Cancer enkawlna nena inzawm hmui/rilru ulcer (mucositis) chungchang hi kan zir tur em ni?

Cancer enkawlna i dawn hian a chang chuan i hmui leh i rilru chhungah tuar theih loh khawpa natna nasa tak i nei thin a ni lawm ni? Ei leh in pawh i ei theih loh chang a awm a, sawi pawh a har khawp mai. Chu chu vawiin a kan sawi tur dinhmun chu a ni a, mucositis an tih chu a ni. Lungngai suh, hei hi mi tam tak chunga thil thleng a ni a, enkawl dan tur a awm bawk. Ngun zawkin han thlir ila.

Mucositis hi eng nge ni? A awlsam zawngin...

Mucositis hi kan chaw kawng (GI) tract , emaw mucosa -a lining inflammation leh hliam a ni. Kan hmui lining hnim, hrual, pink ang maiin han ngaihtuah teh. Chu chu kan chaw ei kawng zawng zawng line tu lining chu a ni. Kan ei leh in chhunga hrik leh chemical na tak tak laka min humhimtu a ni.

Mahse, cancer enkawlna ṭhenkhat, a bîk takin chemotherapy , radiation therapy , a nih loh leh stem cell transplant , bone marrow transplant ang chite chuan he lining nalh tak hi a tichhe thei a ni. Hei hi mucositis a lo awm hun a ni. Hetiang dinhmun hi ka chhungah hian oral mucositis angin hmuh a ni tlangpui .

He mucositis hian engtin nge kan taksa a nghawng?

Tunah chuan en teh, cancer cell hi cell chi khat, a inthen darh chak em em a ni. Chuvângin, cancer enkawlna pêkte chu chutiang cell inṭhen darh chak tak takte chu tihchhiat tûra ruahman a ni. Mahse buaina chu, kan mucous membrane-a cell te pawh hi cell chi khat, inthen darh leh siam thar rang tak an ni. Chuvangin, cancer enkawlna hian an pahnih hi a danglamna a hre thei lo. Chuvangin, cancer cells te nen hian kan protective membrane chhunga cell te pawh a chhe vek a ni.

A tlangpuiin he mucous membrane hian min venghim a, a chhan chu a lo piang thar leh thuai thin. Hliam te tak te pawh hi a dam thuai thin. Mahse mucositis-ah chuan he membrane chhunga cell te hi a chhe mai ni lovin, chu cell te chu an siam thar leh thei a, hliam an tidam thei bawk. Chuti a nih chuan eng nge thleng? He membrane hi ei leh in leh thusawi ang chi thil pangngai te hian a tichhe zual tan thin. Chu mai ni lovin, hri kai theihna pawh a pung nasa hle.

Oral mucositis-ah chuan ka chhung lam chu a sen a, a eng a, a hring a, hliam a lo lang bawk. Sometimes , ka chhungah hian pus dum a lo lang thei bawk. Mi thenkhat chuan hrehawmna an nei tlem zawk mai thei a, thenkhat erawh chuan tuar theih loh khawpa natna an nei thei bawk. Doctor-te chuan he natna hi level hrang hrangah an ṭhen a. Level 1 leh 2 hi a na lo hle a, mahse level 3 leh 4 hi natna nasa tak a ni thung. Heng natna khirh takah hian ei leh in i ei thei lo mai thei a, cancer enkawlna pawh tihtlem a ngai mai thei bawk.

Mi thenkhat chuan gastrointestinal mucositis an nei thei a, chu chu ka chhungah chauh ni lovin, intestine-ah pawh a awm thei. Hei hian pum na, rilru hahna, leh luak chhuak ang chi symptoms a thlen thei a ni . Pum hnaih a nih chuan heng symptoms te hi a awm thei. Colon-ah inflammation a awm chuan chaw ei laiin ril\am emaw, natna emaw i nei thei.

Tute nge mucositis vei tam zawk?

Mucositis hi chemotherapy dawngtu zinga 50% velin a awm a, radiation therapy emaw stem cell transplant dawngtu zinga 80% leh 100% inkarah a vei bawk . Hei hian a tam hle tihna a ni.

Tin, he natna hi i vei emaw, a zual emaw theihna chance sang zawk i nei thei bawk a, hei hi a chhan hrang hrang a ni thei bawk:

• Zuk leh hmuam i in emaw i ei emaw chuan .
• Zu i hman tam lutuk chuan.
• Taksa a tui tlakchham chuan .
• Protein tlakchhamna a awm chuan .
• I body mass index (BMI) a hniam chuan .
• Ha dahna i neih emaw, ha lem i hman emaw chuan .
• Gum natna i neih chuan .
• Kidney natna i neih chuan .
• Diabetes mellitus i neih chuan .
• HIV kai i neih chuan .

