Zotsatira za Chemotherapy M'thupi Lanu
Zamkati
- Kuzungulira ndi chitetezo cha mthupi
- Minyewa yaminyewa komanso yaminyewa
- Dongosolo m'mimba
- Zolemba (khungu, tsitsi, ndi misomali)
- Njira zogonana komanso kubereka
- Excretory dongosolo (impso ndi chikhodzodzo)
- Mafupa dongosolo
- Zovuta zamaganizidwe ndi malingaliro
Mutalandira kachilombo ka khansa, zomwe mungachite poyamba zingakhale kufunsa dokotala kuti akulembereni chemotherapy. Kupatula apo, chemotherapy ndi imodzi mwazofala kwambiri komanso zamphamvu kwambiri zamankhwala ochizira khansa. Koma chemotherapy imachita zambiri kuposa kungochotsa khansa.
Ngakhale mankhwalawa ali ndi mphamvu zokwanira kupha ma cell omwe akukula mwachangu, amathanso kuvulaza maselo athanzi. Izi zitha kuyambitsa zovuta zingapo. Kukula kwa zotsatirazi kumadalira thanzi lanu lonse, msinkhu wanu, ndi mtundu wa chemotherapy.
Ngakhale mavuto ambiri amatha pambuyo poti mankhwala atha, ena amatha kupitilirabe mankhwala a chemotherapy atatha. Ndipo ena sangachoke konse. Onetsetsani kuti mukambirane zovuta zilizonse zomwe mukukumana nazo ndi dokotala wanu. Nthawi zina, kutengera momwe thupi lanu likuchitira, dokotala wanu angafunike kusintha mtundu wa chemotherapy.
Phunzirani zambiri za momwe chemotherapy imakhudzira thupi lanu.
Momwe zovuta za chemo zimawonetsera munthu aliyense zimadalira pazinthu zina, monga zaka kapena thanzi lomwe lakhalapo. Koma ngakhale zitakhala zovuta bwanji, izi zimawonekera kwa aliyense.
Mankhwala a chemotherapy amatha kukhudza thupi lililonse, koma zotsatirazi ndizotheka:
- kugaya chakudya
- zopangira tsitsi
- mafupa
- pakamwa
- njira zoberekera
Ndikoyenera kumvetsetsa momwe mankhwalawa a khansa angakhudzire machitidwe anu akulu amthupi.
Kuzungulira ndi chitetezo cha mthupi
Kuwunika magazi pafupipafupi ndi gawo lofunikira kwambiri la chemotherapy. Ndi chifukwa chakuti mankhwalawa amatha kuvulaza maselo am'mafupa, momwe amapangira maselo ofiira ofiira. Popanda maselo ofiira okwanira kunyamula mpweya kuziphuphu, mutha kukhala ndi kuchepa kwa magazi.
Zizindikiro za kuchepa kwa magazi m'thupi zimaphatikizapo:
- kutopa
- mutu wopepuka
- khungu lotumbululuka
- kuvuta kuganiza
- kumva kuzizira
- kufooka wamba
Chemo amathanso kutsitsa kuchuluka kwama cell oyera (neutropenia). Maselo oyera amagwira ntchito yofunika kwambiri m'thupi. Amathandizira kupewa matenda ndikulimbana ndi matenda. Zizindikiro sizowonekera nthawi zonse, koma mutha kudwala pafupipafupi kuposa kale. Onetsetsani kuti muteteze kuti musadwale ma virus, mabakiteriya, ndi majeremusi ena ngati mutenga chemo.
Maselo otchedwa platelets amathandiza magazi kuundana. Kuwerengera kwaplatelet (thrombocytopenia) kumatanthauza kuti mwina mudzaphwanya ndikutuluka magazi mosavuta. Zizindikiro zake zimaphatikizira kutuluka magazi m'mphuno nthawi yayitali, magazi m'masanzi kapena ndowe, komanso kusamba kolemetsa kuposa kwachibadwa.
Pomaliza, mankhwala ena a chemo amatha kuwononga mtima mwa kufooketsa minofu ya mtima (cardiomyopathy) kapena kusokoneza mtima wanu (arrhythmia). Izi zimatha kukhudza kuthekera kwa mtima wanu kupopera magazi moyenera. Mankhwala ena a chemo amatha kukulitsa chiopsezo cha matenda a mtima. Mavutowa sangachitike ngati mtima wanu uli wolimba komanso wathanzi mukayamba chemotherapy.
