Izinkinobho ze-fingernail ne-Toenail Ngesikhathi se-Chemotherapy nge-Cancer Breast
Iminwe yakho yembula okuningi mayelana nempilo yakho. Kungenzeka ukuthi uzwile ukuthi izinguquko ezinzipikili zakho zenzeka ngezifo eziningi, futhi ungakwazi "ukufunda" ukuthi uke wabhekana nesifo esibucayi noma ukuhlinzeka isikhathi eside kangakanani esekelwe lapho izigameko zenzeka ezikhonkwane zakho.
Phakathi ne-chemotherapy yomdlavuza wesifuba, ungase uhlangane nezinkinga ngezipikili ezisezintweni zakho kanye nezikhonkwane . Ukuqonda izimbangela nezimpawu zezinkinga ze-nail kungakusiza ukuba unakekele, futhi wazi lapho udinga ukukhuluma ne-oncologist yakho.
Izimpawu Zokuguquka Kwezinsipho Ngenxa yeKhemotherapy
Izipikili zingase zibe mnyama, ziphenduke, zihlume futhi zivele kalula. Imijikelezo eyisithupha noma ngaphezulu yama-taxane (njenge-Taxol noma i-Taxotere) ingabangela ukuthi izipikili zakho ziwe ngokuphelele.
Imigqa emnyama noma elula (imigqa yeBeau) ingase ithuthuke ngaphesheya kobubanzi bezinye izipikili zakho. Izipikili zingase zihlakulele i-concave, isimo se-spoon-like (koilonychia).
Izifo ezingaphansi kwezipikili zakho nazo zingenzeka, ikakhulukazi uma unesifo se- neutropenia ngenxa ye-chemotherapy (isibalo esincane se- neutrophil , uhlobo lwe-white cell cell elisiza ukulwa nokutheleleka kwamagciwane.)
I- paronychia isifo esibuhlungu esizungezile i-nail ngomunwe noma ngomunwe. Kungabangelwa yi-bacteria noma i-fungus futhi ivame kakhulu kulabo abangenakuzivikela, njenge-chemotherapy. Ama-antibiotics noma i-antifungal ivame ukushiwo, nakuba ucwaningo lwamuva lubonisa ukuthi isisombululo se-povidone-iodine samaphesenti angu-2 asikona nje kuphela i-paronychia ehlobene ne-chemotherapy kodwa sinciphisa isidingo semithi yomlomo (ngakho-ke, ingozi yokusebenzisana kwezidakamizwa.)
Uma izipikili zakho ziba zikhululekile, zingase ziba buhlungu kakhulu, futhi kuyoba kubalulekile ukugwema imisebenzi engase ibasuse ngokushesha kakhulu (futhi ubuhlungu kakhulu.)
Izimbangela Zokuguquka Kwezinsipho Ngesikhathi Ukwelashwa Kwebele Ngesifo Sebele
Ngenxa yokuthi i- chemotherapy iyomisa kakhulu ezinhlobonhlobo zakho, izipikili zakho zingaba zinyama futhi ziphuzi. Izipikili ezomile zizophuka futhi zivele kalula. I-Koilonychia (i-spooning) ibangelwa i- anemia ne-iron ephansi.
Imigqa yeBeau iyenzeka uma une-ultra-dose chemotherapy futhi izipikili zakho ziyeke ukukhula okwesikhashana. Ungase uhlakulele umugqa owodwa obonakalayo ngomjikelezo we-chemotherapy umthamo omkhulu.
I-chemotherapy ephansi-dose ingabangela imigqa yaseBeau, kodwa lokhu kuyoba nzima ukubona ngaphandle kwe-microscope.
Ezinye izidakamizwa ze-chemotherapy ezingabangela ukuphazamiseka kwamagciwane zihlanganisa:
- Amatekisi ( Taxol , Taxotere, Docetaxel)
- I-Adriamycin (doxorubicin)
- I-5-Fluorouracil (5Fu)
- Bleomycin
Ukuvimbela Izinkinga Zezinyosi Ngesikhathi Ukwelashwa Kwemdlavuza
Izinkinga ze-nail ezihlobene ne-Chemotherapy azikwazi ukugwema ngokuphelele.
Kwezinye izikhungo zokungcolisa, umhlengikazi angakunika isidlo samanzi e-ice ezandleni zakho ngesikhathi sokumnika. Isimiso sifana nokuncelisa i-ice chips noma ukudla ama-popsicles ngenkathi ukukhipha (ngokuvamile i-Adriamycin) nokuthi iqhwa linciphisa inani lemithi yokwelashwa e-chemotherapy ekhonjiswe ezipikili zakho.
Kucatshangwa ukuthi amaphesenti angama-20 kuya kwangu-30 abesifazane abasebenzisa i-chemotherapy bazolahlekelwa izipikili zabo ngesikhathi se-taxane ingxenye yesimiso sabo. Ucwaningo olwenziwa ngo-2017 lapho ababambiqhaza abadweba khona izipikili zabo ezinezixazululo ze-nail hydrating bathole ukuthi lokhu kunciphisa kakhulu ukulahleka kweminwe ngesikhathi sokwelashwa kwamatekisi.
