe zingabwere chifukwa cha imfa yapafupa.
Chemotherapy inagwiritsidwanso ntchito ndi osteomalacia, kutaya mafupa okhudzana ndi kusowa kwa vitamini D.
Zotsatira za kupuma
Chemotherapy ingayambitse kupweteka kwa mapapu ( pulmonary fibrosis ) ndi kuchepa kwa mapapu mphamvu mwa anthu ena. Izi zikhoza kukhala zowonjezereka pamene chemotherapy imaphatikizidwa ndi mankhwala opatsirana pogwiritsa ntchito mankhwala omwe amawaika pachifuwa.
Zotsatira za chiwindi
Mankhwala ambiri amachititsa kuti chiwindi (hepatotoxicity) chiwonongeke poizoni. Mwamwayi, chiwindi chili ndi mphamvu zowonjezereka zowonjezera nthawi, malinga ngati zotsatira zina zowononga (monga kumwa mowa mopitirira muyeso) zimapewa.
Impso ndi Zotsatira za Chikhodzodzo
Mankhwala enaake monga cisplatin, angathe kuwononga impso ndi chikhodzodzo. Izi zingachititse kuti mphamvu zanu zitheke kuchepetsa magazi anu. Kuwonongeka kwa chikhodzodzo kungathenso kupezeka ndipo kungakhale kanthawi kapena kosatha. Zizindikiro za kukwiya kwa chikhodzodzo zingaphatikize kupweteka kapena kufulumira ndi kukodza, kapena magazi m'mkodzo.
Zotsatira Pamaso
Nthawi zambiri steroid amaperekedwa pamodzi ndi mankhwala a chemotherapy kapena zizindikiro ndi zotsatira zokhudzana ndi khansa. Izi zikhoza kufulumira kukula kwa nthendayi kwa anthu ena.
Khansa yachiwiri
Chifukwa cha mankhwala omwe amachititsa kuti mankhwalawa azigwira ntchito, amatha kuwononga DNA m'maselo abwino, omwe angapangitse khansa yachiwiri kumsika. Mankhwala ena amachititsa kuti izi zisawonongeke, ndi gulu lotchedwa alkylating antchito omwe ali otheka kwambiri (chitsanzo cha izi ndi Cytoxan (cyclophosphamide).
Mankhwala omwe amachititsa khansa ya m'mapapo yomwe ingachititse khansa yachiŵiri (ngakhale zochepa) imaphatikizapo Vepeid (etoposide) ndi Platinol (cisplatin).
Kodi Mungatani Kuti Muchepetse Kuopsa Kwanu Kwambiri?
Mpaka tidziwe zambiri zokhudza nkhani zokhudzana ndi kupulumuka kwa nthawi yaitali zotsatira za mankhwala akuluakulu, pali zinthu zingapo zomwe mungachite:
- Funsani odwala oncologist za zotsatira zomwe mungayembekezere kuchokera ku mankhwala enaake omwe mumapatsidwa. Kodi pali mayesero oyesera (mwachitsanzo, mayesero a mavuto a mtima, kumva kutayika, kapena kupatsirana kwa magazi) zomwe angapereke?
- Lembani mbiri yanu ya chemotherapy regimen ngati mukuwona dokotala yemwe sadziwa mbiri yanu ya zamankhwala.
- Ngati mumasuta, musiye.
- Pangani maimidwe anu nthawi zonse ndi dokotala wanu wa mano ndi dokotala.
- Yesetsani kuchita masewera olimbitsa thupi nthawi zonse.
- Muziletsa kumwa mowa.
- Dokotala wanu adziwe ngati mukukumana ndi zizindikiro zatsopano kapena kuwonjezereka kwa zizindikiro zamakono zomwe muli nazo.
Kwa opulumuka a khansa yaunyamata , nkhani zowonjezera zomwe zapulumuka zakhala zikuyankhidwa mu ndemanga yabwino kwambiri:
- Ndondomeko Zotsatira Zomwe Zidzakhalapo kwa Akale, Achinyamata, ndi Achinyamata Aakuluakulu Khansa
> Zotsatira:
> American Society of Clinical Oncology. Cancer.Net. Zotsatira Zotsatira.
> Hu, M. et al. Mankhwala othandiza khansa komanso thanzi labwino. Malipoti Amakono a Rheumatology . 2010. 12 (3): 177-85.
> Institute of Medicine. Kukonzekera Kuthana ndi Khansa. Zolemba Zenizeni.
> National Cancer Institute. Chemotherapy ndi Inu: Thandizo kwa Anthu Amene Ali ndi Khansa. Chemotherapy Side Effects.