Koj puas paub txog peripheral neuropathy (mob loog ntawm ob txhais ceg) tom qab kev kho mob qog noj ntshav?

Yog tias koj tau kho mob qog noj ntshav hauv lub mis, tshwj xeeb tshaj yog chemotherapy, tej zaum koj yuav tau hnov ​​​​​​qhov loog me ntsis lossis tingling hauv koj txhais tes thiab taw, lossis qhov kev xav txawv txawv, xws li qhov kub hnyiab. Qee zaum koj yuav tsis paub tias nws yog dab tsi. Qhov tseeb, qhov no tuaj yeem yog ib qho kev phiv tshwm sim ntawm kev kho mob. Hnub no peb tab tom tham txog qhov mob no hu ua Peripheral Neuropathy . Tsis txhob ntshai, qhov tseem ceeb tshaj plaws yog kom paub txog qhov no.

Kab mob Peripheral Neuropathy yog dab tsi? Nws pom ntau npaum li cas?

Hais yooj yim xwb, Peripheral Neuropathy yog kev puas tsuaj rau ib lossis ntau lub paj hlwb hauv peb lub cev. Cov paj hlwb no nqa kev xav (kev xav) thiab kev txib los ntawm lub hlwb mus rau peb txhais tes, ceg, thiab lwm qhov ntawm lub cev. Thaum cov paj hlwb no raug puas tsuaj, cov tsos mob uas tau hais ua ntej, xws li loog, tingling, thiab mob, tshwm sim.

Tus mob no feem ntau tshwm sim hauv kev kho mob qog noj ntshav mis, tshwj xeeb tshaj yog cov uas nyob hauv pawg taxane. Piv txwv li, ib txoj kev tshawb fawb pom tias kwv yees li 40% ntawm cov neeg uas tau kho nrog cov tshuaj taxane no, lossis plaub ntawm kaum, tseem muaj cov tsos mob no ob xyoos tom qab kev kho mob. Thiab lwm txoj kev tshawb fawb pom tias kwv yees li ib ntawm tsib tus neeg uas tau txais kev kho mob no tau tsim tus mob no.

Qhov mob no tuaj yeem tshwm sim tom qab kho mob rau txhua theem ntawm mob qog noj ntshav hauv lub mis. Qee zaum, thaum mob qog noj ntshav tau kis mus rau lwm qhov (ua ntej lawm), mob qog noj ntshav nws tus kheej tuaj yeem tso siab rau cov hlab ntsha, ua rau muaj mob no, Peripheral Neuropathy. Tsis yog tsuas yog chemo xwb, tab sis kuj muaj qee qhov kev phais thiab kev kho mob hluav taws xob uas tuaj yeem ua rau muaj mob no.

Vim li cas qhov no thiaj tshwm sim nrog cov tshuaj chemo Taxane?

Muaj ntau hom tshuaj chemotherapy uas koom nrog pawg taxane.

• Albumin Paclitaxel (Abraxane)
• Docetaxel (Taxotere)
• Paclitaxel (Taxol)

Koj tus kws kho mob yuav muab ib qho ntawm cov no rau koj lossis ua ke nrog lwm cov tshuaj chemo.

Hais yooj yim xwb, cov tshuaj taxane no tiv thaiv cov hlwb qog noj ntshav kom tsis txhob faib. Cov hlwb qog noj ntshav yog cov hlwb uas faib sai heev. Yog li cov tshuaj no tswj qhov ceev ntawd. Tab sis hauv cov txheej txheem no, cov kws tshawb fawb ntseeg tias cov hlwb hlab ntsha noj qab haus huv hauv peb lub cev kuj tseem yuav raug cuam tshuam. Qhov no tseem tab tom tshawb fawb.

Cov tsos mob ntawm Peripheral Neuropathy yog dab tsi?

Cov tsos mob no yuav txawv nyob ntawm seb cov hlab ntsha puas raug mob. Tab sis feem ntau lawv pib hauv cov ntiv taw. Tom qab ntawd lawv tuaj yeem maj mam nthuav mus rau ob txhais ceg, mus rau hauv caj npab, thiab mus rau tes. Yog tias koj muaj ib qho ntawm cov tsos mob no, nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob txog lawv yam tsis muaj kev ncua.

Cov tsos mob no tuaj yeem tshwm sim hauv ob peb teev lossis ob peb hnub tom qab ib zaug chemo. Tab sis feem ntau lawv tshwm sim ob peb lub lis piam tom qab. Qee cov tsos mob yuav zoo dua raws sijhawm. Txawm li cas los xij, cov tsos mob hnyav yuav tsis ploj mus tag.

Cov yam ua rau muaj tus mob no yog dab tsi?

Ntxiv rau kev kho mob chemotherapy, muaj ntau yam ua rau muaj kev pheej hmoo ntawm kev mob no, suav nrog peripheral neuropathy.

• Mob qog noj ntshav uas tau kis mus thoob plaws lub cev (Metstatic breast cancer)
• Loj hlob tuaj
• Muaj teeb meem kev puas siab puas ntsws ua ntej kev kho mob
• Kev rog dhau
• Kab mob ntshav qab zib
• tsis muaj cov vitamins (tshwj xeeb tshaj yog cov vitamins B)
• Tau txais kev kho mob chemotherapy ua ntej lawm
• Kev siv cawv

Ntxiv rau cov tshuaj taxanes, lwm cov tshuaj chemo xws li cov tshuaj platinum (piv txwv li oxaliplatin) thiab vinca alkaloids (piv txwv li vincristine) kuj tuaj yeem ua rau muaj qhov mob no.

Peb ua tau dab tsi los tswj cov tsos mob?

Tam sim no tsis muaj tshuaj kho tau tus mob peripheral neuropathy, thiab tsis muaj tshuaj kho tau thaum nws tshwm sim lawm. Txawm li cas los xij, muaj ntau yam uas koj ua tau los txo qhov tsis xis nyob uas tshwm sim los ntawm cov tsos mob thiab ua kom lub neej yooj yim dua.

Koj tus kws kho mob yuav pom zoo cov hauv qab no los pab tswj koj cov tsos mob:

• Cov tshuaj rau kev nyuaj siab: Cov tshuaj rau kev mob hlab ntsha, xws li Duloxetine, pab qee tus neeg.
• Cov tshuaj steroids: Cov no pab txo qhov mob thiab tsis xis nyob rau lub sijhawm luv luv.
• Cov tshuaj pleev kom tsis txhob mob: Koj tuaj yeem tau txais kev pab ib ntus los ntawm kev siv cov tshuaj pleev lossis cov ntaub nplaum rau thaj chaw mob.
• Cov Tshuaj Tua Kab Mob: Yog tias koj mob hlab ntsha hnyav, koj pab neeg kho mob yuav sau ntawv kom koj sau cov tshuaj tua kab mob opioid.

Tsis tas li ntawd xwb, koj tuaj yeem tham nrog koj tus kws kho mob txog kev kho mob xws li kev kho lub cev, kev kho mob ua haujlwm, thiab kev siv koob txhaj tshuaj.

Nws yog ib qho tseem ceeb uas koj yuav tsum nrog koj tus kws kho mob tham txog koj cov tsos mob tsis tu ncua. Tom qab ntawd nws tuaj yeem hloov pauv koj txoj kev npaj kho mob kom tiv thaiv kev puas tsuaj mus sij hawm ntev. Piv txwv li:

• Kev txo cov koob tshuaj chemotherapy
• Ncua kev kho mob ib ntus
• Tsum noj tshuaj ib pliag kom txog thaum koj cov tsos mob ploj mus