Mucositis natna lan chhuah dan chu engte nge ni?

Inflammation a awm hian a tlangpuiin a sen, a na, a lum a, a hring chhuak thin . Hei bakah hian hmun tinah chiang taka chhinchhiahna (symptoms) a lantir thei bawk.

Oral mucositis natna lan chhuah dan:

• Kawng chhung leh hmui chu a sen a, a eng a, a hring bawk .
• Kawng a vawt .
• Extra thick saliva a awm bawk .
• Kawngkhar natna a awm .
• A hring hring hring hring hring hring .
• Ei leh in, thusawi, ei leh in harsatna .
• Thisen chhuak .
• Ka hmui var chungah mucous coating dum a awm .

Gastrointestinal mucositis natna lan chhuah dan:

• A rilru a buai em em a, a rilru a hah em em bawk a. (erythematous mucosa) .
• Pum natna .
• Nausea leh luak chhuak .
• Kawthalo .
• I poop ah thisen emaw mucus emaw a awm .
• Bowel movement na tak tak te .

Mucositis thlentu berte chu engte nge ni?

Doctor-te chuan mucositis chungchang an sawi hian cancer enkawlna avanga hmui leh chaw ei kawng (lining of the digestive tract) inflammation an sawi fo thin. Kan sawi tawh ang khan heng enkawlnate hian kan mucous membrane-a cell te pawh tiamin, cell inthen chak tak takte chu a tichhia a ni. Hetiang hian taksa pum puia radiation sang tak emaw, chemotherapy emaw pek emaw, hmun bik chauha enkawlna tlemte pek emaw hmangin ka emaw, pum emaw a nghawng thei a ni.

A châng chuan, mucous membranes inflammation hi thil dang, infection ang chi nen a awm thei bawk. Mahse, chutah chuan hming dang, chiang zawkin an ko ta a ni. Entirnan, ka chhunga inflammation chu stomatitis an ti a, infection avanga ka chhunga inflammation chu gingivostomatitis an ti bawk.

Mucositis avanga harsatna awm thei te chu engte nge ni?

Hei hi tlem a fimkhur tur thil a ni.

• Chaw tha lo: Kawng, kawr, chaw kawng, emaw pumpui na hian ei leh in a ti harsa thei hle. Hei hi cancer vei tan chuan a pawi zawk thei a, ei duhna leh taksa rihna tihtlem chungchangah harsatna an nei tawh bawk. Ei leh in tha tak pek a pawimawh. Mi 70% vel chu tube feeding atan damdawi inah dah a ngai mai thei.
• Chronic diarrhea: Chronic diarrhea i neih chuan, emaw, i ek chhungah thisen a awm a nih chuan, damdawi inah dah a ngai mai thei a, dehydration emaw, thisen tlakchhamna emaw a awm loh nan enkawl i ngai mai thei.
• Infection: Mucous membranes a chhiat chuan kan taksaa venhimna pawimawh ber pakhat chu a bo thin. Cancer vei te hian thisen var (white blood cell) an tlem a, chu chu an taksa hriselna (immune system) pawh a chak lo tihna a ni. Mucositis avanga hliam a lo awm chuan thisenah natna hrik a lut tam zawk thin. Mucositis vei, chemotherapy la mek, leh thisen var cell count hniam (neutropenia) nei te chu thisen natna khirh tak (septicemia) vei an hlauhawm hle.
• Cancer enkawlna tihtlem: Mucositis na tak a awm chuan cancer vei thenkhat chuan an enkawlna an tihkhawtlai emaw tihtlem emaw a ngai thin. Hei hi an hriselna atana hlauhawm dang a ni. Hetiang dinhmun avang hian damlo 30% aia tam chuan enkawl an chawlhsan niin an sawi.

Engtin nge Mucositis hi hmuhchhuah a nih?

Mucositis hi cancer enkawlna avanga side effect awm fo a ni. I natna lan chhuah dan te, i damdawi lam chanchin te, leh inflammation awmna hmun te enin awlsam takin a hriat theih a ni. Gastrointestinal mucositis i neih chuan imaging test-ah en la.I neih a ngai dawn a ni. Tin, i doctor chuan bacteria emaw fungal emaw infection i neih leh neih loh a enfiah duh mai thei bawk. Hei hi thisen test awlsam tak hmanga tih theih a ni .

