Pono anei mākou e aʻo e pili ana i nā ʻeha waha/ʻōpū (mucositis) e hele mai me ka lāʻau lapaʻau no ka maʻi kanesa?

I ka wā e mālama ʻia ai ka maʻi kanesa, i kekahi manawa loaʻa iā ʻoe nā ʻeha ʻeha hiki ʻole ke hoʻomanawanui i loko o kou waha a me kou puʻu, ʻeā? Aia kekahi mau manawa ʻaʻole hiki iā ʻoe ke ʻai a inu paha, a he paʻakikī ke kamaʻilio. ʻO ia ke ʻano a mākou e kamaʻilio ai i kēia lā, i kapa ʻia ʻo mucositis . Mai hopohopo, he mea kēia e hana ʻia i nā poʻe he nui, a aia nā ala e hoʻokele ai. E nānā pono kākou iā ia.

He aha ka Mucositis? I ka ʻōlelo maʻalahi...

ʻO ka Mucositis kahi mumū a me ka hōʻeha ʻana o ka uhi o ko mākou ʻōpū gastrointestinal (GI) , a i ʻole mucosa . E noʻonoʻo iā ia e like me ka uhi pulu, laumania, poni o ko mākou waha. ʻO ia ka uhi e uhi ana i ko mākou ʻōpū holoʻokoʻa. ʻO ia ka mea e pale ai iā mākou mai nā germs a me nā kemika ʻino i loko o kā mākou meaʻai.

Eia nō naʻe, hiki i kekahi mau lāʻau lapaʻau maʻi kanesa, ʻoiai ka chemotherapy , ka radiation therapy , a i ʻole nā ​​​​​​mea hoʻoili cell stem , e like me nā mea hoʻoili iwi iwi , ke hōʻino i kēia uhi palupalu. ʻO kēia ka manawa e kū mai ai ka mucositis. ʻIke pinepine ʻia kēia ʻano ma ka waha e like me ka mucositis waha .

Pehea ka hopena o kēia mucositis i ko mākou kino?

I kēia manawa, e nānā, ʻo nā hunaola kanesa he ʻano hunaola e māhele wikiwiki loa. No laila, ua hoʻolālā ʻia nā lāʻau lapaʻau i hāʻawi ʻia no ke kanesa e luku i kēlā mau hunaola e māhele wikiwiki ana. Akā ʻo ka pilikia, ʻo nā hunaola i loko o ko kākou mau membrane mucous he ʻano hunaola nō hoʻi e māhele a hoʻohou koke. No laila, ʻaʻole hiki i nā lāʻau lapaʻau kanesa ke ʻike i ka ʻokoʻa ma waena o nā mea ʻelua. No laila, me nā hunaola kanesa, ua hōʻino ʻia hoʻi nā hunaola i loko o ko kākou membrane pale.

ʻO ka maʻamau, pale kēia membrane mucous iā mākou no ka mea e hana hou koke ia. ʻOiai kahi ʻeha liʻiliʻi e ho'ōla koke. Akā i ka mucositis, ʻaʻole wale nā ​​​​​​kelepona i loko o kēia membrane i hōʻino ʻia, akā ua emi pū ka hiki o kēlā mau cell ke hana hou a ho'ōla i nā ʻeha. He aha ka mea e hana ʻia a laila? Hoʻomaka kēia membrane e hōʻino hou ʻia e nā hana maʻamau e like me ka ʻai ʻana a me ke kamaʻilio ʻana. ʻAʻole wale kēlā, akā piʻi nui ka pilikia o nā maʻi .

I loko o ka mucositis waha, lilo ka ʻaoʻao o loko o ka waha i ʻulaʻula, ʻālohilohi, pehu, a ʻike ʻia nā ʻeha . I kekahi manawa , ʻike ʻia nā ʻāpana keʻokeʻo o ka pus i loko o ka waha. Hiki i kekahi poʻe ke manaʻo i ka ʻeha iki, akā hiki i kekahi ke ʻike i ka ʻeha hiki ʻole ke hoʻomanawanui. Ua hoʻokaʻawale nā ​​​​kauka i kēia ʻeha i nā pae. He ʻano akahai nā pae 1 a me 2, akā ʻo nā pae 3 a me 4 he ʻeha nui. I kēia mau hihia koʻikoʻi, ʻaʻole paha ʻoe e hiki ke ʻai a inu paha, a pono paha e hoʻemi ʻia ka mālama ʻana i ka maʻi kanesa.

