Chimene mungachite kuti muteteze ndi kuchiritsidwa pa mankhwala a chemotherapy
Mwachidule
Kugonana ndi zotsatira zofala za mankhwala a chemotherapy kapena mankhwala ena omwe amaperekedwa pa nthawi ya chithandizo cha khansa . Kutsekedwa kumatanthauzidwa ngati kukhala ndi zovuta zovuta kapena zosavuta kapena zovuta kukhala ndi kayendedwe ka m'mimba.
Zizindikiro
Anthu ambiri amadziwa zizindikiro za kudzimbidwa. Izi zingaphatikizepo kupweteka kwa m'mimba, kukhuthala m'mimba, kupweteka kwapadera, ndipo ndithudi mungazindikire kuti simunayambe kuyenda kwa masiku awiri kapena atatu ngati mumakonda nthawi zonse.
Komabe, zizindikiro sizimakhala zoonekeratu kwa iwo omwe amadwala chemotherapy kapena akulimbana ndi matenda ena. Zingaphatikizepo kuchepa kwa njala komanso kumverera kosaoneka bwino kwa zizindikiro zomwe zimayamba ndi khansa kuyamba.
Zimayambitsa
Pali zifukwa zosiyanasiyana zomwe zingapangitse kudzimbidwa pa mankhwala a chemotherapy. Izi zikuphatikizapo:
- Chemotherapy mankhwala
- Mankhwala ogwiritsidwa ntchito popanga nkhanza ndi kusanza
- Kuchepetsa ntchito ndi kupuma kwa kama
- Mankhwala owawa
- Matenda aatali a calcium m'magazi ( hypercalcemia of malignancy )
- Kutaya madzi m'thupi
- Matenda a chithokomiro
Kudziwa
Nthawi zambiri matendawa amatha kudziwika chifukwa cha zizindikiro zokhazokha, kuphatikizapo mankhwala omwe amawopsa.
Utsogoleri
Chinthu choyamba muyenera kuchita ndi kulankhula ndi dokotala wanu. Muuzeni kuti mukukumana ndi chikumbumtima kapena zovuta. Dokotala wanu angakonde kudziwa za kadyedwe kanu ngati mutenga mankhwala enaake, mankhwala, kapena suppositories, ndi kutsimikizira mankhwala omwe mukuwatenga.
Zimathandiza kukhala okhudzidwa makamaka polemba mndandanda wa mankhwala kwa dokotala wanu chifukwa mankhwala ambiri omwe amachiza matenda a khansa ndi kupweteka kwapweteka kungayambitse kudzimbidwa. Mafunso awa adzakuthandizani kupeza chifukwa chenicheni cha kuvomerezedwa.
Kuthamanga kwa madzi
Odwala ambiri amapereka mpumulo pamene akuwonjezera kuchuluka kwa madzi omwe amamwa.
Kumwa mowa ngati madzi ndi timadziti tikulimbikitsidwa. Pewani zakumwa zomwe zili ndi caffeine, monga sodas, khofi, ndi mowa, chifukwa zingayambitse kuchepa kwa madzi, zomwe zingawonongeke kwambiri.
Matenda a Zakudya
Kwa maulendo ochepa a kudzimbidwa, kuwonjezeka kwa mitsempha mu zakudya kungakhale thupi lonse liyenera kukhala ndi kayendedwe ka nthawi zonse . Musanayambe kuchulukitsa fiber mu zakudya, funsani dokotala wanu. Odwala ena sayenera kuwonjezereka mitsempha yowonjezera, monga awo omwe atsekeredwa ndi matumbo kapena opaleshoni ya m'mimba .
Kuchulukitsa kuchuluka kwa fiber kumayambira ndi zakudya zomwe mumadya. Mtedza, chimanga, masamba, nyemba, mikate yonse ya tirigu ndi pastas, ndi zipatso zambiri ndi ndiwo zamasamba ndizo zakudya zambiri zomwe zimatha kuteteza kudzimbidwa. Mu kafukufuku wina waposachedwapa, mbatata zapezeka kuti zimakhala zothandiza kwambiri popewera kudzimbidwa.
Ndikofunika kuzindikira kuti, ngati munthu wina atakhumudwa kwambiri, kuwonjezerapo zakudya zamtundu wapamwamba zingapitirize kuvulaza mpaka kuvomereza kutsegulidwa.
Lankhulani ndi dokotala wanu za kuchuluka kwa chingwe chomwe muyenera kukhala tsiku ndi tsiku. Zakudya zowonjezera zomwe zimawathandiza kuti abambo azitha kukhala ndi thanzi labwino ndi 21-25 magalamu ndipo amuna ayenera kudya 30-38 magalamu patsiku. Mukhoza kudziwa momwe chimbudzi chimayambira pa chakudya china mwa kuwerenga malemba pazolemba kapena kuyang'ana pa intaneti ngati zakudya zomwe sizinalembedwe monga zipatso ndi ndiwo zamasamba.
