Iingcebiso zokuKhusela ukuKhutshwa kwelanga ngexesha leKhemotherapy kunye neRadioation
Ukuqhawula ukukhanya kwelanga kunokuvakalelwa njengendlela ephumayo yokukunceda ukujamelana neengxaki zokunyanga komhlaza. Enyanisweni, i-vitamin D eveliswe ngokukhawuleza (kunye nokukhuselekileyo) ukukhanya kwelanga kuye kwaxhunyezwa kungekhona nje ngomngcipheko omncinci wokuba nomhlaza, kodwa ukuphucula ukunyuka kwamanye amagciwane. Isinyathelo sokuqala ukwazi ukuba imithi yakho ye- chemotherapy inokunyusa amathuba okutshisa ilanga: into ongenakudinga ngoku kuleso sihlandlo ebomini bakho.
Kwakhona kubalulekile ukuqaphela ukuba ukugqoka i-sunscreen akunakwanela.
Yintoni i-Sun senensity (Photosensitivity)?
Ukuzwela kwelanga, eyaziwa njenge- photosensitivity okanye iphototoxicity, ukuthambekela kwelanga ngokulula kunokuba kuqhelekileyo. Uninzi lweempendulo zentetho ehambelana neziyobisi zamakhemikhali ziyi-phototoxic. Kwindlela eyenziwa ngayo i-phototoxic, amayeza anjengeyeza-chemotherapy adle imitha ye-ultraviolet. Ukubamba ukukhanya kwe-UV kubangele utshintsho kwi-chemical composition of the drug, ekhupha amandla okwenza isikhumba.
Ziziphi izidakamizwa ze-Chemotherapy ezenza i-Photosensitivity?
Phantse nayiphi na i-ejenti ye-chemotherapy (okanye imithi engahlobene nomhlaza kunye nayo) inokubangela ukuba ube neengxaki kwilanga. Kubalulekile ukuthetha ne-oncologist yakho malunga neyeza zakho ezithile. Ukongeza, ukudibaniswa kwezilwanyana ezahlukeneyo kunokuphakamisa umngcipheko ngakumbi ngaphezu kwesinye isilwanyana singasedwa. Ezinye zezilwanyana zamachiza ezibizwa ngokuqhelekileyo ezenza ukuba i-photosensitivity zibandakanya:
- 5-FU (fluorouracil)
- Methotrexate
- DTIC (dacarbazine)
- Oncovir (vinblastine)
- I-Taxotere (docetaxel)
- I-Adriamycin (doxorubicin)
- VePesid (etoposide)
- Gemzar (gemcitabine)
Ngombulelo, oku kukhulisa ukukhanya kwelanga kuhamba emva nje kokugqiba i-chemotherapy.
Ezinye iziyeza ezingenayo ingozi ye-chemotherapy ezinokuthi zinefuthe elongezelelweyo kunye ne-chemotherapy ekubangela ukuvelelwa kwelanga zibandakanya:
- I-Antibiotics, njenge-Cipro (ciprofloxacin), i-Levaquin (levofloxacin), i-tetracycline, i-doxycycline, ne-Septra okanye iBactrim (i-sulfamethoxazole-trimethoprim)
- I-Diuretics, njengeLasix (furosemide) ne-Hydrodiuril (i-hydrochlorothiazide)
- Benadryl (diphenhydramine)
- Iipilisi ze-cardiac, ezifana ne diltiazem, i-quinidine, i-amiodarone ne-Procardia (i-nifedipine)
- Izidakamizwa, ezifana neTofranil (imipramine) kunye ne-Norpramin (desipramine)
- Amayeza e-Diabetes, afana noMicronase (glyburide)
- Izidakamizwa ezingekho-steroidal ezichasayo, ezifana neAleve (naproxen) kunye neFeldene (piroxicam)
Thetha kumakhomistiki okanye ugqirha ukuba awuqinisekanga ukuba i-chemotherapy yakho okanye enye imithi iya kwandisa umngcipheko wokutshisa ilanga.
Ziyaqala nini iiMpawu?
Impendulo ye-Photosensitivity iyakwenzeka ngokukhawuleza emva kokuba uvezwe elangeni, okanye ingabonakali kwiiyure eziliqela emva kokubuyela ngaphakathi. Ukuba ubona ubomvu xa usele ilangeni, sebenzisa ilanga lelanga, i-sunscreen, okanye uphume kwindodana. Ngokuqhelekileyo kuthatha iiyure eziliqela ngaphambi kokuba umlinganiselo wokushisa ilanga uhlaziywe.
Iingcebiso malunga nokukhuseleka kwi-Sun ngelixa usebenzisa i-Chemotherapy
Ukwazi ukuba isikhumba sakho sinobuhlungu xa sisifo sekhemotherapy, ungenza ntoni ukuze uzikhusele?