Hiki i kekahi poʻe ke loaʻa i ka mucositis gastrointestinal, ʻaʻole wale ma ka waha, akā i loko hoʻi o nā ʻōpū. Hiki i kēia ke hana i nā hōʻailona e like me ka ʻeha o ka ʻōpū, ka nausea, a me ka luaʻi . Inā kokoke i ka ʻōpū, hiki ke loaʻa kēia mau hōʻailona. Inā he mumū i loko o ka colon, hiki iā ʻoe ke loaʻa i ka maʻi diarrhea a i ʻole ka ʻeha i ka wā o ka neʻe ʻana o ka ʻōpū.

ʻO wai ka mea i ʻoi aku ka paʻakikī ke loaʻa i ka mucositis?

Hoʻomohala ʻia ka mucositis ma kahi o 50% o ka poʻe e loaʻa ana i ka chemotherapy, a ma waena o 80% a me 100% o ka poʻe e hana ana i ka radiation therapy a i ʻole nā ​​​​​​mea hoʻoili cell stem. ʻO ke ʻano kēia he mea maʻamau loa ia.

Eia kekahi, ʻoi aku paha kou pilikia o ka hoʻomohala ʻana a i ʻole ka hoʻonui ʻana i kēia kūlana no nā kumu e like me:

• Inā ʻoe e puhi paka a nau paha i ka paka .
• Inā ʻoe e hoʻohana nui i ka waiʻona .
• Inā ua maloʻo ke kino.
• Inā he nele o ka protein .
• Inā haʻahaʻa kou helu nui o ke kino (BMI) .
• Inā he mau mea hoʻokomo niho kāu a hoʻohana paha i nā niho kuʻi .
• Inā loaʻa iā ʻoe ka maʻi ʻāʻī .
• Inā he maʻi puʻupaʻa kou .
• Inā loaʻa iā ʻoe ka maʻi diabetes .
• Inā loaʻa iā ʻoe ka maʻi HIV .

He aha nā hōʻailona o ka Mucositis?

Ke kū mai kahi mumū , ʻulaʻula, ʻeha, wela, a me ka pehu ʻana . Me kēia, hiki nō hoʻi ke hōʻike i nā hōʻailona e pili ana i kēlā me kēia wahi.

Nā hōʻailona o ka mucositis waha:

• Lilo ka ʻaoʻao o loko o ka waha a me nā ʻāʻī i ʻulaʻula, ʻālohilohi, a pehu .
• Waha maloʻo .
• Ka lawai mānoanoa loa .
• Nā ʻeha waha .
• Nā ʻāpana keʻokeʻo palupalu o ka pehu .
• Paʻakikī ke ale ʻana, kamaʻilio ʻana, ʻai ʻana, a inu ʻana .
• Ke kahe ʻana o ke koko .
• He uhi mucous keʻokeʻo ma luna o ke keʻokeʻo o ka waha.

Nā hōʻailona o ka mumū o ka ʻōpū gastrointestinal:

• ʻUlaʻula o ka membrane mucous (mucosa erythematous) .
• ʻEha ʻōpū .
• Ka luaʻi a me ka luaʻi .
• Ka maʻi kahe .
• Ke koko a i ʻole ka mucus i loko o kou ʻōpala .
• Nā ʻeha o ka ʻōpū .

He aha nā kumu nui o ka mucositis?

