Uma uke welashwa umdlavuza webele, ikakhulukazi i-chemotherapy, kungenzeka ukuthi uke waba nokungezwani okuncane noma ukuqaqamba ezandleni nasezinyaweni zakho, noma umuzwa ongajwayelekile, njengokusha. Ngezinye izikhathi ungase ungazi ukuthi kuyini. Eqinisweni, lokhu kungaba umphumela ovamile wokwelashwa. Namuhla sikhuluma ngalesi simo esibizwa ngokuthi i-Peripheral Neuropathy . Ungesabi, into ebaluleke kakhulu ukuqaphela lokhu.
Kuyini i-Peripheral Neuropathy? Kuvame kangakanani lokhu?
Kalula nje, i-Peripheral Neuropathy iwukulimala komunye noma ngaphezulu kwemizwa engaphandle emzimbeni wethu. Le mizwa ithwala imizwa kanye nemiyalelo esuka ebuchosheni iye ezingalweni zethu, emilenzeni, nakwezinye izingxenye zomzimba. Lapho le mizwa yonakele, kuvela izimpawu esizikhulume ngazo ekuqaleni, njengokungazweli, ukuqaqamba, nobuhlungu.
Lesi simo sivame kakhulu ekwelashweni ngamakhemikhali omdlavuza webele, ikakhulukazi labo abasesigabeni se-taxane. Isibonelo, olunye ucwaningo luthole ukuthi cishe abantu abangu-40% abaphathwa ngale mithi ye-taxane, noma abane kwabayishumi, babesalokhu benalezi zimpawu eminyakeni emibili ngemva kokwelashwa. Futhi olunye ucwaningo luthole ukuthi cishe umuntu oyedwa kwabahlanu abathole lokhu kwelashwa waba nalesi simo.
Lokho kusho ukuthi uma uzizwa ngale ndlela, awuwedwa. Lesi yisimo esivamile kubantu abaningi. Into ebaluleke kakhulu ukukhuluma nodokotela wakho ngaso.
Lesi simo singavela ngemva kokwelashwa kwanoma yisiphi isigaba somdlavuza webele. Ngezinye izikhathi, lapho umdlavuza ususakazeke (usuthuthukile), umdlavuza ngokwawo ungabeka ingcindezi ezinzwa, okubangela lesi simo, i-Peripheral Neuropathy. Akuyona nje i-chemo kuphela, kodwa nokuhlinzwa okuthile kanye nokwelashwa ngemisebe kungabangela lesi simo.
Kungani lokhu kwenzeka ngemithi ye-chemo yohlobo lwe-Taxane?
Kunezinhlobo eziningana zemithi yokwelapha ngamakhemikhali engaphansi kwesigaba se-taxane.
- I-Albumin Paclitaxel (Abraxane)
- I-Docetaxel (i-Taxotere)
- I-Paclitaxel (i-Taxol)
Udokotela wakho angakunika enye yalezi noma inhlanganisela yazo neminye imithi ye-chemo.
Kalula nje, le mithi ye-taxane ivimba amangqamuzana omdlavuza ekuhlukaneni. Amangqamuzana omdlavuza amangqamuzana ahlukana ngokushesha kakhulu. Ngakho-ke le mithi ilawula leso sivinini. Kodwa kule nqubo, abacwaningi bakholelwa ukuthi amangqamuzana emizwa aphilile emzimbeni wethu nawo angathinteka. Lokhu kusacwaningwa.
Ziyini izimpawu ze-Peripheral Neuropathy?
Lezi zimpawu zingahluka kuye ngokuthi inzwa ithintekile. Kodwa ngokuvamile ziqala ezinzwaneni. Bese zisakazeka kancane kancane emilenzeni, ezingalweni, nasesandleni. Uma unezinye zalezi zimpawu, kubaluleke kakhulu ukutshela udokotela wakho ngazo ngokushesha.
