Ingaba iintende zakho neenyawo zakho zibomvu kwaye zivuvukile? Isenokuba yi-"Hand-Foot Syndrome"!

Ukuba usebenzisa i-chemotherapy yomhlaza, okanye umazi umntu onayo, ngamanye amaxesha unokufumana utshintsho oluncinci, ukubomvu, ukudumba, okanye iintlungu ezintendeni nasezinyaweni zakho. Kwabanye, oku kunokuba ngamava aphazamisayo. Ungakhathazeki, le yinto eqhelekileyo. Namhlanje siza kuthetha ngale meko ebizwa ngokuba yi- "Hand-Foot Syndrome - HFS" okanye njengoko oogqirha beyibiza ngokuba yi- "Palmar-Plantar Erythrodysesthesia" .

Yintoni i-"Hand-Foot Syndrome"? Masiyiqonde ngokulula!

Ngamafutshane, i-"Hand-Foot Syndrome" yimpendulo yesikhumba ebangelwa ngamayeza athile e-"chemotherapy". Ngokukodwa, iintende zakho kunye neenyawo zakho zinokuba bomvu, zidumbe, kwaye ngamanye amaxesha zibe buhlungu. Esi sisiphumo esiqhelekileyo sonyango lomhlaza. Ngoko ke kubalulekile ukuqaphela oku.

Ziziphi iintlobo zamayeza e-chemotherapy ezibangela i-Hand-Foot Syndrome?

Ayizizo zonke iziyobisi ze-chemotherapy ezibangela le meko. Nangona kunjalo, kukho amayeza athile afunyenwe enokubangela le meko. Le "Hand-Foot Syndrome" yaqala ukubonwa xa izigulane ezine-leukemia zanikwa iidosi eziphezulu zeyeza elithi "cytarabine."

Iintlobo eziqhelekileyo zamayeza e-chemotherapy abangela i-HFS zezi:

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

Kukho ezinye iintlobo ze-chemotherapy ezinokubangela i-HFS, nangona zincinci:

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

Ukuba usebenzisa naliphi na kula mayeza, kulungile ukuba uqaphele kancinci malunga ne-``(HFS)''. Kodwa khumbula, ayinguye wonke umntu osebenzisa la mayeza oza kuyivelisa.

Ziziphi izinto ezibangela umngcipheko wokuba ne-"Hand-Foot Syndrome"?

Eyona nto iphambili bubungakanani beyeza `(chemotherapy)` olinikwayo kunye nendlela yokusetyenziswa . Cinga ngayo, ukuba ubungakanani beyeza `(chemotherapy)` olinikwayo buphezulu, okanye ukuba usela amayeza rhoqo, amathuba okuba nale meko aphezulu. Oko kukuthi, ukuba uneyeza `(chemotherapy)` elininzi emzimbeni wakho ixesha elide, umngcipheko wokuba ne `(HFS)` uphezulu.

Zithini iimpawu ze-"Hand-Foot Syndrome"? Siyibona njani?

Ezi mpawu zihlala ziqala ukubonakala kwiiveki ezimbini ukuya kwezintathu emva kokuqala i-chemotherapy. Ekuqaleni, ungaziva ngathi izandla zakho neenyawo zakho zindindisholo. Kamva, ungabona iimpawu ezifana nezi:

• Ukudumba kunye nokutshintsha kombala wezandla neenyawo: Abantu abanesikhumba esikhanyayo, okanye abo banezinga eliphantsi le-melanin, banokubona ukuba bomvu kwezandla neenyawo (ngokufana nokutsha lilanga). Abantu abanesikhumba esimdaka okanye esimnyama, okanye abo banezinga eliphezulu le-melanin, banokubona ukuba mnyama kwesikhumba kwizandla neenyawo.
• Ukudumba kwiminwe: Ukudumba kunokubonakala ngakumbi, ingakumbi kwiindawo ezifana neephedi zeminwe.
• Ukuqina kwesikhumba, ukuba buhlungu, okanye intlungu xa uchukunyiswa: Ulusu lusenokuvakala luqinile okanye lubuhlungu xa luchukunyiswa.
• Ukudumba okanye ukuxobuka kwesikhumba: Ngamanye amaxesha ulusu lunokudumba nokuxobuka.
• Intlungu xa intende okanye unyawo lubetha into ethile: Umzekelo, ungaziva iintlungu xa uhamba okanye uchukumisa into ethile.