Ke kamaʻilio nā kauka e pili ana i ka mucositis, ke kuhikuhi pinepine nei lākou i ka mumū o ka uhi o ka waha a me ke ala ʻai i hoʻokumu ʻia e nā lāʻau lapaʻau maʻi kanesa. E like me kā mākou i kūkākūkā ai, hōʻino kēia mau lāʻau i nā cell e māhele wikiwiki ana, me nā cell i loko o ko mākou mau membrane mucous. Hiki ke hoʻopilikia ʻia ka waha a i ʻole ka ʻōpū ma kēia ʻano e ka radiation kiʻekiʻe a i ʻole chemotherapy i hāʻawi ʻia i ke kino holoʻokoʻa, a i ʻole e nā lāʻau lapaʻau haʻahaʻa i hāʻawi ʻia i kahi wahi kikoʻī wale nō.

I kekahi manawa, hiki ke loaʻa ka mumū o nā membrane mucous me nā kūlana ʻē aʻe, e like me nā maʻi. Akā a laila kapa ʻia lākou e nā inoa ʻē aʻe, ʻoi aku ka kikoʻī. No ka laʻana, ua kapa ʻia ka mumū i loko o ka waha he stomatitis , a ʻo ka mumū i loko o ka waha ma muli o kahi maʻi i kapa ʻia ʻo gingivostomatitis .

He aha nā pilikia e hiki ke loaʻa mai ka Mucositis?

He mea kēia e makaʻala iki ai.

• ʻAʻole pono ka ʻai: ʻO ka ʻeha ma ka waha, ka puʻu, ka esophagus, a i ʻole ka ʻōpū e hiki ke paʻakikī i ka ʻai ʻana a i ʻole ka inu ʻana. Hiki i kēia ke ʻoi aku ka koʻikoʻi no ka poʻe me ke kanesa, ka poʻe i loaʻa mua nā pilikia me ka makemake a me ka pohō kaumaha. He mea nui e hāʻawi iā lākou i ka meaʻai maikaʻi. Ma kahi o 70% o ka poʻe e pono paha e hoʻokomo ʻia i ka haukapila no ka hānai ʻana i ka paipu.
• ʻO ka maʻi paʻa mau: Inā loaʻa iā ʻoe ka maʻi paʻa mau, a inā he koko kou i loko o kou ʻōpala, pono ʻoe e mālama ʻia i ka haukapila a nānā ʻia e pale aku i ka maloʻo a i ʻole ka anemia.
• Maʻi: Ke hōʻino ʻia nā membrane mucous, nalowale kekahi o nā pale pale koʻikoʻi i loko o ko mākou kino. He haʻahaʻa ka helu o nā cell koko keʻokeʻo o ka poʻe me ka maʻi kanesa, ʻo ia hoʻi, ua nāwaliwali hoʻi ko lākou ʻōnaehana pale. Ke ulu nā ʻeha ma muli o ka mucositis, ʻoi aku ka nui o nā germs e komo i ke kahe koko. ʻO ka poʻe me ka mucositis, ka poʻe e hana ana i ka chemotherapy, a me ka poʻe he haʻahaʻa ka helu o nā cell koko keʻokeʻo (neutropenia) he pilikia nui ko lākou i ka loaʻa ʻana o kahi maʻi koko koʻikoʻi (septicemia).
• Ka hoʻēmi ʻana i ka mālama ʻana i ka maʻi kanesa: I nā hihia o ka mucositis koʻikoʻi, pono kekahi mau maʻi kanesa e hoʻopaneʻe a hōʻemi paha i kā lākou mālama ʻana. He pilikia ʻē aʻe kēia i ko lākou olakino. Ua ʻōlelo ʻia ua ʻoi aku ma mua o 30% o nā maʻi e hoʻōki i ka mālama ʻana ma muli o kēia kūlana.

Pehea e ʻike ʻia ai ka Mucositis?

He hopena maʻamau ka mucositis o ka mālama ʻana i ka maʻi kanesa . Hiki ke maʻalahi ke ʻike ʻia ma ka nānā ʻana i kāu mau hōʻailona, ​​​​kou mōʻaukala olakino, a me nā wahi o ka mumū. Inā loaʻa iā ʻoe ka mucositis gastrointestinal, e nānā i nā hoʻokolohua kiʻi.Pono ʻoe e loaʻa i hoʻokahi. Eia kekahi, makemake paha kāu kauka e nānā inā loaʻa iā ʻoe kekahi mau maʻi bacteria a fungal paha. Hiki ke hana ʻia kēia me kahi hoʻāʻo koko maʻalahi.

