Ukusetyenziswa kwezikhuthazo zokunceda ukujamelana nemiphumo ye-chemobrain
Xa uLinda W. wagqiba ujikelezo lwakhe lokugqibela lwe-chemotherapy ukunyanga umdlavuza webele, wayekulindele ukuba abe nokuphila okuqhelekileyo, okungenomdlavuza kwakhona. Phantse unyaka emva kokugqiba unyango, uLinda waqala ukufumana iingxaki ngememori yakhe kunye nokugxininisa. Umntu osindayo womhlaza oneminyaka engama-51 uthelekisa ubunzima bokuqala ngokungazelelwe kokukhubazeka kokufunda.
"Kuza kundithatha kabini kwangexesha elide ukwenza imisebenzi elula, njengokulinganisela kwitekisi okanye iifayili zesebenza emsebenzini. Ndiza kufunda into kwaye ndiza kuphinda ndiyifunde ngokuphindaphindiweyo ulwazi ngenxa yokuba andiyikhumbuli into endiyifunayo."
Izimpawu zikaLinda zazingqinelana nento eyaziwa ngokuba yi- chemobrain , ukuncipha kwengqondo okanye ukungasebenzi kakubi kwezigulane ezininzi zomhlaza emva kokuphathwa nge-chemotherapy. Igama elithi "chemobrain" lingakhohlisa, nangona kunjalo. Uphando oluninzi luye lwabonisa ukwehla kwengqondo emva kokunyangwa konyango, nangona kunjalo, iingcali ezininzi ziqaphele ukupakisha i-chemotherapy njengeyona nto yonyango. Ihlala ixubushe kakhulu kwiindawo zonyango lwezonyango, njengokuba kukho iindidi ezahlukahlukeneyo malunga "ne-chemobrain" kunye nesizathu esinokwenzeka. Kufuneka ukuba uphando olungakumbi luqonde ngakumbi ukuba umhlaza nomhlaza wonyango uchaphazela njani ingqondo. Namhlanje, siyazi ukuba ezinye izigulane ziye zahlulwa ngenxa yokungasebenzi kwengqondo emva kokuba ziphathwe nge-chemotherapy, kodwa zingenabo ubungqina obuncinane malunga nezizathu zayo.
Ngaphambi kokufumana uphando lwangoku, oogqirha bavame ukugxotha iimpawu ezinengqondo ezifana nokulahleka kweememori, ubunzima bokugxininisa, nokulahleka kwengqalelo njengoko uxinzelelo lwengqondo lubangelwa ngumhlaza kunye nomphumo wokuguga ngokuqhelekileyo. Izigulane zashiywe ngaphandle kweempendulo kwaye zinceda iimpawu zokuqonda ezinokubakho.
Namhlanje, izigulane zineempendulo ezimbalwa, kodwa abanye oogqirha bajongana neempawu zabo ngokucebisa unyango kunye neziyobisi.
Akukho nyiweyo okanye unyango oluthile lwenzululwazi oluyinkcazo emva kokunyangwa komhlaza, oogqirha abathile baye baqulunqa ukuvuselela ingxaki yokuxhatshazwa kwengqondo (ADHD) ukunceda izigulane zikhulise ingqwalasela kunye nokugxininisa. ULinda wayemiselwe umthamo ophantsi we- Adderall (amphetamine, dextroamphetamine i-salts mix mix) kwaye imyeza iye yamnceda ngokugxila kunye nokugxininisa. "Ndazi ukuba ndilibale ukuthabatha umzukulu wam umqeqeshi we-baseball, andisayi kuphinda ndibe njalo. Ugqirha wam wandibeka uAdderall kwaye uye wandinceda kakhulu. Ndiyaqhubeka ndilwa rhoqo emva kwexeshana, kodwa ngubani ongekho? ".
Iimpawu ze-chemobrain, okanye ukulahleka kwengqondo, zifana neempawu ze-ADHD. Ubunzima ukugxila, ukulahleka kwengqwalasela, kunye neengxaki ngenkumbulo kubonakala nakwabantwana kunye nabantu abadala abane-ADHD. Izishukumisayo zisebenza ngokuguqula amanqanaba e-neurotransmitters kwingqondo, ikakhulukazi i-dopamine kunye ne-norepinephrine. Kubalulekile ukuba uqaphele ukuba izikhuthazo aziyi kunyanga i-chemobrain, okanye i-disorder disorder disorder.
