Tulina okuyiga ku mabwa g’omu kamwa/olubuto (mucositis) agajja n’obujjanjabi bwa kookolo?

Bw’ogenda mu bujjanjabi bwa kookolo, oluusi ofuna amabwa agakuluma obutagumiikiriza munda mu kamwa n’emimiro, nedda? Waliwo ebiseera nga tosobola na kulya wadde okunywa, era nga kizibu okwogera. Eyo y’embeera gye tugenda okwogerako leero, eyitibwa mucositis . Tofaayo, kino kintu ekituuka ku bantu bangi, era waliwo engeri y’okukiddukanyaamu. Ka tukitunuulire nnyo.

Obulwadde bwa Mucositis kye ki? Mu ngeri ennyangu...

Obulwadde bwa mucositis buzimba n’obuvune mu lining y’omukutu gwaffe ogw’omu lubuto (GI) , oba mucosa . Kilowoozeeko ng’oluwuzi olunnyogovu, oluweweevu, olwa pinki olw’akamwa kaffe. Oyo ye lining ekola layini y’enkola yaffe yonna ey’okugaaya emmere. Kye kitukuuma okuva ku buwuka n’eddagala erikambwe eriri mu mmere yaffe.

Kyokka, obujjanjabi obumu obwa kookolo, naddala obw’eddagala , obujjanjabi obw’amasannyalaze , oba okukyusa obutoffaali obusibuka mu mubiri , gamba ng’okusimbuliza obusigo bw’amagumba , busobola okwonoona oluwuzi luno oluweweevu. Wano we wabaawo obulwadde bwa mucositis. Embeera eno esinga kulabibwa mu kamwa nga oral mucositis .

Obulwadde buno obw’omubiri (mucositis) bukosa butya omubiri gwaffe?

Kati, laba, obutoffaali bwa kookolo kika kya butoffaali obweyawukana amangu ennyo. N’olwekyo, obujjanjabi obuweebwa kookolo butegekeddwa okusaanyaawo obutoffaali obwo obweyawukana amangu. Naye ekizibu kiri nti, obutoffaali obuli mu bitundu byaffe eby’omubiri (mucous membranes) nabyo kika kya butoffaali obweyawukana ne buzza obuggya amangu ddala. Kale, obujjanjabi bwa kookolo tebusobola kumanya njawulo wakati w’ebintu bino byombi. Kale, awamu n’obutoffaali bwa kookolo, obutoffaali obuli mu luwuzi lwaffe olukuuma nabwo byonooneddwa.

Mu budde obwabulijjo, oluwuzi luno oluyitibwa mucous membrane lutukuuma kubanga luddamu mangu. N’ekiwundu ekitono kiwona mangu. Naye mu bulwadde bwa mucositis, obutoffaali obuli mu luwuzi luno tebukoma ku kwonooneka, naye n’obusobozi bw’obutoffaali obwo okuddamu okukola n’okuwonya ebiwundu nabwo bukendeera. Kiki ekibaawo olwo? Olususu luno lutandika okwonooneka n’okusingawo olw’emirimu egya bulijjo ng’okulya n’okwogera. Si ekyo kyokka, naye n’obulabe bw’okukwatibwa yinfekisoni bweyongera nnyo.

Mu bulwadde bwa oral mucositis, munda mu kamwa kafuuka kamyufu, kaaka, kazimba, era amabwa ne galabika. Oluusi , ebitundu ebyeru eby’amasira biyinza okulabika mu kamwa. Abantu abamu bayinza obutawulira bulumi butono, naye abalala bayinza okufuna obulumi obutagumiikiriza. Abasawo obulumi buno babugabanyaamu emitendera. Omutendera 1 ne 2 tegulina nnyo bulumi, naye omutendera 3 ne 4 bulumi bwa maanyi. Mu mbeera zino ez’amaanyi, oyinza obutasobola kulya oba kunywa, era n’obujjanjabi bwa kookolo buyinza okukendeezebwa.

Abantu abamu bayinza okufuna obulwadde bw’omu lubuto, si mu kamwa kokka, wabula ne mu byenda. Kino kiyinza okuvaako obubonero ng’okulumwa olubuto, okuziyira, n’okusiiyibwa . Singa eba kumpi n’olubuto, obubonero buno buyinza okulabika. Singa wabaawo okuzimba mu kyenda ekinene, oyinza okufuna ekiddukano oba okulumwa ng’ofulumya ekyenda.