Minyewa yaminyewa komanso yaminyewa
Magulu apakati amanjenje amawongolera momwe akumvera, malingaliro, komanso kulumikizana. Mankhwala a chemotherapy atha kubweretsa zovuta kukumbukira, kapena kupangitsa kuti zikhale zovuta kusinkhasinkha kapena kuganiza bwino. Chizindikiro ichi nthawi zina chimatchedwa "chemo fog," kapena "chemo brain." Kuwonongeka kwakumbuyo kotereku kumatha kutsatira chithandizo kapena kutha kwa zaka. Milandu yayikulu imatha kuwonjezera nkhawa komanso nkhawa.
Mankhwala ena a chemo amathanso kuyambitsa:
- ululu
- kufooka
- dzanzi
- kumva kulira m'manja ndipo
mapazi (zotumphukira za m'mitsempha)
Minofu yanu imatha kumva kutopa, kupweteka, kapena kusakhazikika. Ndipo malingaliro anu ndi luso laling'ono lamagalimoto zimatha kutsika pang'ono. Muthanso kukhala ndi mavuto ndikuwongolera komanso kulumikizana.
Dongosolo m'mimba
Zotsatira zoyipa zambiri za chemotherapy zimakhudza chimbudzi. Zilonda zouma pakamwa ndi pakamwa zomwe zimapanga lilime, milomo, nkhama, kapena pakhosi zimatha kupangitsa kuti zikhale zovuta kutafuna ndi kumeza. Zilonda zapakamwa zimakupangitsaninso kutuluka magazi komanso matenda.
Muthanso kukhala ndi kukoma kwachitsulo pakamwa, kapena chovala chachikaso kapena choyera palilime lanu. Chakudya chimatha kumva chosazolowereka kapena chosasangalatsa, zomwe zimapangitsa kuti munthu azichepetsa mwadala chifukwa chosadya.
Mankhwala amphamvuwa amathanso kuvulaza maselo m'mimba mwa m'mimba. Nausea ndi chizindikiro chofala ndipo chingayambitse kusanza. Lankhulani ndi dokotala wanu za mankhwala opatsirana pogonana kuti muchepetse kusanza mukamalandira mankhwala.
Zolemba (khungu, tsitsi, ndi misomali)
Kutaya tsitsi mwina ndiye komwe kumayambitsa mbiri yoipa yamankhwala a chemo. Mankhwala ambiri a chemotherapy amakhudza ma follicles atsitsi ndipo amatha kuyambitsa tsitsi (alopecia) mkati mwa milungu ingapo kuchokera kuchipatala choyamba. Tsitsi limatha kupezeka paliponse pathupi, kuyambira nsidze ndi nsidze mpaka miyendo yanu. Tsitsi limatha kwakanthawi. Kukula kwatsitsi kwatsopano kumayambira milungu ingapo kuchokera pomwe adalandira chithandizo chomaliza.
Zoyipa zazing'ono pakhungu monga kuuma, kuyabwa, ndi zidzolo ndizothekanso.
Dokotala wanu angakulimbikitseni mafuta odzola kuti muchepetse khungu. Muthanso kukhala ndi chidwi ndi dzuwa ndipo mumatha kutentha. Onetsetsani kuti mwayesetsa kusamala kuti musatenthedwe ndi dzuwa mukakhala panja, monga kuvala zoteteza ku dzuwa kapena mikono yayitali.
Momwe mankhwalawa amakhudzira mawonekedwe anu, zikhadabo ndi zala zanu zimatha kukhala zofiirira kapena zachikaso. Kukula kwa msomali kumatha kuchepetsanso misomali ikayamba kukhwinyata kapena kuphulika ndikuyamba kung'ambika kapena kuthyoka mosavuta. Zikakhala zovuta, amatha kusiyanasiyana ndi bedi la msomali. Ndikofunika kusamalira bwino misomali yanu kuti mupewe matenda.
Njira zogonana komanso kubereka
Mankhwala a chemotherapy amadziwika kuti amasintha mahomoni mwa amuna ndi akazi. Kwa amayi, kusintha kwa mahomoni kumatha kubweretsa kutentha, kusakhazikika, kapena kuyamba kusamba mwadzidzidzi. Mutha kuwona kuwuma kwa nyini komwe kumatha kukupangitsani kukhala osagonana kapena opweteka. Mpata wokhala ndi matenda opatsirana m'mimba umakulanso.
