Funda iingozi zeCarencer Risks ezihambelana ne-IBD, kunye nento ongayenza ngayo
Akumangalisi ukuba umdlavuza wesikhumba yingxaki yempilo yoluntu, ngokukodwa kwimimandla yelanga yehlabathi. EUnited States, izinga lomhlaza womhlaza we-nonmelanoma liye landa. Phantse wonke umntu uye waba nokutshiswa kwelanga okanye ezimbini ebomini babo, ngakumbi xa ethatha iholide elunxwemeni okanye kwindawo eya kuyo indawo yezulu. Oko abanye abantu abanezifo zesibilini (inframatory disease) (i-IBD) abanokungazi , nangona kunjalo, ukuba bangengozini yokwanda komhlaza wesiko nje ngenxa yokuba bane-IBD.
Iindaba ezilungileyo kukuba siyazi ngomngcipheko, oko kuthetha ukuba kuninzi okunokuthi kwenziwe ukwenzela ukuba ugweme ukukhanya kwelanga. Musa ukuhlala ekhaya kwaye ugweme imisebenzi yokuhamba okanye yokuzonwabisa ngenxa yelanga! I-Sunscreen yindlela enhle yokunciphisa ukutyhila, kodwa abo bangakuthandi ukuwasebenzisa, kunokukhutshwa kwe-UV ebonakalayo kwiindlela ezahlukeneyo. Iinqwelo kunye neemavule okanye ngisho ukuya emthunzini nazo zinceda. Ukuthatha imizuzu embalwa imihla ngemihla ukucinga malunga nokukhuselwa kwe-ultraviolet (UV) kuya kuhamba ixesha elide ukukhusela imiba ezayo. Uninzi lwabantu abahlakulela umdlavuza wesikhumba baya kukwazi ukufumana unyango kwaye baphephe iingxaki ezinzulu, ingakumbi xa kufumaneka ekuqaleni.
Ngubani Ofumana I-Cancer Cancer?
Abantu abane-IBD, kwaye ngakumbi abo abanesifo sikaCrohn, banomngcipheko wokwanda komhlaza wesiko (i- melanoma ne-nonmelanoma). Olunye uhlalutyo olukhulu lweemeta lubonisa ukuba umngcipheko unokuphakama njengama-37 ekhulwini. Oku kuvekisayo, kodwa ukukhawuleka kwelanga kwindlela enkulu yokunciphisa umngcipheko, kwaye yinto ephantsi kokulawula kwakho ngqo.
Ukugcina i-sunscreen kwi-IBD kit yakho kwaye utyalo-mali kwezinye izambatho ze-UV-block ziindlela ezinkulu zokuphepha ilanga.
Enye inkxalabo yengozi eyongeziweyo yindlela amayeza asetyenziswa ngayo ukuphathwa kwe-IBD. Kuye waboniswa ukuba ukusebenzisa iziyobisi kwiiklasi ezibizwa ngokuba yi-thiopurines (ezifana ne- Imuran ne- Purinethol ) kunokwandisa amathuba okuba nomdlavuza wesikhumba unomananoma kubantu abane-IBD.
Ukufumana unyango olubizwa ngokuba yi-biologics ( Remicade , Entyvio , Humira ), uphando lubonise ukwanda kwengozi ye-melanoma. Ukuba uthatha enye yala mayeza, unokukhathazeka ngomngcipheko womhlaza, kodwa kufuneka ufaniswe nomngcipheko wokuvumela ukuvuvukala kwi-IBD kungakhange kuhlolwe kwaye kubangele ubunzima obukhulu emathunjini nangaphandle kwamathumbu. Xoxa ne- gastroenterologist yakho malunga nobungozi bakho bonke kunye nendlela yokubeka yonke into ngombono. I- dermatologist inokukunceda kwaye inike iingcebiso malunga nendlela yokuphepha ukukhanya kwelanga kunye nendlela yokujonga umngcipheko wakho.
Ngamaxesha amaninzi kufuneka Uhlolwe Ngomdlavuza Wesikhumba?