Ani asinga okulwala obulwadde bwa mucositis?

Obulwadde bwa mucositis bubaawo mu bantu nga 50% abafuna obujjanjabi bw’eddagala, ate wakati wa 80% ne 100% ku bantu abaweebwa obujjanjabi obw’amasannyalaze oba okusimbuliza obutoffaali obusibuka. Kino kitegeeza nti kya bulijjo nnyo.

Ate era, oyinza okuba mu bulabe obw’amaanyi obw’okufuna oba okwongera okusajjuka embeera eno olw’ensonga nga:

• Bw'oba onywa oba okamula taaba .
• Bw’okozesa omwenge ekisusse.
• Singa omubiri guba teguliimu mazzi .
• Singa wabaawo ebbula lya puloteyina .
• Singa omuwendo gw’omubiri gwo (BMI) guba mutono .
• Bwoba olina amannyo agasimbibwa oba okozesa amannyo ag'ekinnansi .
• Bwoba olina obulwadde bw'ennyindo .
• Bwoba olina obulwadde bw'ekibumba .
• Bwoba olina obulwadde bwa sukaali .
• Bwoba olina akawuka ka siriimu .

Bubonero ki obulaga obulwadde bwa Mucositis?

Obuzimba bwe bubaawo, butera okuvaako okumyuuka, okulumwa, ebbugumu n’okuzimba . Ng’oggyeeko kino, kiyinza n’okulaga obubonero obukwata ku buli kitundu.

Obubonero bw’obulwadde bw’okuzimba omubiri mu kamwa:

• Munda mu kamwa n’ennyindo bifuuka bimyufu, bimasamasa era bizimba .
• Akamwa akakalu .
• Amalusu amanene ennyo .
• Amabwa mu kamwa .
• Ebitundu ebigonvu ebyeru eby'amasira .
• Okukaluubirirwa okumira, okwogera, okulya, n’okunywa .
• Okuvaamu omusaayi .
• Ekizigo ekyeru eky’omusulo ku njeru y’akamwa.

Obubonero bw’obulwadde bw’olubuto n’ekyenda:

• Okumyufu kw’olususu lw’omubiri (erythematous mucosa) .
• Obulumi mu lubuto .
• Okuziyira n'okusiiyibwa .
• Embiro .
• Omusaayi oba omusulo mu musulo gwo .
• Ekyenda ekiruma .

Biki ebikulu ebivaako obulwadde bwa mucositis?

Abasawo bwe boogera ku bulwadde bwa mucositis, batera okutegeeza okuzimba kw’oluwuzi lw’akamwa n’enkola y’okugaaya emmere okuva ku bujjanjabi bwa kookolo. Nga bwe twayogeddeko, obujjanjabi buno bwonoona obutoffaali obweyawukana amangu, nga mw’otwalidde n’obutoffaali obuli mu bitundu byaffe ebiyitibwa mucous membranes. Akamwa oba olubuto bisobola okukosebwa mu ngeri eno olw’obusannyalazo obw’amaanyi oba eddagala eriweebwa omubiri gwonna, oba eddagala eriweebwa ekitundu ekigere.

Oluusi, okuzimba kw’obuwuka obuyitibwa mucous membranes kuyinza okubaawo n’embeera endala, gamba nga yinfekisoni. Naye oluvannyuma bayitibwa amannya amalala, agasingawo. Okugeza, okuzimba mu kamwa kuyitibwa stomatitis , ate okuzimba mu kamwa olw’obulwadde buyitibwa gingivostomatitis .

Bizibu ki ebiyinza okuva mu bulwadde bwa Mucositis?

Kino kintu kya kwegendereza katono.

