Chemo Brain: Sustainable Self-Help Therapies Kune Izvi (Zvakanyanya) Mamiriro Echokwadi
Chemo Brain: Sustainable Self-Help Therapies Kune Izvi (Zvakanyanya) Mamiriro Echokwadi
Anonim

"No concentration." "Ndangariro yangu yaenda!" "General brain fog." "Sei ndisingagone kufunga nekukurumidza?" Varwere vazhinji vanotaura manzwiro akafanana panguva (uye inotevera) kurapwa kwegomarara. Maererano neAmerican Cancer Society, varwere vanonongedzera kune izvi zviratidzo pavanenge vachitsanangura "chemo brain":

  • Ndangariro inopera
  • Dambudziko kuisa pfungwa
  • Kutarisa kwenguva pfupi
  • Kusagona kuchengeta nhoroondo, senge mazita, misi, uye dzimwe nguva zviitiko zvakakura
  • Zvakaoma multi-tasking
  • Kutora nguva yakareba kuti upedze zvinhu nekuda kwekunonoka kufunga uye kugadzirisa
  • Dambudziko rekurangarira mazwi

Pakutanga, vanachiremba vazhinji vaikahadzika apo varwere vaikurukura chemo brain uye kazhinji (kana vakanyarara) vakatenda psychosomatic mhinduro kudambudziko rekuongororwa uye kurapwa. Kunze kwezvo, zvinhu zvakawanda zvinogona kukonzera kukanganwa uye kunetseka kuisa pfungwa. Kuchembera, kuora mwoyo, kusarara, kuzvidya mwoyo, kuderera kweropa, uye mishonga yakawanda isina chokuita nekenza inowanzokurudzira zviratidzo izvi. Kune vakadzi, mamwe chemotherapy mishonga inokonzeresa kutanga kwekuenda kumwedzi, izvo zvinogona zvakare kukonzeresa kushaya simba kwepfungwa. Nokufamba kwenguva, zvakadaro, masayendisiti akakura achigamuchira pfungwa yekuti mishonga inobatanidzwa muchemotherapy inogona kukuvadza nekuda kwekutsvagisa kutsvagisa nyaya iyi.

Nhoroondo yeChemotherapy

Mukutanga kwema1900, nyanzvi yekemisitiri yekuGermany yainzi Paul Ehrlich akatanga kufarira kusanganisa makemikari senzira yekugadzira mishonga yekurapa zvirwere uye pakupedzisira akagadzira izwi rekuti “chemotherapy” kutsanangura tsika iyi. Basa rake uye riya remamwe masayendisiti epfungwa dzakafanana rakaiswa parutivi zvishoma kwenguva pfupi; radiation therapy, iyo yakave yakagadzirwa mushure mekuwanikwa kwe x-rays muna 1895, yakatonga nzvimbo yekurapa cancer kusvika 1960. Zvinoshamisa, yaive Hondo dzeNyika mbiri dzakapesvedzera nyaya iyi.

Kunyanya, hondo yemakemikari yakashandura maonero emasayendisiti Louis Goodman naAlfred Gilman vakawana kuti nitrogen yemasitadhi, gasi rakashandiswa sechombo kurwisa mauto eAllied munguva yeHondo Yenyika yekutanga, inogona kuderedza mamota egomarara. Kuenderera mberi nekucherechedza mhedzisiro pamiviri yevarume vakafumurwa gasi remasitadhi, kunyanya kupera kwemwongo nemalymph nodes, simba rekemotherapies nyowani rakajeka.

Imwe yekutenda kwenguva refu yaive yekuti chemotherapy haina kupfuura Ropa-Brain-Barrier, network yemidziyo yeropa iyo inowanzo chengetedza huropi nekudzivirira zvinhu zvekunze (nemakemikari nemishonga) muropa kuti isapinda nekukuvadza uropi. Nokufamba kwenguva, masayendisiti akabvuma kuti kuvimbiswa kwekemotherapy uku kwakanga kusiri kwechokwadi. Iyo Ropa Brain Barriers inogona kupinda mukati kana kuputsika nekuda kwezvikonzero zvakasiyana, zvinosanganisira kuratidzwa nemwaranzi, kuratidzwa kune microwaves, uye kukuvara kuuropi kuchikonzera kuzvimba. Chinonyanya kukosha, muna 2008, masayendisiti eYunivhesiti yeRochester neHarvard akabatanidza mushonga unoshandiswa zvikuru wechemotherapy, 5-fluorouracil, nekufa kwemasero europi ane hutano, kunyange mushure mokunge kurapwa kwapera.

