Njengoba ukuhlukumeza nokuhlanza kungenye yemiphumela emibi kakhulu yokwesaba kwe-chemotherapy , izindlela zokunciphisa lezi zimpawu ziye zacwaninga kakhulu. Kubalulekile ukuqaphela ukuthi imishanguzo yokulawula lezi zimpawu ihambe isikhathi eside futhi abantu abaningi bayakwazi ukubekezelela ngisho nemithi yokwelapha i-chemotherapy ehlekisayo kakhulu enezinambuzane ezincane noma ezingenanjongo kulezi zinsuku.
Lokho kusho ukuthi abacwaningi bafuna izindlela ezengeziwe zokulawula isicanucanu, uma nje ukunciphisa inani lemithi yokulwa nesisulu (antiemetics) elidingekayo ukulawula lesi sibonakaliso. Funda kabanzi mayelana nemithi kanye nokuthi yini ongayenza ukuze ubhekane nesicupho se-chemotherapy-esicatshangelwayo kanye nokuhlanza .
Ezinye izindlela zokudidiyela (izindlela zokwelapha ezisebenzisanayo kanye nezindlela zokwelapha ezivamile) ezihlanjululwa ngamakhemikhali kanye nokuhlanza zixoxwa ekupheleni kwalesi sihloko.
Khumbula ukuthi i-acupressure ayinalo indawo yokunakekelwa kwezempilo yendabuko nganoma yisiphi isimo.
Yini Acupressure?
Ukuguqulwa kwe-Acupressure ngumkhuba wasendulo wamaShayina ofana nokukhishwa, lapho iminwe (noma idivayisi efana ne-wristband) isetshenziselwa ukufaka ingcindezi esifundeni somzimba. Abanye abantu bakubiza ngokuthi "ukusika ngaphandle kwezinaliti."
Imfundiso yukuthi ngokusebenzisa ukucindezela kwamaphuzu athile, (okubizwa ngokuthi "amaphuzu okucindezela,") izimpawu ezifana nobuhlungu noma isicanucanu ziyathuthukiswa.
Ngokwezinhlanzi, kucatshangwa ukuthi ukucindezela endaweni eyaziwa ngokuthi i-P6 (i-pericardium 6) noma i-Nei Guan engaphansi kwekhanda kungashintsha lezi zimpawu.
Indlela Yokwenza I-Acupressure Ye-Nausea ne-Vomiting
Ngezinye izikhathi abantu bakhetha ukuzama ukucindezela ngokwabo, kanti abanye bakhetha ukubona i-acupuncturist oqeqeshwe ukuthola lawo maphuzu kuma-meridians.
Ukuze uthole iphuzu elisetshenziselwa ukuthuthukisa izimpawu zokuncibilikisa izinselele okungukuthi okuthiwa i-P6 iphuzu (noma i-PC6 iphuzu) uhlale nesandla sakho phezulu. Beka isithupha sakho endaweni lapho isandla sakho sihlangana khona nesandla sakho, bese uhambisa izinyathelo ezimbili zeminwe uphakamise ingalo yakho emgqeni wakho. Iphuzu le-P6 lisendaweni esifundeni phakathi kwama-tendon amabili amakhulu.
Abaningi be-acupuncturists batusa ukubeka ukucindezela okuncane kodwa okuqinile kule ndawo imizuzwana engu-30 kuya kwemizuzu emibili bese uphinda ukucindezela kuze kube izikhathi ezinhlanu.
Yini Okubonisa Ukuhlola?
Ngokubanzi, izifundo ziye zazingavumelani ekunqumeni ukuthi noma ukugcoba i-acupressure kudlala indima ebalulekile ekunciphiseni ukuhlushwa kwe-chemotherapy okubangelwe ukuhlanza nokuhlanza.
Ezinye izifundo azitholanga ukuthuthukiswa okuphelele kwezimpawu zabantu abenza i-acupressure.
Ezinye izifundo ziye zathola ukuthi i-acupressure inomthelela omncane kwezinye izici zesicashu, futhi okungenani kuncishisa inani lemithi yokulwa nesicanshu esidingekayo ukulawula izimpawu.