He aha nā lāʻau lapaʻau no ka Mucositis?

ʻO ka maʻamau, e nalowale ana ka mucositis ma hope o ka pau ʻana o kāu mālama ʻana i ka maʻi kanesa. Inā ʻoe e loaʻa ana i ka chemotherapy, e ʻike ʻia ka mucositis i loko o hoʻokahi a ʻelua paha pule o ka hoʻomaka ʻana o ka mālama ʻana a e nalowale i loko o hoʻokahi a ʻeono pule. Inā ʻoe e loaʻa ana i ka radiation therapy, e ʻike ʻia ka mucositis i loko o ʻelua a ʻekolu pule o ka hoʻomaka ʻana o ka mālama ʻana a e nalowale i loko o ʻelua a ʻehā pule o ka hoʻopau ʻana i ka mālama ʻana. Hiki ke loli ka manawa e pono ai e hoʻomaikaʻi ma muli o ke koʻikoʻi a me ke ʻano o kou mālama ʻana iā ia i ʻole e ʻoi aku ka ʻino. ʻOiai ʻoe e hoʻomaikaʻi ana, pono ʻoe i kēia mau mea:

Ka hoʻokele ʻeha

ʻO ka ʻeha ka pilikia koʻikoʻi loa me ka mucositis, ʻoiai ke loaʻa ia i loko o ka waha. ʻAʻole paha e lōʻihi nā mea hoʻopili topical a ʻaʻole paha e hiki i nā wahi āpau. Pono paha ʻoe e hoʻohana i ka hui pū ʻana o nā ʻano hana e hoʻokele ai i kou ʻeha. Pono paha ʻoe i nā holoi waha, nā lāʻau hoʻopau ʻeha ma luna o ke kauka, a me nā opioids i kauoha ʻia. Mai ʻae i ka ʻeha. Pono ʻoe e ʻai a inu maikaʻi e ola ai. E kamaʻilio me kāu kauka e pili ana i ka hoʻokele ʻeha i ka wā o ka mālama ʻana i ka maʻi kanesa.

ʻO kekahi mau lāʻau lapaʻau e hoʻopau ai i ka ʻeha no ka mucositis:

• Nā lāʻau hoʻomāmā ʻili: ʻO kēia nā mea e like me ka lidocaine, benzocaine, dyclonine hydrochloride (HCl) a me Ulcerease® (0.6% phenol).
• "Wai waha kilokilo": He hui kēia o ka 'lidocaine', 'diphenhydramine', a me 'Maalox®'.
• Nā lāʻau lapaʻau anti-inflammatory: No ka laʻana, prednisone.
• "GI cocktail": He hui kēia o `Maalox®`, `Nystatin®` a me `Hurricane Liquid®`.
• ʻAcetaminophen: Ua like ia me ka `Tylenol®`.
• Nā lāʻau ʻeha narcotic i kuhikuhi ʻia: Pono e lawe ʻia kēia mau mea me nā mea palupalu o ka ʻōpala e pale aku ai i ka paʻa ʻana.

Mālama waha

Ke loaʻa iā ʻoe ka mucositis waha, pono ʻoe e mālama pono i kou waha. ʻAʻole hiki i kēia ke hōʻemi wale i ka ʻeha, akā pale pū iā ia mai ka hōʻino hou aʻe a me ka maʻi. ʻOiai nā mea maʻalahi e like me ka ʻai ʻana, ke kamaʻilio ʻana, a me ka moni ʻana hiki ke hōʻino i kou mau membrane mucous nāwaliwali. ʻO ke ʻano kēia o ke koho ʻana i nā meaʻai palupalu a me nā mea e hiki ai ke mālama i kou waha a me kou puʻu i ka pulu a me ka pale ʻia. ʻOiai ʻoi aku ka maʻalahi o kou mau membrane mucous nāwaliwali i ka maʻi, he mea nui loa hoʻi ka maʻemaʻe .

