I-Fingernail ne-Toenail Utshintsho ngexesha leKhemotherapy kwiCarcer Breast
Iminwe yakho ichaza kakhulu ngempilo yakho. Mhlawumbi uye wakuva ukuba utshintsho kwizikhonkwane zakho luvela kwizifo ezininzi, kwaye unakho ukwazi "ukufunda" ixesha elidlulileyo ojamelene nesifo esibi okanye utyando olusekelwe apho iinqununu zivela kwiikhopi zakho.
Ngexesha le-chemotherapy lomhlaza wesifuba, unokuba neengxaki kwiikhonkwane ezintshontsheni zakho kunye nezikhonkwane . Ukuqonda izizathu kunye neempawu zokuphazamiseka kweetonki kunokukunceda ukuba uzikhathalele, kwaye uyazi xa ufuna ukuthetha ne-oncologist yakho.
Iimpawu zoTshintsho lwezitshixo ngenxa ye-Chemotherapy
Izipikili zinokumnyama, zitshintshile, zitshintshe, zenzeke ngokukhawuleza, kwaye zenzeke kalula. Imijikelezo yesithandathu okanye ngaphezulu kweetekisi (i-Taxol okanye i-Taxotere) ingabangela ukuba izipikili zakho ziphele ngokupheleleyo.
Imigca emnyama okanye elula (imigca yeBeau) ingahlakulela ngaphesheya kobubanzi bezinye izipikili zakho. Izipila zinokuvelisa i-concave, ifom-like shape (koilonychia).
Izifo eziphantsi kwezikhonkwane zakho nazo zinokwenzeka, ingakumbi ukuba unayo i- neutropenia ngenxa ye-chemotherapy (isibalo esiphantsi se- neutrophil , uhlobo lweseli elimhlophe legazi elinceda ukulwa nokusuleleka kubaktheriya.)
I- paronychia yintsholongwane ebuhlungu ejikelezayo isikhonkwane ngaseminwe okanye inzwane. Inokubangelwa yi-bhakteria okanye i-fungi kwaye ixhaphake kakhulu kulabo abangenakuxilongwa, njengakwi-chemotherapy. Iingcambu ze-antibiotics okanye i-antitifungal zivame ukumiselwa, nangona uphando lwangoku lubonisa ukuba isisombululo se-povidone-iodine esiphantsi kwe-2 asikho kuphela efanelekileyo kwi-paronychia enxulumene ne-chemotherapy kodwa iyanciphisa imfuno yemithi yomlomo (kwaye ke, umngcipheko wokusebenzisana kwezidakamizwa.)
Ukuba izipikili zakho ziya kukhululeka, zinokuba zibuhlungu kakhulu, kwaye kuya kuba kubalulekile ukuphepha izinto ezinokubakhukula ngokukhawuleza (kwaye zibuhlungu kakhulu.)
Izizathu Zokutshintshwa Kwembilini Ngethuba Ngonyango Lwemhlaza Webele
Ngenxa yokuba i- chemotherapy iyomisa kakhulu kwizicubu zakho, izipikili zakho zinokuba zihlaziye kwaye ziphuzi. Izipikili ezinqabileyo ziya kupheka kwaye ziqhekeke kalula. I-Koilonychia (i-spooning) ibangelwa i- anemia kunye ne-iron ephantsi.
Imigca yeBeau ifumaneka xa une-chemotherapy ephezulu-dose kwaye izipikili zakho ziyeke ukukhula. Unokuphuhlisa umgca owodwa obonakalayo kumjikelezo we-chemotherapy.
I-chemotherapy ye-dose ephantsi ibenokubangela ukuba imigca yeBeau ibuyele, kodwa oku kuya kuba nzima ukubona ngaphandle kwe-microscope.
Ezinye iziyobisi zechemotherapy ezinokubangela ukuphazamiseka kweminwe zibandakanya:
- I-Taxanes (i- Taxol , i-Taxotere, i-Docetaxel)
- I-Adriamycin (doxorubicin)
- 5-Fluorouracil (5Fu)
- Bleomycin
Ukuthintelwa kweengxaki zeNtsholongwane ngexesha loNyango lweNgcaciso
Iingxaki zesibilini ze-Chemotherapy azixhomeke ngokupheleleyo.
Kwamanye amaziko okungena, umongika angakunika isidlo samanzi e-ice kwizandla zakho ngexesha lokunyuka. Umgaqo ufana nokutshiza kwi-chips okanye ukutya ama-popsicles ngexesha lokunyuka (ngokuqhelekileyo i-Adriamycin) kwaye ukuba i-ice imnciphise inani lemichiza ye-chemotherapy ekhonjiswe kwiikhopi zakho.
Kucingelwa ukuba ama-20 ukuya kwe-30 ekhulwini kwabasetyhini abahamba nge-chemotherapy baya kulahlekelwa izipikili zabo ngexesha le-taxane kwinxalenye ye-regimen yabo. Ucwaningo lwango-2017 apho abathathi-nxaxheba abadweba khona izipikili zabo ngeesisombululo se-nail hydrating bafumanisa ukuba oku kunciphisa kakhulu ukulahleka kweminwe ngexesha lokukhutshwa kweerhafu.
