Ho sebetsana ka katleho le lefu la kelello ho tswa ho kankere ea kankere
K'hemopathy ea chemotherapy e ka 'na ea e-ba matšoao a nyahamisang haholo, ka bobeli ka lebaka la matšoao ao e bakoang ke' ona le phello ea eona bophelong ba hau. E ka boela ea kena-kenana le phekolo, e fellang ka tlhokahalo ea ho fokotsa tekanyo ea meriana kapa ea khaotsa phekolo ea chemotherapy ka ho feletseng. Hona joale bothata ba lefu la pelo bo ama batho ba etsang karolo ea boraro ho ea ka chemotherapy 'me ba fetoha haholoanyane .
Seo se boletse, ts'oaetso ea lefu la ho fokola ha methapo har'a batho ba nang le kankere e sa hlokomeloe.
Lisosa
Liphasetso tsa meriana -ke hore, methapo ea ka ntle ho boko e fetelang lipheletsong e na le ntho e bitsoang myelin. Myelin e ka nkoa e tšoana le sekoahelo sa motlakase mme e lumella tlhahisoleseding hore e tsamaee ka potlako le ka mokhoa o tsitsitseng. Ha lisele tse hlahisang myelin li senngoa ke liphello tse chefo tsa chemotherapy, ha e hlahisoe ke myelin e fokolang, 'me lipontšo tse tsamaeang mokhoeng ona li fokotseha kapa lia senyeha.
Matšoao
Matšoao a lefu la ho fokola ha pelo hangata a hlaha ho seo ho thoeng ke "ho tsamaisa le ho laola", ho bolelang hore matšoao a boleloa haholo matsohong a hao moo u ka apereng li-glove kapa maotong le maqaqailaneng moo u ka apereng li-stockings. Matšoao a mang a ka kenyelletsa:
- Bonolo le ho fokotsa maikutlo a ho ama
- "Lithaba le lisebelisoa" maikutlo
- Ho bapala
- Ho chesa
- Ho hloka mamello ho thata
Matšoao ana a ka fella ka mefokolo e nyahamisang e kang:
- Bothata ba ho sebelisa liatla tsa hau ho nka lintho (ho theola lintho ho tloaelehile), ho tobetsa liaparo, ho thapa k'homphieutha, kapa ho bapala piano
- Bothata le maoto a hao ka lebaka la bofokoli le ho hloka boikutlo, ho fella ka ho khaola kapa ho thatafatsa maoto ha u tsamaea
- Ho lahleheloa ke mesifa le mesifa
Meriana e ka 'na ea boela ea ama libaka tse ling tsa' mele tse kang sefuba (ho baka ho imeloa le mathata a ho senya), senya (ho etsa hore ho be thata haholo hore u ntše metsi) 'me ho ka baka liphetoho ka ho hema le pelo ea hau.
Ho Etsahala ha Neuropathy Ho Etsahala Neng?
Hangata lefu la neuropathy le qala kapele ka mor'a chemotherapy 'me le ka senyeha ka mor'a lik'hemik'hale tsa phekolo ea chemotherapy. Ka mor'a chemotherapy, matšoao ao a ntlafatsa butle-butle ka likhoeli tse 'maloa, empa maemong a mang, matšoao a ka ba a sa feleng.
Ke Eng ea Meriana ea Chemotherapy e Bakang ?
Monyetla oa ho hlaolela kelello ea meriana o fapana le lithethefatsi tse fapaneng tsa chemotherapy le litekanyetso tse fanoeng. Meriana e meng ea chemotherapy eo hangata e bakang neuropathy e akarelletsa:
- Platinol (cisplatin)
- Paraplatin (carboplatin)
- Eloxatin (oxaliplatin)
- Oncovin (vincristine)
- Navelbine (vinorelbine)
- Velban (vinblastine)
- VePsid (epoposide, VP-16)
- Tekol (paclitaxel)
- Taxotere (docetaxel)
- Thalomid (thalidomide)
- Revlimid (lenalidomide)
- Velcade (bortezomib)
Ke Mang ea Amehang?
Motho leha e le ofe a ka angoa ke lefu la kelello nakong ea chemotherapy, empa matšoao a ka 'na a e-ba bobebe haeba u e-na le boemo bo bong bo ka bakang neuropathy e kang:
- Lefu la tsoekere
- Khaello ea phepo e nepahetseng
- Tšebeliso e tahang ea joala
- Histori e fetileng ea lefu la phekolo ea meriana ho tsoa mofuteng leha e le ofe ho akarelletsa le chemotherapy
Litlhare
Ho itšetlehile ka hore na matšoao a hao a boima hakae, ngaka ea hao e ka 'na ea khothalletsa ho tlohela phekolo ea hau, kapa ho fetola kapa ho hasana lethal dose ea meriana e ka' nang ea baka matšoao a hao.