| Uhlobo oluyisici | Incazelo |
|---|---|
| Izimpawu ezivame kakhulu | |
| Ukuba ndikindiki | Umuzwa "wezintuthwane ezigijimayo" noma ezihlatshwa ngezinaliti. |
| Ukuzwa okunciphile | Imilenze izwakala “ifana nejeli” futhi ibuthakathaka. Awukwazi ukuzwa umhlabathi kahle uma uhamba. |
| Ubuthakathaka bemisipha | Ubuthakathaka ezithweni zomzimba, ubunzima bokuphakamisa izinto. |
| Ubuhlungu noma ukuvuvukala | Ubuhlungu noma ukuvuvukala okungapheli noma okungavamile. |
| Ubunzima bokusebenzisa izandla | Ubunzima bokubamba izinto ezincane, ukubopha izinkinobho zezingubo, nokubhala. |
| Ezinye izimpawu ezingaba khona | |
| Ubunzima obuhlukahlukene | Ubuhlungu bomhlathi, ukulahlekelwa ukuzwa, ukulahlekelwa ibhalansi lapho uhamba, ukuqunjelwa, ubunzima bokugwinya, izinguquko zomfutho wegazi. |
Lezi zimpawu zingavela zingakapheli amahora noma izinsuku ngemuva kokuhlolwa ngamakhemikhali. Kodwa ngokuvamile zibonakala ngemva kwamasonto ambalwa. Ezinye izimpawu zingase zithuthuke ngokuhamba kwesikhathi. Kodwa-ke, izimpawu ezinzima zingase zingaphinde ziphele ngokuphelele.
Yiziphi izici eziyingozi ezibangela lesi simo?
Ngaphezu kwe-chemotherapy, ezinye izici eziningana zingandisa ingozi yokuthola lesi simo, okuhlanganisa ne-peripheral neuropathy.
- Umdlavuza osakazeke emzimbeni wonke (umdlavuza webele we-Metastatic)
- Ukukhula
- Ukuba nesifo sezinzwa ngaphambi kokwelashwa
- Ukukhuluphala ngokweqile
- Isifo sikashukela
- Ukuntuleka kwamavithamini (ikakhulukazi amavithamini e-B)
- Njengoba ngithole ukwelashwa ngamakhemikhali ngaphambilini
- Ukusetshenziswa kotshwala
Ngaphezu kwe-taxanes, eminye imithi ye-chemo efana nemithi ye-platinum (isb. i-oxaliplatin) kanye ne-vinca alkaloids (isb. i-vincristine) nayo ingabangela lesi simo.
Yini esingayenza ukulawula izimpawu?
Okwamanje akukho ukwelashwa kwe-peripheral neuropathy, futhi akukho ukwelashwa kwayo uma isivele. Kodwa-ke, kunezinto eziningi ongazenza ukuze unciphise ukungakhululeki okubangelwa yizimpawu futhi wenze impilo ibe lula.
Into ebaluleke kakhulu ukukhuluma nodokotela wakho ngokukhululekile ngezinto ezikukhathazayo. Ngemuva kwalokho angakunikeza ikhambi elingcono kakhulu.
Udokotela wakho angase akuncome okulandelayo ukusiza ekuphatheni izimpawu zakho:
- Imithi yokucindezeleka: Imithi yobuhlungu bemizwa, njenge-Duloxetine, iyasiza abanye abantu.
- Ama-Steroids: Lawa asiza ekunciphiseni ubuhlungu nokungakhululeki okwesikhashana.
- Okhilimu bokuhlikihla: Ungathola impumuzo yesikhashana ngokufaka okhilimu noma ama-patches ezindaweni ezibuhlungu.
- Ama-Painkiller: Uma unesihlungu esinzima sezinzwa, ithimba lakho lezokwelapha lingase likunikeze ama-opioid painkiller.
Ngaphezu kwalokho, ungakhuluma nodokotela wakho mayelana nokwelashwa okufana nokwelashwa ngokomzimba, ukwelashwa ngokomsebenzi, kanye nokuhlinzwa kwe-acupuncture.
Kubalulekile ukukhuluma nodokotela wakho ngezimpawu zakho njalo. Angenza izinguquko ohlelweni lwakho lokwelashwa ukuze avimbele umonakalo wesikhathi eside. Isibonelo:
- Ukunciphisa umthamo we-Chemotherapy
- Ukuhlehlisa ukwelashwa isikhashana
- Ukuyeka umuthi isikhashana kuze kube yilapho izimpawu zakho ziphela
Umlayezo Wokuya Nawe Ekhaya
- I-peripheral neuropathy ingumphumela ovamile wecala lokwelashwa komdlavuza, ikakhulukazi i-chemotherapy. Akudingeki ubhekane nalokhu wedwa.
- Yazisa udokotela wakho ngokushesha nganoma yiziphi izimpawu ezintsha, njengokungazweli, ubuhlungu, ukusha, noma ubuthakathaka ezithweni zakho.
- Uma uqaphela lezi zimpawu kusenesikhathi, udokotela wakho angashintsha uhlelo lwakho lokwelashwa futhi anciphise noma yimuphi umonakalo wesikhathi eside ezinzwa zakho.
- Asikho isidingo sokuhlupheka ngalezi zinkinga. Kunezindlela ezahlukene zokuphatha izimpawu. Ngakho xoxa ngakho konke nodokotela wakho.
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