Ukulahleka kwezinwele kungenye yezimpawu ezesabekayo nezicindezelayo ze-chemotherapy yomdlavuza, futhi abantu abaningi baye bazibuza ukuthi kungenzeka yini ukuvimbela ukuthi kungenzeki. Eminyakeni yamuva, izindlela ezinjengokupholisa isikhumba se-scalp zitholakale zisebenza kahle kwabanye abantu. Njenganoma yini, lezi zindlela zingaba nokulinganiselwa nemiphumela emibi yazo.
Yini okudingeka ukwazi ukuthi wenze ukhetho olungcono mayelana nokulahlekelwa izinwele zakho ngesikhathi sokwelashwa?
Ingabe Ukuvimbela I-Chemotherapy Ukulahlekelwa Kwezinwele Kungenzeka?
Kunezindlela ezimbalwa eziye zazanywa ukuvimbela ukulahlekelwa kwezinwele ezikhishwa ngamakhemikhali , nakuba impumelelo ihlanganisiwe. Abanye abantu baye bathola lokhu okuwusizo, kodwa abanye baye bathola ukuthi bengasebenzi, noma baphumelela kancane, bakhetha ukhetho lwamagundane noma izinhlamvu ezinwele ezincane. Kubonakala sengathi iphumelela kakhulu ngemithi ethile ye-chemotherapy kunezinye. Ngisho noma ukupholisa kwe-scalp sekuvele nje "kususwe" njengendlela evamile yokuvimbela, kuqala kutholakala eminyakeni engaphezu kwengu-30 edlule.
Kukhona nezinye izinkinga zokukhathazeka kwi-oncologists. Ake sibheke izinkinga ezingase zihlobene nezindlela zokuvimbela izinwele kanye nezindlela ezitholakalayo okwamanje.
Izinkinga Zokuvimbela Izinwele Zokulahlekelwa Ngokwezinwele Phakathi neKhemotherapy
Noma nini lapho ukwelashwa kusetshenziselwa ukulwa nemiphumela emibi yenye ukwelashwa, kunezinkinga okufanele zicatshangelwe.
Mayelana nokuvimbela ukulahlekelwa kwezinwele ze-chemotherapy, ezinye zalezi zinkinga zihlanganisa:
Ukusakazeka kweCanscer
Ezinye ze-oncologists zikhathazekile (ikakhulukazi lapho ziphathwa ngegazi elihlobene negazi elinomdlavuza wegazi) ukuthi ukupholisa isikhumba kungavimbela izidakamizwa ze-chemotherapy ukuze kungafinyeleleki kuwo wonke amangqamuzana omdlavuza, futhi ukusakazeka komdlavuza kwesikhumba kungase kwenzeke uma lokhu kusetshenziswa.
Ukunganaki
Akungasho ukuthi ukuhlala nekhanda leqhwa ekhanda lakho ngesikhathi semithi yokwelashwa kwamakhemikhali kungase kungakhathazeki. Empeleni, ukungahambi kahle okuhambisana nokugqoka i-pack iphakethe kungenye yezizathu abantu abaningi abakhetha ukungayilandela le mithi.
Izindleko
Izindleko zokuqasha imishini yokusebenzisa iphakethe ye-ice ingavunyelwa kwabanye abantu.
Ukuphathwa
Ukupholisa isikhumba se-scalp kuyisimo esisha esisha esikhungweni se-chemotherapy infusion, futhi izindawo eziningi azihlelwe ukuze zifake ukupholisa isikhumba esikhaleni. Lokhu kungaholela ekubambezelekeni, futhi kuphazamise ezinye iziguli esigceme.
Ukuthinta Izinwele
Ukusebenzisa enye yezindlela zokunciphisa ukulahlekelwa kwezinwele ezikhishwa ngamakhemikhali ngokuvamile akusebenzi ngokuphelele. Benza umsebenzi wokulondoloza izinwele zakho, kodwa hhayi konke, okubangelwa izinwele ezincane kakhulu. Abanye abantu bathola ukuthi basadingeka izimbozo zezinwele ezifana ne-wig, i-cap, noma isihenqo sokumboza ikhanda labo, futhi ngenxa yalokhu, ukupholisa ukukhanda kwesikhumba kungabi nemiphumela.
Izindlela Zokuvimbela I-Chemotherapy-Ukukhishwa Kwezinwele Ezikhishwe Ngayo
Kukhona kokubili izindlela zomshini nezomakhemikhali ezisebenzisiwe emzamweni wokuyeka izinwele ezilahlekelwe yi-chemotherapy.
I-Scalp Ukupholisa / i-Ice Caps
Ngokupholisa isikhumba, ama-ice pack noma i-ice cap asetshenziselwa isikhumba ngesikhathi i-chemotherapy inikezwa.