Abantu abane-IBD kufuneka bahlolwe rhoqo ngomhlaza wesikhumba kanye ngonyaka. Kwezinye iimeko, kubantu abacingelwa ukuba bangengozini enkulu, ukucandwa rhoqo rhoqo kunokucetyiswa. Olunye uphando lubonise ukuba xa abantu abane-Crohn's disease behlolwe kanye ngonyaka, bekuyeyona ndlela ixabisa kakhulu ngokubhekisele kumdlavuza wesikhumba kwangaphambili kwaye uyiphathe. Abantu abane-IBD kufuneka bacele oogqirha babo malunga nokubaluleka kokukhangela umdlavuza wesikhumba kwaye kufuneka ukuba kwenziwe kaninzi kangakanani.
Ukunciphisa ukukhanya kwelanga ukukhusela umdlavuza wesikhumba
Ngenxa yengozi yomdlavuza wesikhumba kubantu abane-IBD, ukuthintela kubalulekile.
Ngethamsanqa, kukho iindlela zokukhusela ilanga naluphi na ucwangciso okanye indlela yokuphila. Nazi ezinye iindlela onokuziphepha ukutyhila ilanga kakhulu.
- Iiskrini. Kucacile ukuba indlela elula kakhulu kunye nekhoyo kakhulu yokuphepha ukukhanya kwelanga. Khetha uphawu lwekhwalithi ephakamileyo enika into ekhuselekileyo yelanga (SPF). Akuyimfuneko ukukhetha iintlobo ezininzi, kodwa kulabo abadinga i-SPF eyahlukileyo kwiindawo ezahlukileyo zomzimba, kwesikhumba esibuhlungu, okanye ngexesha lokubhukuda, kukho ezininzi iindlela ezikhoyo.
- Iihashe. Nangona awuqhelekanga umntu onqabileyo, mhlawumbi unokufumana isicatshulwa esiza kukusebenzela kwaye sikunike ukukhuselwa kwelanga. Njengebhonasi, iinqayi zikunceda ukugawula i-glare kwaye ugcine amehlo akho ekufumaneni ilanga kakhulu.
- Ukujongana neekrams okanye i-makeup. Uninzi lwamaxesha omnquba okanye iziseko zinezikhuselo ezakhelwe ngaphakathi, ngokuqhelekileyo i-SPF phakathi kwe-15 no-25. Ukusebenzisa zombini i-moisturizer kunye nesiseko nge-SPF akuthethi ukuba bayongeza, ngoko ukukhetha umkhiqizo omnye kunye ne-SPF kulungile.
- Impahla. Kukho ezininzi iintlobo zeengubo ezikhoyo ezineSSPF ezakhiwe kuzo. Izambatho eziqhelekileyo zinikela kuphela nge-SPF malunga ne-5, ngelixa iingubo ezikhethekileyo zingaba ziphakamileyo ezingama-50. Oku kunceda kakhulu ekugubungeni umva nentamo, okuya kuba nzima ukuba ufike ngekhrikhi yelanga.
- Umbrellas. Musa ukuhleka! Ukusebenzisa i-ambulera ukwenza umthunzi othile kuyisilumko esilungileyo, ingakumbi ngelixa elwandle okanye echibini. Ukuba ucinga ngeengxaki ezinzulu zesikhumba kunye nokuba ziyakuthatha njani imali kunye nomgangatho wobomi, indleko yokuthenga okanye ukurenta i-ambulera yiba.
- Kuhlala ngaphakathi. Hlala ngaphakathi ngethuba le-UV iiyure. Oku kuyahluka, kodwa ngokubanzi, ukuphuma kwelanga okanye ukusebenzisa ukukhuselwa kwelanga eliphakathi kweeyure ze-11 AM ne-2 PM yinto efanelekileyo. Ukuhlolisisa i-app yesimo sezulu ngencwadana ye-UV iyanceda kakhulu ekuqondeni ukuba kungakanani ixesha lokungabonakaliswa kwinto enokuthi lenzeke kuyo nayiphi na imini ethile okanye ngexesha elithile.
Kodwa Ngaba Andiyidingi Ilanga I-Vitamin D?
