Ubuchopho Bekemo

Ubuchopho be-Chemo iyibizo elivamile elisetshenziswa abantu abasinde ekansini ukuchaza izinkinga zokucabanga nokukhumbula ezingase zenzeke ngesikhathi nangemuva kokwelashwa kungalala. Ubuchopho be-Chemo bungabizwa nangokuthi i-chemo fog, ukuphazamiseka kwengqondo okuhlobene nomdlavuza noma ukungasebenzi kahle kwengqondo.

Nakuba ubuchopho be-Chemo liyibizo elisetshenziswa kakhulu, izimbangela zezinkinga zokuhlushwa nokukhumbula aziqondakali kahle. Kungenzeka ukuthi kunezizathu eziningi.

Kungakhathaliseki ukuthi yini imbangela, ubuchopho be-chemo bungaba yiphuthuma lokuphazamiseka nokuqeda amandla oluhlobo olukhulu lomdlavuza nokuphathwa kwalo. Abacwaningi basebenza ukuqonda izinguquko zokukhumbula abantu abane-kansa ababhekana nazo.

Izimpawu nezimpawu ze-chemo brain zingafaka okulandelayo: Ukungahlangene ngokungajwayelekile Ukudideka Ubunzima bokuhlanganyela Ubunzima bokuthola igama elifanele Ubunzima bokufunda amakhono amasha Ubunzima bokwenza izinto eziningi ngesikhathi sinye Ukuzizwa kokungakhanyi kwengqondo Ukuqonda okufushane Izinkinga zememori yesikhashana Ukuthatha isikhathi eside kunokujwayelekile ukuqedela imisebenzi yansuku zonke Ubunzima bememori yezwi, njengokukhumbula ingxoxo Ubunzima bememori yombono, njengokukhumbula isithombe noma uhlu lwamagama Uma ubhekene nezinkinga eziyinkimbinkimbi zememori noma zokucabanga, yenza i-aphoyintimenti nodokotela wakho. Gcina idayari yezimpawu zakho nezibonakaliso zakho ukuze udokotela wakho aqonde kangcono ukuthi izinkinga zakho zememori zikuthinta kanjani impilo yakho yansuku zonke.

Uma ubhekene nezinkinga eziyinkimbinkimbi zokukhumbula noma ukucabanga, yenza i-aphoyintimenti nodokotela wakho. Gcina idayari yezimpawu zakho nezibonakaliso ukuze udokotela wakho aqonde kangcono ukuthi izinkinga zakho zokukhumbula zikuthinta kanjani impilo yakho yansuku zonke.

Ziningi izimbangela ezingase zibangele izimpawu zezingqinamba zekhumbulo kubantu abaphila ngemva kokwelashwa umdlavuza. Izimbangela ezihlobene nomdlavuza zingafaka: Ukuxilongwa komdlavuza kungaholela ekuhluphekeni okukhulu futhi kungabangela ukukhathazeka nokucindezeleka, okungabangela izinkinga zokucabanga nokukhumbula.

Ezinye izinhlobo zomdlavuza zingakha amakhemikhali athinta ikhumbulo.

Umdlavuza oqala ebuchosheni noma osakazeka ebuchosheni ungabangela ukushintsha ekucabangeni.

Ukwelashwa komdlavuza kungabangela izinkinga zekhumbulo, okuhlanganisa:

• Ukuhlinzwa komgogodla
• Ukwelashwa ngamakhemikhali
• Ukwelashwa ngamahomoni
• Ukwelashwa nge-immunotherapy
• Ukwelashwa ngomgogodla
• Ukuhlinzwa
• Ukwelashwa ngemithi ehloselwe
• Ukungabi nama-red blood cells (anemia)
• Ukukhathala
• Ukutheleleka
• Ukuphela kwesikhathi sokuba nengqondo (menopause) noma ezinye izinguquko zamahomoni (ezibangelwa ukwelashwa komdlavuza)
• Izinkinga zokulala
• Ubuhlungu obubangelwa ukwelashwa komdlavuza
• Ukufinyelela ebuchosheni ngenxa yokwelashwa ngamakhemikhali
• Imithi yokwelapha ezinye izimpawu ezihlobene nomdlavuza, njengomithi yokuhlupheka

Ezinye izimo zezokwelapha, njengoshukela, izinkinga zesitho se-thyroid, ukucindezeleka, ukukhathazeka nokuntuleka kokudla.

