'Kungani Ngingacabangi Ngempela Ngemva Kemotherapy?'
Sibutsetelo
I-Chemobrain iyigama elisha elibhekisela ekuguqulweni kwengqondo okungenzeka njengomphumela ohlangothini lwe-chemotherapy . Abantu abaningi abaye bahamba nge-chemotherapy bayaqaphela izinguquko zesikhashana kwimemori yabo noma inqubo yokucabanga (ukungasebenzi kahle kwengqondo). Kungase kube nzima ukwenza izinto ezimbili ngesikhathi esifanayo, ukhiye wezimoto ulahlekile, nomcimbi osufunde ngawo ephephandabeni nje akubonakali ukunamathela ememori yakho.
Kucatshangwa ukuthi noma yikuphi okuvela ngamaphesenti angu-15 kuya kumaphesenti angu-70 abantu abathinteka kakhulu yi-chemobrain ngemuva kwe-chemo, kodwa sesiqala ukufunda ngezimbangela, nokuthi yini ongayenza ukuze ubhekane futhi uphinde ululame kulesi simo esicasulayo.
Ngaphezu kwalokho, ucwaningo lwamuva olwanyatheliswa kuyi- Journal of the National Cancer Institute luveza ukuthi ezinye zezimpawu esiye zazibiza nge-chemobrain empeleni zikhona ngaphambi kokuba i-chemotherapy inikezwe, okungenani kubantu abanomdlavuza wesifuba, futhi kungenzeka ukuthi bahlobene nokuthunyelwe -impawu zokucindezeleka zokucindezeleka noma ukuphazamiseka kweziguli emdlalweni.
Izimpawu
Izimpawu ze-chemobrain ziye zachazwa abanye abasinda emdlalweni ngokuthi " ubuhlungu bobuchopho ." Kubhulogi yakhe mayelana nokuphila kwakhe nomdlavuza ngasekugcineni uLoyoy Sievers wabelane ngolwazi lwakhe nge-chemobrain. Wachaza lezi zimpawu ngokuthi: " Kancane kancane sengathi unomuzwa wokuthi uthola uma unesisindo esisodwa noma ezimbili kakhulu, futhi awufuni ukudakwa. Uzozama ukukhuluma ngokucacile kepha akusebenzi ngaso sonke isikhathi.
"Izimpawu ze-chemobrain zingafaka:
- Ukubunzima ukugxila nokucabanga ngokucacile.
- Inkinga eyenza umsebenzi ongaphezu kweyodwa ngesikhathi (kunzima ukufaka okuningi.)
- Kunciphisa inkumbulo - ikakhulukazi inkumbulo yokubuka nokukhuluma, njengezinkinga zokukhumbula izinto ezishiwo engxoxweni, into ebhalwe ohlwini lokudla, noma igama lomunye osanda kuhlangana naye.
- Isikhathi sokunakekelwa esifushane.
- Ukudideka kalula, ikakhulu uma ufunda ulwazi olusha.
- Ukuzwa kungahlelekile.
Izimbangela
Imiphumela emibi yokwelashwa komdlavuza, kanye nomdlavuza uqobo, ingaba negalelo ezinengi zezimpawu esizichaza njenge chemobrain. Ukuphazamiseka kwegazi , ukuguquka kokulala, ukucindezeleka , ukukhathala , nokukhathazeka ngenxa yokuxilongwa komdlavuza kungathinta ukuhlushwa kwakho. Kodwa i-chemotherapy nayo ingadlala indima ngqo kulezi zimpawu. Ukuhlolwa kwe-neuropsychological kuye kwabonisa ukuthi izinguquko ebuchosheni zenzeka ngesikhathi samakhemikhali, kanti ucwaningo luqhubeka lubuka izindlela zokwelashwa kwamakhemikhali okuthinta ubuchopho. Ucwaningo lokucwaninga seluthole ukuthi ekuqaleni, abantu bangase babe nokuncipha kwezindaba ezimpunga futhi banciphise umthamo wendaba emhlophe ebuchosheni, futhi kube yingqikithi yabantu, lokhu kwaqhubeka esikhathini eside. Lokho kusho ukuthi namanje akuqinisekile. Zingakanani lezi zimpawu ezibangelwa ukwelashwa komdlavuza, futhi kungakanani okushiwo ngqo yi-chemotherapy ehlala kubonakala.
Okubaluleke kakhulu ukuthi abasindile bomdlavuza bathola ukusekelwa okudingayo ukuze babhekane nezibonakaliso abazizwayo ngemva kokukhipha imithi.
Impact
I-chemobrain ingabacasula kakhulu kulabo abaphila nomdlavuza, nabathandekayo babo abazama ukuwasekela.
