Yiziphi Izindlela Ezingenzeka Ziphuthumayo Ze-Chemotherapy?
Imiphumela emide yesikhathi eside ye- chemotherapy akuvamile ukukhathazeka kwakho kokuqala uma uthole ukuthi i-chemotherapy inconywa ngomdlavuza wakho. Futhi yilokho okufanele kube khona. Ezimweni eziningi, izinzuzo zokwelashwa zidlula kakhulu kunoma yiziphi izinkinga ezingase zibe ngaphansi komugqa. Kodwa ngokusinda okuphuthumayo kusuka ezinhlobonhlobo zamanqamu, kubalulekile ukuqonda imiphumela emibi yesikhathi eside ye-chemotherapy okungenzeka kwenzeke izinyanga noma iminyaka ngemuva kokwelashwa kuqediwe .
Ngaphambi kokubhekana nemiphumela emibi yesikhathi eside, qhubeka ukhumbula ukuthi wonke umuntu uhlukile . Abanye abantu bangase babe nemiphumela eminingi emibi, kuyilapho abaningi bengenakho. Imiphumela emibi ihlukahluka kakhulu kuye ngokuthi imithi ethile yekhemotherapy isetshenziswa kanjani.
Izinkathazo zenhliziyo
I-Chemotherapy ingabangela imiphumela yomzimba ekuqaleni kokwelashwa, kodwa kwezinye izimo, imiphumela ingase ingabonakali kuze kube yilapho ezayo. Esinye isibonelo esibonakalayo umonakalo wenhliziyo emva kokwelapha ngemithi e- Adriamycin (doxorubicin ). Ngalesi sidakamizwa, umphumela wesikhathi eside wesikhathi eside unobuthakathaka besisindo senhliziyo, okuholela ekunciphiseni amandla okupompa igazi emzimbeni ( ukuhluleka kwenhliziyo ). Izimpawu zingase zihlanganise ukuphefumula okuphuthumayo, ukukhathala nokuvuvukala kwezinyawo nezinyawo. Uma uphathwe nge-Adriamycin, udokotela wakho angancoma ukuskena kwe-MUGA ukuqapha ukuthi inhliziyo yakho iqhuma kanjani.
Eminye imithi yokwelapha , njengokwelashwa kwe- radiation endaweni yesifuba, ingabangela ukulimala kwenhliziyo yesisu.
Njengoba imisebe engakwesokunxele yomdlavuza wesifuba ingathinta inhliziyo futhi imonakalise imishanguzo ye-coronary, kubaluleke nakakhulu ukukhuluma ne-oncologist yakho uma uthola lezi zidakamizwa zamakhemikhali. Funda kabanzi ngezinkinga zenhliziyo ezihlobene no-Adriamycin (doxorubicin) .
Ukukhathala
Phakathi ne-chemotherapy, iningi labantu libhekene nokukhathala - kodwa okwesithathu kwabantu baqhubeka bekhathala izinyanga ezinyangeni emva kokuba i-chemotherapy igcwaliswe.
Kubalulekile ukwabelana ngalolu dokotela nodokotela wakho ngoba izimbangela eziningi zokukhathala ziyabuyiselwa. Funda ukuthi ukukhathala komdlavuza kuhluke kanjani ekukhathele , futhi hlola lawa macebiso ekubhekaneni nesifo esicasulayo sokukhathala komdlavuza
I-Chemobrain
"I-Chemobrain" - inqwaba yezimpawu ezifaka izinkinga ngememori nokugxilonga - isanda kubonakala njengomphumela wesikhathi eside we-chemotherapy. Izimpawu ze-Chemobrain zingakhungathekisa kakhulu, kodwa ukuqaphela izinto ongayenza ukuze ubhekane nalezi zimpawu kungasiza kakhulu. Ezimweni eziningi, izimpawu ze-chemobrain ziyaqhubeka ngokuhamba kwesikhathi. Funda kabanzi mayelana nezimpawu nemithi ye-chemobrain .
Ukungenzi lutho
Ngokuyinhloko ukukhathazeka ngabantu abasha abanomdlavuza, ukulahleka kokuzala ngemva kokukhipha imithi ye-chemotherapy kungaba kubi kakhulu. Ukungahambi kahle kokulandela ukwelashwa kuyahlukahluka nomthamo kanye nohlobo lwemihlobo ye-chemotherapy esetshenziselwa futhi ayithinti wonke umuntu. Uma ukholelwa ukuthi ungafuna ukuba nezingane ngemuva kokwelashwa (kokubili amadoda nabesifazane), khuluma nodokotela wakho mayelana nezinketho ezitholakalayo ngaphambi kokuba uqale ukwelashwa.
I-Peripheral Neuropathy
I-peripheral neuropathy, eyaziwa njalo kaningi njengokuzwa kwe-numbness nokushisa ezinyaweni nasezandleni zakho, kanye nokuqothulwa, yinye impumulelo yesikhathi esizayo ye-chemotherapy.
Lo mphahla ohlangothini uvela ngokwengeziwe kubantu abanomlando wesifo sikashukela, utshwala noma ukungondleki.
Ezinye izidakamizwa ezingabangela lo mphumela ohlangothini olungaphezu kwesithathu kwabantu zifaka i-Taxotere (docetaxel) ne-Taxol (paclitaxel), eminye imithi, njengePlatinol (cisplatin), i-Oncovin (i-vincristine), no-Novelbine (i-vinorelbine), nayo ingabangela e-neipathy neuropathy.
