Ukulwa nomhlaza akulula. Ngexesha lonyango, ungaziva udidekile kancinci, ngokungathi ukwinkungu, okanye ngathi ukwinkungu. Ukuba uziva ngale ndlela, awuwedwa. Ngokwezonyango sibiza le meko ngokuthi 'yi-chemo brain.' Xa usiva eli gama, ungacinga ukuba kwenzeka kubantu abafumana i-chemotherapy kuphela, kodwa inokubangelwa nazizinye iindlela zonyango lomhlaza.
Iindaba ezimnandi zezokuba kubantu abaninzi, ezi mpawu ziyaphela kancinci kancinci emva kokuba unyango lugqityiwe. Ngoko ke masithethe ngale nto ngokweenkcukacha ezithe vetshe.
Yintoni kanye kanye 'iChemo Brain'?
Ngamafutshane, 'ingqondo ye-chemo' kuxa uziva ngathi izakhono zakho zokucinga, inkumbulo, kunye nokwenza izigqibo azisekho kakuhle njengoko zazinjalo ngaphambi konyango lomhlaza. Kuvakala ngathi intloko yakho inenkungu. Oogqirha bakubiza oku ngokuthi 'yi-Chemotherapy-induced cognitive impairment'. Kukukhubazeka kwengqondo okubangelwa lunyango lomhlaza.
Usenokucinga ukuba oku kwenzeka kuwe kuphela. Kodwa inyani yile, phakathi kwama -70% nama-75% ezigulane ezinomhlaza zifumana ezi ntlungu ngexesha okanye emva konyango. Okumangalisayo kukuba, kwabanye abantu, phakathi kwama -25% nama-30% , ezi mpawu zinokuvela nangaphambi kokuba unyango luqale. Oku kusenokubangelwa luxinzelelo oluza nokufunda ngomhlaza.
Ziziphi iimpawu eziqhelekileyo 'zobuchopho be-chemo'?
Le meko ichaphazela kakhulu ukusebenza kwengqondo yakho (ukuqonda) - oko kukuthi, indlela ocinga ngayo, okhumbula ngayo, nowenza ngayo izigqibo. Usenokuhlangabezana nezinto ezinje. Masijonge oku kwitheyibhile ukuze sikuqonde kakuhle.
| Uphawu | Oku kukwenza uzive njani? |
|---|---|
| Ubunzima bokufumana amagama | Xa uthetha, ngequbuliso uyalibala into obufuna ukuyithetha. Kuthatha ixesha ukucinga ngento elula. |
| Ubunzima bokuqonda ibali | Xa umntu ethetha, ndiziva ngathi andiyiqondi into ayithethayo. Ndiyalahleka kwincoko. |
| Ukuncipha kwengqwalasela | Kunzima ukugxila kwinto enye ixesha elide. Xa ufunda incwadi okanye ubukele iTV, ingqondo yakho iya kwenye indawo. |
| Ubunzima bokwenza imisebenzi emininzi ngaxeshanye | Xa uzama ukwenza izinto ezimbini ngaxeshanye, njengokuthetha efowunini ngelixa upheka, yonke into iyabhideka. |
| Ndiziva ndidiniwe ngengqondo | Nangona ndingenzi nto, intloko yam idinwe kakhulu. Intliziyo yam inzima kakhulu. |
| Ukulahlekelwa yibhalansi emzimbeni (ukungakhathali) | Izinto ezifana nezinto ezisesandleni sakho ezihlala ziwela phantsi okanye zingqubana nento ethile zinokwenzeka rhoqo. |
Ngaba 'ingqondo ye-chemo' ingatshintsha ubuntu bakho?
Ewe, ezinye izifundo zifumanise ukuba le meko inokukhokelela kuxinzelelo , ukucaphuka , kunye nokucaphuka lula ebantwini. Kuqhelekile ukuziva ucaphukile xa izinto ezazilula ngoku kunzima ukuzenza. Ukuqonda olu tshintsho kunokukunceda ufumane amaqhinga okulwa nalo.
Kutheni le nto le 'ngqondo ye-chemo' isenzeka?
