Yayinda ma'aikatan ilimin chemotherapy sun zama masu cin nasara kuma marasa lafiya suna rayuwa tsawon lokaci, rayayyu masu rai, masu tsira suna fama da illa masu tasiri wanda zai iya tasiri mai kyau na rayuwa. Ɗaya daga cikin irin wannan tasiri shine mummunan abu - lalacewar kunnuwa ta ciki ta hanyar maye.
Maganin Cancer da Za Su Amfana da Saurare
- Chemotherapy daga kungiyar "platinum", irin su cisplatin ko manyan asarar carboplatin. Kwayar cutar chemotherapy da aminoglycoside maganin rigakafin lalacewa sunadarai kwayoyin kwayoyin halitta a cikin kunnuwa na ciki, haifar da asarar abin da ke ji. Mafi sau da yawa, sakamakon yana kama da duka kunnuwan kuma yana da dindindin.
- Babban asarar radiation zuwa kai ko kwakwalwa, musamman idan an sanya katako zuwa kwakwalwa ko kuma kunne. Radiation zuwa kunnen ko kwakwalwa na iya haifar da kumburi ko kunnen kunnen kunne a kunne, matsaloli tare da ginawa a cikin tsakiyar kunnen tsakiya, ko ƙananan eardrum ko ƙasusuwa na kunne. Duk wani daga cikin wadannan matsalolin zai iya haifar da asarar saurare. Radiation ma zai iya lalata kwayoyin gashin kwayoyin halitta a cikin kunnuwa na ciki, haifar da asarar muryar jin dadi. Damage daga radiation na iya rinjayar daya ko biyu kunnuwa, dangane da yanayin yaduwar cutar.
- Hoto da ke hada da kwakwalwa, kunne, ko jijiyar auditive.
- Wasu maganin rigakafi da diuretics. Damage daga diuretics na madauki yana haifar da canje-canje a cikin ma'aunin ruwa da salts a cikin kunnuwa na ciki, wanda ya haifar da kullun nama da matsaloli tare da watsa na sigina. Abin farin ciki, irin wannan lalacewa na saurare yana da wucin gadi, amma wani lokaci zai iya zama na har abada, musamman idan aka ba da diuretic a hade tare da platinum chemotherapy ko aminoglycoside antibiotics.
Wadanda suke da ƙananan haɗari ga sauraron sauraro
- Sauran hadarin haɗari don jin hasara kafin ganewar cutar ciwon daji (kamar maganin rigakafi da maganin maganin aminoglycoside, nauyin haihuwa, ko meningitis).
- Yayi ƙanana fiye da shekaru 4 a lokacin da suka karbi jiyya wanda zai iya haifar da lalacewar kunne.
- Cisplatin samu ko carboplatin.
- Rashin radiyon da aka samu a kunnen, kwakwalwa, hanci, sinus, makogwaro, ko tsakiyar facial geographic cheekbones.
- Idan yana da ciwo, tiyata, ko ƙwayar cuta mai tsanani wanda ya shafi kwakwalwa, kunne, ko jijiyar ƙwaƙwalwa, ko kuma buƙatar da ake bukata na shunt.
- An samu fiye da nau'in nau'i na jiyya wanda zai iya haifar da asarar ji (kamar haɗuwa da radiation ta kwakwalwa da cisplatin chemotherapy, ko magani tare da cisplatin da carboplatin chemotherapy)
- Kuna da aikin ƙwayar koda a lokacin da suka karbi chemotherapy ko wasu magunguna da zasu iya lalata ji.
Kwayar cututtuka ta ji
- Difficile ji a gaban idon kullun.
- Ba kulawa da sautuna (kamar muryoyi, muryoyin muhalli)
- Sautin jin murya ( ƙararrawa, buzzing, humming, ko whooshing ) a kunnenka lokacin da babu sauti na waje ba. Ƙararra na iya bambanta a farar ko sauya daga kunne zuwa kunne.
- Wasu mutane ba su da alamun bayyanar da komai.
Idan aka gano lalacewar rikici na rikici na kwatsam, mai haƙuri zai iya zama dan takara don injections na intratympanic don hana haɗarin ƙararrawa ko maimaita aiki.
Duk wanda ke da magani na ciwon daji wanda zai iya shafar kunnuwan (kamar cisplatin, babban allurai na carboplatin, babban sashi na radiation zuwa kwakwalwa) ya kamata a jarraba su a kalla sau ɗaya bayan kammala aikin magani.
Bukatar ƙarin gwajin ya dogara da nau'in da sashi na jiyya wanda aka yi amfani dashi. Idan an samu asarar labari, ana gwada gwajin a kowace shekara ko kamar yadda mai jin murji ya shawarta. Bugu da ƙari, jiji ya kamata a jarraba kowane lokaci lokacin da ake sauraron matsala.
Idan an gano asarar da aka ji, yana da muhimmanci a sami kimantawa ta hanyar mai sauraro . Rashin murya zai iya haifar da matsala tare da iyawar mutum don sadarwa da kuma gudanar da ayyukan yau da kullum. Saboda haka yana da mahimmanci ga mutumin da yake sauraron hasara don neman ayyukan da zasu taimaka mafi kyau wajen yin magana da kyau.
Akwai zaɓuɓɓuka masu yawa, kuma waɗannan za a iya amfani da su a wasu haɗuwa, dangane da matsalar sauraro.
Sources:
Prevenas, Nick. UA Cibiyar Cancer Center ta taimaka wa marasa lafiya da ke fama da cututtukan da ake ji da ilimin chemotherapy. Jami'ar Arizona Cancer Center. Feb 26, 2013.
Ka'idojin Oncology Ru'idojin Ƙididdigar Duniyar Yara
ga masu tsira da yara, matasa, da kuma matasa masu ciwon sukari
www.survivorshipguidelines.org