Kusintha kwa Mankhwala ndi Manyowa Pa Chemotherapy kwa Khansa ya M'bwere
Mankhuno anu amavumbulutsa zambiri za thanzi lanu. Mwinamwake mwamva kuti kusintha kwa misomali yanu kumachitika ndi matenda ambiri, ndipo mukhoza "kuwerenga" nthawi yayitali yomwe munayang'anirako matenda aakulu kapena opaleshoni yochokera kumene mapiri akupezeka pa misomali yanu.
Pa mankhwala a khansa ya m'mawere, mumatha kukumana ndi misomali pazitsamba zanu komanso zikhomo. Kumvetsetsa zifukwa ndi zizindikiro za matenda a msomali zingakuthandizeni kuwasamalira, ndikudziwa nthawi yomwe mukufuna kulankhula ndi oncologist wanu.
Zizindikiro za Kusintha kwa Nail Chifukwa cha Chemotherapy
Misomali ingasokonezeke, imakhala yonyezimira, imakhala yowopsya, ndipo imatha kusweka mosavuta. Miyezi isanu ndi iwiri kapena yapamwamba ya mlingo wa taxanes (monga Taxol kapena Taxotere) ingayambitse misomali yanu kwathunthu.
Mzere wandiweyani kapena wowala (Beau mizere) ukhoza kukulirakulira kumbali ya misomali yanu ina. Misomali ingakhale ndi concave, kapeni-ngati mawonekedwe (koilonychia).
Matenda opangidwa ndi misomali nayenso amatha, makamaka ngati mukudwala neutropenia chifukwa cha chemotherapy (chiwerengero chochepa cha neutrophil , mtundu wa selo loyera la magazi lomwe limathandiza kuthana ndi matenda a bakiteriya.)
Paronychia ndi matenda opweteka ozungulira msomali pakhomo kapena chala. Zingatheke chifukwa cha mabakiteriya kapena bowa ndipo zimakhala zofala kwambiri kwa anthu omwe sagonjetsedwa, monga nthawi ya chemotherapy. Maantibayotiki kapena antifungal amalembedwa, ngakhale kuti kafukufuku waposachedwapa amachititsa kuti peresenti ya povidone-iodine yothetsera vutoli ikhale yothandiza kwambiri pa mankhwala okhudza mankhwala omwe amachititsa mankhwalawa (koma chifukwa chake, chiopsezo chotengera mankhwala).
Ngati misomali yanu ikumasuka, ingakhale yopweteketsa kwambiri, ndipo zidzakhala zofunikira kupeŵa ntchito zomwe zingawonongeke posachedwa (komanso zopweteka kwambiri).
Zifukwa za Kusintha kwa Mkhoza Pa Chithandizo cha Khansa ya M'thupi
Chifukwa chemotherapy imayanika kwambiri pamatenda anu, misomali yanu ikhoza kukhala yonyezimira komanso yachikasu. Misomali yowuma idzaphulika ndikuphwanyika mosavuta. Koilonychia (spooning) imayambitsidwa ndi kuchepa kwa magazi m'thupi .
Mzere wa Beau umachitika ngati muli ndi mankhwala akuluakulu am'manja ndipo misomali yanu imasiya kukula. Mutha kukhala ndi mzere wowoneka pa mlingo wapatali wa mankhwala.
Mankhwala ochepa a dose angapangitse mizere ya Beau, koma izi zidzakhala zovuta kuziwona popanda microscope.
Mankhwala enaake omwe angayambitse matendawa ndi awa:
- Taxanes ( Taxol , Taxotere, Docetaxel)
- Adriamycin (doxorubicin)
- 5-Fluorouracil (5Fu)
- Bleomycin
Kupewa Matenda Akhompha Pa Chithandizo cha Khansa
Matenda a misomali a khemotherapy sangalephereke kwenikweni.
Pa malo ena okhudzidwa, namwino angakupatseni madzi a ayezi a manja anu panthawi yopuma. Mfundoyi ndi yofanana ndi kuyamwa pa zipsu za ayezi kapena kudya popsicles panthawi yotsekedwa (kawirikawiri Adriamycin) komanso kuti ayezi amachepetsa kuchuluka kwa mankhwala a chemotherapy omwe amaperekedwa ku misomali yanu.
Iwo amaganiza kuti amayi 20 mpaka 30 peresenti ya amayi omwe amatha kupititsa mankhwala a chemotherapy amatha kutaya misomali yawo mu gawo la msonkho la regimen. Phunziro la 2017 limene ophunzira adagaza misomali yawo ndi msomali wa msomali anapeza kuti izi zinachepetsedwa kwambiri ndi mankhwalawa.
