Yayinda ciwon ciwon daji ke bunkasa, saurin cututtuka na maganin ciwon daji yana kara da muhimmanci. Wadannan bayyanar cututtuka, akalla ɗaya daga cikinsu akwai a cikin fiye da rabin masu tsira da ciwon daji, sun karu da hankali har zuwa kwanan nan, kamar yadda muke mayar da hankali kan maganin, da kuma warkar da cutar, game da cutar. Waɗannan sharuɗɗa na iya ci gaba da / ko tasowa watanni, shekaru, har ma da shekarun da suka gabata bayan jiyya, kuma zai iya rage yawan rayuwar mutane da suka tsira daga ciwon daji.
Tun daga shekarun 1970s an samu karuwar sau uku a cikin yawan masu tsira da ciwon daji dake zaune a Amurka, tare da kimanin 13,500,000 wadanda suka tsira a Amurka a shekarar 2012, da kuma mutane miliyan 30 a duniya. A {asar Amirka, kashi 3 cikin dari na yawan mutanen da suka tsufa sun tsira daga ciwon daji don shekaru 5 ko fiye.
Idan kana tunanin idan ka dace da ma'anar wanda ya tsira daga ciwon daji, an bayyana wanda ya tsira a matsayin wanda aka gano da ciwon daji a farkon ranar ganewar asali kuma ya ci gaba ta hanyar rayuwarsu. Menene wasu daga cikin wadannan alamu da yanayin, kuma wane taimako ne yake samuwa?
Ciwon Zuciya
Cutar zuciya shine babbar hanyar rashin lafiya da mutuwa tsakanin masu ciwon daji. Wannan labarin yana mayar da hankali kan manya da aka yi masa don ciwon daji, amma yana da muhimmanci a lura cewa mutane sun magance cutar ciwon daji kamar yadda yara ko matasa ke da sau 8 kuma sun kamu da cututtukan zuciya fiye da mutanen da suke da shekaru marasa lafiya.
Da dama cututtuka na ciwon daji na iya haifar da cututtukan zuciya, kuma sau da yawa mutane da ciwon daji sun karbi wasu daga cikin wadannan jiyya sun haɗa. Wasu daga cikin shafukan da suka fi dacewa sun hada da:
- Magungunan shan magani, musamman magunguna irin su Adriamycin (doxorubicin).
- Radiation zuwa kirji-alal misali tare da ciwon huhu na huhu, jijiyar nono, da lymphomas.
- Magunguna da aka ƙayyade kamar maganin rigakafi da aka yi amfani da shi a cikin ciwon nono kamar Herceptin .
Yin jiyya na iya shafar zuciya a hanyoyi daban-daban kuma ya haifar da yanayi daban-daban. Wasu daga cikinsu sun haɗa da:
Cardiomyopathy - Cardiomyopathy (rauni na zuciya tsoka) da ke haifar da zuciya rashin cin nasara shi ne mafi yawan na kowa na zuciya zuciya sakamako magani magani . Magunguna na shan magani, musamman magungunan kwayoyi irin su Adriamycin (doxorubicin) da Cytoxan (cyclophosphamide) ba su sabawa juna ba. Idan ana bi da ku tare da magunguna a cikin waɗannan kategorien, likitanku na iya bada umarnin rubutun echocardiogram don kimanta ɓangaren haɗin gwargwadon zuciyarku kafin fara chemotherapy.
Saukowa ga kirji, alal misali ga cutar Hodgkin, ciwon nono na gefen hagu, ko ciwon huhu na huhu, wata babbar mawuyacin cututtukan zuciya. Wani binciken da aka buga a shekara ta 2007 ya nuna cewa kashi 10 zuwa 30 cikin dari na mutanen da ke fama da radiation a cikin kwakwalwa zasu iya samun ciwon zuciya a cikin shekaru goma masu zuwa. Wannan binciken yana buƙatar fassara tare da taka tsantsan, duk da haka, a matsayin sababbin hanyoyin fasahar radiation (zubar da zuciya) wanda ya rage radiation zuwa zuciya an samo asali tun lokacin.
Wannan ya ce, rashin tausin zuciya na iya farawa ne kawai tare da bayyanar cututtuka irin su gajiya, rashin ƙarfin hali, kumburi a kafafu, ko rashin ƙarfi na numfashi tare da aiki.
