Sonke siyazi ukuthi ukulwa nomdlavuza akulula. Abanye abantu bayesaba ukwelashwa ngamakhemikhali ngenxa yemiphumela emibi, ikakhulukazi isicanucanu nokuhlanza. Kodwa ngokungafani nesikhathi esidlule, namuhla kunemithi eminingi ethuthukisiwe nezindlela zokuvimba lesi sicanucanu nokuhlanza kanye nokusilawula uma sesivele sikhona. Ngakho ake sixoxe ngalokhu namuhla.
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Kungani i-chemo ikwenza uzizwe ungakhululekile?
Kalula nje, i-chemotherapy iyisidakamizwa esinamandla esibulala amangqamuzana omdlavuza. Uma le mithi ingena emzimbeni, umzimba wethu uyayibona 'njengeyangaphandle'. Okusho ukuthi, njengokungathi ayiyona eyamzimba, njengokungathi ivela ngaphandle. Khona-ke umzimba wethu uthumela izimpawu zokuxwayisa ebuchosheni nasesimisweni sokugaya ukudla.
Lezi zimpawu zivuselela ngqo 'isikhungo sokuhlanza' ebuchosheni bethu. Amakhemikhali akhishwa yileso sikhungo yiwo asenza sizizwe sinesicanucanu futhi sigula. Ngaphezu kwalokho, imithi yokwelapha ngamakhemikhali ingalimaza umgudu wethu wokugaya ukudla. Leso esinye isizathu sokucanucanu.
Isicanucanu nokuhlanza okubangelwa yi-chemotherapy kungenzeka ngezindlela ezintathu eziyinhloko.
| Uhlobo lokungakhululeki | Imvelo yayo |
|---|---|
| isicanucanu esibuhlungu | Ukwelashwa kuqala emahoreni ambalwa ngemva kokukuthatha. |
| Ukucasuka okubambezelekile | Kuqala emahoreni angama-24 ngemva kokwelashwa, futhi kungahlala izinsuku eziningana. |
| Isicanucanu esilindelekile | Lokhu kuqala ngisho nangaphambi kokwelashwa. Isizathu ukuthi kwakunzima ngesikhathi ngithola ukwelashwa ngaphambili, ngakho ngicabanga ukuthi, 'Kuzoba njalo nanamuhla.' |
Ukuhlanza okuqhubekayo kungabangela umonakalo omkhulu emzimbeni. Kuwenza buthaka umzimba, kubangele ukuphelelwa amanzi emzimbeni, futhi kuphuce umzimba izakhamzimba ezibalulekile. Kubangela nokungalingani kwama-electrolyte, njenge-sodium ne-potassium.Ngezinye izikhathi, uma lezi zinkinga ziba zimbi kakhulu, umthamo we-chemo ungadinga ukuncishiswa noma ngisho nokwelashwa kumiswe. Ngakho-ke, kubaluleke kakhulu ukukhuluma nodokotela wakho ngalokhu.
Ubani ongase azizwe kakhudlwana ngalezi zinkinga?
Ezinye izinhlobo ze-chemotherapy zingabangela isicanucanu kunezinye. Isibonelo, i-cisplatin (Platinol) kanye ne-doxorubicin (Adriamycin) yimithi evame kakhulu ebangela lesi simo.
Ngaphezu kwalokho, kungenzeka kakhulu ukuthi ube nalezi zinkinga,
- Uma uthatha ukwelashwa ngamakhemikhali ngokuphindaphindiwe nangokuseduze .
- Uma unikezwa umthamo ophezulu .
- Uma kungumuthi ofakwa emthanjeni (nge-IV - ngemithambo yegazi) kunokuba umuthi othathwa ngomlomo.
- Uma ungowesifazane .
- Uma ungaphansi kweminyaka engama-50 ubudala.
- Uma uthambekele ekuguleni ngokuhamba ngenkathi usohambweni.
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Into engcono kakhulu ongayenza ukuthi udokotela wakho akunike imithi yokuvimba lezi zinkinga ngaphambi kokuba zenzeke. Lo muthi uvame ukunikezwa ngaphambi kokwelashwa ngamakhemikhali. Lo muthi usebenza ngokuvimbela izimpawu esikhungweni sokuhlanza sobuchopho.
Izinhlobo eziyinhloko zemithi yokulwa nokuhlanza
Lokhu kunganikezwa ngemithambo yegazi (IV) noma njengamaphilisi athathwa ngomlomo.
- I-Aprepitant (Emend)
- I-Dolasetron (i-Anzemet)
- I-Fosnetupitant/palonosetron (Akynzeo)
- I-Granisetron (i-Kytril)
- I-Ondansetron (i-Zofran)
- I-Palonosetron (i-Aloxi)
- I-Rolapitant (i-Varubi)
Phakathi kwalokhu, imithi efana ne-'Akynzeo' kanye ne-'Aloxi' isebenza emzimbeni izinsuku eziningana, ngakho-ke iyasiza futhi ekulawuleni isicanucanu esibambezelekayo esiba khona kamuva.
Eminye imithi engasiza
- Imithi yokulwa nokukhathazeka: Imithi efana ne-alprazolam (Xanax), i-diazepam (Valium), kanye ne-lorazepam (Ativan) isiza ukuzola ingqondo futhi inciphise isicanucanu esilindelekile.
