'Ubuchopho beChemo' Obuza Nonyango Lomhlaza - Siza Kuthetha Ngalo Msebenzi?

Xa unyangwa umhlaza, ngamanye amaxesha ungaziva ngathi indlela ocinga ngayo kunye nenkumbulo yakho zahlukile kancinci. Ngaba ukufumanisa kunzima ukukhumbula izinto ngokukhawuleza njengangaphambili, unengxaki yokucinga, okanye unengxaki yokugxila? Ukuba uziva ngathi intloko yakho inenkungu, oku sikubiza ngokuba yi-'chemo brain' okanye 'chemotherapy brain fog'. Le yinto echaphazela abantu abaninzi, ngoko yazi ukuba awuwedwa.

Yintoni 'iChemo Brain'?

Ngamafutshane, 'ingqondo ye-chemo' kuxa uziva ngathi awukwazi ukucinga ngokucacileyo nangokukhawuleza njengoko ubuqhele ukwenza, nokuba emva kokuba unomhlaza okanye emva konyango lomhlaza. Oogqirha ngamanye amaxesha babiza le meko ngokuthi "i-chemotherapy-induced cognitive impairment" okanye "i-cancer-treatment-related cognitive impairment." Kodwa oogqirha ngoku bafumanisa ukuba abanye abantu banokuba nezi ngxaki zokuqonda ngaphambi, ngexesha, okanye emva konyango lomhlaza.

Uninzi lwexesha, le meko ibizwa ngokuba yi-'chemo brain' ithatha ixesha elifutshane . Oko kuthetha ukuba iyaphucuka emva kwexesha elithile. Kodwa kwabanye abantu, ezi mpawu zinokuhlala iinyanga emva kokuba unyango luphelile. Nangona okwangoku kungekho nyango lwe-'chemo brain', oogqirha banokucebisa amayeza athile, unyango, kunye nemisebenzi enokukunceda ujongane 'nenkungu yakho yobuchopho.'

'I-Chemo Brain' ichaphazela njani ubomi bemihla ngemihla?

Ingqondo ye-chemo ichaphazela kakhulu "ukuqonda" kwethu. "Ukuqonda" kubhekisa kwindlela esicinga ngayo, amandla ethu okukhumbula ulwazi, kunye nokukwazi kwethu ukugxila kwinto ethile. Ezi ngxaki zengqondo ezinxulumene nonyango lomhlaza zinokuqala zibonakale ngeendlela ezincinci. Rhoqo, nangona unokwenza imisebenzi yemihla ngemihla, ungaziva ngathi ifuna umgudu ongakumbi kwaye ithatha ixesha elide .

Khawucinge nje, xa usiya evenkileni njengesiqhelo uze uthenge into ekuluhlu lwakho lwezinto ozithengayo, ngequbuliso awukhumbuli ukuba yintoni, okanye xa ufika ekhaya uyalibala apho uzibeke khona izitshixo zakho. Ngenxa yezinto ezinje, ngamanye amaxesha abantu abane-'chemo brain' baziva beneentloni ngokungakhululeki kwabo, bazikhwebula kwabanye, baze bazame ukuba bodwa . Kwakhona, kukho amaxesha apho 'chemo brain' ikwenza kube nzima ukwenza umsebenzi ngokufanelekileyo emsebenzini.

Ngaba oku kubangela utshintsho kubuntu?

Ezinye izifundo zibonise ukuba abantu abane-'chemo brain' banokuba nokudakumba . Kwakhona, xa izinto ezazilula kwaye zikhawuleza ukuzenza zingasakwazi ukwenziwa, abanye abantu baba nomsindo baze bacaphuke . Oku kuqhelekile, kuba kuqhelekile ukuvakalelwa ngaloo ndlela xa ungakwazi ukusebenza ngendlela obuqhele ukwenza ngayo.

Ixhaphake kangakanani le meko?

Oogqirha abafunda unyango lomhlaza kunye nokucinga baqikelela ukuba phakathi kwama-25% nama-30% abantu abane-'chemo brain' babonakalisa iimpawu ngaphambi kokuba baqale unyango lomhlaza . Kwaye malunga nama-75% abantu abafumana unyango lomhlaza baxelela oogqirha babo ukuba baneengxaki ngenkumbulo, ingqalelo, kunye nokukwazi ukugqiba imisebenzi. Ngoko ke ungabona, le yinto echaphazela abantu abaninzi.