Mucositis hi eng enkawlna nge ni?

Mucositis hi i cancer enkawlna a zawh hnuah a mah chauhin a bo tlangpui. Chemotherapy i neih chuan enkawlna i tan atanga kar khat emaw kar hnih emaw chhungin mucositis a lo lang ang a, kar khat atanga kar ruk chhungin a reh ang. Radiation therapy i neih chuan enkawlna i tan atanga kar hnih atanga kar thum chhungin mucositis a lo lang ang a, enkawl zawh atanga kar hnih atanga kar li chhungin a bo ang. Dam leh hun chhung hi a nasat dan leh i enkawl that dan azirin a danglam thei a, chutiang chuan a na zual lo. I dam chhoh zel lai hian a hnuaia mite hi i mamawh ang:

Natna enkawl dan tur

Mucositis natna hi natna lian ber a ni a, a bik takin ka chhunga a awm chuan natna hi a ni. Topical agents hian rei a daih lo thei a, hmun zawng zawng a thleng lo thei bawk. I natna enkawl nan hian hmanraw hrang hrang i hman a ngai mai thei. Kawng silna, over-the-counter pain reliever, leh prescription opioid thlengin i mamawh mai thei. Natna chu tuar suh. I dam theih nan ei leh in tha i neih a ngai a ni. Cancer enkawl laiin natna enkawl dan tur chungchangah doctor nen inbia ang che.

Mucositis natna tihdamna damdawi thenkhat:

• Topical anesthetics: Heng zingah hian `lidocaine`, `benzocaine`, `dyclonine hydrochloride (HCl)` leh `Ulcerease® (0.6% phenol)` te pawh a tel.
• "Magic mouthwash": Hei hi `lidocaine`, `diphenhydramine`, leh `Maalox®` te inzawmkhawm a ni.
• Inflammatory damdawi: Entirnan, prednisone.
• "GI cocktail": Hei hi `Maalox®`, `Nystatin®` leh `Hurricane Liquid®` te inzawmkhawm a ni.
• Acetaminophen: `Tylenol®` nen a inang.
• Prescription narcotic pain medications: Hengte hi stool softeners nen ei tur a ni a, chu chuan constipation a veng thei ang.

Kawngka enkawl

Oral mucositis i neih chuan i hmui hi a bik takin i enkawl a ngai a ni. Hei hian natna a tihziaawm mai bakah, chhiatna leh natna hrik kai belh zel lakah a venghim thei bawk. Thil awlsam tak tak ei te, thusawi te, leh ei te pawh hian i mucous membrane chak lo tak takte chu a tichhe thei a ni. Chumi awmzia chu chaw nêm leh i hmui leh i kawr hnim leh venhimna nei thei thil thlan tihna a ni. I mucous membrane chak lote chu natna kai awlsam zawk a nih avangin faina pawh a pawimawh hle .

Oral mucositis enkawl dan: 1.1.

• I ha chu silfai tam zawk rawh – mahse zawi zawiin: Ni khatah vawi thum atanga vawi li tal. Ha hrual nêm tak leh fluoride toothpaste nem tak hmang rawh. Whitening agents te hi pumpelh tur a ni. Toothpaste hian i hmui a ti na a nih chuan chi leh baking soda paste hmang la. Floss zawi zawiin . Nitin ha lem tihfai thin ang che.
• Kawng silfai: I hmui chu tui chi emaw, chi leh baking soda solution emaw hmangin ni khatah vawi nga atanga vawi ruk silfai thin ang che. Hei hi hmui natna tihfai leh natna hrik tihhlumna kawng nem ber leh tangkai ber a ni. Zu tel lo antiseptic mouthwash pawh i hmang thei bawk.
• Diet: I ei leh in chu a bland tur a ni a, a spicy lo zawk tur a ni . Chaw acidic, spicy leh crunchy ei loh tur. Sugar leh zu ei loh tur. Chungte chuan membrane a tichhe thei a, bacteria leh fungi te pawh a tipung thei bawk. Protein shake hi nutrition leh hydration tihpun nan a tha hle.
• Hydration: I hmui vawt leh i chaw ei kawng a tui tlakchhamna tihtlem nan tui tam zawk i in a ngai mai thei. Enzyme hmanga siam artificial saliva product Oral Balance® ang chi hi i enchhin duh mai thei. Mi thenkhat chuan ice chips ei hian an hmui a ti lum a, a ti hahdam hle tih an hmuchhuak. Tin, i hmui venhim nan lip balm hnawih i duh mai thei bawk.

