Ukusetshenziswa kokuvuselela ukusiza ukubhekana nemiphumela ye-chemobrain
Ngesikhathi uLinda W. eqedela ukugcina kwakhe kwe-chemotherapy ukuze aphathe umdlavuza webele, wayebheke phambili ekubeni nokuphila okuvamile, okungafani nomdlavuza futhi. Cishe unyaka ngemva kokuqeda ukwelashwa, uLinda waqala ukubhekana nezinkinga ngenkumbulo yakhe nasekugxileni. Umsakazo oneminyaka engu-51 ubudala osinde umdlavuza uqhathanise ubunzima bokuqala okungazelelwe kokukhubazeka kokufunda.
"Kungangithatha kabili isikhathi eside ukwenza imisebenzi elula, njengokulinganisa i-checkbook yami noma amaphepha efayela emsebenzini. Ngingafunda okuthile futhi kufanele ngifunde imininingwane kaningi ngoba angikhumbuli lokho engikufundile."
Izimpawu zikaLinda zazihambisana nalokho okuvame ukubizwa ngokuthi i- chemobrain , ukwehla kwengqondo noma ukungasebenzi okutholakala yiziguli eziningi zomdlavuza ngemva kokuphathwa nge-chemotherapy. Igama, "chemobrain" lingadukisa, noma kunjalo. Ucwaningo oluthile luye lwabonisa ukuncipha kwengqondo ngemva kokwelashwa komdlavuza, kodwa ochwepheshe abaningi bayaqaphela ukuphoqa imithi yokwelashwa njengendlela eyodwa kuphela. Ihlala iphikisana kakhulu emphakathini wezokwelapha ochwepheshe, njengoba kunemibono ehlukahlukene mayelana "ne-chemobrain" kanye nomphumela wayo. Ucwaningo olwengeziwe luyadingeka ukuze kuqondwe kangcono ukuthi umdlavuza kanye nokwelashwa komdlavuza kuthinta kanjani ubuchopho. Namuhla, siyazi ukuthi ezinye iziguli ziye zahlushwa ukungasebenzi kwengqondo ngemva kokwelashwa nge-chemotherapy, kodwa zingabi nobufakazi obuncane bokuthi zibhekene nezimbangela zayo.
Ngaphambi kokuthola okucwaninga kwamanje, odokotela bavame ukuxosha izimpawu zokucabanga ezifana nokulahleka kwememori, ubunzima bokuhlushwa, nokulahlekelwa ukugxila njengokucindezeleka ngokomzwelo okubangelwa ukuba nomdlavuza kanye nomphumela wokuguga okuvamile. Iziguli zashiywe ngaphandle kwezimpendulo futhi zisiza izibonakaliso zengqondo ezazibhekene nazo.
Namuhla, iziguli zinezimpendulo ezimbalwa, kodwa odokotela abathile bebhekene nezimpawu zabo ngokuncoma ukwelashwa nezidakamizwa zemithi.
Ayikho yokwelashwa okuvunyelwe noma ethize yokwelashwa kwengqondo okulandelayo ngemuva kokwelashwa komdlavuza, odokotela abathile bebelokhu bebeka izikhuthazo ezisetshenziselwa ukwelapha ukukhathazeka-ukuphuza ukugula (ADHD) ukusiza iziguli zikhulise ukugxila nokugxila. ULinda wabekwa umthamo ophansi we- Adderall (amphetamine, dextroamphetamine usawoti oxubekile) kanti imithi yamsizile ngokugxila nokugxila. "Ngangazi ukuthi ngikhohliwe ukuthatha umzukulu wami umkhuba wami we-baseball, angikwazi ukuqhubeka ngisenjalo. Udokotela wami wangilalela u-Adderall futhi ingisize kakhulu. Ngizizwa ngisondelene nomuntu wami omdala ngangokunokwenzeka Ngiyaqhubeka ngilwa naso sonke isikhathi ngesikhathi esisodwa, kodwa ngubani ongenawo? ".
Izimpawu ze-chemobrain, noma ukulahlekelwa kwengqondo, zifana nezimpawu ze-ADHD. Ukubunzima ukugxila, ukulahlekelwa ukugxila, nokukhathazeka ngenkumbulo kubonakala nakancane ezinganeni nakubantu abadala abane-ADHD. Ama-stimulants asebenza ngokushintsha amazinga ama-neurotransmitters ebuchosheni, ikakhulukazi i-dopamine ne-norepinephrine. Kubalulekile ukuthi uqaphele ukuthi izikhuthazo ngeke ziphulukise i-chemobrain, noma ngisho nokukhathazeka kokulahlekelwa.
