Kwimeko ebizwa ngokuba yi-cipn-induced paripheral neuropathy (CIPN), ezinye iziyobisi ezisetyenziselwa ukhathaza umdlavuza zidala umonakalo kwiimbilini zakho zomhlaba.
Iimbilini zakho zephaya ziphethe iimpawu ezisuka ebuchosheni kunye nomgudu womgogodla kwiimisipha zakho ukuze ziqhube ukunyakaza. Baphinde baphathe ulwazi oluqondayo kwi-brain yakho nangomlenze womgudu.
Iimpawu
I-neuropathy eyenziwa yi-chemotherapy-induced paripheral neuropathy ingabangela iimpawu ezahlukahlukeneyo kuxhomekeke kwimiba yegazi.
Imizekelo yeempawu eziqhelekileyo ziquka:
- Ubungqina
- Ukulinganisa, njenge "izikhonkwane kunye nenaliti"
- Ukuvutha ezandleni nasezinyaweni
- Ukudubula okanye ukugwaza intlungu enokuthi iphakathi okanye iqhubeke
- Iingxaki zokulinganisela
- Ukulahla izinto
- Ukutshatyalaliswa
Ekubeni iimbulunga zomhlaba zilawula i-bladder yakho kunye nesilonda, ukuchithwa kwe-chemotherapy-induced paripheral neuropathy kungakhokelela ekuqotheni okanye ubunzima bokuvuthwa.
Izizathu
Ngokutsho kwe-American Cancer Society, zilapha izidakamizwa ze-chemo ezidityaniswe nokudala i-CIPN:
- Izidakamizwa zePlatinum njengeCisplatin, iCarboplatin kunye ne-Oxaliplatin
- Iirhafu ezifana ne-Taxol (paclitaxel), i-Taxotere (docetaxel), ne-Jevtana (cabazitaxel)
- I-Epothilones efana ne-Ixempra (ixabepilone)
- I-alkaloids yeentlobo ezinjengewayiniblastine, i-vincristine, i-vinorelbine kunye ne-etoposide (VP-16)
- I-Thalomid (thalidomide), i-Revlimid (lenalidomide), kunye ne-Pomalyst (i-pomalidomide)
- Velcade (bortezomib) kunye neKyprolis (carfilzomib)
- IHalaven (eribulin)
Ngokuqinisekileyo, ngenxa yokuba unikwe enye okanye ngaphezulu kwezidakamizwa ze-chemo, akuthethi ukuba uya kuba neCIPN.
Kukho iintlobo ezininzi ezinobunzima, njengalowo umthamo weziyobisi, ukudibaniswa kwezidakamizwa ezinikeziweyo kunye nobudala bakho.
Thintelo
Ukuba i-neuropathy yakho iyingozi kakhulu, ayikuchaphazela kuphela umgangatho wobomi, kodwa inokuphazamisa unyango lwakho, ingakumbi ukuba kufuneka usebenzise i-dose ephantsi ye-chemotherapy ngenxa yeempawu zakho eziphosakeleyo.
Ngelishwa, akukho zonyango ezivunyiweyo ze-FDA zokukhusela i-neuropathy ehlobene ne-chemotherapy. Nangona kunjalo, kuye kwaba nenani lamanyango okukhusela azama; nangona ubu bungqina bobunzululwazi obubaxhasayo bubuncinane, bungabalulekanga okanye bobabini.
L-Glutamine
Oko kwathiwa, enye isongezelelo esiboniswe (mhlawumbi ngokugqithiseleyo kunabanye) ukuba ibe nefuthe elikhuselekileyo kwiimbilini yiL-glutamine. Le ncediso ikholelwa ukuba isebenze ngokwenza isikhombiso kwiimbilini ezandleni zakho, ezinyaweni, kunye neendlela zokugaya. Le "galelo" iyanciphisa okanye ilahlekise umonakalo onokubangelwa yi-chemotherapy.
Enyanisweni, ukuphononongwa ngokuphononongwa kwii-Oncology / Hematology kubhekiselele ku-L-glutamine njengethembisayo yokuthintela iziganeko kunye nobuqili be-chemotherapy-induced paripheral neuropathy.
Kakade, nangona i-glutamine ibonakala ikhuselekile kwaye ingabonakali ukuphazamisa unyango lomhlaza (ubuncinci kwizifundo ukuya kutsho) kubalulekile ukuthetha nodokotela wakho ngaphambi kokuba uthathe nayiphi na isongezelelo okanye i-vithamini.
Oku kungenxa yokuba izongezo kunye namavithamini, ngeli xesha libizwa ngokuba "zendalo," azihlali zikhuselekile. Enyanisweni, unyango olulodwa "lwendalo", i-acetyl - l - carnitine, elalicingelwe ukuba lunokunceda kwixesha elidlulileyo, lunokunyanya ukwanda kweengqondo ezihlobene ne-chemotherapy.
Ngaphezu koko, ezi zinto "zendalo" zingasebenzisana nophando lwemhlaza, kwanokunciphisa ukusebenza kwazo.
Kukho konke, ukuba ugqirha wakho avuma ukuba i-glutamine inokukhuseleka kwaye inokukunceda, cela ukuba yeyiphi imilinganiselo ayiphakamisayo. Umlinganiselo oqhelekileyo u-15 milligram kabini ngosuku, nangona ixesha lokuqalisa oku kwaye ubude bexesha lokusebenzisa le ncediso liyahlukahluka kuxhomekeke kwi-regimen ethile.
Ezinye iindlela zokuPhatha
Ezinye iindlela zonyango ezinganceda ukukhusela i-CIPN, zibandakanya i-vitamin E kunye ne-omega-3 fatty acids, nangona kwakhona, inzululwazi exhasa ukuphumelela kwayo iyancipha. Ngaphandle kwezibonelelo kunye namavithamini, imirhumo yemiyalelo enokukunceda ukukhusela i-CIPN ibandakanya
- Ezinye izidandlululo ezinjenge-Effexor (venlafaxine)
- Amachiza athile okulwa neentambo ezifana neTegretol (carbamazepine)
ILizwi
I-peripheral neuropathy evela kwi-chemotherapy ingaba yinkinga yokuphazamisa, kungekhona nje kuphela ukungathandeki kubangelwa kodwa kubangelwa ukuba inokuchaphazela i-regimen yonyango jikelele.
Kungakhathaliseki ukuba kunjalo, kubaluleke kakhulu ukuxelela ugqirha wakho ukuba unayo nayiphi na impawu ye-neuropathy-kwaye ngokukhawuleza ukuphucula, njengoko ukujongana neengxaki ngokukhawuleza kunokuthintela ukuba i-neuropathy ingapheli.
> Imithombo:
> I-American Cancer Society. I-Peripheral Neuropathy eyenziwa nguKhemotherapy.
> Brami, C., Bao, T., kunye no-G. Deng. Iimveliso zendalo kunye neendlela ezongezelelweyo zokwenza i-chemotherapy-incuted peripheral neuropathy: Ukuhlaziywa okucwangcisiweyo. Uphononongo oluPhambili kwi-Oncology kunye neHematology . 2016. 98: 325-34.
> I-Dana Farber Cancer Institute. Ukunciphisa iPeripheral Neuropathy Symptoms. Fi kelele 03/05/16. http://www.dana-farber.org/Health-Library/Alleviating-Peripheral-Neuropathy-Symptoms.aspx
> Wang, W., Lin, J., Lin, T. et al. I-glutamine yomlomo iyasebenza ukukhusela i-oxaliplatin-induced brain neuropathy kwizigulane zomhlaza. Oncologist . 2007. 12 (3): 312-9.