Izici ezingase zikhulise ingozi yezingqinamba zekhumbulo kubantu abasinde ekansini zihlanganisa:

• Ubuhlungu bomkhondo
• Umkhuhlane ofeza (metastasizes) ebuchosheni
• Amanani aphezulu e-chemotherapy noma ireyidiyeshini
• Ukwelashwa ngereyidiyeshini ebuchosheni
• Iminyaka ephansi ngesikhathi sokuxilongwa komdlavuza nokuphathwa
• Ukukhula kweminyaka

Ubukhulu nobude besikhathi sezifo ezivezwayo ezingezinye izikhathi zichazwa njenge-chemo brain kuyahlukahluka kumuntu ngamunye. Abanye abantu abaningi abasinde ekansini bazobuyela emsebenzini, kodwa abanye bazobona ukuthi imisebenzi idinga ukugxila okwengeziwe noma isikhathi. Abanye bangase bangakwazi ukubuyela emsebenzini.

Uma ubhekene nezinkinga ezinzima zokuqonda noma ukugxila okwenza kube nzima ukwenza umsebenzi wakho, tshela udokotela wakho. Ungase uqondiswe kudokotela wezokwelapha emsebenzini noma uchwepheshe we-neuropsychology, ongakusiza ukuba uzilungiselele umsebenzi wakho wamanje noma ubone amandla akho ukuze uthole umsebenzi omusha.

Ezimweni ezingavamile, abantu abanezinkinga zokuqonda nokugxila abakwazi ukusebenza futhi bangase bacabange ukufaka isicelo sezinzuzo zokukhubazeka. Buza iqembu lakho lokunakekelwa kwezempilo ngokuqondiswa kudokotela wezokwelapha we-oncology noma ochwepheshe ofanayo ongakusiza ukuthi uqonde izinketho zakho.

Awekho ukuhlolwa okutholakala ukuthola i-chemo brain. Abantu abaphila ngemva kokwelashwa ngomdlavuza ababhekana nalezi zimpawu bavame ukufumana amaphuzu angaphakathi kwemingcele evamile ekuhlolweni kokukhumbula.

Udokotela wakho angakuncoma ukuhlolwa kwegazi, ukuhlolwa kwengqondo noma ezinye izivivinyo ukuze akhiphe ezinye izimbangela zezingxaki zokukhumbula.

