Zvanza zvako nezvitsiga zvako zvakatsvuka uye zvakazvimba here? Zvingave zviri "Hand-Foot Syndrome"!

Kana uri kurapwa kenza nechemotherapy, kana kuti uchiziva mumwe munhu ane kenza, dzimwe nguva unogona kusangana nekuchinja kudiki, kutsvuka, kuzvimba, kana kurwadziwa muzvanza zvako. Kune vamwe, izvi zvinogona kuva chiitiko chinonetsa. Musazvidya mwoyo, ichi chiitiko chinowanzoitika. Nhasi tichataura nezvechirwere ichi chinonzi ``Hand-Foot Syndrome - HFS'' kana sekudanwa kwazvinoitwa navanachiremba ``Palmar-Plantar Erythrodysesthesia'' .

Chii chinonzi "Hand-Foot Syndrome"? Ngatizvinzwisise zviri nyore!

Zvichitaurwa zviri nyore, "Hand-Foot Syndrome" idambudziko reganda rinokonzerwa nemishonga ye "chemotherapy". Zvikuru sei, zvanza zvako zvinogona kutsvuka, kuzvimba, uye dzimwe nguva zvinorwadza. Izvi zvinowanzo konzerwa nekurapwa kwegomarara. Saka zvakakosha kuziva izvi.

Ndeapi marudzi emishonga yechemotherapy inokonzera Hand-Foot Syndrome?

Haasi mishonga yese yechemotherapy inokonzera chirwere ichi. Zvisinei, kune mimwe mishonga yakawanikwa kuti ndiyo inonyanya kukonzera chirwere ichi. "Hand-Foot Syndrome" iyi yakatanga kuzivikanwa apo varwere veleukemia vakapihwa mushonga wakawanda we "cytarabine."

Mhando dzemishonga yechemotherapy inokonzera HFS dzinonyanya kuzivikanwa ndeidzi:

• `(Capecitabine)`
• `(Docetaxel)`
• `(Pegylated liposomal doxorubicin - PLD)`
• `(5-fluorouracil)`

Kune mamwe marudzi e chemotherapy anogona kukonzera HFS, kunyangwe zvishoma:

• `(Bleomycin)`
• `(Cisplatin)`
• `(Cyclophosphomide)`
• `(Daunorubicin)`
• `(Doxifluridine)`
• `(Etoposide)`
• `(Fludarabine)`
• `(Gemcitabine)`
• `(Hydroxyurea)`
• `(Idarubicin)`
• `(Ixabepilone)`
• `(Methotrexate)`
• `(Mitotane)`
• `(Paclitaxel)`
• `(Tegafur)`
• `(Thiotepa)`
• `(Vinorelbine)`

Kana uri kutora chero ipi yemishonga iyi, zvakanaka kungwarira zvishoma nezve ``(HFS)''. Asi yeuka, havasi vese vanotora mishonga iyi vanozoiwana.

Ndezvipi zvinhu zvinokonzera njodzi yekubatwa ne "Hand-Foot Syndrome"?

Chinhu chikuru ndehuwandu hwemushonga we `(chemotherapy)` waunopihwa uye nzira yekuushandisa . Funga nezvazvo, kana huwandu hwemushonga we `(chemotherapy)` waunopihwa hwakakwira, kana kuti kana uchitora mushonga nguva dzose, mikana yekubatwa nechirwere ichi yakakura. Kureva kuti, kana uine mushonga we `(chemotherapy)` wakawanda mumuviri wako kwenguva yakareba, njodzi yekubatwa ne `(HFS)` yakakura.

Ndezvipi zviratidzo zve "Hand-Foot Syndrome"? Tinozviziva sei?

Zviratidzo izvi zvinowanzotanga kuoneka mavhiki maviri kusvika matatu mushure mekutanga chemotherapy. Pakutanga, unogona kunzwa kusanzwa zvakanaka mumaoko ako netsoka. Gare gare, unogona kuona zviratidzo zvakaita seizvi:

