Ho thibela le ho phekola phekolo ea chemotherapy-Nausea e hohelang le ho hloma
Nosea le ho hlatsa ke e 'ngoe ea litla-morao tse tšosang haholo tsa chemotherapy . Ka lehlohonolo, phekolo le thibelo ea matšoao ana li tletse nako e telele, 'me batho ba bangata hona joale ba na le bothata bo fokolang kapa bo se nang letho. Ho ikakhela ka setotsoana le ho ithuta ka mekhoa ea phekolo pele ho nako ho ka tsoela pele ho etsa, nako ena, ho phutholoha haholoanyane.
Ke Hobane'ng ha ho Etsa Hore Nausea le ho Hlekahlekoa Libe Nakong ea Chemotherapy?
Chemotherapy e ka lebisa ho ts'oaetso le ho hlatsa ka litsela tse 'maloa.
Lebaka le tloaelehileng ka ho fetisisa ke ts'ebetso ea libaka tsa tsamaiso ea methapo e laolang ho hlatsa. Ka linako tse ling meriana ea chemotherapy e kopantsoe le meriana e meng e ka halefisa mpa. Haeba u kile ua e-ba le chemotherapy pele, boko ba hao bo ka 'na ba hopola kamoo u neng u ikutloa kateng ka nako eo, ntho e itseng e neng e bitsoa ho nyeheloa ke pelo.
Phomolo eo ke Tla E Fumana Matšoao aa ke afe?
Menyetla ea hore u tla hlaheloa ke ts'oaetso e itšetlehile ka lintlha tse 'maloa. Nosea e tloaelehile ho bakuli ba banyenyane, basali, le ba nang le histori ea ho kula. Hape ho itšetlehile ka meriana e khethehileng ea chemotherapy eo u e tšoarang. Nosea e ka hlaha kapele ka mor'a ho qala chemotherapy (leqeba le bohloko) kapa qala ho feta lihora tse 24 kalafo ea hau (ho lieha ho fokotseha).
Mokhatlo oa American Society of Clinical Oncology o thehile mokhoa oa ho lekanya mokhoa oa ho nyefoloha le ho hlatsa ka lik'hemik'hale tse ngata tsa chemotherapy.
Li beha likarolo tsena e le kotsing e kholo (ho hlatsa ho ngotsoe ka karolo ea 90 lekholong ea bakuli), kotsi e lekanyelitsoeng (ho hlatsa ka karolo ea 30 ho isa ho 90 lekholong), kotsi e tlaase (ho hlatsa ka karolo ea 10 ho isa ho 30 lekholong) le kotsi e nyenyane (ho hlatsa ka tlase ho 10 lekholong ). Meriana e tloaelehileng e sebelisoang ke kankere ea matšoafo le kotsi e amanang le ho nyekeloa ke pelo le ho hlatsa ke:
- Kotsi e phahameng - Platinol (cisplatin)
- Mathata a maholo - Paraplatin (carboplatin), Adriamycin (doxorubicin), Ifex (ifosfamide), Camptosar (irinotecan)
- Chelete e tlaase - Taxotere (docetaxel), Vepesid (etoposide), Gemzar (gemcitabine), Taxol (paclitaxel), Alimta (pemetrexed),
- Kotsi e tebileng haholo - Oncovin (vincristine), Navelbine (vinorelbine), Avastin (bevacizumab)
Ke Hobane'ng ha Phekolo e le ea Bohlokoa?
Ho sebetsana le ts'oaetso le ho hlatsa ke 'nete hore ke habohlokoa boiketlong ba hao ba kelello nakong ea phekolo. Ha ho na motho ea thabelang ho ikutloa a soabile. Empa e bohlokoa hape nameng. Ho senya le ho hlatsa ho ka etsa hore motho a felloe ke matla 'meleng le ho haelloa ke phepo. Ho sithabela ho tsitsitseng ho ka etsa hore meokho e be teng. 'Me bakeng sa ba ileng ba buuoa , ho hlatsa ho ka ba bohloko haholoanyane' me ho ka etsa hore ho khahloa ha hao ho arohane.
Khetho ea Kalafo
Meriana le mekhoa e meng ea phekolo e kang pheko ea acupuncture e ka thusa ka ho nyekeloa ke pelo le ho hlatsa tse amanang le chemotherapy.
Meriana:
Ho na le likhetho tse 'maloa tse fumanehang bakeng sa ho phekola kankere ea chemotherapy. Kaha meriana e atisa ho atleha haholo pele setlolo se qala, batho ba bangata ba alafuoa ka meriana ea antitintic pele ba e-na le matšoao. Meriana e meng e fanoa ka nako e tloaelehileng, 'me e meng e le ka lebaka le hlokahalang.
