'Ubuchopho be-Chemo' Obuza Nokwelashwa Komdlavuza - Ingabe Sizokhuluma Ngalokhu?

Uma welashwa ngomdlavuza, ngezinye izikhathi ungase uzizwe sengathi ukucabanga kwakho kanye nenkumbulo yakho kuhlukile kancane. Ingabe ukuthola kunzima ukukhumbula izinto ngokushesha njengakuqala, unenkinga yokucabanga, noma unenkinga yokugxila? Uma uzizwa sengathi ikhanda lakho linenkungu, yilokhu esikubiza ngokuthi 'ubuchopho be-chemo' noma 'i-chemotherapy brain fog'. Lokhu kuyinto ethinta abantu abaningi, ngakho-ke yazi ukuthi awuwedwa.

Kuyini 'ubuchopho be-Chemo'?

Kalula nje, 'ubuchopho be-chemo' yilapho uzizwa sengathi awukwazi ukucabanga ngokucacile nangokushesha njengoba wawuvame ukwenza, kungaba ngemva kokuba nomdlavuza noma ngemva kokwelashwa komdlavuza. Odokotela ngezinye izikhathi babiza lesi simo ngokuthi "ukukhubazeka kwengqondo okubangelwa yi-chemotherapy" noma "ukukhubazeka kwengqondo okuhlobene nokwelashwa komdlavuza." Kodwa odokotela manje bathola ukuthi abanye abantu bangaba nalezi zinkinga zengqondo ngaphambi, ngesikhathi, noma ngemva kokwelashwa komdlavuza.

Esikhathini esiningi, lesi simo esibizwa ngokuthi 'ubuchopho be-chemo' singesesikhashana . Lokho kusho ukuthi siyaba ngcono ngemva kwesikhathi esithile. Kodwa kwabanye abantu, lezi zimpawu zingaqhubeka izinyanga eziningi ngemva kokuphela kokwelashwa. Nakuba okwamanje kungekho ikhambi 'lobuchopho be-chemo,' odokotela bangancoma imithi ethile, izindlela zokwelapha, kanye nemisebenzi engakusiza ukuthi ubhekane 'nenkungu yobuchopho' bakho.

'Ubuchopho be-Chemo' buyithinta kanjani impilo yansuku zonke?

Ubuchopho be-chemo buthinta kakhulu "ukuqonda" kwethu. "Ukuqonda" kubhekisela endleleni esicabanga ngayo, ikhono lethu lokukhumbula ulwazi, kanye nekhono lethu lokugxila kokuthile. Lezi zinkinga zengqondo ezihlobene nokwelashwa komdlavuza zingase ziqale zivele ngezindlela ezincane. Ngokuvamile, noma ungenza imisebenzi yansuku zonke, ungase uzizwe sengathi zidinga umzamo owengeziwe futhi zithathe isikhathi eside .

Cabanga nje, uma uya esitolo njengenjwayelo bese uthenga okuthile ohlwini lwakho lokuthenga, ungakhumbuli ukuthi kuyini, noma uma ufika ekhaya ukhohlwa ukuthi ubekephi okhiye bakho. Ngenxa yezinto ezinjengalezi, ngezinye izikhathi abantu abane-'chemo brain' bazizwa benamahloni ngokungakhululeki kwabo, baziqhelelanise nabanye, futhi bazame ukuba bodwa . Futhi, kunezikhathi lapho 'chemo brain' ikwenza kungenzeki ukwenza umsebenzi kahle emsebenzini.

Ingabe lokhu kubangela izinguquko zobuntu?

Ezinye izifundo zikhombisile ukuthi abantu abane-'chemo brain' bangaba nokucindezeleka . Futhi, lapho izinto ezazilula futhi zishesha ukuzenza zingasakwazi ukwenziwa, abanye abantu bayathukuthela futhi bakhungatheke . Lokhu kungokwemvelo kakhulu, ngoba kuvamile ukuzizwa ngaleyo ndlela uma ungakwazi ukusebenza ngendlela owawuyenza ngayo ngaphambili.

Sivame kangakanani lesi simo?

Odokotela abafunda ukwelashwa komdlavuza nokucabanga balinganisela ukuthi phakathi kuka-25% no-30% wabantu abane-'chemo brain' baba nezimpawu ngaphambi kokuba baqale ukwelashwa komdlavuza . Futhi cishe abantu abangu-75% abathola ukwelashwa komdlavuza batshela odokotela babo ukuthi banezinkinga ngenkumbulo, ukunaka, kanye nekhono lokuqedela imisebenzi. Ngakho-ke ungabona, lokhu kuyinto ethinta abantu abaningi.