Chemo brain, saka, ndeyechokwadi kunyangwe isingakanganise murwere wese. Panguva imwecheteyo, ndezvemuzvarirwo kuda kuramba wakavhurika kune mukana wekuti chero kurasikirwa kwehuropi kushanda kunogona kukonzereswa zvimwe zvinhu zvegomarara, kusanganisira iyo anesthesia inoshandiswa panguva yekuvhiya kana kurapa kwemwaranzi. Kushungurudzika kwese kwepamoyo kwechirwere chegomarara kunotora zvakare. Pakupedzisira, pane mubvunzo mumwe chete: Chii chandinoita?

Sustainable Therapies

Hurukuro nachiremba wako (kana vanachiremba) ingava nhanho yekutanga. Vamwe vanachiremba vanokasira kunyorera mushonga, kunyange hazvo pasina mushonga wakabvumidzwa kurapa chirwere ichi. Maererano neMayo Clinic, mishonga iyi dzimwe nguva inoshandiswa kurapa (kwete kurapa) zviratidzo zvechemo brain: methylphenidate (Ritalin nevamwe), inowanzoshandiswa kurapa kutarisa-kushaya / hyperactivity disorder; donepezil (Aricept), inowanzoshandiswa kurapa chirwere cheAlzheimer; uye modafinil (Provigil), inowanzoshandiswa kurapa mamwe matambudziko ekurara.

Kutevera gomarara, vanhu vazhinji vangada kugara kure nemishonga yakawanda uye kufarira kurapa kwakasimba, kwechisikigo panzvimbo. Kana zvakadaro, zano rakanakisisa rinobva kune avo vakatambura vamene. Achitsinhira nezvechimwe chinyorwa pamusoro pechirwere chacho, “Ellen” - uyo akazvirondedzera amene sezvose zviri zviviri chiremba uye anorwara nekemo brain - akapa zvikarakadzo zvinotevera.

  • Rara pedyo nemaawa masere manheru ega ega.
  • Idya zvakanakisa, zvine hutano kudya kwaunogona kubata.
  • Wana aerobic exercise zuva nezuva.
  • Gadzira tsika yekurovedza pfungwa uye dzidzira zuva nezuva.
  • Kuwedzera kuwedzera mabasa akaoma, sekunyora, kuverenga, uye kuwanda-tasking.
  • Dzivisa kusundira kusvika pakushushikana. Apo uropi hwako hunodzima, zorora.

Anokurudzirawo zvokudya zvinowedzera (kunyange uchifanira kukurukura izvi nachiremba usati washandisa): mavhitamini B, acetyl l-carnitine, bacopa (inoshandiswa mumishonga yeIndia), ginkgo (inoshandiswa muChinese Traditional Medicine), uye co-enzyme Q- 10. Vamwe vakapona chemo brain vakakurudzira lecithin.

Pakupedzisira, kuporeswa kubva kugomarara uye kurapwa kwayo ndekwemunhu uye inoshanda maitiro angangoda mavhiki, mwedzi, makore… kana hupenyu hwako hwese. Kune varwere vazhinji, zviratidzo zvechemo brain zvinoonekwa kwenguva pfupi uye zvinonyangarika ipapo. Mune zvimwe zviitiko, iyo mushure memhedzisiro yechemotherapy iri kure kusvika uye inogara kwenguva refu. (Ongororo yenguva pfupi yapfuura yakawana migumisiro yakagara kwenguva yakareba semakore mashanu kana kupfuura kune vamwe vakapona kenza.) Kushivirira kunokosha sekuda kuripa. Mushure mezvose, kurasikirwa nehumwe unyanzvi hwepfungwa kungava mukana wekuwedzera kana kudzidza imwe. Chemo huropi hunogona kuve musuwo wenzira nyowani yekufunga nezvehupenyu.

Yakakurumbira nenyaya