Kuchengetedza uye Kurapa Chemotherapy-Inokonzera Nausea uye Kuputika
Nausea uye kurutsa ndeimwe yezvinotyisa zvinokonzerwa nemakemikari . Ndinofara, kurapwa nekudzivirira kwezviratidzo izvi zvakasvika nenzira yakareba, uye vanhu vazhinji iye zvino vanoona zvishoma kana kusina chikonzero. Kuva wakasimba uye kudzidza pamusoro pekurapa zvisarudzo mberi kwenguva inogona kufamba nenzira yakareba pakuita, nguva ino, kunyanya kufara.
Chii Chinokonzera Kushungurudza Uye Kuedza Kuedza Panguva yeKemotherapy?
Chemotherapy inogona kukonzera kushushikana uye kurutsa munzira dzakawanda.
Chikonzero chinonyanya kukosha kushandiswa kwenzvimbo dziri mumutambo wenheyo dzinodzora kurutsa. Dzimwe nguva chemotherapy mishonga pamwe chete nemimwe mishonga inogona kuvhiringidza dumbu rekumusoro. Kana wakamboita chemotherapy kare, uropi hwako huyeuka kuyeuka kwawakaita panguva iyoyo, chimwe chinhu chinonzi chikonzero chekufungidzira.
Ndeipi Mukana Wandichazoona Aya Miratidzo?
Iko mikana yokuti iwe uchanetseka nekunyanyisa kunobva pane zvimwe zvinhu. Nausea inowanzoonekwa nevarwere vaduku, vakadzi, uye avo vane nhoroondo yekurwara kwekufamba. Izvo zvinotarirwawo nemishonga inokonzerwa nemakemikari inobatwa nayo. Nausea inogona kuitika pakarepo mushure mekutanga chemotherapy (acute nausea) kana kutanga maawa anopfuura makumi maviri mushure mekurapa kwako (kunonoka nausea).
IAmerican Society of Clinical Oncology yakagadzirisa hurongwa hwehuwandu hunotsanangidza hutano hwekushungurudzika uye kusuruvara nemakemikari maitiro akawanda.
Vanoronga izvi sehutano hwakanyanya (kurutsira kwakanyorwa mu 90 muzana yevarwere), ngozi inononoka (kurutsa mumakumi matatu kusvika ku90 muzana), pangozi yakadzama (kurutsa mu 10 kusvika ku30 muzana), uye zvishoma ngozi (kurutsa mumusana pe10% ). Mishonga yakajairika inoshandiswa nemukenza wemapapu uye iyo inowanzobatwa neyeusea nekurutsa ndiwo:
- Dambudziko guru - Platinol (cisplatin)
- Dambudziko riri pakati - Paraplatin (carboplatin), Adriamycin (doxorubicin), Ifex (ifosfamide), Camptosar (irinotecan)
- Dambudziko guru - Taxotere (docetaxel), Vepesid (etoposide), Gemzar (gemcitabine), Taxol (paclitaxel), Alimta (pemetrexed),
- Njodzi yakadzika kwazvo - Oncovin (vincristine), Navelbine (vinorelbine), Avastin (bevacizumab)
Nei Chirwere Chichikosha?
Kurapa kushungurudza uye kurutsira, zvechokwadi, kunokosha kuhutano hwepfungwa dzako panguva yekurapa. Hapana anofara kunzwa akanetseka. Asi zvakakosha mumuviri zvakare. Nausea uye kurutsira kunogona kutungamirira pakupera mvura uye kusakosha kwezvokudya. Kusuruvara kusingagumi kunogona kuguma nemisodzi muhuputi . Uye kune avo vakambovhiyiwa, kurutsira kunogona kuwedzera kurwadziwa uye kunogona kuita kuti mushure mokukanganiswa kwako uwedzere.
Treatment Options
Zvose mishonga uye dzimwe nzira dzakasiyana-siyana dzakadai sedzakagadziriswa dzinogona kubatsira nekunyunyuta uye kurutsa maererano nekemotherapy.
Mishonga:
Nzira dzakasiyana-siyana dzinowanika mukurapa kunyorera kubva chemotherapy. Sezvo kushandiswa kwemishonga kunowanzobudirira zvikuru kusati kwasvibiswa, vanhu vazhinji vanobatwa nekudzivirira ne antinausea (antiemetic) mishonga vasati vaine zviratidzo. Mamwe madhiragi anopiwa nguva dzose, uye mamwe pane zvinodiwa.
