Mena kua rongoatia koe mō te mate pukupuku o te ū, inā koa te chemotherapy, tera pea kua pāngia koe e te māuiui iti, te ngau rānei i ō ringaringa me ō waewae, he kare ā-roto rerekē rānei, pērā i te werawera. I ētahi wā, kāore pea koe e mōhio he aha te mea nei. Inaa, he pānga taha noa tēnei o te maimoatanga. I tēnei rā kei te kōrero tātou mō tēnei āhuatanga e kiia nei ko te Peripheral Neuropathy . Kaua e mataku, ko te mea nui ko te mōhio ki tēnei.
He aha te Peripheral Neuropathy? He pēhea te noa o tōna pānga?
I te whakarapopototanga, ko te Peripheral Neuropathy he kino ki tētahi, ki ētahi rānei o ngā io peripheral o tō tātou tinana. Ka haria e ēnei io ngā kare ā-roto me ngā whakahau mai i te roro ki ō tātou ringa, waewae, me ētahi atu wāhanga o te tinana. Ina pakaru ēnei io, ka puta ngā tohu kua whakahuatia ake nei, pērā i te ngoikore, te mākūkū, me te mamae.
He tino noa tēnei āhuatanga i roto i ngā maimoatanga chemotherapy mō te mate pukupuku ū, inā koa ko te hunga kei roto i te akomanga taxane. Hei tauira, i kitea i roto i tētahi rangahau tata ki te 40% o te hunga i rongoatia ki ēnei rongoā taxane, e whā i roto i te tekau rānei, kei te mau tonu ēnei tohu i ngā tau e rua i muri i te maimoatanga. Ā, i kitea i roto i tētahi atu rangahau tata ki te kotahi i roto i te rima o te hunga i whiwhi i tēnei maimoatanga ka pāngia e tēnei āhuatanga.
Arā, ki te pēnei tō whakaaro, ehara i te mea ko koe anake. He mate noa tēnei mō te tini o te tangata. Ko te mea nui ko te kōrero ki tō tākuta mō tēnei.
Ka puta pea tēnei āhuatanga i muri i te maimoatanga mō tētahi wāhanga o te mate pukupuku ū. I ētahi wā, ina horapa te mate pukupuku (kua whānui), ka taea e te mate pukupuku tonu te pēhi i ngā io, ka puta ai tēnei āhuatanga, arā, te Peripheral Neuropathy. Ehara i te mea ko te chemo anake, engari ko ētahi pokanga me ngā maimoatanga irahiko ka puta ai tēnei āhuatanga.
He aha i pēnei ai me ngā rongoā chemo momo Taxane?
He maha ngā momo rongoā chemotherapy kei roto i te akomanga taxane.
- Pūmua Paclitaxel (Abraxane)
- Docetaxel (Taxotere)
- Paclitaxel (Taxol)
Tērā pea ka hoatu e tō tākuta tētahi o ēnei ki a koe, ka hoatu rānei he huinga o ēnei me ētahi atu rongoā kemo.
He māmā noa iho, ka aukati ēnei rongoā taxane i te wehenga o ngā pūtau matepukupuku. Ko ngā pūtau matepukupuku he pūtau e tere rawa te wehenga. Nō reira, ka whakahaere ēnei rongoā i taua tere. Engari i roto i tēnei tukanga, e whakapono ana ngā kairangahau ka pāngia pea ngā pūtau io hauora o roto i tō tātou tinana. Kei te rangahauhia tonutia tēnei.
He aha ngā tohu o te Peripheral Neuropathy?
Ka rerekē pea ēnei tohu i runga i te io e pāngia ana. Engari i te nuinga o te wā ka tīmata i ngā māikuku. Kātahi ka horapa haere ki ngā waewae, ki ngā ringa, ā, ki ngā ringaringa. Mena kei a koe tētahi o ēnei tohu, he mea nui kia kōrero wawe atu koe ki tō tākuta.