Meriana e ka fanoa ka molomo, ka mantsoe a mang, ka mokhoa o ts'oanang, kapa ka ho tlhalosa (tlas'a leleme la hao). Meriana e mengata ea ho loantšana le lithethefatsi e sebetsa ka ho hlasela mekhoa e fapaneng, 'me kahoo ho sebelisa meriana e meng e ka sebetsa ho feta meriana leha e le efe e le' ngoe feela. Tse ling tsa meriana e tloaelehileng e sebelisoang ka boeona kapa e kopantseng e kenyelletsa:
- Hlahisa (aprepitant)
- Decadron (dexamethasone)
- Anzemet (dolasetron)
- Kytril (granisetron)
- Droperidol (haloperidol)
- Ativan (lorazepam)
- Reglan (metoclopramide)
- Zofran (ondansetron)
- Aloxi (palonosetron)
- Compazine (prochlorperazine)
- Phenergan (promethazine)
Meriana e meng / Tlhokofatso
Meriana e meng ea ts'ebetso e ka ba ea thusang ho laola leqeba nakong ea chemotherapy.
Setsi sa Sechaba sa Bophelo se hlahisitse polelo e reng ho phekola ka matla ho sebetsa hantle bakeng sa ts'oaetso e bakoang ke chemotherapy , mme ho ka fokotsa tlhoko ea hau ea meriana. Lisebelisoa tsa "acupressure" li ka boetse tsa thusa.
Li-cannabinoids
Phehisano e kholo e pota-potile tšebeliso ea li-cannabinoids (matekoane) bakeng sa ho nyeheloa ke pelo nakong ea chemotherapy, 'me tšebeliso ea eona e fapana ho pholletsa le lefats'e. National Cancer Institute e bolela hore ho na le li-cannabinoids, moo ho nang le molao, e ka sebetsang ho thibela ho hlatsa e bakoang ke mefuta e meng ea chemotherapy.
Ho Sebetsana ka Katleho le Nausea le ho Senyeha Nakong ea Chemotherapy
Meriana e ka etsa ho hongata ho nolofalletsa ho nyefoloa le ho hlatsa tse ka hlahang nakong ea chemotherapy, empa mehato e 'maloa e bonolo e ka thusa hape:
- Ja lijo tse nyane, khafetsa - Qoba ho ja haholo, kapa ho tsamaea nako e telele u sa je
- Qoba ho noa metsi nakong ea lijo
- Lula u lokile ka mor'a ho ja ka halofo ea hora
- Qoba monko o etsang hore u ikutloe u soabile
- Qoba lijo tse phahameng le mafura ka pel'a chemotherapy
- Apara liaparo tse hlephileng ho pota mpa
- Boloka lijo tseo u li ratang haholo ha u qetile ka chemotherapy
- Noa metsi a mangata
- Qoba ho tsuba
- Qoba ho ikoetlisa hang ka mor'a ho ja
- Etsa hore tikoloho ea hau le lijo li be monate ka mokhoa o motle
Nako ea ho bitsa ngaka ea hau
Etsa oncologist ea hau ho tseba ntho leha e le efe e hlaselang kapa ho u hlatsa phihlelo nakong ea ketelo ka 'ngoe. Pakeng tsa ho etela, etsa bonnete ba hore o mo letse haeba:
- Meriana ea hau ha e laole sefuba sa hau
- U na le ho hlatsa ho phehelang
- U hlahisa bohloko ba mpeng
- U na le litla-morao tse ling tseo u nahanang hore li ka amana le meriana ea hao ea anti-nausea
- Haeba ts'oaetso ea hau e kena-kenana le bokhoni ba hau ba ho ja kapa ho noa metsi
> Mehloli:
> Fukazawa, Y. et al. Mokhoa oa ho sebelisoa ha motlakase oa motlakase. Hona joale maikutlo a lithethefatsi tsa lipatlisiso . 2009. 10 (1): 62-9.
> Hesketh, P. Chemotherapy-Nausea e hohelang, le ho hloma. The New England Journal of Medicine . 2008. 358: 2482-2494.
> Mokhatlo oa Kankere ea Sechaba. Sefuba le ho Senya (PDQ). Health Professional Version. E fetotsoe 01/04/16. https://www.cancer.gov/cancertopics/pdq/supportivecare/nausea/healthprofessional
> Mokhatlo oa Kankere ea Sechaba. Cannabis le Cannabinoids. E ntlafalitsoe 01/08/16. https://www.cancer.gov/about-cancer/treatment/cam/patient/cannabis-pdq/#link/_13
> Mokhatlo oa Kankere ea Sechaba. Ho Laola Lik'hemotherapy Side Side Effects. Sefuba le ho Senya. 11/24/08. https://www.cancer.gov/cancertopics/chemo-side-effects/nausea
> Navari, R. Pharmacological tsamaiso ea chemotherapy-e bakoang ke ho hlajoa ke pelo le ho hlatsa: lebisa tlhokomelo liphetong tse sa tsoa etsahala. Lithethefatsi . 2009. 65 (5): 515-33.