If you have been treated for breast cancer, especially chemotherapy, you may have experienced a slight numbness or tingling in your hands and feet, or a strange sensation, such as a burning sensation. Sɔntɛnde, yu nɔ go no wetin i bi. Infakt, dis kin bi wan kɔmɔn sayd ɛfɛkt fɔ tritmɛnt. Tide wi de tɔk bɔt dis sik we dɛn kɔl Peripheral Neuropathy . Nɔ fred, di tin we impɔtant pas ɔl na fɔ no bɔt dis.
Wetin na Pɛriferal Nyuropati? Aw i kɔmɔn?
Fɔ tɔk am simpul wan, Pɛriferal Nyuropati na damej pan wan ɔ mɔ pan di periferik nɛv dɛm na wi bɔdi. dis nεv dεm kin kכri sens (filin) εn kכmand frכm di bren to wi an, leg, εn כda pat dεm na di bכdi. We dɛn nerv ya dɔn pwɛl, di sayn dɛn we wi bin dɔn tɔk bɔt, lɛk fɔ swɛla, fɔ swɛt, ɛn fɔ fil pen, kin apin.
Dis kכndyushכn kin rili kכmכn pan kεmothεrapi tritmεnt fכ brεst kεnsar, spεshal wan dεm we de na di taksan klas. Fɔ ɛgzampul, wan stɔdi dɔn sho se lɛk 40% pan di pipul dɛn we dɛn trit wit dɛn taksan drɔgs ya, ɔ 4 pan ɛvri tɛn, stil gɛt dɛn sik ya tu ia afta dɛn dɔn trit dɛn. Ɛn wan ɔda stɔdi sho se na lɛk wan pan ɛvri fayv pipul dɛn we gɛt dis tritmɛnt kin gɛt dis sik.
Dat min se if yu de fil dis kayn we, nɔto yu wangren de fil. Dis na tin we bɔku pipul dɛn kin gɛt. Di tin we impɔtant pas ɔl na fɔ tɔk to yu dɔktɔ bɔt am.
Dis kכndyushכn kin apin afta tritmεnt fכ eni stej fכ brεst kεnsar. Sɔntɛnde, we di kansa dɔn skata (advans), di kansa insɛf kin put prɛshɔn pan di nerv dɛm, we kin mek dis kɔndishɔn, Pɛriferal Nyuropati. Nɔto jɔs kemo, bɔt sɔm ɔpreshɔn ɛn raytin tritmɛnt kin mek dis sik.
Wetin mek dis kin apin wit Taxane tayp kemo drɔgs?
Bɔku kayn kemotɛrapi drɔgs de we de insay di taksan klas.
- Albumin Paklitaksɛl (Abraksan) .
- Dɔsɛtaksɛl (Taxotere) .
- Paklitaksɛl (Taxol) .
Yu dɔktɔ kin gi yu wan pan dɛn tin ya ɔ yu kin gi yu wan pan dɛn wit ɔda kemo drɔgs .
Fɔ tɔk am simpul wan, dɛn taksan drɔgs ya kin stɔp di kansa sɛl dɛn fɔ sheb. Kansa sel dεm na sεl dεm we de sheb kwik kwik wan. So dɛn drɔgs ya kin kɔntrol da spid de. Bɔt insay dis prɔses, di wan dɛn we de stɔdi bɔt dis biliv se di wɛlbɔdi periferik nɛv sɛl dɛn na wi bɔdi kin afɛkt bak. Dɛn stil de du risach bɔt dis.
Wetin na di sayn dɛm fɔ Pɛriferal Nyuropathy?
Dɛn sayn ya kin difrɛn difrɛn wan fɔ di nerve wae de afɛkt. Bɔt dɛn kin bigin na di fut finga dɛn. Dɔn dɛn kin spre smɔl smɔl ɔp di leg dɛn, insay di an dɛn, ɛn ɔp di an dɛn. If yu gɛt ɛni wan pan dɛn sik ya, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt dɛn we yu nɔ go te.
| Tayp we gɛt kwaliti dɛn | Tɔk bɔt |
|---|---|
| Mɔs kɔmɔn sayn dɛm | |
| Fɔ mek pɔsin nɔ ebul fɔ du natin | Wan filin fɔ "ant dɛn we de rɔn" ɔ we nidul de chuk yu. |
| Di sɛns we pɔsin kin fil kin go dɔŋ | di leg dεm kin fil "lεk jεli" εn wik. Yu nɔ go ebul fɔ fil di grɔn fayn we yu de waka. |
| Di mɔsul dɛn we wik | Wiknɛs na di an ɛn fut, i nɔ kin izi fɔ es tin dɛn. |
| Pen ɔ inflamɛns | I kin gɛt siriɔs pen ɔ inflamɛns ɔltɛm ɔ wan wan tɛm. |
| I nɔ izi fɔ yuz an | I nɔ kin izi fɔ ol smɔl tin dɛn, bɔtin klos, ɛn rayt. |
| Ɔda sayn dɛn we kin apin | |
| Difrɛn difrɛn prɔblɛm dɛn | Jaw pen, yu nɔ de yɛri, yu nɔ de balans we yu de waka, yu gɛt kɔnstipɛshɔn, i nɔ izi fɔ swɛla, yu blɔd prɛshɔn de chenj. |
Dɛn sayn ya kin apia insay sɔm awa ɔr dez afta dɛn dɔn du wan rawnd kemo. Bɔt bɔku tɛm dɛn kin apin afta sɔm wiks. Sɔm sayn dɛm kin bɛtɛ as tɛm de go. Bɔt, di bad bad sayn dɛm nɔr kin ɛva dɔn kpatakpata.