Madokotala ambiri samalangiza kutenga pakati panthawi yachipatala. Ngakhale amayi ena amatha kukhala osabereka kwakanthawi kapena kwakanthawi kochepa ngati mankhwala obwera chifukwa cha mankhwala, chemotherapy omwe amaperekedwa panthawi yapakati amathanso kupunduka.
Mwa amuna, mankhwala ena a chemo amatha kuwononga umuna kapena kutsitsa umuna. Monga akazi, abambo amatha kukhala osabereka kwakanthawi kapena kosatha kuchokera ku chemo.
Ngakhale zizindikilo monga kutopa, nkhawa, komanso kusinthasintha kwama mahomoni zitha kusokoneza kuyendetsa amuna ndi akazi, anthu ambiri omwe ali ndi chemotherapy amatha kukhala ndi moyo wogonana.
Excretory dongosolo (impso ndi chikhodzodzo)
Impso zimagwiritsira ntchito mankhwala amphamvu a chemotherapy pamene akudutsa mthupi lanu. Pochita izi, maselo ena a impso ndi chikhodzodzo amatha kupsa mtima kapena kuwonongeka.
Zizindikiro za kuwonongeka kwa impso ndizo:
- kuchepa pokodza
- kutupa kwa manja
- mapazi otupa ndi akakolo
- mutu
Muthanso kukhumudwa ndi chikhodzodzo, chomwe chimapangitsa kuti muzimva kutentha mukamakodza ndikuchulukitsa kwamikodzo.
Pofuna kuthandizira dongosolo lanu, dokotala wanu angakulimbikitseni kuti mumwe madzi ambiri kuti muthe kumwa mankhwala ndikusunga makina anu kuti azigwira ntchito moyenera. Komanso, dziwani kuti mankhwala ena amachititsa kuti mkodzo ukhale wofiira kapena lalanje kwa masiku angapo, koma dziwani kuti izi sizomwe zimayambitsa nkhawa.
Mafupa dongosolo
Anthu ambiri amataya mafupa akamakalamba, koma ndi chemo, mankhwala ena amawonjezera kutayika kumeneku poyambitsa kuchuluka kwa calcium kutsika. Matenda okhudzana ndi khansa amakonda kukhudza azimayi kuposa amuna, makamaka azimayi omwe atha msambo komanso omwe kusamba kwawo kumabwera mwadzidzidzi chifukwa cha chemotherapy.
Malinga ndi National Institutes of Health (NIH), azimayi omwe amathandizidwa ndi khansa ya m'mawere ali pachiwopsezo chachikulu cha kufooka kwa mafupa komanso kuphwanya mafupa. Izi ndichifukwa chophatikizira kwa mankhwalawa komanso kutsika kwachilengedwe kwamazinga a estrogen. Kufooka kwa mafupa kumawonjezera ngozi yoti mafupa azithyoka ndikuthyoka. Madera ofala kwambiri mthupi kuti mumve kupweteka ndi msana ndi mafupa a chiuno, m'chiuno, ndi pamanja. Mutha kuthandiza kuti mafupa anu akhale olimba mwa kupeza calcium yokwanira komanso kuchita masewera olimbitsa thupi pafupipafupi.
Zovuta zamaganizidwe ndi malingaliro
Kukhala ndi khansa komanso kugwiritsa ntchito chemotherapy kumatha kupweteketsa mtima. Mutha kukhala ndi mantha, kupsinjika, kapena kuda nkhawa ndi mawonekedwe anu komanso thanzi lanu. Matenda okhumudwa ndichinthu chodziwika bwino, monga momwe anthu amagwirira ntchito, mabanja, komanso maudindo azachuma pamwamba pa chithandizo cha khansa.
Njira zothandizira monga kutikita minofu ndi kusinkhasinkha zitha kukhala yankho pothandiza kupumula. Lankhulani ndi dokotala ngati mukuvutika kuthana nawo. Atha kutero ganizirani gulu lothandizira khansa kwanuko komwe mungalankhule ndi ena omwe akuchiritsidwa khansa. Ngati kukhumudwa kukupitilira, funsani upangiri wa akatswiri kapena funsani madokotala za mankhwala. Ngakhale zovuta zam'mutu ndizofala, palinso njira zochepetsera.
Ngakhale chemo imayambitsa zovuta zina, ndizotheka kuchitapo kanthu kuti muwonjezere moyo wanu mukamalandira chithandizo.