Yini ongayenza ukuze uvimbele futhi uphathe ukuqotshwa ngesikhathi samakhemikhali
Sibutsetelo
Ukuqothulwa komzimba kuwumphumela ovamile othintekayo we- chemotherapy noma eminye imithi enqunywe ngesikhathi ukwelashwa komdlavuza . Ukuqothulwa kuchazwa ngokuthi kunezitshalo ezinzima noma ezingenakwenzeka noma ubunzima bokunyakaza kwamathumba.
Izimpawu
Abantu abaningi bajwayele izimpawu zokuqothulwa. Lezi zingabandakanya ukuhlukunyezwa kwesisu, umuzwa wokugcwalisa esiswini, ubuhlungu obungama-rectal, kanti-ke ungabona ukuthi awuzange ube nokunyakaza kwezinyosi ezinsukwini ezimbili noma ezintathu uma uvamile ukuvame.
Kodwa-ke, izimpawu azibonakali njalo kulabo abahamba nge- chemotherapy noma ukubhekana nezinye izimo zezokwelapha. Bangase bahlanganise ukwehla kwesifiso sokuzidla nokuzwa okungaqondakali kokungavumi - izimpawu ezivamile ngomdlavuza ukuqala.
Izimbangela
Kunezici eziningana ezingaholela ekuqotheni ngesikhathi samakhemikhali. Lokhu kufaka:
- Imithi ye-Chemotherapy
- Izidakamizwa ezisetshenziselwa ukwelapha isicanucanu nokuhlanza
- Ukwehlisa umsebenzi nokuphumula kombhede
- Imithi yobuhlungu
- Izinga le-calcium ephakeme egazini ( hypercalcemia of malignancy )
- Ukwehla kwamanzi
- Izinkinga ze-thyroid
Ukuxilongwa
Esikhathini esiningi ukuxilongwa kokuqotshwa ngesikhathi samakhemikhali kungenziwa kunqunywa ngokusekelwe izimpawu zodwa ngokuhambisana nemithi ephakamisa ingozi.
Ukuphathwa
Into yokuqala okufanele uyenze ukukhuluma nodokotela wakho. Mtshele ukuthi ubhekene nokuqotshwa noma izitshalo ezinzima / ezingapheli. Udokotela wakho cishe uzofuna ukwazi ngemikhuba yakho yokudla uma uthathe noma yiziphi izidakamizwa ezingaphezu kwamakhompiyutha, ama-enemas, noma ama-suppositories, futhi uqinisekisa imithi oyithathayo.
Kuyasiza ukufakazela ngokukhethekile lapho ubeka imithi yakho kudokotela wakho ngoba imithi eminingi esetshenziselwa ukwelashwa komdlavuza kanye nokuphumula kobuhlungu kungabangela ukuqothulwa. Le mibuzo izosiza ekunqumeni imbangela eqondile yokuqothulwa.
Ukungena kwe-Fluid
Iziguli eziningi zibika ukuphumula lapho zandisa inani lamanzi aphuzayo.
Kuphakanyiswa iziphuzo ezifana namanzi namajusi. Gwema iziphuzo eziqukethe i-caffeine, njenge-sodas, ikhofi, nophuzo oludakayo, ngoba zingabangela ukungcola, okwakungase kube nzima ukudliwa.
I-Fiber Dietary
Ngamacala amancane okuqothulwa, ukufiphaza kwe-fibre ekudleni kungaba wonke umzimba odinga ukuba nokunyakaza okuvamile kwamathumbu . Ngaphambi kokwandisa i-fiber ekudleni, cela udokotela wakho. Ezinye iziguli akufanele zenze i-fibre ekhulayo, njengalabo abaye bavimbela isisu noma ukuhlinzwa kwamathumbu .
Ukwandisa inani le-fiber liqala ngokudla okudlayo. Amantongomane, i-bran, imifino, i-legumes, isinkwa sonke sekolweni kanye ne-pastas, nezithelo eziningi nemifino yizo zonke izinhlobo eziphezulu zokudla okungasiza ekuvimbeleni ukuqothulwa. Kwesinye isifundo samanje, amazambane atholakala ukuthi asebenza ngokukhethekile ekuvinjeni ukuqothulwa.
Kubalulekile ukuqaphela, noma kunjalo, ukuthi uma umuntu eqedile kakhulu, ukungeza ukudla okuphezulu kwefiber kungakhuphula ukunganaki kuze kube sekuqothulweni.
Khuluma nodokotela wakho mayelana nokuthi fiber okuningi kufanele uthola nsuku zonke. Ukudla okuphakanyisiwe okudliwayo kwabesifazane abanempilo kungama-21-25 amagremu futhi amadoda kufanele adle amagremu angu-30-38 ngosuku. Ungathola ukuthi i-fibre ingakanani ekudleni okuthile ngokufunda ilebula emaphaketheni noma ukuyibuka kuyi-intanethi uma kunokudla okungabhaliwe njengezithelo nemifino.