• Endya embi: Obulumi mu kamwa, mu mumiro, mu nnywanto oba mu lubuto kiyinza okukaluubiriza okulya oba okunywa. Kino kiyinza n’okubeera eky’amaanyi eri abantu abalina kookolo, abalina edda obuzibu bw’okwagala okulya n’okugejja. Kikulu okubawa emmere ennungi. Abantu nga 70% bayinza okwetaaga okuweebwa ekitanda mu ddwaaliro olw’okuliisa mu ttanka.
• Ekiddukano ekitawona: Bw’oba ​​olina ekiddukano ekitaggwaawo, oba ng’olina omusaayi mu musulo, kiyinza okwetaaga okuweebwa ekitanda mu ddwaaliro n’okulondoolebwa okuziyiza okuggwaamu amazzi mu mubiri oba okukendeera kw’omusaayi.
• Obulwadde: Obulwadde bw’omubiri bwe gwonoonebwa, emu ku ngabo ezisinga obukulu ezikuuma omubiri gwaffe ebula. Abantu abalina kookolo balina obutoffaali obweru obutono, ekitegeeza nti n’abaserikale b’omubiri banafuye. Ebiwundu bwe bikula olw’obulwadde bwa mucositis, obuwuka butera okuyingira mu musaayi. Abantu abalina obulwadde bwa mucositis, abajjanjabwa eddagala, era abalina obutoffaali obweru obutono (neutropenia) bali mu bulabe obw’okukwatibwa obulwadde obw’amaanyi mu musaayi (septicemia).
• Okukendeeza ku bujjanjabi bwa kookolo: Mu mbeera z’obulwadde bwa mucositis obw’amaanyi, abalwadde ba kookolo abamu balina okulwawo oba okukendeeza ku bujjanjabi bwabwe. Kino kya bulabe obulala eri obulamu bwabwe. Kigambibwa nti abalwadde abasoba mu 30% balekera awo obujjanjabi olw’embeera eno.

Obulwadde bwa Mucositis buzuulibwa butya?

Obulwadde bwa mucositis butera okuva mu bujjanjabi bwa kookolo . Kyangu okukizuula ng’otunuulira obubonero bwo, ebyafaayo by’obujjanjabi bwo, n’ebitundu by’okuzimba. Bw’oba ​​olina obulwadde bw’omu lubuto, tunuulira ebikeberebwa mu bifaananyi.Ojja kwetaaga okuba n’emu. Ate era omusawo ayinza okwagala okukebera oba olina yinfekisoni yonna eya bakitiriya oba ffene. Kino osobola okukikola nga okeberebwa omusaayi mu ngeri ennyangu .

Bujjanjabi ki obw’obulwadde bwa Mucositis?

Obulwadde bwa mucositis butera okugenda ku bwabwo ng’obujjanjabi bwo bwa kookolo buwedde. Bw’oba ​​olina obujjanjabi bw’eddagala, obulwadde bwa mucositis bujja kulabika mu wiiki emu oba bbiri ng’otandise obujjanjabi era bujja kuggwaawo mu wiiki emu oba mukaaga. Bw’oba ​​olina obujjanjabi bw’amasannyalaze, obulwadde bwa mucositis bujja kulabika mu wiiki bbiri oba ssatu ng’otandika obujjanjabi era bujja kuggwaawo mu wiiki bbiri oba nnya ng’omaze obujjanjabi. Obudde bwe butwala okutereera buyinza okwawukana okusinziira ku ngeri gye buzibu ennyo n’engeri gy’ogirabirira obulungi ne butayongera kusajjuka. Nga bw’otereera, ojja kwetaaga bino wammanga:

Okuddukanya obulumi

Obulumi bwe businga okutawaanya obulwadde bwa mucositis naddala nga bubeera mu kamwa. Ebirungo ebiteekebwa ku mubiri biyinza obutawangaala oba obutatuuka mu bitundu byonna. Oyinza okwetaaga okukozesa enkola ezigatta okusobola okuddukanya obulumi bwo. Oyinza okwetaaga okunaaba mu kamwa, eddagala eriweweeza ku bulumi eritali ku ddagala, n’eddagala lya opioid eriwandiikiddwa omusawo. Togumiikiriza bulumi. Olina okusobola okulya n’okunywa obulungi okusobola okuwona. Yogerako n’omusawo wo ku ngeri y’okuziyiza obulumi ng’ojjanjabwa kookolo.

