Kushandiswa kwekusimudzira kubatsira kutsungirira nemigumisiro ye chemobrain
Apo Linda W. akapedzisa kukwidza kwake kwekupedzisira kwemakemikrasi kuti aite chirwere chemuti, akatarisa kuva nechirwere chekare, upenyu husina kenza zvakare zvakare. Anenge gore pashure pokunge apedza kurapwa, Linda akatanga kutarisana nezvinetso nekuyeuka kwake nekufungisisa. Muparadzi wemakore makumi mashanu nemashanu anokonzera kenza akafananidza matambudziko anokonzerwa kamwe kamwe kwekuremara kwekudzidza.
"Zvinganditora kaviri kana nguva yakareba kuti ndiite mabasa akaoma, kufanana nekuenzanisa mabhuku angu kana mapepa ekubasa. Ndaiverenga chimwe chinhu uye ndinofanira kuverenga zvakare ruzivo kazhinji nokuti handigoni kuyeuka zvandaverenga."
Zviratidzo zvaLinda zvaienderana nezvinozivikanwa se chemobrain , kuparara kwekunzwisisa kana kusagadzikana kunowanikwa nevakawanda vanorwara nekenza mushure mekunge vabatwa nekemotherapy. Zita rokuti "chemobrain" rinogona kutsausa, zvisinei. Tsvakurudzo dzinoverengeka dzakaratidza kuderera kwechirwere mushure mekurapwa kwekenza, zvisinei, nyanzvi dzakawanda dzinononoka kupinza chemotherapy semhosva chete. Inoramba ichikakavadzana zvikuru munharaunda yezvehutano yehutano, sezvo kune maitiro akasiyana-siyana pamusoro pe "chemobrain" uye zvinokonzerwa neizvo. Tsvakurudzo yakawanda inonyatsodiwa kuti inzwisise zviri nani kanzira uye kurapwa kwekenza kunokanganisa uropi. Nhasi, tinoziva kuti vamwe varwere vakatambura nekusaziva kwekuziva mushure mekurapwa ne chemotherapy, asi vane uchapupu hushoma hwekukonzera.
Isati yasvika kutsvaga kutsvakurudza, vanachiremba vaiwanzobvisa zviratidzo zvekuziva kufanana nekuyeuka kukanganwa, matambudziko nekufungidzirwa, uye kurasikirwa kwekutarisa sekunetseka mupfungwa kunokonzerwa nekuva nekenza uye nemigumisiro yehutano hwekukwegura. Varwere vakasiiwa vasina mhinduro uye vabatsire zviratidzo zvekufungisisa zvavaiva nazvo.
Nhasi, varwere vachiri nemhinduro shomanana, asi vamwe vanachiremba vari kutarisa zviratidzo zvavo nekurumbidza utano nemishonga yemishonga.
Ikoko hakuna kubvumirwa kana kurapwa kwakananga kwekusagadzikana kwepfungwa kunotevera kurapwa kwekenza, vamwe vanachiremba vave vachitsanangura zvinokurudzira zvinoshandiswa kurapa-kushaya simba kwehutano hwehutano (ADHD) kubatsira varwere kuwedzera kutsvaga kwavo nekufungisisa. Linda akarayirwa nehana shoma yeAdderall (amphetamine, dextroamphetamine yakavhenganiswa nomunyu) uye mushonga wakamubatsira nekutarisa uye kuisa pfungwa. "Ndaiziva pandakakanganwa kutora muzukuru wangu maitiro angu e baseball, handikwanise kuramba ndichidaro." Chiremba wangu akandiudza Adderall uye yakandibatsira zvikuru .. Ndinonzwa sepedyo nehupenyu hwangu hwekare sezvandinokwanisa Ini ndichiri kurwadza kamwechete kamwe mune imwe nguva, asi ndiani asingaiti? ".
Zviratidzo zve chemobrain, kana kukanganisa kwepfungwa, zvakafanana nezviratidzo zveDHD. Kuoma kuisa pfungwa, kurasika kwekutarisa, uye kuva nechinetso nekuyeuka kunoonekwa zvakare muvana nevakuru vane ADHD. Zvinokurudzira zvinoshandiswa nekuchinja marongerwo emakumbo eurotransmitter muuropi, kunyanya dopamine uye norepinephrine. Zvakakosha kuziva kuti zvinokurudzira hazvizoporesa chemobrain, kana kuti kunyange kutadza kukanganiswa kwepfungwa.
