Kupewa ndi Kulimbana ndi Oral Mucositis Milonda Yam'mimba
Chithandizo cha khansa ya m'magazi ndi lymphoma , monga chemotherapy ndi mankhwala opatsirana ndi mankhwala, zingayambitse zilonda zopweteka kwambiri m'kamwa mwanu kapena pamutu. Mbali imeneyi imatchedwa oral mucositis, ndipo pamene zingakhale zovuta kuchiza zikachitika, pali zochitika zomwe mungatenge kuti muteteze ndi kuchepetsa mwayi wopanga mavuto kuchokera kwa iwo.
Chemotherapy ndi ma radiation angachepetsenso mapangidwe anu a mpeni, osasiya pakamwa panu kuti atenge kachilombo ka HIV.
Nchiyani Chimachititsa Mlomo Mucositis ku Chemo ndi Radiation Treatment?
Mwatsoka, mankhwala a chemotherapy ndi ma radiation samatha kusiyanitsa pakati pa maselo a khansa ya magazi ndi maselo abwinobwino.
- Chemotherapy amakhala ndi chizoloŵezi chokhudza kapangidwe kake kamene kamangokhala mofulumira. Popeza chemotherapy ikuyenda kudzera mu thupi lanu m'magazi anu, izi zingaphatikizepo maselo omwe amayendetsa pakamwa panu ndi mmero, komanso maselo a khansa ya m'magazi kapena la lymphoma.
- Komabe, mankhwala opatsirana pogwiritsa ntchito ma radiation amakhudza maselo alionse amene mphamvuyo imakhudzana nawo. Kotero ngati mukulandira chithandizo chamankhwala pamutu kapena khosi lanu, maselo anu amatha kuvulala.
Kodi Ndi Mavuto Otani Angachititse Mucositis?
Chodziwika bwino chovuta ndi ululu wokhudzana ndi mucositis. Zitha kukhala zosavuta kapena zofiira pakamwa, njira iliyonse yotsegula zilonda pamlingo, milomo ndi nsanamira. Kupweteka kwa mucositis kumathandizanso kuti musamve ngati kudya kapena kumwa.
Zimawawa! Koma ndikofunika kusunga zakudya zanu pamene mukudwala mankhwala.
Kupweteka kwa pakamwa kungakulepheretseni kulankhula ndi kuseka ndi okondedwa anu. Odwala nthawi zina amadandaula kuti amawapangitsa kukhala osungulumwa komanso omvetsa chisoni akamavutika kulankhula.
Kutenga kwa zilonda zamilomo ndizofala kwambiri kusemphana ndi mucositis.
Pakamwa pathu ndi zabwino, zotentha, zokondweretsa mabakiteriya, bowa, ndi mavairasi. Kuonjezera apo, matenda anu kapena mankhwala a chemotherapy angakhale atachepetsa thupi lanu kuthetsa zirombo izi. Matenda a m'kamwa angakhale ovuta kwambiri kuchiza ndipo angayambitse matenda m'magazi ngati akupita patsogolo.
Kodi Ndingapewe Bwanji Mucositis?
Pulogalamu yamakono yochera pakamwa imatha kuchepetsa kukula kwa mucositis ndipo ikhoza kuthandizira kuchiritsa pamene muli nayo. Muyenera kuyambitsa ndondomeko yosamalira pakamwa musanakhale ndi zilonda zam'kamwa kapena zovuta.
Kwa chithandizo chamakono tsiku ndi tsiku pa mankhwala a chemotherapy kapena mankhwala a radiation, muyenera:
- Sula mano ndi lilime lanu ndi ubweya wofewa kwambiri wa mankhwalawa kawiri pa tsiku kwa mphindi 2-3.
- Gwiritsani ntchito mankhwala opweteka pang'ono. Ngati mankhwala anu opweteka amachititsa kuti musamavutike, musamagwiritse ntchito.
- Sungunulani botolo lanu la mano mumadzi otentha kwambiri mukamaliza kugwiritsa ntchito, ndipo mulole kuti zouma pakati pa ntchito.