Ebimu ku bikozesebwa okukendeeza obulumi ku bulwadde bwa mucositis:

• Eddagala eribudamya ku mubiri: Mu bino mulimu ebintu nga `lidocaine`, `benzocaine`, `dyclonine hydrochloride (HCl)` ne `Ulcerease® (0.6% phenol)`.
• "Magic mouthwash": Kino kitabuddwamu `lidocaine`, `diphenhydramine`, ne `Maalox®`.
• Eddagala eriziyiza okuzimba: Okugeza, prednisone.
• "GI cocktail": Kino kitabuddwamu `Maalox®`, `Nystatin®` ne `Hurricane Liquid®`.
• Acetaminophen: Efaananako ne `Tylenol®`.
• Eddagala eriweweeza ku bulumi eriwandiikiddwa omusawo: Lino lirina okumira n’ebigonza omusulo okuziyiza okuziyira.

Okulabirira akamwa

Bw’oba ​​olina obulwadde bwa oral mucositis, olina okufaayo ennyo ku kamwa ko. Kino tekisobola kukoma ku kukendeeza bulumi, wabula n’okubukuuma obutayongera kwonooneka n’okukwatibwa yinfekisoni. N’ebintu ebyangu ng’okulya, okwogera n’okumira bisobola okwonoona obuwuka bwo obunafuye. Kino kitegeeza okulonda emmere ennyogovu n’ebintu ebisobola okukuuma akamwa n’emimiro nga binnyogovu ate nga bikuumibwa. Okuva bwe kiri nti obuwuka bwo obunafuye butera okukwatibwa obuwuka, obuyonjo nakyo kikulu nnyo .

Obujjanjabi bw’obulwadde bwa mucositis mu kamwa:

• Senya amannyo gongera – naye mpola: Waakiri emirundi esatu oba ena olunaku. Kozesa bbulawuzi y’amannyo eriko ebyoya ebigonvu n’eddagala ly’amannyo erya fluoride erigonvu. Weewale eddagala eryeru. Singa eddagala ly’amannyo likunyiiza akamwa, kozesa omunnyo ne sooda. Floss mpola mpola . Okwoza amannyo ag’ekinnansi buli lunaku.
• Okunaaba akamwa: Okunaaba akamwa n’amazzi ag’omunnyo oba omubisi gw’omunnyo ne sooda emirundi etaano oba mukaaga olunaku. Eno y’engeri esinga obugonvu era esinga okukola obulungi ey’okuyonja amabwa mu kamwa n’okutta obuwuka. Osobola n’okukozesa eddagala eritta obuwuka eritaliimu mwenge.
• Endya: Endya yo erina okuba nga nnungi ate nga terimu biwoomerera . Weewale emmere erimu asidi, ebirungo n’ebikuta. Weewale ssukaali n’omwenge. Bino bisobola okwonoona oluwuzi n’okutumbula okukula kwa bakitiriya ne ffene. Protein shakes kirungi okwongera ku mmere n’amazzi.
• Okunywa amazzi: Oyinza okwetaaga okunywa amazzi amangi okusobola okusasula akamwa ko akalu n’obunnyogovu obukendedde mu nkola yo ey’okugaaya emmere. Oyinza okwagala okugezaako eddagala ly’amalusu ery’obutonde eririmu enziyiza nga Oral Balance®. Abantu abamu bakizuula nti okunuuna ku ice chips kiyamba okunnyogoza n’okukkakkanya akamwa. Oyinza n’okwagala okukuuma emimwa gyo ng’osiiga eddagala eriweweeza ku mimwa.

Okujjanjaba ebizibu ebivaamu

Bw’oba ​​olina amazzi amangi, tolina mmere nnungi oba ng’olina akawuka, oyinza okwetaaga:

• Endya y’omu byenda
• Okuwa omunnyo (amazzi aga IV) .
• Eddagala eritta obuwuka

Kiki kye nnina okulya n’okunywa okutuusa ng’obulwadde bwa mucositis buwonye?

Ebintu ebirungi eby'okulya:

• Emmere erimu ebirungo ebizimba omubiri
• Ebikankanya eby’endya
• Emmere ennyogovu
• Popsicles ezitaliimu ssukaali

Ebintu by’otolina kulya:

• Emmere erimu eby’akawoowo
• Emmere erimu asidi
• Emmere erimu amafuta oba esiike
• Emmere erimu ssukaali omungi

Ebintu ebirungi eby'okunywa:

• Caayi wa kaamulali
• Amazzi mangi

Ebintu ebitali birungi kunywa:

• Ebyokunywa ebirimu kaboni
• Omwenge

Obulwadde bwa Mucositis busobola okuziyizibwa?