Mishonga inogona kupiwa mumuromo, muchidimbu, muchidimbu, kana muchidimbu (pasi pemutauro wako). Mishonga yakawanda yekurwisa nenyasi inoshanda nekurwisa nzira dzakasiyana, uye nokudaro kushandiswa kwemishonga inogona kuva yakakosha kupfuura chero mishonga imwe chete. Mimwe yemishonga inowanzozivikanwa inoshandiswa yoga kana inosanganiswa inosanganisira:
- Emend (aprepitant)
- Decadron (dexamethasone)
- Anzemet (dolasetron)
- Kytril (granisetron)
- Droperidol (haloperidol)
- Ativan (lorazepam)
- Reglan (metoclopramide)
- Zofran (ondansetron)
- Aloxi (palonosetron)
- Compazine (prochlorperazine)
- Phenergan (promethazine)
Alternative / Complementary Treatments
Mimwe mishonga inobatanidza inogonawo kuva yakakosha yekudzora tsvina panguva yemakemikirini.
Sangano reNational Institute of Health rakabudisa chirevo chokuti kugadzirisa kunoshanda kune chemotherapy-induced nausea , uye kunogona kuderedza kudiwa kwako kwemishonga. Acupressure mawristbands angabatsirawo.
Cannabinoids
Kakavhiringidza kunokonzera kushandiswa kwemagetsi (marijuana) ekunyunyuta panguva yemakemikrasi, uye kushandiswa kwayo kunowirirana zvikuru munyika yose. I National Cancer Institute inodaro pane zvinyorwa zvisingabvumirwi, kana zviri pamutemo, zvingashanda kudzivirira kurutsa kunokonzerwa nemamwe marudzi e chemotherapy.
Kutsungirira Nausea uye Kukonzera Mukati Chemotherapy
Mishonga inogona kuita zvakawanda kunoderedza kushungurudza uye kushambidzika kunogona kuitika panguva yekemotherapy, asi mashomanana mashomanana anogona kubatsira zvakare:
- Idya zviduku, kudya kazhinji - Dzivisa kudya zvakanyanya, kana kuenda kwenguva refu pasina kudya
- Dzivisa kunwa mvura panguva yekudya
- Ramba wakarurama mushure mekudya kwehafu yeawa
- Dzivisa zvinonhuwira zvinoita kuti unzwe uchinetseka
- Dzivisa kudya kwemafuta uye mafuta anoyevedza usati waita chemotherapy
- Pfekai zvipfeko zvakasununguka pamakumbo ako
- Chengetedza kudya kwako kunofarira kana wapedza chemotherapy
- Inwa mvura zhinji
- Dzivisa kusvuta
- Dzivisa kuvevedza muviri mushure mokunge wadya
- Ita nzvimbo yako uye chikafu sechinhu chinonakidza sezvinogona
Nguva Yekudaidza Chiremba Wako
Ita wako oncologist azive nezvekunyadzisa chero kupi zvako kana kukurutsa iwe unosangana nenguva imwe neimwe. Pakati pekushanyira, iva nechokwadi chekumudana kana:
- Mishonga yako haisi kutarisa chisungo chako
- Iwe unoramba kurutsa
- Iwe unova nemarwadzo emimba
- Iwe unosangana nemamwe matambudziko ayo iwe unofunga angave akaenzana nemishonga yako anti-nausea
- Kana kushungurudza kwako kunopesana nekukwanisa kwako kudya kana kunwa mvura
> Sources:
> Fukazawa, Y. et al. Izvozvo zvinoshandiswa pakugadzirwa kwemasikirwo emagetsi. Ikozvino maonero mukutsvakurudza zvinodhaka . 2009. 10 (1): 62-9.
> Hesketh, P. Chemotherapy-Induced Nausea, uye Kuchema. The New England Journal of Medicine . 2008. 358: 2482-2494.
> National Cancer Institute. Nausea uye Kudimbura (PDQ). Health Professional Version. Updated 01/04/16. https://www.cancer.gov/cancertopics/pdq/supportivecare/nausea/healthprofessional
> National Cancer Institute. Cannabis uye Cannabinoids. Updated 01/08/16. https://www.cancer.gov/about-cancer/treatment/cam/patient/cannabis-pdq/#link/_13
> National Cancer Institute. Kutarisira Chemotherapy Side Effects. Nausea uye Kuedza. 11/24/08. https://www.cancer.gov/cancertopics/chemo-side-effects/nausea
> Navari, R. Pharmacological management chemotherapy-induced nausea uye kurutsa: funga nezvezvinoitika. Zvinodhaka . 2009. 65 (5): 515-33.