Ukuzivocavoca
Ukuzivocavoca namanje kubaluleke kakhulu uma uthola ukwelashwa. Okuthile okulula njengokuhamba okuhamba kancane, okuhamba njalo kungasiza ekuvimbeleni nasekukhululeni ukuqotshwa. Kulabo abalala embhedeni, ukuhamba kusuka esihlalweni kuya embhedeni kungasiza ngoba isebenzisa imisipha yomzimba
Ngaphambi kokuqala noma yikuphi ukuvivinya umzimba, kungakhathaliseki ukuthi ucabanga ukuthi kuncane kangakanani, khuluma nodokotela wakho. Angakwazi ukuncoma umzimba futhi akutshele ukuthi kufanele uthola kangakanani.
Imithi
Kunezigaba eziningana zemithi ezisebenzela ukudonsa ngezindlela ezahlukene. Ezinye zazo zingasebenza kangcono kunabanye ngezimbangela ezithile zokuqothulwa, ngakho-ke kubalulekile ukukhuluma nodokotela wakho futhi uthole izincomo zakhe.
Eminye imithi ihlanganisa inhlanganisela emibili noma ngaphezulu yalezi zidakamizwa, eklanyelwe kokubili ukunciphisa isitoreji nokusiza ekuphumeni kwayo.
Ngamanye ama-chemotherapy regimens, ukuhlanganiswa kwezidakamizwa, ikakhulukazi izidakamizwa ukuvimbela isicanucanu. ziqeda kakhulu, futhi i-oncologist yakho ingancoma ukusebenzisa imithi yokuqothulwa ngokweqile Qinisekisa ukwenza kanjalo, njengoba kulula ukuvimbela kunokwelashwa okuqinile. Futhi, qiniseka ukuthi ukhuluma ne-oncologist yakho ngaphambi kokusebenzisa noma yimiphi imithi, njengoba ezinye zazo zikwazi ukuphazamisa izidakamizwa zamakhemikhali. Ezinye zokwelapha zihlanganisa:
- Amakhemikhali aqhamuka ngobuningi - Le mithi isebenza ukubuyisela amanzi emathunjini ukunciphisa ubunzima besitokisini, kanye nokunciphisa isikhathi sokuhamba - inani lesitoreji esihlala kolononi. Isibonelo salesi sigaba yi- Metamucil (psyllium) .
- I-laxatives evuselelayo - Izishumbisi zisebenza ngokuqondile emithanjeni azungeze ikoloni ukugqugquzela ukuthutha kwesitokisi emaphethelweni emathunjini. Njengoba kungaba buhlungu lapho izithambile ezinzima kakhulu zidlula kolononi, lezi zivame ukunikezwa kanye nesitoreji sesitokisi. Izibonelo zama-laxatives ashukumisayo zihlanganisa i-Senekot (senna) ne-Dulcolax (i-bisacodyl).
- Ama-laxatives ase-Osmotic - ama- laxatives ase- Osmotic asebenza ukuze agcine amanzi e-colon futhi akhuthaze ama-peristalsis - ukuphazamiseka kwesigqi sekholoni eshukumisela phambili. Izibonelo zihlanganisa i-Chronulac (lactulose), i-glycerin suppositories, i-Miralax (i-polyethylene glycol), i-magnesium citrate kanye ne-Milk of Magnesia (i-magnesium hydroxide.)
- Abathengisi be-Emollients / Stool - Abathengi be- Stool banciphisa isitulo ngokusebenza ngokuxuba kwamanzi namafutha esitokisini. Lezi imithi zinciphisa isitolishi kodwa zinganciphisi isikhathi sokuhamba, ngakho-ke zivame ukusetshenziselwa kanye neminye imithi yokwenza ukunyakaza kwamathumba uma lezi ziba zingenangqondo. Isibonelo salokhu yi-Colace (docusate).
- Amakhemikhali - Le mithi iletha amanzi esitokisini ukuze ithambekele futhi ibuye igcobe isitulo sokuphuma emzimbeni. Isibonelo samafutha ommbiwa.
Ukususwa Kwamagama
Uma konke okuhlulekayo kwenzeka, uma kwenzeka ukufakela kwe-fecal, noma uma ukuqothulwa kuba buhlungu kakhulu, ukuphuma kwedijithali kungadingeka kwenziwe. Lokhu kubhekisela ekususweni kwebhuku kwesitorethi usebenzisa iminwe evuliwe.
Izinkinga
Ukuqothulwa kanzima okungapheli kungaholela ekuthandeni kwe-fecal , isimo lapho udaba olunzima, olomile lwamafecal olukhula khona futhi alukwazi ukudluliselwa. Amanzi afakiwe abese esuswa udokotela ngesandla.
Ezinye izinkinga ezivela ekuqotheni okungapheli zihlanganisa ama-hemorrhoids, ama-fissures e-anal, ama-abscesses ama-perianal, ne-proctal prolapse.
Imithombo:
I-American Society of Clinical Oncology. I-Cancer.Net. Ukuqokwa. Kubuyekezwe 01/16. http://www.cancer.net/navigating-cancer-care/side-effects/constipation
I-National Cancer Institute. Izinkinga Zomzimba - I-Health Professional Version. Kubuyekezwe 01/04/16. http://www.cancer.gov/about-cancer/treatment/side-effects/constipation/GI-complications-hp-pdq
Zou, J., Xu, Y., Wang, X., Juang, Q., no-X. Zhu. Ukuthuthukiswa kokuqokwa kwamagciwane e-Leukemia Ukusebenzisa i-Chemotherapy Ukusebenzisa ama-Potato amnandi. Ubunakekeli beCans .