Zithini iimpawu ze-'Chemo Brain'?

Iimpawu eziphambili 'zobuchopho be-chemo' ziingxaki zenkumbulo kunye neengxaki zokusebenza kakuhle (oko kukuthi, ukukwazi ukulawula ixesha nokwenza izigqibo). Inkumbulo apha ibhekisa kubuchule bokukhumbula izinto abanye abantu abakuxelela zona, njengeedilesi namagama osele uwazi. Iimpawu zingabandakanya:

• Ubunzima bokufumana igama elifanelekileyo lento, okanye ubunzima bokwenza izinto ebezilula ngaphambili, njengokongeza amanani entlokweni yakho.
• Ubunzima bokulandela indlela umntu athetha ngayo.
• Ukunganikeli ngqalelo ixesha elide okanye ubunzima bokugxila kumsebenzi okanye kwingcamango ethile.
• Ubunzima bokwenza izinto ezininzi ngaxeshanye (ukwenza izinto ezininzi ngaxeshanye), yiyo loo nto uvakalelwa kukuba kufuneka wenze into enye ngexesha .
• Ukuziva udiniwe, udiniwe , okanye ungenawo amandla.
• Ndiziva ngathi andikwazi ukuhamba kakuhle , ngathi kukho into engalunganga ngezakhono zakho zokunyakaza.

Yintoni ebangela 'iChemo Brain'?

Nangona ibizwa ngokuba yi-'chemo brain', zininzi izizathu ezibangela le meko. Oko kuthetha ukuba i-chemotherapy ayiyo yodwa ebangela le meko.

Oku kungenzeka njani ngenxa yonyango lwezonyango?

• Unyango lweehomoni: Unyango lweehomoni olunikwa abantu abanomhlaza webele okanye umhlaza weprostate lunokuchaphazela iindawo zengqondo ezinceda ekusebenzeni kwengqondo.
• Unyango ngemitha: Ukudinwa okubangelwa lunyango ngemitha kunokuchaphazela amandla okucinga. Ngokufanayo, ukuba umntu onomhlaza wobuchopho unikwa unyango ngemitha, lunokuchaphazela ngqo amandla okucinga.

Zithini izizathu zomzimba?

• Ukungalali: Ukuxhalaba kunye noxinzelelo malunga nemeko yakho kunokwenza kube nzima ukulala kakuhle. Kunzima ukugxila kwinto ethile xa udiniwe kakhulu .
• Ukulahlekelwa yinkanuko: Ukoyika unyango okanye iziphumo ebezingalindelekanga zonyango kunokubangela ukuphelelwa yinkanuko. Khumbula, ukutya kuko okusinika amandla esiwadingayo ukuze sisebenze kubomi bethu bemihla ngemihla.
• Uxinzelelo:Abanye abantu abanomhlaza banokuba nesifo sengqondo esibizwa ngokuba yi-depression. Nokuba badandathekile, kunokuba nzima ukugxila kuyo nayiphi na into.

Ungayibona njani i-'Chemo Brain'?

Akukho vavanyo lulodwa olucacileyo lokuxilonga 'i-chemo brain'. Oogqirha banokuyalela uvavanyo lwegazi ukuze bakhuphe ezinye iimeko ezinokubangela iimpawu ezifanayo zobuchopho. Oko kukuthi, baqala ngokujonga ukuba kukho ezinye izizathu zeempawu.

Ungajongana njani 'neChemo Brain'? / Yintoni onokuyenza ngayo?

Oogqirha banokucebisa iindlela ezahlukeneyo zonyango kunye nemisebenzi enokunceda ekunciphiseni ezinye zeempawu 'ze-chemo brain'. Ezinye zazo ziquka:

• Ukuvuselelwa kwengqondo: Olu nyango lukufundisa iindlela ezintsha zokucubungula nokukhumbula ulwazi olutsha. Ngamanye amazwi, lufundisa ingqondo yakho ukusebenza ngeendlela ezintsha.
• Unyango lokushukuma: Ukuzilolonga okufana neyoga kunye ne-tai chi kufuna ukuba ushukume kwaye ugcine umzimba wakho uphilile kwaye ulawulekile. Olu hlobo lokuzilolonga lunokuphucula inkumbulo kunye nokugxila.
• Ukubuyiselwa kwengqwalasela: Imisebenzi yemihla ngemihla efuna ukuba ugxile, njengokunyamekela izilwanyana zasekhaya okanye ukulima igadi, inokuphucula amandla akho okugxila.
• Ukucamngca: Xa ucamngca, ugxila ingqondo yakho kumagama athile, imifanekiso, okanye izimvo. Olu gxininiso lunokukunceda ukulawula uxinzelelo kunye nokunciphisa ukuphazamiseka.