Idan ka karbi wadannan magunguna ko kuma sunyi farfadowa a cikin kirjinka, ka tambayi likitan likitanka idan ta ba da shawara ga shawarwari na zuciya. Wasu cibiyoyin ciwon daji yanzu suna da shirye-shirye na cardio-oncology don magance wadannan damuwa, musamman idan kana da wani sirri ko tarihin iyali na cututtukan zuciya, ko wasu cututtukan zuciya kamar cutar ciwon sukari. Kuma, koda kayi tunanin cewa alamar cututtuka ba komai bane, yana da kyau mafi alhẽri don zama lafiya fiye da bakin ciki lokacin da ta zo zuciyarka.
Cututtukan cututtukan coronary - Wasu cututtuka na ciwon daji na iya lalata cikewar ƙwayoyin zuciya wanda ke haifar da cututtukan zuciya. Kamar yadda muka gani a sama, wannan gaskiya ne a cikin yara, matasa, da kuma matasa masu ciwon daji.
Arrhythmias - Magungunan ciwon magunguna na iya lalata "tsarin lantarki" na zuciya wanda zai haifar da rhythm zuciya ( arrhythmias ). Idan ka fuskanci hasken lantarki, rashin tausayi, ko kuma jin kamar zuciyarka tana ciwo ragu ko a maimakon racing, tabbatar da sanar da likitan ku.
Wulo
Duk da yake ba a matsayin mummunar cututtukan zuciya ba, gajiya na ciwon daji shine wata alama ce da ta shafi yawancin masu ciwon daji. Bugu da ƙari, da ingancin rayuwar al'amura, wahala zai iya zama haɗari ga ƙwayar rayuwa. Ciwo na ciwon daji yana da wuya a fahimta idan ba ka samu ba. ba shine irin gajiya da za a iya sauke shi ba tare da kyakkyawan dare na hutawa ko kopin kofi. Raguwa tare da ƙaunatattun su na iya bunkasa kamar yadda abokanka da iyalinka suna fata za ku koma ga ciwon ciwon ciwon ciwon kuɗi kafin magani. Idan kuna neman wannan takaici, ba ku kadai ba. Bincika waɗannan shawarwari don magance matsalolin da ke fama da ciwon daji , kuma, mafi kyau duk da haka, buga rubutun kuma mika shi ga iyalin da abokai waɗanda "kawai ba su samu ba."
Amma na farko, sami kyakkyawar tattaunawa da likitanku. Akwai wasu matsaloli na gajiya da cutar ta hanyar ciwon ciwon daji wanda zai iya kasancewa mai sauƙi. Ɗaya daga cikin misalai yana da alamun anemia mai tsawo bayan chemotherapy . Wani misali kuma shine canjin hormonal. Tsarin radiation zuwa kai da wuyansa zai iya haifar da matakan hormone thyroid ( hypothyroidism ) wanda zai iya haifar ko taimakawa ga gajiya a baya ga haddasa wasu cututtuka. Ya bambanta da hypothyroidism, chemotherapy na iya haifar da hyperthyroidism (maganin ciwon sanyi) wanda zai iya haifar da asarar nauyi, rawar jiki, da damuwa wanda zai iya zama mai tsanani.
Akwai wasu matsaloli na gajiya bayan maganin ciwon daji, wasu da suke da kyau, wasu kuma ba haka ba ne, amma likitanku zai sani kawai don bincika ku da kuma yin gwajin gwaji idan kun yi magana. Idan kana da sha'awar rufe kanka tare da matashin kai lokacin da ƙararraki ya sanar da safe, magana da likitan ka.
Insomnia
Rashin ci gaba shine na kowa tsakanin masu fama da ciwon daji kuma yana cigaba da kasancewa har tsawon shekaru bayan magani. Duk da yake wannan bayyanar zata iya zama marar muhimmanci ga wasu, rashin barci mai yawan gaske ba kawai rage rayuwar rayuwa ba amma ya haifar da haɗarin kara matsalolin jiki da na zuciya. Binciken ya gano cewa maganin halayen rashin lafiya (CBTI) zai iya inganta wannan alama ga mutane da yawa da ciwon daji.