Ithiyory ngemuva kwalokhu ukugubha imithwalo yegazi eduze nezinwele zezinwele ukuze imithi ye-chemotherapy ingafinyeleli la maseli ahlukanisa ngokushesha. Ezinye izifundo ziye zathola ukuthi lokhu kuphumelela ekunciphiseni ukulahleka kwezinwele, kodwa kubonakala sengathi kuphumelela kakhulu ngezidakamizwa ezithile ze-chemotherapy, futhi uma i-chemotherapy yangaphambilini ingakanikezwa. Ngokwe-2017 isifundo esanyatheliswe kuyi- Journal of the American Medical Association , ukusetshenziswa kocingo lwesikhumba se-scalp yokuphefumula kwabesifazane abanezigaba zesigaba I nesigaba II somdlavuza webele kwaholela ekulahlekeni kwezinwele ezingaphansi kwamaphesenti angu-50 kulandela ukukhipha okwesine kwe-chemotherapy.
Ngaphandle kokungahambi kahle okuhlobene nokubanda okufana nokuphathwa ikhanda nokuzwa kobandayo, abahlanganyeli baye babonisa ukukhathazeka ngesikhathi esengeziwe kanye nesikhala esidingekayo sokwengeza le ndlela ku-chemotherapy.
Ukupholisa isikhumba se-scalp kubonakala kuphumelela kakhulu uma kuhlanganiswa nezidakamizwa ze-chemotherapy ezifana ne-anthracyclines efana ne-Adriamycin (doxorubicine), nama-taxanes, njenge-Taxol (paclitaxel).
Ukucindezelwa kwe-Scalp
Amagqabha okucindezela abuye asetshenziswe noma ngaphandle kokupholisa isikhumba, nakuba eyedwa kuphela ephumelela kangcono kunokupholisa isikhumba se-scalp. Izivivinyo zemitholampilo ziyaqhubeka, ngokuyinhloko zibheke umphumela wezinkinobho zokucindezela kulabo abanezokwelapha emisebeni yabo (ama-radiation, ngokungafani ne-chemotherapy, ngokuvamile aholela ekulahlekeni kwezinwele unomphela).
Imithi
Imithi iphinde isetshenziswe ngomzamo wokunciphisa ukulahlekelwa kwezinwele ngesikhathi samakhemikhali. Kubalulekile ukukhumbula ukuthi njenganoma yimiphi imithi, imiphumela emibi ingaba yinto ephawulekayo, futhi lokhu kufanele kusetshenziswe kuphela ngaphansi kokuqondiswa ngokucophelela komdokotela.
Imithi evivinyelwe ikhono labo lokunciphisa i-alopecia eyenziwa ngamakhemikhali ihlanganisa:
- Isixazululo se-Rogaine (i-minoxidil) esiphezulu se-2%: Le mithi mhlawumbe iyaziwa kakhulu ngokuthi imithi edayiswe ngokwezihloko ukuze ivimbele ukulandelana kwamadoda. Ngenkathi kungenakwenzeka ukuvimbela ukulahleka kwezinwele zangempela phakathi kwe-chemotherapy, kucatshangwa ukuthi kungasiza izinwele zikhule ngokushesha ngemuva kokuphela kwamakhemikhali.
- I-Panicum miliacum yezingqungquthela: Njengo-Rogaine, lokhu akusizi ngokukhethekile ekunciphiseni ukulahleka kwezinwele, kodwa futhi, abanye bacatshangelwa ukusiza izinwele zokukhula kabusha kamuva.
Ngaphansi
Ukukhetha ukugwema ukulahlekelwa izinwele ngenxa ye-chemotherapy yisinqumo somuntu siqu. Kunabantu abathile ukuthi lezi zindlela azikhuthazwa yini, njengalabo abanegazi elihlobene negazi. Kulabo abanezinambuzane eziqinile, izinto ezinjengokududuza, izindleko, kanye nokuvimbela okuncane kokunciphisa izinwele kudingeka zicatshangelwe. Uma ufisa ukuzama enye yalezi zindlela, khuluma ne-oncologist yakho. Abahlengikazi abaningi bokungcoliswa abajwayele izindlela ezifana nokupholisa isikhumba se-scalp, futhi kungenzeka ukuthi uqobo uqobo uqiniseke ukuthi kwenziwa kahle nokuthi unayo yonke imishini edingekayo.
> Imithombo:
> Dmytriw, A., Morzycki, W., noP. Green. Ukuvimbela i-Alopecia ezigulini zezokwelapha nezithiyo ze-Chemotherapy. Umagazini Wezokwelapha Ezihlukene Nezokwelapha . 2014. 18 (0): 1.6.
> Lemieux, J., Prevencher, L., noC. Laflamme. Ucwaninga mayelana nokusetshenziswa kokupholisa isikhumba sokuvikela ukuvimbela ukupholisa isikhumba ukuze uvimbele i-alopecia ngenkathi ukwelashwa kwemithi yokwelapha i-cotherapy eCanada. I-Canadian Oncology Nursing Journal . 2014. 24 (2): 102-8.
> Mols, F. et al. Ukupholisa isikhumba se-scalp ukuvimbela ukulahleka kwezinwele ezikhishwa ngamakhemikhali: okusebenzayo kanye nokwelashwa. Ukondla Ukusekela Ekhanda . 2008. 16 (3): 352-358.
> 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.