Ukudibanisa kwezinto ngokuqhelekileyo kubhetele, kuquka:
- Gwema ukukhanya kwelanga phakathi kwelanga: Linganisa ixesha lakho ngaphandle kweeyure ze-10: 00 ne-3 PM xa ilanga likhanya kakhulu.
- Buza i-oncologist yakho enokulucebisa ngelanga elisebusini: Ezinye i-sunscreens zisebenza kangcono kunabanye, kwaye iikhemikhali kwezinye i-sunscreens inokucaphuka kwesikhumba sakho esele sibuhlungu. Qinisekisa ukuba ukhethe "i-wide-spectrum" yelanga elikhuselekileyo elikhusela i-UVA kwakunye nemisindo ye-UVB. I-sunscreens kwimarike iyahluka ngokubanzi nokuba ingaba inikezela ukhuseleko olwaneleyo, kwalabo abangenako ukwanda kwingozi evela kwi-chemotherapy. Ukupakisha kwangoku kungenza kube nzima ukuba ukwazi ukuba zeziphi iimveliso ezibonelela ngokukhawuleza, ngoko khangela iilebula ukuqinisekisa ukuba umkhiqizo uqukethe izithako ezivimba ii-UV UV . Qinisekisa ukuba unebhotile entsha ye-sunscreen. Ibhotile yonyaka odlulileyo ayisayi kusebenza.
- Ukuba isikhumba sakho sisichukumisekile, unokufuna ukusebenzisa ilanga: endaweni yoko okanye ngaphezu kwesikrini selanga ungathanda ukusebenzisa ilanga. Iibhokhwe ezinokusebenza ziquka i-zinc oxide kunye ne-titanium dioxide. Iingqungquthela ze-Sunblocks zi-opaque (cinga: iipumphu ezimhlophe) kunye nabanye abantu bayanqikaza ukusebenzisa le mveliso, kodwa impumlo emhlophe okanye ubuso bufanelekile ukuphepha ukutshiswa okubuhlungu.
- Gquba phezulu: Musa ukuthembela kwesikrini selanga yedwa. Gqoba izigqoko ezinqamlekileyo kunye neentsimbi ezingapheliyo, izambatho zokuzikhupha ezikhuselekileyo ukuze uzibandakanye kwiindawo ezibuhlungu zomzimba wakho. Izambatho ezenziwe ngokugqithiseleyo zibonelela ngokukhuselekileyo.
- Sebenzisa umthunzi: Fumana indawo emthunzini phantsi komthi okanye uhlale phantsi kwe-ambulera. Hamba ngeendlela ezikhuselekileyo ngemithi.
- Musa ukulibala imilomo yakho: Izilwanyana ezikhanyisiweyo zenzelwe ngokukodwa imilomo ngokukhuselekileyo ukuba kufuneka uginye isicelo esilandelayo.
- Musa ukulibala amehlo akho: Gqoka izibuko zelanga kunye nokukhuselwa kwe-UV.
- Musa ukulibala intloko yakho: Sithethe nabantu abaninzi abasindiswa ngumhlaza owaziyo ngokukhusela abo abatshabalalayo kunye nabasengozini. Ama-Wigs angatshisa ilanga, kodwa inqabunga yekotoni inokukhululeka ngelixa ikhusela.
- Gwema iibhedi zokutyumba: Akukho kuphela ukucima iibhedi ukushiya ngokutshisa, kodwa kunokunyusa umngcipheko wokuba nomdlavuza wesikhumba.
- Gcina ukhumbule ukuba ungasabela ngendlela eyahlukileyo elangeni xa uhamba ngekhemotherapy kunokuba wenze ngaphambili. Ukuba ubude ube ngumntu oqhekeza lula, unokutshisa ilanga ngoku.
UkuSondeza kwelanga kunye noTywala
Kubalulekile ukugcina engqondweni ukuba i-chemotherapy ayilona unyango kuphela onokuphakamisa umngcipheko wokutshiswa kwelanga. Ngonyango lwe-radiation, i-propensity for burning iyenzeka ngokukodwa kwimimandla yomzimba wakho ophathwa ngephanya-mlilo, kodwa ngokungafaniyo kunye ne-chemotherapy, isithuba sokutshisa singathatha iminyaka emva kokuba unyango lwakho lokugqibela luphelile. Ukuba unayo unyango lwe-radiation, unokuba unqwenela ukuqwalasela ukukhuselwa kwelanga ixesha elide. Akunakuphela nje ukutshisa okugqithiseleyo okugqithiseleyo ngaphezu kweyonyango yakho yokugqibela, kodwa ukudibanisa umonakalo emzimbeni kwesikhumba kunye nomonakalo kwelanga kunokunyusa umngcipheko wokwakha umdlavuza wesikhumba.
