Tsarin Garkewa da Kulawa Kwayar cutar shan-jiji-Raunin ciki da ciwo
Nuna da zubar da ciki suna daya daga cikin cututtukan sakamako masu tsatstsauran ra'ayi na chemotherapy . Abin godiya, lura da rigakafin wadannan bayyanar cututtuka sun zo mai tsawo, kuma mutane da yawa yanzu suna jin kadan ko a'a. Kasancewa da kuma ilmantarwa game da zaɓuɓɓukan magani a gaban lokaci zai iya zuwa hanya mai tsawo a yin, a wannan lokaci, mafi sauƙi.
Mene ne ke haifar da motsa jiki da ciwo a lokacin ilimin kumburiyo?
Chemotherapy zai iya haifar da tashin hankali da zubar da hanyoyi a hanyoyi da dama.
Abinda ya fi dacewa shine kunna yankunan da ke cikin tsarin jin dadi wanda ke kula da zubar da jini. Wani lokaci chemotherapy magunguna a hade tare da wasu magunguna na iya fushi da ciki rufi. Idan ka riga ka sami chemotherapy kafin, kwakwalwarka zai tuna da yadda kake ji a wannan lokacin, wani abu da ake kira tashin hankali.
Mene ne Yayin da zan Samu Kwayoyin Halitta?
Hanyoyin da za ku fuskanta ta dogara da dalilai da dama. Mawuyacin hali yafi kowa a cikin ƙananan marasa lafiya, mata, da wadanda ke da tarihin cutar tashin hankali. Har ila yau ya dogara ne akan wasu magungunan ƙwayoyin cuta da ake bi da ku. Jiyarwa zai iya faruwa a nan da nan bayan fara chemotherapy (muse) ko farawa fiye da sa'o'i 24 bayan jiyya (jinkirin tashin hankali).
Cibiyar Harkokin Ciwon Kwayoyin Nahiyar Amirka ta Cibiyar Nazarin Harkokin Kwayoyin Harkokin Kwayoyin Harkokin Kwayoyin Kimiyya ta} ir} iro wani tsarin da aka kwatanta da yiwuwar tashin hankali da kuma yin amfani da magunguna masu yawa.
Sun rarraba wadannan a matsayin babban haɗari (vomiting an rubuta kashi 90 cikin 100 na marasa lafiya), matsananciyar haɗari (vomiting a cikin kashi 30 zuwa 90), ƙananan haɗari (vomiting a cikin kashi 10 zuwa 30), da ƙananan haɗari (vomiting a kasa da kashi 10 ). Magungunan magungunan da ake amfani da su tare da ciwon huhu da kuma ciwon huhu da haɗarin haɗari da lalatawa sune:
- Babban hadarin - Platinol (cisplatin)
- Matsanancin hadarin - Paraplatin (carboplatin), Adriamycin (doxorubicin), Ifex (ifosfamide), Camptosar (irinotecan)
- Low hadarin - Taxotre (docetaxel), Vepesid (etoposide), Gemzar (gemcitabine), Taxol (paclitaxel), Alimta (pemetrexed),
- Very low hadarin - Oncovin (vincristine), Navelbine (vinorelbine), Avastin (bevacizumab)
Me yasa magani yake da mahimmanci?
Yin maganin tashin hankali da jingina yana da mahimmanci ga lafiyar zuciyarka yayin kulawa. Ba wanda ke jin dadin jin dadi. Amma yana da muhimmanci a jiki. Nuna da zubar da ruwa zai iya haifar da ciwon ruwa da rashin abinci mai gina jiki. Cigaba mai tsanani zai iya haifar da hawaye a cikin esophagus . Kuma ga waɗanda suka yi tiyata , vomiting zai iya zama mai raɗaɗi kuma zai iya haifar da haɗarinka wanda ke jawo baya.
Jiyya Zɓk
Dukansu magungunan magunguna da wasu magungunan maganin kamar acupuncture zasu iya taimakawa tare da motsa jiki da vomiting dangane da cutar shan magani.
Magunguna:
Akwai dama da dama don magance tashin hankali daga chemotherapy. Tun da magungunan magunguna sun fi tasiri kafin tashin hankali, mutane da yawa ana bi da su tare da maganin maganin antiemetic (antiemetic) kafin su sami alamun bayyanar. Ana bayar da wasu magunguna akai-akai, kuma wasu a kan asali.
