Ingabe izintende zezandla zakho nezithende zakho zibomvu futhi zivuvukele? Kungaba yi-"Hand-Foot Syndrome"!

Uma uphathwa i-chemotherapy yomdlavuza, noma umazi umuntu onayo, ngezinye izikhathi ungase uzwe ushintsho oluncane, ukubomvu, ukuvuvukala, noma ubuhlungu ezintendeni nasezinyaweni zakho. Kwabanye, lokhu kungaba yinto ephazamisayo. Ungakhathazeki, lokhu kuyinto evamile. Namuhla sizokhuluma ngalesi simo esibizwa ngokuthi "Hand-Foot Syndrome - HFS" noma njengoba odokotela besibiza ngokuthi "Palmar-Plantar Erythrodysesthesia" .

Iyini i-"Hand-Foot Syndrome"? Ake siyiqonde kalula!

Kalula nje, i-"Hand-Foot Syndrome" iwukusabela kwesikhumba okubangelwa imithi ethile "ye-chemotherapy". Ngokukhethekile, izintende zezandla zakho nezinyawo zakho zingase zibe bomvu, zivuvuke, futhi ngezinye izikhathi zibe buhlungu. Lokhu kuwumphumela ovamile wokwelashwa komdlavuza. Ngakho-ke kubalulekile ukuqaphela lokhu.

Yiziphi izinhlobo zemithi yokwelapha ngamakhemikhali ezibangela i-Hand-Foot Syndrome?

Akuzona zonke izidakamizwa ze-chemotherapy ezibangela lesi simo. Kodwa-ke, kunemithi ethile etholakale ukuthi ingabangela lesi simo. Lesi "Hand-Foot Syndrome" saqala ukutholakala lapho iziguli ezine-leukemia zinikezwa imithamo ephezulu yomuthi i-"cytarabine."

Izinhlobo ezivame kakhulu zemithi yokwelapha ngamakhemikhali ebanga i-HFS yilezi:

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

Kunezinye izinhlobo ze-chemotherapy ezingabangela i-HFS, yize zingaba zincane:

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

Uma uthatha noma yimuphi wale mithi, kungumqondo omuhle ukuqaphela kancane nge-"(HFS)". Kodwa khumbula, akuwona wonke umuntu othatha le mithi ozoyithuthukisa.

Yiziphi izici eziyingozi zokuthuthukisa i-"Hand-Foot Syndrome"?

Into eyinhloko inani lomuthi `(we-chemotherapy)` owunikezwayo kanye nendlela yokuphathwa . Cabanga ngakho, uma inani lomuthi `(we-chemotherapy)` owunikezwayo liphezulu, noma uma uphuza umuthi njalo, amathuba okuba nalesi simo aphezulu. Okusho ukuthi, uma unemuthi `(we-chemotherapy)` omningi emzimbeni wakho isikhathi eside, ingozi yokuba ne-`(HFS)` iphezulu.

Ziyini izimpawu ze-"Hand-Foot Syndrome"? Siyibona kanjani?

Lezi zimpawu zivame ukuqala ukubonakala emasontweni amabili kuya kwamathathu ngemuva kokuqala i-chemotherapy. Ekuqaleni, ungase uzizwe ungenamizwa ezandleni nasezinyaweni. Kamuva, ungase ubone izimpawu ezifana nalezi:

• Ukuvuvukala nokuguquka kombala wezandla nezinyawo: Abantu abanesikhumba esikhanyayo, noma labo abanamazinga aphansi e-melanin, bangase baqaphele ukubomvu kwezintende zezandla nezinyawo (okufana nokushiswa yilanga). Abantu abanesikhumba esinsundu noma esimnyama, noma labo abanamazinga aphezulu e-melanin, bangase baqaphele ukufiphala kwesikhumba ezintendeni zezandla nezinyawo.
• Ukuvuvukala kweminwe: Ukuvuvukala kungase kubonakale kakhulu, ikakhulukazi ezindaweni ezifana nama-pad eminwe.
• Ukuqina kwesikhumba, ubuhlungu, noma ubuhlungu uma kuthintwa: Isikhumba singase sizwakale siqinile noma sibuhlungu uma sithintwa.
• Ukuqhekeka kwesikhumba noma ukuqhekeka: Ngezinye izikhathi isikhumba singaqhekeka futhi siqhekeke.
• Ubuhlungu lapho intende noma unyawo lushaya okuthile: Isibonelo, ungase uzwe ubuhlungu lapho uhamba noma uthinta okuthile.

