Ukubhekana Neuropathy kusuka Cancer Treatment
I-neuropathy evela chemotherapy ingaba uphawu oluvusa amadlingozi, kokubili ngenxa yezimpawu ezibangelwayo kanye nemiphumela engaba nayo emkhakheni wakho wokuphila. Kungase futhi kuphazamise ukwelashwa, okwenza kube nesidingo sokunciphisa umthamo wemithi noma ukuyeka imithi yokwelashwa ngokuphelele. I-neuropathy okwamanje ithinta umuntu wesithathu wabantu abahamba nge-chemotherapy futhi iba yinto evamile kakhulu .
Lokho kusho ukuthi izifo ze-neuropathy phakathi kwabantu abanomdlavuza azihlosiwe.
Izimbangela
Izinzwa zomzimba - okungukuthi, izinzwa ezingaphandle kobuchopho eziya emaphethelweni zihlanganiswe nezinto ezibizwa ngokuthi i-myelin. I-Myelin ingacatshangwa njengento efana nesembozo sangaphandle kwintambo kagesi futhi ivumela ulwazi ukuthi luhambe ngokushesha futhi luhambisane nesibindi. Lapho amangqamuzana akha i-myelin ewonakele ngemiphumela enobuthi ye-chemotherapy, i-myelin encane ikhiqizwa, futhi izibonakaliso ezihamba ngezinzwa zinciphisa noma ziphazanyiswa.
Izimpawu
Izimpawu ze-neuropathy zivame ukuvela kulokho okubizwa ngokuthi "ukusatshalaliswa kwegesi nokugaya", okusho ukuthi izimpawu zitholakala kakhulu ezandleni zakho lapho ubuyogqoka iglavu noma izinyawo zakho nezinyawo lapho uzogqoka khona ama-stockings. Ezinye zezimpawu zingabandakanya:
- Ubumbano kanye nokuzwa kwehla okuthinta
- "Izikhonkwane nezinaliti" izinzwa
- Ukulinganisa
- Ukuvutha
- Ukungabekezelelani okubandayo
Lezi zimpawu zingabangela ukulinganiselwa okucasulayo okufana nalokhu:
- Ukubunzima ukusebenzisa izandla zakho ukuqoqa izinto (ukulahla izinto kuvamile), ukuchofoza izingubo, ukuthayipha kukhompyutha, noma ukudlala upiyano
- Kunzima ngezinyawo zakho ngenxa yobuthakathaka nokuntuleka kokuzwa, okwenza kube nzima ukuhamba, noma kunzima ukubeka izinyawo zakho lapho uhamba
- Ukulahlekelwa kwesisindo somzimba namandla
I-neuropathy ingathinta nezinye izifunda zomzimba ezifana nesibindi (okubangela ukuqothulwa nezinkinga zokugaya ukudla), isisu (okwenza kube nzima ukuchama) futhi kungabangela ushintsho ekutheni ukuphefumula nokushaya kwenhliziyo yakho.
Ingabe I-Neuropathy Yenzeka Kanjani?
I-neuropathy ivame ukuqala ngokushesha ngemva kwe-chemotherapy futhi ingaba nzima nakakhulu ngezikhathi zokwelashwa kwe-chemotherapy. Ukulandela i-chemotherapy, izimpawu ziyathuthuka kancane kancane ezinyangeni ezimbalwa, kodwa kwezinye izimo, izimpawu zingase zihlale zikhona.
Yiziphi Izidakamizwa Ze-Chemotherapy Ezenza Kuyo?
Ithuba lokuthuthukisa i-neuropathy lihluka phakathi kwezidakamizwa ezahlukene ze-chemotherapy kanye nomthamo onikeziwe. Ezinye imithi yokwelapha i-chemotherapy ejwayelekile eyenza ukuthi i-neuropathy ihlanganise:
- I-Platinol (i-cisplatin)
- I-Paraplatin (i-carboplatin)
- I-Eloxatin (i-oxaliplatin)
- I-Oncovin (i-vincristine)
- I-Navelbine (i-vinorelbine)
- UVelban (vinblastine)
- I-VePsid (etoposide, VP-16)
- I-Taxol (paclitaxel)
- I-taxotere (i-docetaxel)
- I-Thalomid (thalidomide)
- I-Revlimid (lenalidomide)
- I-Velcade (bortezomib)
Ubani Othintekayo?
Noma ubani angathinteka yi-neuropathy phakathi ne-chemotherapy, kodwa izimpawu zingase zibi nakakhulu uma unesinye isimo esingabangela neuropathy njengale:
- Isifo sikashukela
- Ukungondleki
- Ukuxhomeka kotshwala kotshwala
- Umlando wangaphambili we-peripheral neuropathy kunoma yimuphi umphumela kubandakanya i-chemotherapy
Ukwelapha
Kuncike ekutheni izimpawu zakho zilukhuni kangakanani, udokotela wakho angancoma ukuyeka ukwelashwa kwakho, noma ukushintsha noma ukusakaza umthamo wemithi okungenzeka ibangele izimpawu zakho.
