Izilonda zomlomo zingaba yisisindo ngesikhathi samakhemikhali ; hhayi nje kuphela ngenxa yokungahambi kahle, kodwa futhi ngenxa yokulinganiselwa abangayithola ekudleni, futhi ngezinye izikhathi ngisho nokukhuluma. Ngokuthakazelisayo, ukuqaphela izinto ezinganciphisa noma ezidakayo izilonda zomlomo zingasiza ukwenza lo mphumela ohlangothini ovame ukubekezelela abantu abaningi.
Njengoba ukuhlasela kwe-chemotherapy kuhlukanisa ngokushesha amaseli, kungathinta namaseli ahlukanisa ngokushesha emlonyeni.
I-chemotherapy ingathinta futhi ukukhiqizwa kwamathe, futhi iguqule amabhaktheriya avamile emlonyeni, okwenza izifo zibe lula.
Izimpawu
Ukuvuvukala kwamangqamuzana omlomo emlonyeni, ngezinye izikhathi kuthiwa yi-stomatitis noma i- mucositis , ngokuvamile iqala izinsuku ezimbalwa ngemuva kokuqala i-chemotherapy futhi ingahlala amasonto amaningana. Ukwelashwa kwezidakamizwa kanye nokuhlinzwa kungabangela ukuvuvukala emlonyeni kanye, futhi izimpawu zingase zibi nakakhulu uma uthola inhlanganisela ye-chemotherapy kanye nokwelashwa kwemisebe yomdlavuza wakho. Izimpawu nezibonakaliso zihlanganisa uhlobo oluvuthayo lobuhlungu nokubomvu, okubandakanya phansi noma uphahla lomlomo, izihlathi, izinsini, ulimi, nezindebe. Ama-patches amhlophe angabonakala okubomvu ngemva kwama-tissue sloughs. Ubuhlungu bomlomo bungenza ukudla kube nzima futhi kungenza ukukhuluma nokugwinya kungakhululekile.
Imithi eminingi ye-chemotherapy ingabangela izilonda zomlomo, kodwa zivame kakhulu nezinye izidakamizwa zomdlavuza wamaphaphu kubandakanya:
- I-taxotere (i-docetaxel)
- I-Adriamycin (doxorubicin)
- VePesid (etoposide)
- I-Taxol (paclitaxel)
- I-Alimta (pemetrexed)
Ukubhekana
Ukunakekelwa komlomo okuhle kuyisinyathelo sokuqala ekubhekaneni nayo, nokunciphisa ukukhathazeka emilonyeni yomlomo. Kungumqondo omuhle ukubona udokotela wamazinyo ejwayelekile ngemiphumela yamazinyo we-chemotherapy ngaphambi kokuqala ukwelashwa ukuqinisekisa ukuthi amazinyo nezinsini zakho ziphilile ngangokunokwenzeka.
Buza udokotela wamazinyo ngezinye izibhunqo zamazinyo uma kufanele uthuthukise ukukhathazeka. Amanye amathiphu angaba usizo afaka:
Ukunakekelwa ngomlomo
- Ukushayela njalo, mhlawumbe emva kokudla konke. Isifo se- gum singadala izimpawu
- Uma ukuxubha kungakhathazeki, izinketho zihlanganisa ukusebenzisa i-toothbrush eyengeziwe ethambile noma i-swab foam. Ukuhlanza i-toothbrush yakho ngaphansi kwamanzi ashisayo ngaphambi kokuxubha ukuze unciphise ama-crystal angasiza. Kungaba ngcono ukugwema amabhukhondi wezinyosi kagesi
- Gcina umlomo wakho unomsoco
- Ukusebenzisa i-lip balm kungase kube lula, kodwa ukhethe umkhiqizo omnene ngaphandle kwama-chemical irritants
- Gwema umlomo, ikakhulukazi labo abaqukethe utshwala. Kunalokho, ungazama indebe yamanzi afudumele ahlanganiswe ne-1 tsp ye-baking soda
- Uma ugqoka amazinyo, zama ukususa kaningi
Ukudla
- Yidla ukudla okuhle ngokudla okuhlukahlukene. Amanye amaphutha amavithamini angenza izimpawu zibe zimbi nakakhulu, nokudla okuhle kungasiza umzimba wakho ukulwa nokutheleleka
- Gwema ukudla okuneziqholo, usawoti, noma ukudla okune-citrus acid no-tomato juice. I-Ananas kanye nama-strawberries avame ukubekezelela kangcono kunezinye izithelo, futhi amagilebhisi noma ijusi le-apula angabangela ukungathandeki kakhulu kunama-citrus nama-tomato juice.
