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Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists01:28

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Neurokinin 1 (NK1) receptors are distributed across the GI tract, vagal afferents, and key CNS regions including the central vomiting center and chemoreceptor trigger zone (CTZ) Chemotherapy agents stimulate enterochromaffin cells in the gastrointestinal (GI) tract to release large amounts of substance P (SP). SP is a neuropeptide released by specific sensory nerves in response to many different stressors, including those in the GI mucosa affected by chemotherapy.  SP binds and activates...
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5-HT3 receptor antagonists, such as dolasetron, granisetron (Kytril), ondansetron (Zofran), and palonosetron (Axoli), are crucial in managing chemotherapy-induced nausea and vomiting (CINV) and postoperative nausea. These drugs selectively block 5-HT3 receptors in the visceral vagal and spinal afferent nerves, chemoreceptor trigger zone, and the vomiting center. They have a rapid onset of action and can be given as a single dose before chemotherapy. Ondansetron and granisetron, in particular,...
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Tetrahydrocannabinol (THC) is a phytocannabinoid that primarily interacts with the CB1 receptor, a type of G protein-coupled receptor (GPCR) predominantly in and around the chemoreceptor trigger zone (CTZ) and emetic center. THC also blocks the serotonin receptor activity in the dorsal vagal complex (DVC) by inhibiting serotonin release. THC exerts its anti-emetic effects through these interactions, which are beneficial for patients undergoing chemotherapy.
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Dopamine receptor antagonists, also known as antipsychotic agents, are critical in managing chemotherapy-induced vomiting. These antiemetic agents block dopamine receptors in the chemoreceptor trigger zone (CTZ), inhibiting signal transmission to the vomiting center. Antipsychotic agents encompass phenothiazines (PTZ), butyrophenones, benzamides, and thienobenzodiazepines (Zyprexa), which are utilized for their antiemetic and sedative properties.
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Cells can detect chemical cues in their environment and reorganize the cytoskeleton to migrate toward them or away from them. This directional migration, called chemotaxis, is essential during embryogenesis and development, immune response, tissue repair and regeneration, and reproduction. These chemical cues can either attract or repel the cell's movement. For example, axon development is determined by a combination of chemoattractants and chemorepellents that direct the growing axon...
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Nerve Excitability Assessment in Chemotherapy-induced Neurotoxicity
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化疗期间的化学感觉变化.

Mona Abed El-Rahman Mohamed1, Noha Mohammed Ibrahim Ibrahim1, Hanan Hassan Elezaby2

  • 1Medical-Surgical Nursing, Faculty of Nursing Port-Said University.

International journal of palliative nursing
|March 22, 2024
PubMed
概括
此摘要是机器生成的。

化疗显著改变了味道和气味,影响了癌症患者的食物享受和生活质量. 建议在治疗期间进行专门的营养疗法,以解决这些化学感官变化.

关键词:
化学疗法 化疗 化疗瘤学患者的患者.气味改变 气味改变 改变味道的变化 味道的变化

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科学领域:

  • 在瘤学瘤学.
  • 营养科学 营养科学
  • 感官科学 感官科学

背景情况:

  • 化疗可以引起显著的化学感官变化.
  • 这些变化会影响食物的享受,生活质量和患者的康复.

研究的目的:

  • 为了研究接受化疗的瘤病患者经历的化学传感变化.
  • 了解这些变化对患者生活的影响.

主要方法:

  • 一项涉及100名癌症患者的混合方法横截面研究.
  • 调查问卷评估了味道和气味偏好.
  • 半结构面试探讨了患者对化学感官变化的经验.

主要成果:

  • 痛苦的味道改变和改变的食物偏好是常见的.
  • 经常报告不愉快的气味,有时与食物存在无关.
  • 关键主题包括味道,气味,社交生活,舒适和食物偏好的变化.

结论:

  • 化学感知变化会影响营养摄入量,饮食行为和生活质量.
  • 专门的营养治疗对于经历化疗相关的化学感官改变的患者至关重要.
  • 定期评估化学感官变化应该是营养评估的一部分.