Ukukhusela nokuPhathwa kweKhemotherapy-I-Nausea ebangelwayo kunye noVomiting
Isihlunu kunye nokuhlanza sinye yezona ziphumo ezibi kakhulu zecrotherapy . Ngombulelo, unyango kunye nokuthintela kwezi zimpawu sele zide, kwaye abantu abaninzi banokuziva bancinane okanye bangabikho nto. Ukuzibandakanya kunye nokufunda malunga neendlela zokonyango ngaphambi kwexesha kunokuhamba ixesha elide ukwenza, ngeli xesha, ukhululekile ngakumbi.
Yintoni ebangela i-Nausea ne-Vomiting ngexesha le-Chemotherapy?
I-Chemotherapy ingakhokelela kwisicupunu kunye nokuhlanza ngeendlela ezininzi.
Isizathu esona siqhelo kusebenze iinkalo kwinkqubo yeentlanzi ezilawula ukuhlanza. Maxa wambi amayeza e-chemotherapy kunye kunye namanye amayeza angasichukumisa isisu esiswini. Ukuba unayo i-chemotherapy ngaphambili, ubuchopho bakho buyakhumbula indlela ozive ngayo ngelo xesha, into ebizwa ngokuba yinto enomdla.
Yintoni Ubungqina Bokuba Ndiza Kuzifumana Ezi Mpawu?
Amathuba oya kuba neentlanzi zixhomekeka kwiimeko eziliqela. I-casino iqhelekile kwizigulane ezincinci, amabhinqa, kunye nalabo abanembali yokugula kwesibongo. Kwakhona kuxhomekeke kwimichiza ethile ye-chemotherapy ephathwa ngayo. I-nausea iyakwenzeka ngokukhawuleza emva kokuqala i-chemotherapy (i-nausea ephawulekayo) okanye iqalise ngaphezu kweeyure ezingama-24 emva kokuba unyango (ukulibaziseka kwesoxiso).
I-American Society ye-Clinical Oncology iye yavelisa inkqubo yokulinganisela ichaza ukuba kunokwenzeka ukuba kunomsocoko kunye nokuhlanza kunye namaqela amaninzi e-chemotherapy.
Bawabeka njengolu mngcipheko ophezulu (ukuhlanza kuye kwagqitywa kwiipesenti ezingama-90 zezigulane), umngcipheko ophantsi (ukuhlanza ngamaphesenti angama-30 ukuya kuma-90), umngcipheko ophantsi (ukuhlanza kuma-10 ukuya kuma-30 ekhulwini), kunye nomngcipheko omncinci (ukuhlanza ngaphantsi kwama-10 ekhulwini ). Amachiza aqhelekileyo asetyenziswa ngumhlaza wemiphunga kunye nomngcipheko ochaphazelekayo wokunxanxathela kunye nokuhlanza yi:
- Umngcipheko ophezulu - iPlatatin (cisplatin)
- Umngcipheko ophakathi - iParaplatin (carboplatin), i-Adriamycin (doxorubicin), i-Ifex (ifosfamide), i-Camptosar (i-irinotecan)
- Umngcipheko ophantsi - I-Taxotere (docetaxel), iVepesid (etoposide), iGemzar (gemcitabine), i-Taxol (paclitaxel), i-Alimta (pemetrexed),
- Umngcipheko ophantsi kakhulu - i-Oncovin (vincristine), i-Navelbine (vinorelbine), i-Avastin (bevacizumab)
Kutheni Imithi Kubalulekile?
Ukunyamekela isicupunu kunye nokuhlanza kukuba, kubalulekile, kubalulekile kubomi bakho bengqondo ngexesha lokwelashwa. Akukho mntu uzonwabileyo. Kodwa kubalulekile ngokomzimba ngokunjalo. Ukuxuba kunye nokuhlanza kungaholela ekudambiseni amanzi kunye nokuntuleka kwesondlo. Ukunyamezela okuqhubekayo kunokubangela iinyembezi kwiimpawu. Kwaye abo baye bahlinzwa , ukuhlanza kungabangela ubuhlungu obukhulu kwaye kunokubangela ukuba uhlalutyo lwakho ludibanise.
Izinyango Zonyango
Bobabini imishanguzo kunye nezinye iindlela zokwelapha ezifana ne-acupuncture kunokuncedisa isicupunu kunye nokuhlanza okuhlobene ne-chemotherapy.
Imithi:
Unyulo oluninzi lunokufumaneka ekunyangeni isicarucu kwi-chemotherapy. Ekubeni amayeza asebenza ngokugqithiseleyo ngaphambi kokuba i-nudea iqale, abantu abaninzi baphathwa ngokuthintela ngokuthintela imithi (antiemetic) phambi kokuba babe naziphi iimpawu. Ezinye iziyobisi zinikezelwa rhoqo, kwaye ezinye zisesiseko esifanelekileyo.
