Esimweni esibizwa ngokuthi i-chemotherapy-induced paripheral neuropathy (CIPN), izidakamizwa ezithile ezisetshenziselwa ukwelapha umdlavuza zidala umonakalo kumisipha yakho yomzimba.
Izinzwa zakho zomzimba ziphethe izimpawu ezivela ebuchosheni bakho nasemthonjeni womgogodla emisipha yakho ukuze wenze ukunyakaza. Baphinde baphathe ulwazi oluqondayo emuva ebuchosheni bakho nasendlini yomgogodla.
Izimpawu
Ukwelashwa kwe-chemotherapy-perduced paripheral neuropathy kungabangela izimpawu ezihlukahlukene kuye ngokuthi yiziphi izinzwa zomzimba ezithintekayo.
Izibonelo zezibonakaliso ezivamile zifaka:
- Ubumbulu
- Ukulinganisa, njenge "izikhonkwane nezinaliti" inzwa
- Ukuvutha ezandleni nasezinyaweni zakho
- Ukudubula noma ukugwaza ubuhlungu obukhulu okungenzeka bube buphakathi noma buphikelele
- Izinkinga zokulinganisela
- Yehlisa izinto
- Ukuqeda
Njengoba izinzwa ze-peripheral nazo zilawula isisindo sakho nesibindi, isifo se-chemthritis-induced-induced neuropathy singaholela ekuqotheni noma ubunzima bokuvuthwa.
Izimbangela
Ngokusho kwe-American Cancer Society, nansi izidakamizwa ze-chemo ezihlobene kakhulu nokubangela i-CIPN:
- Izidakamizwa zePlatinum njengeCisplatin, i-Carboplatin ne-Oxaliplatin
- Amatekisi afana ne-Taxol (paclitaxel), i-Taxotere (docetaxel), ne-Jevtana (cabazitaxel)
- Ama-epothiloni afana ne-Ixempra (ixabepilone)
- I-alkaloids yezitshalo efana ne-vinblastine, i-vincristine, i-vinorelbine, ne-etoposide (VP-16)
- I-Thalomid (thalidomide), i-Revlimid (lenalidomide), ne-Pomalyst (i-pomalidomide)
- Velcade (bortezomib) ne-Kyprolis (carfilzomib)
- I-Halaven (i-eribulin)
Yiqiniso, ngenxa yokuthi unikezwe eyodwa noma ngaphezulu kwezidakamizwa ze-chemo ezingenhla, akusho ukuthi uzokuthuthukisa i-CIPN.
Kunezinguquko eziningi ezisengozini, njengezilinganiso zomuthi, ukuhlanganiswa kwezidakamizwa ezinikezwe, kanye nobudala bakho.
Ukuvimbela
Uma i-neuropathy yakho iba yimbi ngokwanele, ingase ingathinti kuphela izinga lakho lokuphila, kodwa lingaphazamisa ukwelashwa kwakho, ikakhulukazi uma udinga ukusebenzisa umthamo ophansi we-chemotherapy ngenxa yampawu zakho ezikhubaza.
Ngeshwa, azikho izindlela zokwelashwa ezigunyaziwe ze-FDA zokuvimbela i-neuropathy ehlobene ne-chemotherapy. Kodwa-ke, kuye kwaba nemithi eminingi yokwelashwa evivinywa; nakuba ubufakazi besayense obubaxhasayo bube bukhulu, bungaqondile noma bobabili.
L-Glutamine
Lokho kusho ukuthi enye isengezo esiye saboniswa (mhlawumbe kancane kancane ngokuvumelana nabanye) ukuba nomthelela wokuvikela emithanjeni yi-L-glutamine. Lokhu kukholwa kuthiwa kusebenza ngokwenza isembozo emisipha ezandleni zakho, ezinyaweni nasegayini lokugaya. Lokhu "umphumela wokumboza" kuncipha noma kuphazamise umonakalo ongase ubangelwe yi-chemotherapy.
