Amathiphu Wokugwema Ukushiswa Kwemvula Phakathi Nekhambi LamaKhemotherapy kanye Nomswakama
Ukubamba ukushisa kwelanga kungase kube nomuzwa ophumuzayo wokukusiza ukuba ubhekane nokucindezeleka komdlavuza womdlavuza. Eqinisweni, i-vitamin D eyenziwa ngokushisa kwelanga okulinganiselwe (futhi ephephile) ayihlanganisiwe nje kuphela engozini yokunciphisa umdlavuza, kodwa ukusinda okungcono kwamanye amagciwane. Isinyathelo sokuqala ukwazi ukuthi imithi yakho ye- chemotherapy ingakwandisa kanjani amathuba okushisa ilanga: into oyifunayo ngempela kule nkinga empilweni yakho.
Kubalulekile ukuqaphela ukuthi ukugqoka isikrini selanga angeke kwanele.
Kuyini ukuzwela kwelanga (ukubeka izithombe)?
Ukuzwela kwelanga, okubizwa ngokuthi i- photosensitivity noma i- phototoxicity, ukuthambekela kokushisa ilanga kalula kunokujwayelekile. Ukusabela okuningi kwe-photosensitivity okuhlobene nezidakamizwa ze-chemotherapy kuyi-phototoxic. Ngokwempendulo ye-phototoxic, imithi efana nezidakamizwa ze-chemotherapy ithatha imisebe ye-ultraviolet. Lokhu kukhishwa kwe-UV ukukhanya kubangela ushintsho ekwakhiweni kwamakhemikhali omuthi, okuveza amandla okulimaza isikhumba.
Yiziphi izidakamizwa ze-Chemotherapy ezenza i-Photosensitivity?
Cishe noma iyiphi i-agent ye-chemotherapy (noma imithi ehlobene nomdlavuza) ingabangela ukuthi uzwele kakhulu elangeni. Kubalulekile ukukhuluma ne-oncologist yakho ngemithi yakho ethile. Ngaphezu kwalokho, ukuhlanganiswa kwezidakamizwa ezahlukene kungaholela ingozi yakho ngaphezu kwesidakamizwa esisodwa singasedwa. Ezinye zezidakamizwa zamakhemikhali eyaziwa ngokubangela ukuba i-photosensitivity zibandakanya:
- I-5-FU (i-fluorouracil)
- I-Methotrexate
- I-DTIC (i-dacarbazine)
- I-Oncovir (i-vinblastine)
- I-taxotere (i-docetaxel)
- I-Adriamycin (doxorubicin)
- VePesid (etoposide)
- I-Gemzar (gemcitabine)
Ngokujabulisayo, lokhu kuzwela okwenyuka elangeni kudlulile ngemuva kokuqeda imithi yamakhemikhali.
Ezinye izidakamizwa ezingenayo i-chemotherapy ezingaba nomthelela wokungeza nge-chemotherapy ekubangela ukuzwela kwelanga zibandakanya:
- Ama-antibiotics, njenge-Cipro (ciprofloxacin), iLevaquin (levofloxacin), i-tetracycline, i-doxycycline, ne-Septra noma i-Bactrim (i-sulfamethoxazole-trimethoprim)
- I-Diuretics, njengeLasix (furosemide) ne-Hydrodiuril (i-hydrochlorothiazide)
- I-Benadryl (i-diphenhydramine)
- Imithi ye-cardiac, njenge diltiazem, i-quinidine, i-amiodarone ne-Procardia (i-nifedipine)
- Ama-anti-depressants, afana ne-Tofranil (i-imipramine) ne-Norpramin (desipramine)
- Imithi yesifo sikashukela, njengeMicronase (glyburide)
- Izidakamizwa ezingekho-steroidal anti-inflammatory, njenge-Aleve (naproxen) no-Feldene (piroxicam)
Khuluma nemithi yakho noma udokotela uma ungaqiniseki uma i-chemotherapy yakho noma enye imithi izokwandisa ingozi yokushisa ilanga.
Ziqala nini Izimpawu?
Ukusabela kwe-photosensitivity kungenzeka ngokushesha ngemuva kokuvezwa elangeni, noma kungabonakali amahora ambalwa ngemva kokubuyela endlini. Uma ubona noma yikuphi ukubomvu uma usetsheni, sebenzisa ukushisa kwelanga, isikrini selanga noma uphume kwendodana. Ngokuvamile kuthatha amahora ambalwa ngaphambi kokuba izinga lokushisa ilanga lizwiswe.
Amathiphu Wokuphepha Etsheni Ngesikhathi Usebenzisa I-Chemotherapy
Ukwazi ukuthi isikhumba sakho singase sizwele kakhulu ngesikhathi samakhemikhali, yini ongayenza ukuze uzivikele?