Ngaba i-'Chemo Brain' ingathintelwa ngexesha lonyango lomhlaza?

Oogqirha bakho bahlala bezama ukukhetha unyango olusebenzayo lokubulala umhlaza wakho okanye ukulawula ukukhula kwawo. Bayazi ukuba ezinye zezi ndlela zonyango zinokuchaphazela inkumbulo yakho kunye nokukwazi kwakho ukugxilisa ingqondo. Ngoko ke, ngelixa benyanga umhlaza wakho ngempumelelo, baya kusebenza nawe ukunciphisa ezi ziphumo ebezingalindelekanga kangangoko kunokwenzeka. Nangona kunjalo, ngamanye amaxesha ezi ziphumo bezingalindelekanga azinakuthintelwa ngokupheleleyo.

Ngaba kukho izinto ezibangela umngcipheko wokuba ne-'chemo brain'?

Oogqirha baye bachonga izinto ezininzi ezibangela oku, kodwa uninzi lwazo zizinto ongenakukwazi ukuzilawula . Umzekelo, ubudala kunye nezinye iimeko zempilo onokuba nazo ngaphambi, ngexesha, okanye emva konyango lomhlaza zinokunyusa umngcipheko wakho wokuba ne-'chemo brain'.

Ihlala ixesha elingakanani 'ingqondo ye-chemo'?

Ubude bexesha 'lobuchopho be-chemo' buyahluka ukusuka kumntu ukuya komnye. Abanye abantu banokufumana isiqabu kwiinyanga ezimbalwa, ngelixa abanye banokufumana ezi mpawu kangangeminyaka. Buyahluka ukusuka kumntu ukuya komnye.

Uzinyamekela njani?

Okokuqala, yiba nomonde kwaye ube nobubele kuwe . Ukuphila nomhlaza kunye nonyango lomhlaza akulula. Usenokufuna ixesha lokuphola ngokwasemzimbeni, ngokwengqondo, nangokweemvakalelo kumhlaza kunye nonyango lwawo, kuquka ne-chemotherapy. Nazi ezinye iingcebiso ezinokukunceda ujongane 'ne-chemo brain':

• Yazisa abanye ukuba une-'Chemotherapy Brain Inkungu': Xa unomhlaza, ungaziva ngathi uhlala ucela uncedo kwabanye. Ungaziva ngathi 'i-chemo brain' yinto ekufuneka uyilawule wedwa. Nangona kunjalo, xa uziva "unenkungu" kwaye unengxaki yokukhumbula ulwazi, ukuxelela usapho kunye nabahlobo ngalo kunokubanceda baqonde okwenzekayo.
• Gcina uluhlu lwezinto ezibangela iingxaki: Gcina uluhlu lwamaxesha osuku, imisebenzi, kunye nesimo sakho sengqondo, njengaxa uziva udidekile ngendlela engaqhelekanga, unengxaki yokugxila, okanye ulibale izinto. Olu qheliselo lunokukunceda uchonge izinto ezinokubangela iingxaki ezinokwenza iimpawu zakho 'zengqondo ye-chemo' zibe mandundu .
• Yenza imisebenzi yemihla ngemihla elula ukuyilandela: Kungakunceda ukubhala phantsi izicwangciso zakho zosuku, ukususela ekuseleni amayeza akho kusasa, ukuya ekutyeni isidlo sakusasa, ukuya kwimisebenzi yakho yemihla ngemihla, ukuya ngokuhlwa.
• Phumla kwaye ulale ngokwaneleyo: Ukudinwa kunokwenza iimpawu 'ze-chemo brain' zibe mandundu.
• Yitya ukutya okunempilo: Cela ugqirha wakho ukuba athethe nengcali yesondlo ukuqinisekisa ukuba ufumana "ukutya kwengqondo" okwaneleyo.
• Ukuzilolonga rhoqo: Ukuzilolonga akukwenzi uzive ulungile kuphela, kodwa kukwakunceda ubuyisele amandla akho kunye nokuzithemba. Iintlobo zokuzilolonga ezigxila kwinto oyenzayo kunye nendlela oyenza ngayo, njenge-"Tai chi" kunye ne-"Yoga", zinokuba luncedo kakhulu.
• Nika ingqondo yakho umthambo wemihla ngemihla: Ukwenza izinto ezifana nokusombulula iiphazili okanye ukudlala imidlalo yamagama kunokukunceda ugxile kwaye ugcine ingqondo yakho ixakekile. Kodwa, yenza ezi zinto ngendlela engakuvimbisi okanye ekudakumbisayo .