- Ama-Cannabinoid: Izidakamizwa ezifana ne-dronabinol (Marinol, Syndros).
- Ama-Corticosteroids: Imithi efana ne-dexamethasone (Decadron) kanye ne-methylprednisolone (Medrol).
- Abaphikisi be-dopamine: i-metoclopramide (Reglan), i-prochlorperazine.
- Imithi yokugula okuhambayo: ama-patches afana ne-scopolamine patch (i-Transderm Scop).
Into ebaluleke kakhulu ukuthi, ungasebenzisi noma yimuphi wale mithi ngaphandle kokubonisana nodokotela wakho. Uzokunikeza imithi engcono kakhulu yesimo sakho.
Izinto ongazizama ngaphandle kokwelashwa
Ngaphezu kwemithi, kunezindlela eziningana zokwelapha ezihambisanayo ezingasetshenziswa kanye nokwelashwa kwezokwelapha. Lokhu akusikho okuthatha indawo yokwelashwa kwezokwelapha, kodwa kunalokho kuyisengezo sako.
- Ukwelapha nge-acupuncture: Lena yindlela yendabuko yezokwelapha yaseShayina esebenzisa izinaliti ezincane ukuvuselela amaphuzu athile emzimbeni. Indawo ethandwa kakhulu esetshenziselwa ukwelapha isicanucanu yiphuzu le-P6, elitholakala ngaphansi kwesandla, ngaphansi nje kwesihlakala.
- Ukucindezela kwe-Acupressure: Lokhu kufana nokushaya nge-acupuncture, kodwa esikhundleni sezinaliti, kufakwa ukucindezela ngeminwe.
- I-Biofeedback: Le ndlela ikufundisa ukulawula imisebenzi yomzimba (isib. ukushaya kwenhliziyo, ukuphefumula) ongakwazi ukuyilawula ngemicabango yakho. Lokhu kungakusiza ukuthi uzole ingqondo yakho.
- I-Hypnosis: Ngosizo lochwepheshe, ungalawula imizwa efana nokucasuka ngokuletha ingqondo yakho esimweni esikhululekile bese uyivula ukuze uthole isiphakamiso esithile.
Sebenzisa lezi zindlela ukuze uphumule ingqondo yakho.
Kungaba impumuzo enkulu ukuzithiba ekwelashweni. Zama lezi zinto ngaphambi kokwelashwa nge-chemo.
- Isithombe esiqondiswayo: Cabanga ngendawo enhle nenokuthula engqondweni yakho. Zibone umi eduze kwechibi elinokuthula edolobhaneni. Zibone ngeso lengqondo imithwalo yakho nosizi lwakho luntanta echibini njengesikebhe.
- Ukuphazamisa: Lalela ingoma oyithandayo, funda incwadi, noma ubukele i-movie ehlekisayo.
- Ukuphumula kwemisipha okuqhubekayo: Qala ngezinzwane zakho, qinisa bese uphumuza imisipha ngayinye emzimbeni wakho. Uma ufika ekhanda lakho, uzozizwa ukhululekile kakhulu.
Izinto ongazenza wena ngokwakho ngesicanucanu nokuhlanza
Ukwenza izinguquko ezimbalwa ezincane ekudleni kwakho nasemikhubeni yakho yansuku zonke kungasiza ekunciphiseni lokhu kungakhululeki.
- Gwema ukudla okukwenza uzizwe ungakhululekile, ikakhulukazi ukudla okunamafutha, okuthosiwe, nokunongwe kakhulu.
- Yidla ukudla okuncane kaningana ngosuku kunokudla kathathu okukhulu.
- Yidla okuthile okufana nokudla okulula okuncane ngaphambi kokwelashwa nge-chemotherapy.
- Ungapheki uma ungakhululekile. Iphunga lokudla okushisayo lingakwenza ube nesicanucanu.
- Uma iphunga lokudla okushisayo lingathandeki, yidla ukudla okubandayo .
- Phuza amanzi amaningi kanye nezinye izinto eziwuketshezi (isobho, ujusi wezithelo) ukuze uvimbele ukuphelelwa amanzi emzimbeni.
- Uma isisu sibuhlungu, yidla i-ginger toffee noma uphuze itiye le-ginger .
Umlayezo Wokuya Nawe Ekhaya
- Isicanucanu nokuhlanza okubangelwa yi-chemotherapy kuvamile, kodwa manje kungalawulwa kakhulu.
- Ungalokothi ubhekane nalezi zinkinga wedwa. Tshela udokotela wakho nganoma yikuphi ukungakhululeki okuzwayo.
- Indlela engcono kakhulu ukusebenzisa imithi ebhalwe phansi njengoba nje ishiwo ukuze uvimbele ukungakhululeki ngaphambi kokuba kwenzeke.
- Izinguquko zendlela yokuphila, njengokudla ukudla okuncane nokugwema ukudla okuthile, zingenza umehluko omkhulu.
- Amasu okuphumula angasiza ekunciphiseni ukwesaba kanye nesicanucanu ngaphambi kokwelashwa.
- Landela imiyalelo kadokotela wakho njalo. Gwema ukushintsha izindlela zokwelapha noma imithi ngokwakho.
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