Ana iya ba da magungunan magance baki, intravenously, rectally, ko sublingually (karkashin harshenka). Yawancin magungunan maganin magunguna sunyi aiki ta hanyar kai hare-hare akan wasu sassa daban-daban, kuma ta hanyar amfani da magungunan magunguna na iya zama mafi tasiri fiye da kowane magani kawai. Wasu daga cikin magunguna mafi magungunan da aka yi amfani dasu ɗaya ko a hade sun hada da:
- Shigar da (bazawa)
- Decadron (dexamethasone)
- Anzemet (dolasetron)
- Kytril (granisetron)
- Droperidol (haloperidol)
- Ativan (lorazepam)
- Reglan (metoclopramide)
- Zofran (Ondansetron)
- Aloxi (Salon)
- Karamin (prochlorperazine)
- Phenergan (promethazine)
Sauran Hanyoyi / Mahimmanci
Wasu magungunan haɗin kai na iya zama masu taimakawa wajen sarrafa iko a lokacin yaduwar cutar.
Cibiyar Kula da Lafiya ta kasar ta fitar da wata sanarwa cewa acupuncture yana da tasiri ga maganin cutar chemotherapy , kuma zai iya rage yawan buƙatunku na magunguna. Adupressure wristbands na iya zama mai taimako.
Cannabinoids
Tambaya mai mahimmanci yana kewaye da amfani da cannabinoids (marijuana) don motsa jiki a lokacin chemotherapy, kuma amfaninsa ya bambanta a ko'ina cikin duniya. Ƙungiyar Cibiyar Cancer ta kasa ta bayyana fiye da cannabinoids, inda shari'a, na iya yin aiki don hana vomiting da wasu cututtukan chemotherapy ke haifarwa.
Yin gwajin ciki da ciwon ciki yayin shan magani
Magunguna na iya yin abubuwa da yawa suna yin sauƙi da kuma zubar da jini wanda zai iya faruwa a lokacin chemotherapy, amma kaɗan ƙananan matakan zai iya taimakawa:
- Ku ci kananan, abinci mai yawa - Ku guji cin abinci mai yawa, ko ku yi tsayi ba tare da cin abinci ba
- Ka guji shan bugu yayin abinci
- Ku tsaya tsaye bayan cin abinci na rabin sa'a
- Ka guji ƙanshin da ke sa ka ji daɗin
- Ka guji babban mai da abinci mai daɗi a gaban chemotherapy
- Yi tufafi da ke kwance a ciki
- Ajiye abincin da kake so don lokacin da aka yi da chemotherapy
- Sha yalwa da ruwa
- Ka guji shan taba
- Ka guji motsa jiki daidai bayan cin abinci
- Yi yanayi da abincinku kamar yadda ya kamata
Lokacin da za a kira likitanku
Bari likitanku ya san kowane nau'i ko zubar da kwarewa a kowane ziyara. Tsakanin ziyara, tabbatar da kiran ta idan:
- Magunguna naka ba su sarrafa ikonka ba
- Kana da ciwo mai tsanani
- Kuna inganta ciwo na ciki
- Kuna shawo kan wata illa da ka yi tunanin zai iya dangantaka da magungunanka masu maganin magunguna
- Idan danginka yana tsangwama tare da iyawarka ka ci ko sha ruwa
> Sources:
> Fukazawa, Y. et al. Tsarin magunguna na electroacupuncture. Rahoton yanzu a cikin kwayoyin bincike . 2009. 10 (1): 62-9.
> Hesketh, P. Chemotherapy-Nasu Nausea, da Vomiting. Jaridar New England Journal of Medicine . 2008. 358: 2482-2494.
> Cibiyar Cancer ta Kasa. Nausea da Vomiting (PDQ). Shafin Farko na Lafiya. Updated 01/04/16. https://www.cancer.gov/cancertopics/pdq/supportivecare/nausea/healthprofessional
> Cibiyar Cancer ta Kasa. Cannabis da Cannabinoids. Updated 01/08/16. https://www.cancer.gov/about-cancer/treatment/cam/patient/cannabis-pdq/#link/_13
> Cibiyar Cancer ta Kasa. Gudanar da Harkokin Kariya. Nausea da Vomiting. 11/24/08. https://www.cancer.gov/cancertopics/chemo-side-effects/nausea
> Navari, R. Magungunan Pharmacological na maganin ilimin chemotherapy-ya haifar da tashin hankali da zubar da ciki: mayar da hankali kan abubuwan da suka faru a baya. Drugs . 2009. 65 (5): 515-33.