Ungalawula kanjani isicanucanu nokuhlanza okubangelwa yi-chemotherapy?

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.

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.

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.

Imithi ingaba usizo olukhulu.

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).

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 .