Ukuzinakekela Ukuguquka Kwezipikili Ngesikhathi Ukwelashwa Kwemdlavuza
Landela lawa mathiphu ukukhuthaza ukuzinakekela kahle izipikili zakho:
- Sebenzisa i-polish ecacile ukusiza ukugcina izipikili ziqinile (kunengxabano noma lokhu kuyasiza noma cha).
- Gwema izipikili zokufakelwa kanye ne-polish enemibala, ikakhulukazi imibala emnyama.
- Gqoka amagilavu lapho ugeza izitsha nokulima.
- Ukunakekela izipikili kanye ne-cuticles kahle.
- Njengoba imigqa yaseBeaule ikhula ngaphezu kombhede wezinwele, yinqume.
- Ukwandisa insimbi ekudleni kwakho.
- Yeka noma ugweme i- caffeine .
- Abanye odokotela bangase batusa ukuthatha amavithamini ngezinwele, isikhumba, nezipikili, kodwa akufanele uthathe noma yiziphi amavithamini ngaphandle kokukhuluma kuqala nge-oncologist yakho. Amanye ama- vitamin nama-mineral supplements angaphazamisa ukwelashwa komdlavuza .
- Gqoka izicathulo ezikhululekile ezivumela igumbi elaneleyo lezinzwane zakho.
Ukunakekelwa Kwezokwelapha Ukuphazamiseka Kwezipikili ezihlobene neCanscer
Uma unesifo se-nail noma izipikili zakho zibonakala zigciniwe noma zichazwe kabi, khuluma ne-oncologist yakho.
Izifo zingelashwa ngama-antibiotics noma eminye imithi. Khumbula ukuthi, njengezinye izifo ngesikhathi samakhemikhali, izilwane ezingase zingabangeli izifo zingenza kanjalo, kanti izifo ezinezinambuzane eziyingozi ngokuvamile zingaba zibi kakhulu.
Uma ukholelwa ukuthi unesifo, thintana ne-oncologist yakho ngokushesha futhi ungalindi kuze kube yisivumelwano sakho esilandelayo.
Khuluma ne-oncologist yakho kanye nanoma yibuphi ubuhlungu obunayo eminwebeni yakho kanye nezinsipho bese ubheka ukuthi yikuphi ukudluliswa kwezingubo ezikhonjiweni zakho oziphawulayo.
Ukwengeza, e-ASCO 2017 iqembu labacwaningi base-UK labika imiphumela yocwaningo olwenziwe ngezikhathi ezimbili eziyimpumputhe oluhlolisisa i-balm yemvelo (i-PolyBalm®) ekusetshenzisweni kwe-chemotherapy ekwenzeni imiphumela yezipikili. Umkhiqizo uthuthukise kakhulu uketshezi lwe-nail okwenzeka ngesikhathi samakhemikhali.
Ukubuyiswa nokuPhulukiswa
Ngisho noma izinzipho zakho zanyamalala ngesikhathi se-chemotherapy-noma zihlanganiswe noma zihlukaniswe-isikhumba sakho kanye namaseli e-nail azoqala ukukhula futhi ngenani elihle lapho ukwelashwa kuphela.
Izicubu ezintsha ze-nail zizosikhipha izipikili ezilinakele. Abanye abantu bayakujabulela ukubukela lokhu kwenzeka njengoba kuyisibonakaliso sokuthi i-chemotherapy yenziwe futhi ingena ezinyathelweni zokutakula.
Ama-fingerprints akhula ngokushesha kathathu kunama-toenails, ngakho vumela isikhathi esengeziwe ukubona ukuthuthuka ezinzwaneni zakho.
> Imithombo
> Capriotti, K., Capriotti, J., Pelletier, J., noK. Stewart. I-Chemotherapy-Associated Paronychia Iphathwe nge-Povidone-iodine engamaphesenti angu-2: I-Series Series. Ukuphathwa kweCans and Research . 2017. 9: 225-228.
> Kim, J., Ok, O., Seo, J. et al. Isivivinyo Esilawulwayo Esingahlelekile Sokulawulwa Kwamahlombe Okuvimbela Ukuvimbela noma Ukwelashwa Kwe-Onycholysis Emagceni Omdlavuza Webele Othole Neoadjuvant / Adjuvant Docetaxel Chemotherapy. Ucwaningo lwe-Cancer Research and Treatment . 2017. 164 (3): 617-625.
> Robert, C., Sibaud, V., Mateus, C. et al. Izidakamizwa zezinyosi eziphethwe yizokwelapha ze-Anticancer System. I-Lancet Oncology . 2015. 16 (4): e181-9.
> Thomas, RJ, Williams, MMA, Mutilib, M, et al. I-blind blind double, isivivinyo esilawulwa ngokungahleliwe se-placebo ehlola ukufeza kwesipuli se-nail bed-based e-philippines e-richly based on the hardness of inycholysis.