Kusamalira Nkhawa Kusintha kwa Khansa Pa Chithandizo cha Khansa
Tsatirani malangizo awa kuti muthe kusamalidwa bwino misomali yanu:
- Gwiritsani ntchito polisi yeniyeni kuti muzisunga misomali mwamphamvu (pali kutsutsana ngati izi zothandiza kapena ayi).
- Pewani misomali yokongoletsera ndi mapuloteni achikuda, makamaka mdima wakuda.
- Valani magolovesi pamene mumatsuka mbale ndi munda.
- Kusamalira misomali ndi cuticles mofatsa.
- Pamene mizere ya Bella ikukula kupyola msomali, idulani.
- Wonjezerani chitsulo mu zakudya zanu.
- Dulani kapena musapewe caffeine .
- Madokotala ena angalimbikitse kutenga mavitamini kumutu, khungu, ndi misomali, koma musamalandire mavitamini musanayambe kuyankhula ndi anu oncologist. Mavitamini ena ndi mavitamini ena amathandiza kuti asamakhale ndi khansa .
- Valani nsapato zabwino zomwe zimakupatsani malo okwanira zala zala.
Kusamalira Matenda a Nkhumba Zokhudzana ndi Khansa
Ngati muli ndi ululu wa misomali kapena misomali yanu ikuwoneka kuti yodwala kapena yatulutsidwa bwino, lankhulani ndi oncologist wanu.
Matendawa angathe kuchiritsidwa ndi maantibayotiki kapena mankhwala ena. Kumbukirani kuti, monga matenda ena pa mankhwala a chemotherapy, zamoyo zomwe sizingayambitse matendawa zingathe kuchita izi, ndipo matenda omwe ali ndi mabakiteriya omwe amawopsa angakhale oipitsitsa.
Ngati mukukhulupirira kuti muli ndi kachilombo ka HIV, kambiranani ndi oncologist wanu nthawi yomweyo ndipo musadikire mpaka msonkhano wanu wotsatira.
Lankhulani ndi oncologist wanu komanso za ululu uliwonse umene mukukumana nawo muzitsamba ndi zikhomo zanu ndipo muwone kuti ayang'ane pazithunzithunzi zanu zomwe mukuziwona.
Kuwonjezera apo, ku ASCO 2017 gulu la ofufuza a ku UK linafotokoza zotsatira za kafukufuku wopangidwa ndi makina awiri omwe amachititsa chidwi kwambiri omwe anafufuza kafukufuku wothira zomera (PolyBalm®) poika mankhwala a chemotherapy pofuna kuwonetsa misomali. Chidachi chinasintha kwambiri msomali wa misomali umene unachitika pa mankhwala a chemotherapy.
Kubwezeretsa ndi Machiritso
Ngakhale misomali yanu itatha panthawi ya mankhwala a chemotherapy-kapena atayikidwa kapena kutayika-khungu lanu ndi maselo a msomali amayamba kukula kachilomboka pamene mankhwala atha.
Minofu yatsopano ya msomali idzasokoneza misomali yowonongeka. Anthu ena amasangalala kuona izi zikuchitika monga chizindikiro chakuti chemotherapy yachitika ndipo akulowa muyeso.
Mankhuni amakula mofulumira katatu kuposa momwe akufotokozera, choncho perekani nthawi yambiri kuti muwona zala zakutsogolo.
> Zosowa
> Capriotti, K., Capriotti, J., Pelletier, J., ndi K. Stewart. Chemotherapy-Ophatikizidwa ndi Paronychia Amatengedwa ndi Povidone-Iodini 2 Peresenti: Mndandanda wa Ma Cases. Kusamalira Khansa ndi Kafukufuku . 2017. 9: 225-228.
> Kim, J., Ok, O., Seo, J. et al. Zomwe Zili Zosintha Zowonongeka Zowonongeka kwa Nkhoswe Yothetsera Vuto la Kuteteza kapena Kuchiza Mankhwala Opatsirana Mwachifuwa Amatenda Amene Amalandira Neoadjuvant / Adjuvant Docetaxel Chemotherapy. Kafukufuku ndi Chithandizo cha khansa ya m'mawere . 2017. 164 (3): 617-625.
> Robert, C., Sibaud, V., Mateus, C. ndi al. Mankhwala Ochepetsa Nkhono Opangidwa ndi Zochitika Zachilengedwe Zachibadwa. Lancet Oncology . 2015. 16 (4): e181-9.
> Thomas, RJ, Williams, MMA, Mutilib, M, et al. Khungu lachiwiri, loyesedwa mwachisawawa lopangidwa ndi malowa poyesa kupambana kwa fungo la pholyphenolic lopangidwa ndi chomera chophimba pamsana pazitsulo za chemotherapy.