Kuyinyani ukuba sidinga i-vitamin D kwaye "i-vitamin D" ilungile xa isikhumba sakho sibonakala kwilanga. Kwakhona kwaziwa ukuba abantu abane-IBD banamathuba athile ka vithamini D kunabantu abangenawo IBD. Iindaba ezilungileyo kukuba i-vitamin D inokufumaneka ngokutya kunye nokutya, kwaye ugqirha wakho unokukucebisa malunga nokuba ungakanani u-vitamin D ongayimfuneko. Ukukhupha isikhumba ilanga rhoqo, kwaye ngokutsha ngokutsha, kudibene nomngcipheko okhulayo womhlaza wesikhumba, ngoko kubalulekile ukuba abantu abane-IBD bangabi nelanga elanga.
Iibhedi zokuthunga
I-Centers for Control and Prevention (CDC), ngokucacileyo, ukuba "ukutyhulwa kwangaphakathi kungabangela umdlavuza wesikhumba kuquka i-melanoma (uhlobo olubulalayo lomhlaza wesikhumba), i-basal cell carcinoma kunye ne-squamous cell carcinoma." Kukho iinkolelo ezininzi malunga nokuqhawula imibhede, kubandakanywa nembono yokuba zikhuselekileyo kunokukhanya kwelanga, ukuba ziyasebenza ekufumaneni i-vitamin D, kwaye ukuba "i-base tan" ingcinga efanelekileyo. Akukho nzuzo yokwenza iibhedi zokucoca, kwaye abantu abazisebenzisayo, nokuba kanye kanye, basengozini enkulu yokuphucula umdlavuza wesikhumba.
Ngaphantsi
I-Vitamin D ibalulekile emzimbeni wethu, kodwa ingafumaneka ngokutya kunye nokuxhaswa, kungekhona nje ilanga. Olunye ukukhanya kwelanga luyingxenye yokuphila ubomi kunye nokufumana ixesha elinenzuzo ngaphandle, kodwa abantu abane-IBD kufuneka banciphise ukukhanya kwabo kwe-UV. Amanye amayeza anokufaka abantu abane-IBD engozini enkulu yokuphucula umdlavuza wesikhumba. Nangona kunjalo, kukho iindlela ezininzi zokunciphisa ukukhanya kwelanga kuquka ukukhanya kwelanga, iimpahla zokukhusela kunye nokusebenzisa umthunzi. Kubalulekile ukuba ungesabi ukwandisa umdlavuza wesikhumba, kwaye ukwazi ukuba inxalenye yengozi ilawulwa ngqo ngumntu.
Imithombo:
Amacandelo okuLawula nokuKhuselwa kwezifo. "Ubuncwane obungaphandle bukhuselekile." CDC.gov. 5 uJuni 2016.
Ixesha elide, uMartin CF, iPipkin CA, et al. "Ingozi ye-melanoma kunye ne-nonmelanoma yengqondo yesikhumba phakathi kwezigulane ezinezifo zesifo." Gastroenterology . Ngo-Agasti ka-2012; 143 (2): 390-399.e1.
Okafor PN, Stallwood CG, Nguyen L, et al. "Ukusebenza kweendleko ze-nonmelanoma umdlavuza wesikhumba ekuhlolweni kwezigulane zeCrohn." I-Inflamm Bowel Dis . 2013 Dec; 19: 2787-2795.
U Singh Singh, uNagpal SJ, uMradrad MH, et al. Isifo sesibindi sokuvuvukala sinxulumene nomngcipheko ophezulu we-melanoma: uhlolo oluhlelekile kunye nokuhlaziywa kwemeta. " KwiKlinikhi yaseGastroenterol Hepatol . 2014 Feb; 12: 210-218.
Yadav S, Singh Singh, Harmsen WS, et al. "Impembelelo yamayeza eMngciphekweni weCarcer kwizigulane ezinezifo ezikhubazayo: Izifundo ezivela kwi-Cohort Based Survey, ezivela kwi-Olmsted County, eMinnesota." IMayo Clin Proc . 2015 Juni; 90 (6): 738-746.