Eqinisweni, isifundo sokubuyekezwa ekubukezweni okubalulekile ku-Oncology / Hematology kubhekisele ku-L-glutamine njengokwethenjelwa ekuvimbeleni izigameko nobuqili be-chemotherapy-eyenziwe yindlela yokwelashwa kwe-neuropathy.
Yiqiniso, nakuba i-glutamine ibonakala iphephile futhi ingabonakali ukuphazamisa ukwelashwa komdlavuza (okungenani kwizifundo kuze kube yimanje) kubalulekile ukukhuluma nodokotela wakho ngaphambi kokuba uthathe noma isiphi isithako noma i-vithamini.
Lokhu kungenxa yokuthi izithako namavithamini, okuvame ukubizwa ngokuthi "ezemvelo," azihlali ziphephile njalo. Eqinisweni, ukwelashwa okuvamile "kwemvelo", i - acetyl - l - carnitine, okuye kwacatshangwa ukuthi ingasiza esikhathini esidlule, kungase kube nzima kakhulu ukungathandeki kwegazi okuhlobene ne-chemotherapy.
Ngaphezu kwalokho, lezizinto "zemvelo" zingase zihlanganyele ngemithi yokwelapha, ngisho nokunciphisa ukusebenza kwazo.
Kuzo zonke, uma udokotela wakho evuma ukuthi i-glutamine ingahle iphephe futhi ikusize, cela ukuthi imiphi imithi ayiphakamisayo. Isilinganiso esivamile singama-milligram angu-15 kabili ngosuku, kepha isikhathi sokuqala lokhu nobude besikhathi sokusebenzisa le nkengezo kuzohluka ngokuya komshini othize we-chemotherapy.
Ezinye zokwelapha ezivimbelayo
Ezinye izindlela zokwelapha ezingasiza ekuvimbeleni i-CIPN, faka u-vitamin E nama-omega-3 fatty acids, nakuba futhi, isayensi eqinisa ukusebenza kwayo inqunyelwe. Ngaphandle kwezidakamizwa namavithamini, imithi yemigomo engasiza ukuvimbela i-CIPN ifaka phakathi
- Amanye ama-antidepressants afana ne-Effexor (venlafaxine)
- Imithi ethile yokulwa ne-anti-seizure efana neTegretol (carbamazepine)
Izwi elivela
I-peripheral neuropathy evela kumakhemikhali kungaba yinkinga ekhubaza, hhayi kuphela ekuhluphekeni okubangelwayo kodwa futhi ngoba ingathinta umshwalense wakho jikelele wezokwelapha umdlavuza.
Noma ngabe kunjalo, kubalulekile kakhulu ukwazisa udokotela wakho uma ubhekene nanoma yimiphi izimpawu ze-neuropathy-futhi ngokushesha kungcono, njengoba ukubhekana nale nkinga ngokushesha kungavimbela ukuthi i-neuropathy ingapheli.
> Imithombo:
> I-American Cancer Society. I-Peripheral Neuropathy Ebangelwa uKhemotherapy.
> Brami, C., Bao, T., noG. Deng. Imikhiqizo yemvelo kanye nezindlela zokwelapha ezihambisanayo zokwelashwa kwe-chemotherapy-induced paripheral neuropathy: Ukubuyekezwa okuhlelekile. Ukubuyekeza Okubalulekile ku-Oncology ne-Hematology . 2016. 98: 325-34.
> I-Dana Farber Cancer Institute. Ukunciphisa I-Peripheral Neuropathy Izimpawu. Kufinyelele ngo-03/05/16. http://www.dana-farber.org/Health-Library/Aleviating-Peripheral-Neuropathy-Symptoms.aspx
> Wang, W., Lin, J., Lin, T. et al. I-glutamine yomlomo iphumelela ekuvimbeleni i-oxaliplatin-induced neuropathy ezigulini zomdlavuza ezinombala. Oncologist . 2007. 12 (3): 312-9.