Harsatna awm thei enkawl dan

Tui tlakchhamna nasa tak, ei leh in lama harsatna i neih emaw, hri kai emaw i nih chuan:

• Enteral nutrition a awm bawk
• Saline (IV fluids) pek chhuah .
• Antibiotics damdawi a ni

Mucositis a dam hma chuan eng nge ka ei leh in tur?

Ei tur tha tak tak:

• Protein tamna ei tur
• Nutritional shakes a ni
• Chaw nêm tak tak
• Sugar tel lo popsicles a ni

Ei loh tur thil: 1.1.

• Chaw rimtui tak tak
• Acid nei ei tur chi hrang hrang
• Chaw thau emaw, hmin emaw
• Sugar tamna ei tur

In tur tha tak tak:

• Chamomile te a awm bawk
• Tui tam tak a awm

In tur tha lo thilte:

• Carbonated in tur te pawh a awm
• Zu

Mucositis hi ven theih a ni em?

Tunah hian cancer enkawlna atanga mucositis venna tur hian tih theih tam tak a awm lo a, mahse doctor-te chuan an zirchiang mek a ni. Tunah hian damdawi eng emaw zat test mek a ni a, hei hian mi thenkhatah he natna hi a nasat dan leh a rei zawng tihziaawmna kawngah a pui thei a ni. Chung zinga ṭhenkhat chu:

• Cryotherapy: Chemotherapy enkawlna hma leh enkawl lai hian ice cube suck hian oral mucositis lakah a veng thei a ni.
• Palifermin: Hei hi kan taksa atanga thil siam, keratinocyte growth factor (KGF) an tih, synthetic form a ni. KGF hian ka leh chaw ei kawng chhunga cell awmte venhim leh siamthat hna a thawk a ni. Thisen cancer vei leh bone marrow emaw stem cell transplant nei tawhte mucositis natna nasat leh rei zawng tihtlem nan a pui tih hmuhchhuah a ni.
• Topical agents: Gelclair® leh Zilactin® hian radiation therapy hmaa mucosa coating leh venhimna hmangin oral mucositis a tihziaawm tih hmuhchhuah a ni.
• Amifostine: He damdawi hian lu leh kawng thlenga radiation therapy hmanga enkawl mekte oral mucositis natna a tihziaawm thei a ni. Mahse, nausea hi side effect a ni thei.

Hetiang dinhmun hi ka neih chuan eng nge ka beisei ang?

Hei hi i cancer enkawlna i zawh hnuah a mah chauhin a bo tlangpui a, mahse kar hnih atanga kar ruk vel a ni thei. Hetih hun chhung hian i hmachhawn theih nan i doctor-in a pek painkiller i ei a ngai mai thei. I hmui uluk zawka enkawl a, natna hrik laka invenna atana thianghlim taka vawn hian a dam thuai thei a ni. Infection i neih emaw, ei leh in emaw harsatna i neih chuan doctor thurawn lak ngei ngei tur a ni.

Engtikah nge ka doctor ka hmuh ang?

Heng symptoms te hi i hriat chuan doctor thurawn la nghal rawh:

• Mucositis symptom hmasa ber a lo lan hunah.
• Infection symptoms i neih chuan, khawsik ang chi .
• Ei leh in harsatna i neih chuan .
• I taksa rihna i tihtlem chuan .
• Persistent diarrhea i neih chuan .
• I kâ atanga thisen chhuak fo emaw, i bawlhhlawh hmanga thisen chhuak fo chuan .

Mucositis hi cancer enkawlna avanga side effect awm tam ber leh harsa ber pakhat a ni. Engtiang chiahin nge a nasat tih chu thil tam takah a innghat a, chung zingah chuan i hriselna tlangpui, i enkawlna chi hrang hrang, leh enkawl hnua i in enkawl that dan te pawh a tel.

A tawp berah chuan hei hi hre reng ang che (Take-Home Message) .

Mucositis hi hun eng emaw chen atan a ni a, mahse phurrit a nih a ngai lo va, tanpuina a awm bawk. Cancer i enkawl hnu kar hmasa berte hi i dam lehna atan a pawimawh hle. Hetih hun chhung hian ei leh in tha lo emaw, hri kai emaw a awm thei tak zet a ni. Mucositis i neih hian mahni invenna leh damdawi lam enkawlna pahnih hi a pawimawh hle. Doctor nen inbia a, i mamawh tanpuina dawng turin hlau suh. Nangmah chauh i ni lo!

` Mucositis, cancer enkawlna, hmui natna, pum na, chemotherapy side effects, radiation hmanga enkawlna side effects, oral care