Kurarama nePeripheral Neuropathy Kubva Chemotherapy

by Lynne Eldridge, MD; Yakadzokororwa na Grant Hughes, MD

Kutsungirira Neuropathy kubva kuCcercer Treatment

Neuropathy kubva chemotherapy inogona kuva chiratidzo chinonyangadza kwazvo, zvose nekuda kwezviratidzo zvinokonzera uye iyo inogona kuva nehupenyu hwako. Inogona kukanganisawo kurapwa, zvichiita kuti pave nechido chokuderedza chirwere chemishonga kana kusiya chemotherapy zvachose. Neuropathy ikozvino inobata nechetatu chevanhu vanoenda kuburikidza ne chemotherapy uye iri kuve yakawanda .

Izvozvo zvakati, chiitiko chekushaya chirwere chepfungwa pakati pevanhu vane kenza hachina kuongororwa.

Zvinokonzera

Dambudziko reperiiperi - ndiko kuti, mitsipa kunze kweuropi iyo inofamba kusvika kumigumo yakasunganidzwa nezvinhu zvinonzi myelin. Myelin inogona kufungidzirwa seyakafanana nechokufukidzira kunze kwetambo yegetsi uye inobvumira ruzivo kuti rufambe nokukurumidza uye rwakanyatsofamba nemutsara. Apo masero anogadzira myelin ari kukuvadzwa nemigumisiro inokonzera chemotherapy, zvishoma zvishoma myelin inobudiswa, uye zviratidzo zvinotenderera nemutsara zvinoderedzwa kana kuvharwa.

Zviratidzo

Zviratidzo zveuropathy zvinowanzoitika mune izvo zvinonzi "kugovera uye girafu" kugoverwa, zvinoreva kuti zviratidzo zvinonyanya kutaurwa mumaoko ako kwaunenge uchipfekedza girafu kana tsoka dzako uye mazamu apo iwe waizopfeka mashizha. Zvimwe zvezviratidzo zvinogona kusanganisira:

Unhu uye kuora kwekunzwa kubata
"Mishonga nemasero" zvinonzwa

Tingling
Burning
Kusuruvara kusina

Zviratidzo izvi zvinogona kukonzera kukanganisa kunokanganisa zvakadai se:

Kuoma kushandisa maoko ako kuti utore zvinhu (kuregedza zvinhu zvakajairika), kuisa nguo, kuisa pamakombiyuta, kana kutamba piyano
Dambudziko nemakumbo ako nekuda kwekushaya simba nekushaiwa kwekunzwa, zvichikonzera kukurumidza, kana kuti kuoma kuisa tsoka dzako paunenge uchifamba

Kurasikirwa kwemasisipo masimba uye simba

Neuropathy inogonawo kukanganisa dzimwe nzvimbo dzemuviri zvakadai sechirwere (zvichikonzera kuvimbiswa uye zvinetso zvekudya), chirwere (zvichiita kuti zvive zvakaoma kurinate) uye zvinogona kuita kuti kuchinja mukufema kwako uye mwoyo wako kuwedzere.

Neuropathy Inoitika Rini?

Neuropathy inowanzotanga pfupi pashure pekemotherapy uye inogona kukuvadza nekuzotevera chemotherapy sessions. Kutevera chemotherapy, zviratidzo zvinowedzera zvishoma nezvishoma kwemwedzi inoverengeka, asi mune dzimwe nguva, zviratidzo zvingave zvisingagumi.

Chii Chinonzi Chemotherapy Zvinodhaka ?

Mukana wekuvandudza mishonga yeuropathy yakasiyana pakati pemishonga yakasiyana-siyana yemakemikari uyewo chirwere chinopiwa. Mimwe mishonga yemakemikrasi iyo inowanzokonzera chirwere chinonzi neuropathy inosanganisira:

Platinol (cisplatin)
Paraplatin (carboplatin)
Eloxatin (oxaliplatin)
Oncovin (vincristine)
Navelbine (vinorelbine)
Velban (vinblastine)
VePsid (etoposide, VP-16)
Taxol (paclitaxel)
Taxotere (docetaxel)
Thalomid (thalidomide)
Revlimid (lenalidomide)
Velcade (bortezomib)

Ndiani Anobatwa?

Chero ani zvake anogona kugadziriswa neuropathy munguva yechemotherapy, asi zviratidzo zvingave zvakanyanya kuipa kana iwe une imwe mamiriro ezvinhu anogonawo kukonzera chirwere chinonzi neuropathy se:

Chirwere cheshuga
Kusadya zvakakwana
Doro rinomirira
Nhoroondo yekare yehutachiona hweuropathy kubva kune chero chikonzero chinosanganisira chemotherapy

Mishonga

Zvichienderana nezvinorema zviratidzo zvako, chiremba wako anogona kukurudzira kurega kurapa kwako, kana kuchinja kana kuparadzira chiremba chemishonga inogona kunge ichikonzera zviratidzo zvako.