- Sungani pakamwa panu nthawi zambiri tsiku lonse, ndipo nthawi zambiri mukamaphwanya. Gwiritsani ntchito soda, salin salt (solution supuni 1 mchere mumphika 4), kapena supuni ya soda (1 supuni 1 supuni ya soda mu kapu imodzi ya madzi). Tengani supuni imodzi ya kutsuka, ndipo sunganizani m'kamwa mwanu kwa masekondi 30 musanayipse.
- Pewani mkaka waukali, kapena omwe ali ndi mowa.
- Floss pang'onopang'ono kamodzi pa tsiku. Ngati mapuloleteni anu ali osachepera 40,000 kapena ngati akukuvutitsani, pumulani kuti musamangokhalira kumangoyenda kwa kanthawi.
- Gwiritsani ntchito mankhwala amchere nthawi zambiri tsiku lonse kuti mupewe kutsekemera ndi kudumpha.
Ndimavala mano. Kodi pali zinthu zina zamtengo wapatali zoti ndichite pakamwa?
Ayi. Khalani otsimikiza kuchotsa mano anu pakamwa, ndipo yesani kuwachotsa mkamwa mwako usiku ndi kangapo patsiku kuti mupatse chifuwa chanu ndi kupewera mkwiyo. Monga momwe mungakhalire ndi mano anu achilengedwe, sungani mano anu oyera kuti muteteze matenda.
Ndilibe zilonda, koma pakamwa panga ndi youma! Ndingatani?
Zotsatira za kuyanika kwa chemotherapy ndi ma radiation pakamwa kungakhalenso zosasangalatsa!
Yesani ku:
- Sungani pa ayezi kapena popsicles
- Limbikitsani zilonda zamatumba ndi maswiti kapena masamu a shuga
- Pitirizani kuyamwa kwanu ndikusungunuka
- Zakudya zouma zokhala ndi msuzi kapena msuzi kuti ziwoneke mosavuta kapena kuzimeza
- Idya zakudya zofewa
Ndili ndi zilonda zotsegula pakamwa panga. Kodi ndikuchita chiyani tsopano?
Ngakhale zingakhale zovuta, pitirizani ndi pulogalamu yanu yosamalira pakamwa momwe mungathere. Peŵani zinthu zomwe zingapangitse pakamwa panu kukwiya kwambiri. Izi ziphatikizapo:
- Zakudya zamoto kapena zokometsera
- Zipatso za cititrus kapena zakudya zamakiti monga tomato
- Kusuta kapena fodya
- Mowa
- Sugar gum kapena candies
Lankhulani ndi wothandizira zaumoyo wanu za mankhwala kuti athe kuchepetsa ululu wa mucositis.
Zimawawa! Kodi ndingadye chiyani?
- Zakudya zofewa, kuzizira. Tiyenera kuyesa zakudya zoyera monga apuloauce
- Zakudya za asidi otsika monga vwende kapena nthochi
- Zakudya zowonjezera zakudya kapena zakumwa za masewera
- Gamu lopanda shuga kuti lipititse patsogolo kupanga mapanga
- Madzi ambiri kuti mukhale osungunuka bwino
Ndiyenera kulankhulana liti ndi wothandizira zaumoyo wanga?
Muyenera kulankhulana ndi namwino kapena dokotala ngati muli ndi zizindikiro zotsatirazi:
- Mlomo wouma
- Zowawa pakamwa
- Zilonda zam'mimba kapena zilonda
- Zovala zoyera mumkamwa mwanu
- Kutsekemera kofuula
- Misozi
Muyeneranso kukhala ndi dokotala wanu wa mano amalankhula ndi wothandizira mankhwala, kapena funsani ngati malo anu a kansa ali ndi dotolo omwe angakuthandizeni ngati muli ndi ntchito ya mano yomwe ikuyenera kuchitidwa.
Ngakhale kuti sizingatheke kuthetseratu chiopsezo chokhala ndi zilonda zamilonda pamene mukudwala mankhwala a khansa ya m'magazi kapena lymphoma, palinso masitepe omwe mungachite kuti muchepetse kuwonongeka ndi kupititsa patsogolo machiritso. Funsani dokotala wanu kapena wothandizira zaumoyo ngati ali ndi malingaliro ena pazochitika zanu.
Zotsatira:
Mavuto Ovomerezeka a Chemotherapy ndi Mutu / Mng'oma (PDQ®), National Cancer Institute, pa 22 January, 2016.