Wetin na de risk factor wae kin mek dis sik?
Apat frɔm di kemotɛrapi, sɔm ɔda tin dɛn kin mek di risk fɔ gɛt dis sik bɔku, lɛk di peripheral neuropathy.
- Kansa we dɔn skata ɔlsay na di bɔdi (Metastatic breast cancer) .
- We yu de gro ol
- Fɔ gɛt nyurolɔjik disɔda bifo yu gɛt tritmɛnt
- Fat
- Shuga
- Di vaytamɛn dɛn we nɔ gɛt bɛtɛ vaytamɛn (espɛshali di B vaytamɛn dɛn) .
- Bikɔs dɛn bin dɔn gɛt kemotɛrapi tritmɛnt bifo
- Yuz rɔm
apat frכm di taksan dεm, כda kεmo drog dεm lεk platina drog dεm (e.g. oxaliplatin) εn vinka alkaloid dεm (e.g. vincristine) kin mek dis kכndyushכn bak.
Wetin wi kin du fɔ kɔntrol di sayn dɛn we wi kin gɛt?
Naw, no mɛrɛsin nɔ de fɔ di periferik nyuropathy, ɛn nɔto mɛrɛsin fɔ am wans i dɔn apin. Bɔt, bɔrku tin de wae yu kin du fɔ ridyus de diskɔmfɔt wae de kam wit de sik ɛn mek yu layf izi.
Di tin we impɔtant pas ɔl na fɔ tɔk opin wan wit yu dɔktɔ bɔt di tin dɛn we de mɔna yu. Dɔn i kin gi yu di bɛst sɔlvishɔn.
Yu dɔktɔ kin tɛl yu fɔ ɛp yu fɔ kɔntrol yu sik dɛn:
- Mɛrɛsin fɔ pwɛl hat: Mɛrɛsin fɔ pwɛl hat na dɛn nerve, lɛk Duloxetine, kin ɛp sɔm pipul dɛm.
- Stɛroyd: Dɛn tin ya kin ɛp fɔ ridyus pen ɛn diskɔmfɔt fɔ shɔt tɛm.
- Krim dɛn we de mek yu nɔ fil fayn: Yu kin gɛt fridɔm fɔ sɔm tɛm bay we yu put krim ɔ pat pan di say dɛn we yu de fil pen.
- Di mɛrɛsin dɛn we de mek yu fil pen: If yu gɛt siriɔs nerve pen, yu mɛdikal tim kin gi yu opioid pen kil.
Apat frɔm dat, yu kin tɔk to yu dɔktɔ bɔt tritmɛnt dɛn lɛk fyzikal tritmɛnt, wok tritmɛnt, ɛn akupankcha.
E fayn fɔ tɔk to yu dɔktɔ bɔt yu sik ɔltɛm. Dɔn i kin chenj yu tritmɛnt plan fɔ mek i nɔ pwɛl fɔ lɔng tɛm. Fɔ ɛgzampul:
- Ridyushɔn fɔ di doz we dɛn de gi di kemotɛrapi
- Fɔ delay di tritmɛnt fɔ sɔm tɛm
- Stɔp di mɛrɛsin fɔ sɔm tɛm te yu sik dɛn dɔn stɔp
Mɛsej we dɛn kin kɛr go na os
- Pɛriferal nyuropathy na wan kɔmɔn sayd ɛfɛkt fɔ kansa tritmɛnt, mɔ di kemotɛrapi. Yu nɔ nid fɔ dil wit dis wan.
- Tɛl yu dɔktɔ wantɛm wantɛm if yu gɛt ɛni nyu sayn, lɛk we yu an ɛn fut dɛn de swɛla, yu de fil pen, yu de bɔn, ɔ yu wik.
- If yu no bɔt dɛn sik ya kwik, yu dɔktɔ kin chenj yu tritmɛnt plan ɛn mek yu nɔ gɛt ɛnitin fɔ du wit yu nerv fɔ lɔng tɛm.
- Nɔr nid fɔ sɔfa wit dɛn diskɔmfɔt ya. Difrɛn we dɛn de fɔ kɔntrol di sik dɛn. So tɔk bɔt ɔltin wit yu dɔktɔ.
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