Ukuzizwa kungahlelekile kungathinta izinga lakho lokuphila kanye nekhono lokwenza izinqumo. Kulabo abasebenza noma abaya esikoleni, ubunzima bokugxila kungaba yinselele phezu kokukhathala abantu abaningi asebavele benesifo ngemuva kokwelashwa.
Ukubhekana
Isinyathelo sokuqala ekubhekaneni ne-chemobrain ukuqonda ukuthi lezi zimpawu zingokoqobo futhi akuzona "konke ekhanda lakho." Zinike imvume yokuthatha isikhathi esengeziwe ucabange ngezinkinga. Kubantu abaningi, izimpawu ze-chemobrain zithuthuka kakhulu kunesikhathi. Amanye amathiphu asisize abanye ukubhekana nawo afaka:
- Gcina ikhalenda elisebenzayo, bese ubhala izinsuku ezibalulekile nezinqunyiwe.
- Thola ukulala ngokwanele.
- Zivoca zombili umzimba nomqondo wakho. Abanye abantu bathola ukuthi imisebenzi efana ne-sudoku noma i-crossword puzzle isiza ukuphikisana nezingqondo zabo nokuhlela imicabango yabo. Ngisho nemikhiqizo encane yomzimba ingenza umehluko omkhulu kwabanye abantu.
- Bheka izindlela zokuphatha ukucindezeleka empilweni yakho.
- Gwema noma unciphise iziphazamiso.
- Gxila emsebenzini owodwa. Ungazami ukwenza izinto eziningi ngesikhathi esisodwa. (Ungakhathazeki ngalokhu - ngisho nabantu abangenayo i-chemobrain, ukutholakala kwe-multitasking kuye kwatholakala ukuthi akusebenzi.)
- Yidla ukudla okunempilo. Ukudla okucebile imifino kungenza ubuchopho bakho bukhuthaze.
Ukwelapha
Ngalesi sikhathi, ayikho uhlelo oluthile lwezokwelapha olwamukelwe yi-oncologists. Olunye ucwaningo luye lwasikisela ukuthi ukwelashwa komsebenzi kungasiza. Uma ubhekene nokucindezeleka, izinkinga zobudlelwane, noma ukukhathazeka ngaphezu kwezimpawu ze-chemobrain, ukubonisana nesazi sokusebenza kwengqondo noma isisebenzi sezenhlalakahle kungasiza. Lesi sihloko sixoxisana ngezokwelapha kanye nokwelashwa kwe-chemobrain .
Ukubhekana
Izinkathazo Zosuku nosuku / Ubudlelwano
Uma izimpawu zakho ziphazamisa impilo yakho yansuku zonke ekhaya, i-oncologist yakho ingancoma ukuthi ubone umuthi wezisebenzi. Ngokukuhlolisisa, lo mtholampilo angase abe neseluleko ekubhekaneni nezimpawu zakho, namathuluzi kanye nokwelashwa okunye okunye ukuze uqinisekise ukuthi ungasebenza ngokuphepha ekhaya.
Uma ucabangela ezinye zezibonakaliso-ukukhohlwa nokuntuleka kokugxila-kuwukuphela kokucabangela ukuthi ubuhlobo bakho nabangane, oshade naye nabantwana bangase bahlupheke. Njengoba kungakhulumi ngaso sonke isikhathi njengenye eminye imiphumela emibi ye-chemotherapy-isibonelo isicashunwe-futhi njengoba izimpawu zingaba zifihlakele, abathandekayo bakho bangabona inkumbulo yakho njengenganandaba nokuyilalela noma ukungakhathazeki ngokwanele ukukhumbula okubalulekile izinsuku, esikhundleni sezimpawu zangempela ezihlobene nokwelashwa kwakho. Ukukhuluma ngokukhululekile nabathandekayo bakho, futhi ubafundise izinguquko ezizithobayo nezinguquko ezibizwa ngokuthi 'ukungasebenzi kahle,' kungasiza ekunciphiseni ukungaqondi kahle nemizwa ebuhlungu-futhi ukusekela kwakho-phansi komugqa.
Ukukhathazeka Komsebenzi
Kubantu abathile, ukukhubazeka kwengqondo kungaphazamisa ikhono lokusebenza emsebenzini, futhi lokhu kungabangela ukucindezeleka ngokuphawulekayo njengoba ucabanga ngomsebenzi wakho, hhayi ukukhuluma ngemali yezimali uma ungakwazi ukusebenza. Uma uthola ukuthi awukwazi ukubuyela emsebenzini, noma uma nje ungasebenzi uma ubuya, kubalulekile ukwazi ukuthi ungaqala kuphi futhi uqonde amalungelo akho. Inhlangano engenzi inzuzo I-Cancer ne-Careers inolwazi oluningi lokukusiza ukuthi uhlele phakathi kwemibuzo eminingi ozoyithola. Leli sayithi liqukethe ulwazi ngamalungelo akho angokomthetho emsebenzini, lapho ukhuluma, nalapho ungakhulumi ngesimo sethu emsebenzini, nokwesaba okukhulu kubantu abaningi kulokhu; imibuzo yomshuwalense mayelana nomsebenzi.
