Imithi Engaphezu Kakhulu Namaphutha Okubangela Ukulahleka Kwezinwele
I-Chemotherapy iyindlela yokwelashwa ehlelekile eyenziwa udokotela wakho ukuze alwe nomdlavuza wakho. Nakuba kunezinto eziningana ezingase zibe nemiphumela emibi ye-chemotherapy, enye yezinto ezesabeka kakhulu ukulahlekelwa izinwele. Imiphi imithi kungenzeka futhi kungenzeka ukuthi kungenzeka ukuthi ulahlekelwe izinwele zakho?
Imiphumela emibi ye-Chemotherapy
Imithi ye-Chemotherapy isebenza ngokuphazamisa ukuhlukaniswa nokukhula kwamaseli akhula ngokushesha.
Nakuba lezi zidakamizwa zingasebenza emangqamuzaneni omdlavuza, nazo zilimaza amangqamuzana avamile emzimbeni wethu ehlukanisa ngokushesha. Lokhu kuhlanganisa izinwele zezinwele (eziholela ekulahlekelweni kwezinwele), amaseli emgogodini wokugaya (okuholela ekufusweni kwenhlanhla nokuhlanza), namaseli emnothweni wakho (okuholele kumaseli abomvu amancane egazi, amangqamuzana egazi amhlophe, namaplatelets).
Ukulahlekelwa Izinwele Kusuka Chemotherapy
Ukulahlekelwa izinwele kuvame kakhulu ngesikhathi i-chemotherapy yomdlavuza wesifuba kanye nezinye izifo zomshukela, nakuba ezinye izidakamizwa nezindlela zokuphatha zingaphezu kwamanye ukuphazamisa izinwele zezinwele.
Kungakhathaliseki ukuthi uhlakulele ukulahlekelwa izinwele noma cha futhi izinga lokulahleka kwezinwele zakho kuxhomeke eziningana zezici kubandakanya:
- Dose of chemotherapy
- Kakhulu kangakanani ukwenziwa kwamakhemikhali
- Umzila wokuphatha
- Imithi noma inhlanganisela yezidakamizwa ozitholayo
Izindaba ezinhle ukuthi ukulahlekelwa izinwele ezikhishwa ngamakhemikhali ngokuvamile kuvuselelwa njalo.
Ukulahleka kwezinwele kuvame ukuqala phakathi nesikhathi sesibili sokukhipha kwamakhemikhali, nakuba lokhu kuhlukahluka kakhulu.
Abanye abantu abalahlekelwa izinwele zabo kuze kube yilapho sebeqedile ukuqeda i-chemotherapy. Izinwele zokukhula kabusha ziqala phakathi kwezinyanga ezintathu zokuphetha i-chemotherapy. Lapho izinwele zakho zikhula emuva, abantu abaningi bathola ukuthi banezinto ezikhiwe nge-curly chemo . Uma izinwele zakho ziqondile ngaphambi kwe-chemotherapy kungenzeka ukuthi zibuye zibuye ziqonde futhi, kodwa le nqubo ingathatha iminyaka eminingana.
Amanye amasu aye wazama ukuvimbela noma ukunciphisa ukulahleka kwezinwele (bheka ngezansi).
Yikuphi Izidakamizwa ZamaKhemotherapy Ebangelwa Ukulahlekelwa Izinwele?
Kunezinhlobo zamakhemikhali e- chemotherapy asetshenziselwa umdlavuza webele - eziningi zazo ezisetshenziselwa inhlanganisela. Imikhawulo evamile yokwelashwa kwe-adjuvant njenge-Cytoxan ne-Adriamycin elandelwa yi-Taxol ngokuvamile ihlotshaniswa nokulahlekelwa izinwele.
Nasi uhlu lwezidakamizwa ze-chemotherapy-hhayi kuphela umdlavuza webele - okuyinto engenzeka kakhulu kunazo zonke ezingabangela ukulahlekelwa izinwele.
