Kodi mungatani kuti muchepetse nseru ndi kusanza komwe kumachitika chifukwa cha mankhwala a chemotherapy?

Tonsefe tikudziwa kuti kulimbana ndi khansa sikophweka. Anthu ena amaopa mankhwala a chemotherapy chifukwa cha zotsatirapo zake, makamaka nseru ndi kusanza. Koma mosiyana ndi kale, masiku ano pali mankhwala ndi njira zambiri zamakono zoletsera nseru ndi kusanza kumeneku komanso kuziletsa zikachitika. Choncho tiyeni tikambirane za izi lero.

Nchifukwa chiyani mankhwala a chemo amakupangitsani kumva kuti simukusangalala?

Mwachidule, chemotherapy ndi mankhwala amphamvu omwe amapha maselo a khansa. Mankhwalawa akalowa m'thupi, thupi lathu limawazindikira kuti ndi 'achilendo'. Izi zikutanthauza kuti, ngati si a thupi, ngati kuti achokera kunja. Kenako thupi lathu limatumiza zizindikiro zochenjeza ku ubongo ndi m'mimba.

Zizindikiro zimenezi zimayatsa mwachindunji 'malo oti munthu asambe' muubongo mwathu. Mankhwala omwe amatulutsidwa ndi malo amenewo ndi omwe amatipangitsa kumva nseru ndi kudwala. Kuphatikiza apo, mankhwala a chemotherapy amatha kuwononga njira yathu yogayira chakudya. Ichi ndi chifukwa china chomwe chimayambitsa nseru.

Kusanza ndi kusanza komwe kumachitika chifukwa cha mankhwala a chemotherapy kungachitike m'njira zitatu zazikulu.

Kusanza kosalekeza kungawononge thupi kwambiri. Kumafooketsa thupi, kumayambitsa kusowa madzi m'thupi, komanso kumalepheretsa thupi kupeza michere yofunika. Kumachititsanso kusalinganika kwa ma electrolyte, monga sodium ndi potaziyamu.Nthawi zina, ngati mavutowa akukula kwambiri, mlingo wa mankhwala a chemo ungafunike kuchepetsedwa kapena ngakhale kusiya chithandizo. Chifukwa chake, ndikofunikira kwambiri kulankhula ndi dokotala wanu za izi.

Ndani angamve kusasangalala kumeneku?

Mitundu ina ya mankhwala a chemotherapy imayambitsa nseru kuposa ina. Mwachitsanzo, cisplatin (Platinol) ndi doxorubicin (Adriamycin) ndi mankhwala ofala kwambiri omwe amayambitsa vutoli.

Kuphatikiza apo, mumakhala ndi mwayi waukulu wokhala ndi mavuto awa,

• Ngati mukumwa mankhwala a chemotherapy mobwerezabwereza komanso mosamala .
• Ngati mwapatsidwa mlingo waukulu .
• Ngati ndi mankhwala operekedwa m'mitsempha (IV - kudzera m'mitsempha) osati mankhwala otengedwa pakamwa.
• Ngati ndinu mkazi .
• Ngati muli ndi zaka zosakwana 50 .
• Ngati muli ndi chizolowezi chodwala matenda oyenda mukakhala paulendo.

Mankhwala angathandize kwambiri.

Chinthu chabwino kwambiri choti muchite ndi dokotala wanu kukupatsani mankhwala oletsa mavutowa asanachitike. Mankhwalawa nthawi zambiri amaperekedwa musanalandire chithandizo cha chemotherapy. Mankhwalawa amagwira ntchito poletsa zizindikiro ku malo osanza muubongo.

Mitundu yayikulu ya mankhwala oletsa kusanza

Mankhwalawa angaperekedwe kudzera m'mitsempha (IV) kapena ngati mapiritsi otengedwa pakamwa.

• Aprepitant (Emend)
• Dolasetron (Anzemet)
• Fosnetupitant/palonosetron (Akynzeo)
• Granisetron (Kytril)
• Ondansetron (Zofran)
• Palonosetron (Aloxi)
• Rolapitant (Varubi)

Pakati pa izi, mankhwala monga `Akynzeo` ndi `Aloxi` amagwira ntchito m'thupi kwa masiku angapo, kotero amathandizanso kuchepetsa nseru yomwe imachitika mochedwa pambuyo pake.

