Ese uzi indwara y'imitsi yo mu gice cy'imbere cy'umubiri (indwara yo kubura uburebure mu maguru) nyuma yo kuvurwa kanseri?

Niba waravuwe kanseri y'ibere, cyane cyane kanseri ya chimiotherapie, ushobora kuba waragize ikibazo cyo kubura ibitotsi cyangwa kuribwa mu biganza no mu birenge, cyangwa se ukumva umeze nk'ubushye. Hari igihe ushobora kutamenya icyo ari cyo. Mu by'ukuri, ibi bishobora kuba ingaruka zisanzwe zo kuvurwa. Uyu munsi turimo kuvuga kuri iyi ndwara yitwa Peripheral Neuropathy . Ntutinye, icy'ingenzi ni ukumenya ibi.

Udukoko tw’imitsi yo mu bwonko bw’imbere ni iki? Ni mu rugero rungana iki?

Mu magambo make, indwara ya Peripheral Neuropathy ni ukwangiza imitsi imwe cyangwa myinshi yo mu mubiri wacu. Iyi mitsi itwara ibyiyumvo n'amabwiriza biva mu bwonko bikagera ku maboko, amaguru, n'ibindi bice by'umubiri. Iyo iyi mitsi yangiritse, ibimenyetso byavuzwe haruguru, nko kugira ibinya, kuribwa, no kubabara, bigaragara.

Iyi ndwara ikunze kugaragara cyane mu kuvura kanseri y'ibere hakoreshejwe imiti ya chimiotherapie, cyane cyane iyo mu cyiciro cya taxane. Urugero, ubushakashatsi bumwe bwagaragaje ko abantu bagera kuri 40% bavuwe n'iyi miti ya taxane, cyangwa bane kuri icumi, bagifite ibi bimenyetso nyuma y'imyaka ibiri bavuwe. Ubundi bushakashatsi bwagaragaje ko umuntu umwe kuri batanu bahawe ubu buvuzi yagize iyi ndwara.

Iyi ndwara ishobora kubaho nyuma yo kuvurwa kanseri y'ibere mu cyiciro icyo ari cyo cyose. Hari igihe iyo kanseri imaze gukwirakwira (igeze kure), kanseri ubwayo ishobora gushyira igitutu ku mitsi, bigatera iyi ndwara, Peripheral Neuropathy. Si imiti ya chimio gusa, ahubwo no kubagwa no kuvurwa hakoreshejwe imirasire bishobora gutera iyi ndwara.

Kuki ibi bibaho ku miti ya Taxane yo mu bwoko bwa chemotherapie?

Hari ubwoko bwinshi bw'imiti ya chimiotherapie iri mu cyiciro cya taxane.

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

Muganga wawe ashobora kuguha kimwe muri ibi cyangwa akaguha uruvange rwabyo n'indi miti ya chimio.

Mu magambo make, iyi miti igabanya uturemangingo twa kanseri. Uturemangingo twa kanseri ni uturemangingo twigabanyamo kabiri vuba cyane. Bityo iyi miti igenzura uwo muvuduko. Ariko muri iki gikorwa, abashakashatsi bizera ko uturemangingo tw’imitsi yo mu mubiri wacu na two dushobora kugira ingaruka. Ibi biracyakorerwa ubushakashatsi.

Ni ibihe bimenyetso bya Peripheral Neuropathy?

Ibi bimenyetso bishobora gutandukana bitewe n'imitsi yafashwe. Ariko akenshi bitangirira ku mano. Hanyuma bishobora gukwirakwira buhoro buhoro amaguru, mu maboko no mu biganza. Niba ufite kimwe muri ibi bimenyetso, ni ngombwa cyane kubimenyesha muganga wawe vuba.

Ibi bimenyetso bishobora kugaragara mu masaha make cyangwa iminsi mike nyuma yo gufata imiti. Ariko akenshi bigaragara nyuma y'ibyumweru bike. Ibimenyetso bimwe na bimwe bishobora koroha uko igihe kigenda gihita. Ariko ibimenyetso bikomeye bishobora kutazigera bishira burundu.

Ni ibihe bintu bishobora gutera iyi ndwara?

Uretse imiti ivura indwara ya chimiotherapie, hari n'ibindi bintu byinshi bishobora kongera ibyago byo kurwara iyi ndwara, harimo n'indwara z'imitsi yo mu mpande.

• Kanseri yakwirakwiriye umubiri wose (Metastatic breast cancer)
• Gukura
• Kugira indwara y'imitsi mbere yo kuvurwa
• Umubyibuho ukabije
• Diyabete
• Kubura Vitamine (cyane cyane Vitamine B)
• Kuba narigeze guhabwa imiti ya chimiotherapie mbere
• Ikoreshwa ry'inzoga

Uretse taxanes, indi miti ya chimio nka platine (urugero: oxaliplatin) na vinca alkaloids (urugero: vincristine) nabyo bishobora gutera iyi ndwara.

Ni iki twakora kugira ngo tugenzure ibimenyetso?

Kugeza ubu nta muti uhari wo kuvura indwara y’imitsi yo mu mpande, ndetse nta n’umuti uhari iyo ibaye. Ariko hari byinshi ushobora gukora kugira ngo ugabanye ububabare buterwa n’ibimenyetso no koroshya ubuzima.

Muganga wawe ashobora kukugira inama zikurikira kugira ngo umenye ibimenyetso byawe:

• Imiti ivura kwiheba: Imiti ivura ububabare bw'imitsi, nka Duloxetine, ifasha abantu bamwe.
• Steroids: Izi zifasha kugabanya ububabare n'imibabaro mu gihe gito.
• Amavuta yo kwisiga: Ushobora kubona ubutabazi bw'agateganyo ukoresheje amavuta cyangwa uduce duto ku bice bibabara.
• Imiti igabanya ububabare: Niba ufite ububabare bukomeye bw'imitsi, itsinda ry'abaganga bawe rishobora kukwandikira imiti igabanya ububabare ya opioid.

Byongeye kandi, ushobora kuganira na muganga wawe ku bijyanye n'uburyo bwo kuvura nko kuvura umubiri, kuvura indwara z'akazi, no kuvura indwara ya acupuncture.

Ni ngombwa kuganira na muganga wawe ku bimenyetso byawe buri gihe. Hanyuma ashobora guhindura gahunda yawe yo kuvura kugira ngo wirinde kwangirika kw'igihe kirekire. Urugero:

• Kugabanya igipimo cya Chimiotherapie
• Gutinda kuvurwa igihe runaka
• Guhagarika imiti igihe runaka kugeza igihe ibimenyetso byawe bigabanutse