Kube nezifundo eziningi ezibuka le ndlela futhi izinyathelo eziningana zokwelapha ziyaqhubeka, okuphakamisa ukuthi kunabantu abathile abakholelwa ukuthi i-acupressure ingasiza ngalesi sibonakaliso esicasulayo.
Ukulinganiselwa kwezifundo
Kungani ngezifundo eziningi kangaka singenayo impendulo eqinile kulo mbuzo?
Ezinye izizathu zihlanganisa:
- Isibalo sabantu abafundela ezinhlolweni eziningi zemitholampilo ebheka ukwenziwa kwe-acupressure kuncane.
- Kunezici eziningi zezinambuzane nokuhlanza, kufaka phakathi "isicupuchelelo sengqondo esilindele" (isicashunwe esizwakalayo ngaphambi kokuba i-chemotherapy), i-nausea ephawulekayo, i-nausea ebambezelekile, ukuhlanza okusheshayo, ukuhlanza okuphuzile, njll. Ezinye izifundo ziye zahlukanisa lezi zinhlobo ezihlukahlukene zezimpawu, kanti ezinye azizange zihlukanise .
- I-nausea yisifo esizithobayo, okwenza kube nzima ukuhlola.
- Kukhona umphumela we-placebo, ngisho nasezivivinyweni zomtholampilo, ngoba ifomu elithi "sham" le-acupressure lisetshenziswe eqenjini lokulawula.
- Kusetshenziswa izindlela ezahlukene. Ezinye izifundo ziye zasebenzisa ingcindezi yomunwe, kuyilapho ezinye zisebenzisa ama-bracelets.
- Inqubo ingahluka kakhulu ngokuya komakhono womuntu owenza i-acupressure.
Izinkathazo / Izinkinga Zokuba Khona
Ngokuvamile, i-acupressure inqubo engavumelekile, futhi kusetshenziselwa ukucindezelwa komnene kuphela. Izingozi ezingenzeka zingabandakanya:
- Ukuphazamiseka kusuka kwengcindezi.
- Ukwelashwa - Isibonelo, ingozi yokutheleleka ingaba nokukhathazeka uma ukucindezelwa kusetshenziselwa isilonda esivulekile. Umuntu owenza i-acupressure kufanele ahlanze izandla ngaphambi kokusebenzisa i-acupressure.
- Ukweqa - Ngomuthi wamakhemikhali, abanye abantu bakhula inani eliphansi leplatelet (thrombocytopenia eyenziwa ngamakhemikhali ) okungabangela ingozi yokulimala noma ukuphaphaza. Ukuthatha igazi abanomzimba kungase kwandise le ngozi. Ungasebenzisi i-acupressure uma ulungele ukuphuma kwegazi.
- Uma othile enesifo se-lymph nodes futhi esengozini ye- lymphedema , noma yikuphi ukucindezela ngokweqile kulowo mkhawulo kufanele kugwenywe.
Ngaphansi
Kungakhathaliseki ukuthi i-acupressure iyasebenza yini, noma ngabe kunezingozi ezimbalwa, kusabalulekile ukukhuluma ne-oncologist yakho nganoma yiziphi ezinye izindlela zokwelapha ozifisa ukuzizama.
Esinye sezizathu ukuthi imithi ishintsha njalo, futhi ishintsha ngokushesha kakhulu kunanini ngaphambili. I-oncologist yakho ingase ikwazi ulwazi olusha olusisekela noma oluphikisa izinzuzo zalolu cwaningo noma olufundile ngolwazi olusha ngemiphumela emibi engenzeka.
Mhlawumbe isizathu esibaluleke kakhulu sokukhuluma ne-oncologist yakho ukuthi kunezindlela ezinhle kakhulu zokwelashwa okubangelwa ukwelashwa ngamakhemikhali. Isiguli ngasinye sihlukile, futhi i-oncologist yakho idinga ukwazi izimpawu zakho ezithile ukuze ukhethe ukwelashwa okungcono kakhulu kokulwa nesicanshu.
