Kodi mukudziwa za matenda a peripheral neuropathy (kusanza m'miyendo) mutalandira chithandizo cha khansa?

Ngati mwalandira chithandizo cha khansa ya m'mawere, makamaka chemotherapy, mwina mwakhala mukumva dzanzi pang'ono kapena kumva kuwawa m'manja ndi m'mapazi, kapena kumva zachilendo, monga kutentha. Nthawi zina simungadziwe kuti ndi chiyani. Ndipotu, izi zitha kukhala zotsatira zoyipa za chithandizo. Lero tikulankhula za vutoli lotchedwa Peripheral Neuropathy . Musachite mantha, chofunika kwambiri ndikudziwa izi.

Kodi Peripheral Neuropathy ndi chiyani? Kodi ndi yofala bwanji?

Mwachidule, Peripheral Neuropathy ndi kuwonongeka kwa mitsempha imodzi kapena zingapo m'thupi lathu. Mitsempha iyi imanyamula kumva (kumverera) ndi malamulo kuchokera ku ubongo kupita ku manja athu, miyendo, ndi ziwalo zina za thupi. Mitsempha iyi ikawonongeka, zizindikiro zomwe zatchulidwa kale, monga dzanzi, kumva kuwawa, ndi kupweteka, zimawonekera.

Vutoli limapezeka kwambiri m'mankhwala a chemotherapy a khansa ya m'mawere, makamaka omwe ali m'gulu la taxane. Mwachitsanzo, kafukufuku wina adapeza kuti pafupifupi 40% ya anthu omwe adalandira mankhwala a taxane awa, kapena anayi pa khumi, adakhalabe ndi zizindikiro izi zaka ziwiri atalandira chithandizo. Ndipo kafukufuku wina adapeza kuti pafupifupi munthu m'modzi pa asanu omwe adalandira chithandizochi adayamba ndi vutoli.

Izi zikutanthauza kuti ngati mukumva choncho, simuli nokha. Vutoli ndi lofala kwa anthu ambiri. Chofunika kwambiri ndikulankhula ndi dokotala wanu za vutoli.

Vutoli limatha kuchitika pambuyo polandira chithandizo cha gawo lililonse la khansa ya m'mawere. Nthawi zina, khansa ikafalikira (yopita patsogolo), khansayo imatha kukakamiza mitsempha, zomwe zimayambitsa vutoli, Peripheral Neuropathy. Sikuti ndi mankhwala okha, komanso opaleshoni zina ndi ma radiation angayambitse vutoli.

Nchifukwa chiyani izi zimachitika ndi mankhwala a chemo amtundu wa Taxane?

Pali mitundu ingapo ya mankhwala a chemotherapy omwe ali m'gulu la taxane.

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

Dokotala wanu angakupatseni chimodzi mwa izi kapena kuphatikiza ndi mankhwala ena a chemo.

Mwachidule, mankhwala a taxane awa amaletsa maselo a khansa kugawikana. Maselo a khansa ndi maselo omwe amagawikana mwachangu kwambiri. Chifukwa chake mankhwalawa amawongolera liwiro limenelo. Koma munjira imeneyi, ofufuza amakhulupirira kuti maselo amitsempha athanzi m'thupi lathu nawonso angakhudzidwe. Izi zikufufuzidwabe.

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Kodi zizindikiro za Peripheral Neuropathy ndi ziti?

Zizindikirozi zimatha kusiyana malinga ndi mitsempha yomwe yakhudzidwa. Koma nthawi zambiri zimayambira ku zala zala. Kenako zimatha kufalikira pang'onopang'ono miyendo, m'manja, komanso m'manja. Ngati muli ndi zizindikiro izi, ndikofunikira kwambiri kuuza dokotala wanu za izi mwachangu.

Zizindikirozi zimatha kuonekera patangopita maola ochepa kapena masiku ochepa mutalandira mankhwala a chemotherapy. Koma nthawi zambiri zimaonekera patatha milungu ingapo. Zizindikiro zina zimatha kusintha pakapita nthawi. Komabe, zizindikiro zazikulu sizingathe kutha konse.

Kodi ndi zinthu ziti zomwe zimayambitsa vutoli?

Kuwonjezera pa mankhwala a chemotherapy, zinthu zina zingapo zingawonjezere chiopsezo chotenga matendawa, kuphatikizapo matenda a mitsempha ya m'mitsempha.

• Khansa yomwe yafalikira m'thupi lonse (khansa ya m'mawere ya Metastatic)
• Kukalamba
• Kukhala ndi vuto la mitsempha musanalandire chithandizo
• Kunenepa kwambiri
• Matenda a shuga
• Kusowa kwa mavitamini (makamaka mavitamini a B)
• Popeza adalandira kale chithandizo cha chemotherapy
• Kugwiritsa ntchito mowa

Kuwonjezera pa taxanes, mankhwala ena a chemo monga mankhwala a platinum (monga oxaliplatin) ndi vinca alkaloids (monga vincristine) angayambitsenso vutoli.

Kodi tingatani kuti tithetse zizindikiro?

Pakadali pano palibe mankhwala a matenda a mitsempha ya m'mitsempha, komanso palibe mankhwala ochizira matendawa akangoyamba. Komabe, pali zinthu zambiri zomwe mungachite kuti muchepetse kusasangalala komwe kumachitika chifukwa cha zizindikirozo ndikupangitsa moyo kukhala wosavuta.

Chofunika kwambiri ndikulankhulana momasuka ndi dokotala wanu za nkhawa zanu. Kenako angakupatseni yankho labwino kwambiri.

Dokotala wanu angakulangizeni zinthu zotsatirazi kuti muchepetse zizindikiro zanu:

• Mankhwala ochizira kuvutika maganizo: Mankhwala ochizira ululu wa mitsempha, monga Duloxetine, amathandiza anthu ena.
• Ma Steroid: Izi zimathandiza kuchepetsa ululu ndi kusapeza bwino pakapita nthawi.
• Mafuta opaka mano: Mutha kupeza mpumulo wakanthawi popaka mafuta kapena mabala pamalo opweteka.
• Mankhwala Ochepetsa Ululu: Ngati muli ndi ululu waukulu wa mitsempha, gulu lanu lachipatala lingakulembereni mankhwala ochepetsa ululu a opioid.

Kuphatikiza apo, mutha kulankhula ndi dokotala wanu za mankhwala monga physiotherapy, occupational therapy, ndi acupuncture.

Ndikofunikira kulankhula ndi dokotala wanu za zizindikiro zanu nthawi zonse. Kenako akhoza kusintha dongosolo lanu la chithandizo kuti apewe kuwonongeka kwa nthawi yayitali. Mwachitsanzo:

• Kuchepetsa mlingo wa mankhwala a chemotherapy
• Kuchedwetsa chithandizo kwa kanthawi
• Kusiya kumwa mankhwala kwa kanthawi mpaka zizindikiro zanu zitatha