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class=\"ppyy_material_wrap\">\n  \u003Ch2 id=\"material_title\" class=\"ppyy_material_title\">化疗相关性周围神经毒性居家识别和应对，这些细节别忽视\u003C/h2>\n\n  \u003Cdiv class=\"ppyy_material_section\">\n    \u003Cdiv class=\"ppyy_material_subtitle_bg\">\n      \u003Cspan class=\"ppyy_material_subtitle\">手脚麻木不是小问题，化疗期间要警惕周围神经毒性\u003C/span>\n    \u003C/div>\n    \u003Cp class=\"ppyy_material_content\">\n      化疗相关性周围神经毒性，是不少肿瘤患者在家常常会遇到的问题。有的患者觉得手脚发麻、刺痛、像踩棉花一样，以为是普通的疲劳，熬一熬就过去了。其实，这种感觉很可能是化疗相关性周围神经毒性。作为平舆县人民医院肿瘤科的贾佳娜，我特别想聊聊，化疗相关性周围神经毒性咋在家发现、该怎么办，这事咱得上心。\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"ppyy_material_section\">\n    \u003Cdiv class=\"ppyy_material_subtitle_bg\">\n      \u003Cspan class=\"ppyy_material_subtitle\">三个识别化疗相关性周围神经毒性的关键表现\u003C/span>\n    \u003C/div>\n    \u003Cp class=\"ppyy_material_content\">\n      咱们在家里辨别有没有化疗相关性周围神经毒性，主要看这三个表现：\u003Cbr>\n      1️⃣ \u003Cb>手脚麻木、发凉或刺痛\u003C/b>：尤其是在化疗后，手指、脚趾出现麻木、像被蚂蚁爬的感觉，或者明明室温正常却感觉发冷发凉。\u003Cbr>\n      2️⃣ \u003Cb>动作变得笨拙或握不住东西\u003C/b>：比如系鞋带、扣扣子变得费劲，或者拿东西容易掉；走路时发现踩空、平衡变差。\u003Cbr>\n      3️⃣ \u003Cb>症状逐渐加重而不是偶尔一过性出现\u003C/b>：不是休息一下就缓解，而是慢慢地越来越明显，往往左右对称，这时要高度怀疑化疗相关性周围神经毒性的可能性。\u003Cbr>\n      凡是同时出现上述表现之一，尤其是在化疗周期中或者刚做完化疗的人群，这真的不能掉以轻心。\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"ppyy_material_section\">\n    \u003Cdiv class=\"ppyy_material_subtitle_bg\">\n      \u003Cspan class=\"ppyy_material_subtitle\">化疗相关性周围神经毒性和普通疲劳、血糖异常有啥不同？\u003C/span>\n    \u003C/div>\n    \u003Cp class=\"ppyy_material_content\">\n      很多患者觉得，手脚麻木是不是缺钙啦？是不是血糖不稳或者太累了？其实区别还挺大：\u003Cbr>\n      👉 \u003Cb>普通疲劳\u003C/b>：一般休息一下或者睡一觉，症状就缓解或消失了。\u003Cbr>\n      👉 \u003Cb>血糖异常\u003C/b>：糖尿病也会引起手脚麻木，但多见于血糖控制长期不佳的患者，而且往往伴有口渴、多饮多尿、视力模糊等表现。\u003Cbr>\n      👉 \u003Cb>化疗相关性周围神经毒性\u003C/b>：麻木、刺痛是从手指、脚趾开始，慢慢往上蔓延，左右很对称，而且和最近的化疗时间密切相关。症状慢慢加重，休息往往不太能缓解。\u003Cbr>\n      需要再提醒一句，如果有既往糖尿病、缺钙、颈椎病等基础病，也建议一并让医生帮忙鉴别，避免漏诊。\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"ppyy_material_section\">\n    \u003Cdiv class=\"ppyy_material_subtitle_bg\">\n      \u003Cspan class=\"ppyy_material_subtitle\">发现化疗相关性周围神经毒性时在家可以怎么做，哪些做法不推荐\u003C/span>\n    \u003C/div>\n    \u003Cp class=\"ppyy_material_content\">\n      \u003Cb>推荐这样做：\u003C/b>\u003Cbr>\n      ✔️ 记录症状变化：时间、部位、严重程度、和化疗的时间是否有关联，都记下来，方便沟通治疗方案。\u003Cbr>\n      ✔️ 保护手脚：平时避免碰冷水、热水，避免磕碰；家里垫点软垫，防止跌倒或擦伤。\u003Cbr>\n      ✔️ 规律锻炼：做些缓慢的手指、脚趾活动，帮助维持血液循环，别长时间保持一个姿势。\u003Cbr>\n      ✔️ 主动告诉医生：下次复诊或者出现加重趋势时，及时和化疗医生沟通，必要时调整用药剂量或化疗方案。\u003Cbr>\u003Cbr>\n      \u003Cb>不推荐的做法：\u003C/b>\u003Cbr>\n      ✘ 不建议自行购买任何活血、止痛、补神经的药物自行服用，化疗相关性周围神经毒性需要专业评估；\u003Cbr>\n      ✘ 不建议“硬扛”或等着自动好转，症状如果影响到生活，千万别忽视。\u003Cbr>\n      ✘ 不建议自行为手脚局部热敷、高温泡脚，有时反而加重损伤或诱发烫伤、冻伤。\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"ppyy_material_section\">\n    \u003Cdiv class=\"ppyy_material_subtitle_bg\">\n      \u003Cspan class=\"ppyy_material_subtitle\">化疗相关性周围神经毒性发现得早，处理得好\u003C/span>\n    \u003C/div>\n    \u003Cp class=\"ppyy_material_content\">\n      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