Ka lāʻau lapaʻau no ka mucositis waha:

• E palaki pinepine i kou mau niho - akā mālie: Ma ka liʻiliʻi ʻekolu a ʻehā paha manawa i ka lā. E hoʻohana i kahi palaki niho palupalu a me kahi toothpaste fluoride mālie. E pale i nā mea hoʻokeʻokeʻo. Inā hoʻonāukiuki ka toothpaste i kou waha, e hoʻohana i kahi paʻakai a me ka soda baking. E holoi mālie i ka floss . E hoʻomaʻemaʻe i nā niho wahaheʻe i kēlā me kēia lā.
• Holoi waha: Holoi i kou waha me ka wai paʻakai a i ʻole kahi wai o ka paʻakai a me ka soda bakena ʻelima a ʻeono manawa i ka lā. ʻO kēia ke ala mālie a maikaʻi loa e hoʻomaʻemaʻe i nā ʻeha waha a pepehi i nā germs. Hiki iā ʻoe ke hoʻohana i nā holoi waha antiseptic ʻaʻohe waiʻona.
• ʻAi: Pono kāu ʻai e palaka a emi iki ka ʻala . E pale i nā meaʻai ʻakika, ʻala a me ka ʻūlū. E pale i ke kō a me ka waiʻona. Hiki i kēia mau mea ke hōʻino i ka membrane a hoʻoulu i ka ulu ʻana o nā bacteria a me nā fungi. He manaʻo maikaʻi nā protein shakes e hoʻonui i ka meaʻai a me ka hydration.
• Hoʻomaʻū: Pono paha ʻoe e inu i nā wai hou aʻe e uku no kou waha maloʻo a me ka emi ʻana o ka makū i loko o kou ʻōpū ʻai. Makemake paha ʻoe e hoʻāʻo i kahi huahana saliva hana i hoʻokumu ʻia i ka enzyme e like me Oral Balance®. ʻIke kekahi poʻe ʻo ka omo ʻana i nā ʻāpana hau e kōkua i ka hoʻomaʻū a me ka hōʻoluʻolu i ko lākou waha. Makemake paha ʻoe e pale i kou mau lehelehe ma ka hoʻopili ʻana i nā lip balm.

Ke mālama nei i nā pilikia

Inā ua maloʻo loa ʻoe, ʻai ʻole i ka meaʻai, a i ʻole ua loaʻa ka maʻi, pono paha ʻoe i kēia mau mea:

• ʻAi ʻai enteral
• Ke hāʻawi ʻana i ka saline (nā wai IV)
• Nā lāʻau lapaʻau

He aha kaʻu e ʻai ai a inu ai a hiki i ka ho'ōla ʻana o ka mucositis?

Nā mea maikaʻi e ʻai ai:

• Nā meaʻai protein kiʻekiʻe
• Nā ʻūlū meaʻai
• Nā meaʻai palupalu
• Nā popsicles kō ʻole

Nā mea ʻaʻole e ʻai ʻia:

• Nā meaʻai ʻala
• Nā meaʻai ʻakika
• Nā meaʻai momona a palai paha
• Nā meaʻai kō kiʻekiʻe

Nā mea maikaʻi e inu ai:

• Kī chamomile
• Nui ka wai

Nā mea pono ʻole ke inu ʻia:

• Nā mea inu kalapona
• ʻAila

Hiki ke pale ʻia ka Mucositis?

ʻAʻohe mea nui e hiki iā mākou ke hana i kēia manawa e pale aku i ka mucositis mai ka mālama ʻana i ka maʻi kanesa, akā ke noiʻi nei nā kauka iā ia. Ke hoʻāʻo ʻia nei kekahi mau lāʻau lapaʻau e hiki ke kōkua i ka hōʻemi ʻana i ke koʻikoʻi a me ka lōʻihi o kēia ʻano i kekahi poʻe. ʻO kekahi o lākou:

