Table of Contents
- What Are Chemotherapy Cycles?
- Structure of a Chemotherapy Cycle
- During Chemotherapy Cycles
- Preparing for Each Cycle
- Managing Physical Side Effects
- Emotional and Mental Health
- Tips for During Chemotherapy Cycles
- Building a Support System
- Staying Organized and Informed
- Self-Care and Rest
- Reflecting on the Chemotherapy Cycle Journey
- Advice for Others
- Navigating Chemotherapy Cycles with Confidence
- References:
What Are Chemotherapy Cycles?
Structure of a Chemotherapy Cycle
- Treatment Period: This is when the chemotherapy drugs are administered. Depending on the specific regimen, it can last from a few hours to a few days. Most chemotherapy drugs are administered through Port-A in a doctor's office or hospital setting, but some are given orally at home.
- Rest Period: Following the treatment period, there is a rest period lasting from one to three weeks. This time allows the body to recover from the effects of the chemotherapy drugs and produce new healthy cells, particularly white blood cells and other blood cells in the bone marrow.
During Chemotherapy Cycles
Preparing for Each Cycle
- Medical Preparations: Complete any necessary blood tests and medical check-ups. Your healthcare team will monitor your blood cells and organ function to ensure you're ready for the next cycle.
- Dietary Adjustments: Maintain a balanced diet and stay hydrated. Eating nutritious foods can help support your immune system and overall health. If you have insufficient white blood cells, remember not to eat raw food; food must be cooked. Only eat fruits that need to be peeled, like bananas and kiwis, etc. Boil water before drinking to avoid infection due to insufficient immunity.
- Mental Preparation: Mentally prepare for the upcoming treatment, perhaps through relaxation techniques or meditation. Understanding what to expect can help reduce anxiety and stress.
Managing Physical Side Effects
- Nausea and Vomiting: Commonly caused by chemotherapy drugs. Anti-nausea medications prescribed by your doctor can help manage these symptoms.
- Flatulence: Chemotherapy can cause severe discomfort, such as abdominal pain, nausea, and vomiting. It is important to avoid onions, radishes, bread, etc. If the flatulence is severe, you can ask your doctor for anti-flatulence medicine to relieve it.
- Fatigue: A prevalent side effect, often requiring patients to rest more frequently.
- Hair Loss: Due to the impact of chemotherapy on fast-growing healthy cells, including hair follicles.
- Neuropathy (tingling or numbness in extremities): A side effect of certain chemotherapy drugs that can affect your daily activities.
- Appetite Changes: Chemotherapy can affect taste and appetite, making it challenging to maintain proper nutrition.
- Mouth Sores: Some chemotherapy drugs can cause sores in the mouth and throat, making eating and drinking painful.
- Skin and Nail Changes: Dry skin, rashes, and brittle nails can occur during treatment.
- Increased Risk of Infection: Due to lower white blood cell counts, patients are more susceptible to infections.
- Asteatotic dermatitis, paronychia, and papulopustular eruptions: These are side effects of some chemotherapy drugs. These skin-related problems may cause pain in your hands, feet, or even scalp. You can ask your doctor to prescribe relevant medicine.
- Anti-nausea Medications: Taking them as prescribed by my doctor.
- Rest and Light Exercise: Balancing rest with light activities like walking to boost energy and maintain fitness.
- Proper Hair Care: Using gentle hair products and covering my head to protect against hair loss. Some patients find cold caps helpful in reducing hair loss.
- Pain Management: Using medications and therapies to manage neuropathy and other pain.
- Nutritional Support: Eating small, frequent meals and choosing nutrient-dense foods to manage appetite changes.
- Oral Hygiene: Using mouth rinses and soft-bristled toothbrushes to manage mouth sores.
- Skin Care: Moisturizing regularly and protecting skin from the sun to manage skin changes.
Emotional and Mental Health
- Stress and Anxiety: Often related to the uncertainty of treatment outcomes and the physical toll of chemotherapy.
- Mood Swings: Caused by the physical strain and hormonal changes from treatment.
- Fear of the Unknown: Concerns about treatment effectiveness and future health.
- Depression: Feelings of sadness and hopelessness can arise during long-term treatment.
- Isolation: The physical demands of chemotherapy can lead to feelings of loneliness and isolation from social activities.
