Isixube esithathu seMucositis esuka kwiKhemotherapy
Izilonda zomlomo, ezibizwa ngokuba yi-mucositis okanye stomatitis, ziyimpembelelo eqhelekileyo yechemotherapy. Nangona kunjalo, nangona izilonda emlonyeni zibonakala zixhalaba ezincinci kwezinye zeengxaki ezinokuba nazo, ziyakwazi ukuba enye yeempawu ezinomsindo. Ngenhlanhla kukho unyango olunokuthi lunciphise umngcipheko wezilonda zomlomo kunye nokunciphisa ubunzima obubangela.
Ekubeni ingxoxo emilonyeni yomlomo isoloko ithatha isitulo ukuxubusha isicaphulo kunye nokubala okuphantsi kwamhlophe, makhe sixoxe ngendlela onokunciphisa umngcipheko wakho, wenzenjani ukuba izilonda zomlomo zikukhathaza, kwaye xa kufuneka uzikhathalele kwaye wenze ifowuni.
I-Mucositis (iMouth Sores) esuka eKhemotherapy
I-Chemotherapy ibangela imiphumo emininzi, enye yazo i- mucositis , okanye, kwisiNgesi esilula, izilonda zomlomo. Nangona ucoceko lomlomo olungileyo, ukuphepha ukutya okutshisayo kunye neziqholo, iilinses zomlomo, kunye ne-ice chips zinganceda, abantu abaninzi banqwenela into engakumbi ukuze banciphise intlungu yabo kuze kube yilapho i-mucositis isombulula.
Kusenokwenzeka ukuba uvile abantu bethetha ngomxube olula owanciphisa kakhulu intlungu ababenayo emlonyeni. Makhe sifunde ngokuxutywa kathathu-isisombululo esifanayo se-mucositis esibangelwa yi- chemotherapy .
Yintoni i-Mucositis (Mouth Sores)?
I-Mucositis yukuvuvukala kweembrane ezinqabileyo, eziqala emlonyeni wakho (ngomlomo we-mucositis) kwaye wehla isisu sakho (i-esophageal mucositis) kunye nendlela yokugaya (intestinal mucositis).
Inokuziva ngathi ukutshisa ilanga ngaphakathi emzimbeni wakho. Ezinye iimpawu ze-mucositis ziquka:
- Ubomvu emlonyeni wakho
- Vula izilonda emlonyeni wakho ngesilonda
I-mucositis iqala ngokukhawuleza emva kokuqalisa i-chemotherapy. Uncedo lweentlungu de i-mucositis isisombululo-esingaba phi na kwiiveki ezimbini ukuya kwezine emva kokuzalisa unyango-kubalulekile ekuthuthukisweni komntu kunye nomgangatho wobomi.
Ukongezelela, ukulawula intlungu kubalulekile kwimeko yesondlo somntu. Umzimba wakho sele uhamba ngokwaneleyo ngexesha le-chemotherapy ngaphandle kokongeza ukungondleki ngokwaneleyo ngenxa yezilonda zomlomo kumxube.
Yiyiphi iMixube emithathu ye-Chemotherapy-Related Related Sores Mouth ?:
Umxube we-Triple udibaniselwano lwezityalo ezintathu eziphathekayo kunye nokunciphisa umlomo kunye ne-esophageal mucositis. I-recipe ingahluka, kwaye ezinye zezithako zifumaneka ngonyango kuphela. Umxube oqhelekileyo uqulethe izidakamizwa eziya kumisa intlungu, ukunciphisa ukuvuvukala, maxa wambi uphathe unyango lwebhakteria okanye lwefungal.
Ugqirha wakho kufuneka anikezele le chiza kuwe, kwaye i-pharmacist yakho iya kufuna ixesha lokuyidala. Umxube we-Triple kufuneka udibaniswe xa uyalwe-kuthetha ukuba kufuneka kwenziwe kwiphemimethi kwaye awufiki udibene.
