Zilonda zam'kamwa zingakhale zopweteka pa mankhwala a chemotherapy ; osati kokha chifukwa cha mavuto omwe amachititsa, komanso chifukwa cha zofooka zomwe angathe kudya, ndipo nthawi zina ngakhale kuyankhula. Mwamwayi, kuzindikira za zinthu zomwe zingathe kuchepetsa kapena zilonda zoopsa zamakamwa zingathandizire kuti zotsatirazi zikhale zolekerera kwa anthu ambiri.
Popeza chemotherapy ikugawanika mofulumira maselo, ingathenso kugawaniza maselo omwe akugwera pakamwa.
Chemotherapy imathandizanso kupanga mate, ndikusintha mabakiteriya omwe ali m'kamwa mwathu, kupanga matenda ena.
Zizindikiro
Kutupa kwa mucous membranes pakamwa, nthawi zina amatchedwa stomatitis kapena mucositis , nthawi zambiri amayamba masiku angapo atayamba mankhwala a chemotherapy ndipo amatha milungu ingapo. Mankhwala opaleshoni ndi opaleshoni angayambitsenso kutupa pakamwa, ndipo zizindikiro zikhoza kukhala zoipitsitsa ngati mutalandira mankhwala enaake a mankhwala a khansa. Zizindikiro ndi zizindikiro zimaphatikizapo mtundu wowawa ndi ululu wofiira, kumakhala pansi kapena padenga la pakamwa, masaya, chifuwa, lilime, ndi milomo. Mabala oyera angawoneke omwe akufiira pambuyo pa mitsempha ya minofu. Kupweteka kwa pakamwa kungapangitse kudya kukhala kovuta ndipo kungapangitse kuyankhula ndi kumeza mosasangalatsa.
Mankhwala ambiri a chemotherapy angayambitse zilonda zakamwa, koma ndizofala kwambiri ndi mankhwala ena a kansa ya m'mapapo kuphatikizapo:
- Taxotere (docetaxel)
- Adriamycin (doxorubicin)
- VePesid (etoposide)
- Taxol (paclitaxel)
- Alimta (pemetrexed)
Kulimbana
Kulankhulana bwino ndi njira yoyamba yothetsera vutoli, komanso kuchepetsa kupweteka kwa zilonda. Ndibwino kuti muwone dokotala wodziwa mano amathithi a chemotherapy musanayambe kuchipatala kuti mutsimikizire kuti mano anu ndi nsanamira zili ndi thanzi labwino.
Funsani dokotala wanu wa mano za mabotolo ena opangira mano ngati inu mukuyenera kukhala okhumudwa. Malangizo ena omwe angakhale othandiza ndi awa:
Chisamaliro cha pamlomo
- Kusamba nthawi zonse, makamaka pambuyo pa chakudya. Matenda a chingamu amatha kuwononga zizindikiro
- Ngati kusamba sikukumveka bwino, zosankha zimaphatikizapo kugwiritsa ntchito fupa lachitsulo chofewa kapena foam swab. Kupukuta mano anu pansi pa madzi otentha musanayambe kusinthana kuti mufewetse phokoso likhoza kuthandizira. Zingakhale bwino kupewera mabotolo a mano
- Sungani pakamwa panu
- Kugwiritsira ntchito mankhwala amlomo kungachepetsere, koma sankhani mankhwala ofewa opanda mankhwala osokoneza bongo
- Pewani kutsuka pamlomo, makamaka omwe ali ndi mowa. M'malo mwake mukhoza kuyesa kapu ya madzi ofunda osakaniza 1 tsp ya soda
- Ngati muvala mazira, yesani kuwachotsa mobwerezabwereza
Zakudya
- Kudya zakudya zabwino ndi zakudya zosiyanasiyana. Matenda ena a vitamini angapangitse zizindikiro kukhala zovuta, ndipo zakudya zabwino zingathandize thupi lanu kulimbana ndi matenda
- Pewani zakudya zomwe zili zonunkhira, mchere, kapena zakudya ndi citrus acid ndi madzi a phwetekere. Mananasi ndi strawberries nthawi zambiri amalekerera kuposa zipatso zina, ndipo mphesa kapena madzi a apulo sangapweteke kwambiri kusiyana ndi zipatso za mandimu ndi tomato.