Ƙwararren Neuropathy
Tsinkaya ne- balapathy - lalacewar jijiyoyin da ke kaiwa ga makamai da kafafun kafa wadanda ke da dindindin-yana da mummunan sakamako na ciwon maganin ciwon daji. Wannan yanayin yana rinjayar kusan kashi ɗaya na uku na mutanen da ke fama da ciwon daji, kuma abin da ya faru yana karuwa. Kwayar cututtuka na iya haɗawa da ƙananan ƙwayar cuta, tingling, "wutsiyoyi da needles", da kuma rashin sanyi wanda aka samo shi a cikin rarraba "zane-zane". Rashin hankali a hannun da ƙafa na iya tsoma baki tare da ayyuka mai sauƙi kamar gyaran tufafi, ko wahala sanya ƙafafunku, haifar da lalacewa. Yawancin magungunan shan magani na iya haifar da neuropathy, amma yawanci yana faruwa da kwayoyi irin su Platinol (cisplatin) da Taxol (paclitaxel). Jiyya sau da yawa ya shafi yin amfani da magunguna irin su gel-gizon, magungunan antiepileptic, magungunan antidepressant, da kuma wasu magungunan narcotic don ciwo mai tsanani. Sauran hanyoyin kwantar da hankula, irin su massage , acupuncture , da kuma zane-zane na iya ba da taimako ga wasu mutane. Binciken yana ci gaba da neman hanyoyin da za a hana cutar da ba a taɓa faruwa a yayin da ake amfani da ilimin chemotherapy.
Tashin hankali
An yi amfani da shi sosai " chemobrain ," matsalolin da suka shafi kwarewa sunyi hankali a cikin 'yan shekarun nan. Kwayar cututtuka irin su wahalar saukowa da wahalar da hankali zai iya farawa a lokacin yaduwar cutar da kuma ci gaba da tsawon watanni ko shekaru. Rashin farfadowa a kan kai da wuyan yankuna don ciwon daji da wuyansa, kwakwalwa na kwakwalwa, ƙananan ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwayar cuta da kuma yaduwar cutar ta jiki (PCI) (amfani da wasu mutanen da ciwon huhu) zai iya taimakawa ga waɗannan bayyanar cututtuka. Ga wasu mutane, ƙoƙarin mayar da hankali kan ɗawainiya ɗaya a lokaci ɗaya, ajiye lissafi don ramawa ga ƙananan ƙwaƙwalwar ajiya, kuma yin "kwakwalwar kwakwalwa" kamar sudoku na iya zama taimako. Ga wasu, yin shawarwari tare da likitan ne ko likitan ilimin kimiyya zai iya bada shawarar idan bayyanar cututtuka suna shafewa da rayuwar yau da kullum.
Matsalar Cutar Tashin Ƙaddamarwa
Matsalar cututtuka na post-traumatic a cikin marasa lafiya na rashin lafiya shine wani yanayin da ya karu kwanan nan da hankali tsakanin masu tsira da ciwon daji. Wannan yanayin, abin da aka fi sani da shi yana faruwa a tsakanin wadanda aka fallasa su yaki, ko kuma fyade, alal misali, ana zaton su kasance a cikin kashi 35 cikin dari na marasa lafiya bayan magani. Sanarwar da PTSD zai iya ƙunsar sauƙaƙe da dama, amma mataki mafi muhimmanci shi ne a gane wannan yanayin yanayin da ke ciki a farkon wuri.
Raguwa
Yayin da rashin tausayi ba shi da kowa a cikin wadanda ke tsira da cutar kanjamau fiye da wadanda ba su ji dadin ciwon daji ba, damuwa shine babbar matsala. Ɗaya daga cikin binciken da ake kallon kimanin mutane 50,000 wadanda suka tsira daga cutar kanjamau sun gano cewa kashi 18 cikin 100 na wadannan mutane sun sha wahala daga tashin hankali bayan an kammala maganin. Wannan damuwa bai bayyana ya ragu da lokaci ba, kuma, a gaskiya ma, wadanda shekarun 10 ko fiye daga magani sun sami raguwa sosai. Tsoron ciwon ciwon daji yana daya daga cikin damuwa da ke damuwa mafi yawa, idan ba duk wanda ya tsira daga ciwon daji ya fuskanta daga lokaci zuwa lokaci.
Idan kuna gane cewa damuwa yana damuwa akan ku, kuyi magana da likitanku. Wannan bayyanar ba dole ba ne ake nufin cewa kana buƙatar magani na likitanci, kuma bambanta, hanyoyin kwantar da hanyoyi irin su acupuncture, massage, motsa jiki, da kuma zane-zane mai shiryarwa, zasu iya taimaka maka ka magance wannan bayyanar yayin amfani da kai gaba daya.
