{"id":14307,"date":"2022-01-01T01:15:15","date_gmt":"2021-12-31T22:15:15","guid":{"rendered":"https:\/\/zdmaa.com\/finding-relief-from-chemotherapy-related-nerve-damage\/"},"modified":"2022-01-02T15:09:23","modified_gmt":"2022-01-02T12:09:23","slug":"finding-relief-from-chemotherapy-related-nerve-damage","status":"publish","type":"post","link":"https:\/\/zdmaa.com\/tr\/finding-relief-from-chemotherapy-related-nerve-damage\/","title":{"rendered":"Kemoterapi ile ili\u015fkili sinir hasar\u0131ndan kurtulma bulma"},"content":{"rendered":"

Kemoterapi ile ili\u015fkili sinir hasar\u0131ndan kurtulma bulma<\/span><\/span><\/span><\/span><\/p>\n

\n

Kemoterapinin, hastan\u0131n ya\u015fam kalitesini etkileyebilecek bir tak\u0131m yan etkilere neden oldu\u011fu bilinmektedir. <\/span>Yorgunluk, mide bulant\u0131s\u0131 ve sa\u00e7 d\u00f6k\u00fclmesi gibi bir\u00e7o\u011fu genellikle ge\u00e7icidir. <\/span>Periferik n\u00f6ropati de\u011fi\u015fir. <\/span>Hastalar\u0131n y\u00fcr\u00fcme, denge kurma, nesneleri ta\u015f\u0131ma ve di\u011fer \u00f6nemli i\u015flevleri yerine getirme becerilerini etkileyebilecek sinir hasar\u0131 ile karakterize edilen bu durumun kal\u0131c\u0131 olmas\u0131 muhtemeldir ve yaln\u0131zca hastalar\u0131n ya\u015fam kalitesini de\u011fil, bazen tedaviye devam etme yetene\u011finizi de etkiler.<\/span><\/span><\/p>\n

Sinir hasar\u0131 hastalar\u0131 \u00e7e\u015fitli \u015fekillerde etkileyebilir: \u00f6rne\u011fin a\u011fr\u0131y\u0131, uyu\u015fmay\u0131 ve kar\u0131ncalanmay\u0131 tetiklemek, ince motor becerileri azaltmak ve hareketi s\u0131n\u0131rlamak. <\/span>Philadelphia Hastanemizde hematolog ve onkolog olan Shima Kazmi, bu semptomlar\u0131n yeniden ortaya \u00e7\u0131kt\u0131\u011f\u0131 anda tedavi edilmesinin, k\u00f6t\u00fcle\u015fmelerini ve hastalar\u0131n fiziksel ve zihinsel zorluklar\u0131n\u0131 birle\u015ftirmelerini \u00f6nlemeye yard\u0131mc\u0131 olabilece\u011fini s\u00f6yl\u00fcyor. <\/span>Bununla birlikte, baz\u0131 hastalar \u015fikayetleriyle di\u011ferlerini “\u00f6fkelendirmekten” korkarak a\u00e7\u0131lmaya isteksizdir ve sessizce ac\u0131 \u00e7ekerler.<\/span><\/span><\/p>\n