Ziyini izimpawu ze-'Chemo Brain'?

Izimpawu eziyinhloko 'zobuchopho be-chemo' yizinkinga zenkumbulo nezinkinga zokusebenza kahle (okungukuthi, ikhono lokuphatha isikhathi nokwenza izinqumo). Inkumbulo lapha ibhekisela ekhonweni lokukhumbula izinto abanye abakutshela zona, njengekheli namagama osuvele uwazi. Izimpawu zingafaka:

• Ubunzima bokuthola igama elifanele lento, noma ubunzima bokwenza izinto ezazilula ngaphambili, njengokufaka izinombolo ekhanda lakho.
• Ukuthola ubunzima bokulandela ukugeleza kwenkulumo yomunye umuntu.
• Ukunaka isikhathi esifushane noma ubunzima bokuhlala ugxile emsebenzini noma emcabangweni othile.
• Ubunzima bokwenza izinto eziningana ngesikhathi esisodwa (ukwenza imisebenzi eminingi), yingakho uzizwa sengathi udinga ukwenza into eyodwa ngesikhathi .
• Ukuzizwa uvilapha, ukhathele , noma ungenawo amandla.
• Ukuzizwa udidekile kancane, sengathi kukhona okungahambi kahle ngamakhono akho okunyakaza komzimba.

Yini ebangela 'i-Chemo Brain'?

Nakuba lokhu kubizwa ngokuthi 'ubuchopho be-chemo,' kungaba nezizathu eziningana zalesi simo. Lokho kusho ukuthi i-chemotherapy akuyona yodwa ebangela lesi simo.

Lokhu kungenzeka kanjani ngenxa yokwelashwa kwezokwelapha?

• Ukwelashwa ngama-hormone: Ukwelashwa ngama-hormone okunikezwa abantu abanomdlavuza webele noma umdlavuza we-prostate kungathinta izingxenye zobuchopho ezisiza ekusebenzeni kwengqondo.
• Ukwelashwa ngemisebe: Ukukhathala okubangelwa ukwelashwa ngemisebe kungathinta ikhono lokucabanga. Ngokufanayo, uma umuntu onomdlavuza wobuchopho enikezwa ukwelashwa ngemisebe, kungathinta ngqo ikhono lokucabanga.

Ziyini izimbangela zomzimba?

• Ukungalali: Ukukhathazeka nokucindezeleka ngesimo sakho kungenza kube nzima ukulala kahle. Kunzima ukugxila kunoma yini uma ukhathele kangaka .
• Ukulahlekelwa yisifiso sokudla: Ukwesaba ukwelashwa noma imiphumela emibi yokwelashwa kungabangela ukulahlekelwa yisifiso sokudla. Khumbula, ukudla yikho okusinika amandla esiwadingayo ukuze sisebenze ekuphileni kwethu kwansuku zonke.
• Ukucindezeleka:Abanye abantu abanomdlavuza bangase babe nesifo sengqondo esibizwa ngokuthi ukucindezeleka. Ngisho noma becindezelekile, kungaba nzima ukugxila kunoma yini.

Ungayibona kanjani 'i-Chemo Brain'?

Akukho ukuhlolwa okukodwa okuqinisekile kokuxilonga 'ubuchopho be-chemo'. Odokotela bangase bacele ukuhlolwa kwegazi ukuze banqume ezinye izimo ezingabangela izimpawu zobuchopho ezifanayo. Okusho ukuthi, baqale bahlole ukuze babone ukuthi zikhona yini ezinye izimbangela zezimpawu.

Ungabhekana kanjani 'ne-Chemo Brain'? / Yini ongayenza ngakho?

