Phunzirani Zowopsa za Khansa Yapakhungu Yogwirizana ndi IBD, ndi Zimene Mungachite Nazo
N'zosadabwitsa kuti khansara ya khungu ndi vuto la thanzi labwino, makamaka m'madera a dziko lapansi. Ku United States, kuchuluka kwa khansa ya khungu la nonmelanoma yakula. Pafupifupi aliyense wakhala akuwotcha kwambiri dzuwa kapena awiri m'miyoyo yawo, makamaka pamene amapita ku tchire kukafika ku gombe kapena kupita ku malo otentha. Zomwe anthu ena omwe ali ndi matenda opatsirana (inflammatory disease) (IBD) sangadziwe, komabe, ndikuti ali ndi chiopsezo chowonjezeka cha khansa ya khungu chifukwa chakuti ali ndi IBD.
Nkhani yabwino ndikuti tikudziŵa za chiopsezo, zomwe zikutanthauza zambiri zomwe tingachite kuti tipewe kukhala ndi dzuwa. Osakhala pakhomo ndikupewa ntchito zopita kapena zosangalatsa chifukwa cha dzuwa! Maswiti a dzuwa ndi njira yabwino yothetsera kuwonetsetsa, koma kwa omwe sakufuna kuzigwiritsa ntchito, pali zovala zoteteza UV zomwe zimapezeka mumitundu yosiyanasiyana. Zipewa ndi maambulera kapena ngakhale kupita mumthunzi zimathandizanso. Kutenga mphindi zochepa tsiku lililonse kuganizira za kuteteza kwa ultraviolet (UV) kudzatengera njira yayikulu yotetezera zinthu zamtsogolo. Anthu ambiri omwe amakhala ndi kansa ya khungu amatha kupeza chithandizo ndi kupewa mavuto aakulu, makamaka ngati akupezeka mofulumira.
Ndani Amapeza Khansa Yapakhungu?
Anthu omwe ali ndi IBD, makamaka omwe ali ndi Crohn's disease, ali pangozi yowonjezera khansara ya khungu ( khansa ya khansa ndi nonmelanoma). Kusanthula kwakukulu kwa meta kwakukulu kunawonetsa kuti chiopsezo chikhoza kukhala choposa 37 peresenti. Izi zimakhala zomveka, koma kuchepetsa kutentha kwa dzuŵa ndi njira yabwino yochepetsera chiopsezo ichi, ndipo ndi chinthu chomwe chili pansi pa kulamulira kwanu.
Kuika sunscreen mu IBD yanu ndikuyika muzovala zina zoteteza UV ndi njira zabwino zopezera dzuŵa.
Chodetsa nkhaŵa china ndi chiopsezo chowonjezeka ndi momwe mankhwala omwe amachitira mankhwala a IBD amachitikira. Awonetsedwa kuti kugwiritsa ntchito mankhwala osokoneza bongo m'magulu otchedwa thiopurines (monga Imuran ndi Purinethol ) kungawonjezere mwayi wokhala ndi khansara ya khungu la nonmelanoma mwa anthu omwe ali ndi IBD.
Kwa mankhwala otchedwa biologics ( Remicade , Entyvio , Humira ), kafukufuku wasonyeza kuwonjezeka kwa chiopsezo cha khansa ya khansa. Ngati mukugwiritsa ntchito mankhwalawa, mukhoza kudera nkhawa za khansa, koma muyenera kuyerekezera pangozi yothetsera kutupa kwa IBD kuti ikhale yosasunthika ndikuyambitsa mavuto aakulu m'matumbo komanso kunja kwa matumbo. Lankhulani ndi gastroenterologist wanu za zoopsa zanu zonse ndi momwe mungagwiritsire ntchito zinthu zonse moyenera. Dermatologist ikhoza kuthandizanso ndikupatseni malingaliro a momwe mungapeŵe kutuluka kwa dzuwa ndi momwe mungadziwire kuti muli ndi chiopsezo chanu.