Ukuzwa Ukulahlekelwa
Omunye wemiphumela emibi kakhulu yesikhathi eside yesikhathi eside sePlatinol (cisplatin), imithi esetshenziselwa kaningi kaningi kuhlanganise nomdlavuza wamaphaphu, ukulahlekelwa ukuzwa. Eminye imithi ingabangela ukulahlekelwa kokuzwa kanye ne-tinnitus (ukukhala ezindlebeni).
Imiphumela Yamahlumela
I-osteoporosis (ukugcoba kwamathambo) yindlela ejwayelekile kakhulu yokuphela kwe-chemotherapy. Imithi eminingi yokwelapha i-chemotherapy yenza ukuba ukulahleka kwethambo kuphuthumise futhi kushintshwe ekudleni okuhambisana nomdlavuza futhi ukwelashwa kwayo kungakwandisa inkinga. Ukukhathazeka okukhulu ngokuhamba kwesikhathi kukhona ukuhlukana okungaholela ekulahlekelweni kwethambo.
I-Chemotherapy iye yahlotshaniswa ne-osteomalacia, ukulahlekelwa amathambo okuhlobene nokuntuleka kwevithamini D.
Imiphumela yokuphefumula
I-chemotherapy ingabangela ukuncipha kwamapayipi ( pulmonary fibrosis ) nokuncipha kwamandla emaphaphu kwabanye abantu. Lokhu kungase kuvezwe kakhulu uma i-chemotherapy ihlanganiswa ne-radiation therapy endaweni yesifuba.
Imiphumela yesibindi
Imithi eminingi ye-chemotherapy ingabangela umonakalo onobungozi esibindi (i-hepatotoxicity). Ngokujabulisayo, isibindi sinamandla okuphawulekayo okuvuselela isikhathi esiningi, uma nje omunye umphumela olimazayo (njengokudakwa ngokweqile) kugwenywa.
Imiphumela yezinso kanye nesibindi
Imithi ethile ye-chemotherapy, njenge-cisplatin, ingabangela ukulimala izinso nesinye. Lokhu kungaholela ekwenzeni kwezinso zakho ukunciphisa igazi lakho. Ukulimala kwesinye isinye futhi kungase kube okwesikhashana noma okuphakade. Izimpawu zokucasuka kwesibindi zingabandakanya ubuhlungu noma ukuphuthuma ngokuchama, noma igazi emcinini wakho.
Imiphumela Emehlweni
I-steroids ivame ukunikezwa kanye ne-chemotherapy noma izimpawu nemiphumela emibi ehlobene nomdlavuza. Lokhu kungasheshisa ukuthuthukiswa kwezidakamizwa kwabanye abantu.
I-Cancer Secondary
Ngenxa yokuthi imithi yokwelapha i-chemotherapy isebenza kanjani, ingabangela ukulimala kwe-DNA kumaseli avamile, okungabangela ukwelashwa okuphansi emgqeni. Ezinye imithi yokwelapha i-chemotherapy cishe ingabangela lo monakalo, ngesigaba esibizwa ngokuthi ama-alkylating agents okungenzeka kakhulu (isibonelo salokhu yi-Cytoxan (cyclophosphamide).
Imithi esetshenziselwa ukwelapha umdlavuza wamaphaphu engabangela umdlavuza wesibili (nakuba kungenzeka kancane) kufaka i-Vepeid (etoposide) nePlatinol (cisplatin).
Yini Ongayenza Ukunciphisa Ingozi Yakho Yomphumela Wesikhathi Eside?
Kuze kube yilapho sisazi kabanzi mayelana nezinkinga zesikhathi eside zokusinda ezilandela i-chemotherapy kubantu abadala, kunezinto ezimbalwa ongayenza:
- Buza i-oncologist yakho nganoma yimiphi imiphumela ephuzile ongayilindela kwezinye izidakamizwa ze-chemotherapy ozinikezwe zona. Zikhona yini izivivinyo zokuhlola (isibonelo, izivivinyo zezinkinga zenhliziyo, ukulahlekelwa ukuzwa, noma i-osteoporosis) engayincoma?
- Gcina irekhodi lemithi yakho ye-chemotherapy nawe uma kwenzeka ubona udokotela ongajwayelekile ngomlando wakho wezokwelapha.
- Uma ubhema, shiya.
- Yenza ama-aphoyintimenti avamile nodokotela wamazinyo neso sakho.
- Yenza umsebenzi womzimba ovamile.
- Nciphisa ukuphuza utshwala.
- Vumela udokotela wakho wazi uma uthola noma yiziphi izimpawu ezintsha noma ukuwohloka kwezimpawu zamanje onayo.
Ukusinda komdlavuza wezingane , izinkinga zokusinda ziye zabhekwa ekubuyekezeni okuhle kakhulu:
- Izinkombandlela Zesikhathi Esizayo Zokulandela Izinsana Zomntwana, Izingane Zomntwana Nezingane Zingane
> Imithombo:
> Society of American of Clinical Oncology. I-Cancer.Net. Imiphumela Yesikhashana.
> Hu, M. et al. Ukwelapha umdlavuza kanye nethambo lezempilo. Imibiko Yamanje Ye-Rheumatology . 2010. 12 (3): 177-85.
> Institute of Medicine. Ukuhlela Ukwelashwa Kwemdlavuza. I-Fact Sheets.
> National Cancer Institute. I-Chemotherapy nowe: Ukusekela Abantu abane-Cancer. I-Chemotherapy Side Effects.