Yintoni ongayenza ukukhusela nokunyanga ukutyunjwa ngexesha le-chemotherapy
Sibanzi
Ukutyunjwa kuyimpembelelo echaphazelekayo yechemotherapy okanye enye imithi echazwe ngexesha lotyando lomhlaza . Ukugqithiswa kuchazwa njengento ekhuni okanye engapheliyo okanye ubunzima bokuhamba.
Iimpawu
Abantu abaninzi bayaziqhelanisa neempawu zokuqhawuka. Ezi zingabandakanya ukuxinwa kwesisu, ingqondo yokuzaliswa kwesisu, intlungu yomzimba, kwaye ngokuqinisekileyo unokwazi ukuba awuzange ube neentshukumo zokuhamba kweentsuku ezimbini okanye iintsuku ezintathu ukuba udla rhoqo.
Nangona kunjalo, iimpawu azibonakali zihlala zibonakaliswe kubantu abasebenzisa i- chemotherapy okanye ukuhlangabezana nezinye iimeko zonyango. Zingaquka kuphela ukwehla kwesondlo kunye nesimo esingaqondakali sokungabonakali - iimpawu eziqhelekileyo ngomhlaza wokuqala.
Izizathu
Kukho izinto ezahlukahlukeneyo ezinokubakhokelela ekubanjeni ngexesha le-chemotherapy. Ezi ziquka:
- Iziyobisi zeKhemotherapy
- Iidakamizwa ezisetyenziselwa ukunyusa isicupunu kunye nokuhlanza
- Umsebenzi ophantsi kunye nokuphumla kombhede
- Iipilisi zempilo
- Iphakamileyo yekhalsiyamu egazini ( hypercalcemia of malignancy )
- Ukuditywa kwamanzi
- Iingxaki zeTyroid
Ukuxilongwa
Uninzi lwexesha ukuxilongwa kokuqhawulwa ngexesha lokuchithwa kwamakhemikhali kunokumiselwa ngokusekelwe kwiimpawu zodwa kunye neyeza eziphakamisa umngcipheko.
Lawulo
Into yokuqala omele ukwenze ukuthetha nodokotela wakho. Mxelele ukuba unobungozi okanye izitovu ezinzima / ezingapheliyo. Ugqirha wakho uya kufuna ukwazi malunga nokutya kwakho ukuba uthathe nayiphi na i-counter-counter-counter-counter-counter, i-enemas, okanye i-suppositories, kwaye uqinisekisa imithi oyithathayo.
Kunceda ukuba uxhomekeke ngokukhethekileyo xa uluhlu lwakho unyango ugqirha wakho ekubeni ezininzi iimyeza ezisetyenziselwa unyango lomhlaza kunye nokukhululeka kwintlungu kunokubangela ukutyunjwa. Le mibuzo iyakunceda ukuqonda isizathu esona sizathu sokuqhaqha.
Intlupheko yeFluid
Izigulane ezininzi zivakalisa uxolo xa zandisa inani lamanzi aselayo.
Iziphuzo ezinjengamanzi kunye neentshisi zinconywa. Gwema iziphuzo eziqukethe i-caffeine, njengama-sodas, ikhofi, kunye notywala, kuba zingabangela ukungcola, okungabangela ukugqithisa.
Fiber Dietary
Kwiimeko ezincinci zokuqhawulwa, ukunyuka kwamafibhe ekudleni kunokuba umzimba wonke ufuna ukuhamba rhoqo . Ngaphambi kokwandisa i-fiber ekudleni, cela udokotela wakho. Ezinye izigulane akufanele zandise i-fiber, njengalezo eziye zinezithintelo zesilonda okanye ukuhlinzwa .
Ukwandisa inani le-fiber liqala ngokutya odlayo. Amantongomane, i-bran, imifuno, i-legumes, isonka esingenakolweni kunye neefasta, kunye neziqhamo ezininzi kunye nemifuno yonke ukutya okuphezulu okunokukunceda ukuthintela ukutyunjwa. Kwenye uphando olutshanje, iifatata ezithengiweyo zifunyenwe ukuba zisebenze ngokukhawuleza ekukhuseleni ukutyunjwa.
Kubalulekile ukuba uqaphele, nangona kunjalo, ukuba xa umntu athe wagxininiswa kakhulu, ukongeza ukutya okuphezulu kwe-fiber kunokunyusa ukonakala kuze kube yinto yokuqhaqhazelwa.
Thetha ugqirha wakho malunga nokuba ungakanani ufayibha ufanele ufumane imihla ngemihla. Ukutya okuphakanyisiweyo kokutya kwabafazi abanempilo ngu-21-25 amagremu kwaye amadoda kufuneka adle i-30-38 amagremu ngosuku. Unokufumanisa ukuba i-fiber ibe kukutya okunjani ngokufunda iilebula kwiphakheji okanye ukuyijonga kwi-intanethi kwimeko yokutya engabhalwanga njengeziqhamo kunye nemifuno.