Inhlanganisela yezinto ngokuvamile ihamba phambili, kubandakanya:
- Gwema ukushisa kwelanga phakathi nosuku: Nciphisa isikhathi sakho ngaphandle phakathi kwamahora ka-10 ekuseni nangama-3 PM lapho imisebe yelanga ishaya kakhulu.
- Buza i-oncologist yakho ukuthi ingancoma yini i-sunscreen: Amanye ama-sunscreens asebenza kangcono kunabanye, futhi amakhemikhali kwezinye izicabha zelanga angase athukuthele isikhumba sakho esivele sibucayi. Qinisekisa ukhethe i-sun-screen "ebanzi-spectrum" evikela u-UV kanye nemisebe ye-UVB. I-sunscreens emakethe ihlukahluka kakhulu ngokuthi ihlinzeka ngokuvikelwa okwanele, ngisho nalabo abangenayo ingozi eyengeziwe kusuka kumakhemikhali. Ukupakisha kwamanje kungenza kube inselele ukwazi ukuthi yimiphi imikhiqizo enikezela ukuthenga okunembile, ngakho hlola ilebula ukuze uqinisekise ukuthi umkhiqizo uqukethe izithako ezivimbela imisebe ye-UVA . Qinisekisa ukuthi unebhodlela elisha le-sunscreen kanye. Ibhodlela lonyaka odlule angeke lisasebenza.
- Uma isikhumba sakho sibucayi kakhulu, kungase kudingeke ukuthi usebenzise ilanga lelanga: Esikhundleni noma ngaphezu kwesikrini selanga ungase ufise ukusebenzisa ilanga. Ama-sunblocks aphumelelayo afaka i-zinc oxide ne-titanium dioxide. Ama-sunblocks a-opaque (cabanga: ikhala elimhlophe) kanti abanye abantu bayanqikaza ukusebenzisa le mikhiqizo, kodwa impumu noma ubuso obumhlophe kungakufanelekela ukugwema ukushisa okubuhlungu.
- Vala phezulu: Ungathembeli kusikrini selanga kuphela. Gqoka izigqoko ezinamaphesenti amakhulu nezigqoko ezinde, izingubo ezizimele zokumboza izindawo ezibucayi zomzimba wakho. Izindwangu eziboshwe zihlinzeka ngokuvikelwa okungcono kakhulu.
- Sebenzisa umthunzi: Thola indawo emthunzini ngaphansi kwesihlahla noma uhlale ngaphansi kwesambulela. Hamba ngezinyawo ezivikelwe izihlahla.
- Ungakhohlwa izindebe zakho: Ama- sunscreen aklanyelwe ikakhulukazi izindebe ngokuvamile ephephile uma kufanele ugwinye isicelo esilandelayo.
- Ungakhohlwa amehlo akho: Gqoka izibuko zokubukela ngokuvikelwa kwe-UV.
- Ungakhohlwa ikhanda lakho: Sikhulume nabaningi abasindile emdlavuza abafunde ngokuvikela abasha babo abasha futhi abasengozini yokukhwabanisa ngendlela enzima. Ama-wigs angashisa elangeni, kodwa isikhala sekotini singaba mnandi ngenkathi sihlinzeka ukuvikelwa.
- Gwema imibhede yokuqothula: Akukhona kuphela ukuthi imibhede yokuncibilikisa ingashiya ngokushisa, kodwa ingandisa ingozi yokuthuthukisa umdlavuza wesikhumba.
- Khumbula ukuthi ungasabela ngokungafani elangeni ngenkathi usebenzisa i-chemotherapy kunokwenza esikhathini esidlule. Uma ngabe usunomuntu othunyile kalula, kungenzeka ukuthi manje ukushisa ilanga.
Ukuzwela kwelanga nokuTherapy Radiation
Kubalulekile ukukhumbula ukuthi i-chemotherapy akuyona yodwa ukwelashwa okungabangela ingozi yokushisa ilanga. Njengoba ukwelapha imishanguzo, i-propensity yokushisa kwenzeka ngokuyinhloko ezifundeni zomzimba wakho ophethwe ngama-radiation, kodwa ngokungafani nalokho nge-chemotherapy, ukujwayela kokushisa kungahlala iminyaka ngemva kokuba ukwelashwa kwakho kokugcina kuqedile. Uma uthola imithi yokwelashwa, ungase ufise ukucabangela ukuvikelwa kwelanga umgomo wesikhathi eside. Akukhona nje kuphela ukuthi ukufakwa kokushisa kungadlulela ngaphezu kwelashwa yakho yokugcina, kodwa ukuhlanganiswa kwemonakalo emisebeni yesikhumba sakho nomonakalo welanga kungandisa ingozi yakho yokuthuthukisa umdlavuza wesikhumba.
