Kusakaniza katatu kwa Mucositis kuchokera ku Chemotherapy
Zilonda zam'kamwa, mankhwala omwe amatchedwa mucositis kapena stomatitis, ndizofala kwambiri pamagulu a chemotherapy. Komabe, ngakhale kuti zilonda m'kamwa zingawoneke ngati zazing'ono zokhudzana ndi mavuto ena, zingakhale chimodzi mwa zizindikiro zowopsya kwambiri. Mwamwayi pali mankhwala omwe angathandize kuchepetsa chiopsezo cha zilonda zam'thupi ndi kuchepetsa mavuto omwe amachititsa.
Popeza kukambirana za zilonda zam'kamwa nthawi zambiri kumatengera mpando kuti tikambirane za mseru ndi zoyera zoyambira, tiye tikambirane za momwe mungachepetsere chiopsezo chanu, mungachite chiyani ngati zilonda za pakamwa zikukuvutitsani, ndipo mukakhala ndi nkhawa ndikuyitana.
Mucositis (Mlomo wa Mlomo) kuchokera ku Chemotherapy
Chemotherapy imayambitsa zotsatira zambiri , imodzi mwa iyo ndi mucositis , kapena, m'Chingelezi choyera, zilonda zakamwa. Ngakhale ukhondo wabwino wamkati, kupewa zakudya zotentha ndi zokometsera, zipsepse zam'madzi zamchere, ndi mazira a m'nyanja amatha kutonthoza, anthu ambiri amafuna chinthu china chotheka kuti athetsere ululu wawo mpaka mucositis yatsimikiza.
Mwinamwake mwamva anthu akuyankhula za kusakaniza kophweka kumene kunachepetsa kwambiri ululu umene iwo anali nacho kuchokera kumaliseche a pakamwa. Tiyeni tiphunzire za kusakaniza katatu-mankhwala wamba a mucositis omwe amachititsidwa ndi chemotherapy .
Kodi Mucositis (Mlomo wa Mlomo) ndi chiyani?
Mucositis ndi kutupa kwa mucous nembanemba, zomwe zimayambira pakamwa panu (m'kamwa mucositis) ndipo zimatsika m'mimba yanu (osataya mucositis) ndi kupyolera mu thupi lanu (matumbo mucositis).
Ikhoza kumverera ngati kutentha kwa dzuwa mkati mwa thupi lanu. Zina mwa zinthu za mucositis zikuphatikizapo:
- Kufiira mkamwa mwako
- Tsegulani zilonda m'kamwa mwanu ndi zilonda
Nthaŵi zambiri mucositis imayamba posachedwa atayamba mankhwala a chemotherapy. Kupweteka kwa mimba mpaka mucositis yatsimikiziridwa-yomwe ingakhale paliponse kuchokera masabata awiri mpaka anayi atatsiriza chithandizo-ndizofunika kuti chitonthozo cha munthu ndi khalidwe lake labwino.
Kuonjezerapo, kupweteka ndi kofunika kuti munthu akhale ndi thanzi labwino. Thupi lanu likudutsa mokwanira pa mankhwala a chemotherapy popanda kuwonjezera chakudya chokwanira chifukwa cha zilonda zamakamwa kuti zisakanike.
Kodi Kusakaniza Katatu Kachilombo ka Mitsempha?
Kusakaniza katatu ndi kuphatikiza zitatu zakumwa zomwe zimachiza ndi kuchepetsa mawu ndi kuchepa kwa mucositis. Zomwe zimapezekazo zimasiyana, ndipo zina mwazitsulo zimapezeka ndi mankhwala okhaokha. Kusakaniza kwachizolowezi kuli ndi mankhwala omwe amaletsa kupweteka, kuchepetsa kutupa, ndipo nthawizina amachiza matenda a bakiteriya kapena fungal.
Dokotala wanu ayenera kukupatsani mankhwalawa, ndipo mzimayi wanu akufunikira nthawi kuti alenge. Kusakaniza katatu kuyenera kuwonjezeka pamene kulamulidwa-kutanthauza kuti kuyenera kugwiritsidwa ntchito ku pharmacy ndipo sikubwera kusakanikirana kale.
Kusakaniza katatu kamakhala ndi:
- Maalox (kuvala zilonda zam'mimba) kapena nthawi zina Kaopectate
- Lidocaine (mankhwala opatsirana am'mimba kuti asokoneze zilonda, mofananamo ndi njira yothetsera ana imene ikuwoneka)
- Benadryl (diphenhydramine, antihistamine)
Zina zosakaniza zingakhalepo:
- Nystatin (mankhwala opangira mankhwala omwe amagwiritsidwa ntchito pochizira)
- Mphepo yamkuntho kapena madzi (kuti musamve ululu)
Pali kusiyana kosiyanasiyana pa kusanganikirana, ndipo oncologist wanu amadziwa bwino lomwe kusakaniza kumawoneka bwino.
Onetsetsani kuti mukulankhulana naye, makamaka musanayambe mankhwala a chemotherapy ndikuyamba kulonda zilonda.
Mutha kumva za mayankho ndi mayina ena osati osakaniza katatu. Izi zikuphatikizapo:
- Solution Three
- Velvet Glove
- Mphungu Yopanga
- GI (m'mimba) Chokwanira
Momwe Mukugwiritsira Ntchito Sakani Sakani
Pali njira ziwiri zomwe mungagwiritsire ntchito Mix Mix. Mutha kuigwiritsa ntchito ngati nsupa yamlomo, kulumphira mlingo mozungulira pakamwa panu kuti muvale zilonda zonse ndi zinyama zina. Pachifukwa ichi, musawononge Mix Mix Triple, kungolavulira.