• Cryotherapy: ʻO ka omo ʻana i nā pahu hau ma mua a i ka wā o nā mālama chemotherapy hiki ke kōkua i ka pale ʻana i ka mucositis waha.
• Palifermin: He ʻano hana kēia o kahi mea i hana ʻia e ko mākou kino i kapa ʻia ʻo keratinocyte growth factor (KGF). Hana ʻo KGF e pale a hoʻoponopono i nā cell i loko o ka waha a me ke ala ʻai. Ua hōʻike ʻia e kōkua i ka hōʻemi ʻana i ke koʻikoʻi a me ka lōʻihi o ka mucositis i ka poʻe me ke kanesa koko a me ka poʻe i loaʻa i ka iwi iwi a i ʻole nā ​​​​​​mea kanu kumu.
• Nā mea hana waho: Ua hōʻike ʻia ʻo Gelclair® lāua ʻo Zilactin® e hōʻemi i ka mucositis waha ma o ka uhi ʻana a me ka pale ʻana i ka mucosa ma mua o ka radiation therapy.
• ʻAmifostine: Hiki i kēia lāʻau lapaʻau ke hōʻemi i ke koʻikoʻi o ka mucositis waha i nā poʻe e hana ʻia ana i ka radiation therapy i ke poʻo a me ka ʻāʻī. Eia nō naʻe, hiki i ka nausea ke lilo i hopena ʻaoʻao.

Inā loaʻa iaʻu kēia maʻi, he aha kaʻu e manaʻo ai?

E nalo wale ana kēia ma hope o ka pau ʻana o kāu mālama ʻana i ka maʻi kanesa, akā hiki ke hala i ʻelua a ʻeono pule. Pono paha ʻoe e lawe i nā lāʻau ʻeha i kuhikuhi ʻia e kāu kauka e kōkua iā ʻoe e hoʻomanawanui i kēia manawa. ʻO ka mālama pono ʻana i kou waha a me ka mālama ʻana i ka maʻemaʻe e pale aku i ka maʻi hiki ke kōkua iā ia e ho'ōla wikiwiki. Inā loaʻa iā ʻoe kahi maʻi a i ʻole pilikia i ka ʻai ʻana a inu ʻana paha, e ʻimi pono i ka ʻōlelo aʻo lapaʻau.

Āhea wau e ʻike ai i kaʻu kauka?

Inā ʻike ʻoe i kēia mau hōʻailona, ​​e ʻimi koke i ke kōkua lapaʻau:

• Ke ʻike ʻia nā hōʻailona mua o ka mucositis .
• Inā loaʻa iā ʻoe nā hōʻailona o kahi maʻi, e like me ke kuni .
• Inā pilikia ʻoe i ka ʻai ʻana a me ka inu ʻana .
• Inā ʻoe e lilo i ke kaumaha .
• Inā loaʻa iā ʻoe ka maʻi diarrhea mau loa .
• Inā he pinepine kou koko i loko o kou waha a i ʻole ka ʻōpala.

ʻO ka mucositis kekahi o nā hopena ʻaoʻao maʻamau a paʻakikī hoʻi o ka mālama ʻana i ka maʻi kanesa. ʻO ke koʻikoʻi o ia mea e pili ana i nā kumu he nui, me kou olakino laulā, ke ʻano o ka mālama ʻana āu e loaʻa ai, a me ke ʻano o kou mālama ʻana iā ʻoe iho ma hope o ka mālama ʻana.

ʻO ka mea hope loa, e hoʻomanaʻo i kēia (Leka Lawe-Home)

He manawa pōkole ka Mucositis, akā ʻaʻole pono ia he mea kaumaha, a loaʻa ke kōkua. ʻO nā pule mua ma hope o kāu mālama ʻana i ka maʻi kanesa he mea nui ia no kou hoʻōla ʻana. Aia kahi pilikia maoli o ka ʻai ʻole a i ʻole ka maʻi i kēia manawa. He mea nui ka mālama ponoʻī a me ka mālama olakino ke loaʻa iā ʻoe ka mucositis. Mai makaʻu e kamaʻilio me kāu kauka a loaʻa ke kōkua āu e pono ai. ʻAʻole ʻoe hoʻokahi!

ʻO ka mucositis, ka mālama ʻana i ke kanesa, nā ʻeha waha, ka mumū o ka ʻōpū, nā hopena ʻaoʻao chemotherapy, nā hopena ʻaoʻao mālama radiation, mālama waha