Akukho sizathu sinye sale nto. Yindibaniselwano yezinto. Umhlaza ngokwawo, unyango, iziphumo ebezingalindelekanga zonyango, kunye noxinzelelo lokufunda ukuba unomhlaza zonke ezi zinto zinegalelo koku.
| Izizathu eziphambili 'zobuchopho be-chemo' | |
|---|---|
| Unyango lomhlaza | |
| |
| Ezinye iimeko kunye neziphumo ebezingalindelekanga ezibangelwa lunyango | |
|
Ngubani osengozini enkulu yokuba 'nobuchopho be-chemo'?
Abanye abantu basengozini enkulu yokuhlaselwa sesi sifo ngenxa yezi zizathu zilandelayo:
- Ukuba unomhlaza wobuchopho okanye ezinye iintlobo zomhlaza ezisasazeke engqondweni (ii-metastatic brain tumors).
- Ukuba ufumana unyango lwe-radiation engqondweni yakho .
- Ukuba ubunesifo sengqondo esifana nokudakumba ngaphambi kokuba ube nomhlaza.
- Ukuba unesinye isifo esinxulumene nenkqubo yemithambo-luvo (isifo se-neurodegenerative).
- Ukuba i-genetics yakho ikwenza ube sengozini yolu hlobo lotshintsho lwengqondo.
Oogqirha bayixilonga njani le meko?
Akukho vavanyo luthile lokuxilonga 'ubuchopho be-chemo'. Oko kukuthi, akukho vavanyo olunokuthi ngokuqinisekileyo, "Le yingqondo ye-chemo."
Eyona nto ibalulekileyo ngamava akho. Ukuthetha ngokukhululekileyo nogqirha wakho malunga notshintsho oluvelayo linyathelo lokuqala nelibalulekileyo ekuxilongweni.
Kodwa ugqirha wakho usenokufuna ukujonga ukuba kukho omnye unobangela wezi mpawu.Izinto ezifana novavanyo lwegazi okanye ukuskena ubuchopho zinokucetyiswa. Ngoko ke, qiniseka ukuba uxelela ugqirha wakho ukuba ubona naluphi na utshintsho kwindlela ocinga ngayo okanye kwinkumbulo yakho ngaphambi, ngexesha, okanye emva konyango.
Zithini iindlela zonyango kunye namayeza oku?
Kukho iindlela ezahlukeneyo zonyango kunye nemisebenzi enokukunceda ukunciphisa iimpawu zakho kunye nokususa le ntloko inenkungu. Ugqirha wakho uza kucebisa ukuba yeyiphi ekulungeleyo.
| Unyango/unyango | Kwenzeka ntoni ngale nto? |
|---|---|
| Ukuvuselelwa kwengqondo | Sichonga ubunzima bakho, obufana nokukhumbula nokunikel’ ingqalelo, size sikufundise iindlela zokujongana nabo. |
| Unyango lokushukuma | Ukuzilolonga okufana neyoga kunye neTai Chi kukufundisa ukuba ugxile engqondweni yakho kwaye ugxile emzimbeni wakho. |
| Unyango lokuziphatha kwengqondo (i-CBT) | Oku kuluncedo kakhulu kubantu abangakwaziyo ukulala. Ukulala kakuhle kuphucula inkumbulo. |
| Unyango lokubuyisela ingqwalasela | Oku kukukhuthaza ukuba uchithe ixesha ngaphandle, kwindalo. Yindlela entle yokuphumla ingqondo. |
| Ukunciphisa uxinzelelo olusekelwe engqondweni | Ukucamngca kunye nokuzilolonga kwandisa ukucaca kwengqondo. |
Amayeza
Ngokuxhomekeke kwiimpawu zakho, ugqirha wakho unokucebisa amayeza anjengala:
- Amayeza e-ADHD: La anokunyusa ixesha lokunikel’ ingqalelo kunye nesantya sokucinga.
- Ii-Antidepressants: Ezi zinceda ekulawuleni ukuphazamiseka kwengqondo okuhambisana nolu tshintsho lwengqondo.
- Amayeza okulwa ne-dementia: La mayeza anokunikwa ukuqinisa inkumbulo kwiimeko apho iimpawu zinzima kakhulu.
