Ngemva kokuthola amanani okuqala e- Taxol (paclitaxel), iziguli eziningi zomdlavuza webele zibika ukuthi izinyawo, izandla neminwe yabo bazizwa bebuhlungu futhi bebuhlungu. Ngezinye izikhathi kungase kube nomuzwa wokuthi ukugwaza okuncane okusheshayo kobuhlungu, kanti ngezinye izikhathi kungadlulela isikhathi eside futhi uzizwe sengathi iminwe yakho nezinzwani zivutha ngaphakathi. Lezi zinkinga ziyizimpawu ezivamile ze-peripheral neuropathy, umphumela ohlangothini wemithi ethile ye-chemotherapy.
I-Chemo-Induced Peripheral Neuropathy (CIPN)
I-peripheral neuropathy, uhlobo oluthile lokulimala kwamantombazane, ingumphumela ohlangothini olungabangela izidakamizwa ezithile ze-chemotherapy. Amanani we-peripheral neuropathy akhulisa isikhathi esiningi isiguli sesifo se-chemotherapy.
Amatekisi, izidakamizwa ezisekelwe e-platinum, i-vinca alkaloids ne-Herceptin yile mithi embalwa oyothola ohlwini lwezidakamizwa ezingabangela ukungasebenzi kwegazi . Ezinye izimo , izifo, imithi kanye nokulimala kungabangela neuropathy. I-peripheral neuropathy ayifani ne- hand foot foot syndrome noma i-Palmar-Plantar disorder, nezinye izimo zemiphumela ye-chemotherapy.
Indlela i-Chemotherapy eyenza ngayo i-Neuropathy
Nansi indlela eyodwa yokucabanga ukuthi i-chemo ibangela kanjani ukulimala kwesisindo. Izindebe zakho zisebenza njengezintambo, ngoba zithwala izimpawu zombane ngendlela ethile. Uma ufaka ikhompyutha yakho noma isibani, qaphela ukuthi ucingo luboshwe ngendwangu yokuzivikela yokuvikela.
Izindebe nazo zinesembozo esibizwa ngokuthi i-myelin esibavikela emonakalweni futhi siqinisekisa ukuthi sisebenza kahle.
Uma ukwelashwa okuphindaphindiwe kwe-chemotherapy kuqothula i-myelin, izinzwa zakho azikwazi ukuthumela kahle izimpawu. Ubumbano bukwenzeka lapho izinzwa zingasayithumeli isignali, ukuqhuma kwenzeka uma isignali yamanga ithunyelwa.
Ubuhlungu buzwa uma ulwazi ludlula izinzwa zakho ezingavimbelwe.
Njengeminye imiphumela emibi yokwelashwa komdlavuza, izimpawu ze-neuropathy zingakha futhi zandise njengoba kwenzeka ukwelashwa kodwa kufanele kube lula ngemuva kokuthi usuqedile nge-chemo.
Izimpawu
Ungase ungabi nazo zonke izimpawu ze-neuropathy, kodwa nansi ezinye zezibonakaliso ezivame kakhulu ukuthi ungaba nazo:
- Ubumbulu nokukhawula ezandleni zakho, izinyawo, iminwe, nezinzwane
- Ukuvutha kwemizwa ezandleni nasezinyaweni zakho
- Ukunciphisa ukunciphisa, inkathazo ngezinkinobho, ubunzima bokuthatha izinto
- Ukungabi namandla emilenzeni nasemagqabeni omlenze
- Ubuningi obuseduze nomlomo wakho
- Ukuqotshwa nobuhlungu phakathi nokuhamba kwamathumbu
Uzobona izimpawu eziqhamuka kakhulu ngemuva kokulashwa ngalunye lapho i-chemo isanda kuhamba khona. Uma izinkinga zakho zihlelwe njalo ngemva kwamasonto amathathu, i-neuropathy yakho ingaqala ukuphela ngaphambi kokuqokwa kwakho okulandelayo. Izimpawu ze-neuropathy zingakhula ngemithi yokwelapha ngayinye ngoba imiphumela ye-chemotherapy iyanqwabelana. Ngemuva kokuqeda i-chemo, i-neuropathy yakho ingase iphele izinyanga ezimbalwa, noma inganciphisa izingxenye zomzimba wakho.
Ngesinye isikhathi izinzwa azikwazi ukuvuselela noma ukulungisa ukuzivikela kwazo, futhi kulawo mathuba, izinzwa ze-neuropathy zingahlala zihlala njalo.
Ukuthola Ukukhulula
Qinisekisa ukuthi utshele udokotela wakho uma uthuthukisa noma yiziphi izimpawu ze-peripheral neuropathy. Kukhona imithi kanye nezindleko zokudla okunomsoco ongazithatha lokho kuzosiza ekunciphiseni ubuhlungu nobukhulu be-neuropathy. Landela imiyalelo kadokotela wakho ukuthi ungayisebenzisa kanjani futhi nini ukusebenzisa izinkinga ze-neuropathy.
Ungase futhi uhlele imikhuba emihle eyokwenza ukunciphisa ukugubha nokushisa ezinyaweni nasezandleni zakho. Njalo gqoka izicathulo ezikhululekile futhi ugweme ukuhamba ngezicathulo ukuze unciphise izinyawo zakho. Gqoka amagilavu okuzivikela lapho ugadile, wenza izitsha noma wenza imisebenzi engase ihlasele izandla zakho neminwe. Thatha izifudumala ezifudumele noma zokugeza, bese weqa ukusebenzisa amanzi ashisayo esikhumbeni sakho ukuze ungabeki isiphetho sezinzwa ekushintsheni kwezinga lokushisa.
Gcina ezinye izicucu ezinomsoco kanye nezinwele ezandleni ukuze usebenzise isikhumba sakho futhi usebenzise kahle.
Uma i-neuropathy ikubangela ukuqothulwa, khumbula ukuphuza amanzi amaningi nosuku nsuku zonke, udle ukudla okuphezulu-fiber, futhi usebenzise umzimba ovamile.
Imithombo:
Ukuphatha i-Chemotherapy Side Side Effects. Izinguquko Zezinzwa. Ifayela le-PDF. I-National Cancer Institute. Kuthunyelwe: 11/24/2008.
I-Peripheral Neuropathy Yenzelwe Khemotherapy. I-CIPN iqale kanjani? I-American Cancer Society. Ukubuyekezwa Kwezokwelapha Okokugcina: 12/22/2009.