Uxube oluninzi luqulethe:
- I-Maalox (ukugqoka kunye nezilonda zesinye) okanye ngezinye iiKaopectate
- I-Lidocaine (i-anesthetic ye-headical to numb the zilonda, ifana nesisombululo esincinci esisetyenziselwa iintsana ezithandayo)
- Benadryl (diphenhydramine, antihistamine)
Ezinye izithako zingaquka:
- I-Nystatin (iyeza e-antitifungal esetyenziselwa ukuphatha i-thrush)
- Iqhwithela i-gel okanye i-liquid (ukugada intlungu)
Kukho iintlobo ezahlukeneyo kulo mxube, kwaye i-oncologist yakho iyaqhelana nokuba yintoni umxube ubonakala usebenza kakuhle.
Qinisekisa ukuthetha naye, mhlawumbi ngaphambi kokuba uqale i-chemotherapy kwaye uhlakulele izilonda zomlomo.
Unokuva ngezisombululo ngamagama ngaphandle kweMixube emithathu. Ezi ziquka:
- Solution Triple
- Velvet Glove
- Umlonyeni womlenze
- I-GI (Ubumnandi) I-Cocktail
Indlela osebenzisa ngayo umxube weThathu
Kukho iindlela ezimbini zokusebenzisa umxube weThathu. Unokuyisebenzisa njenge-rinse yomlomo, uguqa umthamo ngaphakathi emlonyeni wakho ukuba ugqoke zonke izilonda kunye nezinye izicubu. Kule meko, musa ukugwinya uMxube weThathu, nje ukuwukhupha.
Ukuba i-mucositis yakho inzima kwaye ikulu, ungayisebenzisa njengento yokuqala ye-rinse yomlomo, uze uyiginye ukuze ufumane ukukhululeka kwintlungu kunye nokuvuvukala kwimeko yakho yokutya kunye nokutya.
Lindela ubuncinane imizuzu engama-30 emva kokusebenzisa iMix mix Triple ngaphambi kokuba udle okanye uphuze nantoni na.
Iingxaki zoLondolozo lweMlomo
Unokucinga nge-mucositis njengenkathazo, kodwa ingaphezu nje kwentlungu. Ukuba unentlungu enxulumene nokunyangwa komhlaza wakho, izilonda zomlomo zingenye enye intlobo yokongeza kwenkamela. Oku kuninzi, nangona kunjalo, ukuba izilonda zomlomo zingaphazamisa amandla akho okutya, kwaye ukutya okunempilo kubaluleke kakhulu ukugcina amandla akho ngexesha lotyando lomhlaza. Ezinye iimpawu, ezifana nokulahleka kwesidlo , isicupunu , okanye utshintsho lomlomo (umlomo wesinyithi) lunokuqulunqa ingxaki.
Ukuba ulahlekelwa isisindo ngenxa yokunciphisa amandla okutya, qiniseka ukuthetha ne-oncologist yakho. Sifunda ukuba i-syndrome yomhlaza we-cachexia , ukudibanisa kokulahlekelwa kwesisindo nokungaxakeki kwemisipha, ingaba sisizathu esibangela ukufa kubantu abangama-20 ekhulwini labantu abanomdlavuza. Ukubamba ukunciphisa amandla okutya ngaphambi kokufika kwindawo leyo kubaluleke kakhulu.
I-thrush yomlomo ngexesha le-chemotherapy yinkcenkceshelo eqhelekileyo enxulumene ne-steroids esetyenzisiweyo kodwa ingaba nengxaki ye-mucositis. Olu sulelo, olubangelwa i-fungus Candida albicans, ngokuqhelekileyo lubangela iplanzi emhlophe ukuba ikhule ngolwimi kunye neengqimba zezihlathi (kwaye ingafana ne-yogurt okanye i-cottage cheese emlonyeni wakho.) I-thrush ingabangela ukuvutha okongeza intlungu ebuhlungu emlonyeni njengokuba. Ngokuqhelekileyo iphathwa nge-creamic cream ezifana ne-nystatin, okanye i-Diflucan yomlomo (i-fluconazole.)