Ukuzinyamekela Ukutshintshwa Kwezikhonkwane Ngexesha Lokunyanga Kwemhlaza
Landela la macebiso ukukhuthaza ukuzinyamekela ngokufanelekileyo kwezipikili zakho:
- Sebenzisa ipolish ecacileyo ukuze uncede ukugcina izipikili ezinamandla (kukho ingxoxo enoba ingaba luncedo okanye akunjalo).
- Gwema izipikili zokufakelwa kunye nepoliti embala, ngokukodwa imibala emnyama.
- Gqoka iglavu xa uhlamba izitya kunye nokulima.
- Ukunyamekela izipikili kunye ne-cuticles ngobumnene.
- Njengobe iBelouline ikhula ngokugqithiseleyo kwebhedi yesikhombiso, yinqumle.
- Ukwandisa isinyithi ekudleni kwakho.
- Khawuyeke okanye uphephe i- caffeine .
- Abanye oogqirha bangancoma ukuba bathabathe iivithamini ezinweleni, isikhumba kunye nezipikili, kodwa akufanele uthathe nayiphina iivithamini ngaphandle kokuqala ukuthetha ne-oncologist yakho. Ezinye izithako ze-vithamine nezamaminerali zingaphazamisa unyango lomhlaza .
- Gqoka izicathulo ezipholileyo ezivumela indawo eyaneleyo yezandla zakho.
Ukunyamekelwa kwezonyango ngeengxaki zesikhonkwane ezihlobene neCarcer
Ukuba unesifo seethamsana okanye izipikili zakho zibonakala zikhulelwe okanye zichazwe kabi, khuluma ne-oncologist yakho.
Izifo ezinokutheleleka zinokuphathwa ngamachiza omzimba okanye ezinye iyeza. Gcina ukhumbule ukuba, njengakanye nezinye izifo ngexesha le-chemotherapy, izinto ezinokuthi zingabangela ukuba izifo zenzeke njalo, kwaye izifo ezinobungozi ngokuqhelekileyo zingonakalisa ngakumbi.
Ukuba ukholelwa ukuba unesifo, qhagamshelana ne-oncologist ngokukhawuleza kwaye ungalindi kude kube yinto yokuqokwa kwakho.
Thetha kwi-oncologist yakho kunye nayiphi na intlungu onayo kwiminwe yakho kunye nezikhonkwane kwaye ukhangele nayiphi na i-discoloration kwizikhonkwane zakho oziphawulayo.
Ukongezelela, kwi-ASCO 2017 iqela labaphandi base-UK libize iziphumo zesifundo se-double-blind blindness (e-blindB-®) (i-PolyBalm®) ekusetyenzisweni kwe-chemotherapy eyenza izibilini zemiqobo. Le mveliso yaphucula kakhulu into enobunyo bezipikili ezenzeka ngexesha le-chemotherapy.
Ukubuyiswa nokuPhulukiswa
Nangona iipilisi zakho zanyamalala ngexesha le-chemotherapy-okanye zidibene okanye zichazwe-isikhumba sakho kunye neeseli zesikhonkwane ziya kuqala ukukhula kwakhona kwizinga elifanelekileyo xa unyango luphela.
Iimpawu ezintsha zesikhonkwane ziza kubangela ukuba izikhonkwane ezilimele ziphume kwindlela. Abanye abantu bayakuvuyela ukubukela oku kubakho njengoko kuyimpawu yokuba i-chemotherapy yenziwe kwaye ingena kwizigaba zokubuya.
Iifinnails zikhula kathathu ngokukhawuleza kunezikhonkwane, ngoko vumela ixesha elide ukuba ubone ukuphucula kwizwane zakho.
> Imithombo
> Capriotti, K., Capriotti, J., Pelletier, J., noK. Stewart. I-Chemotherapy-Associated Paronychia Iphathwe nge-Pocentone-Iodine engama-2: I-Series of Cases. Ulawulo lweCancer kunye noPhando . 2017. 9: 225-228.
> Kim, J., Ok, O., Seo, J. et al. Uvavanyo oluLungeleleneyo oluLungeleleneyo lokuHlanywa kweNqamlezo yokuSilungisa okanye ukuPhathwa kwe-Onycholysis kwi-Breast Cancer Abagulayo abafumana i-Neoadjuvant / i-Adjuvant Docetaxel i-Chemotherapy. Uphando lwe-Cancer noPhando . 2017. 164 (3): 617-625.
> URobert, C., uSibaud, V., Mateus, C. et al. Iingxube zesohlwayo ezibangelwa ziNyango zoLuntu lweAnticancer. Lancet Oncology . 2015. 16 (4): e181-9.
> UTomas, uRJ, Williams, MMA, Mutilib, M, et al. Iimfama ezimbini, ukuhlolwa kwe-placebo okulawulwa yinto engapheliyo yokuhlola i-ffect ye-pholyphenolic isityebi esisisiseko se-nail balm balm kwi-hardly-stimulated-onycholysis.