I a koe e rongoatia ana ki te mate pukupuku, i ētahi wā ka pā mai he mamae nui ki roto i tō waha me tō korokoro, tika? Tērā ētahi wā kāore e taea e koe te kai, te inu rānei, ā, he uaua ki te kōrero. Koinei te mate ka kōrerohia e tātou i tēnei rā, e kiia nei ko te mucositis . Kaua e manukanuka, he mea tēnei e pā ana ki te tini o te tangata, ā, he huarahi hei whakahaere. Me titiro tata atu tātou.

He aha te Mucositis? He māmā noa iho...

Ko te mucositis he mumura me te whara o te arai o te arai puku (GI) , te mucosa rānei. Whakaarohia he arai makuku, maeneene, māwhero o tō tātou waha. Koinei te arai e arai ana i tō tātou arai nakunaku katoa. Koinei te mea e tiaki ana i a tātou mai i ngā huakita me ngā matū kino o roto i ā tātou kai.

Heoi anō, ko ētahi maimoatanga mate pukupuku, inā koa ko te chemotherapy , te radiation therapy , te whakawhitinga pūtau take rānei, pērā i te whakawhitinga wheua wheua , ka taea te kino i tēnei arai ngawari. Koinei te wā ka puta te mucositis. Ko tēnei āhuatanga ka kitea nuitia i roto i te waha hei mucositis ā-waha .

He aha te pānga o tēnei mate pukupuku ki tō tātou tinana?

Nā, tirohia, he momo pūtau tere te wehenga o ngā pūtau matepukupuku. Nō reira, ko ngā maimoatanga e tukuna ana mō te matepukupuku he mea hanga hei whakangaro i aua pūtau tere te wehenga. Engari ko te raruraru, ko ngā pūtau i roto i ō tātou kiriuhi mucous he momo pūtau tere te wehenga me te whakahou. Nō reira, kāore e taea e ngā maimoatanga matepukupuku te wehewehe i waenga i ngā mea e rua. Nō reira, me ngā pūtau matepukupuku, kua pakaru hoki ngā pūtau i roto i tō tātou kiriuhi tiaki.

I te nuinga o te wā, ka tiakina tātou e tēnei kiriuhi mucous nā te mea ka tere te whakahou. Ahakoa he patunga iti ka tere te ora. Engari i roto i te mucositis, ehara i te mea ko ngā pūtau o tēnei kiriuhi anake ka pakaru, engari ka heke hoki te kaha o aua pūtau ki te whakahou me te whakaora i ngā patunga. Ka ahatia i muri mai? Ka tīmata te kino o tēnei kiriuhi i ngā mahi noa pēnei i te kai me te kōrero. Ehara i te mea koinā anake, engari ka nui haere te mōrearea o ngā mate .

I roto i te mate mumura waha, ka whero te roto o te waha, ka kanapa, ka pupuhi, ka puta he mate pukupuku . I ētahi wā , ka puta pea he mā o te pupuhi i roto i te waha. Tērā pea ka iti ake te mamae o ētahi tāngata, engari ko ētahi ka pāngia e te mamae e kore e taea te whakamanawanui. Kua wehea e ngā tākuta tēnei mamae kia maha ngā taumata. He ngawari noa ngā taumata 1 me te 2, engari ko ngā taumata 3 me te 4 he mamae nui. I roto i ēnei take kino, kāore pea koe e taea te kai, te inu rānei, ā, me whakaiti pea te maimoatanga matepukupuku.

Tērā pea ka pāngia ētahi tāngata e te mucositis gastrointestinal, ehara i te mea i roto i te waha anake, engari i roto hoki i ngā whekau. Ka puta pea ngā tohu pēnei i te mamae o te puku, te whakapairuaki, me te ruaki . Mena kei te tata ki te puku, ka puta pea ēnei tohu. Mena he mumura kei roto i te koroni, ka pāngia pea koe e te mate korere , te mamae rānei i te wā e neke ana te puku.