• Kuzvimba uye kuchinja ruvara rwemaoko netsoka: Vanhu vane ganda rakanaka, kana avo vane melanin shoma, vanogona kuona kutsvuka kwemaoko netsoka (zvakafanana nekupiswa nezuva). Vanhu vane ganda rebrown kana dema, kana avo vane melanin yakawanda, vanogona kuona kusviba kweganda pamaoko netsoka.
• Kuzvimba muminwe: Kuzvimba kunogona kuonekwa zvakanyanya, kunyanya munzvimbo dzakadai semapedhi eminwe.
• Kuoma kweganda, kurwadziwa, kana kurwadziwa kana rabatwa: Ganda rinogona kunzwa rakamanikana kana kurwadziwa kana rabatwa.
• Kubuda kweganda kana kubvuruka: Dzimwe nguva ganda rinogona kubvuruka kana kubvuruka.
• Kurwadziwa kana chanza kana pasi petsoka parova chimwe chinhu: Semuenzaniso, unogona kunzwa kurwadziwa kana uchifamba kana kubata chimwe chinhu.

Zviratidzo izvi zvinogona kunge zviri zvinyoro uye zvisingarwadzi kune vamwe, nepo vamwe vachigona kurwadziwa zvakanyanya zvinoita kuti zvisakwanise kuita mabasa ezuva nezuva.

Vanachiremba vanoongorora sei chirwere che "Hand-Foot Syndrome"?

Kana chiremba wako kana nesi akaona zviratidzo izvi paunenge uchirapwa chemotherapy, vachafungidzira kuti iHand-Foot Syndrome.

Zvisinei, kana uri kutorawo mushonga wegomarara unonzi `(multikinase inhibitors)`, chiremba wako achafanira kufunga nezvechimwe chinhu. Ikoko chirwere chinonzi `(Hand-Foot Skin Reaction - HFSR)`. Izvi zvinokonzerwawo ne `(multikinase inhibitors)`. `(HFSR)` zvinokonzerawo shanduko dzeganda. Semuenzaniso, ganda rinorwadza, gobvu, uye reyero rinogona kukura munzvimbo dzakadai semajoini, pasi petsoka, uye zvanza zvemaoko.

Nekuda kweizvi, chiremba anogona dzimwe nguva kutora masero eganda kubva kwauri oatarisa achishandisa maikorosikopu kuti aone kana une HFS kana HFSR.

Pane nzira here yekuyera kuoma kwe "Hand-Foot Syndrome"?

Ehe, National Cancer Institute yakaunza nzira yekutsanangura kuoma kwechirwere ichi, inonzi system yekuongorora . Chiremba wako ndiye achasarudza kuti angakurapa sei zvichienderana negiredhi rako reHFS.

• `(Giredhi 1) Syndrome yeMaoko neTsoka`: Panogona kunge paine kuzvimba uye kusviba kweruvara (kutsvuka kana kusviba) muzvanza netsoka, asi hapana kurwadziwa .
• `(Giredhi 2) Syndrome yeMaoko neTsoka`: Kuwedzera kune zviratidzo zve`(Giredhi 1)`, panogona kunge paine matumbu, kubuda ropa, uye kukwesha ganda. Panogona kunge paine marwadzo anoita kuti zviome kuita mabasa ezuva nezuva .
• `(Giredhi 3) Syndrome yeHand-Foot`: Zviratidzo zvacho zvakanyanya kupfuura zve`(Giredhi 2)`. Marwadzo acho anogona kunge akanyanya zvekuti kunyange mabasa enguva dzose haagone kuitwa . Zvinogona kuoma kupfeka, kugeza, kana kuenda kuchimbuzi.

Ndezvipi zvinorapwa zve "Hand-Foot Syndrome"?

Zvino ngationei zvingaitwa neizvi. Kana zviratidzo zvako zvakanyanya, zvichireva kuti zviri kukanganisa hupenyu hwako zvekuti haugone kurarama zvakanaka, vanachiremba vako vanogona kusarudza kumisa kurapwa kwechemotherapy kwenguva yakati, kuderedza dose, kana kukuchinjira kune mumwe mushonga.

Zvisinei, dzimwe nguva kuita shanduko idzi kunogona kukanganisa zvishoma kubudirira kwekurapwa kwegomarara. Kana zviratidzo zvako zvisina kunyanya kuipa, chiremba wako anogona kukukurudzira nzira dzekugadzirisa migumisiro yacho.

Chii chatingaita kuti tidzore zviratidzo?