Meriana e ka sebelisoa haeba u utloa bohloko. Bakeng sa matšoao a bonolo, meriana ea bohloko joaloka Tylenol (acetaminophen) kapa Advil (ibuprofen) e ka fana ka phomolo e lekaneng. Meriana e meng e sebelisoang ka linako tse ling e kenyeletsa:
- Li-vithamine tse kang B-complex complement
- Ho tepella maikutlo ho kang Pamelor (nortriptyline) kapa Elavil (amitriptyline), haholo-holo Cymbalta (duloxetine)
- Lithethefatsi tsa Antiepileptic (meriana ea ho noa) e kang Neurontin (gabapentin) kapa Lyrica (pregabalin)
- Li-gels tse nang le motsoako oa baclofen, amitriptyline, le ketamine (le mekhatlo e meng e kenyeletsang, mohlala, topical ketoprofen le gabapentin)
- Li-topical lidocaine (lidocaine patches)
- Meriana e bohloko ea lithethefatsi bakeng sa bohloko bo tebileng
Litlhare tse tlatsetso li ka boela tsa thusa ho lopolla bohloko ba lefu la kelello. Lithethefatsi tse ling tse 'nileng tsa shejoa ka phekolo ea meriana ea phekolo ea meriana ea lik'hemik'hale li akarelletsa:
- Phekolo ea ho silila
- Phekolo ea 'mele le / kapa phekolo ea mosebetsi
- TENS (motlakase oa motlakase oa methapo ea motlakase)
- Phekola ka mahahapa
- Biofeedback
- Litšoantšo tse tataisoang le boikhathollo
Thibelo
Ho 'nile ha hlahlojoa mefuta e mengata ea phekolo e le hore e bone hore na e ka fana ka tšireletso khahlanong le boloetse ba kankere nakong ea chemotherapy. Liphuputso li fumane hore tšebeliso ea calcium le magnesium, hammoho le Cymbalta, e ka thusa ho thibela lefu la kelello le bakoang ke chemotherapy, empa ho na le ho ameha ka hore le tsona li ka fokotsa katleho ea chemotherapy.
Tlhahlobo ea 2016 e fumanoe hore tšebeliso ea L-glutamine ho thibela lefu la neuropathy ho chemotherapy e tšepisa . Tekanyo e sebelisetsoang litekong e ne e le limilimithara tse 15 ka letsatsi, empa ke habohlokoa ho bua le ngaka ea hau mabapi le phaello leha e le efe nakong ea chemotherapy. Ha e le hantle, tse ling tsa vithamine le tsa diminerale li ka fokotsa matla a chemotherapy.
Vithamine E e ka boela ea e-ba le karolo ho thibela lefu la phekolo ea meriana, e nahana hore mofuta oa vithamine E e ka ba oa bohlokoa. Ho ne ho nahanoa hore acetyl-l-carnitine e ka thusa ho thibela lefu la neuropathy, empa lipatlisiso tsa moraorao li bontša hore e ka 'na ea e-ba matšoao a mpe haholo.
Ho phaella moo, cryotherapy (ho tšoara matsoho le maoto metsing a batang kapa liaparo tsa majoe / maoto a maoto) ho lumeloa ke ba bangata hore ba atlehe.
Ho sebetsana ka katleho
Mothati oa pele oa ho sebetsana le lefu la kelello ke ho buisana ka ngaka le matšoao a hau. A ka 'na a khothaletsa phetoho ea chemotherapy ea hao. Haeba ho fetola phekolo ea hau ha ho khonehe, o ka ba le litlhahiso tsa ho sebetsana ka katleho le matšoao kapa a ka fana ka meriana ho thusa ka bohloko haeba ho hlokahala.
Mehato e meng eo u ka e nkang e kenyelletsa:
- Ho sireletsa matsoho le maoto ka mofuthu le mocheso o feteletseng - ho apara lieta tse ntle, tse phutholohileng le ho sebelisa li-glove ha u tsoa serame kapa ha u hloekisa kapa u lema serapa.
- Ho hlahloba matsoho le maoto matsoho a hau bakeng sa lisola leha e le life tseo u ka 'nang ua se ke ua li utloa ka lebaka la ho fokotsa maikutlo.
- Itlhokomele ha u sebetsana le lintho (tse kang ho pheha) tseo u ka sitoang ho li tšoara hantle.
- "Ho senya-bopaki" sebakeng sa hau sa lehae, ho ba hlokolosi ho tlosa lintho tse ka etsang hore u tsamaee.
- Ho qoba nako e telele.
- Qoba ho noa joala.
- Ho robala ka ho lekaneng - ho robala ho batho ba nang le kankere ho ka mpefatsa maemo a mangata, ho kenyelletsa le ho boloka lefu la pelo.
- Haeba u na le lefu la tsoekere, u sebetse ho boloka tsoekere ea mali ka bongata bo boletsoeng ke ngaka ea hau.
Lisebelisoa:
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