Lezi zimpawu zingase zibe mnene kakhulu futhi zingabi buhlungu kwabanye, kanti abanye bangase babe nobuhlungu obukhulu obungenza kube nzima ukwenza imisebenzi yansuku zonke.

Odokotela bayixilonga kanjani i-"Hand-Foot Syndrome"?

Uma udokotela noma umhlengikazi wakho ebona lezi zimpawu ngesikhathi uthola i-chemotherapy, bazosola ukuthi yi-Hand-Foot Syndrome.

Kodwa-ke, uma uthatha nohlobo lomuthi womdlavuza obizwa ngokuthi `(multikinase inhibitors)`, udokotela wakho kuzodingeka acabange ngenye into. Leso yisimo esibizwa ngokuthi `(Hand-Foot Skin Reaction - HFSR)`. Lokhu futhi kuyimiphumela emibi ye `(multikinase inhibitors)`. `(HFSR)` nayo ibangela izinguquko zesikhumba. Isibonelo, isikhumba esibuhlungu, esijiyile, esiphuzi singase sikhule ezindaweni ezifana namalunga, amathe ezinyawo, kanye nezintende zezandla.

Ngenxa yalokhu, udokotela ngezinye izikhathi angathatha amangqamuzana esikhumba kuwe awabheke ngaphansi kwesibonakhulu ukuze anqume ukuthi une-HFS noma i-HFSR.

Ingabe ikhona indlela yokukala ubukhulu be-"Hand-Foot Syndrome"?

Yebo, iNational Cancer Institute yethule indlela yokuhlukanisa ubucayi balesi simo, ebizwa ngokuthi uhlelo lokuhlola . Udokotela wakho uzonquma ukuthi uzokwelapha kanjani ngokusekelwe ebangeni lakho le-HFS.

• `(Ibanga 1) Isifo Sezinyawo Zesandla`: Kungase kube nokuvuvukala nokushintsha kombala (ukuba bomvu noma ukuba mnyama) ezintendeni nasematheni, kodwa kungabi buhlungu .
• `(Ibanga 2) Isifo Sezinyawo Zesandla`: Ngaphezu kwezimpawu `(Ibanga 1)`, kungase kube nokuqubuka, ukopha, kanye nokuqhekeka kwesikhumba. Kungase kube nobuhlungu obenza kube nzima ukwenza imisebenzi yansuku zonke .
• `(Ibanga lesi-3) Isifo Sezinyawo Zesandla`: Izimpawu zinzima kakhulu kuneze`(Ibanga lesi-2)`. Ubuhlungu bungaba bukhulu kangangokuthi ngisho nemisebenzi evamile ayikwazi ukwenziwa . Kungaba nzima ukugqoka, ukugeza, noma ukuya endlini yangasese.

Yiziphi izindlela zokwelapha i-"Hand-Foot Syndrome"?

Manje ake sibone ukuthi lokhu kungenzani. Uma izimpawu zakho zinzima kakhulu, okusho ukuthi zithinta impilo yakho kangangokuthi awukwazi ukuphila ngendlela evamile, odokotela bakho bangase banqume ukuyeka ukwelashwa ngamakhemikhali isikhashana, banciphise umthamo, noma bakushintshele komunye umuthi.

Kodwa-ke, ngezinye izikhathi ukwenza lezi zinguquko kungaba nomthelela omncane empumelelweni yokwelashwa komdlavuza. Uma kunjalo, uma izimpawu zakho zingezimbi kakhulu, udokotela wakho angase ancome izindlela zokulawula imiphumela emibi.

Yini esingayenza ukulawula izimpawu?

Abantu abaningi bangakwazi ukulawula izimpawu ze-Hand-Foot Syndrome ngokwenza izinguquko ezilula endleleni yokuphila. Ungathola impumuzo ngokwenza okulandelayo:

• Sebenzisa okhilimu be-corticosteroid: Udokotela angase akunike lolu hlobo lokhilimu ukuze anciphise ukuvuvukala nokuvuvukala.
• Faka ama-moisturizer - ama-emollients: Ukuze uvimbele isikhumba sakho ukuba some futhi usigcine sinamanzi amaningi, kubalulekile ukusebenzisa i-moisturizer. Lawa abizwa nangokuthi ama-emollients. Wafake izikhathi eziningana ngosuku.
• Sebenzisa amaphilisi obuhlungu: Ungathatha amaphilisi omlomo noma imithi yokwelapha ubuhlungu, njengoba kunqunywe udokotela wakho.
• Vikela isikhumba sakho ekushiseni: Isibonelo, nciphisa ukuchayeka elangeni, ukugeza ngamanzi ashisayo, futhi ucwilise izinyawo zakho emabhafini ashisayo.
• Faka amaphakethe eqhwa noma izindwangu ezibandayo: Ukuze unciphise ukugeleza kwegazi ezandleni nasezinyaweni zakho, faka amaphakethe eqhwa noma izindwangu ezihlanzekile ezicwiliswe emanzini abandayo ezihlakaleni nasemaqakaleni cishe imizuzu eyi-15-20. Kodwa ungafaki iqhwa ngqo esikhumbeni sakho, lisonge ngendwangu.
• Gcina izingalo nemilenze yakho iphakeme: Uma uhleli esihlalweni, gcina imilenze yakho iphakeme, futhi uma ulele, gcina umcamelo ngaphansi kwemilenze yakho. Kunjalo nangamazinga akho.
• Hlikihla isikhumba sakho ngobumnene: Kungakhathaliseki ukuthi ugcoba iloshini noma womisa isikhumba sakho ngethawula, ungahlikihli isikhumba sakho ngamandla, sishaye kancane.
• Gqoka amasokisi nezicathulo ezilula nezikhululekile: Gqoka amasokisi angaqinile, enziwe ngendwangu efana nekotini. Kunjalo nangezicathulo, futhi ezimweni eziningi, into elula njengezicathulo ingcono kakhulu.

Into ebaluleke kakhulu ukunciphisa ukungqubuzana phakathi kwezandla zakho kanye nezinyawo zakho.

Gwema ukwenza izinto ezinjengalezi, okungenani isikhashana:

• Ukugijima: Ngoba amathe ezinyawo zakho ahlala eshaya phansi.
• Umsebenzi owenziwe ngenkathi ubamba imishini ngokuqinile:
• Bamba ummese ngokuqinile lapho usika imifino.
• Ukusebenzisa amathuluzi anjengegeja nefosholo ngenkathi usebenza engadini.
• Ukusebenzisa izikhali lapho kulungiswa ikhaya (isib. ukubamba isando ngenkathi ushaya isipikili).
• Ukuphakamisa izinsimbi.

Iyiphi iloshini engcono kakhulu ye-`(Hand-Foot Syndrome)`?

Iloshini engenaphunga, engenalo utshwalaKhetha. Utshwala lungasomisa isikhumba kakhulu, okungase kube kubi kakhulu izimpawu. Ezinye izifundo zisikisela ukuthi ukusebenzisa ukhilimu oqukethe i-10% urea kathathu ngosuku kungasiza ekunciphiseni isikhumba futhi kusigcine simanzi. Kodwa-ke, kungcono ukubonana nodokotela ngaphambi kokusebenzisa noma yiluphi uhlobo lokugcoba.

Ngizolulama ngokushesha kangakanani ngemva kokuyeka ukwelashwa?

Lokhu kungahluka kuye ngomuntu nomuntu. Kodwa-ke, lezi zimpawu zivame ukuphela kancane kancane zingakapheli amasonto amabili kuya kwamahlanu ngemva kokuyeka i-chemotherapy. Kungathatha izinsuku ezimbalwa ukuze ululame ngokugcwele.

Ingabe zikhona izindlela zokuvimbela i-Hand-Foot Syndrome?

Nakuba kungenakuvinjelwa ngokuphelele, kunezinto ongazenza ukuze unciphise ingozi futhi uvimbele isimo ukuba singabi sibi uma singenzeka.

• Uma unezinkinga zesikhumba (isib. isikhumba esomile, isikhumba esiqhekekile), kuwukuhlakanipha ukuthi welashwe ngaphambi kokuqala ukwelashwa ngamakhemikhali.
• Izindlela eziningi zokuphatha izimpawu esixoxe ngazo ekuqaleni nazo ziyasiza ekuvimbeleni ukuqala kwe-`(HFS)`.
• Isibonelo, udokotela angakutshela ukuthi usebenzise i-moisturizer kusukela ngosuku oqala ngalo ukwelashwa ngamakhemikhali.
• Izinto ongayenza kusenesikhathi zihlanganisa ukuvikela isikhumba sakho ekushiseni nokugwema imisebenzi ebeka ingcindezi engadingekile kanye nokukhuhlana ezintendeni nasezinyaweni zakho.

