Ungayilawula njani isicaphucaphu kunye nokuhlanza okubangelwa yi-chemotherapy?

Sonke siyazi ukuba ukulwa nomhlaza akulula. Abanye abantu bayoyika i-chemotherapy ngenxa yeziphumo ebezingalindelekanga, ingakumbi isicaphucaphu kunye nokuhlanza. Kodwa ngokungafaniyo nexesha elidlulileyo, namhlanje kukho amayeza amaninzi aphucukileyo kunye neendlela zokuthintela esi sicaphucaphu kunye nokuhlanza kunye nokusilawula xa sisenzeka. Ngoko masithethe ngale nto namhlanje.

Kutheni i-chemo ikwenza uzive ungakhululekanga?

Ngamafutshane, i-chemotherapy liyeza elinamandla elibulala iiseli zomhlaza. Xa la mayeza engena emzimbeni, umzimba wethu uyawabona 'njengawasemzini'. Oko kukuthi, ngokungathi akangowasemzimbeni, ngokungathi avela ngaphandle. Emva koko umzimba wethu uthumela imiqondiso yesilumkiso engqondweni nakwinkqubo yokugaya ukutya.

Ezi mpawu zivuselela ngokuthe ngqo 'iziko lokuhlanza' engqondweni yethu. Iikhemikhali ezikhutshwa yile ndawo zisenza sizive sinesicaphucaphu kwaye sigula. Ukongeza, amayeza e-chemotherapy anokonakalisa indlela yethu yokugaya ukutya. Leyo yenye imbangela yesicaphucaphu.

Isicaphucaphu nokuhlanza okubangelwa yi-chemotherapy kunokwenzeka ngeendlela ezintathu eziphambili.

Ukuhlanza rhoqo kunokubangela umonakalo omkhulu emzimbeni. Kuwenza buthathaka umzimba, kubangele ukuphelelwa ngamanzi emzimbeni, kwaye kunciphise umzimba izondlo ezibalulekileyo. Kukwabangela ukungalingani kwe-electrolyte, njenge-sodium kunye ne-potassium.Ngamanye amaxesha, ukuba ezi ngxaki ziba nzima, umthamo we-chemo unokufuneka uncitshiswe okanye unyango luyekiswe. Kungoko ke, kubaluleke kakhulu ukuthetha nogqirha wakho ngale nto.

Ngubani onokuziva ezi ntlungu ngakumbi?

Ezinye iintlobo ze-chemotherapy zinokubangela isicaphucaphu kunezinye. Umzekelo, i-cisplatin (Platinol) kunye ne-doxorubicin (Adriamycin) zezona ziyobisi zixhaphakileyo ezibangela le meko.

Ukongeza, kunokwenzeka ukuba ube nezi ngxaki,

• Ukuba uthatha unyango lwe-chemotherapy ngokuphindaphindiweyo nangokusondeleyo .
• Ukuba unikwe idosi ephezulu .
• Ukuba liyeza elifakwa emthanjeni (nge-IV - ngemithambo) kunokuba lithathwe ngomlomo.
• Ukuba ungumfazi .
• Ukuba ungaphantsi kweminyaka engama-50 ubudala.
• Ukuba unesithukuthezi sokugula xa useluhambeni.

Amayeza anokunceda kakhulu.

Eyona nto ingcono onokuyenza kukuba ugqirha wakho akunike amayeza okuthintela ezi ngxaki ngaphambi kokuba zenzeke. Eli yeza lidla ngokunikezelwa ngaphambi kokuba kwenziwe i-chemotherapy. Eli yeza lisebenza ngokuthintela imiqondiso kwiziko lokuhlanza lobuchopho.

Iintlobo eziphambili zamayeza okulwa nokuhlanza

Ezi zinokunikwa ngemithambo yegazi (IV) okanye njengeepilisi ezithathwa ngomlomo.

• I-Aprepitant (Emend)
• I-Dolasetron (i-Anzemet)
• Fosnetupitant/palonosetron (Akynzeo)
• IGranisetron (iKytril)
• I-Ondansetron (iZofran)
• I-Palonosetron (i-Aloxi)
• I-Rolapitant (iVarubi)

Phakathi kwezi, amayeza afana ne-'Akynzeo' kunye ne-'Aloxi' asebenza emzimbeni kangangeentsuku ezininzi, ngoko ke anceda ekulawuleni isicaphucaphu esilibazisekayo esivela kamva.