Odokotela bangase batuse izindlela zokwelapha eziningana kanye nemisebenzi engasiza ekunciphiseni ezinye zezimpawu 'zobuchopho be-chemo'. Ezinye zazo zifaka:

• Ukuvuselelwa kwengqondo: Lokhu kwelashwa kukufundisa izindlela ezintsha zokucubungula nokukhumbula ulwazi olusha. Ngamanye amazwi, kufundisa ubuchopho bakho ukusebenza ngezindlela ezintsha.
• Ukwelashwa ngokunyakaza: Ukuzivocavoca okufana ne-yoga ne-tai chi kudinga ukuthi unyakaze futhi ulondoloze umzimba wakho ngendlela ehlakaniphile nelawulwayo. Lezi zinhlobo zokuzivocavoca zingathuthukisa inkumbulo nokugxila.
• Ukubuyiselwa Kokunaka: Imisebenzi yansuku zonke edinga ukuthi ugxile, njengokunakekela izilwane ezifuywayo noma ukulima ingadi, ingathuthukisa ikhono lakho lokugxila.
• Ukuzindla: Ekuzindleni, ugxila ingqondo yakho emazwini athile, ezithombeni, noma emibonweni. Lokhu kugxila kungakusiza ukuthi ulawule ukucindezeleka futhi unciphise ukuphazamiseka.

Ingabe i-'Chemo Brain' ingavinjelwa ngesikhathi sokwelashwa komdlavuza?

Odokotela bakho bahlala bezama ukukhetha izindlela zokwelapha eziphumelela kakhulu zokubulala umdlavuza wakho noma ukulawula ukukhula kwawo. Bayazi ukuthi ezinye zalezi zindlela zokwelapha zingathinta inkumbulo yakho kanye nekhono lakho lokugxilisa ingqondo. Ngakho-ke, ngenkathi belapha ngempumelelo umdlavuza wakho, bazosebenzisana nawe ukunciphisa le miphumela emibi ngangokunokwenzeka. Kodwa-ke, ngezinye izikhathi le miphumela emibi ayikwazi ukuvinjelwa ngokuphelele.

Ingabe zikhona izinto ezandisa ingozi yokuthola 'ubuchopho be-chemo'?

Odokotela bathole izici eziningana eziyingozi zalokhu, kodwa eziningi zazo yizinto ongeke ukwazi ukuzilawula . Isibonelo, ubudala nezinye izimo zezokwelapha eziyisisekelo ongase ube nazo ngaphambi, ngesikhathi, noma ngemva kokwelashwa komdlavuza kungandisa ingozi yakho yokuthola 'ubuchopho be-chemo.'

'Ubuchopho be-chemo' buhlala isikhathi esingakanani?

Ubude besikhathi 'sobuchopho be-chemo' buyahlukahluka kuye ngomuntu nomuntu. Abanye abantu bangase bathole impumuzo phakathi nezinyanga ezimbalwa, kanti abanye bangase babe nalezi zimpawu iminyaka eminingi. Kuhlukahluka kuye ngomuntu nomuntu.

Uzinakekela kanjani?

Okokuqala, yiba nesineke futhi ube nomusa kuwe . Ukuphila nomdlavuza nokwelashwa umdlavuza akulula. Ungase udinge isikhathi sokululama ngokomzimba, ngokwengqondo nangokomzwelo kumdlavuza kanye nokwelashwa kwawo, okuhlanganisa nokwelashwa ngamakhemikhali. Nazi ezinye iziphakamiso ezingakusiza ukubhekana 'ne-chemo brain':

• Yazisa abanye ukuthi une-'Chemotherapy Brain Inkungu': Uma unomdlavuza, ungase uzizwe sengathi uhlala ucela usizo kwabanye. Ungase uzizwe sengathi 'i-chemo brain' yinto okufanele uyiphathe wedwa. Kodwa-ke, uma uzizwa "unenkungu" futhi unenkinga yokukhumbula ulwazi, ukutshela umndeni nabangani ngakho kungabasiza baqonde ukuthi kwenzekani.
• Gcina umbhalo wezinto ezibangela ukucindezeleka: Gcina umbhalo wezikhathi zosuku, imisebenzi, kanye nesimo sakho sengqondo, njengalapho uzizwa udidekile ngendlela engavamile, unenkinga yokugxila, noma ukhohlwa izinto. Lo msebenzi ungakusiza ukuthi ubone izinto ezibangela ukucindezeleka ezingadala izimpawu zakho 'zobuchopho be-chemo'.
• Dala imikhuba yansuku zonke elula ukuyilandela: Kungasiza ukubhala phansi izinhlelo zakho zosuku, kusukela ekuphuzeni imithi yakho ekuseni, ekudleni kwasekuseni, emisebenzini yakho yansuku zonke, kanye nakusihlwa.
• Phumula futhi ulale ngokwanele: Ukukhathala kungenza izimpawu 'zobuchopho be-chemo' zibe zimbi kakhulu.
• Yidla ukudla okunempilo: Cela udokotela wakho ukuthi akhulume nochwepheshe wezokudla ukuze aqinisekise ukuthi uthola "ukudla kobuchopho" okwanele.
• Ukuzivocavoca njalo: Ukuzivocavoca akugcini nje ngokukwenza uzizwe kahle, kodwa futhi kukusiza ukuthi uphinde uthole amandla akho nokuzethemba. Izinhlobo zokuzivocavoca ezigxile kulokho okwenzayo nendlela okwenzayo ngayo, njenge-"Tai chi" kanye ne-"Yoga", zingaba usizo kakhulu.
• Nikeza ubuchopho bakho umsebenzi wokuzilolonga nsuku zonke: Ukwenza izinto ezifana nokuxazulula amaphazili noma ukudlala imidlalo yamagama kungakusiza ukuthi ugxile futhi ugcine ubuchopho bakho bumatasa. Kodwa, yenza lezi zinto ngendlela engakuphathi kabi noma ekudangeleni .