I-Chemotherapy Izidakamizwa Okuhle Kungenzeka Ukubangela Ukulahlekelwa Kwezinwele
Imithi ye-Chemotherapy ebangela ukulahleka kwezinwele kubantu abaningi kubandakanya:
- I-Adriamycin (doxorubicin)
- I-Cytoxan noma i-Neosar (i-cyclophosphamide)
- I-Taxol (paclitaxel)
- I-taxotere (i-docetaxel)
- I-Cerubine (i-daunorubicin)
- I-Ellence (i-epirubicin)
- VePesid (etoposide)
- Idamycin (i-idarubicin)
- I-fax (i-ifosfamide)
- Ixempra (i-exabepilone)
- I-Camptosar (i-irinotecan)
- I-Hycamtin (i-topotecan)
- I-Navelbine (i-vinorelbine)
I-Ixempra (Ixabepilone)
I-Chemotherapy Izidakamizwa Ngezikhathi Ngezinye izikhathi Zenza Ukulahlekelwa Kwezinwele
Imithi ye-Chemotherapy ebangela ukulahlekelwa izinwele kwabanye kodwa hhayi bonke abantu ihlanganisa:
- I-Blenoxane (i-bleomycin)
- I-Myleran noma i-Busulfex (busulphan)
- I-Cytosar-U (i-cytarabine)
- 5-FU , Fluorouracil, Adrucil (5-fluorouracil)
- I-Gemzar (gemcitabine)
- I-Gleostine (i-lomustine)
- I-Alkeran (melphalan)
- Thioplex (thiootepa)
- UVelban (vinblastine)
- I-Oncovin (i-vincristine)
I-Chemotherapy Izidakamizwa Ezivame Ukwenza Ukulahleka Kwezinwele
Ezinye izidakamizwa zamakhemikhali ziholela ekulahlekeni kwezinwele kuphela, nakuba lezi zivame ukuhlanganiswa nezidakamizwa ezibangelwa ukulahlekelwa izinwele. Lokhu kufaka:
- I-Paraplatin (i-carboplatin)
- I-Xeloda (capecitabine)
- I-Gliadel (carmustine)
- I-Platinol (i-cisplatin)
- I-Fludara noma i-Oforta (i-vludarabine)
- I-Trexall, i-Otrexup, iRasuvo (i-methotrexate)
- I-Mutamicin (mitomycin C)
- I-Novantrone (mitroxantrone)
- I-Procarbazine (ithengiswa ngegama elijwayelekile e-US)
- I-Purinethol (6-mercaptopurine)
- I-Zanosar (streptozotocin)
Ukuvimbela Ukulahlekelwa Kwezinwele ZakwaKhemotherapy
Kulabo abanesithakazelo, ngezinye izikhathi kungase kwenzeke ukuvimbela izinwele ukulahlekelwa kusuka chemotherapy .
Amayunithi wokupholisa ama-scalp anganciphisa cishe amaphesenti angu-50 ezinwele zokulahleka, kodwa eze ngenani. Izikhungo eziningi zokungeniswa zingenawo amayunithi ngakho-ke kungenzeka ukuthi uqashe idivayisi yokupholisa.
Ukupholisa isikhumba se-scalp kusebenza ngokumisa imithwalo yegazi esikhwameni ukuze izidakamizwa ze-chemotherapy zingakwazi ukufinyelela izinwele zezinwele. Ngamanye amagciwane, ikakhulukazi amagciwane ahlobene negazi afana ne-leukemia ne-lymphomas, kuye kwaba nokukhathazeka ukuthi ukupholisa kunganciphisa ukusebenza kwe-chemotherapy. Nakuba kungenakwenzeka ukuthi kube nenkinga ngomdlavuza wesifuba, ukupholisa isikhumba se-scalp kungakhululekile kakhulu, okufana nezimpawu zokuphefumula komqondo ongayikhumbula ngenkathi udla i-ayisikhilimu esikhathini esidlule.
Imithi efana neRogaine (i-minoxidil) nayo ivivinywa, kodwa ayikho impela ekunciphiseni ukulahleka kwezinwele.
Ukuhlala Unomphela Nokulahlekelwa Kwezikhathi Zesikhashana
Ngokungafani nokulahlekelwa kwezinwele ezihlobene nokwelashwa kwemisebe, ukulahlekelwa kwezinwele ezenzeka nge-chemotherapy ngokuvamile kuvamise okwesikhashana. Lokho kusho ukuthi sekukhona amacala ambalwa okulahlekelwa izinwele okuhlala njalo embikweni wezinye izidakamizwa zamakhemikhali. Ukuhlanganiswa kwe-FEC (i-fluorouracil / epirubicin / cyclophosphamide) ne-docetaxel ibike ukuthi kuzoholela ekulahlekelweni kwezinwele okuhlala njalo nokuqinela kwabanye abantu abaye babhekana nalolu hlobo lomuthi wokwelapha umdlavuza webele.