Mu kiseera kino tewali kinene kye tuyinza kukola kutangira mucositis okuva mu bujjanjabi bwa kookolo, naye abasawo bakinoonyerezaako. Mu kiseera kino eddagala eriwerako likeberebwa eriyinza okuyamba okukendeeza ku buzibu n’obuwanvu bw’embeera eno mu bantu abamu. Ebimu ku byo mulimu:

• Cryotherapy: Okusonseka ice cubes nga tonnaba kujjanjabwa na chemotherapy kiyinza okuyamba okukuuma obulwadde bwa mucositis mu kamwa.
• Palifermin: Eno ngeri ya kirungo ekikolebwa emibiri gyaffe ekiyitibwa keratinocyte growth factor (KGF). KGF ekola okukuuma n’okuddaabiriza obutoffaali mu kamwa n’enkola y’okugaaya emmere. Kizuuliddwa nti kiyamba okukendeeza ku buzibu n’obudde bw’obulwadde bwa mucositis mu bantu abalina kookolo w’omusaayi n’abo abakyusiddwa obusigo bw’amagumba oba obutoffaali obusibuka mu musaayi.
• Ebikozesebwa ku mubiri: Gelclair® ne Zilactin® biraze nti bikendeeza ku bulwadde bw’omumwa gwa kamwa nga bisiiga n’okukuuma omusulo nga tebannaba kujjanjaba masanyalaze.
• Amifostine: Eddagala lino liyinza okukendeeza ku buzibu bw’obulwadde bw’okusannyalala mu kamwa mu bantu abaweebwa obujjanjabi bw’amasannyalaze okutuuka ku mutwe n’ensingo. Kyokka, okuziyira kuyinza okubaako ekizibu ekivaako.

Bwemba nnina embeera eno, kiki kye nsuubira?

Kino kitera okugenda ku bwakyo ng’obujjanjabi bwa kookolo buwedde, naye kiyinza okutwala wiiki bbiri oba mukaaga. Oyinza okwetaaga okumira eddagala eriweweeza ku bulumi omusawo lye yakulagidde okukuyamba okugumira embeera mu kiseera kino. Okufaayo ennyo ku kamwa ko n’okukakuuma nga kayonjo okutangira obuwuka kiyinza okukayamba okuwona amangu. Bw’ofuna yinfekisoni oba ng’olina obuzibu mu kulya oba okunywa, kakasa nti ogenda mu basawo amagezi.

Ddi lwe nnina okulaba omusawo wange?

Bw’olaba obubonero buno, genda mangu omusawo amagezi:

• Obubonero obusooka obw’obulwadde bwa mucositis bwe bulabika.
• Bw’oba ​​olina obubonero bw’obulwadde, gamba ng’omusujja .
• Bwoba olina obuzibu mu kulya n'okunywa .
• Bw'okendeeza ku mugejjo .
• Bwoba olina ekiddukano ekitaggwaawo .
• Singa otera okuvaamu omusaayi mu kamwa oba n’omusulo.

Obulwadde bwa mucositis kye kimu ku bisinga okuva mu bujjanjabi bwa kookolo era obuzibu. Engeri gye buzibu ennyo esinziira ku bintu bingi omuli obulamu bwo okutwalira awamu, ekika ky’obujjanjabi bw’ofuna, n’engeri gy’olabirira obulungi ng’omaze okujjanjabibwa.

N’ekisembayo, jjukira kino (Obubaka bw’Okutwala Awaka)

Obulwadde bwa mucositis bwa kaseera buseera, naye tebulina kuba mugugu, era waliwo obuyambi obuliwo. Wiiki ezisooka oluvannyuma lw’okujjanjabwa kookolo zikulu nnyo mu kudda engulu. Waliwo akabi akatuufu ak’endya embi oba okukwatibwa obulwadde mu kiseera kino. Okwefaako n’okulabirira abasawo byombi bikulu ng’olina obulwadde bwa mucositis. Totya kwogera na musawo wo ofune obuyambi bwe weetaaga. Si ggwe wekka!

` Mucositis, obujjanjabi bwa kookolo, amabwa mu kamwa, okuzimba olubuto, ebizibu ebiva mu ddagala ly’eddagala, ebizibu ebiva mu bujjanjabi bw’amasannyalaze, okulabirira mu kamwa