Khumbula, njengoko usenza konke oku, yiba nomonde kwaye uzithande. Eli lixesha elinzima, ngoko ke yenza izinto ezikwenza uzive ukhululekile.

Ndifanele ndimbone nini ugqirha?

Njengomntu osindileyo kumhlaza, kusenokwenzeka ukuba uya kuhlolwa rhoqo ukuze uvavanye impilo yakho iyonke. Nangona kunjalo, ukuba iimpawu zakho 'ze-chemo brain' ziba mandundu ngequbuliso , okanye ukuba ubonakalisa iimpawu ezintsha , fowunela ugqirha wakho ngoko nangoko. Banokuvavanya ukuba iimpawu zakho ezintsha okanye eziya ziba mandundu ziimpawu zesinye isifo.

Yeyiphi imibuzo omele uyibuze ugqirha wakho?

Usenokungakwazi ukuthintela ngokupheleleyo 'ingqondo ye-chemo'. Kodwa ukuba uyasiqonda isizathu kunye nendlela 'ingqondo ye-chemo' eyenzeka ngayo, ungaziva ngcono kancinci ngemeko yakho. I-National Cancer Institute icebisa ukuba uzibuze le mibuzo:

• Ngaba unyango lwam luya kwandisa umngcipheko weengxaki zengqondo?
• Iimpawu zam ziza kuqala nini, kwaye ziza kuhlala ixesha elingakanani?
• Ngaba kukho amanyathelo endingawathathayo ukunciphisa impembelelo kwindlela endicinga ngayo?
• Zeziphi iimpawu okanye iingxaki ekufuneka ziqwalaselwe lusapho lwam?
• Ndingaqhagamshelana nani nini malunga nale miba?
• Ngaba ungacebisa naziphi na izixhobo endinokuzisebenzisa ukunceda 'nge-chemo brain fog'?
• Ngaba kukho iingcali zonyango endifanele ndiqhagamshelane nazo ukuze ndifumane uncedo olongezelelweyo?

Umyalezo wokugqibela oya ekhaya

Ukuba unomhlaza, 'ingqondo ye-chemo' isenokungabi yeyona nto iphambili kuluhlu lwakho lwezinto ezikuxhalabisayo. Izinto eziza kuqala kuwe zinokuba zezi: 1) ukuqonda ukufunyaniswa kwakho ngumhlaza, 2) ukuqonda nokulungiselela unyango olucetywayo, kunye 3) ukugqiba unyango ngethemba lokuba awusayi kuphinda ube nomhlaza. Ngamanye amazwi, ujongene nemingeni emininzi.

Nangona kunjalo, musa ukuzityeshela iimpawu ezinje ngobunzima bokwenza izigqibo, ukugxila, kunye nokukhumbula ulwazi . Njengenkungu yokwenyani, "ingqondo ye-chemo" inokukhula kancinci kancinci. Usenokungaziboni utshintsho ngoko nangoko. Kodwa thetha nogqirha wakho kwangoko nje ukuba uqala ukuliva. Ingqondo ye-chemo inokuchaphazela umgangatho wobomi bakho. Ugqirha wakho unokuvavanya imeko yakho aze acebise iindlela zokukunceda ulawule iimpawu zakho. Awuwedwa, ngoko ungoyiki ukucela uncedo.

Ingqondo yeChemo , unyango lomhlaza, ukulahlekelwa yinkumbulo, inkungu yobuchopho, ukukhubazeka kwengqondo, iziphumo ebezingalindelekanga zomhlaza, impilo yengqondo