Ukuvimbela nokwelapha Ikhambi le-Chemotherapy-I-Nausea ekhishweyo nokuvuthwa
I-nausea nokuhlanza ingenye yemiphumela emibi kakhulu ye-chemotherapy . Ngokuthakazelisayo, ukwelashwa nokuvinjelwa kwalezi zimpawu sekude kakhulu, futhi abantu abaningi manje banesiphambeko esincane noma asikho. Ukuzibandakanya nokufunda ngezinketho zokwelapha kusengaphambili kungenza indlela ende yokwenza, manje, ukhululeke kakhulu.
Yini Ebangelwa Isimo Sokudabuka Nokuncintisana Phakathi Nekhemotherapy?
I-Chemotherapy ingaholela ekufusweni kwenhlanhla nokuhlanza ngezindlela eziningana.
Isizathu esivame kakhulu ukuvuselelwa kwezindawo zesimiso sezinzwa ezilawula ukuhlanza. Ngezinye izikhathi imithi yokwelapha i-chemotherapy ehambisana neminye imithi ingamcasula isisu somzimba. Uma usuvele une-chemotherapy ngaphambili, ubuchopho bakho bungase bukhumbule indlela ozizwa ngayo ngaleso sikhathi, into ebizwa ngokuthi i-nausea yokulindela.
Uyini Ukuthi Ngizobhekana Nalezi Izimpawu?
Amathuba wokuthi uzothola isicuphoso sincike ezintweni eziningana. I-nausea ivame kakhulu kwiziguli ezincane, abesifazane, nalabo abanomlando wokugula okuhamba phambili. Kubuye kuxhomeke emithini ethile ye-chemotherapy ophathwa ngayo. I-nausea ingenzeka ngokushesha ngemuva kokuqala i-chemotherapy (i-nausea ecacile) noma iqale amahora angaphezu kwangu-24 ngemuva kokwelashwa kwakho (i-retarded nausea).
I-American Society of Clinical Oncology iye yasungula isimiso sokulinganisa esichaza amathuba okuba nesicashu futhi ukuhlanza ngamakhemikhali amaningi amakhemikhali.
Zibeka lezi njengengozini enkulu (ukuhlanza kubhalwe ngamaphesenti angu-90 weziguli), ingozi elinganiselayo (ukuhlanza ngamaphesenti angu-30 kuya kwangu-90), ingozi ephansi (ukuhlanza ngamaphesenti angu-10 kuya kwangu-30), kanye nengozi encane (ukuhlanza ezingaphansi kwezingamaphesenti angama-10 ). Imithi ejwayelekile esetshenziselwa umdlavuza wamaphaphu kanye nengozi ehlotshaniswayo yokuhlanzeka nokuhlanza yilezi:
- Ingozi enkulu - i-Platinol (i-cisplatin)
- Ingozi ephakathi - iParaplatin (carboplatin), i-Adriamycin (doxorubicin), i-Ifex (ifosfamide), i-Camptosar (i-irinotecan)
- Ingozi ephansi - I-Taxotere (i-docetaxel), i-Vepesid (etoposide), i- Gemzar (gemcitabine), i-Taxol (paclitaxel), i-Alimta (pemetrexed), i-
- Ingozi ephansi kakhulu - i-Oncovin (i-vincristine), i-Navelbine (i-vinorelbine), i- Avastin (bevacizumab)
Kungani Ukwelashwa Kubalulekile?
Ukwelapha isicanucanu nokuhlanza yiqiniso, kubalulekile empilweni yakho yengqondo ngenkathi ukwelashwa. Akekho ojabulela ukuzwa ukuthi unesihluku. Kodwa kubalulekile nasemzimbeni. Ukucabangela nokuhlanza kungabangela ukuphelelwa amandla kwamanzi nokuntuleka kokudla. Ukudabuka okuqhubekayo kungabangela izinyembezi kulesi sici . Futhi kulabo abaye bahlinzwa , ukuhlanza kungaba buhlungu nakakhulu futhi kungaholela ekutheni udoti lwakho luhlukanise.
Izinketho zokwelapha
Kokubili imithi kanye nezinye izindlela zokwelashwa ezifana nokukhwabanisa kungasiza nge-nausea nokuhlanza okuhlobene ne-chemotherapy.
Imithi:
Izinketho eziningana zitholakalayo zokwelapha isicanuca kusuka chemotherapy. Njengoba imithi ivame ukusebenza kakhulu ngaphambi kokuba i-nausea iqale, abantu abaningi baphathwa ngokuvimbela imishanguzo ye-antinausea (antiemetic) ngaphambi kokuba babe nezimpawu. Ezinye izidakamizwa zinikezwa njalo, kanti ezinye ziyisisekelo esidingekayo.
