Cancer enkawl hnuah peripheral neuropathy (ke leh ke ruh natna) i nei tih i hria em?

Hnute cancer, a bik takin chemotherapy hmanga enkawl i nih chuan i kut leh keah hian a hring emaw, a hrual emaw, a nih loh leh hriatna mak tak, kang ang chi emaw i nei a ni thei. A châng chuan eng nge a nih i hre lo mai thei. Dik tak chuan hei hi enkawlna avanga side effect awm fo a ni thei. Vawiin hian he natna hi Peripheral Neuropathy tih kan sawi dawn a ni . Hlau suh, a pawimawh ber chu hei hi fimkhur hi a ni.

Peripheral Neuropathy hi eng nge ni? Engtiang chiahin nge a hluar?

A awlsam zawngin sawi ila, Peripheral Neuropathy chu kan taksa chhunga peripheral nerve pakhat emaw a aia tam emaw tihchhiatna a ni. Heng nerve te hian thluak atanga kan kut, ke leh taksa peng dang thlengin sensation (feelings) leh thupek te an phur a. Heng nerve te hi a chhiat chuan a hmaa kan sawi tawh ang khan natna lan chhuahna, rilru hahna, tingling, leh natna te hi a lo lang thin.

Hetiang dinhmun hi hnute cancer chemotherapy hmanga enkawlnaah a awm fo thin a, a bik takin taxane class-a enkawlnaah chuan a awm fo thin. Entirnan, zirchianna pakhatah chuan heng taxane damdawi hmanga enkawl zinga 40% vel, a nih loh leh mi sawm zinga pali vel chuan enkawl a nih hnu kum hnih hnuah pawh hetiang natna hi an la nei tih hmuhchhuah a ni. Tin, zirchianna dang pakhatah chuan he enkawlna dawngtu mi panga zinga pakhat velin he natna hi an nei tih a hmuchhuak bawk.

Hetiang dinhmun hi hnute cancer stage eng pawh enkawl hnuah a awm thei. A chang chuan cancer a darh (advanced) chuan cancer ngei hian nerve-ah pressure a siam thei a, chu chuan he condition, Peripheral Neuropathy hi a thlen thei a ni. Chemo chauh ni lovin, surgery leh radiation hmanga enkawlna thenkhat pawh hian he natna hi a thlen thei a ni.

Engvangin nge Taxane type chemo damdawi hmang hian hetiang hi a awm?

Chemotherapy damdawi chi hrang hrang a awm a, chu chu taxane class-ah a tel a ni.

• Albumin Paclitaxel (Abraxane) hmanga siam a ni.
• Docetaxel (Taxotere) a awm bawk.
• Paclitaxel (Taxol) a awm bawk.

I doctor chuan heng zinga pakhat emaw chemo damdawi dang nena inzawm emaw a pe thei che a ni .

A awlsam zawngin sawi ila, heng taxane damdawi te hian cancer cell te chu an inthen darh thei lo. Cancer cells hi cell inthen darh rang tak tak an ni. Chuvangin heng damdawi te hian chu speed chu an control a ni. Mahse hetiang kawngah hian zirchiangtute chuan kan taksaa peripheral nerve cell hrisel tak takte pawh a nghawng thei niin an ngai. Hei hi zirchian mek a ni.

Peripheral Neuropathy natna lan chhuah dan chu engte nge ni?

Heng symptoms te hi a natna nerve a zirin a danglam thei. Mahse ke ruh atanga tan an ni tlangpui. Tichuan zawi zawiin ke chungah te, kut chhungah te, kut chunglam thlengin an inzar pharh thei a ni. Heng symptoms zinga pakhat tal i neih chuan doctor hnenah sawi nghal vat a pawimawh hle.

Heng symptoms te hi chemo round khat hnuah darkar emaw ni emaw chhungin a lang thei a ni. Mahse a tam zawkah chuan kar tlemte hnuah an rawn lang leh thin. Symptom thenkhat chu hun kal zelah a tha thei hle. Mahse, natna lan chhuahna na tak chu a bo vek ngai lo mai thei.

Hetiang dinhmun thlentu risk factors te hi engte nge ni?

Chemotherapy bakah hian thil dang engemaw zatin he natna hi a vei theihna a tipung thei a, chung zingah chuan peripheral neuropathy pawh a tel.

• Cancer taksa pumpuiah a darh tawh (Metastatic breast cancer) .
• Kum upa lam pan zel
• Enkawl hmaa neurological disorder neih
• Thau lutuk
• Zunthlum
• Vitamin tlakchham (a bik takin B vitamin) .
• Tun hmaa chemotherapy hmanga enkawl tawh
• Zu in hman dan

Taxanes bakah hian chemo damdawi dang platinum damdawi (e.g. oxaliplatin) leh vinca alkaloids (e.g. vincristine) te pawhin he natna hi a thlen thei bawk.

A lan chhuah dan thunun turin eng nge kan tih theih ang?

Tunah hian peripheral neuropathy hi damdawi a la awm lo a, vawi khat a lo awm tawh chuan damdawi pawh a awm lo. Amaherawhchu, natna lanchhuahna avanga lungawi lohna tihziaawmna tur leh nun awlsam zawka siam turin thil tam tak i tih theih a awm.

I doctor chuan i natna lan chhuah dan tur enkawl nan a hnuaia mi hi a rawn rawt thei ang:

• Depression damdawi: Nerve natna damdawi, Duloxetine te hian mi thenkhat a pui thin.
• Steroids: Hengte hian hun rei lote chhungin natna leh hrehawmna a tihziaawm thei a ni.
• Numbing creams: A natna hmunah cream emaw patch emaw hnawih hian rei lo te chhung chu hahdamna i hmu thei.
• Painkillers: Nerve natna nasa tak i neih chuan i medical team chuan opioid painkillers an pe thei ang.

Chu bâkah, i doctor nên chuan physical therapy, occupational therapy, leh acupuncture ang chi enkawlna chungchâng i sawi thei bawk.

I symptoms chungchang hi doctor nen inbiakna neih fo a pawimawh. Chumi hnuah chuan hun rei tak chhunga chhiatna a thlen loh nan i enkawlna ruahmannaah inthlak danglamna a siam thei ang. Entir nan:

• Chemotherapy dose tihtlem a ni
• Hun engemaw chen enkawlna tihkhawtlai
• I natna lan chhuah dan a reh hma loh chuan damdawi ei kha rei vak lo chawlhsan