Ukwelapha i-chemo brain kugxile ekubhekaneni nezimpawu. Ezimweni eziningi, izinkinga zokukhumbula ezihlobene nomdlavuza ziyisikhashana. Ngenxa yokuthi izimpawu ze-chemo brain nobunzima bayo ziyahlukahluka kumuntu ngamuntu, udokotela wakho angasebenza nawe ukuze enze uhlelo olufanele wena lokubhekana nazo. Ukulawula izimo ezifaka isandla ezinkingeni zokukhumbula Umdlavuza nokwelashwa komdlavuza kungabangela ezinye izimo, njengokuhlupheka kwegazi, ukucindezeleka, izinkinga zokulala nokuqala kwesikhathi sokuqala, okungenza izinkinga zokukhumbula zibe zimbi. Ukulawula lezi zinto ezinye kungenza kube lula ukubhekana nalezi zimpawu. Ukuphatha izimpawu ze-chemo brain Ochwepheshe abaqeqeshwe ekuxilongeni nasekwelapheni izimo ezihlobene nokukhumbula nokucabanga (i-neuropsychologist) bangakha uhlelo lokusiza ukubhekana nezimpawu ze-chemo brain. Odokotela ngezinye izikhathi bakubiza lokhu ngokuthi ukulungiswa kwengqondo noma ukulungiswa kwengqondo. Ukufunda ukulungisa nokubhekana nezinguquko zokukhumbula kungabandakanya: Ukwenza imisebenzi ephindaphindwayo ukuqeqesha ubuchopho bakho. Imisebenzi yokukhumbula nokucabanga ingasiza ubuchopho bakho ukulungisa izikhungo ezaphukile ezingase zifake isandla kwi-chemo brain. Ukulandelela nokuqonda ukuthi yini ebangela izinkinga zokukhumbula. Ukulandelela ngokucophelela izinkinga zakho zokukhumbula kungaveza izindlela zokubhekana nazo. Ngokwesibonelo, uma uqala ukudideka kalula uma ulangile noma ukhathele, ungahlela imisebenzi enzima edinga ukugxila okwengeziwe ngesikhathi sosuku lapho uzizwa ukhulu khona. Ukusebenzisa amasu okubhekana nazo. Ungafunda izindlela ezintsha zokwenza imisebenzi yansuku zonke ukuze kukusize ukugxila. Ngokwesibonelo, ungafunda ukuthatha amanothi noma wenze isifinyezo sezinto ezibhaliwe njengoba ufunda. Noma udokotela angakusiza ukufunda izindlela zokukhuluma ezikusiza ukugcina ingxoxo ekukhumbula bese uyibuyisela kamuva. Amathuluzi okuqeda ukucindezeleka. Isimo esicindezelayo singenza izinkinga zokukhumbula zibe khona kakhulu. Futhi ukuba nezinkinga zokukhumbula kungaba yinto ecindezelayo. Ukuqeda leli bhayisikili, ungafunda amasu okuphumula. La mathuluzi, njengokupumula kwemisipha okuqhubekayo noma ukwenza imikhuba yokunakekela, kungakusiza ukuthi ubone ukucindezeleka bese kukusiza ukubhekana nakho. Imithi Ayikho imithi evunyiwe yokwelapha i-chemo brain. Imithi evunyiwe kwezinye izimo ingacatshangelwa uma wena nodokotela wakho nivumelana nokuthi ingase inikeze inzuzo ethile. Imithi ngezinye izikhathi esetshenziswa kubantu abanezimpawu ezinjengalezi ihlanganisa: I-Methylphenidate (i-Concerta, i-Ritalin, nezinye), umuthi osebenza ekwelapheni isifo sokungakwazi ukugxila/ukukhula okukhulu (i-ADHD) I-Donepezil (i-Aricept), umuthi osebenza kubantu abane-Alzheimer's disease I-Modafinil (i-Provigil), umuthi osebenza kubantu abanezinye izifo zokulala I-Memantine (i-Namenda), umuthi osebenza ekuthuthukiseni ukukhumbula kubantu abane-Alzheimer's disease, ungasiza ngesikhathi sokukhishwa komlilo ebuchosheni Cela i-aphoyintimenti

Izimpawu ze-chemo brain zingadumaza futhi zibuhlungu. Ngokuhamba kwesikhathi, uzothola izindlela zokuzivumelanisa ukuze ukugxila kube lula futhi izinkinga zememori zingase ziphele. Kuze kube yileso sikhathi, yazi ukuthi leli yinkinga evamile okungenzeka ilunge ngokuhamba kwesikhathi. Ungase uthole kuwusizo ukuba: Uqonde ukuthi izinkinga zememori zenzeka kubo bonke. Naphezu kwamasu akho aphezulu okuqondana nezinguquko zememori yakho, usazoba nokuhluleka okungahleliwe. Kwenzeka kubo bonke. Nakuba ungase ube kancane ukulawula izinguquko zememori ezihlobene nokwelashwa komdlavuza, ungakwazi ukulawula ezinye izimbangela zokulahleka kwememori okuvamile kubo bonke, njengokukhathala ngokweqile, ukuhlubuka noma ukungahleliwe. Thatha isikhathi nsuku zonke ukuze ukhululeke. Ukuqina kungase kube nomthelela ezinkingeni zememori nokuqonda. Dedisa isikhathi nsuku zonke emisebenzini yokunciphisa ukucindezeleka, njengokujima, ukulalela umculo, ukucamngca noma ukubhala encwadini yokuqopha.