Bavele bekhulule izimpawu zesimo. Kufana nomuntu othatha imithi ye-OTC ebandayo lapho ebanda. Imithi yokubandayo iyanciphisa izimpawu, njengekhwehlela nekhanda eligijima, kodwa aliphili umkhuhlane.
Nakuba i-chemobrain isanda kakhulu futhi yamukelwa emphakathini wezokwelapha, abanye odokotela abasaqapheli ukuba khona kwayo futhi bangase bangathandi noma banganqikazi ukunikeza umuthi, njengokuvuselela, ukukhulula izimpawu. Abanye odokotela bangase baqaphele ukwehla kwengqondo ngemuva kokwelashwa, kodwa bengathandi ukunikeza izikhuthazo, ngoba ziyizinto ezilawulwayo.
Imiphumela emibi yezikhuthazo
Kunezinto ezikhuthazayo eziningana ezingahle zibekwe udokotela wakho.
I-Adderall, i-Vyvanse (lisdexamfetamine dimesylate), i-Concerta (i-methylphenidate HCl), i-Dexrinrine (dextroamphetamine sulfate), ne-Ritalin methylphenidate hydrochloride yizona ezivame ukugqugquzela. I-stimulant ngayinye ineemiphumela emibi ehlukile, kodwa ngokuvamile, ukuvuselela kungabangela ikhanda, kunciphise isifiso, ukulahlekelwa isisindo, isisu esithukuthele, ukuleleka, nokwesaba. Eziningi zala miphumela emibi ziyahamba nokusetshenziswa okuqhubekayo, noma kunjalo. Iningi labantu abanempilo libekezelela ukugqugquzela kahle umthamo ofanelekile, kepha kungase kudingeke uzame ukuvuselela okuncane ngaphambi kokuthola okusebenza kahle kuwe.
Obani Akufanele Bathathe Izisusa
Izikhuthazo aziphephile ukuze wonke umuntu athathe. Uma uhlangabezana nezimo ezilandelayo, akufanele uthathe izikhuthazo:
- ukulinganisela ekukhathazeni okukhulu; ukukhathazeka, ukwesaba, nokukhathazeka kungakhula ngokusetshenziswa kwala mithi.
- i-glaucoma
- i-thyroid engasebenzi
- ukucindezelwa kwegazi eliphezulu okungalawulwa noma okungalawulwa
- umlando wezengqondo noma izenzakalo ze-psychotic noma iziqephu
- isifo se-artery coronary
Abantu abasebenzisa i-MAOIs akufanele kubekiwe okukhuthazayo, futhi.
Ezinye izidakamizwa zingathatha izixwayiso kubantu abanezinye izimo ezingabhalwanga lapha. Kubalulekile ukuthi unikeze umlando wakho wezokwelapha / umndeni wakho udokotela wakho ukuze anqume ukuthi izikhuthazo ziphephile yini kuwe.
Ingabe Izikhuthazo Ziyalutha?
Izikhuthazo zingaba umkhuba wokwenza umlutha nokulutha. Uma ukhuthazwa ngokucacile, ungayeki ngokuzumayo ukuthatha ngaphandle kokugunyazwa nodokotela wakho. Ukuyeka imithi yakho kungazelelwe kungabangela izimpawu zokuhoxisa. Ukuze unciphise izimpawu zokuhoxiswa, udokotela wakho cishe uzothatha umthamo wakho kancane ukuze akukhumbule imithi yakho.
Kunconywa ukuthi labo abanomlando noma izidakamizwa noma utshwala noma uhlobo lomuntu wokulutha, gwema ukuthatha imithi evuselelayo. Lezi zidakamizwa zibhekwa njengezinto ezilawulwayo njengoba zingaba umlutha futhi ezinye izinhlobo zingasetshenziswa kabi.
Imithombo:
I-Adderall ne-Adderall XR (amphetamines) Ulwazi. Ulwazi Lokuphepha Kwezidakamizwa Ze-Postmarket yeziguli nabahlinzeki. Ukuphathwa kwe-US nokuDrug.
I-Chemo Brain. I-American Cancer Society
Umhlahlandlela wemithi iVivvanse (lisdexamfetamine dimesylate). Ulwazi lokuphepha kwezidakamizwa kwabathengi.