Vanhu vazhinji vanogona kugadzirisa zviratidzo zveHand-Foot Syndrome nekuchinja mararamiro avo zviri nyore. Unogona kuwana zororo nekuita zvinotevera:

• Shandisa makirimu e corticosteroid: Chiremba anogona kunyora rudzi urwu rwekirimu kuderedza kuzvimba nekuzvimba.
• Isa mafuta ekunyorovesa - zvinonhuwirira: Kuti ganda rako risaome uye rirambe rakanyorovesa zvakanaka, zvakakosha kushandisa moisturizer. Izvi zvinonziwo emollients. Zviise kakawanda pazuva.
• Shandisa mishonga inoderedza marwadzo: Unogona kunwa mapiritsi emuromo kana mishonga yemushonga wekurwadziwa, sezvakarairwa nachiremba wako.
• Dzivirira ganda rako kubva pakupisa: Semuenzaniso, usanyanya kupiswa nezuva, usageze nemvura inopisa, uye usanyanye kunyura tsoka dzako mumabhawa anopisa.
• Isa machira echando kana machira anotonhora: Kuti uderedze kuyerera kweropa mumaoko ako netsoka, isa machira echando kana machira akachena akanyikwa mumvura inotonhora pamaoko ako nemakumbo kwemaminitsi angangoita 15-20. Asi usaise chando zvakananga paganda rako, chiputire nejira.
• Ramba wakasimudza maoko nemakumbo: Kana wakagara pachigaro, simudza makumbo ako, uye kana wakarara, chengeta piro pasi pemakumbo ako. Ndizvo zvakafanana nemaoko ako.
• Kwiza ganda rako zvinyoro nyoro: Ungave uchizora mafuta kana kuomesa ganda rako netauro, usakwize ganda rako nesimba, ribate zvinyoro nyoro.
• Pfeka masokisi neshangu dzakareruka, dzakareruka: Pfeka masokisi asina kusimba, akagadzirwa nejira rakaita sedonje. Ndizvo zvakafanana neshangu, uye kazhinji, chimwe chinhu chakareruka semasandari ndicho chakanakisa.

Chinhu chinonyanya kukosha ndechekuderedza kukweshana pakati pemaoko ako netsoka.

Dzivisa kuita zvinhu zvakaita seizvi, kwekanguva:

• Kumhanya: Nekuti tsoka dzako dzinogara dzichirova pasi.
• Basa rinoitwa wakabata michina zvakasimba:
• Bata banga zvakasimba paunenge uchicheka miriwo.
• Kushandisa maturusi akaita sebadza nefoshoro pakushanda mubindu.
• Kushandisa zvombo paunenge uchigadzirisa zvinhu pamba (semuenzaniso kubata nyundo uchirovera chipikiri).
• Kusimudza zvinorema.

Ndeipi lotion yakanakisisa ye `(Hand-Foot Syndrome)`?

Losheni isina hwema uye isina doroSarudza. Doro rinogona kuomesa ganda zvakanyanya, izvo zvinogona kuwedzera zviratidzo. Dzimwe ongororo dzinoratidza kuti kushandisa kirimu ine 10% urea katatu pazuva kunogona kubatsira kurapa ganda uye kurichengetedza rakanyorova. Zvisinei, zvakanaka kubvunza chiremba usati washandisa chero lotion.

Ndichakurumidza sei kupora mushure mekumira kurapwa?

Izvi zvinogona kusiyana kubva pamunhu nemunhu. Zvisinei, zviratidzo izvi zvinowanzodzikira zvishoma nezvishoma mukati memavhiki maviri kusvika mashanu mushure mekumira kurapwa nechemotherapy. Zvinogona kutora mazuva mashoma kuti zvinyatsopora.

Pane nzira dzekudzivirira chirwere cheHand-Foot Syndrome here?

Kunyangwe zvisingagone kudzivirirwa zvachose, pane zvinhu zvaunogona kuita kuderedza njodzi uye kudzivirira kuti chirwere ichi chisanyanya kuipa kana chikaitika.

• Kana uine matambudziko eganda (semuenzaniso ganda rakaoma, ganda rakatsemuka), zvakanaka kuti arapwe usati watanga chemotherapy.
• Nzira dzakawanda dzekugadzirisa zviratidzo zvatakakurukura kare dzinobatsirawo kudzivirira kutanga kwe `(HFS)`.
• Semuenzaniso, chiremba anogona kukuudza kuti ushandise moisturizer kubva pazuva raunotanga kurapwa nechemotherapy.
• Zvinhu zvaunogona kuita pachine nguva zvinosanganisira kuchengetedza ganda rako kubva pakupisa uye kudzivisa zvinhu zvinoisa kumanikidzwa kusina kufanira uye kukweshana pazvanza zvako netsoka.