Ko wai te mea ka nui ake te tūponotanga ka pāngia e te mucositis?

E pā ana te mucositis ki te 50% o te hunga e whiwhi ana i te chemotherapy, ā, i waenga i te 80% me te 100% o te hunga e whiwhi ana i te radiation therapy, i te whakawhitinga pūtau take rānei. Ko te tikanga he tino noa tēnei.

Waihoki, tera pea ka nui ake te mōrearea o te whakawhanake, te kino rānei o tēnei mate mō ngā take penei:

• Ki te mea he kai paipa koe, he ngaungau rānei i te tupeka .
• Ki te nui rawa te whakamahi waipiro .
• Mena kua maroke te tinana.
• Mena he ngoikore te pūmua .
• Mena he iti tō taupū papatipu tinana (BMI) .
• Mena he niho tāpiri āu, he niho rūpahu rānei āu e whakamahi ana.
• Mena he mate kapia tōu .
• Mena he mate tākihi tōu .
• Mena kei a koe te mate huka .
• Mena kei a koe te mate HIV .

He aha ngā tohu o te Mucositis?

Ina puta he mumura, ka whero, ka mamae, ka wera, ka pupuhi hoki te kiri . Haunga tēnei, ka kitea anō hoki ngā tohu e pā ana ki ia wāhi.

Ngā tohu o te mucositis waha:

• Ka whero, ka kanapa, ka pupuhi te roto o te waha me ngā kapia.
• Waha maroke .
• Huware matotoru rawa .
• Ngā mate pukupuku o te waha .
• Ngā wāhi mā ngohengohe o te pūhā .
• Te uaua ki te horomi, ki te kōrero, ki te kai, me te inu .
• Te toto .
• He paninga hūpē mā kei runga i te mā o te waha.

Ngā tohu o te mumura o te puku:

• Te whero o te kiriuhi mucous (te kiriuhi mucous whero) .
• Mamae puku .
• Whakapairuaki me te ruaki .
• Korere .
• He toto, he hūpē rānei i roto i tō paru .
• Ngā nekehanga puku mamae .

He aha ngā tino take o te mucositis?

Ina kōrero ngā tākuta mō te mucositis, he maha ngā wā e pā ana ki te mumura o te arai o te waha me te ara nakunaku i puta mai i ngā maimoatanga matepukupuku. E ai ki tā tātou i kōrero ai, ka kino ēnei maimoatanga i ngā pūtau e tere wehewehe ana, tae atu ki ngā pūtau i roto i ō tātou kiriuhi mucous. Ka pāngia pea te waha, te puku rānei e te irahiko nui, e te chemotherapy rānei e hoatu ana ki te tinana katoa, e ngā maimoatanga iti rānei e hoatu ana ki tētahi wāhi motuhake anake.

I ētahi wā, ka puta te mumura o ngā kiriuhi mucous me ētahi atu āhuatanga, pērā i te mate pukupuku. Engari ka karangatia rātou ki ētahi atu ingoa motuhake ake. Hei tauira, ko te mumura i roto i te mangai ka kiia ko te stomatitis , ā, ko te mumura i roto i te mangai nā te mate pukupuku ka kiia ko te gingivostomatitis .

He aha ngā raruraru ka pā mai i te Mucositis?

He mea tēnei hei āta tupato.