- Nciphisa ukuphuza utshwala
- Gwema ukudla ngokushisa okukhulu
- Phuza amanzi amaningi
- Gwema ukudla okubukhali, njengabaqaphi, isobho, kanye nosawoti omile
- Zama ukungeza ukudla okunomsoco phezu kokudla okumile, njengokusebenzisa i-gravy nama-sauces
- Ukukhethwa kokudla okuhle kungabandakanya amazambane ahlambulukile, okusanhlamvu okuphekiwe, ama-apulace, i-cottage shizi, i-pudding, i-yogurt, i-smoothies (ngaphandle kwama-citrus), isobho, i-Jello, ukudla kokudla, noma ukudla okuhlanjululwe ku-blender
Indawo Yakho
- Ungabhemi
- Abanye abantu abakulungele ukudla esidlangalaleni ngenxa yokulinganiselwa kokudla ngezilonda zomlomo. Mema abangani ngaphezulu, futhi wenze iziphakamiso ngalokho abangakuletha. Ukuphazamiseka kwabangane nomndeni kungasiza uma ukudla kubuhlungu
Ukwelapha
Iningi lezilonda zomlomo lingalawulwa ngokudla nokuhlanzeka komlomo kuze kube yilapho zixazulula zodwa.
Ezinye ze-oncologists zingase zincome umthamo wokufakelwa, noma ama-topical agents ukuze aphathe ubuhlungu. Ezimweni ezimbi kakhulu, i-cryotherapy noma i-laser therapy iye yasetshenziselwa izikhungo ezimbalwa zomdlavuza, futhi imishanguzo emisha ihlolwe ekuvivinyweni kwemitholampilo, eyenzelwe ukukhuthaza ukuphindwa kwezicubu emlonyeni.
Izinkinga
Izilonda zomlomo zingaba nomphumela ongathandeki othintekayo we-chemotherapy, kodwa ngezinye izikhathi zingabangela izinkinga ezinkulu nakakhulu. Izifo zingathuthuka (ama-bacterial, fungal, noma viral, ikakhulukazi uma inani lakho legazi elimhlophe liyancishiswa kusuka chemotherapy. Ukweqa kungase kwenzeke. Ubuhlungu bungaba nzima kakhulu kwabanye abantu, okudinga ukuphathwa kabuhlungu kakhulu. Ukungondleki nokuphefumula kwamanzi kungase kwenzeke uma ubuhlungu nezilonda ziphazamisa ikhono lakho lokudla okunomsoco noma uketshezi olwanele.
Uma sicabanga ngemiphumela emibi ehlukene ye-chemotherapy, izilonda zomlomo zingase zibonakala ziphansi ohlwini olubhekene nokucabangela, kodwa lokho akuyona iqiniso. Izilonda zomlomo zingabangela ukulahlekelwa isisindo, futhi ukulahlekelwa isisindo kubantu abanomdlavuza kungaba yingozi kakhulu. Eqinisweni, i- cachexia yomdlavuza , i-syndrome ehlanganisa ukulahlekelwa kwesisindo phakathi kwezinye izimpawu, kubhekwa ukuthi iyimbangela eqondile yokufa ngamaphesenti angu-20 abantu abanomdlavuza. Unganqikazi ukubiza udokotela wakho uma uhlangabezana nale nkinga ejwayelekile.
Nini Ukubiza Udokotela Wakho
Qinisekisa ukuthi uvumele i-oncologist yakho ukuthi ikwazi ukuthi yiziphi izimpawu ozenzayo ngesikhathi ukwelashwa kwe-chemotherapy yakho, kufaka phakathi izilonda zomlomo. Ezinye izizathu zokuxwayisa ithimba lakho lokunakekelwa kwezempilo phakathi kwama-aphoyintimenti zifaka:
- Izilonda zomlomo eziphazamisa ikhono lakho lokudla noma ukuphuza
- Ukulahleka kwesisindo noma izimpawu zokuphelelwa amandla kwamanzi
- Isigqoko esimhlophe ngolimi lwakho, ukubomvu okwandayo, noma ukuphuma kwegazi okungase kube uphawu lokutheleleka
- Umkhuhlane. Buza i-oncologist yakho ukuthi yikuphi ukushisa ocabanga ukuthi uyakhathazeka futhi kumele kukufake ucingo
Imithombo:
Chaveli-Lopez, B., noJagan-Sebastian. Ukwelashwa Kwe-Oral Mucositis Ngenxa yeKhemotherapy. Journal of Dentistry Clinical and Experimental . 2016. 8 (2): e201-9.
Riley, P., Glenny, A., Worthington, H. et al. Ukungenelela kokuvimbela umlomo we-Oral Mucositis kubantu abagulayo abane-Cancer Receiving Treatment: Oral Cryotherapy. I-Cochrane Database yezibuyekezo ezihleliwe . 12: CD011552.