Zenza nje ukukhulula iimpawu zeso simo. Kufana nomntu othabatha i-OTC unyango olubandayo xa kubanda. Amayeza ashushu abancincile iimpawu, njengokukhwehlela kunye neempumlo zebhola, kodwa akaphilisi kubanda.
Ngelixa i-chemobrain iya kuba yamukelwa ngakumbi kwaye iyaqatshelwa kwiindawo zonyango, abanye oogqirha abasasazi ukuba khona kwayo kwaye abanakho ukungafuni okanye abanqweneli ukunikezela iyeza, njengezinto ezivuselelayo, ukukhupha iimpawu. Abanye oogqirha banokuqonda ukunqanda kwengqondo emva kokunyanga, kodwa abanqweneli ukucacisa ukuvuselela, njengoko ziyimpahla elawulwayo.
Imiphumo emibi yezikhuthazo
Kukho izikhuthazo ezininzi ezinokumiselwa ngugqirha wakho.
Adderall, iVivvanse (lisdexamfetamine dimesylate), i-Concerta (i-methylphenidate HCl), i-Dexedrine (dextroamphetamine sulfate), kunye neRitalin methylphenidate hydrochloride yizona zivuselela ngokuqhelekileyo. I-stimulant nganye ineempembelelo ezizimeleyo, kodwa ngokubanzi, izikhuthazi zingabangela intloko, ukunciphisa intlanzi, ukulahleka kwesisindo, isisu esisisulu, ukulala, nokusaba. Uninzi lweziphumo zempembelo luhamba kunye nokusetyenziswa okuqhubekayo, nangona kunjalo. Abantu abaninzi abasempilweni banelungelo lokunyamezela ukuphucula kakuhle kwiqondo elifanelekileyo, kodwa kufuneka ufune iinzame ezimbalwa eziphambili ngaphambi kokuba ufumane enye esebenza kakuhle kuwe.
Ngubani ongafanelanga ukuthatha izikhuthazo
Izikhuthazo azikhuselekile ukuba wonke umntu athathe. Ukuba uhlangabezana nale miqathango ilandelayo, akufanele uthathe izikhuthazo:
- ukulinganisela ukuxhalaba okukhulu; ukuxhalaba, ukukhathazeka kunye nokukhathazeka kunokunyuka kunye nokusetyenziswa kwezi nyeza.
- glaucoma
- i-thyroid engasebenzi
- uxinzelelo oluphezulu lwegazi
- imbali yengqondo yengqondo okanye imicimbi yeengqondo okanye iziqwenga
- yesifo somzimba
Abantu abasebenzisa i-MAOIs akufanelekiweyo ukuba kukhuthazwe, kunye.
Ezinye iziyobisi zingenza izilumkiso kubantu abanezinye iimeko ezingabhaniswa apha. Kubalulekile ukuba unikezele ngogqirha wakho wecandelo lomntu wonyango / wentsapho ukuba ugqirha ukuba izikhuthazo zikhuselekile kuwe.
Ngaba Ziyakhuthaza?
Izikhuthazo zingaba ngumkhwa wokwenza umlutha. Ukuba unikwe iimvuselelo ezimiselweyo, musa ukuyeka ukuzithatha ngaphandle kokuba ugqirha lwakho luvunyelwe. Ukuyeka iyeza lakho ngokukhawuleza kunokubangela iimpawu zokuhoxisa. Ukunciphisa iimpawu zokurhoxisa, ugqirha wakho uya kufaka i-dosage yakho ngokukhawuleza ukuze akukhuphe emachiza akho.
Kucetyiswa ukuba abo abaneembali okanye iziyobisi okanye ukusetyenziswa kakubi kotywala okanye uhlobo lomntu ogxekayo, banqabe ukuthatha imithi evuselelayo. Ezi zonyango zibhekwa njengezinto ezilawulwayo njengoko ziyakutyalela kwaye ezinye iindidi zingaxhatshazwa.
Imithombo:
Adderall kunye neAdderall XR (amphetamines) Ulwazi. I-Postmarket Ulwazi loKhuseleko lweMichiza yezilwanyana kunye nababoneleli. US Food and Drug Administration.
Chemo Brain. I-American Cancer Society
Isikhokelo seMidiya iVivanse (lisdexamfetamine dimesylate). Ulwazi loKhuseleko lweziyobisi kubaThengi.