Ubukhulu be-Chemo Brain? Izimpawu, Izimbangela, Nokwelapha

Ubukhulu be-Chemo brain luyisimo esiqinisile esithinta ukucabanga kwakho nokukhumbula ngesikhathi sokwelashwa komdlavuza noma ngemuva kwakho. Akuyona nje into "engqondweni yakho" – kuyisici esaziwayo esibangelwa ukwelashwa komdlavuza, futhi awuwedwa uma ubhekene nakho.

Lokhu kushintsha kwengqondo kungazizwa kukukhungathekisa lapho imisebenzi elula ibonakala ilula ngokuzumayo. Izindaba ezinhle ukuthi ukuqonda ukuthi kwenzekani kungakusiza ukukuphatha kangcono futhi wazi nini ukufuna usizo.

Iyini i-chemo brain?

I-chemo brain ibhekisela ezinguqukweni zengqondo ezingase zenzeke ngesikhathi sokwelashwa komdlavuza. Ithinta ikhono lakho lokucabanga ngokucacile, ukukhumbula izinto, nokugxila emisebenzini owayuyiphatha kalula.

Ochwepheshe bezokwelapha bayibiza nangokuthi "ukonakala kokwazi okuhlobene nomdlavuza" noma "i-chemo fog." Nakuba i-chemotherapy ivame ukuba yisizathu, ezinye izindlela zokwelapha umdlavuza kanye nokucindezeleka kokuba nomdlavuza ngokwawo kungase kube nomthelela kulezi zimpawu.

Lezi zinguquko zingase zibe ukukhohlwa okuthambile kuya ezinzimeni ezibonakalayo zokucabanga. Abantu abaningi bayabona ukuthuthuka ngokuhamba kwesikhathi, nakuba isikhathi sokuthuthuka sihlukahluka kumuntu ngamunye.

Ziyini izimpawu ze-chemo brain?

Izimpawu ze-chemo brain zingazizwa sengathi ingqondo yakho isebenza ngokusebenzisa umusi. Ungase uqaphele izinguquko endleleni ocabanga, ukhumbula, noma ugxila ngayo emisebenzini yansuku zonke.

Izimpawu ezivamile zihlanganisa:

• Ubunzima bokuhumbula amagama, izinsuku, noma ukuthi ubekephi izinto
• Ubunzima bokuhlala ugxile ezingxoxweni, ezincwadini, noma kuma-TV shows
• Izinkinga zokuthola amagama afanele uma ukhuluma
• Ukuzizwa ubuthakathaka ngokwengqondo kunokujwayelekile
• Ubunzima bokuqondisa izinto eziningi noma ukushintsha phakathi kwemisebenzi
• Ubunzima bokufunda ulwazi noma amakhono amasha
• Ukuhlatshwa kalula noma ukulahlekelwa umkhondo wemicabango yakho

Izimpawu ezingavamile kodwa ezingase zenzeke zihlanganisa ukudideka ngesikhathi noma indawo, ubunzima ngemathematika noma ukubala, kanye nezinkinga ezikhunini zokubona-isikhala njengokufunda amamephu. Lezi zimpawu zingase ziye ziye, futhi zingase ziqapheleke kakhulu uma ukhathele noma ucindezelekile.

Yini ebangela i-chemo brain?

I-chemo brain yenzeka ngoba ukwelashwa komdlavuza kungase kuthonye indlela amaseli engqondo akho axhumana ngayo. Imbangela eqondile ayiqondakali ngokuphelele, kodwa abacwaningi bakholelwa ukuthi izici eziningi zisebenza ndawonye ukudala lezi zinguquko zengqondo.

Imithi ye-chemotherapy ingase idlule ebuchosheni bakho futhi yonakalise amaseli engqondo anempilo. Le miyekezo yenzelwe ukubheka amaseli omdlavuza ahlukanisayo ngokushesha, kodwa ingase futhi ithonye amanye amaseli akhula ngokushesha emzimbeni wakho, kuhlanganise namaseli engqondo athile.

Ezinye izindlela zokwelapha umdlavuza zingase zinikeze nomthelela. Ukwelashwa ngomgqomo ekhanda noma entanyeni kungase kuthonye ngokuqondile inyama yengqondo. Ukwelashwa ngamahomoni, i-immunotherapy, kanye nokuhlinzwa kungase kuthonye umsebenzi wokwazi ngezindlela ezahlukene.