• Te kore kai tōtika: Ka uaua te kai, te inu rānei i te mamae o te waha, o te korokoro, o te korokoro, o te puku rānei. Tērā pea ka nui ake te kino o tēnei mō te hunga mate pukupuku, kua raru kē rātou ki te hiahia kai me te ngaronga taumaha. He mea nui kia whakaratohia he kai tōtika ki a rātou. Tata ki te 70% o te hunga me kawe ki te hōhipera mō te whāngai i roto i te ngongo.
• Korere mau tonu: Mena he korere tonu tōu, he toto rānei kei roto i tō tūtae, me kawe pea koe ki te hōhipera me te aroturukitia kia kore ai e matewai, e mate toto rānei.
• Mate urutā: Ina pakaru ngā kiriuhi mucous, ka ngaro tētahi o ngā parepare tiaki tino nui o tō tātou tinana. He iti te maha o ngā toto toto mā o te hunga mate pukupuku, ko te tikanga ka ngoikore hoki tō rātou pūnaha ārai mate. Ina puta ngā patunga nā te mucositis, ka nui ake te tūponotanga o ngā iroriki ki te tomo ki te toto. Ko te hunga e pangia ana e te mucositis, e whiwhi ana i te chemotherapy, ā, he iti hoki te maha o ngā toto toto mā (neutropenia) he tino mōrearea ki te pāngia e te mate toto kino (septicemia).
• Te whakaiti i te maimoatanga matepukupuku: Mēnā he nui te mucositis, me whakaroa, me whakaiti rānei te maimoatanga o ētahi tūroro matepukupuku. He tūponotanga anō tēnei ki tō rātou hauora. E kiia ana neke atu i te 30% o ngā tūroro ka mutu te maimoatanga nā tēnei mate.

Me pēhea te tautuhi i te Mucositis?

He pānga taha noa te mucositis o te maimoatanga matepukupuku . Ka taea te tautuhi ngāwari mā te tirotiro i ō tohu, tō hītori hauora, me ngā wāhi mumura. Mena he mucositis puku tōu, tirohia ngā whakamātautau whakaahua.Me whiwhi koe i tētahi. Waihoki, ka hiahia pea tō tākuta ki te tirotiro mēnā he mate kitakita, he mate harore rānei tōu. Ka taea tēnei mā te whakamātautau toto noa iho.

He aha ngā maimoatanga mō te Mucositis?

I te nuinga o te wā ka memeha haere te mucositis i muri i te otinga o tō maimoatanga matepukupuku. Mena kei te whiwhi koe i te chemotherapy, ka puta te mucositis i roto i te wiki, i ngā wiki e rua rānei o te tīmatanga o te maimoatanga, ā, ka memeha haere i roto i te wiki kotahi ki te ono. Mena kei te whiwhi koe i te radiation therapy, ka puta te mucositis i roto i ngā wiki e rua ki te toru o te tīmatanga o te maimoatanga, ā, ka memeha haere i roto i ngā wiki e rua ki te whā o te mutunga o te maimoatanga. Ka rerekē te roa o te wā e ora ai i runga i te kaha o te mate me te pai o tō tiaki kia kore ai e kino haere. I a koe e ora haere ana, me whai koe i ēnei e whai ake nei:

Te whakahaere mamae

Ko te mamae te raruraru tino nui o te mucositis, inā koa ka puta i roto i te waha. Tērā pea kāore e roa te whakamahinga o ngā rongoā kiri, kāore rānei e tae ki ngā wāhi katoa. Me whakamahi pea koe i ngā tikanga maha hei whakahaere i tō mamae. Tērā pea me whakamahi koe i ngā horoi waha, i ngā rongoā mamae ka taea te hoko, tae atu ki ngā rongoā opioid kua tohua. Kaua e aro ki te mamae. Me kaha koe ki te kai me te inu pai kia ora ai koe. Kōrero ki tō tākuta mō te whakahaere i te mamae i te wā e rongoatia ana te mate pukupuku.

Ko ētahi maimoatanga whakamamae mamae mō te mucositis:

• Ngā rongoā whakangote kiri: Kei roto i ēnei ngā mea pēnei i te 'lidocaine', te 'benzocaine', te 'dyclonine hydrochloride (HCl)' me te 'Ulcerease® (0.6% phenol)'.
• "Wai horoi waha makutu": He ranunga tēnei o te 'lidocaine', te 'diphenhydramine', me te 'Maalox®'.
• Ngā rongoā ārai-mumura: Hei tauira, prednisone.
• "Kokotere GI": He ranunga tēnei o te `Maalox®`, `Nystatin®` me te `Hurricane Liquid®`.
• Acetaminophen: He rite ki te `Tylenol®`.
• Ngā rongoā mamae narcotic kua tohua: Me tango tahi ēnei me ngā rongoā whakangawari tūtae hei ārai i te mate pāwera.