- Muziletsa kumwa mowa
- Pewani zakudya ndi kutentha kwakukulu
- Imwani madzi ambiri
- Pewani chakudya chakuthwa, monga ophika, tochi, ndi ufa wouma
- Yesani kuwonjezera zakudya zowonongeka pa zakudya zouma, monga kugwiritsa ntchito gravy ndi sauces
- Zakudya zabwino zimaphatikizapo mbatata yosakanizidwa, tirigu wophika, maapuloauce, tchizi, pudding, yogurt, smoothies (opanda citrus), msuzi, Jello, chakudya cha ana, kapena chakudya chopangidwa ndi blender
Malo Anu
- Musasute
- Anthu ena samasuka kudya kunja kwa anthu chifukwa cha kuchepa kwa zakudya ndi zilonda zam'kamwa. Pemphani anzanu, ndipo perekani malingaliro pa zomwe angabweretse. Kusokoneza kwa abwenzi ndi abambo kungathandize ngati kudya kumapweteka
Chithandizo
Nthawi zambiri zilonda zamakono zimatha kusamalidwa ndi zakudya komanso ukhondo wabwino mpaka atasankha okha.
Akatswiri ena amatsenga amatha kupereka mapepala opangira opaleshoni, kapena opaleshoni kuti azitha kupweteka. Mavuto aakulu, cryotherapy kapena laser therapy akhala akugwiritsidwa ntchito pa malo ochepa a khansa, ndipo mankhwala atsopano akuyesedwa m'mayesero a kachipatala, okonzedwa kuti akulimbikitseni kugwiritsira ntchito makoswe m'kamwa.
Mavuto
Zilonda zam'mimba zingakhale zovuta kuzimitsa mankhwala a chemotherapy, koma nthawi zina zimatha kuwonjezera mavuto aakulu. Matenda angapangitse (mabakiteriya, fungal, kapena tizilombo toyambitsa matenda), makamaka ngati kuchuluka kwa maselo oyera a magazi akuchotsedwa ku chemotherapy. Kutsekemera kumachitika. Ululu ukhoza kukhala wovuta kwambiri kwa anthu ena, kufunikira kukonza kupweteka kolimba. Kuperewera kwa zakudya ndi kuchepa kwa madzi kumachitika ngati ululu ndi zilonda zikulepheretsa kuti mukhale ndi zakudya zokwanira kapena zamadzimadzi.
Poganizira zosiyana za mankhwala a chemotherapy, zilonda zam'mimba zingamawoneke kuti zili zochepa pamndandanda wazinthu, koma izi si zoona. Zilonda zam'mimba zingayambitse kulemera, ndipo kulemera kwa anthu omwe ali ndi khansa kungakhale koopsa kwambiri. Ndipotu, matenda a khansa , matenda omwe amachititsa kulemera kwake pakati pa zizindikiro zina, amachititsidwa kuti ndi omwe amachititsa imfa 20 peresenti ya anthu omwe ali ndi khansa. Musazengereze kutchula dokotala wanu ngati mukuvutika ndi vutoli.
Nthawi yoitanira Dokotala Wanu
Onetsetsani kuti wanu wa oncologist adziŵe za zizindikiro zirizonse zomwe muli nazo mukamachiza mankhwala, kuphatikizapo zilonda zam'kamwa. Zifukwa zina zozindikiritsira gulu lanu la chisamaliro pakati pa olemba ntchito ndi awa:
- Zilonda zamkati zomwe zimasokoneza kuti mumatha kudya kapena kumwa
- Kutaya thupi kwakukulu kapena zizindikiro za kuchepa madzi
- Kuphimba koyera pa lirime lanu, kufiira kofiira, kapena kutuluka kwa magazi kumene kungakhale chizindikiro cha matenda
- Chiwindi. Funsani anu oncologist kutentha komwe iye akukumana ndi nkhaŵa ndipo ayenera kukuchititsani kuti muitane
Zotsatira:
Chaveli-Lopez, B., ndi J. Bagan-Sebastian. Kuchiza kwa Mlomo Mucositis Chifukwa cha Chemotherapy. Journal of Clinical and Experimental Dentistry . 2016. 8 (2): e201-9.
Riley, P., Glenny, A., Worthington, H. et al. Zothandizira Kuteteza Mlomo Mucositis kwa Odwala Opaleshoni Yopereka Khansa: Oral Cryotherapy. Dongosolo la Cochrane la Zosintha Zogwirizana . 12: CD011552.