Kutaya tsitsi ndi chimodzi mwa zizindikiro zoopsa komanso zoopsa za chemotherapy kwa khansa, ndipo anthu ambiri akudzifunsa ngati n'zotheka kuti izi zisapitirire. M'zaka zaposachedwapa, njira monga kuzizira kwa scalp zakhala zikupezeka zomwe ziri zothandiza kwa anthu ena. Mofanana ndi chilichonse, njirazi zingathe kukhala ndi zofooka komanso zowawa zawo.
Kodi muyenera kudziwa chiyani kuti mupange chisankho chabwino pokhudzana ndi tsitsi lanu panthawi ya chithandizo?
Kodi Kuteteza Chemotherapy N'zotheka Kukhala ndi Tsitsi?
Njira zingapo zayesedwa pofuna kupewa kutayika kwa tsitsi la chemotherapy , ngakhale kuti kupambana kunasakanikirana. Anthu ena apeza kuti ndi othandiza, koma ena awapeza kuti sagwira ntchito, kapena amagwira ntchito pang'onopang'ono, posankha mwayi wa wigs kapena scarves kuti tsitsi lochepa. Zikuwoneka ngati zogwira mtima kwambiri ndi mankhwala enaake a chemotherapy kuposa ena. Ngakhale kuti kutentha kwa scalp posachedwapa "kunachotsedwa" ngati njira yodziwika yopezera, inayamba kupezeka zaka zoposa 30 zapitazo.
Palinso zina zomwe zimadetsa nkhaŵa kwa oncologists. Tiyeni tiwone zinthu zomwe zingakhale zokhudzana ndi njira zopewera tsitsi ndi njira zomwe zilipo pakalipano.
Nkhani Zowonongeka Kwa Misozi Pakati pa Chemotherapy
Nthawi iliyonse mankhwala akugwiritsidwa ntchito kuthana ndi zotsatira za mankhwala ena, pali nkhani zomwe muyenera kuziganizira.
Ponena za kupewa chemotherapy tsitsi imfa, zina mwa nkhanizi zikuphatikizapo:
Kufalikira kwa khansa
Ena oncologists akudandaula (makamaka pochiza khansa zokhudzana ndi magazi monga khansa ya m'magazi) kuti kuzizira kwapadera kungalepheretse mankhwala a chemotherapy kuti afike ku maselo onse a khansa, ndipo kufalikira kwa khansara kumapazi kungakhale kovuta pamene izi zikugwiritsidwa ntchito.
Kusokonezeka
Sizitanthauza kuti kukhala ndi phukusi pamutu mwanu pakatha mankhwala amodzi akhoza kukhala osasangalatsa.Zowonadi, kukhumudwa kumakhudzana ndi kuvala chikwama cha ayezi ndi chimodzi mwa zifukwa zomwe anthu ambiri amasankha kuti asapitirire mankhwalawa.
Mtengo
Mtengo wokwereka zipangizo kuti mugwiritse ntchito phukusi lazitsamba zingakhale zoletsedwa kwa anthu ena.
Zamangidwe
Kuzizira kozizira ndi chinthu chatsopano cha mankhwala opatsirana pogwiritsa ntchito chemotherapy, ndipo malo ambiri sapangidwanso kuti ayambe kuzizira panthawi yake. Izi zingachititse kuchedwa, komanso kuchotsa odwala ena pa ward.
Kuponyera tsitsi
Kugwiritsira ntchito njira imodzi yothandizira kuchepetsa tsitsi la mankhwala a chemotherapy nthawi zambiri sizothandiza kwenikweni. Amapanga ntchito kuti asunge tsitsi lanu, koma osati zonse, chifukwa cha tsitsi lochepa kwambiri. Anthu ena amapeza kuti amafunikiranso tsitsi monga a wig, kapu kapena nsalu kuti aphimbe mutu wawo, ndipo chifukwa cha izi, kudutsa kozizira sikungakhale koyenera.
Njira Zothetsera Chemotherapy-Kutayika Kwambiri kwa Tsitsi
Pali njira zamagetsi komanso zamagetsi zomwe zagwiritsidwa ntchito poyesa kuletsa tsitsi la chemotherapy.
Zithunzi Zowonongeka / Zisanu
Ndi kuzizira kwa khungu, madzi oundana kapena ayezi amagwiritsidwa ntchito pa scalp pamene chemotherapy ikuperekedwa.