Ukulawula i-mouth sores evela kwi-Chemotherapy
Uxube oluninzi lunokuba luncedo-olwaneleyo kangangokuba abantu abaninzi baye bawuqulunqa "umxube wokumangalisa" kodwa kukho ezinye izinto onokuzenza ukuze wandise induduzo yakho. Thatha umzuzwana ukuba ufunde malunga noko kukutya kunye nezinye iimfihlelo zokunciphisa intlungu ebuhlungu bezilonda zomlomo .
Kwi-Mucositis Enamandla
Ukusetyenziswa kweMixube emithathu kunye nokuguqulwa kokutya kudla ngokwaneleyo ukulawula iimpawu, kodwa abanye abantu bafuna unyango oluya ngaphaya kwale nyathelo. Kubonakala ngathi kukho ingcamango epheleleyo yokuba akukho nto enye eyenziweyo, kodwa leyo ayikude nenyaniso. Ezinye iindlela zonyango, ezifana ne-cryotherapy, zinokusebenza kakhulu ekuphatheni izilonda zomlomo ezinzima kakhulu. Unokungabaza ukubiza ugqirha wakho, kodwa ukwenze. Asikho isidingo sokulinda uncedo olusongela ubomi. Ukuba unganqikazi nceda uqaphele ukuba oogqirha baya kuba kwifowuni kunye ne-oncologist yabo bebuza le mibuzo baze bacele uncedo.
Iingcamango Zokugqibela ezivela
Ukuba unesifo se-chemotherapy-induced in mucositis, nceda uthethe nodokotela wakho malunga nezicwangciso zokuphucula intlungu. Kulabo abathanda "indlela ephelele" ye-Mix Mix, khuluma ne-oncologist yakho malunga nezifundo zakutshanje ezibonisa ukuba ukutya ubusi kunokuba luncedo kakhulu ekuncedeni abantu ukuba babhekane nemilonda yomlomo ngokunjalo. (Nangona kunjalo, ukuba inani lakho elimhlophe legazi liphantsi kakhulu, u-honey ayanconywa ngenxa yengozi ye-botulism). Ukongezelela, unyango olunjenge-cryotherapy lunokusetyenziswa kwindlela yokukhusela.
Ngokuqhelekileyo, abantu abanomdla abafuni "ukukhathaza" i-oncologist kunye neengxaki "ezincinci". Bacinga malunga nazo zonke iziganeko zokusongela i-oncologists kufuneka zijongane nazo, kwaye zive njenge-hypochondriac. Kodwa i-oncologist yakho ifuna ukwazi ukuba awukhathazi. Umgangatho wakho wobomi ngexesha lotyando lomhlaza lubaluleke kakhulu. Thetha uviwe. Sifike kwindawo apho abantu abaninzi basinda kulo mdlavuza kunokuba bahlaselwe ngumhlaza, kwaye kubalulekile ukuba sonke siqale sigxininise kwindlela, kwaye senze kube lula ngokukhululeka ngendlela.
> Imithombo:
> Chaveli-Lopez, B., noJoseph Bagan-Sebastian. Ukwelashwa kweMlomo kaMucositis ngenxa yeKhemotherapy. Umbhalo we-Clinical and Experimental Dentistry . 2016. 8 (2): e201-e209.
> Riley, P., Glenny, A., Worthington, H., Littlewood, A., Clarkson, J., noMn. McCabe. Amanyathelo okukhusela iMucositis yomlomo kwizigulane ngeCarcer Receiving Treatment: Oral Cryotherapy. I-Cochrane Database yeeNkqubo eziPhezulu . 2015. (12): CD011552.