Imithi ingasetshenziswa uma uzwa ubuhlungu. Ukuze uthole izimpawu ezincane, imithi yobuhlungu efana ne-Tylenol (i-acetaminophen) noma i-Advil (ibuprofen) inganikeza usizo olufanele. Ezinye izindlela zokwelashwa ezivame ukusetshenziswa zihlanganisa:
- Amavithamini afana ne-B-complements supplements
- Ama-anti-depressants afana ne-Pamelor (nortriptyline) noma u-Elavil (amitriptyline), futhi ikakhulukazi iCymbalta (duloxetine)
- Izidakamizwa ze-Antiepileptic (imithi yokwelashwa) njengeNeurontin (gabapentin) noma i-Lyrica (pregabalin)
- Ama-gels angama-topical aqukethe inhlanganisela ye-baclofen, i-amitriptyline, ne-ketamine (nezinye izinhlanganisela kubandakanya, isibonelo, i-ketoprofen yama-topical ne-gabapentin)
- I-lidocaine yama-topical (i-lidocaine patches)
- Imithi yokuhlunguphaza i-narcotic yobuhlungu obunzima
Ukwelashwa okuhambisanayo kungasiza futhi ukukhulula ubuhlungu besifo sezinzwa. Ezinye zokwelashwa eziye zabukwa nge-neuropathy eyenziwa yi-peripheral neuropathy zihlanganisa:
- Ukwelashwa kwe-Massage
- Ukwelapha ngokomzimba kanye / noma ukwelapha emsebenzini
- I-TENS (i-transcutaneous electrical nerve stimulation)
- I-Acupuncture
- I-Biofeedback
- Izithombe eziqondiswayo nokuphumula
Ukuvimbela
Kunezinhlobo eziningi zokwelashwa eziye zahlolwa ukuze zibone ukuthi zingase zihlinzeke ngokuvikelwa ekuvimbeleni i-neuropathy ngesikhathi samakhemikhali. Ucwaningo luye lwabona ukuthi ukusetshenziswa kwe-calcium ne-magnesium, kanye ne-Cymbalta, kungasiza ekuvimbeleni ukwelashwa kwe-chemotherapy okubangelwa yi-chemotherapy, kodwa kunokukhathazeka ukuthi lezi zinganciphisa ukusebenza kwe-chemotherapy.
Ukubuyekezwa kuka-2016 kutholakale ukuthi ukusetshenziswa kwe-L-glutamine ukuvimbela i-neuropathy e-chemotherapy kuyathembisa . Umthamo osetshenziselwa ukulingwa wawungama-milligram angu-15 kabili ngosuku, kodwa kubalulekile ukukhuluma nodokotela wakho nganoma yisiphi isisetshenziswa ngenkathi ku-chemotherapy. Eqinisweni, amanye amavithamini namaminerali amaminerali anganciphisa ukusebenza kwe-chemotherapy.
I-Vitamin E ingase ibe nendima ekuvimbeleni i-peripheral neuropathy, icabanga ukuthi uhlobo lwevithamini E lungabalulekile. Kwacatshangwa ukuthi i-acetyl-l-carnitine ingasiza ekuvimbeleni i-neuropathy, kodwa izifundo zakamuva zisho ukuthi kungenzeka ukuthi izimpawu ezimbi kakhulu.
Ngaphezu kwalokho, i-cryotherapy (ukubamba izandla nezinyawo emanzini abandayo noma amagilavu ​​/ izigqoko zomlenze) kukholelwa ukuthi abaningi bayasebenza.
Ukubhekana
Isinyathelo sokuqala ekubhekaneni ne-neuropathy ukuxoxisana nodokotela wakho ngezimpawu zakho. Angase ancoma ushintsho kwimithi yakho ye-chemotherapy. Uma ukushintsha ukwelashwa kwakho akunakwenzeka, angase abe namathiphu okubhekana nezimo noma angase anikeze imithi yokusiza ngobuhlungu uma kudingeka.
Ezinye izinyathelo ongazithatha ngokwakho zifaka:
- Ukuvikela izandla zakho nezinyawo zakho ngokushisa nokushisa - ugqoke izicathulo ezinhle, ukhululekile futhi usebenzisa amagilavu ​​uma ushiya amakhaza noma uma uhlanza noma uhlanza.
- Ukuhlola izandla nezinyawo zakho nsuku zonke nganoma yiziphi izilonda okungenzeka ungaboni ngazo ngenxa yokwehla kwenzwa.
- Yenza ukuqapha lapho ulungisa izinto (njengokupheka) okungenzeka ukuthi awukwazi ukubamba kahle.
- I-Fall-proofing "indawo yakho yasekhaya, uqaphele ukususa izinto ezingase ziholele ukuthi uhambe.
- Gwema ukuma okude.
- Gwema utshwala.
- Ukulala ngokwanele - ukungalali kwabantu abanomdlavuza kungabhubhisa izimo eziningi, kuhlanganise neuropathy.
- Uma unesifo sikashukela, usebenza ukugcina ushukela wegazi lakho ebangeni eliphakanyiswe udokotela wakho.
Imithombo:
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