La qabsashada neuropathy Peripheral Chlamotherapy

by Lynne Eldridge, MD; Waxaa ku jawaabay Grant Hughes, MD

La xakameynta neuropathy laga daaweeyo kansarka

Neuropathy-ka kemotherabi wuxuu noqon karaa calaamad aad u dhib badan, labadaba waxaa sabab u ah calaamadaha uu keeno iyo saameynta ay ku yeelan karto tayada noloshaada. Waxay sidoo kale faragalin kartaa daaweynta, taasoo keentay baahida loo qabo in la yareeyo qiyaasta dawada ama joojinta daweynta kemotherabi. Neuropathy wuxuu hadda saameyn ku yeeshaa saddex daloolow qof oo u socda daaweynta kiimiko (chemotherapy) waxayna noqotaa mid caadi ah .

Taasi waxay tidhi, dhacdooyinka cudurka neuropathy ee dadka qaba kansarka ayaan la ogaan.

Sababaha

Dareemayaasha Peripheral - waa, dareenka ka baxsan maskaxda ee u socdaalaya xagjirnimada waxaa lagu xardhay walax la yiraahdo myelin. Myelin waxaa laga fekeri karaa sida la mid ah daboolka dibadda ee xargaha korontada waxayna u ogolaaneysaa macluumaadka si dhakhso ah iyo si habboon u socdaalaya dareenka. Marka unugyada wax soo saara myelin ay waxyeeleeyeen saameynta sunta ee kiimikada, kiimikada yar yar ayaa la soo saaraa, waxayna calaamad u tahay in safarka daba socdo dareeraha ama hoos u dhaco.

Astaamaha

Calaamadaha cudurka neuropathy wuxuu inta badan ka dhacaa waxa loogu yeero "sheyga" iyo "glove", taas oo macnaheedu yahay in calaamaduhu ay ugu badan yihiin gacmahaaga halkaas oo aad xirtaan kabaha ama cagahaaga iyo anqawyada meesha aad xiraneysid. Astaamaha qaarkood waxaa ka mid ah:

Kabuubis iyo dareen yar oo la taabto
"Pins iyo irbadaha" dareenka

Qulqulka
Gubasho
Dulqaad la'aanta qabow

Calaamadahaasi waxay sababi karaan dhibaatooyinka xanaaqa sida:

Dhibaato isticmaalka gacmahaaga si aad u soo qaadatid walxaha (tuurida alaabtu waa caan), dhar xidhista, qorista kombiyuutarka, ama ciyaarida piano
Dhibaato cagahaaga sababtoo ah tabar-dari la'aan iyo maqnaansho la'aan, taasoo keentay in lagu tago, ama ay ku adkaato in aad cagahaaga saarato markaad socoto

Dhibaatada murqaha iyo xoogga

Neuropathy wuxuu sidoo kale saameyn karaa gobollada kale ee jidhka sida caloosha (keena caloosha iyo dhibaatooyinka dheefshiidka), kaadiheysta (adoo adkeynaya inaad kaadiso) wuxuuna keeni karaa isbedel ku yimaadda neefsigaaga iyo heerka wadnaha.

Goorma ayuu Nuurku ku dhacaa?

Neuropathy wuxuu caadiyan bilaabmaa wax yar ka dib markii kiimiko loo yaqaan 'chemotherapy' oo uu ka sii dari karo kalagoysyada kemotherabi ee dambe. Cudurka daweynta ka dib, calaamadaha ayaa si tartiib ah u kordha mudo dhowr bilood ah, laakiin xaaladaha qaarkood, calaamadaha ayaa noqon kara kuwo joogto ah.

Waa Maxay Dawooyinka Chemotherapy ee daroogada ?

Fursada lagu kobciyo neuropathy way kala duwantahay dawooyinka kemotherabi ee kala duwan iyo sidoo kale qiyaasta la siiyey. Qaar ka mid ah daawooyinka kemotherabi ee caadi ahaan sababaya neuropathy waxaa ka mid ah:

Platinol (cisplatin)
Paraplatin (carboplatin)
Eloxatin (oxaliplatin)
Oncovin (vincristine)
Navelbine (vinorelbine)
Velban (vinblastine)
VePsid (etoposide, VP-16)
Taxol (paclitaxel)
Qalabixiye (docsaxel)
Thalomid (thalidomide)
Revlimid (lenalidomide)
Velcade (bortezomib)

Yaa Saameeyaa?

Qof kasta ayaa saameyn kara neuropathy inta lagu jiro kiimoterapiyada, laakiin calaamaduhu way ka sii dari karaan haddii aad qabto xaalad kale oo keeni karta neuropathy sida:

Sonkorowga
Nafaqo daro
Ku tiirsanaanta khamriga
Taariikh hore taariikhda cudurka neuropathy ee ka yimaada sabab kasta oo ay ku jiraan kiimiko

Daaweynta

Iyadoo ku xiran sida ay calaamadahaagu u daran yihiin, dhakhtarkaaga ayaa laga yaabaa inuu kugula taliyo joojinta daaweyntaada, ama aad bedesho ama faafiso qiyaasta daawada taas oo laga yaabo inay keento calaamadahaaga.

