Ukujamelana ne-Neuropathy kwiCreatcer Treatment
I-neuropathy kwi- chemotherapy ingaba uphawu oluvuthayo kakhulu, zombini ngenxa yezimpawu ezibangelwayo kunye nempembelelo enokuba nayo kwimpilweni yobomi. Inokuthi iphazamise unyango, okubangela ukuba kunciphise umthamo weyeza okanye unyanzele i-chemotherapy ngokupheleleyo. I-neuropathy ngoku ithintela malunga nesithathu sabantu abahamba nge-chemotherapy kwaye iya kuba yinto eqhelekileyo .
Oko kwathiwa, iziganeko ze-neuropathy phakathi kwabantu abanomdlavuza ziyabonwa.
Izizathu
Iimbilini ze-Peripheral - oko kukuthi, iimbilini ezingaphandle kwengqondo ehamba kwimida ihlanganiswe ne-substance ebizwa ngokuthi i-myelin. I-Myelin inokucingwa njengento efana nesibhambathiso sangaphandle kwintambo yombane kwaye ivumela ulwazi ukuba luhambe ngokukhawuleza kwaye luhambelane nentsholongwane. Xa iiseli ezenza i-myelin zonakaliswe yimiphumo enobungozi be-chemotherapy, i-myelin encinane iveliswa, kwaye iimpawu ezihamba nge-nerve zithinteka okanye ziphazamisekile.
Iimpawu
Iimpawu ze-neuropathy zivame ukuvela kwizinto ezibizwa ngokuthi "ukugcinwa kwempahla kunye neglavu", oko kuthetha ukuba iimpawu zibhekiselele kwizandla zakho apho unxiba iiglavu okanye iinyawo zakho kunye neenyawo apho unxibe khona iimpahla. Ezinye zeempawu zingabandakanya:
- Ubungqina kunye nokuhla kwehla ukuchukumisa
- "Iiphini kunye neenaliti" ezivakalelwa
- Ukulinganisa
- Ukutsha
- Ukunganyanzelwanga
Ezi zimpawu zingakhokelela ekunciphiseni ukunciphisa okunjengoku:
- Ubunzima usebenzisa izandla zakho ukuthabatha izinto (ukulahla izinto eziqhelekileyo), ukucofa iimpahla, ukuthayipha kwikhompyutha, okanye ukudlala ipiyano
- Ubunzima ngeenyawo zakho ngenxa yobuthathaka kunye nokungahambi kakuhle, okubangelwa ukunyuka, okanye ubunzima bokubeka iinyawo xa uhamba
- Ukulahlekelwa ubunzima besisu kunye namandla
I-neuropathy inokuchaphazela nezinye iimimandla zomzimba ezifana nesibilini (kubangele ukudakwa kunye neengxaki zokugaya), isilonda (okwenza kube nzima ukuvuthwa) kwaye kunokubangela utshintsho ekufubeni kwakho nentliziyo yakho.
Xa I-Neuropathy Yenzeka?
I-neuropathy iqala ngokukhawuleza emva kwekhemotherapy kwaye ingadlukisayo kwiiseshoni ze-chemotherapy ezilandelayo. Ukulandela i-chemotherapy, iimpawu ziphucula kancane kwiinyanga eziliqela, kodwa kwezinye iimeko, iimpawu zingasigxina.
Ziziphi Izidakamizwa ZamaKhemotherapy ?
Ithuba lokuphuhlisa i-neuropathy lihluka phakathi kwezidakamizwa ezahlukeneyo ze-chemotherapy kunye nomlinganiselo owenziwe. Amanye amayeza e-chemotherapy anokubangela ukuba i-neuropathy ibandakanye:
- Platinol (cisplatin)
- Iparaplatin (i-carboplatin)
- Eloxatin (oxaliplatin)
- Oncovin (vincristine)
- I-Navelbine (vinorelbine)
- Velban (vinblastine)
- VePsid (etoposide, VP-16)
- I-Taxol (paclitaxel)
- I-Taxotere (docetaxel)
- Thalomid (thalidomide)
- Revlimid (lenalidomide)
- Velcade (bortezomib)
Ngubani ochaphazelekayo?
Nabani na ochaphazelekayo nge-neuropathy ngethuba le-chemotherapy, kodwa iimpawu zingaphaya ngakumbi ukuba uneminye imeko engabangela neuropathy njengale:
- Sikashukela
- Ukungondleki
- Ukuxhomekeka kotywala
- Imbali yangaphambili ye-peripheral neuropathy kwiyiphi na isizathu kubandakanya i-chemotherapy
Unyango
Ngokuxhomekeke kwimeko enzima ngayo, ugqirha wakho unokuncoma ukuyeka unyango lwakho, okanye utshintshe okanye usasaze umthamo wonyango onokubangela iimpawu zakho.