Ngati wanu mucositis ndi wolimba kwambiri, mungagwiritse ntchito ngati mankhwala amodzi oyamba, kenaka muwameze kuti mupeze mpumulo ku ululu ndi kutupa m'thupi lanu.
Yembekezani osachepera mphindi 30 mutagwiritsa ntchito Mix Mix musadye kapena kumwa chirichonse.
Zovuta za Zilonda za Mlomo
Mungaganize kuti mucositis ndizosautsa, koma zimangokhala zopweteka. Ngati mukuvutika ndi ululu wokhudzana ndi khansa yanu, zilonda za m'kamwa ndizomwe mungapange kumbuyo kwa ngamila. Komabe, zambiri zokhudzana ndi zilonda za m'kamwa zingathe kusokoneza zomwe mungathe kudya, ndipo kudya zakudya zathanzi ndikofunika kwambiri kuti mukhale ndi mphamvu panthawi ya chithandizo cha khansa. Zizindikiro zina, monga kusowa kwa njala , kunyowa , kapena kusintha kwabwino (chitseko chachitsulo) kungapangitse vutoli.
Ngati mukucheperachepera chifukwa cha kuchepa kwa kukhoza kudya, onetsetsani kuti mulankhule ndi oncologist wanu. Tikuphunziranso kuti matenda a khansa ya khansa , kuphatikizapo kutaya kwadzidzidzi ndi kuwonongeka kwa minofu, ndiye kuti amachititsa kuti anthu 20 pa 100 alionse ali ndi khansa. Kupeza kuchepa kwazinyala musanafike pazomwezo ndikofunikira.
Mankhwala opatsirana pa mankhwala a chemotherapy ndi zovuta zomwe zimagwirizana kwambiri ndi steroids koma zingakhalenso zovuta za mucositis. Matendawa, chifukwa cha bowa la Candida albino, nthawi zambiri amachititsa chipika choyera kuti chikhalepo pa lilime ndi m'mimba mwa masaya (ndipo akhoza kufanana ndi yogate kapena kanyumba mumkamwa mwako.) Kutentha kungayambitse kupweteka kumene kumapweteka ku zilonda zamkati. komanso. Kawirikawiri amachiritsidwa ndi zonunkhira zam'madzi monga nystatin, kapena Diflucan (fluconazole).
Kusamalira Mitsempha ya Mlomo kuchokera ku Chemotherapy
Kusakaniza katatu kungakhale kothandiza-kokwanira kotero kuti anthu ambiri apanga "chisakanizo chozizwitsa" koma palinso zinthu zina zomwe mungachite kuti mutonthoze. Tengani kamphindi kuti mudziwe zomwe mungadye komanso zinsinsi zina zothandizira kuchepetsa ululu wa zilonda zam'mimba zokhudzana ndi mankhwala .
Kwa Mucositis Yamphamvu
Kugwiritsidwa ntchito kwa Kusakaniza Katatu ndi Zakudya Zakudya Zakudya Zakudya Zakudya Zamakono Ndizokwanira kuchepetsa zizindikiro, komabe anthu ena amafunikira mankhwala omwe amapitirira kuposa izi. Zikuwoneka kuti pali lingaliro lalikulu kuti palibe china chimene chingakhoze kuchitidwa, koma izo siziri zoona. Mankhwala ena, monga cryotherapy, amatha kuchiza ngakhale zilonda zoopsa kwambiri pakamwa. Mwina mukhoza kukayikira dokotala wanu, koma mutero. Simusowa kuyembekezera zoopsa zowopsa. Ngati mukukayikira chonde dziwani kuti madokotala angakhale pafoni ndi a oncologist awo akufunsa mafunsowa ndikupempha thandizo.
Maganizo Otsatira Ochokera
Ngati mukuvutika ndi mankhwala a chemotherapy-omwe amachititsa mucositis, chonde lankhulani ndi dokotala wanu za njira zopumula kupweteka. Kwa omwe amakonda "njira yonse" ya Mix Mix, kambiranani ndi oncologist wanu kafukufuku waposachedwapa omwe amasonyeza kuti kudya uchi kungakhale kothandiza kuthandiza anthu kuthana ndi zilonda zamilomo. (Komabe, ngati kuchuluka kwa maselo oyera a magazi ndi otsika kwambiri, uchi sungakonzedwe chifukwa cha zoopsa za botulism). Kuonjezera apo, mankhwala monga cryotherapy angagwiritsidwe ntchito m'njira yotetezera.
Nthawi zambiri, anthu omwe ali ndi khansa safuna "kudetsa" awo oncologist ndi "zochepa" nkhawa. Amaganizira za ziopsezo zomwe zimawopsyeza moyo wawo, ndipo zimamveka ngati chitsimikizo. Koma oncologist wanu amafunadi kudziwa ngati simukumva bwino. Khalidwe lanu labwino pa chithandizo cha khansa ndilofunika kwambiri. Yankhulani. Takhala tikufika pa malo omwe anthu ambiri amapulumuka ndi khansara kuposa kugonjetsedwa ndi khansa, ndipo nkofunika kuti tonse tiyambe kuyang'ana paulendo, ndikupanga kukhala omasuka momwe tingathere.
> Zotsatira:
> Chaveli Lopez, B., ndi Jose Bagan-Sebastian. Kuchiza kwa Mlomo Mucositis Chifukwa cha Chemotherapy. Journal of Clinical and Experimental Dentistry . 2016. 8 (2): e201-e209.
> Riley, P., Glenny, A., Worthington, H., Littlewood, A., Clarkson, J., ndi M. McCabe. Zothandizira Kuteteza Mlomo Mucositis kwa Odwala Opaleshoni Yopereka Khansa: Oral Cryotherapy. Dongosolo la Cochrane la Zosintha Zogwirizana . 2015. (12): CD011552.