Ziziphi iimeko ezinokuthi zifikeleleke kwi-Chemotherapy?
Iziphumo ezide zexesha eliqhelekileyo ze- chemotherapy aziqhelekanga ukukhathazeka kwakho kokuqala xa ufumanisa i-chemotherapy inconywa ngomhlaza wakho. Kwaye kufanelekile. Kwiimeko ezininzi, iinzuzo zonyango zigqithise kakhulu naziphi na iingxaki ezinokwenzeka phantsi komgca. Kodwa ngokusinda okuphuculweyo kwiintlobo ezininzi zeesifo somhlaza, kubalulekile ukuqonda iziphumo ezide zechemotherapy ezinokuthi zenzeke inyanga okanye iminyaka emva kokuba unyango lugqityiwe .
Ngaphambi kokujongana nemiphumo emibi yexesha elide, gcinani engqondweni ukuba wonke umntu uhlukile . Abanye abantu banokuba nemiphumo emibini yeziphumo, ngelixa abaninzi abanakho. Imiphumo emibi iyahluka kakhulu kuxhomekeka kwiimithi zonyango ezithile.
Ukukhathazeka ngeenhliziyo
I-Chemotherapy ingabangela imiphumo yesifo ekuqaleni kwonyango, kodwa kwezinye iimeko, imiphumo ingabonakali kude kube kude kamva. Omnye umzekelo ophawulekayo ngumonakalo wentliziyo emva kokonyango ngamayeza e- Adriamycin (doxorubicin ). Ngalesi sidakamizwa, umphumo wecala elide elide linokuthi lube buthathaka kwintliziyo yesisipha, okubangelwa ukunciphisa amandla okupompa igazi emzimbeni ( ukungaphumeleli kwentliziyo ). Iimpawu zingabandakanya ukwanda kokuphefumula, ukukhathala, nokuvuvukala kweenyawo kunye neenyawo. Ukuba uye waphathwa nge-Adriamycin, ugqirha wakho unokucebisa iskripthi se-MUGA ukujonga indlela intliziyo yakho ishaya ngayo.
Olunye unyango lwezonyango , olunjengophatho lwe-radiation kwindawo yesifuba, lunokulimaza intliziyo yesisu.
Ukususela kwimisebe engasemva kwesifo somhlaza wesifuba kunokuchaphazela intliziyo kunye nokulimala imirhoxo ye-coronary, kubaluleke nakakhulu ukuthetha ne-oncologist yakho xa ufumana ezi ziyobisi zamachiza. Funda kabanzi malunga neengxaki zeentliziyo ezinxulumene no-Adriamycin (doxorubicin) .
Ukukhathala
Ngexesha le-chemotherapy, abaninzi abantu bajongana nokukhathala - kodwa okwesithathu kwabantu bayaqhubeka bexhala ngenxa yeenyanga ukuya kwiminyaka emva kokuba i-chemotherapy igqityiwe.
Kubalulekile ukwabelana nalo mqondiso nogqirha wakho kuba ezininzi izizathu zokukhathala zibuyiselwa. Funda malunga nokuba utywala umhlaza njani utyhafile , kwaye ujonge ezi ngcebiso malunga nokujongana nesifo esicasulayo somhlaza wesifo
Chemobrain
"I-Chemobrain" - iindidi zeempawu ezibandakanya iingxaki zememori kunye nokugxininisa - sele zibonwe nje nje ngefuthe elide elide le-chemotherapy. Iimpawu ze-Chemobrain ziyakhathaza kakhulu, kodwa ukuqonda ngezinto onokuzenza ukuze ukwazi ukujamelana neempawu kunokunceda kakhulu. Kwiimeko ezininzi, iimpawu ze-chemobrain ziphucula ngokuhamba kwexesha. Funda kabanzi malunga neempawu kunye nonyango lwe-chemobrain .
Ukungenzi lutho
Ngokukodwa ukukhathazeka ngabantu abancinci abanomdlavuza, ukulahleka kokuzala emva kwe-chemotherapy kunokukhathazeka. Ukungabi naluphi uhlobo olulandelayo unyango luhluka kunye neli dose kunye nohlobo lweemithi zonyango olusetyenziswayo kwaye aluchaphazeli wonke umntu. Ukuba ukholelwa ukuba unako ukufumana abantwana emva kokonyango (kubini amadoda nabasetyhini), xela ugqirha wakho malunga neendlela ozifumanelayo ngaphambi kokuba uqale unyango.
I-Peripheral Neuropathy
I-peripheral neuropathy, enamava amaninzi njengokuba uvakalelo lwentsimbi kunye nokutshisa ezinyaweni zakho nasezandleni, kunye nokuqhawulwa komzimba, yinto enye yexesha elide elichaphazelekayo lwe-chemotherapy.
Le mpembelelo ecaleni isebenza ngokuqhelekileyo kubantu abanomdla wesifo sikashukela, utywala, okanye ukungondleki.
Ezinye iziyobisi ezinokubangela ukuba le nxalenye yesigxina kufike kwi-third thirti yabantu kubandakanya i-Taxotere (docetaxel) kunye ne-Taxol (paclitaxel), Ezinye iyeza, ezifana nePlatinol (cisplatin), i-Oncovin (i-vincristine), ne-Novelbine (i-vinorelbine), inokubangela kwi-peripheral neuropathy.
