Ukuba ukhe wanyangwa umhlaza webele, ingakumbi i-chemotherapy, usenokuba ukhe waziva ngathi une-nausea okanye ukurhawuzelelwa ezandleni nasezinyaweni, okanye uzive ungaqhelekanga, njengokutshisa. Ngamanye amaxesha usenokungazi ukuba yintoni. Enyanisweni, oku kungaba yimpembelelo eqhelekileyo yonyango. Namhlanje sithetha ngale meko ibizwa ngokuba yi -Peripheral Neuropathy . Musa ukoyika, eyona nto ibalulekileyo kukwazi oku.
Yintoni iPeripheral Neuropathy? Ixhaphake kangakanani?
Ngamafutshane, i-Peripheral Neuropathy kukonakalisa enye okanye ezingaphezulu zemithambo-luvo engaphandle emzimbeni wethu. Le mithambo-luvo ithwala imvakalelo (iimvakalelo) kunye nemiyalelo esuka engqondweni iye kwiingalo zethu, emilenzeni, nakwezinye iindawo zomzimba. Xa le mithambo-luvo yonakele, iimpawu ezikhankanyiweyo ngaphambili, ezinje ngokuba ndindisholo, ukurhawuzelela, kunye nentlungu, ziyavela.
Le meko ixhaphake kakhulu kunyango lwe-chemotherapy lomhlaza webele, ingakumbi abo bakwiklasi ye-taxane. Umzekelo, olunye uphando lufumanise ukuba malunga nama-40% abantu abanyangwa ngala mayeza e-taxane, okanye abane kwishumi, babesenazo ezi mpawu emva kweminyaka emibini emva konyango. Kwaye olunye uphando lufumanise ukuba malunga nomntu omnye kwabahlanu abafumene olu nyango baye baba nale meko.
Oko kuthetha ukuba ukuba uziva ngolu hlobo, awuwedwa. Le yimeko eqhelekileyo kubantu abaninzi. Eyona nto ibalulekileyo kukuthetha nogqirha wakho ngayo.
Le meko inokwenzeka emva konyango lwalo naliphi na inqanaba lomhlaza webele. Ngamanye amaxesha, xa umhlaza usasazeke (uqhubele phambili), umhlaza ngokwawo unokubangela uxinzelelo kwimithambo-luvo, nto leyo ebangela le meko, i-Peripheral Neuropathy. Ayisiyo-chemo kuphela, kodwa notyando oluthile kunye nonyango lwemitha lunokubangela le meko.
Kutheni oku kusenzeka ngamayeza e-chemo ohlobo lweTaxane?
Kukho iintlobo ezahlukeneyo zamayeza e-chemotherapy akwiklasi ye-taxane.
- I-Albumin Paclitaxel (Abraxane)
- I-Docetaxel (iTaxotere)
- I-Paclitaxel (i-Taxol)
Ugqirha wakho angakunika enye yezi okanye indibaniselwano yazo kunye nezinye iziyobisi ze-chemo.
Ngamafutshane, la mayeza e-taxane athintela iiseli zomhlaza ukuba zingahlukani. Iiseli zomhlaza ziiseli ezahlukana ngokukhawuleza. Ngoko ke la mayeza alawula eso santya. Kodwa kule nkqubo, abaphandi bakholelwa ukuba iiseli zemithambo-luvo ezisempilweni emzimbeni wethu nazo zinokuchaphazeleka. Oku kusaphandwa.
Ziziphi iimpawu zePeripheral Neuropathy?
Ezi mpawu zinokwahluka ngokuxhomekeke kwimithambo-luvo echaphazelekayo. Kodwa zihlala ziqala ezinzwaneni. Emva koko zinokusasaza imilenze kancinci kancinci, ziye ezingalweni, zize zinyuse izandla. Ukuba unayo nayiphi na kwezi mpawu, kubaluleke kakhulu ukuxelela ugqirha wakho ngazo ngaphandle kokulibazisa.