Daawooyinka waa la isticmaali karaa haddii xanuunku kugu dhaco. Calaamadaha fudud, daawooyinka xanuunka sida Tylenol (acetaminophen) ama Advil (ibuprofen) ayaa bixin kara gargaar ku filan. Daawooyinka kale ee mararka qaarkood loo isticmaalo waxaa ka mid ah:

Fiitamiinada sida B-daboolka dheeraadka ah
Dawooyinka lid ku ah nabarrada sida Pamelor (nortriptyline) ama Elavil (amitriptyline), gaar ahaan Cymbalta (duloxetine)
Daawooyinka Nadaafad-darrada (daawooyinka qallalka) sida Neurontin (gabapentin) ama Lyrica (pregabalin)

Noocyada maaddada leh ee isku dhafka ah ee baclofen, amitriptyline, iyo ketamine (iyo isku darka kale oo ay ka mid yihiin, tusaale ahaan, ketoprofen top iyo gabapentin)
Lidocaine maadada (lidocaine patches)
Dawooyinka xanuunka Narcotic ee xanuunka daran

Daaweyn dhamaystirani waxay kaloo kaa caawin kartaa xanuunka nuujiyaanka. Qaar ka mid ah daweynada la eegay daaweynta neeropathy-ku-dhaliye ee kemotherabi-kiimiko ah ayaa waxaa ka mid ah:

Daaweynta maskaxda
Daaweyn jireed iyo / ama daaweyn xirfadeed
TENS (kicinta dareen-celinta korontada)
Acupuncture
Biofeedback
Sawir muujinta iyo nasashada

Ka hortagga

Daweyno dhowr ah ayaa la qiimeeyey si loo eego haddii ay ka ilaalin karaan xanuunka neuropathy inta lagu jiro kiimoteraabiga. Daraasaduhu waxay ogaadeen in isticmaalka kalsiyum iyo magnesium, iyo sidoo kale Cymbalta, laga yaabo inay ka hortagaan daaweynta neuropathy-chemotherapy, laakiin waxaa jira walaac ah in kuwani ay sidoo kale yarayn karaan waxtarka daaweynta kiimiko.

Dib-u-eegis sannadeedka 2016-ka ah ayaa la ogaaday in isticmaalka L-glutamine si looga hortago neuropathy ka timaada kiimoteraabiga . Qiyaasta loo isticmaalo tijaabooyinka waxay ahayd 15 miligram laba jeer maalintii, laakiin waa muhiim inaad la hadasho dhakhtarkaaga wax kasta oo dheeri ah inta lagu jiro kiimikada. Xaqiiqdii, qaar ka mid ah fitamiinada iyo macdanta macdanta ayaa yarayn kara waxtarka daaweynta kiimiko.

Faytamiin E waxa kale oo laga yaabaa inay door ka qaadato kahortagga neuropathy xannuunka, waxay u maleeyeen nooca fitamiin E inuu muhiim u yahay. Waxaa loo maleynayey in acetyl-l-carnitine laga yaabo inay caawiso ka hortagga neuropathy, laakiin baadhitaano dhowaan soo baxay waxay soo jeedinayaan in ay dhab ahaantii sii xumaynayaan calaamadaha.

Waxaa intaa dheer, kiriinno "cryotherapy" (gacmaha iyo cagaha ku jira biyo qabow ama gacmo-gashi la jeexay / sariiraha lugaha) ayaa la rumeysan yahay in badan oo waxtar leh.

La qabsashada

Talaabada koowaad ee lagula tacaalayo neuropathy waa inaad kala hadashid calaamadahaaga dhakhtarkaaga. Waxay kugula talin kartaa isbeddel ku yimaada habka daweynta kemotherabi. Haddii aad bedesho daaweyntaada suurtagal maaha, waxaa laga yaabaa inay leedahay talooyin ku saabsan la qabsashada calaamadaha ama waxay kuu qori karaan daawooyin kaa caawiya xanuunka haddii loo baahdo.

Talaabooyinka kale ee aad adigu iskaa yeelan karto waxaa ka mid ah:

Ka ilaali gacmahaaga iyo cagahaaga xagasha kulaylka iyo qabowga - xirashada kabo fiican, kabo raaxo leh iyo isticmaalida gacmo gashi marka uu ku jiro qabow ama marka nadiifinta ama beerta.
Hubinta gacmahaaga iyo cagaha maalin kasta wixii dhib ah ee laga yaabo in aanad dareemeynin inaad dareentid dareen yar.
Ku dhaqsida taxadar markaad taabaneyso shay (sida karinta) oo aan laga yaabo inaadan si fiican u qabsan karin.
"Maqnaanshaha" dabiicigaaga gurigaaga, inaad ka taxaddarto inaad ka saarto walxaha kuu keeni kara safar.
Ka fogaanshaha joogitaanka dheer.
Ka fogaanshaha khamriga.
Helitaanka hurdo ku filan - hurdo la'aan dadka qaba kansarka waxay sii xumeyn kartaa xaalado badan, oo ay ku jiraan neuropathy.
Haddii aad qabto sonkorow, inaad ka shaqeysid inaad ilaaliso sonkorta dhiigaaga oo ay soo jeediso takhtarkaaga.

_Ilaha:

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