Chiphunzitso cha izi ndikutenga mitsempha ya mitsempha pafupi ndi minofu ya tsitsi kuti chemotherapy mankhwala asagwirizane ndi maselo akugawanika mofulumira. Kafukufuku wina apeza kuti izi zimathandiza kuchepetsa tsitsi, koma zikuwoneka ngati zogwira mtima kwambiri ndi mankhwala enaake, ndipo ngati mankhwalawa asanaperekedwe. Malingana ndi kafukufuku wa 2017 wofalitsidwa mu Journal of the American Medical Association , kugwiritsa ntchito scalp kuzizira kwa amayi omwe ali ndi siteji yoyamba ya seti ndi gawo lachiwiri la khansa ya m'mawere kunapangitsa kuti asiye tsitsi loposa 50 peresenti potsatira mankhwala achinayi omwe amaphatikizapo mankhwala.
Kuphatikiza pa kusokonezeka komwe kumakhudzana ndi kuzizira monga mutu ndi kumverera kwa kuzizira, anthu amakhalanso akudandaula chifukwa cha nthawi yowonjezera ndi malo omwe akufunika kuwonjezera njira iyi ku chemotherapy.
Kuzizira kozizira kumawoneka kuti ndi kotheka kwambiri pophatikiza ndi chemotherapy mankhwala monga anthracyclines monga Adriamycin (doxorubicine), ndi taxanes (paclitaxel).
Kupsyinjika kwa mpweya
Mankhwala opangidwira amagwiritsidwa ntchito pogwiritsa ntchito kapena popanda kuzizira, ngakhale kuti ndi okhawo omwe sagwira ntchito kwambiri kusiyana ndi kuzizira kwa scalp. Mavuto akuchipatala akuyendera, makamaka kuyang'anitsitsa zotsatira za makina opangira mavitamini kwa anthu omwe ali ndi mankhwala opatsirana mu ubongo (ma radiation, mosiyana ndi chemotherapy, nthawi zambiri amatsogolera tsitsi losatha).
Mankhwala
Mankhwala amagwiritsidwanso ntchito pofuna kuyesa kuchepa kwa tsitsi pa mankhwala a chemotherapy. Ndikofunika kukumbukira kuti monga mankhwala aliwonse, zotsatira zake zingakhale zofunikira, ndipo izi ziyenera kugwiritsidwa ntchito mosamala ndi dokotala.
Mankhwala omwe ayesedwa kuti athe kuchepetsa alopecia omwe amachititsa mankhwalawa ndi awa:
- Rogaine (minoxidil) njira yothetsera 2%: Mankhwalawa mwina amadziwika bwino monga mankhwala omwe amagulitsidwa pamutu kuti asamayesedwe. Ngakhale kuti sizikuthandizani kwenikweni kuteteza tsitsi lopwetekedwa mkati mwa mankhwala a chemotherapy, zimaganiziridwa kuti zingathandize tsitsi kukula mofulumira pambuyo chemotherapy itatha.
- Panicum miliacum topical: Monga Rogaine, izi sizithandiza kwambiri kuchepetsa tsitsi, komabe ena amaganiza kuti athandiziranso tsitsi.
Pansi
Kusankha tsitsi lopweteka chifukwa cha chemotherapy ndi lingaliro laumwini. Pali anthu ena omwe njirazi sizikulimbikitsidwa, monga omwe ali ndi khansa yokhudzana ndi magazi. Kwa omwe ali ndi ziwalo zolimba, zimakhala ngati chitonthozo, mtengo, komanso kupewa khungu kokha ka tsitsi. Ngati mukufuna kuyesa imodzi mwa njira izi, lankhulani ndi oncologist wanu. Amwino ambiri otsekedwa ndi anamwino samadziwika ndi njira monga kuzizira kwa khungu, ndipo mukhoza kukhala nokha kuti mutsimikizidwe bwino komanso kuti muli ndi zipangizo zonse zofunika.
> Zotsatira:
> Dmytriw, A., Morzycki, W., ndi P. Green. Kupewa Alopecia M'madokotala ndi Opatsirana Amaphunziro a Chemotherapy. Journal of Surgery and Medical Surgery . 2014. 18 (0): 1.6.
> Lemieux, J., Prevencher, L., ndi C. Laflamme. Fufuzani za kugwiritsidwa ntchito kowonongeka kwa khungu pofuna kupewa kutentha kwa scalp pofuna kupewa alopecia pa chithandizo cha khansa ya m'mawere ku Canada. Canadian Oncology Nursing Journal . 2014. 24 (2): 102-8.
> Mols, F. et al. Kuzizira kozizira pofuna kupewa kutsekedwa kwa tsitsi la chemotherapy: zothandiza ndi zamaganizo. Thandizo Lothandiza ku Khansa . 2008. 16 (3): 352-358.
> Nangia, J., Wang, T., Osborne, C. ndi al. Zotsatira za chida chowotcha ku Alopecia mu Akazi Akudwala Chemotherapy kwa khansa ya m'mimba: SCALP Randomised Clinical Trial. JAMA . 2017. 317 (6): 596-605.