Kodi Muyenera Kufufuzidwa Kangati Kansalu Yamakono?
Anthu omwe ali ndi IBD amafunika kufufuza kansa ya khungu kamodzi pachaka. Nthawi zina, kwa anthu amene akuganiziridwa kuti ali pachiopsezo chachikulu, nthawi zambiri kufufuza kungakonzedwe. Kafukufuku wina adawonetsa kuti pamene anthu omwe ali ndi matenda a Crohn awonedwa kamodzi pachaka, ndizovuta kwambiri kugwiritsira ntchito khansa ya khungu kumayambiriro ndikuchiza. Anthu omwe ali ndi IBD ayenera kufunsa madokotala awo za kufunika kwa kuyang'ana khansara ya khungu komanso momwe zingakhalire nthawi zambiri.
Kulepheretsa Dzuwa Kuteteza Khansa ya Khungu
Chifukwa cha chiopsezo cha khansara ya khungu kwa anthu omwe ali ndi IBD, kupewa kuteteza n'kofunika.
Mwamwayi, pali njira zopangira dzuwa kuteteza nthawi iliyonse kapena moyo. Nawa njira zina zomwe mungapewere kupewa dzuwa.
- Maswiti. Mwachiwonekere njira yosavuta komanso yowonjezera yopewa kuteteza dzuwa. Sankhani mtundu wamtengo wapatali umene umapatsa dzuwa (SPF). Sikoyenera kusankha mitundu yambiri, koma kwa iwo omwe amafunikira SPF zosiyana za ziwalo zosiyana za thupi, khungu lachangu, kapena kusambira, pali zambiri zomwe mungachite.
- Zipewa. Ngakhale ngati simunapeze chipewa, mumatha kupeza chipewa chimene chingakugwiritseni ntchito komanso kukupatsani dzuwa. Monga bonasi, zipewa zingathandize kuchepetsa kunyezimira ndikupulumutsani maso kuti asatenge dzuwa.
- Yang'anani mafungo kapena mapiritsi. Zowonjezera zowonjezera kapena zitsulo zimakhala zotetezedwa, nthawi zambiri SPF pakati pa 15 ndi 25. Kugwiritsa ntchito zonse zotsitsimula ndi maziko ndi SPF sizikutanthauza kuti iwo akuwonjezera, kotero kusankha chinthu chimodzi chokha ndi SPF bwino.
- Zovala. Pali mitundu yambiri ya zovala zomwe zili ndi SPF. Zovala nthawi zonse zimapereka SPF pafupifupi zisanu, pamene zovala zapadera zingakhale zazikulu kwambiri kuposa 50. Izi zimathandiza kwambiri pophimba kumbuyo ndi khosi, zomwe zingakhale zovuta kuti mukhale ndi khungu lachikasu.
- Maambulera. Musaseke! Kugwiritsira ntchito ambulera kuti upange mthunzi wina ndi lingaliro labwino kwambiri, makamaka pa gombe kapena dziwe. Ngati mukuganiza kuti zingathetse vuto lalikulu la khungu ndi zomwe zingawononge ndalama ndi umoyo wa moyo, mtengo wogula kapena kubwereka ambulera ndi kuba.
- Kukhala mkati. Khalani mkati mkati mwazitali maola a UV. Izi zikhoza kukhala zosiyana, koma mwachuluka, kukhala kunja kwa dzuwa kapena kugwiritsa ntchito dzuwa kuteteza pakati pa maola 11 AM ndi 2 PM ndi lingaliro labwino. Kuyang'ana pulogalamu ya nyengo kuti ndondomeko ya UV ikuthandizenso kumvetsetsa momwe kuchuluka kungawonetsere tsiku lililonse kapena nthawi inayake.
Koma sindikusowa dzuwa chifukwa cha vitamini D?