Ihlala ixesha elingakanani 'ingqondo ye-chemo'?
Le yingxaki abantu abaninzi abanayo. Kubantu abaninzi, ezi mpawu ziyaphela kancinci kancinci emva kokuba unyango lomhlaza luphelile. Nangona kunjalo, kwabanye abantu, ezi ntlungu zinokuhlala iinyanga, kwaneminyaka.
Ukuba usenazo ezi ngxaki emva kokuba unyango luphelile, thetha nogqirha wakho ngazo. Angacebisa unyango oluya kukunceda ngakumbi.
Ndingenza ntoni ukuze ndikwazi ukulawula le meko?
Kuthatha ixesha ukuchacha emzimbeni nasengqondweni emva konyango lomhlaza, ngoko ke yiba nobubele kuwe. Zama ezi zinto zilula ezinokukunceda.
- Thetha ngokukhululekileyo: Xelela usapho lwakho nabahlobo bakho abasondeleyo ukuba unengxaki efana nale. Kuya kuba lula ngabo ukukuqonda nokukunceda.
- Fumana 'ixesha elifanelekileyo': Kukho amaxesha emini apho ingqondo yakho icacile khona. Chonga loo maxesha, cinga ngawo, kwaye ucwangcise imisebenzi enzima ngaloo maxesha.
- Cwangcisa usuku lwakho: Ngaphambi kokuba uqale usuku lwakho, bhala phantsi uluhlu lwezinto oza kuzenza. Oku kuya kukunceda ukuba ungalibali izinto kwaye unciphise uxinzelelo.
- Lala ngokwaneleyo: Ukudinwa kunokwenza ingqondo yakho ibe mandundu, ngoko ke kubalulekile ukulala iiyure ezisi-7 ukuya kwezisi-8 ngosuku.
- Camngca: Ukuzinika imizuzu eli-10-15 ngosuku ukugxila ekuphefumleni kwakho kunokunceda ekunciphiseni ukuxinana kwengqondo.
- Yitya ukutya okunempilo engqondweni: Zama ukutya okunempilo engqondweni, njengeentlanzi ezityebileyo kwi-Omega-3, imifuno eluhlaza, iziqhamo kunye namandongomane. Funa ingcebiso kwingcali yesondlo ukuba kuyimfuneko.
- Ukuzilolonga: Ukwenza umthambo olula njengokuhamba okanye i-yoga yonke imihla kunokuphucula impilo yakho yengqondo kunye nokusebenza kwengqondo.
- Zilolonge ingqondo yakho: Qeqesha ingqondo yakho ngokwenza iiphazili, amagama anqamlezileyo, okanye ufunde into entsha. Kodwa musa ukuzibeka uxinzelelo, yenza ezi zinto ngendlela eyonwabisayo.
Xa kuthelekiswa nentlungu yomzimba yokulwa nomhlaza, le 'ngqondo ye-chemo' ingabonakala ngathi yinto encinci kuwe. Kodwa amandla akho okucinga nokukhumbula abaluleke kakhulu ebomini bakho. Ngoko ke ungoyiki ukuthetha ngayo kwaye ucele uncedo.
Umyalezo Wokuya Ekhaya
- 'I-Chemo brain' yimeko yokwenyani eqhelekileyo kubantu abanesifo somhlaza. Ukuba uyifumana, ayisiyonto uyicingayo.
- Le meko ayibangelwa yi-chemotherapy kuphela, kodwa inokubangelwa nazizinye iindlela zonyango lomhlaza, ezifana nonyango lwe-radiation kunye nonyango lwe-hormone.
- Kubantu abaninzi, ezi mpawu ziyancipha kancinci kancinci ngokuhamba kwexesha zize zibuyele esiqhelweni emva kokuba unyango lugqityiwe.
- Ukuba ubona naluphi na utshintsho kwinkumbulo yakho, ingqalelo, okanye amandla akho okucinga, qiniseka ukuba uthetha nogqirha wakho ngalo mba.
- Kukho unyango oluninzi kunye namayeza alula onokuwenza ngokwakho ukunceda ukulawula le meko kunye nokunciphisa iimpawu.
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