Ukusingatha Ukulahlekelwa Kwezinwele Kusuka Kemotherapy
Kungaba ukucindezeleka kakhulu ngokomzwelo nokulahleka izinwele osizwa ngesikhathi samakhemikhali. Ngisho noma le nkinga iyinkimbinkimbi, ihlala ingenye yemiphumela emibi kakhulu. Abaningi be-oncologists batusa ukuthi uthenge i-wig , izigqoko, noma izinhlamvu ngaphambi kokuqala i-chemotherapy. Konke noma ingxenye yezindleko ze-wig ingase ifakwe umshwalense wakho. Ukuze uyihlanganise, noma kunjalo, kuzodingeka ukuba i-oncologist yakho ibhale imithi ye-"prosthesis prosthesis".
Ngaphambi kokuhamba, ungase ufune ukuhlola izinto eziyisisekelo zokuthenga i-chemotherapy wig . Kukhona nezinhlangano ezinikeza ama-wigs mahhala, izigqoko, noma izikhwama kubantu abaphila nomdlavuza.
Kubalulekile ukukhumbula ukuthi ukulahlekelwa izinwele kungenzeka kuwo wonke umzimba wakho. Lokhu kuhlanganisa i-eyelashes, ama-eye, izinwele ze-pubic, nokuningi. Ngenkathi abesifazane bengase bajabule ukuhlanza imilenze yabo (namadoda, ubuso babo), i-eyelashes yethu yenza umsebenzi wokuvikelwa ongase ungayiqapheli uze uvule umnyango we-ovini noma ungaphandle ngosuku oluthulile. Hlola lezi zindlela ezingu-6 zokulungiselela izinwele zokulahleka kusuka kumakhemikhali .
Izwi Elivela Ekulahlekeni Kwezinwele Phakathi neKhemotherapy
Imithi eminingi ye-chemotherapy iholela ekulahlekelweni kwezinwele, kuhlanganise nalawo asetshenziselwa umdlavuza webele. Abanye abantu bakhetha ukupholisa kwe-scalp njengendlela yokunciphisa ukulahleka kwezinwele kanti abanye bathanda induduzo yekhanda elifudumele nokuhlela ngaphambili ngekhanda noma i-wig. Okuthandayo kubalulekile kakhulu futhi kubalulekile ukuthi wenze okusemandleni akho kuphela. Ngenhlanhla, ukulahlekelwa izinwele eziningi kungokwesikhashana futhi abesifazane abaningi bathola ukuthi izinwele zabo zikhula futhi ziphilile ngisho nangempilo kunangaphambili.
> Imithombo:
> Dunnill, C., Al-Tameemi, W., Collett, A., Haslam, I., noN. Georgopoulos. Umhlahlandlela Wezokwelapha kanye Neziphilayo Zokuqondisisa I-Chemotherapy-I-Alopecia Edingekayo Nokuvinjelwa Kwalo. Oncologist . 2017 Sep 26. (Epub ngaphambi kokuphrinta).
> Kluger, N., Jacot, W., Frouin, E. et al. I-Scalp Engunaphakade I-Alopecia Ehlobene Ne-Breast Cancer Chemotherapy nge-Sequential Fluorouracil / Epirubicin / Cyclophosphamide (i-FEC) ne-Docetaxel: Ukufundwa Okufinyeleleka kweziguli ezingama-20. Amanothi we-Oncology . 2012. 23 (11): 2879-84.
> Nangia, J., Wang, T., Osborne, C. et al. Umphumela we-Scalp Ukugaya Idivayisi Ku-Alopecia Kwabesifazane Abawela I-Chemotherapy ye-Cancer Breast: I-SCALP I-Trial Clinic Trial Trial. I-JAMA . 2017. 317 (6): 596-605.
> West, H. Chemotherapy-Yenza Ukulahlekelwa Kwezinwele (Alopecia). I-JAMA Oncology . 2017. 3 (8): 1147.