Amachiza angasetyenziswa xa unentlungu. Ngeempawu ezintle, imithi enjengeTylenol (acetaminophen) okanye i-Advil (ibuprofen) inokubonelela ngoncedo olwaneleyo. Amanye amayeza athile asetyenziswayo maxesha aquka:
- IiVithamini ezifana ne-B-complement supplements
- I-Anti-depressants ezifana ne-Pamelor (nortriptyline) okanye uElavil (amitriptyline), kwaye ngakumbi i-Cymbalta (duloxetine)
- Iziyobisi ze-Antiepileptic (imithi yokugada) njengeNeurontin (gabapentin) okanye iLyrica (pregabalin)
- Iingqungquthela zegesi eziqukethe inhlanganisela ye-baclofen, i-amitriptyline, ne-ketamine (kunye nezinye izinto ezibandakanya, umzekelo, i-topical ketoprofen kunye ne-gabapentin)
- Isihloko se-lidocaine (i-lidocaine patches)
- Iintlungu zonyango ezinxilisayo zentlungu ebuhlungu
Iinkqubo ezongezelelweyo ziyakunceda ukunciphisa iintlungu ezivela kwi-neuropathy. Ezinye unyango eziye zajongwa nge-chemotherapy-incuted peripheral neuropathy ziquka:
- Ukunyanga kwamayeza
- Unyango oluthile kunye / okanye unyango lomsebenzi
- I-TENS (i-transcutaneous electrical nerve stimulation)
- Ukwenza i-Acupuncture
- Biofeedback
- Imifanekiso ekhokelwayo kunye nokuphumla
Thintelo
Iipilisi ezininzi ziye zavanywa ukuba zibone ukuba ziyakwenza ukhuseleko malunga neuropathy ngexesha le-chemotherapy. Izifundo ziye zafumanisa ukuba ukusebenzisa i-calcium kunye ne-magnesium, kwakunye ne-Cymbalta, kunokunceda ukukhusela i-chemotherapy-induced neuropathy, kodwa kukho inkxalabo yokuba le nto inganciphisa ukusebenza kwe-chemotherapy.
Ukuhlaziywa kwe-2016 kufumene ukuba ukusetshenziswa kwe-L-glutamine ukukhusela i-neuropathy kwi-chemotherapy ithembisa . Imilinganiselo esetyenziswe kwizilingo yayingama-milligram ama-2 kabini ngosuku, kodwa kubalulekile ukuthetha nodokotela wakho malunga nayiphi na inkxaso ngelixa usebenzisa i-chemotherapy. Enyanisweni, ezinye iivithamini nezamaminerali ezongezelelweyo zinganciphisa ukusebenza kwe-chemotherapy.
I-Vitamin E inokuthatha inxaxheba ekukhuseleni i-peripheral neuropathy, icinga ukuba uhlobo lwe-vitamin E luba luleke. Kwaye kucatshangelwa ukuba i-acetyl-l-carnitine inokukunceda ekuthintela i-neuropathy, kodwa uphando olutshanje lunokubonisa ukuba impawu ezinokuba zibi kakhulu.
Ukongeza, i-cryotherapy (ukubamba izandla kunye neenyawo kumanzi abandayo okanye iiglavu / iisokisi zomlenze) zikholelwa ukuba ezininzi zinokusebenza.
Ukujamelana
Isinyathelo sokuqala ekujonganeni neuropathy kukuxubusha iimpawu zakho kunye nogqirha wakho. Unokucebisa utshintsho kwi-regimen yakho ye-chemotherapy. Ukuba ukutshintsha unyango lwakho akunakwenzeka, unokufumana iingcebiso malunga nokujamelana neempawu okanye unokunika amachiza ukuba ancede ngeentlungu xa zifuneka.
Amanye amanyathelo onokuzithatha ngokwakho aquka:
- Ukukhusela izandla kunye neenyawo ukusuka ekugqithiseni ukushisa nokubandayo - ukugqoka izicathulo ezintle kwaye usebenzise iiglavu xa ushushu okanye xa uhlambulula okanye udibanisa.
- Ukuhlolisisa izandla kunye neenyawo zakho imihla ngemihla malunga naluphi na izilonda onokungaziveki ngenxa yokuncipha kwengqondo.
- Ukuziqaphela xa uphatha izinto (njengokupheka) ongenakukwazi ukuzibamba kakuhle.
- "Ukuwa phantsi kokungqineka" indawo yakho yasekhaya, uqaphele ukususa izinto ezinokubangela ukuba uhambe.
- Ukuphepha ukuma ixesha elide.
- Ukuphepha utywala.
- Ukulala ngokwaneleyo- ukulala kwabantu abanomdla kungaphazamisa imeko ezininzi, kuquka neuropathy.
- Ukuba unesifo sikashukela, usebenza ukugcina iishukela zegazi kwisicwangciso esicetyiswa ngugqirha wakho.
Imithombo:
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