Doktorunuzla konu\u015fun<\/span><\/span><\/h2>\n

Dr. Kazemi, klinisyenlerin hastalar\u0131 bozuk para veya g\u00f6mlek d\u00fc\u011fmesi alma g\u00fc\u00e7l\u00fc\u011f\u00fcnden s\u0131n\u0131rl\u0131 tepkilere ve so\u011fu\u011fa veya s\u0131ca\u011fa kar\u015f\u0131 hassasiyete kadar t\u00fcm semptomlar\u0131 hakk\u0131nda dinlemelerinin \u00f6nemli oldu\u011funu s\u00f6yl\u00fcyor. <\/span>Dr. Kazmi, parmak u\u00e7lar\u0131nda kar\u0131ncalanma gibi g\u00f6r\u00fcn\u00fc\u015fte k\u00fc\u00e7\u00fck de\u011fi\u015fikliklerin bile bahsetmeye ve dikkat etmeye de\u011fer oldu\u011funu \u00e7\u00fcnk\u00fc bunlar\u0131n daha ciddi sorunlara i\u015faret edebilece\u011fini s\u00f6yl\u00fcyor. <\/span>Ayr\u0131ca kemoterapi dozunun, zamanlamas\u0131n\u0131n veya s\u00fcresinin ayarlanmas\u0131 gerekebilece\u011finin bir g\u00f6stergesi olabilir. <\/span>Dr. Kazmi, “Asla ‘Bu normal’ gibi hissetmeyin. Daima bunun hakk\u0131nda konu\u015fun” diyor.<\/span><\/span><\/p>\n

T\u0131p d\u00fcnyas\u0131n\u0131n kemoterapiye ba\u011fl\u0131 periferik n\u00f6ropati (CIPN) dedi\u011fi \u015fey, kansere sald\u0131rmay\u0131 ama\u00e7layan ila\u00e7lar taraf\u0131ndan beyin ve omurgadan uzaktaki zay\u0131f sinirler hasar g\u00f6rd\u00fc\u011f\u00fcnde ortaya \u00e7\u0131kar. <\/span>CIPN semptomlar\u0131, etkilenen sinirin tipine ba\u011fl\u0131 olabilir. <\/span>\u00c7o\u011fu zaman, semptomlar v\u00fccudun her iki taraf\u0131nda e\u015fit olarak geli\u015fir ve genellikle elleri ve ayaklar\u0131 etkiler. <\/span>Duyu sinirlerinde hasar oldu\u011funu g\u00f6steren b\u0131\u00e7aklama ve ate\u015f etme a\u011fr\u0131lar\u0131, kar\u0131ncalanma hissi, so\u011fu\u011fa duyarl\u0131l\u0131k veya uyu\u015fukluk i\u00e7erebilir. <\/span>Daha az yayg\u0131n olan zay\u0131fl\u0131k veya dengesizlik duygular\u0131 motor sinir hasar\u0131n\u0131 g\u00f6sterebilirken, kab\u0131zl\u0131k veya ba\u015f d\u00f6nmesi otonom sinir hasar\u0131n\u0131 g\u00f6sterebilir. <\/span>CIPN semptomlar\u0131 genellikle yava\u015f ortaya \u00e7\u0131kar ve zamanla k\u00f6t\u00fcle\u015febilir. <\/span>\u00d6te yandan, akut K\u0130PN aniden geli\u015febilir ve sonra kaybolabilir.<\/span><\/span><\/p>\n

Dr. Kazmi, “Kahvemi kald\u0131ramayacak kadar uyu\u015fukluk varsa ya da t\u00f6kezledi\u011fim ya da dengemi kaybetti\u011fim yerde uyu\u015fukluk varsa? NIPC’ye orta ve \u015fiddetli derecede ula\u015f\u0131yoruz” diyor Dr. Kazmi. kal\u0131c\u0131 olmak i\u00e7in. ve geri al\u0131namaz.<\/span><\/span><\/p>\n

Kim risk alt\u0131nda?<\/span><\/span><\/h2>\n

Daha uzun s\u00fcre daha g\u00fc\u00e7l\u00fc dozlarda kemoterapi alan, daha ya\u015fl\u0131, diyabetli veya t\u00fct\u00fcn kullanan hastalarda periferik n\u00f6ropati geli\u015fme riski daha y\u00fcksek olabilir. <\/span>Genetik ve beslenme eksiklikleri de rol oynayabilir. <\/span>CIPN ile en yayg\u0131n olarak ili\u015fkili ila\u00e7lar, paklitaksel gibi taksan ailesindeki ila\u00e7lar ve t\u00fcm\u00fc meme, yumurtal\u0131k ve karsinomlar i\u00e7in birinci basamak kemoterapi ila\u00e7lar\u0131 olan sisplatin, oksaliplatin ve karboplatin dahil platin bazl\u0131 ila\u00e7lard\u0131r. <\/span>kolon ve rektum. <\/span>Lenfomay\u0131 tedavi etmek i\u00e7in s\u0131kl\u0131kla kullan\u0131lan vinkristin gibi alkaloidler de periferik n\u00f6ropati ile ili\u015fkilendirilmi\u015ftir.<\/span><\/span><\/p>\n