Ezi mpawu zinokuba buthathaka kakhulu kwaye zingabi nantlungu kwabanye, ngelixa abanye benokuba neentlungu eziqatha ezenza kube nzima ukwenza imisebenzi yemihla ngemihla.

Oogqirha bayixilonga njani i-"Hand-Foot Syndrome"?

Ukuba ugqirha okanye umongikazi wakho ubona ezi mpawu ngelixa ufumana i-chemotherapy, baya kucinga ukuba yi-Hand-Foot Syndrome.

Nangona kunjalo, ukuba usebenzisa uhlobo lonyango lomhlaza olubizwa ngokuba yi-`(multikinase inhibitors)`, ugqirha wakho kuya kufuneka acinge ngenye into. Loo meko ibizwa ngokuba yi-`(Hand-Foot Skin Reaction - HFSR)`. Oku kukwangumphumo we-`(multikinase inhibitors)`. `(HFSR)` ikwabangela utshintsho lolusu. Umzekelo, ulusu olubuhlungu, olujiyileyo, olumthubi lunokuvela kwiindawo ezifana namalungu, iintende zeenyawo, kunye neentende zezandla.

Ngenxa yesi sizathu, ugqirha ngamanye amaxesha unokuthatha iiseli zolusu kuwe aze azijonge ngemakroskopu ukuze abone ukuba unayo na i-HFS okanye i-HFSR.

Ngaba ikho indlela yokulinganisa ubunzima be-"Hand-Foot Syndrome"?

Ewe, iNational Cancer Institute iqalise indlela yokuhlela ubunzulu bale meko, ebizwa ngokuba yinkqubo yokubeka amanqaku . Ugqirha wakho uya kugqiba indlela yokukunyanga ngokusekelwe kudidi lwakho lwe-HFS.

• `(Ibanga loku-1) Isifo seenyawo zesandla`: Kunokubakho ukudumba kunye nokutshintsha kombala (ukuba bomvu okanye ukuba mnyama) ezintendeni nasezinyaweni, kodwa akukho ntlungu .
• `(Ibanga lesi-2) Isifo seenyawo zesandla`: Ukongeza kwiimpawu ze`(Ibanga loku-1)`, kunokubakho amadyungudyungu, ukopha, kunye nokuxobuka kolusu. Kunokubakho iintlungu ezenza kube nzima ukwenza imisebenzi yemihla ngemihla .
• `(Ibanga lesi-3) Isifo seenyawo zesandla`: Iimpawu zinzima kakhulu kunezo ze`(Ibanga lesi-2)`. Intlungu inokuba nzima kangangokuba nemisebenzi eqhelekileyo ayinakwenziwa . Kunokuba nzima ukunxiba, ukuhlamba, okanye ukuya kwindlu yangasese.

Ziziphi iindlela zonyango lwe-"Hand-Foot Syndrome"?

Ngoku masibone ukuba oku kungenza ntoni. Ukuba iimpawu zakho zinzima kakhulu, oko kuthetha ukuba zichaphazela ubomi bakho kangangokuba awukwazi ukuphila ubomi obuqhelekileyo, oogqirha bakho banokugqiba ekubeni bayeke unyango lwe-chemotherapy okwethutyana, banciphise idosi, okanye bakutshintshele kwelinye iyeza.

Nangona kunjalo, ngamanye amaxesha ukwenza olu tshintsho kunokuba nefuthe elincinci kwimpumelelo yonyango lomhlaza. Kwimeko enjalo, ukuba iimpawu zakho azikho mbi kakhulu, ugqirha wakho unokucebisa iindlela zokulawula iziphumo ebezingalindelekanga.

Singenza ntoni ukulawula iimpawu?

Abantu abaninzi banokukwazi ukulawula iimpawu zeHand-Foot Syndrome ngokwenza utshintsho olulula kwindlela abaphila ngayo. Ungafumana isiqabu ngokwenza oku kulandelayo:

• Sebenzisa iikhrimu ze-corticosteroid: Ugqirha angakunika olu hlobo lwekhrimu ukunciphisa ukudumba nokudumba.
• Faka izithambisi-mafutha - izithambisi-mafutha: Ukuze uthintele ulusu lwakho ukuba lungatshi kwaye luhlale lumanzi ngokwaneleyo, kubalulekile ukusebenzisa isithambisi-mafutha. Ezi zikwabizwa ngokuba zii-emollients. Zifake izihlandlo ezininzi ngemini.
• Sebenzisa iintlungu: Ungathatha iipilisi zomlomo okanye amayeza asetyenziswa entloko xa usenza iintlungu, njengoko ugqirha wakho ekuyalele.
• Khusela ulusu lwakho ekutshiseni: Umzekelo, nciphisa ukuvezwa lilanga, ukuhlamba ngamanzi ashushu, kwaye untywilisele iinyawo zakho kwiibhafu ezishushu.
• Faka iipakethi zomkhenkce okanye amalaphu abandayo: Ukuze unciphise ukuhamba kwegazi ezandleni nasezinyaweni zakho, faka iipakethi zomkhenkce okanye amalaphu acocekileyo afakwe emanzini abandayo ezihlahleni nasemaqatheni akho malunga nemizuzu eli-15-20. Kodwa musa ukufaka umkhenkce ngqo eluswini lwakho, wusonge ngelaphu.
• Gcina iingalo nemilenze yakho iphakanyisiwe: Xa uhleli esitulweni, gcina imilenze yakho iphakanyisiwe, kwaye xa ulele, gcina umqamelo phantsi kwemilenze yakho. Kunjalo nangeengalo zakho.
• Hlikihla ulusu lwakho ngobunono: Nokuba uthambisa iloshini okanye uyomisa ulusu lwakho ngetawuli, musa ukuhlikihla ulusu lwakho kakhulu, yiphampathe kancinci.
• Nxiba iikawusi nezihlangu ezikhaphukhaphu nezikhululekileyo: Nxiba iikawusi ezingaqiniyo, ezenziwe ngendwangu efana nomqhaphu. Kunjalo ke nangezihlangu, kwaye kwiimeko ezininzi, into ekhaphukhaphu efana neesandali yeyona ilungileyo.

Eyona nto ibalulekileyo kukunciphisa ukungqubana phakathi kwezandla zakho kunye neenyawo.

Kuphephe ukwenza izinto ezinje, ubuncinane okwethutyana:

• Ukubaleka: Kuba iintende zeenyawo zakho zihlala zibetha phantsi.
• Umsebenzi owenziweyo ngelixa ubambe izixhobo ngokuqinileyo:
• Bamba imela ngokuqinileyo xa usika imifuno.
• Ukusebenzisa izixhobo ezifana nekhuba kunye nefosholo ngelixa usebenza egadini.
• Ukusebenzisa izixhobo xa ulungisa indlu (umz. ukubamba isando ngelixa ubethelela isikhonkwane).
• Ukuphakamisa iintsimbi.

Yeyiphi iloshini efanelekileyo ye-`(Hand-Foot Syndrome)`?

Iloshini engenavumba, engenatywalaKhetha. Utywala bunokulomisa ulusu ngakumbi, nto leyo enokwenza iimpawu zibe zimbi ngakumbi. Ezinye izifundo zibonisa ukuba ukusebenzisa ikrimu equlethe i-10% urea kathathu ngemini kunokunceda ekunciphiseni ulusu kwaye luhlale lufumile. Nangona kunjalo, kungcono ukubonana nogqirha ngaphambi kokusebenzisa nayiphi na iloshini.

Ndingaphila ngokukhawuleza kangakanani emva kokuyeka unyango?

Oku kunokwahluka kumntu nomntu. Nangona kunjalo, ezi mpawu zihlala ziphela kancinci kancinci kwiiveki ezimbini ukuya kwezintlanu emva kokuyeka i-chemotherapy. Kungathatha iintsuku ezimbalwa ukuba ziphinde ziphile ngokupheleleyo.

Ngaba zikho iindlela zokuthintela i-Hand-Foot Syndrome?

Nangona ingenakuthintelwa ngokupheleleyo, kukho izinto onokuzenza ukunciphisa umngcipheko nokuthintela imeko ukuba ingabi mandundu ukuba iyenzeka.

• Ukuba uneengxaki zesikhumba (umz. ulusu olomileyo, ulusu oluqhekekileyo), kububulumko ukuba uzifumane unyango ngaphambi kokuba uqale unyango lwe-chemotherapy.
• Iindlela ezininzi zokulawula iimpawu esizixubushile ngaphambili zikwanceda ekuthinteleni ukuqala kwe-`(HFS)`.
• Umzekelo, ugqirha angakuxelela ukuba usebenzise i-moisturizer ukususela ngomhla oqala ngawo unyango lwe-chemotherapy.
• Izinto onokuzenza kwangaphambili ziquka ukukhusela ulusu lwakho ekutshiseni kunye nokuphepha imisebenzi ebeka uxinzelelo olungeyomfuneko kunye nokungqubana kwezandla zakho kunye neentsiba.

