Yin gwaji tare da jinin jiki Neuropathy Daga Chemotherapy

by Lynne Eldridge, MD; Binciken by Grant Hughes, MD

Yin gwagwarmaya da Neuropathy daga Ciwon daji

Neuropathy daga chemotherapy na iya zama mummunar alama, duka saboda bayyanar cututtukan da ya haifar da kuma tasirin da zai iya samu akan rayuwarka. Hakanan yana iya tsangwama tare da jiyya, wanda ya haifar da buƙata don rage ƙwayar magani ko kuma kawar da cutar chemotherapy gaba daya. Neuropathy a halin yanzu yana shafar kusan kashi uku na mutanen da ke tafiya ta hanyar maganin cutar kumburiyo kuma yana zama na kowa .

Wannan ya ce, rashin lafiyar mutanen da ke fama da ciwon daji ba shi da alaƙa.

Dalilin

Kwayoyin jijiyoyi - wato, jijiyoyi a waje da kwakwalwa da ke tafiya zuwa iyakoki an haɗa su da wani abu mai suna myelin. Myelin za a iya tunanin shi kamar kama da rufe a kan na'urar lantarki kuma ya ba da damar yin tafiya a hanzari da sannu a hankali tare da jijiya. Lokacin da kwayoyin da ke samar da sifa suna lalacewa ta hanyar cututtukan cututtukan cututtuka, ba a rage samfurin myelin ba, kuma sigina cewa tafiya tare da jijiyar an jinkirta ko katsewa.

Cutar cututtuka

Alamar cututtuka na neuropathy sau da yawa yakan faru a abin da ake kira raguwa da safar hannu, ma'ana ana nuna alamun bayyanar a hannunka inda za ka sa safar hannu ko ƙafafunka da ƙafãfun kafa inda za ka sa sutura. Wasu daga cikin alamun bayyanar sun hada da:

Ƙuntatawa da rageccen abin mamaki don taɓawa
"Tsarin da kuma needles"

Tingling
Gashin wuta
Cold rashin haƙuri

Wadannan bayyanar cututtuka na iya haifar da gazawar rashin ƙarfi kamar:

Difficulty ta amfani da hannayenka don karban abubuwa (watsar da abubuwa abu ne na kowa), danna tufafi, bugawa akan kwamfutar, ko yin wasa da piano
Dama da ƙafãfunku saboda rashin ƙarfi da rashin jin dadi, wanda zai haifar dashi, ko wahalar kafa kafafunka lokacin tafiya

Rashin isasshen tsoka da ƙarfi

Neuropathy kuma zai iya shafan wasu yankuna na jiki irin su ciwon zuciya (haddasa rikitarwa da matsaloli masu narkewa), da mafitsara (yana sa ya fi wuya a urinate) kuma zai iya haifar da canje-canje a cikin numfashinka da kuma zuciya.

Yaushe Neuropathy Ya Yi?

Neuropathy yakan fara jim kadan bayan chemotherapy kuma zai iya ciwo tare da m chemotherapy zaman. Bayan maganin ilimin kwayar cutar, bayyanar cututtuka ta cigaba da hankali a tsawon watanni da dama, amma a wasu lokuta, alamun bayyanar na iya zama na har abada.

Abin da kwayar cutar shan magani ke haifar da shi?

Samun damar tasowa neuropathy ya bambanta tsakanin magunguna daban-daban da kuma maganin da aka ba. Wasu magungunan ƙwayoyin cutar shan magani sune sun hada da:

Platinol (cisplatin)
Paraplatin (carboplatin)
Eloxatin (oxaliplatin)
Oncovin (vincristine)
Cibiyar tabarbare (vinorelbine)
Velban (sunadaran)
VePsid (etoposide, VP-16)
Taxol (paclitaxel)
Taxotre (docetaxel)
Thalomid (thalidomide)
Revlimid (lenalidomide)
Velcade (bortezomib)

Wanene Ya shafi?

Kowane mutum zai iya shawo kan cutar a lokacin yaduwar cutar, amma bayyanar cututtuka na iya zama mafi muni idan kana da wani yanayin wanda zai iya haifar da neuropathy kamar:

Ciwon sukari
Gurasa
Gyaran giya
Tarihin da ke gaba da kwayar cutar neuropathy daga kowane hali ciki har da chemotherapy

Jiyya

Dangane da yadda mai cututtuka ke da tsanani, likitanku na iya bada shawara akan dakatar da magani, ko canza ko yada jinsin magani wanda zai iya haifar da alamar cututtuka.