Te tiaki i te waha

Mēnā he mate waha tōu, me tino tiaki koe i tō waha. Ehara i te mea ka whakaiti noa i te mamae, engari ka tiaki hoki i a ia mai i ngā kino me ngā mate urutā. Ahakoa ngā mea ngāwari pēnei i te kai, te kōrero, me te horomi ka taea te kino i ō kiriuhi mucous kua ngoikore. Ko te tikanga tēnei ko te whiriwhiri i ngā kai ngohengohe me ngā mea ka taea te pupuri i tō waha me tō korokoro kia makuku, kia tiakina hoki. Nā te mea he ngawari ake te pangia e ō kiriuhi mucous kua ngoikore, he mea tino nui hoki te horoi .

Te maimoatanga mō te mucositis ā-waha:

• Paraihia ō niho kia nui ake – engari kia āta mārire: Kia toru, kia whā rānei ngā wā i te rā. Whakamahia he paraihe niho ngohengohe me te paraihe niho ngawari he fluoride. Āta karohia ngā mea whakama. Mena ka whakapataritari tō waha i te paraihe niho, whakamahia he tote me te houra tunutunu. Horoia mārire ngā niho rūpahu. Horoia ngā niho rūpahu i ia rā.
• Te horoi waha: Horoia tō waha ki te wai tote, ki te wai tote me te houra tunutunu rānei, e rima ki te ono ngā wā i te rā. Koinei te huarahi ngāwari me te tino whai hua ki te horoi i ngā mate waha me te patu i ngā iroriki. Ka taea hoki e koe te whakamahi i ngā horoi waha paturopi kore waipiro.
• Kai: Me kore e nui te kakara, ā, me iti ake te werawera o tō kai. Āta karohia ngā kai waikawa, werawera, me ngā kai pakari. Āta karohia te huka me te waipiro. Ka taea e ēnei te kino i te kiriuhi me te whakatairanga i te tipu o ngā huakita me ngā harore. He whakaaro pai ngā inu pūmua hei whakanui ake i te kai totika me te wai.
• Te Wai: Me nui ake pea te inu wai hei whakakapi i tō waha maroke me te iti o te makuku i roto i tō ara nakunaku. Akene me whakamātau koe i tētahi hua huware horihori kei roto he whākōkī pērā i a Oral Balance®. Ki tā ētahi he āwhina te ngote i ngā maramara hukapapa ki te whakamakuku me te whakamarie i ō rātou waha. Akene me tiaki ō ngutu mā te pani i ngā hinu ngutu.

Te rongoā i ngā raruraru

Mena kei te tino matewai koe, kei te kore kai pai, kei te pangia rānei, me hiahia pea koe ki:

• Kai kai enteral
• Te hoatu i te tote (wai IV)
• Ngā rongoā paturopi

He aha taku e kai ai, e inu ai kia ora rā anō te mucositis?

Ngā kai pai hei kai:

• Ngā kai pūmua nui
• Ngā inu whakakoi kai
• Ngā kai ngohengohe
• Ngā popsicle kore-huka

Ngā mea kāore e tika kia kainga:

• Ngā kai werawera
• Ngā kai waikawa
• Ngā kai hinuhinu, ngā kai parai rānei
• Ngā kai huka nui

Ngā mea pai hei inu:

• Tī kamomira
• He nui te wai

Ngā mea kāore e pai kia inumia:

• Ngā inu warowaihā
• Waipiro

Ka taea te ārai i te Mucositis?

