Osavuta Kwambiri ndi Osavuta Kugwiritsa Ntchito Mankhwala Osokoneza Bongo
Chemotherapy ndi mankhwala omwe dokotala angakupatseni kuti amenyane ndi khansa yanu. Ngakhale pali zotsatira zambiri za chemotherapy, imodzi mwa mantha kwambiri ndi tsitsi. Kodi ndi mankhwala ati omwe angakhalepo ndipo sangathe kukuputsani tsitsi?
Zotsatira Zotsatira za Chemotherapy
Mankhwala a chemotherapy amagwira ntchito polepheretsa kugawanika ndi kukula kwa maselo okula mofulumira.
Ngakhale mankhwalawa angakhale othandiza pa maselo a khansa, amawononganso maselo omwe amatha kugawidwa mofulumira. Izi zimaphatikizapo minofu ya tsitsi (kutsogolera tsitsi), maselo m'magazi (kumayambitsa kunyoza ndi kusanza), ndi maselo mumphongo (zomwe zimapangitsa maselo ofiira ochepa, maselo oyera a magazi, ndi mapulogalamu).
Kutaya Tsitsi Kuchokera ku Chemotherapy
Kutaya tsitsi kumakhala kofala kwambiri pakapita mankhwala a khansa ya m'mawere komanso khansa zina, ngakhale mankhwala ena ndi njira zothandizira ndizosavuta kuposa zina kuti zisawononge mafupa a tsitsi.
Kaya mumakhala ndi tsitsi kapena ayi, kudalira tsitsi lanu kumadalira zinthu zingapo kuphatikizapo:
- Dose wa chemotherapy
- Kodi mankhwalawa amaperekedwa kangati?
- Njira yowonetsera
- Mankhwalawa kapena mankhwala omwe mumalandira
Nkhani yabwino ndi yakuti kupweteka kwa tsitsi la mankhwala a chemotherapy nthawi zambiri kumasinthidwa.
Kutaya tsitsi nthawi zambiri kumayamba kuzungulira nthawi yanu yachiwiri yophatikiza mankhwala, ngakhale kuti izi zimasiyanasiyana.
Anthu ena samataya tsitsi lonse mpaka atatsala pang'ono kumaliza chemotherapy. Kubwezeretsa tsitsi kumayamba mkati mwa miyezi itatu pomaliza mankhwala a chemotherapy. Pamene tsitsi lanu likukula, anthu ambiri amapeza kuti ali ndi zinthu zopangidwa ndi chemo curls . Ngati tsitsi lanu linali lolunjika chisanafike chemotherapy likhoza kukhala lolunjika kachiwiri, koma izi zingatenge zaka zingapo.
Njira zina zayesedwa pofuna kupewa kapena kuchepetsa tsitsi (onani m'munsimu).
Kodi mankhwala a chemotherapy amachititsa kuti tsitsi lisawonongeke?
Pali mankhwala ambiri omwe amagwiritsidwa ntchito mu khansa ya m'mawere - ambiri mwa iwo amagwiritsidwa ntchito pamodzi. Mankhwala ochiritsira a mankhwala omwe amachititsa adjuvant monga Cytoxan ndi Adriamycin otsatiridwa ndi Taxol kawirikawiri amagwirizanitsidwa ndi tsitsi.
Pano pali mndandanda wa mankhwala a chemotherapy-osati kansalu yokha ya khansa-yomwe ndi yochepa kwambiri yomwe ingayambitse tsitsi.
Chemotherapy Mankhwala Osokoneza Bongo Ambiri Okhoza Kuchititsa Kutayika kwa Tsitsi
Mankhwala a Chemotherapy omwe amachititsa kuti tsitsi liwonongeke mwa anthu ambiri ndi awa:
- Adriamycin (doxorubicin)
- Cytoxan kapena Neosar (cyclophosphamide)
- Taxol (paclitaxel)
- Taxotere (docetaxel)
- Cerubine (daunorubicin)
- Ellence (Epirubicin)
- VePesid (etoposide)
- Idamycin (idarubicin)
- Ifex (ifosfamide)
- Ixempra (exabepilone)
- Camptosar (irinotecan)
- Hycamtin (topotecan)
- Navelbine (vinorelbine)
Ixempra (Ixabepilone)
Chemotherapy Mankhwala Omwe Nthawi Zina Amachititsa Kuperewera kwa Misozi
Mankhwala a Chemotherapy omwe amachititsa kuti tsitsi liwonongeke kwa ena koma osati anthu onse ndi awa:
- Blenoxane (bleomycin)
- Myleran kapena Busulfex (busulphan)
- Cytosar-U (cytarabine)
- 5-FU , Fluorouracil, Adrucil (5-fluorouracil)
- Gemzar (gemcitabine)
- Gleostine (lomustine)
- Alkeran (melphalan)
- Thioplex (thiootepa)
- Velban (vinblastine)
- Oncovin (vincristine)
Chemotherapy Mankhwala Omwe Amayambitsa Kawirikawiri Misozi
Mankhwala ena amadzimadzi amachititsa kuti atenge tsitsi lochepa, ngakhale kuti nthawi zambiri amakhala ndi mankhwala osokoneza bongo. Izi zikuphatikizapo:
- Paraplatin (carboplatin)
- Xeloda (capecitabine)
- Gliadel (carmustine)
- Platinol (cisplatin)
- Fludara kapena Oforta (vludarabine)
- Trexall, Otrexup, Rasuvo (methotrexate)
- Mutamicin (mitomycin C)
- Novantrone (mitroxantrone)
- Procarbazine (wogulitsidwa ndi dzina lachibadwa ku US)
- Purinethol (6-mercaptopurine)
- Zanosar (streptozotocin)
Kuteteza Chemotherapy-Kutayika Kwambiri kwa Tsitsi
Kwa iwo omwe ali ndi chidwi, nthawi zina zimakhala zotheka kuteteza tsitsi kumatenda kuchokera ku chemotherapy .