Mankhwala ena omwe angathandize

• Mankhwala oletsa nkhawa: Mankhwala monga alprazolam (Xanax), diazepam (Valium), ndi lorazepam (Ativan) amathandiza kukhazika mtima pansi ndikuchepetsa nseru yomwe imabwera mwadzidzidzi.
• Mankhwala oletsa khansa: Mankhwala monga dronabinol (Marinol, Syndros).
• Corticosteroids: Mankhwala monga dexamethasone (Decadron) ndi methylprednisolone (Medrol).
• Otsutsana ndi dopamine: metoclopramide (Reglan), prochlorperazine.
• Mankhwala oletsa kuyenda: ma patches ngati scopolamine patch (Transderm Scop).

Zinthu zoti muyesere kupatula chithandizo chamankhwala

Kuwonjezera pa mankhwala, palinso njira zina zowonjezera zomwe zingagwiritsidwe ntchito pamodzi ndi chithandizo chamankhwala. Izi sizilowa m'malo mwa chithandizo chamankhwala, koma zimawonjezera.

• Kuchiza ndi Acupuncture: Iyi ndi njira yachikhalidwe ya mankhwala aku China yomwe imagwiritsa ntchito singano zazing'ono kuti ilimbikitse mfundo zinazake pathupi. Malo otchuka kwambiri omwe amagwiritsidwa ntchito pochiza nseru ndi P6 point, yomwe ili pansi pa dzanja, pansi pa dzanja.
• Kupanikizika kwa Acupressure: Izi zikufanana ndi kupopera mankhwala oletsa kutupa, koma m'malo mwa singano, kupanikizika kumayikidwa ndi zala.
• Biofeedback: Njirayi imakuphunzitsani kulamulira ntchito za thupi (monga kugunda kwa mtima, kupuma) zomwe nthawi zambiri simungathe kuzilamulira ndi malingaliro anu. Izi zingakuthandizeni kukhazika mtima pansi.
• Hypnosis: Mothandizidwa ndi katswiri, mutha kuwongolera malingaliro monga nseru mwa kubweretsa malingaliro anu mu mkhalidwe womasuka ndikutsegula malingaliro anu.

Gwiritsani ntchito njira izi kuti mupumule maganizo anu.

Zingakhale mpumulo waukulu kusiya kulandira chithandizo. Yesani izi musanalandire chithandizo cha mankhwala a chemo.

• Chithunzi chotsogozedwa: Taganizirani malo okongola komanso amtendere m'maganizo mwanu. Taganizirani kuti mwayima pafupi ndi nyanja yamtendere m'mudzi. Taganizirani mavuto anu ndi mavuto anu akuyandama panyanja ngati bwato.
• Zosokoneza: Mvetserani nyimbo yomwe mumakonda, werengani buku, kapena onerani filimu yoseketsa.
• Kupumula minofu pang'onopang'ono: Kuyambira ndi zala zanu zamanja, kanikizani kenako masulani minofu iliyonse m'thupi lanu. Mukafika pamutu panu, mudzamva kupumula kwakukulu.

Zinthu zomwe mungachite nokha pa vuto la nseru ndi kusanza

Kusintha pang'ono zakudya zanu ndi zizolowezi zanu za tsiku ndi tsiku kungathandize kuchepetsa mavuto amenewa.

• Pewani kudya zakudya zilizonse zomwe zingakupangitseni kumva kutopa, makamaka zakudya zamafuta, zokazinga, komanso zokometsera.
• Idyani zakudya zazing'ono kangapo patsiku m'malo mwa kudya zakudya zazikulu zitatu.
• Idyani chakudya chonga chotupitsa pang'ono musanalandire chithandizo cha mankhwala a chemo.
• Musaphike mukakhala kuti simukumva bwino. Fungo la chakudya chotentha lingakupangitseni nseru.
• Ngati fungo la chakudya chotentha silikusangalatsa, idyani chakudya chozizira .
• Imwani madzi ambiri ndi zinthu zina (supu, madzi a zipatso) kuti mupewe kutaya madzi m'thupi.
• Ngati m'mimba mwapweteka, idyani ginger toffee kapena imwani tiyi wa ginger .