Umdlavuza ngokwawo ungase udlale indima ngokukhulula izinto ezibangela ukuvuvukala ethonya umsebenzi wengqondo. Impendulo yomzimba wakho kumdlavuza ingase idale ukuvuvukala okuthonya indlela ingqondo yakho esebenza ngayo ulwazi.

Ezinye izici ezingenza izimpawu zengqondo zibe zimbi kakhulu zihlanganisa ukukhathala, ukucindezeleka, ukukhathazeka, ukucindezeleka, kanye nezinkinga zokulala. Imithi yokugula, ubuhlungu, noma ezinye izici ezingase zibe nomthelela ekukhathaleni kwengqondo.

Nini okumele ubona udokotela nge-chemo brain?

Kufanele uxoxe neqembu lakho lokunakekelwa kwezempilo uma izinguquko zengqondo zithinta impilo yakho yansuku zonke noma zikubangela ukukhathazeka okukhulu. Ungalindi ukukhuluma ngalezi zinkathazo – ziyinxenye ebalulekile yokunakekelwa komdlavuza wakho.

Xhumana nodokotela wakho ngokushesha uma uhlangabezana nokudideka okungazelelwe, okukhulu, ukulahleka kwenkumbulo okukhulu okuthonya ukuphepha kwakho, noma uma ungakwazi ukwenza imisebenzi yansuku zonke. Lokhu kungase kubonise isimo esinzima esidinga ukunakekelwa ngokushesha.

Kubalulekile futhi ukufuna usizo uma izimpawu zengqondo ziya ziba zimbi ngokuhamba kwesikhathi kunokuthuthuka, noma uma zithinta ikhono lakho lokusebenza, ukuqhuba ngokuphepha, noma ukugcina ubuhlobo. Iqembu lakho lezokwelapha lingakusiza ukuthola ukuthi ukulingwa okwengeziwe noma ukwelashwa kuyadingeka.

Ziyini izici ezingase zikhulise ingozi ye-chemo brain?

Izici eziningi zingase zikhulise amathuba akho okuhlangabezana ne-chemo brain. Ukuqonda lezi zici ezingase zikhulise ingozi kungakusiza wena neqembu lakho lezokwelapha ukulungiselela nokuhlela izinguquko ezingase zenzeke zengqondo.

Izici ezihlobene nokwelashwa ezingase zikhulise ingozi zihlanganisa:

• Amadosi aphezulu wemithi ye-chemotherapy
• Izinhlobo ezithile ze-chemotherapy, ikakhulukazi lezo ezidlula kalula ebuchosheni
• Ukwelashwa ngomgqomo ebuchosheni noma ekhanda
• Ukwelashwa okuhlanganisiwe okusebenzisa imithi eminingi
• Isikhathi eside sokwelashwa

Izici zomuntu siqu ezingase zikhulise ingozi zihlanganisa ukuba mdala uma uthola ukwelashwa, ukuba nezinga eliphansi lemfundo, nokubhekana nokuhlushwa okukhulu noma ukukhathazeka. Abesifazane bangase babe sengozini kakhulu kunamadoda, nakuba izizathu zingacaci ngokuphelele.

Isimo esikade sikho njengokucindezeleka, izifo zokulala, noma ezinye izimo zezinzwa zingase zikwenze ube sengozini kakhulu. Ukuba nomlando wezinkinga zokufunda noma ukunaka kungase futhi kukhulise ingozi yakho yokubhekana nezinguquko zengqondo ezibonakalayo.

Ziyini izinhlanganisela ezingase zenzeke ze-chemo brain?

Nakuba i-chemo brain ivame ukuphatheka, ngezinye izikhathi ingase iholele ezinhlanganisela ezithinta ikhwalithi yakho yokuphila. Ukuqonda lezi zinkinga ezingase zenzeke kungakusiza ukufuna usizo olufanele uma kudingeka.

Ukusebenza komsebenzi kanye nokusebenza kwezemfundo kungase kuhlupheke, okuholela ebunzimeni bokuqhubeka nokusebenza noma ukuqedela imigomo yemfundo. Abanye abantu badinga ukunciphisa amahora abo omsebenzi, ukushintsha imisebenzi, noma ukuthatha isikhathi eside sokuphumula ngesikhathi sokwelashwa nokubuyiselwa.