Kuchita masewera olimbitsa thupi
Kuchita masewera olimbitsa thupi kumakhalabe kofunika kwambiri pakapita kuchipatala. Chinachake chophweka ngati kupita kochepa, kuyenda nthawi zonse kungathandize kuteteza ndi kuthetsa kudzimbidwa. Kwa iwo omwe ali pabedi, atasunthira kuchoka ku mpando kupita ku kama akhoza kuthandiza chifukwa chimagwiritsa ntchito minofu ya m'mimba
Musanayambe kuchita masewera olimbitsa thupi, ziribe kanthu kuti mukuganiza kuti ndi ochepa bwanji, lankhulani ndi dokotala wanu. Iye akhoza kulangiza machitidwe ndikukuuzani momwe muyenera kukhalira.
Mankhwala
Pali mitundu ingapo ya mankhwala omwe amagwiritsidwa ntchito pofuna kudzimbidwa m'njira zosiyanasiyana. Zina mwa izi zingagwiritse ntchito bwino kuposa ena chifukwa cha zifukwa zodzikakamiza, choncho ndizofunikira kulankhula ndi dokotala ndikumupempha.
Mankhwala ena amabwera pamodzi ndi mankhwala awiri kapena angapo, okonzedwa kuti onse athetse pansi komanso athandizidwe.
Ndi mankhwala enaake a mankhwala, kuphatikizapo mankhwala, makamaka mankhwala osokoneza bongo. ali odzitonthoza kwambiri, ndipo oncologist wanu angalimbikitse kugwiritsa ntchito mankhwala a kudzimbidwa mwatsatanetsatane Onetsetsani kuti muchite zimenezo, chifukwa ndi kosavuta kupewa kusiyana ndi kudzimbidwa kwakukulu. Komanso, onetsetsani kuti mukulankhulana ndi oncologist wanu musanagwiritse ntchito mankhwala alionse, chifukwa ena mwa iwo angathe kuthandizira mankhwala a chemotherapy. Mankhwala ena ndi awa:
- Mankhwala opanga mabakiteriya - Mankhwala awa amathandiza kubwezera madzi m'matumbo kuti achepetse kuuma kwa chinsalu, komanso kuchepetsa nthawi yopititsa nthawi - nthawi yomwe mpando umakhala mu coloni. Chitsanzo cha gulu ili ndi Metamucil (psyllium) .
- Zosakaniza zokhazokha - Zopatsa mphamvu zimagwira ntchito mwachindunji m'mitsempha yomwe ili pafupi ndi colon kuti ikuthandizani kutuluka kwa chitseko kudzera m'matumbo a m'mimba. Popeza zimakhala zopweteka pamene zitsime zolimba zimadutsa muzitsulo, izi zimaperekedwa pamodzi ndi chochepetsera chopondapo. Zitsanzo za mankhwala osokoneza bongo ndi Senekot (senna) ndi Dulcolax (bisacodyl).
- Zamadzimadzi otchedwa Osmotic - Osakaniza mankhwala otchedwa Osmotic laxatives amagwiritsira ntchito kusunga madzi m'tchire komanso amachititsa kuti anthu asamawonongeke. Zitsanzo monga Chronulac (lactulose), glycerin suppositories, Miralax (polyethylene glycol), magnesium citrate ndi Mkaka wa Magnesia (magnesium hydroxide).
- Zosakaniza zotupa / Zofukula - Zofewa zazitsulo zimachepetsa sitima pogwiritsa ntchito kusakaniza kwa madzi ndi mafuta mu mpando. Mankhwalawa amachepetsa sitima koma samachepetsa nthawi yopitako, choncho nthawi zambiri amagwiritsidwa ntchito pamodzi ndi mankhwala ena omwe amathandiza kuti thupi liziyenda bwino ngati izi zatha. Chitsanzo cha izi ndi Colace (docusate).
- Mafuta - Mankhwala awa amabweretsa madzi m'chitsimecho kuti awathandize kuchepetsa komanso amadzipangitsanso chifuwa kuti achoke m'thupi. Mchere wamchere ndi chitsanzo.
Kuchotsa Buku
Zonse zikalephera, ngati fecal impaction imachitika, kapena ngati kudzimbidwa ndi zopweteka kwambiri, kupititsa kwa digito kungafunikire kuchitidwa. Izi zimatanthawuza kuchotsa bukuli pamagulu pogwiritsa ntchito zala.
Mavuto
Kudzikweza kwakukulu kungachititse kuti thupi likhale lopweteketsa , lomwe limakhala lovuta kwambiri, lomwe limakhala lolimba kwambiri, lomwe limayamba kuphulika ndipo silingadutse. Zidutswa zamtunduwu zimachotsedwa ndi dokotala pamanja.
Zina mwa mavuto omwe amabwera chifukwa cha kudzimbidwa kosaphatikizapo mankhwalawa, mafinya, anal fissures, mapepala a perianal, ndi kupweteka kwa pakhosi.
Zotsatira:
American Society of Clinical Oncology. Cancer.Net. Kutsekedwa. Kusinthidwa 01/16. http://www.cancer.net/navigating-cancer-care/side-effects/constipation
National Cancer Institute. Matenda a m'mimba - Health Professional Version. Kusinthidwa 01/04/16. http://www.cancer.gov/about-cancer/treatment/side-effects/constipation/GI-Zambiri-hp-pdq
Zou, J., Xu, Y., Wang, X., Juang, Q., ndi X. Zhu. Kupititsa patsogolo Kugonjetsedwa Kwa Odwala Matenda a Kachiromiya Akugwira Chemotherapy Pogwiritsa Ntchito Mbatata Yabwino. Nursing Cancer .