Ba da amfani
Abubuwan damuwa game da haihuwa suna iya kwarewa idan aka kwatanta da ganewar cutar ciwon daji amma suna da damuwa sosai ga matasa da ciwon daji. Wadannan labarin sun tattauna yadda cutar shan magani na iya shafi haihuwa don maza da mata.
Osteoporosis
Yawancin cututtuka da kuma maganin hormonal zai iya haifar da asarar kasusuwa. Wannan, bi da bi, zai iya haifar da fractures. Yana da muhimmanci a yi magana da likitanka game da auna girman karfinka idan ba a yi ba, da kuma duba yanayin bitamin D, a matsayin rashin tsaminin bitamin D zai iya haifar da osteoporosis da sauran yanayi. Bugu da ƙari, wasu bincike sun nuna cewa ga wasu cututtuka na hadarin komawa zai iya zama kasa ga mutanen da suke da bitamin D.
Jima'i Dysfunction
Rashin kamuwa da jima'i yana da mahimmanci, kuma matsala masu rikitarwa tsakanin mutanen da suka tsira daga ciwon daji. Ciwon daji na iya haifar da canji na jiki da na hormonal wanda ya rage yawan jin dadi, kuma ba shakka, tashin hankali wanda yake takawa a kan waɗannan canje-canjen jiki. Wannan labarin akan bunkasa jima'i a lokacin maganin ciwon daji yana tattauna wasu dalilai, da magunguna don inganta yanayin jima'i bayan maganin jima'i ba tare da komai ba.
Magunguna na biyu
Yawancin cututtukan ciwon daji an tsara su don lalata DNA na sel don yasa mutuwar kwayoyin cutar ciwon daji. Abin takaici, ana amfani da kwayoyin halitta ta al'ada a cikin tsari, wanda zai haifar da cigaban ciwon daji da shekarun da suka gabata. Chemotherapy, musamman magungunan kwayoyi irin su alkylating jamiái, misali, Cytoxan (cyclophosphamide,), topoisomerase inhibitors (alal misali, Etoposide), da kuma anthracycline jamiái (misali, Adriamycin (doxorubicin) ya haifar da mafi haɗari na cututtuka na biyu. Tana da muhimmanci a tuna cewa hadarin waɗannan cututtuka yana da yawa idan aka kwatanta da amfanin waɗannan jiyya wajen magance ciwon daji na farko.
Sauran Harshen Late
Magungunan ciwon daji zai iya shafar kusan kowane yanki ko tsarin jiki a jikin. Lymphedema , lalacewar koda, launi fibrosis, ciwon hakori, jin dadi, da cataracts, don sunaye kawai damuwa, sunfi yawan wadanda suka tsira daga ciwon daji fiye da yawan mutanen.
Da yake kasancewa mai ba da shawara ga Kan Kanka Bayan Jiyya
Yana da matukar muhimmanci cewa masu ilimin likita da kuma likitoci na farko suyi aiki tare don samar da wani sauyi mai sauƙi ga masu ciwon daji. Mutane da yawa masu ilimin likita masu aiki sunyi aiki tare da marasa lafiya don kammala "shirin kulawa na kare rayuka" wanda yayi la'akari da bayanan bayanan, alamu don kallo, da sauran bayanai ga masu tsira suna ci gaba. Idan ba ku da tsarin kulawa, ku tambayi likitanku don yin aiki tare da ku don kammala daya. Ga misali na samfurin tsarin kulawa wanda Minnesota Care Alliance ya ƙaddamar , Ba za a iya ƙarfafa shi ba har ya zama mahimmanci don samun takardun bayanan likita naka don ɗaukar tare da ku.
Tun da batun "cigaba da ciwon daji" ya saba da sabon, yawancin masu tsira da ciwon daji na ci gaba da kasancewa a fadowa tsakanin fasaha bayan magani. Fiye da sau daya na ji maganganun cewa masanin ilimin likita ya watsar da su, ya bar su tare da jin cewa ya kamata su yi godiya da cewa sun tsira. Amma kamar yadda muka gani a sama, mafi yawan mutanen da suka tsira daga ciwon daji suna da wasu tasiri. Yana da mahimmanci cewa duk wani batutuwa da kake da shi ana magana, amma hanyar da likitoci kawai zasu san game da damuwa shine idan ka yi magana.
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