Te Mārama ki te Mucositis: Ngā Mate Puku me te Mate Puku i te Wā e Maimoatia ana e te Mate Puku | Nirogi Lanka

I a koe e rongoatia ana ki te mate pukupuku, ka pāngia pea koe e ngā mate mamae i roto i tō waha, i tō korokoro rānei, ā, kāore e taea te pupuri. I ētahi wā ka tino kaha te mamae, ā, ka uaua te kai, te inu, te kōrero rānei. Ko te Mucositis te ingoa o tēnei mate. Kaua e mataku; he pānga taha noa tēnei mō te tini o ngā tūroro, ā, i Nirogi Lanka , e hiahia ana mātou kia mōhio koe he huarahi whai hua hei whakahaere i tēnei. Kia tirohia tēnei e tātou me te taipitopito atu.

He aha te Mucositis? He māmā noa iho…

Ko te mucositis te mumura me te mate pukupuku o te kiriuhi mucous ngawari e kapi ana i tō ara gastrointestinal katoa — mai i tō waha tae noa ki ō whekau. Whakaarohia te kiko ngohengohe, makuku, māwhero i roto i tō waha; he arai tiaki rite tonu e kapi ana i tō pūnaha nakunaku, e mahi ana hei ārai i ngā iroriki me ngā matūriki kai kino.

Heoi, ka taea e ētahi maimoatanga mate pukupuku—ina koa ko te chemotherapy , te radiotherapy , te whakawhitinga pūtau take/wheua rānei—te whakakino i tēnei arai tairongo. E mōhiotia ana tēnei mate ko te mucositis. Ko te mea tino kitea ko te mucositis ā-waha (e pā ana ki te waha).

He aha ngā pānga o te mucositis ki tō tinana?

Ka tere te tipu me te wehewehe o ngā pūtau matepukupuku, koia te take i hangaia ai ngā maimoatanga matepukupuku hei aro ki ēnei pūtau tere te wehewehe. Engari, ka tere hoki te wehewehe o ngā pūtau e piri ana ki ō kiriuhi mucous. Nā te mea kāore e taea e ēnei maimoatanga te wehewehe ngāwari i waenga i ngā pūtau matepukupuku me ō pūtau hauora, ka pakaru pea tō arai tiaki.

I te nuinga o te wā, ka tere te ora o tēnei arai kiri, ā, ka tiakina koe. Heoi, i te mucositis, ka ngoikore te kaha o tō tinana ki te whakatika i ēnei pūtau. Nā tēnei ka mamae ngā mahi o ia rā pēnei i te kai, te kōrero rānei, ā, ka tino pāngia koe e ngā mate .

Mēnā he mucositis waha, ka whero pea tō waha, ka kanapa, ka pupuhi, ka puta rānei he mate puku . Tērā pea ka kite koe i ngā wāhi mā o te pupuhi . Ahakoa he rerekē ngā taumata o te mamae, ka whakarōpūhia e ngā tākuta mai i te ngawari (ngā taumata 1–2) ki te kino (ngā taumata 3–4). Mēnā he kino rawa te mamae, ka kaha rawa pea te mamae, ā, ka uaua pea ki a koe te kai, te inu rānei, ā, i ētahi wā ka hiahiatia he whakaiti wā poto i roto i tō mahere maimoatanga matepukupuku.

Ka pāngia hoki tō ara GI i tua atu i te waha e te mucositis, ka puta ngā tohu pēnei i te mamae o te puku, te whakapairuaki, me te ruaki . Mēnā ka tae te mumura ki ō whekau o raro, ka pā pea te mate korere , te mamae rānei o te puku.

Ko wai te hunga tino mōrearea ki te whakawhanake i te Mucositis?

He tino noa te mucositis; ka pāngia e te tata ki50% o ngā tūroro e whiwhi ana i te rongoā chemotherapy, me te 80% me te 100% o te hunga e whiwhi ana i te whakawhitinga irahiko, i te whakawhitinga pūtau take rānei.

Tērā pea ka piki ake tō tupono ki te whakawhanake i te mucositis kino mēnā:

• Whakamahia ngā hua tupeka, ngaungau rānei i te nati pī .
• Inu nui rawa te waipiro .
• Kua maroke te wai .
• He ngoikore tō pūmua .
• He iti te Taupū Papatipu Tinana (BMI) o tōu tinana .
• He niho tāpiri , he niho rūpahu rānei ō rātou.
• E pāngia ana e te mate kapia .
• He mate tākihi tōku .
• Whakahaerehia te Mate Huka Mellitus .
• Kua pangia koe e te mate HIV .

He aha ngā tohu o te Mucositis?

