Chemotherapy avanga natna leh luak chhuak hi engtin nge kan thunun theih ang?

Cancer do hi thil awlsam a ni lo tih kan hre vek. Mi thenkhat chuan chemotherapy hi a side effect vangin an hlau hle a, a bik takin nausea leh luak chhuak te hi an hlau hle. Mahse tun hma ang lo takin tunlai hian he natna leh riltam tihtawp nan leh vawi khat a lo awm tawh chuan thunun theihna tur damdawi leh hmanraw changkang tak tak a awm nual. Chuvangin vawiin hian he thu hi han sawi ila.

Engvangin nge chemo hian i rilru a ti na?

A awlsam zawngin sawi ila, chemotherapy hi cancer cells thattu damdawi chak tak a ni. Heng damdawite hi taksaa a luh chuan kan taksa chuan ‘ram dang’ tiin a hre chiang thin. Chu chu taksa ta ni lo ang maia pawn lam atanga lo kal ang mai a ni. Tichuan kan taksa chuan thluak leh chaw ei kawngah vaukhânna signal a thawn a.

Heng signal te hian kan thluaka ‘vomiting center’ chu direct-in a tichak a. Chu center-in chemical a tihchhuah te hian kan rilru a ti na a, kan na a ti na hle. Tin, chemotherapy damdawi hian kan chaw ei kawng a tichhe thei bawk. Chu chu natna thlentu dang a ni.

Chemotherapy avanga nausea leh vomiting hi kawng pawimawh pathum a awm thei.

Luak chhunzawm zel hian taksa a tichhe nasa thei hle. Taksa a tichak lo a, tui tlakchhamna a thlen a, taksain ei tur pawimawh a hloh phah bawk. Electrolyte imbalances a siam bawk a, chu chu sodium leh potassium te hi a ni.A châng chuan heng harsatnate hi a nasat chuan chemo dose tihtlem emaw, enkawlna pawh tihtawp emaw a ngai mai thei. Chuvang chuan hemi chungchang hi Doctor nen inbiak a pawimawh hle a ni.

Heng harsatnate hi tuin nge hre tam zawk thei ang?

Chemotherapy chi thenkhat chuan a dang aiin natna a thlen tam zawk. Entirnan, cisplatin (Platinol) leh doxorubicin (Adriamycin) te hi he natna thlentu damdawi hman tlanglawn ber an ni.

Chu bakah, heng harsatnate hi i nei tam zawk a, .

• Chemotherapy treatment i ei nawn fo leh hnaih taka i ei chuan .
• Dose sang tak pek i nih chuan .
• Damdawi ka ei ai chuan vein (IV - intravenous)-a pek a nih chuan.
• Hmeichhia i nih chuan .
• Kum 50 hnuai lam i nih chuan.
• Khualzinnaah motion sickness vei duhna i neih chuan.

Damdawi ei hian nasa takin a pui thei a ni.

A tha ber chu i doctor-in heng harsatnate hi a lo thlen hmaa tihtawp theihna tur damdawi a pek che hi a ni. He damdawi hi chemotherapy hmaa pek thin a ni tlangpui. He damdawi hian thluaka luak chhuahna hmuna signal awmte chu a block-in hna a thawk a ni.

Anti-vomiting damdawi chi hrang hrang

Chungte chu thisenah (IV) emaw, kaa ei pill angin emaw pek theih a ni.

• Aprepitant (Emend) tih a ni.
• Dolasetron (Anzemet) te chu a awm a.
• A rilru a buai em em a, a rilru a hah em em bawk a.
• Granisetron (Kytril) a awm a.
• Ondansetron (Zofran) ah a awm a.
• Palonosetron (Aloxi) tih hi a awm a.
• Rolapitant (Varubi) tih a ni.

Chung zingah chuan damdawi `Akynzeo` leh `Aloxi` te hian taksaah ni engemaw zat hna an thawk a, chuvangin a hnu lama lo awm thin natna (delayed nausea) control-na kawngah pawh an pui bawk.

Damdawi dang tanpui thei tur

• Anti-anxiety drugs: Damdawi alprazolam (Xanax), diazepam (Valium), leh lorazepam (Ativan) te hian rilru a ti thlamuang a, anticipatory nausea a tiziaawm bawk.
• Cannabinoids: Damdawi dronabinol (Marinol, Syndros) ang chi te hi a ni.
• Corticosteroids: Damdawi dexamethasone (Decadron) leh methylprednisolone (Medrol) te ang chi.
• Dopamine dotu te chu: metoclopramide (Reglan), prochlorperazine te an ni.
• Motion sickness damdawi: scopolamine patch (Transderm Scop) ang chi patch te.

Damdawi lam enkawlna bakah thil enchhin tur

Damdawi bakah hian damdawi lam enkawlna ruala hman theih tur complementary therapies engemaw zat a awm bawk. Hengte hi damdawi hmanga enkawlna aiah a ni lo va, a tihpunna tur a ni zawk.

• Acupuncture: Hei hi Chinese damdawi hmanlai technique a ni a, taksaa point bikte tichak turin needle tha tak tak hmangin a tichak a ni. Nausea enkawlna atana hman lar ber chu P6 point a ni a, kut hnuai lam, kutphah hnuai lam chiah a awm a ni.
• Acupressure: Hei hi acupuncture nen a inang a, mahse needle ai chuan kut zungtang hmanga pressure pek a ni.
• Biofeedback: Hetiang method hian taksa hnathawh (e.g., heart rate, breathing) te chu a tlangpuiin i ngaihtuahna hmanga i control theih loh control turin a zirtir che a ni. Hei hian i rilru a ti thlamuang thei che a ni.
• Hypnosis: Specialist puihnain i rilru chu rilru hahdam takah hruaiin, rawtna engemaw takah i hawng a, natna ang chi rilru put hmang chu i thunun thei a ni.

I rilru tih hahdam nan heng hmanrua te hi hmang ang che.

Enkawlna atanga i ngaihtuahna tihbuai chu hahdamna ropui tak a ni thei. Chemo treatment i neih hmain hengte hi enchhin hmasa phawt ang che.

• Guided imagery: I rilruah hmun mawi leh thlamuang tak chu han mitthla teh. Khaw pakhata lui ralmuang tak bulah i ding ang tih han mitthla teh. I phurrit leh lungngaihnate chu lawng ang maia dil chungah a leng ang tih han mitthla teh.
• Distraction: Hla duh ber ngaithla la, lehkhabu chhiar la, movie hlimawm tak en rawh.
• Progressive muscle relaxation: I ke ruh atanga tan la, tighten la, chutah chuan i taksa chhunga muscle tinte chu relax rawh. I lu i thlen chuan hahdamna nasa tak i nei ang.

Nausea leh vomiting atan nangmah ngeiin i tih theih thil

I ei leh in leh nitin nunphung tlemte tihdanglam hian heng harsatna te hi a tihziaawm thei a ni.

• I rilru ti na thei ei tur eng pawh, a bik takin ei tur hriak, hmin, leh thil rimtui tak takte chu hlat rawh .
• Ni khatah chaw lian pathum ei ai chuan chaw tenau engemaw zat ei thin ang che.
• Chemo treatment hmain snack te tak te ang chi ei thin ang che .
• I rilru hah laia chaw siam suh. Chaw lum rim hian a ti na thei che a ni.
• Chaw lum rim a nuam lo a nih chuan chaw lum ei rawh .
• Tui leh tui dang (soup, thei tui) tam tak in la, chu chuan dehydration a veng ang.
• Pum natna tan chuan ginger toffee ei emaw, ginger tea in emaw .