Imithi inganikezwa ngomlomo, nge-intravenously, ngokuqondile, noma ngezingcaphuno (ngaphansi kolimi lwakho). Imithi eminingi yokulwa nesisulu isebenza ngokuhlasela izindlela ezahlukene, ngakho-ke ukusebenzisa inhlanganisela yemithi ingasebenza kakhulu kunanoma imuphi umuthi owodwa kuphela. Eminye imithi ejwayelekile esetshenziswa yodwa noma inhlanganisela ihlanganisa:
- Thumela (i-aprepitant)
- I-Decadron (dexamethasone)
- I-Anzemet (i-dolasetron)
- I-Kytril (i-granisetron)
- I-Droperidol (i-haloperidol)
- I-Ativan (lorazepam)
- I-Reglan (i-metoclopramide)
- I-Zofran (i-ondansetron)
- I-Aloxi (i-palonosetron)
- I-Compazine (prochlorperazine)
- I-Phenergan (promethazine)
Ukwelapha okunye / okuhambisanayo
Ezinye izindlela zokwelapha zingase zibe usizo ekulawuleni isicanucanu ngesikhathi samakhemikhali.
I-National Institute of Health ikhiphe isitatimende sokuthi ukukhishwa kwesikhumba kusebenza kahle ngenxa yezinyosi ezenziwe ngamakhemikhali , futhi kunganciphisa isidingo sakho semithi. Amagqabha wokugwedla amandla angase abe usizo.
I-Cannabinoids
Ukungqubuzana okuphawulekayo kuzungeze ukusetshenziswa kwe-cannabinoids (insangu) ye-nausea ngenkathi i-chemotherapy, futhi ukusetshenziswa kwayo kuyashintsha kabanzi kulo lonke izwe. I-National Cancer Institute ithi kunama-cannabinoids, lapho kungokomthetho, kungasebenza ukuvimbela ukuhlanza okubangelwa ezinye izinhlobo ze-chemotherapy.
Ukubhekana Nezinyosi Nokuvuthwa Phakathi Nekhemotherapy
Imithi ingenza okuningi yenza kube lula ukuhlukunyezwa nokuhlanza okungenzeka ngesikhathi se-chemotherapy, kodwa izinyathelo ezimbalwa ezilula zingasiza futhi:
- Yidla ukudla okuncane, okuvamile - Gwema ukudla okuningi, noma uhambe isikhathi eside kakhulu ngaphandle kokudla
- Gwema ukuphuza amanzi ngesikhathi sokudla
- Hlala uqotho ngemuva kokudla isigamu sehora
- Gwema iphunga elimenza uzizwe unesihe
- Gwema ukudla okunamafutha aphezulu nokugcoba ngaphambi kokhemotherapy
- Gqoka izingubo ezivulekile ezungeze isisu sakho
- Londoloza ukudla okuthandayo uma usuqedile nge-chemotherapy
- Phuza amaningi amanzi
- Gwema ukubhema
- Gwema ukuzivocavoca ngemva kokudla
- Yenza imvelo yakho kanye nokudla kwakho kube mnandi ngendlela enhle
Nini Ukubiza Udokotela Wakho
Vumela i-oncologist yakho yazi noma yikuphi ukuhlukumeza noma ukuhlanza okuhlangenwe nakho kokuvakasha kwakho. Phakathi kokuvakashelwa, qiniseka ukuthi umbiza ngokuthi uma:
- Imithi yakho ayilawuli isicanucanu sakho
- Uhlanza okuqhubekayo
- Uthuthukisa ubuhlungu besisu
- Uhlangabezana nanoma yimiphi imiphumela emibi ocabanga ukuthi ingahlobene nemithi yakho yokulwa nesicanshu
- Uma ukucabangela kwakho kuphazamisa ikhono lakho lokudla noma ukuphuza amanzi
> Imithombo:
> Fukazawa, Y. et al. Indlela yokwelapha ye-electroacupuncture. Umbono wamanje ngemithi yokuphenya . 2009. 10 (1): 62-9.
> Hesketh, P. Chemotherapy-I-Nausea Ehehayo, Nokuvuthwa. I-New England Journal of Medicine . 2008. 358: 2482-2494.
> National Cancer Institute. I-Nausea neVomiting (PDQ). I-Health Professional Version. Kubuyekezwe 01/04/16. https://www.cancer.gov/cancertopics/pdq/supportivecare/nausea/healthprofessional
> National Cancer Institute. I-Cannabis ne-Cannabinoids. Kubuyekezwe 01/08/16. https://www.cancer.gov/about-cancer/treatment/cam/patient/cannabis-pdq/#link/_13
> National Cancer Institute. Ukuphatha i-Chemotherapy Side Side Effects. I-Nausea ne-Vomiting. 11/24/08. https://www.cancer.gov/cancertopics/chemo-side-effects/nausea
> Navari, R. Ukuphathwa kwamakhemikhali wezinyosi ezikhungethwe ngamakhemikhali nokuhlanza: gxila ezintuthukweni zamuva. Izidakamizwa . 2009. 65 (5): 515-33.