\u0130la\u00e7lar\u0131n verilme \u015feklini de\u011fi\u015ftirmeye ek olarak, \u00e7e\u015fitli destekleyici tedaviler, \u015fiddetli NIPC’yi \u00f6nlemeye ve y\u00f6netmeye yard\u0131mc\u0131 olabilir. <\/span>A\u011fr\u0131ya yard\u0131mc\u0131 olabilecek tedaviler aras\u0131nda takviyeler, di\u011fer fizik tedavi tedavileri, a\u011fr\u0131 kesiciler, antidepresanlar, akupunktur, masaj ve meditasyon bulunur. <\/span>Amerika Kanser Tedavi Merkezlerinde (CTCA) b\u00fct\u00fcnle\u015ftirici t\u0131p ba\u015fkan yard\u0131mc\u0131s\u0131 Caroline Lammersfield, fizik tedavinin kanser hastalar\u0131n\u0131n denge sorunlar\u0131na ve duyusal de\u011fi\u015fikliklerden kaynaklanabilecek di\u011fer zorluklara uyum sa\u011flamas\u0131na yard\u0131mc\u0131 olabilece\u011fini s\u00f6yl\u00fcyor. <\/span>“En \u00f6nemli mesaj, uyu\u015ftu\u011funu veya kar\u0131ncaland\u0131\u011f\u0131n\u0131 hissetti\u011fin anda konu\u015fmand\u0131r.”<\/span><\/span><\/p>\n

Kapsaml\u0131 bak\u0131m\u0131n kanser hastalar\u0131n\u0131n periferik n\u00f6ropatiyi y\u00f6netmesine nas\u0131l yard\u0131mc\u0131 olabilece\u011fi hakk\u0131nda daha fazla bilgi edinin.<\/span><\/span><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Kemoterapi ile ili\u015fkili sinir hasar\u0131ndan kurtulma bulma Kemoterapinin, hastan\u0131n ya\u015fam kalitesini etkileyebilecek bir tak\u0131m yan etkilere neden oldu\u011fu bilinmektedir. Yorgunluk, mide bulant\u0131s\u0131 ve sa\u00e7 d\u00f6k\u00fclmesi gibi bir\u00e7o\u011fu genellikle ge\u00e7icidir. Periferik n\u00f6ropati de\u011fi\u015fir. Hastalar\u0131n y\u00fcr\u00fcme, denge kurma, nesneleri ta\u015f\u0131ma ve di\u011fer \u00f6nemli i\u015flevleri yerine getirme becerilerini etkileyebilecek sinir hasar\u0131 ile karakterize edilen bu durumun kal\u0131c\u0131 olmas\u0131 …<\/p>\n","protected":false},"author":1,"featured_media":13857,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[25],"tags":[],"class_list":["post-14307","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized-tr"],"yoast_head":"\nKemoterapi ile ili\u015fkili sinir hasar\u0131ndan kurtulma bulma - zdmaa<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/zdmaa.com\/tr\/finding-relief-from-chemotherapy-related-nerve-damage\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Kemoterapi ile ili\u015fkili sinir hasar\u0131ndan kurtulma bulma - zdmaa\" \/>\n<meta property=\"og:description\" content=\"Kemoterapi ile ili\u015fkili sinir hasar\u0131ndan kurtulma bulma Kemoterapinin, hastan\u0131n ya\u015fam kalitesini etkileyebilecek bir tak\u0131m yan etkilere neden oldu\u011fu bilinmektedir. 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