Yintoni eyenzeka kumntu one-"Hand-Foot Syndrome"?

Enyanisweni, ayinguye wonke umntu ochaphazeleka yile "Hand-Foot Syndrome" ngendlela efanayo. Nokuba bathatha iyeza elifanayo "(chemotherapy)", indlela umntu avakalelwa ngayo inokwahluka kakhulu kwindlela omnye umntu avakalelwa ngayo. Kwabanye, isenokuba yingxaki encinci, ngelixa kwabanye, inokuba nzima kangangokuba kufuneka batshintshe unyango lwabo lomhlaza.

Eyona nto ilungileyo kukuba, uninzi lwexesha ezi mpawu ziyaphela emva kokuba i-chemotherapy igqityiwe . Ukuba ulunyamekela kakuhle ulusu lwakho, unokuthintela nemiphumo yexesha elide efana nokuqhekeka.

Ngaba i-Hand-Foot Syndrome ingabangela ezinye iingxaki?

Into enye kukuba abanye abantu balahlekelwa ziimpawu zabo zeminwe okwethutyana. Oku kunokuba yingxaki ngamanye amaxesha. Umzekelo, xa udinga iimpawu zeminwe xa usiya kwelinye ilizwe, njengaxa ufaka isicelo se-visa. Kodwa ungakhathazeki, iimpawu zakho zeminwe ziya kukhula kwakhona kwiinyanga ezimbalwa emva kokuba unyango luphelile.

Ndifanele ndimbone nini ugqirha?

Kubaluleke kakhulu ukwazisa ugqirha wakho ngazo naziphi na iimpawu ozifumanayo ngelixa ufumana i-chemotherapy, nokuba zincinci kangakanani na. Ngokukodwa, qiniseka ukuba uxelela ugqirha wakho ukuba:

• Ukuba iimpawu ziyanda kancinci kancinci.
• Ukuba ulusu luqhekekile, ulusu luyaxobuka kwaye luphuma igazi.
• Ukuba iimpawu zakho zenza kube nzima ukwenza imisebenzi yakho yemihla ngemihla.

Ngamaxesha anje, xa uxelela ugqirha , angakunika unyango olufunayo, okanye enze utshintsho kwi-chemotherapy yakho.

Ndingayibuza yiphi imibuzo ugqirha?

Kuya kuba luncedo kakhulu kuwe ukubuza ugqirha wakho okanye umongikazi imibuzo efana nale:

• Zeziphi iziphumo ebezingalindelekanga endinokuzilindela xa ndisebenzisa i-chemotherapy?
• Zeziphi iziphumo ebezingalindelekanga ekufuneka ndikwazise ngazo?
• Zeziphi iziphumo ebezingalindelekanga endifanele ndidibane nogqirha okanye ndiye esibhedlele ukuze ndizifumane?
• Ngaba kukho izinto endinokuzenza ukuthintela ezinye zeziphumo ebezingalindelekanga?
• Ngaba kukho naziphi na iimveliso ezikhethekileyo (ezifana neeloshini, iikhrimu) ozicebisayo ukuthintela okanye ukulawula le "Hand-Foot Syndrome"?

Okokugqibela, yintoni ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

Ngoko ke, `(i-chemotherapy)` lunyango olubaluleke kakhulu nolusindisa ubomi bomhlaza. Nangona kunjalo, kufuneka siqonde ukuba ezi ziphumo ebezingalindelekanga zinokwenzeka. `(I-Hand-Foot Syndrome)` ikwayimeko eqhelekileyo, kodwa ehlala ilawuleka.

Ukuba unale mpawu , ungoyiki okanye ungoyiki . Eyona nto ibalulekileyo kukuthetha ngokukhululekileyo ngale nto neqela lakho lezonyango. Baza kukunceda ulawule imeko yakho kwaye benze utshintsho kwisicwangciso sakho sonyango ukuba kuyimfuneko. Awuwedwa, kwaye uneqela lezempilo loogqirha, abahlengikazi, kunye nabanye oochwephesha ukukunceda kolu hambo. Ngoko ke, funa inkxaso yabo ukuba uneengxaki.

Isifo seenyawo zesandla , i-HFS, i-chemotherapy, iziphumo ebezingalindelekanga, impendulo yesikhumba, i-palmar-plantar erythrodysesthesia, unyango lomhlaza, unyango lomhlaza, iziphumo ebezingalindelekanga, isifo solusu, ukudumba kwesundu, ukudumba kwesundu