- Support Groups: Talking to others who understood my experience provided immense comfort and practical advice.
- Mindfulness and Meditation: Practicing daily to reduce stress and improve mental clarity.
- Positive Affirmations: Keeping a positive outlook despite difficulties helped me stay motivated and focused on recovery.
- Professional Counseling: Seeking help from a therapist or counselor specializing in cancer care.
- Staying Connected: Staying in touch with family and friends through calls and social media combats feelings of isolation.
Tips for During Chemotherapy Cycles
Building a Support System
- Family and Friends: Their emotional and practical support can be invaluable. They can help with daily tasks, provide transportation to appointments, and offer emotional comfort.
- Support Groups: Joining groups where you can share experiences and advice can provide a sense of community and understanding.
- Professional Help: Engaging with a cancer specialist, social worker, or counselor for professional support.
Staying Organized and Informed
- Appointment Calendar: A digital calendar or planner can be helpful for keeping track of treatment dates and medical appointments.
- Medication Schedule: Ensuring all medications, including chemotherapy and supportive medications, are taken as prescribed.
- Treatment Plan: Understanding your treatment plan and any adjustments made by your doctor. Keeping a treatment journal to note side effects and questions for your healthcare team can be beneficial.
- Health Records: Maintaining a folder with all your medical records, test results, and doctor's notes for easy reference.
- Emergency Contacts: Having a list of emergency contacts, including your healthcare team, readily available.
Self-Care and Rest
- Adequate Rest: Ensuring plenty of sleep and rest periods to help the body recover.
- Healthy Diet: Eating nutritious foods to support recovery and maintain energy levels. Especially high-quality protein, vitamins and various phytochemicals to improve your body functions.
- Gentle Activities: Engaging in light activities to stay active without overexerting.
- Hydration: Drinking plenty of fluids to stay hydrated and support bodily functions.
- Mindfulness Practices: Incorporating yoga, meditation, or deep breathing exercises reduces stress and promotes relaxation.
- Hobbies and Interests: Engaging in enjoyable activities to keep your spirits up and maintain a sense of normalcy.
Reflecting on the Chemotherapy Cycle Journey
Advice for Others
Navigating Chemotherapy Cycles with Confidence
References:
- Altman, A. D., McGee, J., May, T., Lane, K., Lu, L., Xu, W., Ghatage, P., & Rosen, B. (2017). Neoadjuvant chemotherapy and chemotherapy cycle number: A national multicentre study. Gynecologic oncology, 147(2), 257–261. https://doi.org/10.1016/j.ygyno.2017.08.006
- Amjad MT, Chidharla A, Kasi A. Cancer Chemotherapy. [Updated 2023 Feb 27]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK564367/
- McDonald, L., Sammon, C., Carroll, R., Harish, A., C, A. S., Tyas, D., & Ramagopalan, S. V. (2020). Consistency of recording of chemotherapy cycles in the National Cancer Registration and Analysis Service Systemic Anti-Cancer Therapy database and the Hospital Episode Statistics Admitted Patient Care database. Future oncology (London, England), 16(3), 4455–4460. https://doi.org/10.2217/fon-2019-0669
- Mehta, R., Sharma, K., Potters, L., Wernicke, A. G., & Parashar, B. (2019). Evidence for the Role of Mindfulness in Cancer: Benefits and Techniques. Cureus, 11(5), e4629. https://doi.org/10.7759/cureus.4629
- Misiąg, W., Piszczyk, A., Szymańska-Chabowska, A., & Chabowski, M. (2022). Physical Activity and Cancer Care-A Review. Cancers, 14(17), 4154. https://doi.org/10.3390/cancers14174154
- Mittelman S. D. (2020). The Role of Diet in Cancer Prevention and Chemotherapy Efficacy. Annual review of nutrition, 40, 273–297. https://doi.org/10.1146/annurev-nutr-013120-041149
- Zhang, J., Huang, Y., Sun, Y., He, A., Zhou, Y., Hu, H., Yao, Y., & Shen, Z. (2019). Impact of chemotherapy cycles and intervals on outcomes of nonspinal Ewing sarcoma in adults: a real-world experience. BMC cancer, 19(1), 1168. https://doi.org/10.1186/s12885-019-6407-5
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