Nini Ukukhuluma Nodokotela Wakho
Uma uhlangabezana nanoma yiziphi izimpawu ze-chemobrain, khuluma ne-oncologist yakho. Kubalulekile ukuthi, njengesinyathelo sokuqala, ukhulume nawe futhi akuhlole ngezimo ngaphandle kwe-chemobrain engase ibangele noma ibambe iqhaza ezimpawu zakho. Uma izimpawu zakho ziphazamisa impilo yakho yansuku zonke, angase ancome ukuthi ubone umuthi osebenzayo ukuze ubone ukuthi yimaphi amathuluzi / ukuphathwa okungase kudingeke ukuthi usebenze kahle ekhaya. Angase futhi akhombise ukuthi ubona isazi sezinzwa zegazi. Lezi zengqondo zikwazi ukuhlola kahle kakhulu izimpawu zakho futhi zincoma ukulungiswa kwengqondo noma ukulungiswa kwengqondo. Inkulumo ethi ukulungiswa kwengqondo ingase ibe yinto esabekayo, kodwa imithi yokwelapha ihlelwe ukuze ikusize uthole izindlela ezingokoqobo zokubhekana nezindawo ezikucindezelayo empilweni yansuku zonke kuze kube yilapho izimpawu zakho zithuthuka ngesikhathi.
> Imithombo:
> Hermalink, V. et al. Ukuhlukunyezwa Ngokweqile Ukukhubazeka Okungqondweni Yokwelashwa Kwebelevuza: Impembelelo Yokucindezeleka Kwesifo Esihambelana Ne-Cancer. Journal of the National Cancer Institute . Ishicilelwe ku-Apreli 16, 2015.
> Jean-Pierre, uP., Johnson-Greene, D., noT. Burish. Ukunakekelwa kwezinkinga ze-neuropsychological nokuvuselelwa kweziguli zomdlavuza ezine-chemobrain: amasu okuhlola nokuthuthukiswa kokungenelela. Ukondla Ukusekela Ekhanda . 2014. 22 (8): 2251-60.
> Moore, H. Uhlolojikelele lwe-Chemotherapy-Related Dysfunction Cognitive, noma 'Chemobrain'. I-Oncology (i-Williston Park) . 2014. 28 (9): pii: 201376.
> Nelson, C. et al. I-Chemotherapy nokulahlekelwa kwengqondo: izindlela, ukutholakala, nokungenelela okungenzeka. Ukunakekelwa kwe-Palliative nokusekela . 2007. 5 (3): 273-80.
> Umdlali, uL., Mackenzie, L., Willis, K. no S. Loh. Okuhlangenwe nakho kwabesifazane ngokushintsha kwengqondo noma 'chemobrain' okulandelayo ukwelashwa komdlavuza webele: Indima yokuthola ukwelapha emsebenzini? . I-Australian Occupational Therapy Journal . 2014. 61 (4): 230-40.
> Selamat, M., Loh, S., Mackenzie, L., noJ. Vardy. I-Chemobrain ehlangene nabasindile yomdlavuza webele: isifundo se-meta-ethnography sophenyisisa ucwaningo nokukhathalela. PLoS One . 2014 Sep 26. 9 (9): e108002.
> Simo, M. et al. I-Chemobrain: ukubuyekezwa okuhlelekile kwezifundo zesakhiwo se-neuroimaging zesakhiwo. I-Neuroscience kanye nokubuyekezwa kwe-Biobehavioral . 2013. 37 (8): 1311-21.
> Taillibert, S. et al. I-Chemobrain: i-systemic chemotherapy neurotoxic. Ama-Opinions amanje ku-Oncology . 2007. 19 (6): 623-7.
> Weiss, B. Chemobrain: inselelo yokuhumusha ye-neurotoxicity. I-Neurotoxicology . 2008. 891-8.
> Whitney, K. et al. Ingabe "i-chemobrain isimo esiphuthumayo? Ucwaningo oluthile lomqhubi wezinyawo phakathi kwabantu abanomdlavuza wesifo samangqamuzana ongewona omncane. I-Journal of Support Oncology . 2008. 6 (7): 21.