| Momo āhuatanga | Whakaahuatanga |
|---|---|
| Ngā tohu tino noa | |
| te ngoikore | He kare ā-roto e "rere ana ngā pōpokorua" e werohia ana rānei e ngā ngira. |
| Te hekenga o te kare ā-roto | He rite te āhua o ngā waewae ki te "tirei" me te ngoikore. Kāore e taea te rongo tika i te whenua ina hikoi koe. |
| ngoikore o te uaua | Ngāwari te hiki i ngā mea, te ngoikore o ngā waewae. |
| Mamae, mumura rānei | Te mamae nui, te mumura rānei, e mau tonu ana, e kore rānei e puta i ētahi wā. |
| Te uaua ki te whakamahi i ngā ringaringa | He uaua ki te pupuri i ngā mea iti, te pātene i ngā kākahu, me te tuhituhi. |
| Ētahi atu tohu pea | |
| Ngā uauatanga maha | Mamae te kauae, te ngaronga o te rongo, te ngaronga o te taurite i te wā e hikoi ana, te mate kōroke, te uaua ki te horomi, ngā huringa o te toto toto. |
Ka puta pea ēnei tohu i roto i ngā hāora, i ngā rā rānei i muri i te rauna o te rongoā chemo. Engari i te nuinga o te wā ka puta mai i muri i ētahi wiki. Tērā pea ka pai ake ētahi tohu i roto i te wā. Heoi, kāore pea ngā tohu kino e memeha rawa.
He aha ngā āhuatanga mōrearea e whai wāhi ana ki tēnei āhuatanga?
Haunga te chemotherapy, he maha atu anō ngā āhuatanga ka piki ake te mōrearea o te whakawhanake i tēnei mate, tae atu ki te neuropathy peripheral.
- Te mate pukupuku kua horapa puta noa i te tinana (Te mate pukupuku o te ū kua horapa)
- Te pakeke haere
- He mate pūnaha io kei mua i te maimoatanga
- Momonatanga
- Mate huka
- Te korenga o ngā huaora (ina koa ko ngā huaora B)
- I mua i te whiwhinga o te maimoatanga chemotherapy
- Te whakamahinga waipiro
Haunga ngā taxanes, ka taea hoki e ētahi atu rongoā chemo pērā i ngā rongoā platinum (hei tauira, te oxaliplatin) me ngā vinca alkaloids (hei tauira, te vincristine) te whakaputa i tēnei mate.
He aha tā tātou e taea ai te whakahaere i ngā tohu?
Kāore he rongoā mō te neuropathy ā-peripheral i tēnei wā, ā, kāore anō hoki he rongoā mōna ina pā mai. Heoi, he maha ngā mea ka taea e koe te mahi hei whakaiti i te mamae i puta mai i ngā tohu, hei whakangāwari ake hoki i te oranga.
Ko te mea nui ko te kōrero tuwhera ki tō tākuta mō ō āwangawanga. Kātahi ka taea e ia te hoatu ki a koe te otinga pai rawa atu.
Ka tūtohu pea tō tākuta i ngā mea e whai ake nei hei āwhina i te whakahaere i ō tohumate:
- Ngā rongoā mō te pouri: Ka āwhina ngā rongoā mō te mamae o ngā io, pērā i te Duloxetine, i ētahi tāngata.
- Ngā steroids: Ka āwhina ēnei ki te whakaiti i te mamae me te kore whakamarie i te wā poto.
- Kirimi whakangote: Ka taea e koe te whiwhi whakaora wā poto mā te pani i ngā kirimi, i ngā pāti rānei ki ngā wāhi mamae.
- Ngā rongoā whakamamae: Mena he nui te mamae o te io, ka tohua pea e tō tīma hauora ngā rongoā whakamamae opioid.
Hei tāpiri, ka taea e koe te kōrero ki tō tākuta mō ngā maimoatanga pēnei i te whakaora tinana, te whakaora mahi, me te wero ngira.
He mea nui kia kōrero tonu koe ki tō tākuta mō ō tohumate. Kātahi ka taea e ia te whakarerekē i tō mahere maimoatanga hei ārai i ngā kino mō te wā roa. Hei tauira:
- Te whakaiti i te horopeta o te rongoā matū
- Te whakaroa i te maimoatanga mō tētahi wā
- Te whakamutu i te rongoā mō tētahi wā kia memeha haere rā anō ō tohumate
Karere Tangohia ki te Kāinga
- Ko te neuropathy peripheral tētahi o ngā pānga taha noa o te maimoatanga matepukupuku, inā koa ko te chemotherapy. Kāore koe e hiahia ki te aro atu ki tēnei ko koe anake.
- Me whakamōhio tonu atu ki tō tākuta mēnā he tohu hou āu, pērā i te ngoikore, te mamae, te wera, te ngoikore rānei o ō ringaringa me ō waewae.
- Ki te mōhio wawe koe ki ēnei tohu, ka taea e tō tākuta te whakarerekē i tō mahere maimoatanga me te whakaiti i te kino mō te wā roa ki ō io.
- Kāore he take e mamae ai koe i ēnei mamae. He maha ngā huarahi hei whakahaere i ngā tohu. Nō reira, kōrerohia ngā mea katoa ki tō tākuta.
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