Zowonongeka zowonongeka zimatha kuchepetsa pafupifupi 50 peresenti ya tsitsi, koma zimabwera ndi mtengo. Malo ambiri oponderezedwa alibe maunyolowa kotero kuti mukhoza kubwereka chipangizo chozizira.
Kuzizira kozizira kumagwira ntchito pochepetsa mitsempha ya magazi pa scalp kuti mankhwala a mankhwala a chemotherapy sangathe kufika pamutu wa tsitsi. Ndi khansa zina, makamaka khansa zokhudzana ndi magazi monga khansa ya m'magazi ndi maimphmasi, pakhala kudandaula kuti kuzizira kungachepetse mphamvu ya chemotherapy. Ngakhale kuti sizingakhale zovuta ndi khansara ya m'mawere, kuzizira kwa khungu kumakhala kovuta kwambiri, mofanana ndi zizindikiro za ubongo wa ubongo mungakumbukire pamene mukudya ayisikilimu m'mbuyomo.
Mankhwala monga Rogaine (minoxidil) nayenso ayesedwa, koma samathandiza kwambiri kuchepetsa tsitsi.
Kulimbana ndi Kuwonongeka kwa Tsitsi Kanthawi
Mosiyana ndi kutayika tsitsi kumakhudzana ndi mankhwala a mpweya, kutayika kwa tsitsi kumene kumachitika ndi chemotherapy nthawi zambiri kumakhala kanthawi. Izi zati, pakhala pali zochepa zochepa zomwe zimawonongeka pamutu pa mankhwala enaake. Kuphatikizidwa kwa FEC (fluorouracil / epirubicin / cyclophosphamide) ndi docetaxel kunenedwa kuti kumayambitsa kuwonongeka kwa tsitsi kumapeto kwa anthu ena omwe ali ndi regimen iyi ya khansa ya m'mawere.
Kusamalira Kusowa Kavalo Kuchokera ku Chemotherapy
Zingakhale zovuta kumvetsa bwino ndi tsitsi lomwe simukulidziwa pa mankhwala a chemotherapy. Ngakhale kuti vutoli ndi lovuta kwambiri, limakhalabe limodzi mwa zotsatira zoopsya kwambiri. Ofufuza ambiri amalimbikitsa kuti mugule wig , zipewa, kapena zipsera musanayambe mankhwala a chemotherapy. Zonse kapena gawo la mtengo wa wig akhoza kukhala ndi inshuwalansi yanu. Komabe, kuti mupezepo, muyenera kukhala ndi oncologist wanu kulembera mankhwala a "tsitsi lopaka tsitsi".
Musanapite, mungafune kufufuza zofunikira kuti mugule mankhwala a chemotherapy . Palinso mabungwe omwe amapereka ma free wigs, zipewa, kapena zidutswa za anthu omwe ali ndi khansa.
Ndikofunika kukumbukira kuti kutayika tsitsi kumabwera thupi lanu lonse. Izi zikuphatikizapo maulendo, ziso, tsitsi la pubic, ndi zina. Ngakhale amayi atha kuyamikira kuchotsa minofu yawo (ndi amuna, nkhope zawo), ma eyelashes amapanga chitetezo chomwe simungachidziwe kufikira mutatsegula chitseko cha uvuni kapena kunja kwa tsiku lopanda. Onetsetsani njira zisanu ndi imodzi zokonzekera tsitsi la chemotherapy .
Mawu Ochokera Kumatala Amaso Pa Chemotherapy
Mankhwala ambiri amachititsa kuti tsitsi liwonongeke, kuphatikizapo zomwe zimagwiritsidwa ntchito pa khansa ya m'mawere. Anthu ena amasankha khungu lakumwa ngati njira yochepetsera tsitsi koma ena amakonda kutonthoza mutu wamtundu ndi kukonzekera patsogolo ndi scarf kapena wig. Chokondera chiri chapadera kwambiri ndipo ndikofunikira kuti muzichita zomwe zingakhale zabwino kwa inu nokha. Mwamwayi, tsitsi lonse ndilokhalitsa ndipo akazi ambiri amapeza kuti tsitsi lawo likukula mobwerezabwereza ngakhale thanzi kuposa kale.
> Zotsatira:
> Dunnill, C., Al-Tameemi, W., Collett, A., Haslam, I., ndi N. Georgopoulos. Buku lachipatala komanso lachilengedwe lothandizira kumvetsetsa Chemotherapy-Yophatikizapo Alopecia ndi Kupewa Kwake. Oncologist . 2017 Sep 26. (Epub patsogolo pa kusindikiza).
> Kluger, N., Jacot, W., Frouin, E. et al. Mphuno Yachikhalire Alopecia Yogwirizana ndi Khansa ya M'thupi Chemotherapy ndi Sequential Fluorouracil / Epirubicin / Cyclophosphamide (FEC) ndi Docetaxel: Kuyembekezera Kwambiri kwa Odwala 20. Annals of Oncology . 2012. 23 (11): 2879-84.
> 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.
> West, H. Chemotherapy-Kutayika kwa Tsitsi Kwambiri (Alopecia). JAMA Oncology . 2017. 3 (8): 1147.