Ngaba Uncedo Lokuphuma Kwelanga Ngethuba Lonyango Lwemhlaza?
Intuitively kubonakala ukuba ukukhanya kwelanga kunokuba luncedo xa unyango lomhlaza. Ukuphuma ngaphandle, ukuphefumla umoya omtsha, nokuthetha ukuhamba kunokuncedisa ukuba uzive ungcono emoyeni. Uphando lwezokwelapha lubonakala kwakhona ukuba intuition. Amanqanaba aphezulu e-vitamin D ahambelana nokuphila okuphuculweyo kulabo abanomdlavuza wesifo somdlavuza kunye nokuba sisizathu sokuba abantu abanomdlavuza wemiphunga ngexesha leenyanga zasehlotyeni babonakala bengcono. Olunye uphando lubhekisele ku-vithamini D kunye nokuphila kwamanye amaninzi emdlavuza, kwaye nangona kukho iziphumo ezidibeneyo, ukuba neqondo elaneleyo le-vitamin D liye ngaphaya kokuphucula ukuphucula. abaninzi abantu baziva bebhetele xa izinga labo lifanelekileyo.
Ngombulelo, ukujonga izinga lakho le-vitamin D linga kwenziwa ngokuvavanya kwegazi. Njengoko i-oncologist yakho iqwalasela oku ukuba awuzange ulivivinye, kwaye uxoxe ngeendlela zokunyusa izinga lakho ukuba liphantsi. Qinisekisa ukuba uthethe ugqirha wakho, nangona kunjalo, ngaphambi kokusebenzisa nayiphi na isongezelelo. Ezinye izithako ze-vitamin kunye nezamaminerali zingaphazamisa ezinye iziyobisi zamakhemikhali . Izithako ze-Vitamin D (ukuba zinconywe yi-oncologist yakho) zihlala zikhuselekile, nje ngokuba awukho "megadose." Ukuthatha amanani amakhulu kakhulu kwi-vitamin D kunokukhokelela kwiintlungu ezibuhlungu.
Kuthekani ukuba Ndiya kuLanga?
Ukuba uhlakulela ukushisa kwelanga ngelixa usuka kwi-chemotherapy, zama ukuhlala ngaphandle kwelanga ukukhusela ukulimala kwesikhumba sakho. Sebenzisa ukupholisa, ukuxinwa kwamanzi ukuphucula ukungazinzi. Biza ugqirha wakho ukuba unobomvu obunzima ukuba indawo echithwe ngumlilo iquka ipesenteji ebalulekileyo yomzimba wakho, ukuba uhlakulela umkhuhlane okanye ukubola, okanye ukuba unokunye ukukhathazeka. Hlola ezi ngcebiso ezongezelelweyo malunga nendlela yokuphatha ilanga .
> Imithombo:
> Drucker, A., noCroen. Ukukhutshwa kwezidakamizwa: ukusetyenziswa kweziyobisi, ukulawula nokukhusela. Ukhuseleko Lweziyobisi . 2011. 34 (10): 821-37.
> Heidary, N., Naik, H., no-S. Burgin. Iimpawu ze-Chemotherapeutic kunye nesikhumba: Ukuhlaziywa. Umbhalo we-American Academy of Dermatology . 2008. 58 (4): 545-70.
> Onoue, S. et al. I-phototoxicity eyenziwa ngamachiza; ukubonakaliswa kwangaphambili kwe-vitrosi yamandla e-phototoxic yamashishini amatsha amachiza ekufumaneni iziyobisi kunye nophuhliso. Ukhuseleko Lwangoku Lwamachiza . 2009. 4 (2): 123-36.
> Payne, A., kunye noD. Savarese. Imiphumo emibi yeCommotherapy Agents. UpToDate . Updated 04/10/18.
> Smith, E. et al. Ukuhlaziywa kweengxaki ze-photoensitivity UVA-mediated. I-Photochemical ne-Photobiological Sciences . 2012. 11 (1): 199-206.
> Zhou, W. et al. Ukujikeleza amazinga angama-25-hydroxyvitamin D ukuqikelela ukusinda kwinqanaba elincinci-elingenanto encinci-isifo somhlaza wesifo somhlaza. Umbhalo we-Clinical Oncology . 2007. 25 (5): 479-85.
> Zhou, W. et al. I-Vitamin D idibene nokuphucula okuphuculweyo kwisiganeko esingekho esincinci segciwane lesifo somdlavuza. I-Epidemiology ye-Cancer Biomarkers kunye nokukhusela . 2005. 14 (10): 2303-9.