Amachiza anokunikwa ngomlomo, nge-intravenously, ngokwemigaqo, okanye ngezantsi (phantsi kolwimi lwakho). Uninzi lwamachiza e-anti-nausea lusebenza ngokuhlasela iindlela ezahlukeneyo, kwaye ngoko ke ukusebenzisa udibaniso lwamachiza lunokuba luncedo kunamaphi amayeza omnye. Ezinye zeyeza eziqhelekileyo ezisetyenziswa yedwa okanye ngokudibanisa ziquka:
- Phakamisa (aprepitant)
- I-Decadron (dexamethasone)
- Anzemet (dolasetron)
- Kytril (granisetron)
- IDoperidol (haloperidol)
- Ativan (lorazepam)
- Reglan (metoclopramide)
- Zofran (ondansetron)
- Aloxi (i-palonosetron)
- I-Compazine (prochlorperazine)
- Phenergan (promethazine)
Eyongezelelweyo / unyango olupheleleyo
Ezinye iindlela zokunxibelelana nazo zinokukunceda ukulawula isicupucu ngexesha le-chemotherapy.
ISizwe leZiko lezeMpilo likhuphe isitatimende sokuthi i- acupuncture isebenzayo kwi-chemotherapy-induced leusea , kwaye inganciphisa imfuno yakho yeyeza. Ukukhupha iimbambo zangaphezulu kunokuba luncedo.
Iinnabinoids
Ingxabano ebalulekileyo ijikeleza ukusetyenziswa kwe-cannabinoids (i-marijuana) yokuncwina ngethuba ngexesha le-chemotherapy, kwaye ukusetyenziswa kwalo kuhluka kwihlabathi jikelele. I-National Cancer Institute ithi kunokuba i-cannabinoids, apho i-legal, ingasebenza ukukhusela ukuhlanza okubangelwa ezinye iintlobo ze-chemotherapy.
Ukujamelana neengcambu kunye nokuvutha ngexesha leKhemotherapy
Amachiza angenza okuninzi akwenza ukuba kunconywe kunye nokuhlanza okunokuthi kwenzeke ngexesha le-chemotherapy, kodwa amanyathelo ambalwa alula anokukunceda kwakhona:
- Yidla amancinane, ukutya okuqhelekileyo - Gwema ukutya okuninzi, okanye uhambe ixesha elide ungadli
- Gwema ukusela kotywala ngexesha lokutya
- Hlala uqotho emva kokutya ixesha lesigama seyure
- Gwema izivumba ezenza uzive unomdla
- Gwema ukutya okuninzi okunamafutha kunye nokugcoba phambi kwe-chemotherapy
- Gqoka iingubo ezivulekileyo esiswini sakho
- Gcina ukutya okuthandayo xa uthe wenziwa nge-chemotherapy
- Phuza amanzi amaninzi
- Gwema ukutshaya
- Gwema ukuzivocavoca emva kokutya
- Yenza indawo yakho kunye nokutya njengokukholisa ngokuhle ngendlela enokwenzeka ngayo
Nini ukubiza uDokotela wakho
Vumela i-oncologist yakho ukuba yayazi nayiphi na isicathulo okanye ukuhlanza ufumane amava ngexesha lokutyelela. Phakathi kokutyelela, qiniseka ukuba umbiza ngokuba:
- Amayeza akho awayikulawula isicaphulelo sakho
- Unokuhlanza okuqhubekayo
- Uhlakulela intlungu esiswini
- Ufumana naziphi na iziphumo ezichaphazelekayo ocinga ukuba zinxulumene namayeza akho aphikisayo
- Ukuba i-nausea yakho iphazamise ukukwazi ukutya okanye ukusela amanzi
> Imithombo:
> Fukazawa, Y. et al. Indlela yokwenza i-pharmacological ye-electroacupuncture. Iimbono zangoku kwiziyobisi zophando . 2009. 10 (1): 62-9.
> Hesketh, P. Chemotherapy-I-Nausea eyenzekile, kunye noVomiting. I-New England Journal of Medicine . 2008. 358: 2482-2494.
> INational Cancer Institute. I-Nausea neVomiting (PDQ). INgxelo yezobuGcisa. Ukuhlaziywa 01/04/16. https://www.cancer.gov/cancertopics/pdq/supportivecare/nausea/healthprofessional
> INational Cancer Institute. I-Cannabis kunye ne-Cannabinoids. Ukuhlaziywa 01/08/16. https://www.cancer.gov/about-cancer/treatment/cam/patient/cannabis-pdq/#link/_13
> INational Cancer Institute. Ukulawula i-Chemotherapy Side Effects. Isihlunu kunye nokuvuthwa. 11/24/08. https://www.cancer.gov/cancertopics/chemo-side-effects/nausea
> Navari, R. Ulawulo lwe-Pharmacological lwe-cerebral-stimulated nausea kunye nokuhlanza: gxininisa ukuphuhliswa kwamuva. Zi yobisi . 2009. 65 (5): 515-33.