Isizathu sokugcina sokufaka i-oncologist yakho kule ngxoxo ukuthi ngaphezu kwemikhakha ye-" allopathic ", njengemithi yokulawula isicanucanu, kunezinye izindlela zokuhlanganiswa (ukuhlanganiswa kubhekisela emisebenzini ehambisanayo esebenzelana nokuphathwa kokwelashwa kwendabuko) okungase kusize wena nge-nausea.
Ezinye zalezi zindlela ezididiyelwe ezifundiswa zihlanganisa:
- I-Ginger for Chemotherapy-I-Nausea Ebonakalayo - Esifundweni sika-2009, isithasiselo se-ginger sitholwe ukunciphisa izinambuzane ezingamakhemikhali ngamakhemikhali angu-40.
- Ukwelashwa ngokwe-Acupuncture - Ngokusho kweNational Cancer Institute, kunobunye ubufakazi obunamandla bokuthi ukukhwabanisa kungasiza nge-nausea eyenziwa yi-chemotherapy. Kunezinye izinyathelo zokuqapha, noma kunjalo, kuphawuliwe kulesi sihloko.
Kubuye kubalulekile ukuthi uqaphele ukuthi ngisho nasezifundweni usebenzisa i-ginger noma i-acupuncture, lezi zindlela zisetshenziselwe kanye nemithi yokwelapha isicucu.
Imithombo:
Chao, L. et al. Ukuphumelela kwe-acupoint stimulation for the management of izenzakalo ezimbi ezihlobene nokwelapha ezigulini zomdlavuza webele: ukubuyekezwa okuhlelekile. Ucwaningo lwe-Cancer Research and Treatment . 2009. 118 (2): 255-67.
Genc, A .. Can, G., no A. Aydiner. Ukusebenza kahle kwe-acupressure ekuvimbeleni izinhlanzi zokuphefumula kanye nokuhlanza ngamakhemikhali. Ukondla Ukusekela Ekhanda . 2013. 21 (1): 253-61.
UGenc, F., noMn. Tan. Umphumela wokusebenza kwe-acupressure ekwenzeni i-chemotherapy-induced leusea, ukuhlanza nokukhathazeka ezigulini zomdlavuza webele. Ukunakekelwa kwe-Palliative nokusekela . 2015. 13 (2): 275-84.
Hughes, J. et al. "Kuze kube sekuqedile ukuvivinywa awukwazi ukusho ukuthi ngabe kukusizile noma cha, akunjalo?": Ukuhlola imibono yomdlavuza weziguli zokuthatha ingxenye ekulingweni kwamagqabi e-acupressure. I-BMC Complementary and Alternative Medicine . 2013. 13: 260.
Molassiotis, A. et al. Ukuphumelela kwe-acupressure yokulawula nokuphathwa kwe-nausea ehloswe kakhulu futhi ephuzelelwe yi-chemotherapy: isilingo esilawulwa ngokungahleliwe. Journal of Pain Symptom Management . 2014. 47 (1): 12-25.
Molassiotis, A. et al. Ukuphumelela nokusebenza kahle kwe-acupressure ekulawuleni nasekulawulweni kwe-nausea ephuthumayo futhi ephuzile yokuhlolisisa i-chemotherapy: Ukuhlolwa kwe-Nausea ku-Chemotherapy Research (ANCHoR), isivivinyo esilawulwa ngokungahleliwe. Ukuhlolwa kobuchwepheshe bezeMpilo . 2013. 17 (26): 1-114.
I-Suh, E. Imiphumela ye-P6 acupressure kanye nokululekwa okuhlinzekwa ngonesi ekwenzeni i-chemotherapy-induced cuse and vomiting in iziguli ezine-umdlavuza webele. I-Oncology Nursing Forum . 2012. 39 (1): E1-9.
Yeh, C. et al. Ukunciphisa isicanucanu nokuhlanza ezinganeni eziphethwe yisifo somdlavuza we-chemotherapy ngamaphuzu afanelekayo noma amahloni okukhishwa kwesikhumba ngokunakekelwa okujwayelekile. Journal of Alternative and Complementary Medicine . 2012. 18 (4): 334-40.