Amanye amayeza anokunceda

• Amayeza okulwa nokuxhalaba: Amayeza anjenge-alprazolam (Xanax), i-diazepam (Valium), kunye ne-lorazepam (Ativan) anceda ukuzola ingqondo nokunciphisa isicaphucaphu esilindelekileyo.
• IiCannabinoids: Iziyobisi ezifana ne-dronabinol (Marinol, Syndros).
• IiCorticosteroids: Amayeza afana ne-dexamethasone (Decadron) kunye ne-methylprednisolone (Medrol).
• Abachasi beDopamine: i-metoclopramide (Reglan), i-prochlorperazine.
• Amayeza okunyanga intshukumo: amabala afana nebala le-scopolamine (iTransderm Scop).

Izinto onokuzizama ngaphandle konyango

Ukongeza kumayeza, kukho iindlela ezahlukeneyo zonyango ezincedisayo ezinokusetyenziswa kunye nonyango lwezonyango. Ezi azithathi indawo yonyango lwezonyango, kodwa ziyongeza kulo.

• Unyango lwe-Acupuncture: Le yindlela yesintu yamayeza aseTshayina esebenzisa iinaliti ezincinci ukuvuselela amanqaku athile emzimbeni. Eyona ndawo idumileyo esetyenziselwa ukunyanga isicaphucaphu yi-P6 point, efumaneka ngaphantsi kwesandla, ngaphantsi nje kwesandla.
• I-Acupressure: Oku kufana ne-acupuncture, kodwa endaweni yeenaliti, uxinzelelo lufakwa ngeminwe.
• I-Biofeedback: Le ndlela ikufundisa ukulawula imisebenzi yomzimba (umz., isantya sentliziyo, ukuphefumla) oqhele ukungakwazi ukuyilawula ngeengcinga zakho. Oku kunokukunceda uzole ingqondo yakho.
• I-Hypnosis: Ngoncedo lwengcali, ungazilawula iimvakalelo ezifana nokucaphuka ngokuzisa ingqondo yakho kwimeko ekhululekileyo kwaye uyivule kwingcebiso ethile.

Sebenzisa ezi ndlela ukuze uphumze ingqondo yakho.

Kungaba luncedo kakhulu ukuziphazamisa kunyango. Zama ezi zinto ngaphambi kokuba uye kunyango lwe-chemo.

• Umfanekiso okhokelwayo: Khawucinge ngendawo entle nenoxolo engqondweni yakho. Khawucinge umi ecaleni kwechibi elinoxolo kwilali. Khawucinge ngemithwalo yakho neentlungu zakho zidada echibini njengesikhephe.
• Ukuphazamisa: Mamela ingoma oyithandayo, funda incwadi, okanye ubukele imuvi ehlekisayo.
• Ukuphumla kwemisipha okuqhubekayo: Ukuqala ngeenzwane zakho, qinisa uze uphumze imisipha nganye emzimbeni wakho. Xa ufika entlokweni yakho, uya kuziva ukhululekile kakhulu.

Izinto onokuzenza ngokwakho xa unesicaphucaphu nokuhlanza

Ukwenza utshintsho oluncinci kwindlela otya ngayo kunye nemikhwa yakho yemihla ngemihla kunokunceda ekunciphiseni ezi ngxaki.

• Ziphephe ukutya okukwenza uzive ungakhululekanga, ingakumbi ukutya okunamafutha, okuqhotsiweyo, nokuneziqholo.
• Yitya izidlo ezincinci kaninzi ngemini endaweni yokutya izidlo ezinkulu kathathu.
• Yitya into efana nesnack encinci ngaphambi konyango lwe-chemotherapy.
• Musa ukupheka xa ungakhululekanga. Ivumba lokutya okushushu linokukwenza ube nesicaphucaphu.
• Ukuba ivumba lokutya okushushu alimnandi, yitya ukutya okubandayo .
• Sela amanzi amaninzi kunye nezinye izinto ezilulwelo (isuphu, ijusi yeziqhamo) ukuze uthintele ukuphelelwa ngamanzi emzimbeni.
• Ukuba isisu sakho sibuhlungu, yitya i-ginger toffee okanye usele iti ye-ginger .