Ukuvalela Ukulahleka
Esinye seziphumo eziqhelekileyo eziqhelekileyo ezide zihlala kwiPlatinol (cisplatin), isilwanyana esisetyenziselwa ezininzi iintsholongwane kuquka nomhlaza wamaphaphu, ukulahlekelwa kwindlebe. Amanye amayeza angabangela ukulahlekelwa kwindlebe kunye ne-tinnitus (ukukhala ngeendlebe).
Iziphumo zeSkeletal
I-osteoporosis (ukunqunyulwa kwamathambo) yona miphumo eqhelekileyo ekupheleni kwe-chemotherapy. Uninzi lwamachiza e-chemotherapy lubangela ukulahleka kwethambo ukukhawuleza kunye nokutshintsha ekudleni okuhambisana nomhlaza kwaye unyango lwawo luyakwandisa ingxaki. Okuxhalabisayo kakhulu kwixesha elide kukho ukungaphumeleli okubangelwa kukulahlekelwa kwethambo.
I-Chemotherapy iye yadibana ne-osteomalacia, ukulahleka kwethambo ehambelana nokusilela kwe-vitamin D.
Iimpembelelo zokuphefumula
I-Chemotherapy ingabangela ukonakala kompompo ( pulmonary fibrosis ) kunye nokunciphisa amandla emiphunga kwabanye abantu. Oku kungabonakala ngakumbi xa i-chemotherapy idibaniswa neyeza lokushisa i-radiation kwindawo yesifuba.
Imiphumo yesibindi
Uninzi lwamachiza e-chemotherapy lungabangela umonakalo onobungozi kwisibindi (i-hepatotoxicity). Ngombulelo, isibindi sinokukwazi ukuvuselela ixesha elide, ngaphandle nje kweminye imiphumo eyingozi (njengokongeza kokusela utywala).
Iintsholongwane kunye neempembelelo ze-Bladder
Ezinye imithi ye-chemotherapy, efana ne-cisplatin, inokulimaza iinjongo kunye nesisu. Oku kungakhokelela ekunciphiseni kweentso zakho ukucoca igazi lakho. Ukulimala kweso simboko kuya kwenzeka kwaye kusenokuba yesikhashana okanye isigxina. Izibonakaliso zomsindo wesibindi zingabandakanya ubuhlungu okanye ukuphuthuma ngokuvuthwa, okanye igazi kumchamo wakho.
Impembelelo Emehlweni
I-Steroids idlalwa kunye ne-chemotherapy okanye iimpawu kunye neziphumo ezichaphazelekayo ezinxulumene nomhlaza. Oku kunokukhawuleza ukuphuhliswa kwee- cataracts kwabanye abantu.
Cancer
Ngenxa yendlela yokwenza imithi ye-chemotherapy isebenza ngayo, inokubangela ukuba umonakalo we-DNA kwiiseli eziqhelekileyo, ezinokubangela ukuba i- cancer yekondari ibe phantsi komgca. Amanye amayeza e-chemotherapy ayinokwenza loo monakalo, kunye neqela elibizwa ngokuba yi-alkylating agents (i-Cytoxan (cyclophosphamide)).
Amachiza asetyenziswa ukunyanga umhlaza wamaphaphu angenza umdlavuza wesibili (nangona kunjalo ungaphantsi) uquka iVeidid (etoposide) nePlatinol (cisplatin).
Yintoni Ongayenza Ukunciphisa Umngcipheko Wakho Wemizuzu Ede?
Kude sisazi ngakumbi malunga nexesha elide lokusinda emva kwekhemotherapy kubantu abadala, kukho izinto ezimbalwa onokuzenza:
- Buza i-oncologist yakho malunga nayiphi na imiphumo engapheliyo ongayilindela kwiiyobisi ezithile ze-chemotherapy ozinike zona. Ngaba zikhona iimvavanyo zokuhlola (umzekelo, iimvavanyo zeengxaki zentliziyo, ukulahlekelwa kwindlebe, okanye i-osteoporosis) engayincoma yona?
- Gcina irekhodi yakho ye-chemotherapy regimen nawe xa uthe wabona ugqirha ongaqhelekanga kwimbali yakho yezokwelapha.
- Ukuba ubhema, shiya.
- Yenza uqeshwe rhoqo kunye nodokotela wakho wamazinyo kunye nodokotela weziliso.
- Yenza umsebenzi oqhelekileyo wokusebenza.
- Ukunciphisa ukutywala kotywala.
- Makugqirha ugqirha wakho ukuba unayo nayiphi na impawu emitsha okanye ukonakala kwezinto ezikhoyo.
Ukukhuselwa komhlaza wabantwana , izinto eziqhubekayo zijongene nokuhlaziywa kakuhle:
- Izikhokelo zexesha elide zoLondolozo lwaBantwana, i-Adolescent ne-Cancers Young Adult
> Imithombo:
> I-American Society of Clinic Oncology. Cancer.Net. Imiphumo emihle.
> Hu, M. et al. Unyango lomhlaza kunye nethambo lezempilo. IiNgxelo zeRheumatology zangoku . 2010. 12 (3): 177-85.
> Iziko lezeMpilo. UkuCwangciswa koLondolozo lweCarcer Care. Ishiti yeenyani.
> INational Cancer Institute. I-Chemotherapy kunye nawe: Ukuxhasa abantu abaneCarcer. Iimiphumo zangaphandle zeKhemotherapy.