Mishonga inogona kushandiswa kana uri kurwadziwa. Nezviratidzo zvinyoro, mishonga inorwadza yakadai seTylenol (acetaminophen) kana Advil (ibuprofen) inogona kupa rubatsiro rwakakwana. Mimwe mishonga inoshandiswa dzimwe nguva inosanganisira:

Vitamini zvakadai seB-complex supplements
Anodzvinyirira zvakadai saPamelor (nortriptyline) kana Elavil (amitriptyline), kunyanya Cymbalta (duloxetine)
Antiepileptic drugs (seizure mishonga) seNeurontin (gabapentin) kana Lyrica (pregabalin)

Nzvimbo dzemashoko ane gorofen, amitriptyline, uye ketamine (nezvimwe zvinosanganiswa zvinosanganisira, semuenzaniso, sopiyo ketoprofen uye gabapentin)
Nyaya dzepamusoro lidocaine (lidocaine patches)
Dambudziko reracotic remishonga yekurwadziwa kukuru

Mishonga inobatanidza inogona kubatsirawo kubvisa marwadzo europathy. Mimwe mishonga yakave yakatariswa ne chemotherapy-induced peripheral neuropathy inosanganisira:

Massage therapy
Chirwere chepanyama uye / kana chirwere chebasa
TENS (transcutaneous magetsi ane simba rekusimudzira)
Acupuncture
Biofeedback
Kutungamirirwa nemifananidzo nekuzorodza

Kudzivirira

Mishonga yakasiyana-siyana yakaongororwa kuti ione kana ichinge idzivirire kurwara neuropathy munguva yechemotherapy. Ongororo dzakawana kuti kushandiswa kwe calcium uye magnesium, pamwe neCymbalta, zvinogona kubatsira kudzivirira chemotherapy-induced neuropathy, asi pane kunetseka kuti izvi zvinogona kuderedza kushanda kwekemotherapy.

Chirongwa che 2016 chakawana kuti kushandiswa kweL-glutamine kunodzivirira neuropathy kubva chemotherapy iri kuvimbisa . Muyero wakashandiswa mumisungo waiva 15 milligrams kaviri pazuva, asi zvakakosha kutaurirana nachiremba wako pamusoro pekuwedzera kune imwe nguva paine chemotherapy. Mune zvimwe, mamwe mavitamini nemaminerari zvinowedzera zvinogona kuderedza kushanda kwe chemotherapy.

Vitamin E inogonawo kuita basa mukudzivirira hutachiona hwehutachiona hwehutachiona, inofunga kuti rudzi rwevitamini E rungakosha. Izvo zvakanga zvambofungidzirwa kuti acetyl-l-carnitine inogona kubatsira mukudzivirira chirwere chepurovheti, asi zvidzidzo zvenguva pfupi zvinoratidza kuti zvingave zviratidzo zvakanyanya kuipa.

Mukuwedzera, cryotherapy (kubata maoko nemakumbo mumvura inotonhorera kana jacketed gasi / gumbo masokisi) inotendwa nevakawanda kuti ibudirire.

Kutsungirira

Nhanho yekutanga pakubata neuropathy ndeyokukurukura zviratidzo zvako nechiremba wako. Anogona kukurudzira kuchinja mune chemotherapy yako regimen. Kana kuchinja kurapwa kwako hakugoni kuitika, anogona kunge ane mazano ekugadzirisa zviratidzo kana kuti anogona kupa mishonga kubatsira nemarwadzo kana zvichidiwa.

Dzimwe nhanho dzaunogona kutora iwe pachako dzinosanganisira:

Kuchengetedza maoko ako netsoka kubva pane zvakanyanyisa mukupisa uye kutonhora - kupfeka shangu dzakanaka, dzakasununguka uye kushandisa magirazi kana uri kunze kwechando kana kana uchichenesa kana munda.
Kuongorora maoko ako netsoka zuva rega rega nekuda kwemaronda aunogona kunge usina kunzwa nekuda kwekunonoka kwekunzwa.
Edza kungwarira paunenge uchibata zvinhu (zvakadai sekubika) kuti iwe usakwanisa kubata zvakanaka.
"Kuwa-kuratidza" nzvimbo yako yemusha, uchichenjerera kubvisa zvinhu zvinogona kuita kuti iwe uende.
Kudzivisa kugara kwenguva refu.
Kudzivisa doro.
Kuwana kukwana zvakakwana - kusarara kwevanhu vane kenza kunogona kukuvadza mamiriro mazhinji, kusanganisira chirwere chepfungwa.
Kana uine chirwere cheshuga, kushanda kuti uchengetedze ropa rako rega mukati meurongwa hunoratidzwa nachiremba wako.

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