Ukuzivocavoca
Ukuzivocavoca kusebaluleke kakhulu xa unyanga unyango. Into elula nje njengokuhamba ngokufutshane, ukuhamba rhoqo kunokunceda ukukhusela nokukhulula ukuzitywa. Kulabo balala embhedeni, ukuhamba ukusuka esihlalweni ukuya kwibhedlele kunokunceda kuba usebenzisa izixande zesisu
Ngaphambi kokuba uqale naluphi na umsebenzi, kungakhathaliseki ukuba ucinga ukuba ungakanani, xela ugqirha wakho. Unokuncoma ukuzisebenzisa kwaye akuxelele ukuba kufuneka ufumane kangakanani.
Mayeza
Kukho iindidi eziliqela zamachiza ezenza umsebenzi wokuqhawulwa ngezindlela ezahlukeneyo. Ezinye zazo zingasebenza kangcono kunabanye ngenxa yezizathu ezithile zokubanjwa, ngoko kubalulekile ukuthetha nodokotela wakho kwaye ufumane isinconywa sakhe.
Amanye amayeza azayo kunye nenxalenye yezidakamizwa, zenzelwe ukuba zitshintshe i-stool kunye nosizo ekuphumeni kwayo.
Ngamanye ama-regimens e-chemotherapy, ukudibanisa iziyobisi, ngokukodwa iziyobisi ukukhusela isisulu somhlaza. ziyanqabisa kakhulu, kwaye i-oncologist yakho ingancoma ukusebenzisa imithi yokubambisa ngokuqinisekileyo Qinisekisa ukwenza njalo, kuba kulula ukukhusela kunokugqithisa ukumbathisa okunzima. Kwakhona, qiniseka ukuba uthethe kwi-oncologist yakho ngaphambi kokusebenzisa nayiphina imithi, njengoko ezinye zazo zinokuphazamisa iziyobisi zamachiza. Ezinye iindlela zonyango ziquka:
- I-laxatives eyenziwe ngobuninzi - La mayeza asebenza ukubuyisela amanzi emathunjini ukunciphisa ubunzima be-stool, kunye nokunciphisa ixesha lokuhamba-inani elithile elihlala kwisiboloni. Umzekelo wale nqanaba nguMetamucil (psyllium) .
- I-laxatives ekhuthazayo - Izikhuthazi zisebenza ngokuthe ngqo kwiimbulunga ezijikeleze ikolon ukukhuthaza ukuhamba kwe-stool ngokusebenzisa iphepheni yesisu. Ekubeni kunokuba buhlungu xa izithambiso ezinzima ziwela kwi-colon, ezi zidlalwa kunye ne-softol softener. Imizekelo yezixube ezikhuthazayo ziquka iSenekot (senna) kunye noDulcolax (bisacodyl).
- I-laxatives ye-osmotic - i- osmotic laxatives isebenza ukuze igcine amanzi kwi-colon kwaye ivuselele i-peristalsis - isithintelo esisisigxina sekholoni esihamba phambili. Imizekelo ibandakanya iChronulac (lactulose), i-glycerin suppositories, i-Miralax (i-polyethylene glycol), i-citesium citrate kunye neMil of Magnesia (i-magnesium hydroxide.)
- I-Emollients / Stool softeners - I-Stool softeners ithambisa isitulo ngokusebenza ngokuxutywa kwamanzi kunye namafutha kwi-stool. Ezi zonyango ziyancancisa isitopu kodwa zinganciphisi ixesha lokuhamba, ngoko zisoloko zisetyenziselwa kunye namanye amayeza ukuququzelela intshukumo yezilwanyana ukuba ezi ziba nzima. Umzekelo walezi ziCoca (docusate).
- Iimfubriki - Ezi myeza zizisa amanzi kwisitulo ukuze zilucokise kwaye zihlambulule isitulo sokuphuma emzimbeni. Umnquma weoli ngumzekelo.
Ukususwa kwamanqaku
Xa zonke izinto zingaphumeleli, ukuba kwenzeka ukuba i-fecal impaction, okanye ukuba ukubethekiswa kuyabuhlungu kakhulu, ukukhutshwa kwedijithali kungafuneka kwenziwe. Oku kubhekisela ekususweni kwencwadi yesitorethi usebenzisa iminwe ecwecwe.
Iingxaki
Ukuqhaqhaqhaqeka okungapheliyo kunokukhokelela ekuthandeni kwe- fecal , imeko apho kunzima khona, into eyomeleleyo yefecal ekhulayo kwi-rectum kwaye ayikwazi ukudluliswa. Amagqabi athatyathwayo athatyathwa ngugqirha ngesandla.
Ezinye izixazululo ezivela kwixilongwane elingapheli ziquka i-hemorrhoids, ama-anal fissures, ama-abscesses ama-perianal, kunye ne-proctal prolapse.
Imithombo:
I-American Society ye-Clinical Oncology. Cancer.Net. Ukutyunjwa. Updated 01/16. http://www.cancer.net/kuvakalisa-catshulwa-catshulwa-cala-effects/constipation
National Cancer Institute. Iingxaki Zomzimba - Iingcali Zomsebenzi Wezempilo. Ukuhlaziywa 01/04/16. http://www.cancer.gov/about-cancer/treatment/side-effects/constipation/GI-complications-hp-pdq
Zou, J., Xu, Y., Wang, X., Juang, Q., kunye no-X. Zhu. Ukuphuculwa koMhlala-phantsi kwi-Leukemia Izigulane ezithatha i-Chemotherapy Ukusebenzisa i-Potato e-Sweet. Unonophelo lweCancer .