Ingabe Kunenzuzo Evela Ekuboniseni Ilanga Phakathi Nokwelashwa Kwemdlavuza?
Kubukeka sengathi i-intuitively i-sun exposure iyozuzisa ngesikhathi sokwelashwa komdlavuza. Ukuphuma ngaphandle, ukuphefumula umoya omusha, nokukhuluma ukuhamba kungakusiza uzizwe ungcono ngokomzwelo. Ucwaningo lwezokwelapha lubonakala lubuyele emuva ukuthi intuition. Amazinga aphezulu evithamini D ahambisana nokuphila okungcono kwalabo abanomdlavuza wamaphaphu okuqala futhi kungenzeka ukuthi isizathu sokuthi abantu abanomdlavuza wamaphaphu phakathi nezinyanga zasehlobo babonakala bengcono kakhulu. Olunye ucwaningo lubuke u-vitamin D nokusinda kwamanye amaningi kansa, kanti ngenkathi kube nemiphumela exutshwe, izinga elilodwa levithamini D elifanele lidlulela phambili ekuthuthukiseni ukusinda. Abantu abaningi bazizwa bengcono uma izinga labo lihle kakhulu.
Ngokujabulisayo, ukuhlola izinga lakho le-vitamin D kungenziwa ngokuhlolwa kwegazi okulula. Njengoba i-oncologist yakho ukuhlola lokhu uma ungazange ulihlole, futhi uxoxe ngezindlela zokwandisa izinga lakho uma liphansi. Qinisekisa ukuthi ukhuluma nodokotela wakho, kodwa, ngaphambi kokusebenzisa noma yiziphi izithako. Amanye ama- vitamin nama-mineral supplements angaphazamisa ezinye izidakamizwa zamakhemikhali . Izithako ze-Vitamin D (uma kunconywa i-oncologist yakho) kuvame ukuphephile, uma nje ungenawo "megadose." Ukuthatha amavithamini D amakhulu kakhulu kungabangela izinso ezibuhlungu ezinso.
Kuthiwani uma Ngisabela Ngelanga?
Uma uhlakulela ukushisa ilanga ngenkathi usuphethwe yi-chemotherapy, zama ukuphuma elangeni ukugwema ukulimala kakhudlwana esikhumbeni sakho. Sebenzisa ukucindezela okupholile, okumanzi ukuze unciphise kabi. Shayela udokotela wakho uma unobomvu obunzima uma indawo eshiswe ilanga ihilela amaphesenti amakhulu emzimbeni wakho, uma uhlakulela umkhuhlane noma izikhukhula, noma uma kukhona ezinye izinto ezikhathazayo. Hlola lawa macebiso engeziwe mayelana nendlela yokuphatha ukushisa kwelanga .
> Imithombo:
> Drucker, A., noCroen. Ukuvezwa kwezinto ezithinta izidakamizwa: izidakamizwa, ukuphathwa nokuvimbela. Ukuphepha Kwezidakamizwa . 2011. 34 (10): 821-37.
> Heidary, N., Naik, H., no S. Burgin. Ama-Chemotherapeutic agents kanye nesikhumba: Isibuyekezo. Umagazini we-American Academy of Dermatology . 2008. 58 (4): 545-70.
> Onoue, S. et al. I-phototoxicity eyenziwe ngemithi; ukutholakala kokuqala kwe-in vitro kwamandla we-phototoxic ezinkampani ezintsha zezidakamizwa ekutholeni izidakamizwa nokuthuthukiswa. Ukuphepha Kwemithi Yamanje . 2009. 4 (2): 123-36.
> Payne, A., noD. D. Savarese. Imiphumela emibi ye-Chemotherapy Agents. UpToDate . Kubuyekezwe 04/10/18.
> Smith, E. et al. Ukubuyekezwa kokuphazamiseka kwe-photosensitivity ye-UVA-mediated. I-Photochemical ne-Photobiological Sciences . 2012. 11 (1): 199-206.
> Zhou, W. et al. Ukujikeleza amazinga angu-25-hydroxyvitamin D ukubikezela ukusinda ezinsukwini zokuqala ezingenasincane-cell cell umdlavuza wamaphaphu. I-Journal ye-Clinical Oncology . 2007. 25 (5): 479-85.
> Zhou, W. et al. I-Vitamin D ihlotshaniswa nokusinda okuthuthukisiwe iziguli ezingenaso ezincane zezifo zomdlavuza wamaphaphu. I-Epidemiology ye-Cancer Epidemiology Biomarkers and Prevention . 2005. 14 (10): 2303-9.