Chii chinoonekwa nemunhu ane chirwere che "Hand-Foot Syndrome"?

Kutaura zvazviri, havasi vese vanobatwa nechirwere ichi che "Hand-Foot Syndrome" nenzira imwechete. Kunyangwe vakatora mushonga mumwe chete we ""(chemotherapy)``, manzwiro emumwe munhu anogona kusiyana zvakanyanya nemanzwiro emumwe munhu. Kune vamwe, zvinogona kungova dambudziko diki, nepo kune vamwe, zvingave zvakanyanya zvekuti vanofanirwa kuchinja marapirwo avo ekenza.

Chinhu chakanakisa ndechekuti, kazhinji zviratidzo izvi zvinopera kana chemotherapy yapera . Kana ukachengetedza ganda rako zvakanaka, unogona kudzivirira migumisiro yenguva refu senge mavanga.

Ko Hand-Foot Syndrome inogona kukonzera mamwe matambudziko here?

Chimwe chinhu ndechekuti vamwe vanhu vanorasikirwa neminwe yavo kwenguva yakati. Izvi zvinogona kunetsa dzimwe nguva. Semuenzaniso, kana uchida maminwe yako paunoenda kunze kwenyika, senge paunenge uchinyorera vhiza. Asi usazvidya moyo, maminwe yako achakura zvakare mumwedzi mishoma mushure mekunge kurapwa kwapera.

Ndinofanira kuona chiremba rini?

Zvakakosha kuzivisa chiremba wako nezvezviratidzo zvese zvaunosangana nazvo paunenge uchirapwa chemotherapy, zvisinei nekuti zvidiki sei. Zvikuru, iva nechokwadi chekuudza chiremba wako kana:

• Kana zviratidzo zvikawedzera zvishoma nezvishoma.
• Kana ganda rakatsemuka, ganda rinobuda ropa.
• Kana zviratidzo zvako zvichiita kuti zvikuomere kuita mabasa ako ezuva nezuva.

Panguva dzakadai, kana ukaudza chiremba , anogona kukupa mushonga waunoda, kana kuchinja mushonga wako wechemotherapy.

Mibvunzo ipi yandinofanira kubvunza chiremba?

Zvichakubatsira zvikuru kubvunza chiremba wako kana nesi mibvunzo yakaita seiyi:

• Ndezvipi zvimwe zvinokanganisa zvandinogona kutarisira pandinenge ndichitora chemotherapy?
• Ndezvipi zvimwe zvinokanganisa zvandinofanira kukuzivisai?
• Ndezvipi zvimwe zvinokonzeresa chirwere chandinofanira kuona chiremba kana kuenda kuchipatara?
• Pane zvandingaita here kudzivirira mimwe migumisiro yakaipa?
• Pane zvimwe zvinhu zvakakosha here (zvakaita semafuta ekuzora, mafuta ekuzora) zvamunokurudzira kudzivirira kana kudzora chirwere ichi che "Hand-Foot Syndrome"?

Pakupedzisira, zvekurangarira (Mharidzo Yekuenda Kumba)

Saka, `(chemotherapy)` mushonga unokosha zvikuru, unoponesa hupenyu hwegomarara. Zvisinei, tinofanirawo kunzwisisa kuti migumisiro iyi inogona kuitika. `(Hand-Foot Syndrome)` chirwere chinowanzoitika, asi chinowanzo gadziriswa.

Kana uine zviratidzo izvi , usavhunduke kana kutya . Chinhu chakakosha ndechekutaura pachena nezveizvi nechikwata chako chehutano. Vachakubatsira kugadzirisa dambudziko rako uye kuchinja hurongwa hwako hwekurapa kana zvichidikanwa. Hausi wega, uye une chikwata chehutano chevanachiremba, vanamukoti, nevamwe vashandi kuti vakubatsire parwendo urwu. Saka, tsvaga rubatsiro rwavo kana uine zvinokunetsa.

` Hand-Foot Syndrome, HFS, chemotherapy, migumisiro yeganda, kurapa kenza, kurapwa kwekenza, migumisiro yeganda, kuzvimba kwemuchindwe, kuzvimba kwemuchindwe