Izinselele zobuhlobo zingase zenzeke lapho izihlobo nabangane bengakuqondi ukushintsha kwengqondo okubhekene nakho. Izinkinga zokuxhumana nokukhohlwa kungase kuhluphe ubuhlobo bomuntu siqu nobuhlobo bomphakathi.

Izinkathazo zokuphepha zingase zenzeke, ikakhulukazi ngokuqhuba, ukuphatha imithi, noma ukuphatha izindaba zezezimali. Abanye abantu badinga usizo olwengeziwe kule misebenzi ngesikhathi sokwelashwa nezikhathi zokubuyiselwa.

Izinhlanganisela zomzwelo zingase zihlanganise ukukhungatheka, ukukhathazeka, nokucindezeleka okuhlobene nezinguquko zengqondo. Ukucindezeleka kokungazizwa ubukhali ngokwengqondo kungase kudale isizungu lapho ukukhathazeka kwenza ukugxila kube nzima nakakhulu.

Kwezinye izikhathi, ukonakala okukhulu kokwazi kungase kuqhubeke isikhathi eside, kudinge usizo oluqhubekayo nezinqubo zokuziphatha. Noma kunjalo, abantu abaningi bayabona ukuthuthuka ngokuhamba kwesikhathi ngokuphathwa okuqondile nosizo.

I-chemo brain ihlonishwa kanjani?

Ukuhlonishwa kwe-chemo brain kuqala ngengxoxo neqembu lakho lezokwelapha ngezinguquko zengqondo ozibhekana nazo. Ayikho ivivi elilodwa le-chemo brain, ngakho udokotela wakho uzosebenzisa incazelo yakho yezimpawu nomthelela wazo ekuphileni kwakho kwansuku zonke.

Udokotela wakho cishe uzobuza imibuzo eminingi mayelana nokuthi izimpawu zaqala nini, zishintshe kanjani ngokuhamba kwesikhathi, kanye nemisebenzi ethinteka kakhulu. Uzothanda ukwazi ngomlando wakho wokwelashwa komdlavuza nanoma iyiphi enye imithi oyithathayo.

Ukuhlolwa kwe-neuropsychological kungase kunconywe ukuthola izici ezahlukene zokucabanga, inkumbulo, nokugxila. Lezi zihloko ziqhathanisa ukusebenza kwakho nalokho okulindelekile kumuntu oneminyaka yakho kanye nezinga lemfundo.

Iqembu lakho lezokwelapha lizothanda futhi ukukhipha ezinye izimo ezingase zibangele izimpawu ezifanayo. Izivivinyo zegazi zingase zibuyekeze ukushoda kwegazi, izinkinga zesitho sesitho, noma ukushoda kwevithamini okungase kuthonye umsebenzi wokwazi.

Ngezinye izikhathi izifundo zokubona ingqondo njenge-MRI scans ziyalawulwa, ikakhulukazi uma izimpawu zinzima noma zingavamile. Lezi zivivinyo zingakusiza ukuthola noma yiziphi izinguquko zesakhiwo ebuchosheni noma ukukhipha ezinye izimo zezinzwa.

Iyini ukwelashwa kwe-chemo brain?

Ukwelashwa kwe-chemo brain kugxile ekuphatheni izimpawu nokukusiza ukuba uzilungiselele izinguquko zengqondo. Nakuba ayikho indlela yokwelapha, izindlela eziningi zingakusiza ukuthuthukisa ukucabanga kwakho nenkumbulo ngokuhamba kwesikhathi.

Ukwelashwa kokubuyiselwa kwengqondo kusebenza nochwepheshe abakufundisa amasu okusebenza ngezinkinga zenkumbulo nokucabanga. Lokhu kungase kuhlanganise ukusebenzisa ikhalenda, ukwenza uhlu, ukuhlukanisa imisebenzi ezingxenyeni ezincane, nokudala izindlela.

Ezinye imithi ingase isize ngezimpawu ezithile. Imithi yokukhuthaza njengaleyo esetshenziswa kwi-ADHD ngezinye izikhathi iyalawulwa, nakuba ukusebenza kwayo kuhlukahluka kumuntu ngamunye. Imithi yokulwa nokucindezeleka ingase isize uma ukucindezeleka kuthonya izimpawu zengqondo.

Ukuzivocavoca komzimba kubonise ithemba lokuthuthukisa umsebenzi wokwazi ngemuva kokwelashwa komdlavuza. Ukuzivocavoca okujwayelekile komzimba kungakusiza ukuthuthukisa ukugeleza kwegazi ebuchosheni futhi kungase kusekele ukukhula kwamaseli amasha engqondo.