| Uhlobo oluneempawu | Inkcazo |
|---|---|
| Iimpawu eziqhelekileyo | |
| Ukuba ndindisholo | Ukuziva ngathi "iimbovane zibaleka" okanye zihlatywa ngeenaliti. |
| Ukuziva okunciphileyo | Imilenze ivakala ngathi "yijeli" kwaye ibuthathaka. Awunakuwuva kakuhle umhlaba xa uhamba. |
| Ubuthathaka bemisipha | Ubuthathaka kwimilenze, ubunzima bokuphakamisa izinto. |
| Intlungu okanye ukudumba | Intlungu okanye ukudumba okungapheliyo okanye ngamanye amaxesha. |
| Ubunzima bokusebenzisa izandla | Ubunzima bokubamba izinto ezincinci, ukuqhobosha iimpahla, nokubhala. |
| Ezinye iimpawu ezinokwenzeka | |
| Iingxaki ezahlukeneyo | Intlungu yomhlathi, ukuva kancinci, ukungasebenzi kakuhle xa uhamba, ukuqhina, ubunzima bokuginya, utshintsho kuxinzelelo lwegazi. |
Ezi mpawu zinokuvela kwiiyure okanye kwiintsuku emva komjikelo we- chemo. Kodwa amaxesha amaninzi zibonakala kwiiveki ezimbalwa kamva. Ezinye iimpawu zinokuphucuka ngokuhamba kwexesha. Nangona kunjalo, iimpawu ezinzima zisenokungapheli ngokupheleleyo.
Ziziphi izinto ezibangela umngcipheko kule meko?
Ukongeza kwi-chemotherapy, ezinye izinto ezininzi zinokunyusa umngcipheko wokufumana le meko, kubandakanya neuropathy ye-peripheral.
- Umhlaza osasazeke emzimbeni wonke (umhlaza webele osasazekayo)
- Ukukhula
- Ukuba nesifo semithambo-luvo ngaphambi konyango
- Ukutyeba kakhulu
- Isifo seswekile
- Ukunqongophala kweevithamini (ingakumbi iivithamini ze-B)
- Ekubeni sele ndifumene unyango lwe-chemotherapy ngaphambili
- Ukusetyenziswa kotywala
Ukongeza kwi-taxanes, ezinye iziyobisi ze-chemo ezifana namayeza e-platinum (umz. i-oxaliplatin) kunye ne-vinca alkaloids (umz. i-vincristine) nazo zinokubangela le meko.
Singenza ntoni ukulawula iimpawu?
Okwangoku akukho nyango lwe-peripheral neuropathy, kwaye akukho nyango lwalo xa sele luqalile. Nangona kunjalo, zininzi izinto onokuzenza ukunciphisa ukungakhululeki okubangelwa ziimpawu nokwenza ubomi bube lula.
Eyona nto ibalulekileyo kukuthetha ngokukhululekileyo nogqirha wakho malunga neengxaki zakho. Emva koko angakunika isisombululo esifanelekileyo.
Ugqirha wakho unokucebisa oku kulandelayo ukunceda ukulawula iimpawu zakho:
- Amayeza okudakumba: Amayeza okunyanga iintlungu zemithambo-luvo, njengeDuloxetine, anceda abanye abantu.
- IiSteroids: Ezi zinceda ekunciphiseni iintlungu nokungonwabi okwethutyana.
- Iikhrimu zokufunxa: Ungafumana isiqabu sexeshana ngokufaka iikhrimu okanye amabala kwiindawo ezibuhlungu.
- Iipilisi zokubulala iintlungu: Ukuba uneentlungu ezinkulu zemithambo-luvo, iqela lakho lezonyango linokukunika amayeza okubulala iintlungu e-opioid.
Ukongeza, ungathetha nogqirha wakho malunga nonyango olufana nonyango lomzimba, unyango lomsebenzi, kunye ne-acupuncture.
Kubalulekile ukuthetha nogqirha wakho malunga neempawu zakho rhoqo. Emva koko angenza utshintsho kwisicwangciso sakho sonyango ukuthintela umonakalo wexesha elide. Umzekelo:
- Ukunciphisa idosi ye-chemotherapy
- Ukulibazisa unyango okwethutyana
- Ukuyeka amayeza okwethutyana de iimpawu zakho ziphele
Umyalezo Wokuya Ekhaya
- I-peripheral neuropathy yimpembelelo eqhelekileyo yonyango lomhlaza, ingakumbi i-chemotherapy. Akunyanzelekanga ukuba ujongane nale meko wedwa.
- Yazisa ugqirha wakho ngoko nangoko ngazo naziphi na iimpawu ezintsha, ezinjengokungaziva mnandi, iintlungu, ukutsha, okanye ubuthathaka bamalungu akho.
- Ukuba uqaphela ezi mpawu kwangethuba, ugqirha wakho unokutshintsha isicwangciso sakho sonyango aze anciphise nawuphi na umonakalo onokwenzeka kwimithambo-luvo yakho ixesha elide.
- Akukho mfuneko yokubandezeleka zezi ntlungu. Kukho iindlela ezahlukeneyo zokulawula iimpawu. Ngoko ke xoxa ngayo yonke into nogqirha wakho.
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