Yini eyenzeka kumuntu one-"Hand-Foot Syndrome"?

Eqinisweni, akubona bonke abantu abathinteka yilesi "Hand-Foot Syndrome" ngendlela efanayo. Ngisho noma bethatha umuthi ofanayo "(we-chemotherapy)", indlela umuntu azizwa ngayo ingahluka kakhulu kunendlela omunye umuntu azizwa ngayo. Kwabanye, kungaba ukuphazamiseka okuncane nje, kanti kwabanye, kungaba nzima kakhulu kangangokuthi kufanele bashintshe ukwelashwa kwabo komdlavuza.

Ingxenye engcono kakhulu ukuthi, isikhathi esiningi lezi zimpawu ziyanyamalala uma sekuqediwe ukwelashwa ngamakhemikhali . Uma unakekela isikhumba sakho kahle, ungavimbela nemiphumela yesikhathi eside efana nokuqhekeka.

Ingabe i-Hand-Foot Syndrome ingabangela ezinye izinkinga?

Into eyodwa ukuthi abanye abantu balahlekelwa yiminwe yabo okwesikhashana. Lokhu kungaba yinkinga ngezinye izikhathi. Isibonelo, uma udinga iminwe uma uya phesheya, njengalapho ufaka isicelo se-visa. Kodwa ungakhathazeki, iminwe yakho izokhula ezinyangeni ezimbalwa ngemva kokuphela kokwelashwa.

Kufanele ngimbone nini udokotela?

Kubaluleke kakhulu ukwazisa udokotela wakho nganoma yiziphi izimpawu ozizwayo ngenkathi uthola i-chemotherapy, kungakhathaliseki ukuthi zincane kangakanani. Ikakhulukazi, qiniseka ukuthi utshela udokotela wakho uma:

• Uma izimpawu zikhula kancane kancane.
• Uma isikhumba siqhekekile, isikhumba siyaxebuka futhi siphuma igazi.
• Uma izimpawu zakho zenza kube nzima ukwenza imisebenzi yakho yansuku zonke.

Ngezikhathi ezinjengalezi, uma utshela udokotela , angakunikeza ukwelashwa okudingayo, noma enze ushintsho ku-chemotherapy yakho.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Kuzokusiza kakhulu ukubuza udokotela wakho noma umhlengikazi imibuzo efana nale:

• Yimiphi imiphumela emibi engingayilindela lapho ngithatha i-chemotherapy?
• Yimiphi imiphumela emibi okufanele ngikwazise ngayo?
• Yimiphi imiphumela emibi okufanele ngiyibone kudokotela noma ngiye esibhedlela ukuze ngiyisebenzise?
• Ingabe kukhona engingakwenza ukuze ngivimbele eminye yemiphumela emibi?
• Ingabe ikhona imikhiqizo ekhethekile (njenge-lotion, ama-cream) oyincomayo ukuvimbela noma ukulawula lesi "Hand-Foot Syndrome"?

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

Ngakho-ke, '(i-chemotherapy)' iyindlela yokwelapha ebaluleke kakhulu nesindisa impilo yomdlavuza. Kodwa-ke, sidinga futhi ukuqonda ukuthi le miphumela emibi ingenzeka. '(I-Hand-Foot Syndrome)' nayo iyisimo esivamile, kodwa esivame ukulawuleka.

Uma unalezi zimpawu , ungesabi noma ukhathazeke . Into ebaluleke kakhulu ukukhuluma ngokukhululekile ngalokhu nethimba lakho lezokunakekelwa kwempilo. Bazokusiza ukuphatha isimo sakho futhi benze izinguquko ohlelweni lwakho lokwelashwa uma kudingeka. Awuwedwa, futhi unethimba lezokunakekelwa kwempilo lodokotela, abahlengikazi, kanye nabanye ochwepheshe abazokusiza kulolu hambo. Ngakho-ke, funa ukwesekwa kwabo uma unemibuzo.

Isifo Sezinyawo Zesandla , i-HFS, i-chemotherapy, imiphumela emibi, ukusabela kwesikhumba, i-palmar-plantar erythrodysesthesia, ukwelashwa komdlavuza, ukwelashwa komdlavuza, imiphumela emibi, isifo sesikhumba, ukuvuvukala kwesundu, ukuvuvukala kwesundu