Mumamiriro ezvinhu anonzi chemotherapy-induced peripheral neuropathy (CIPN), zvimwe zvinodhaka zvinoshandiswa kurapa kenza zvinokonzera kukanganiswa kwemaswere ako.
Nhengo dzako dzese dzinotakura zviratidzo kubva pauropi hwako uye musana wemutsitsi kumisungo yako kuti uite kufamba. Vanotakurawo ruzivo rwemashoko zvakare kuuropi dzako nemutsipa wepelinha.
Zviratidzo
Chemotherapy-induced peripheral neuropathy inogona kukonzera zviratidzo zvakasiyana-siyana zvichienderana neiipi mutsara inopinda.
Mienzaniso yezviratidzo zvakafanana inosanganisira:
- Numbness
- Kuita, kufanana ne "pini nendiro" kunzwa
- Kupisa mumaoko ako netsoka
- Kupfura kana kurova kurwadziwa kwakanyanya kungave kuri pakati kana kupfuurira
- Balance problems
- Kudonha zvinhu
- Kudzora
Sezvo mishonga inoputika inodzorawo chifukidzo chako uye maronda, chemotherapy-inokonzerwa nedambudziko reuropathy rinogona kutungamirira pakuvhara kana matambudziko ekudhonza.
Zvinokonzera
Maererano neAmerican Cancer Society, hezvino mishonga inonzi chemo inowanzobatanidzwa nekukonzera CIPN:
- Zvirwere zveplatinum seCisplatin, Carboplatin, uye Oxaliplatin
- Mitoro yakadai seTolol (paclitaxel), Taxotere (docetaxel), uye Jevtana (cabazitaxel)
- Epothilones saIxempra (ixabepilone)
- Ita mbeu dzakadai semadblastine, vincristine, vinorelbine, uye etoposide (VP-16)
- Thalomid (thalidomide), Revlimid (lenalidomide), uye Pomalyst (pomalidomide)
- Velcade (bortezomib) uye Kyprolis (carfilzomib)
- Halaven (eribulin)
Zvechokwadi, nekuda kwekuti iwe wakapiwa chimwe kana zvimwe zvezvinopfuura zvinonzi chemo zvinodhaka, hazvirevi kuti iwe uchanyatsosimbisa CIPN.
Kune mhando dzakasiyana-siyana dziri padambudziko, seyero rechirwere, kusanganiswa kwemishonga inopiwa, uye makore ako.
Kudzivirira
Kana uropipathy yako yakaipa zvakakwana, inogona kunge isina kungochinja hupenyu hwako, asi inogona kukanganisa kurapwa kwako, kunyanya kana uchida kushandisa chirwere chepasi chemhemotherapy nekuda kwezviratidzo zvako zvinoparadza.
Zvinosuruvarisa, hapana maitiro eDAA anogamuchirwa ekudzivirira chirwere chekushaya ropa chinokonzerwa nechemotherapy. Zvisinei, pane zviitiko zvakasiyana-siyana zvekudzivirira zvakaedzwa; kunyange zvazvo uchapupu hwezvesayenzi hunovatsigira hungave hunyanyisa, husingazivikanwi kana kuti zvose.
L-Glutamine
Izvozvo zvakati, imwe yezvokuwedzera iyo yakaratidzwa (zvichida zvishoma nezvishoma kune vamwe) kuva nechidziviriro pamisungo ndeye L-glutamine. Izvi zvinotendwa zvinoshandiswa kuburikidza nekugadzira chifukidzo pamitsipa mumaoko ako, tsoka, uye gumbo rekudya. Iyi "chifukidziro" inoderedza kana kukanganisa kukanganisa kunogona kukonzerwa nechemotherapy.
Zvechokwadi, chidzidzo chekudzokorora muCritical Reviews muOncology / Hematology yakarondedzera L-glutamine sechivimbiso chekudzivirira kukanganisa uye kuoma kwe chemotherapy-induced peripheral neuropathy.
Zvechokwadi, kunyange zvazvo glutamine inoratidzika yakachengeteka uye haina kuonekwa kuti inokanganisa kurapwa kwekenza (kunyanya mune zvidzidzo kusvika nhasi) zvakakosha kutaura nachiremba wako usati watora chero chidimbu kana vitamini.
Izvi ndezvokuti zvinowedzera uye mavitamini, asi kazhinji zvinonzi "masikirwo," haasi nguva dzose yakachengeteka. Zvechokwadi, kumwe "kwechisikirwo" kurapa, acetyl-l-carnitine, iyo yaifungidzirwa kuti inogona kubatsira munguva yakapfuura, inogona kuwedzera kuora kweuropathy yakabatana nechemotherapy.
Uyezve, izvi "zvisikwa" zvinogona kuwirirana nekenza mishonga, kunyange kuderedza kubudirira kwavo.
Zvose mune zvose, kana chiremba wako achibvumirana kuti glutamine inogona kuva yakachengeteka uye yakakubatsira iwe, bvunza kuti chiyero chaanorayira chii. Chiyero chinowanzosvika mamiriyoni gumi pazuva, asi nguva yekutanga iyi uye nguva yakareba yekushandisa izvi zvinowedzera ichasiyana zvichienderana nekemotherapy yako regimen.
Zvimwe Zvirwere Zvokudzivirira
Mimwe mishonga inogona kubatsira kudzivirira CIPN, inosanganisira vitamini E uye omega-3 fatty acids, kunyange zvakare, sayenzi inotsigira kubudirira kwayo inogumira. Kunze kwezvokudya uye mavitamini, mishonga yemishonga inogona kubatsira kudzivirira CIPN inosanganisira
- Zvimwe zvinopesana nezvinokonzera kufanana neEfficexor (venlafaxine)
- Mimwe mishonga inopesana nekugunun'una seTegretol (carbamazepine)
Shoko Rinobva
Chirwere cheuropathy neuropathy kubva chemotherapy chinogona kuva dambudziko rinoparadza, kwete chete kubva kunetseka kunokonzera asiwo nokuti rinogona kukanganisa kese yako kanzira kurapa regimen.
Pasinei, zvisinei, zvakakosha zvikuru kuzivisa chiremba wako kana uri kurwara zviratidzo zvekushaya ropa-uye nokukurumidza zviri nani, kutarisana nechinetso pakarepo kunogona kudzivirira chirwere chepfungwa kuti chisagare.
> Sources:
> America Cancer Society. Peripheral Neuropathy Inokonzerwa neKemotherapy.
> Brami, C., Bao, T., naG. Deng. Zvigadzirwa zvepanyama nemishonga inobatanidza yechemotherapy-induced periipheral neuropathy: Kuongorora kwakarongeka. Mazano Anotsoropodza muOnology uye Hematology . 2016. 98: 325-34.
> Dana Farber Cancer Institute. Kuderedza Purepa Neuropathy Zviratidzo. Yakasvika 03/05/16. http://www.dana-farber.org/Health-Library/Alleviating-Peripheral-Neuropathy-Symptoms.aspx
> Wang, W., Lin, J., Lin, T. et al. Oral glutamine inobatsira pakudzivirira oxaliplatin-induced neuropathy mu-colorectal chirwere varwere. Oncologist . 2007. 12 (3): 312-9.