Njengoko i-chemotherapy agents ziphumelela ngakumbi kwaye izigulane zihlala ixesha elide, ubomi obuphilileyo, abasindileyo banemiphumo emibi echaphazela umgangatho wobomi. Enye impembelelo enjalo i-ototoxicity - umonakalo kwindlebe yangaphakathi nge-toxin.
Unyango lweNtsholongwane onokuchaphazela ukuva
- I-Chemotherapy ephuma kwiqela "platinum", njenge-cisplatin okanye iqondo eliphezulu le-carboplatin. I-Platinum chemotherapy kunye ne-aminoglycoside antibiotics yonakalisa iinwele zeenwele ezintwini zangaphakathi, ezibangela ukulahlekelwa kwindlebe. Ngokuqhelekileyo, isiphumo sifana kwiindlebe zombini kwaye sigxina.
- Amanqanaba aphakamileyo emisebe ephezulu entloko okanye ebuchosheni, ngokukodwa ukuba i-boram yayijoliswe kwi-brainstem okanye indlebe. Izaphulelo kwindlebe okanye ingqondo ingabangela ukuvuvukala okanye ukuvakala kwendlebe kwindlebe yangaphandle, iingxaki zengxube yamanzi ngaphakathi kwendlebe, okanye ubunzima be-eardrum okanye amathambo endlebe. Naliphi na le ngxaki ingakhokelela ekulahlekelweni kweendlebe. I-radiation ingonakalisa iintloko zeenwele zengqondo ngaphakathi kwindlebe yangaphakathi, kubangela ukulahlekelwa kwindlebe. Ukulimala kwimizila echaphazela imitha kunokuchaphazela enye okanye zombini iindlebe, kuxhomekeke kwingingqi yonyango.
- Ukuhlinzwa okubandakanya ubuchopho, indlebe, okanye i-nerve auditor.
- Ezinye antibiotics kunye ne-diuretics. Ukulimala kwi-loop diuretics kubangelwa utshintsho kwimilinganiselo yamanzi kunye nosawo ngaphakathi kwindlebe yangaphakathi, okubangele ukuvuvukala kwezicubu kunye neengxaki ngokudluliselwa kweempawu zentliziyo. Ngethamsanqa, lolu hlobo lokulahlekelwa kwindlebe ludla ngokusisigxina, kodwa ngamanye amaxesha lunokuthi lube sisigxina, ngokukodwa xa i-diuretic inikwe ngokudibanisa ne-platinum chemotherapy okanye i-aminoglycoside antibiotics.
Abo baphezulu kwiNgcipheko yokuLawula ukulahleka
- Eminye imingcipheko yokulahlekelwa kwindlebe ngaphambi kokuxilongwa komhlaza (njengokwelashwa kwangaphambili kunye nama-antibiotic aminoglycoside, isisindo sokuzala esiphantsi, okanye i-meningitis).
- Babengaphantsi kweminyaka engama-4 ubudala ngeli xesha bafumana unyango olungalimaza indlebe.
- Ufumene i-cisplatin okanye i-carboplatin.
- Ukufunyanwa kwemisebe kwindlebe, ubuchopho, impumlo, isono, umqala, okanye phakathi kwendawo ebusweni emva kwee-cheekbones.
- Kwakunomzimba, utyando, okanye usuleleko olunzulu olubandakanya ingqondo, indlebe, okanye i-nerve auditor, okanye ukufunwa kwe-shunt.
- Kufumene uhlobo olungaphezulu kolunye unyango olunokubangela ukulahlekelwa kwindlebe (njengokuhlanganiswa kwengqondo yomzimba kunye ne-cisplatin chemotherapy, okanye unyango kunye ne-cisplatin kunye ne-carboplatin chemotherapy)
- Babenomsebenzi ongezantsi weezintso ngexesha bafumana i-chemotherapy okanye ezinye iimyeza ezingonakalisa ukuva.
Iimpawu zokuLawula ukulahleka
- Ukuvalelwa kunzima phambi kweemvelaphi zangemvelaphi.
- Ukungayithobeli ingxolo (njengezandi, izandi zendalo)
- Ukuvakala izandi ( ukukhala, ukugubungula, ukuhlambalaza okanye ukunyusa ) endlebeni yakho xa kungekho izandi zangaphandle ezikhoyo. Imisindo ingahluka kwi-pitch okanye ishintshe ukusuka kwindlebe ukuya endlebeni.
- Abanye abantu bangenayo impawu nhlobo.
Ukuba umonakalo we-ear-related-related relation, i sigulane sinokuba ngumviwa we-intratympanic steroid injections ukukhusela ukulahlekelwa kwindlebe okanye mhlawumbi ukufumana umsebenzi.
Wonke umntu ophethe unyango lomhlaza ongathinta iindlebe (ezifana ne-cisplatin, iqondo eliphezulu le-carboplatin, ukunyuka kwamayeza aphezulu kwingqondo) kufuneka babe nokuvavanywa kokuva ubuncinane kanye emva kokugqiba unyango.
Isidingo sokongezwa okongeziweyo kuxhomekeke kuhlobo kunye nomyinge wezokwelapha zonyango ezisetyenzisiweyo. Ukuba ukulahlekelwa kwindlebe kufunyenwe, ukuhlolwa kufuneka kuphindwe rhoqo ngonyaka okanye njengoko kucetyiswa ngumlomo wezolwazi. Ukongezelela, ukuvalelwa kufuneka kuvivinywe naliphi na ixesha inengxaki yokuvalelwa.
Ukuba ukulahlekelwa kwindlebe kufunyenwe, kubalulekile ukuba ube novandlakanyo ngumenzi wezolwazi . Ukulahleka kweentlawulo kungabangela iingxaki ngamandla omntu okuthetha kunye nokwenza imisebenzi yemihla ngemihla. Ngoko kubaluleke kakhulu kumntu onokulahlekelwa kwindlebe ukufumana iinkonzo eziza kukunceda kakhulu ukwenza ukuba banako ukuthetha kakuhle.
Kukho iindlela ezininzi ezikhoyo, kwaye ezi zinokusetyenziswa kwiintlobo ezahlukeneyo, kuxhomekeke kwingxaki yokuva.
Imithombo:
Prevenas, Nick. I-UA yeCarcer Centre igqirha izigulane ezijongene nokulahlekelwa kwindlebe yechemotherapy. IYunivesithi yase-Arizona eCancel. Feb. 26, 2013.
Iqela lezingane ze-Oncology Iikhokelo zokuLandela ixesha elide
Abasindileyo Bantwana, I-Adolescent, kunye neCancer Adult Young
www.survivorshipguidelines.org