Vanongodaro vanoderedza zviratidzo zvechiitiko chacho. Izvo zvakafanana nemumwe munhu anotora mushonga weHTC inotonhorera paanotonhora. Mushonga unotonhora unoderedza zviratidzo, sekukanganiswa uye kumhanya kwemhino, asi haiporese kutonhora.
Nepo chemobrain iri kuve yakanyanya kugamuchirwa uye inozivikanwa munharaunda yezvokurapa, vamwe vanachiremba havachibvumi kuti kune huripo uye vangasave vasingadi kana kuti vasingadi kuisa mishonga, sekuita zvinokurudzira, kugadzirisa zviratidzo. Vamwe vanachiremba vangave vanoziva kuchera kwekugadzirisa mushure mekurapa, asi vasingadi kupa zvinokurudzira, sezvo ivo vari zvinhu zvinodzorwa.
Migumisiro Yechiratidzo yeZvikurudzira
Pane zvakawanda zvinokurudzira zvinogona kurongerwa nachiremba wako.
Adderall, Vyvanse (lisdexamfetamine dimesylate), Concerta (methylphenidate HCl), Dexedrine (dextroamphetamine sulfate), uye Ritalin methylphenidate hydrochloride ndiyo inonyanya kushandiswa zvinosimudzira. Zvose zvinomutsa zvinokonzera migumisiro yakasiyana, asi kazhinji, zvinokurudzira zvinogona kukonzera misoro, kuderedza kudya, kuora muviri, kupera mudumbu, kusuruvara, uye kutya. Zvakawanda zvemigumisiro iyi inopera nekushandiswa kwakashandurwa, zvakadaro. Vanhu vazhinji vane hutano vanovhiringidza mafambiro akanaka pamwero wakakodzera, asi iwe unogona kunge uchiedza zvishoma zvinokurudzira zvakasiyana usati wawana imwe inoshanda zvakakunakira iwe.
Ndiani Asingafaniri Kutora Zvinogutsa
Zvinokurudzira hazviiti kuti munhu wese atore. Kana iwe uchitambura nemamiriro ezvinhu anotevera, haufaniri kutora zvinokurudzira:
- kuenzanisa kusvika kune zvakanyanya kuzvidya mwoyo; kunetseka, kutya, uye kushungurudzika zvinogona kuwedzera nekushandiswa kwemishonga iyi.
- glaucoma
- overactive thyroid
- kusateererwa kana kusadzora kudzora ropa rakanyanya
- nhoroondo yepfungwa kana psychotic zviitiko kana zvikamu
- coronary artery disease
Vanhu vanoshandisa MAOI havafanire kutongerwa zvinokurudzira, zvakare.
Mimwe mishonga inogona kutakura nyevero kune vanhu vane mimwe mitemo isina kunyorwa apa. Zvakakosha kuti iwe ugove nhoroondo yehutano / yemhuri yezvechiremba kune chiremba wako kuti aone kana kukurudzira kwakachengeteka kwauri.
Izvozvo Zvinokurudzira Kuchinja Here?
Zvinokurudzira zvinogona kuva tsika yekuumba uye kuwedzerwa. Kana iwe uchitemerwa zvinokurudzira, usangomira pakarepo kuzvitora pasina chiremba wako. Kurambidza mishonga yako kamwe kamwe kunogona kukonzera kubvisa zviratidzo. Kuti udzivirire zviratidzo zvekusiya zvirwere, chiremba wako angangodonha muto wako zvishoma nezvishoma kuti akure iwe kubva pamishonga yako.
Inokurudzirwa kuti avo vane nhoroondo kana madhiragi kana doro zvisina kunaka kana doro rinodhaka, vanorega kutora mishonga inokurudzira. Iyi mishonga inofungidzirwa seyakagadziriswa sezvo inogona kuiswa muropa uye mamwe marudzi anogona kushandiswa zvisina kunaka.
Sources:
Adderall uye Adderall XR (amphetamines) Information. Postmarket Mishonga Yezvokuchengetedza Zvokuchengetedza Zvirwere zvevarwere uye Vanopa. US Food and Drug Administration.
Chemo Brain. The American Cancer Society
Mishonga Inoshandiswa kuMivanse (lisdexamfetamine dimesylate). Mishonga Yezvokuchengetedzwa Kwemishonga Mashoko eVatengi.