Khumbula, njengoba wenza konke lokhu, yiba nesineke futhi uzithande. Lesi yisikhathi esinzima, ngakho yenza izinto ezikwenza uzizwe ukhululekile.

Kufanele ngimbone nini udokotela?

Njengomuntu osindile kumdlavuza, cishe uzohlolwa njalo ukuze uhlole impilo yakho iyonke. Kodwa-ke, uma izimpawu zakho 'zobuchopho be-chemo' ziba zimbi ngokuzumayo , noma uma uba nezimpawu ezintsha , shayela udokotela wakho ngokushesha. Bangahlola ukuthi izimpawu zakho ezintsha noma eziya ziba zimbi yini ziyizimpawu zesinye isimo sezokwelapha.

Yimiphi imibuzo okufanele uyibuze udokotela wakho?

Ungase ungakwazi ukuvimbela ngokuphelele 'ubuchopho be-chemo'. Kodwa uma uqonda ukuthi kungani nokuthi 'ubuchopho be-chemo' buvela kanjani, ungazizwa ungcono kancane ngesimo sakho. I-National Cancer Institute isikisela ukuthi uzibuze le mibuzo:

• Ingabe ukwelashwa kwami ​​​​kuzokwandisa ingozi yezinkinga zengqondo?
• Izimpawu zami zizoqala nini, futhi zizohlala isikhathi esingakanani?
• Ingabe kukhona izinyathelo engingazithatha ukuze nginciphise umthelela ekhonweni lami lokucabanga?
• Yiziphi izimpawu noma izinkinga okufanele umndeni wami uzazi?
• Kufanele ngixhumane nawe nini ngalezi zinkinga?
• Ungasikisela noma yiziphi izinsiza engingazisebenzisela ukusiza 'nge-chemo brain fog'?
• Ingabe bakhona ochwepheshe bezokwelapha okufanele ngibathinte ukuze ngithole usizo olwengeziwe?

Umyalezo wokugcina okufanele uwuthathe uye ekhaya

Uma unomdlavuza, 'ubuchopho be-chemo' kungenzeka bungabi phezulu ohlwini lwakho lwezinto ezikukhathazayo. Izinto eziza kuqala kuwe kungaba: 1) ukuqonda ukutholakala komdlavuza, 2) ukuqonda nokulungiselela ukwelashwa okuhlongozwayo, kanye no-3) ukuqeda ukwelashwa ngethemba lokuthi ngeke usaba nomdlavuza. Ngamanye amazwi, ubhekana nezinselele eziningi.

Kodwa-ke, ungazinaki izimpawu ezifana nobunzima bokwenza izinqumo, ukugxila, nokukhumbula ulwazi . Njengenkungu yangempela, "ubuchopho be-chemo" bungavela kancane kancane. Ungase ungaboni noma yiziphi izinguquko ngokushesha. Kodwa khuluma nodokotela wakho ngokushesha nje lapho uqala ukuzizwa. Ubuchopho be-chemo bungathinta ikhwalithi yempilo yakho. Udokotela wakho angahlola isimo sakho futhi asikisele izindlela zokukusiza ukuphatha izimpawu zakho. Awuwedwa, ngakho ungesabi ukucela usizo.

Ubuchopho be - Chemo, ukwelashwa komdlavuza, ukulahlekelwa yinkumbulo, inkungu yobuchopho, ukukhubazeka kwengqondo, imiphumela emibi yomdlavuza, impilo yengqondo