Kāore i te nui ngā mea ka taea e tātou te mahi i tēnei wā hei ārai i te mucositis mai i te maimoatanga matepukupuku, engari kei te rangahauhia e ngā tākuta. He maha ngā rongoā kei te whakamatautauria i tēnei wā hei āwhina i te whakaiti i te kaha me te roa o tēnei mate i roto i ētahi tāngata. Ko ētahi o ēnei ko:

• Te Whakaora-kanohi: Mā te ngote i ngā poraka hukapapa i mua atu, i te wā hoki o ngā maimoatanga chemotherapy ka āwhina i te ārai i te mucositis waha.
• Palifermin: He momo hangai tēnei o tētahi matū e hangaia ana e ō tātou tinana e kiia nei ko te keratinocyte growth factor (KGF). Ka mahi te KGF ki te tiaki me te whakatika i ngā pūtau i roto i te waha me te ara nakunaku. Kua whakaatuhia he āwhina ki te whakaiti i te kaha me te roa o te mucositis i roto i te hunga mate pukupuku toto me te hunga kua whakatōkia ki te hinu wheua, ki te pūtau take rānei.
• Ngā rongoā ā-waha: Kua whakaaturia te kaha o Gelclair® me Zilactin® ki te whakaiti i te mucositis ā-waha mā te pani me te tiaki i te mucosa i mua i te rongoā irahiko.
• Amifostine: Ka taea e tēnei rongoā te whakaiti i te kaha o te mucositis ā-waha i roto i te hunga e whiwhi ana i te rongoā irahiko ki te mahunga me te kaki. Heoi, ka taea e te whakapairuaki te waiho hei pānga taha.

Mena kei a au tēnei āhuatanga, he aha taku e tumanako ai?

I te nuinga o te wā ka memeha haere tēnei i muri i te otinga o tō maimoatanga matepukupuku, engari ka roa pea e rua ki te ono wiki. Me tango pea koe i ngā rongoā whakamamae mamae kua tohua e tō tākuta hei āwhina i a koe ki te ora i tēnei wā. Mā te tiaki nui i tō waha me te pupuri i tōna ma hei ārai i te mate ka tere ake te whakaora. Mēnā ka pāngia koe e te mate, ka uaua rānei ki te kai, ki te inu rānei, me rapu tohutohu hauora.

Āhea ahau me toro atu ki taku tākuta?

Ki te kite koe i ēnei tohu, rapua tonutia he tohutohu hauora:

• Ina puta mai ngā tohu tuatahi o te mucositis .
• Mena kei a koe ngā tohu o te mate urutā, pērā i te kirika .
• Mena he uaua ki a koe te kai me te inu .
• Ki te whakaiti i tō taumaha .
• Mena he mate korere tonu tōu .
• Mena he maha tonu ō toto e puta mai ana i tō waha, i roto rānei i tō tūtae.

Ko te mucositis tētahi o ngā pānga taha tino noa, tino uaua hoki o te maimoatanga matepukupuku. Ko te kaha o tōna pānga ka whakawhirinaki ki ngā āhuatanga maha, tae atu ki tō hauora whānui, te momo maimoatanga e whiwhi ana koe, me te pai o tō tiaki i a koe anō i muri i te maimoatanga.

Hei whakamutunga, kia maumahara ki tēnei (Karere hei tango ki te kāinga)

He wā poto noa te mate pūkahukahu, engari kāore e tika kia waiho hei taumahatanga, ā, kei reira te āwhina e wātea ana. He mea nui ngā wiki tuatahi i muri i tō maimoatanga mate pukupuku ki tō oranga. He tino mōrearea te kore kai pai, te mate pāwera rānei i tēnei wā. He mea nui te tiaki i a koe anō me te tiaki hauora ina pāngia koe e te mate pūkahukahu. Kaua e wehi ki te kōrero ki tō tākuta me te tiki i te āwhina e hiahiatia ana e koe. Kāore koe i te mokemoke!

` Mucositis, maimoatanga mate pukupuku, mate waha, mumura puku, ngā pānga taha o te chemotherapy, ngā pānga taha o te maimoatanga irahiko, tiaki waha