Ana iya amfani da magunguna idan kana fuskantar ciwo. Don m bayyanar cututtuka, magunguna masu zafi kamar Tylenol (acetaminophen) ko Advil (ibuprofen) na iya samar da taimako na musamman. Sauran jiyya wanda wasu lokuta ana amfani sun hada da:

Vitamin irin su B-hadaddun kari
Magunguna irin su Pamelor (nortriptyline) ko Elavil (amitriptyline), kuma musamman Cymbalta (duloxetine)
Kwayoyi marasa lafiya (magunguna) kamar Neurontin (gabapentin) ko Lyrica (pregabalin)

Rubutun magunguna waɗanda suka hada da baclofen, amitriptyline, da ketamine (da kuma sauran haɗuwa ciki har da, alal misali, ketoprofen da gabapentin)
Topical lidocaine (lidocaine faci)
Narcotic maganin magunguna don zafi mai tsanani

Ƙwararrun maganin mahimmanci zai iya taimakawa wajen kawar da ciwo daga neuropathy. Wasu jiyya da aka kalli tare da kwayar cutar ƙwayoyin cuta-sun haifar da neuropathy na cikin jiki sun hada da:

Massage far
Jiki na jiki da / ko aikin farfadowa
TENS (ƙarfin motsa jiki na kwakwalwa ta jiki)
Acupuncture
Biofeedback
Shafin hoto da shakatawa

Rigakafin

Yawancin magunguna an gwada su don ganin idan zasu iya kare kariya daga neuropathy a lokacin chemotherapy. Nazarin sun gano cewa yin amfani da alli da magnesium, da kuma Cymbalta, na iya taimakawa wajen magance cutar kyakurar cuta-induced neuropathy, amma akwai damuwa cewa waɗannan na iya rage tasirin chemotherapy.

Binciken 2016 ya gano cewa yin amfani da L-glutamine don hana ƙwayar cutar daga cutar chemotherapy yana da alamar alkawari . Sashin da aka yi amfani da ita a gwajin shi ne miliyon 15 sau biyu a rana, amma yana da muhimmanci a yi magana da likitanku game da duk wani ƙarin yayin da yake kan ilimin chemotherapy. A gaskiya ma, wasu karin bitamin da ma'adinai na iya rage tasirin chemotherapy.

Vitamin E yana iya taka muhimmiyar rawa wajen hana ciwon kwayoyin neuropathy, tunanin cewa irin bitamin E na iya zama mahimmanci. Anyi zaton cewa acetyl-l-carnitine na iya taimakawa wajen hana neuropathy, amma bincike na baya-bayan nan ya ba da shawara cewa zai iya tsananta cutar.

Bugu da ƙari, cryotherapy (rike hannayensu da ƙafa a cikin ruwan sanyi ko jacketed safofin hannu / kafa safa) ya yarda da yawa su zama tasiri.

Ciyarwa

Mataki na farko da za a magance neuropathy shine tattauna zancen alamarka tare da likitanka. Ta iya ba da shawara ga canji a cikin tsarin likitancin ku. Idan canza tsarinka ba zai yiwu ba, tana iya samun wasu shawarwari game da shan maganin bayyanar cututtuka ko kuma iya tsara magunguna don taimakawa da zafi idan an buƙata su.

Sauran matakan da za ku iya ɗaukar kan kanku sun haɗa da:

Kare hannayenka da ƙafa daga matuƙar zafi a cikin sanyi da sanyi - saka takalma mai kyau, takalma mai dadi kuma amfani da safofin hannu lokacin fita a cikin sanyi ko lokacin tsaftacewa ko aikin lambu.
Dubawa hannuwanku da ƙafafunku kowace rana don kowane nau'i wanda za ku iya yin hakan ba saboda jin dadi ba.
Yi aiki tare da hankali yayin da ake sarrafa abubuwa (kamar su dafa abinci) don kada ku iya rike da kyau.
"Fall-proofing" gidanka na gida, da hankali don cire kayan da zasu iya sa ka tafiya.
Guje wa tsayayyen tsawo.
Guje wa barasa.
Samun isasshen barci - rashin barci a cikin mutanen da ke fama da ciwon daji zai iya ciwo da yawa yanayi, ciki har da neuropathy.
Idan kana da ciwon sukari, yin aiki don kula da jinin jininka a cikin kewayon likitan ka.

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