Ndi zoona kuti timafunikira vitamini D komanso kuti "vitamini wa dzuwa" imakhalapo pamene khungu lanu likuwoneka ndi dzuwa. Zimadziwikanso kuti anthu omwe ali ndi IBD amakonda kukhala ndi vitamini D ochepa kuposa anthu omwe alibe IBD. Uthenga wabwino ndi wakuti vitamini D ikhoza kupyolera mu zakudya zowonjezerapo ndi zakudya, ndipo dokotala wanu angakuuzeni kuchuluka kwa vitamini D omwe mungafunike. Kuwonetsa khungu dzuwa nthawi zonse, ndipo makamaka kuyaka, kumayenderana ndi chiopsezo chowonjezeka cha khansara ya khungu, kotero ndikofunika kuti anthu omwe ali ndi IBD asakhale ndi dzuwa kwambiri.
Mabedi Ounikira
Zomwe zimayambitsa matenda ndi kuteteza matenda (CDC), momveka bwino, kuti "kuyamwa kwapakhomo kungayambitse khansa yapakhungu kuphatikizapo khansa ya pakhungu, basal cell carcinoma, ndi squamous cell carcinoma." Pali nthano zambiri zokhudzana ndi kuyeretsa mabedi, kuphatikizapo lingaliro lakuti ali otetezeka kusiyana ndi dzuwa, kuti ndi othandiza popeza vitamini D, ndipo kuti kupeza "tani" kumakhala bwino. Palibe phindu lokhalitsa mabedi, ndipo anthu omwe amawagwiritsa ntchito, ngakhale kamodzi kokha, ali pachiopsezo chachikulu chokhazikitsa khansara ya khungu.
Mfundo Yofunika Kwambiri
Vitamini D ndi ofunika ku matupi athu, koma akhoza kupyolera mu chakudya ndi zakudya zowonjezereka, osati kuchokera ku dzuwa. Kutuluka kwa dzuwa ndi gawo la moyo ndikukhala ndi nthawi yopindulitsa kunja, koma anthu omwe ali ndi IBD ayenera kuchepetsa kuwala kwa dzuwa. Mankhwala ena angawaike anthu omwe ali ndi matenda a IBD pangozi yaikulu yotenga khansara ya khungu. Komabe, pali njira zambiri zomwe zingachepetse kutentha kwa dzuŵa kuphatikizapo sunscreen, zovala zoteteza, ndi kugwiritsira ntchito mthunzi. Ndikofunika kuti tisamachite mantha kuti tikhale ndi kansa ya khungu, komanso kudziwa kuti zina mwaziopsezo zimayang'aniridwa ndi munthu.
Zotsatira:
Maofesi a Kuletsa ndi Kuteteza Matenda. "Kuwotcha Kwapafupi Kumakhala Kosavuta." CDC.gov. 5 Jan 2016.
Long MD, Martin CF, Pipkin CA, et al. "Mliri wa khansa ya khansa ya khansa ya khansa ya khansa ya khansa ya khansa ya khansa ya khansa ya malalanoma ndi nonmelanoma." Gastroenterology . 2012 Aug, 143 (2): 390-399.e1.
Okafor PN, Stallwood CG, Nguyen L, et al. "Kuchuluka kwa mtengo wa khansa ya khungu ya nonmelanoma kuyang'anitsitsa odwala a Crohn." Inflamm Bowel Dis . 2013 Dec; 19: 2787-2795.
Singh S, Nagpal SJ, Murad MH, et al. "Matenda a kutupa thupi amachititsa kuti pakhale vuto lalikulu la khansa ya khansa. Clin Gastroenterol Hepatol . 2014 Feb, 12: 210-218.
Yadav S, Singh S, Harmsen WS, et al. "Mmene Mankhwala Amapezera Kowopsa kwa Khansa Pakati pa Odwala Amene Amapweteka Matenda: Matenda Ophunzira Ochokera ku Anthu Ochokera ku Olmsted County, Minnesota." Mayo Clin Proc . 2015 Jun; 90 (6): 738-746.