Ukubhekana nezici ezinikezayo kubalulekile futhi. Ukwelapha izinkinga zokulala, ukuphatha ukucindezeleka nokukhathazeka, nokuqinisekisa ukudla okuqondile konke kungakusiza ukuthuthukisa umsebenzi wokwazi. Ukuphathwa kobuhlungu kubalulekile ngoba ubuhlungu obuhlala isikhathi eside bungenza izinkinga zokugxila zibe zimbi.

Ukwelashwa kokusebenza kungakusiza ukuba uthuthukise amasu asebenzayo okulawula imisebenzi yansuku zonke. Ukwelashwa kokukhuluma kungase kube usizo uma unezinkinga zokuthola amagama noma ukulandela izingxoxo.

Indlela yokuphatha i-chemo brain ekhaya?

Ukuphatha i-chemo brain ekhaya kuhilela ukudala izindawo ezisekelayo nokwenza imikhuba ewusizo. Izinguquko ezincane ekuphileni kwakho kwansuku zonke zingenza umehluko omkhulu endleleni osebenza ngayo.

Amasu okubamba ingqondo angakusiza ukubuyisela izinkinga zenkumbulo. Sebenzisa ikhalenda, izinhlelo zokusebenza ze-smartphone, noma uhlu olulotshwe phansi ukuze ugcine uqaphele iziqukathi nemisebenzi. Gcina izinto ezibalulekile njengezihluthulelo nefoni endaweni efanayo nsuku zonke.

Dala uhlelo lwansuku zonke oluhleliwe oluthambisa isidingo sokuhumbula izinyathelo eziningi. Ukuhlukanisa imisebenzi emikhulu ezingxenyeni ezincane, ezilawuleka, kungenza izinto zizizwe zingabi nzima kakhulu futhi kulula ukuziqedela.

Nciphisa ukuhlatshwa uma udinga ukugxila. Cima umsindo wangemuva, vala amathebhu e-browser angadingeki, futhi ugxile kumsebenzi munye ngesikhathi. Khetha izikhathi zakho eziphezulu zosuku zemisebenzi ebalulekile.

Hlala usebenzisa ingqondo ngemisebenzi oyithandayo, njengokufunda, ama-puzzles, noma ukufunda amakhono amasha. Noma kunjalo, ungazicindelisi kakhulu – ukukhuthaza ingqondo okuthambile kuwusizo kakhulu kunokuncindezela.

Thola ukulala okwanele futhi ulawule ukucindezeleka ngezindlela zokupumula, ukuzivocavoca okuthambile, noma ukucamngca. Kokubili ukulala okubi nokucindezeleka okukhulu kungenza izimpawu zengqondo zibe zimbi.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela i-aphoyintimenti yakho kungakusiza ukwenza kakhulu isikhathi sakho nomhlinzeki wakho wezokunakekelwa kwezempilo. Ukuba nolwazi oluqondile okulungile kuzosiza udokotela wakho ukuqonda kangcono isipiliyoni sakho ne-chemo brain.

Gcina idayari yezimpawu amasonto ambalwa ngaphambi kwe-aphoyintimenti yakho. Qaphela ukuthi izinkinga zengqondo zenzeka nini, ubenzeni, nokuthi zazinzima kangakanani. Faka ulwazi mayelana nokulala, amazinga okucindezeleka, nezinye izici ezingase zibe yiyona.

Bhala izibonelo ezithile zendlela i-chemo brain ethinta ngayo impilo yakho yansuku zonke. Esikhundleni sokuthi "ngikhohlwa," chaza "ngikhohlwe umdlalo webhola lezinyawo wendodakazi yami kabili kuleli sonto" noma "angingakhumbuli igama lomsebenzi wami ngesikhathi somhlangano."

Letha uhlu oluphelele lwazo zonke imithi, izithasiselo, nemithi yokuthengwa ngaphandle kwesikripthi oyithathayo. Ezinye imithi ingase ibe nomthelela ezinkingeni zengqondo, futhi udokotela wakho angase afune ukuyibuyekeza.

Cabanga ukuletha umngane othembekile noma ilungu lomndeni elingakusiza ukukhumbula ingxoxo nokubuza imibuzo ongazihlanganisa. Bangase futhi banikeze umbono wabo ngezinguquko ababeqaphele.

Lungiselela uhlu lwemibuzo mayelana nezinketho zokwelapha, amasu okubhekana nezinkinga, nokuthi yini okulindelekile ukuqhubeka. Unganqikazi ukubuza ngezinsiza zokubuyiselwa kwengqondo noma amaqembu wokusekela endaweni yakho.

Iyini into ebalulekile mayelana ne-chemo brain?

I-chemo brain iyisici esiqinisile nesivamile sokwelashwa komdlavuza esithinta ukucabanga, inkumbulo, nokugxila. Awucabangi lezi zinguquko, futhi azibonisi ubuthakathaka noma ukwehluleka kwakho.

Nakuba i-chemo brain ingase ibe yinto ekhungathekisayo futhi enesinselelo, abantu abaningi bayabona ukuthuthuka ngokuhamba kwesikhathi. Izinguquko zengqondo zivame ukuba zesikhashana, nakuba isikhathi sokubuyiselwa sihlukahluka kumuntu ngamunye.

Kunezindlela ezisebenzayo nezinketho zokwelapha ezitholakalayo zokusiza ukuphatha izimpawu nokuthuthukisa ikhwalithi yakho yokuphila. Ukusebenza neqembu lakho lezokwelapha, ukusebenzisa amasu okubhekana nezinkinga, nokubekezela ngawe uqobo kuyizona ezibalulekile ekuphatheni lesi simo ngempumelelo.

Imibuzo evamile ebuzwayo mayelana ne-chemo brain

Isikhathi esingakanani i-chemo brain ihlala?

Isikhathi se-chemo brain sihlukahluka kakhulu kumuntu ngamunye. Abantu abaningi bayabona ukuthuthuka phakathi nezinyanga ezimbalwa kuya ngonyaka ngemuva kokuphela kokwelashwa, kanti abanye bangase babe nezimpawu iminyaka eminingi. Ezinye izinguquko zengqondo zingase zihlale njalo, kodwa abantu abaningi bathuthukisa amasu okubhekana nezinkinga ngokuhamba kwesikhathi.

I-chemo brain ingavikeleka?

Okwamanje, ayikho indlela ebonakalayo yokuvimbela ngokuphelele i-chemo brain. Noma kunjalo, ukugcina impilo enhle ngokujwayelekile ngokuzivivinya okujwayelekile, ukulala okwanele, ukuphathwa kokucindezeleka, kanye nokudla okuqondile kungase kusize ukunciphisa ingozi yakho noma ububi lwezimpawu. Ezinye izifundo zibonisa ukuthi ukuqeqeshwa kwengqondo ngaphambi kokwelashwa kungase kube usizo, kodwa kudingeka izifundo eziningi.

I-chemo brain ithonya yini wonke umuntu othole i-chemotherapy?

Akuyona yonke imithi ye-chemotherapy ehlangabezana ne-chemo brain, futhi izimpawu zingase zibe zithambile kakhulu kuya ezibonakalayo. Izifundo zibonisa ukuthi noma kuphi kusuka ku-20% kuya ku-75% yabantu abamukela i-chemotherapy bahlangabezana nezinguquko ezithile zengqondo, kuye ngohlobo lokwelashwa nezici zomuntu siqu.

I-chemo brain ifana ne-dementia?

Cha, i-chemo brain ayifani ne-dementia. Nakuba kokubili lezi zimo zingase zithinte inkumbulo nokucabanga, i-chemo brain ivame ukuba ihlobene nokwelashwa komdlavuza futhi ngokuvamile iyakhuphuka ngokuhamba kwesikhathi. I-dementia iyisimo esiqhubekayo esivame ukuba sibi. Uma ukhathazekile ngezimpawu zengqondo ezihlala njalo noma eziba zimbi, xoxa nodokotela wakho.

Ezinye izindlela zokwelapha umdlavuza ngaphandle kwe-chemotherapy zingase zibangele izinkinga zengqondo?

Yebo, ezinye izindlela zokwelapha umdlavuza zingase zinikeze izinguquko zengqondo. Ukwelashwa ngomgqomo, ikakhulukazi ekhanda, ukwelashwa ngamahomoni, i-immunotherapy, kanye nokucindezeleka kokuxilongwa komdlavuza nokwelashwa kungase kuthonye ukucabanga nenkumbulo. Kungakho ochwepheshe abaningi bezokwelapha manje bekhetha igama elithi "ukonakala kokwazi okuhlobene nomdlavuza" kunokuthi "i-chemo brain."