Ko te mumura ka puta mai i te whero, te mamae, te wera, me te pupuhi . Tērā pea ka kitea ētahi tohu motuhake i runga i te wāhi.

Ngā tohu o te Mucositis ā-waha:

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

Ngā tohu o te mucositis gastrointestinal:

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

He aha ngā tino take o te Mucositis? (Nirogi Lanka)

Ina kōrero ngā tākuta mō te mucositis , ko te tikanga e pā ana ki te mumura o te arai o tō ara nakunaku—mai i tō waha ki tō puku—nā ngā maimoatanga matepukupuku. E ai ki tā tātou i kōrero ai, ko ēnei maimoatanga e aro ana ki ngā pūtau e tere wehewehe ana, e kino ai ō kiriuhi mucous. Ahakoa kei te whiwhi koe i te irahiko pūnaha nui, i te chemotherapy rānei, i te irahiko ā-rohe iti iho rānei, ka pā pea ēnei maimoatanga ki ngā kiko tairongo o tō waha me tō pūnaha nakunaku.

I ētahi wā, ka puta te mumura o ēnei kiriuhi nā ētahi atu mate, ahakoa he maha ngā wā ka kiia ēnei he ingoa motuhake. Hei tauira, ko te mumura e pā ana ki te waha ka kiia ko te stomatitis , ā, ki te mea he mate kei roto, ka mohiotia ko te gingivostomatitis .

He aha ngā raruraru ka puta mai i te mucositis?

He mea nui kia noho mataara tonu mō ngā raruraru e whai ake nei:

• Kāore i te Kai: Mā te mamae o te waha, o te korokoro, o te korokoro, o te puku rānei ka uaua te kai me te inu. Nā te mea he maha ngā tūroro matepukupuku e raru ana ki te ngaro o te hiahia kai, te ngaro rānei o te taumaha, ka kino rawa atu tēnei. He mea nui te kai tika. I ētahi wā, tata ki te 70% o ngā tūroro me kawe ki te hōhipera mō te whāngai i roto i te ngongo.
• Te Mate Korere Mau tonu: Mena ka pāngia koe e te mate korere roa, ka kite rānei koe i te toto i roto i tō tūtae, me whakauru koe ki te hōhipera kia aroturukitia hei ārai i te matewai nui me te anemia.
• Mate urutā: Ina pakaru ō kiriuhi mucous, ka ngaro tētahi o ngā ārai parepare nui rawa atu o tō tinana. Nā te mea ka taea e ngā maimoatanga mate pukupuku te whakaiti i te maha o ngā toto toto mā (neutropenia), kua ngoikore kē tō ārai mate. Mā ngā mate mucositis ka uru atu ngā huakita ki roto i tō toto, ka nui ake te tūponotanga o ngā mate kino pēnei i te septicemia.
• Te Whakaiti, te Whakamutu rānei i te Maimoatanga Mate Pukupuku: Mā te mucositis kino ka akiaki tō rōpū hauora ki te whakaroa, ki te whakaiti rānei i te horopeta o tō maimoatanga mate pukupuku. Ka pā pea tēnei ki ō putanga mō te wā roa, ā, e ai ki ngā pūrongo neke atu i te 30% o ngā tūroro me whakamutu pea tā rātou maimoatanga nā tēnei mate.

Me pēhea te tautuhi i te mucositis?

Ko te mucositis tētahi o ngā pānga taha pea o te maimoatanga mate pukupuku e mōhiotia ana. Ka taea e tō tākuta te tautuhi i tēnei mate mā te arotake i tō hītori hauora, te aromatawai i ō tohu, me te tirotiro i ngā wāhi e pāngia ana. Mēnā he mucositis puku tōu, ka whakahaerehia pea e rātou he whakamātautau whakaahua hei tirotiro i te āhua o roto. Hei tāpiri, ka tono pea tō tākuta i tētahi whakamātautau toto hei tirotiro i ngā mate kitakita, mate harore rānei kei raro.

Me pēhea te rongoā mō te mucositis?

I te nuinga o te wā, ka memeha noa te mucositis ina mutu tō maimoatanga matepukupuku. Mena kei te rongoā koe i te chemotherapy, ka puta ngā tohu i roto i te kotahi ki te rua wiki, ā, ka memeha i roto i te kotahi ki te ono wiki. Ki te whakamahi i te radiation, ka tīmata ngā tohu i roto i te rua ki te toru wiki, ā, ka memeha i te rua ki te whā wiki i muri i te mutunga o te maimoatanga. Ko te tere o te whakaora ka whakawhirinaki ki te kaha me te pai o tō whakahaere i te mate. Kia ora rā anō koe, me whai tautoko pea koe i ēnei e whai ake nei:

Te Whakahaere Mamae

Ko te mamae te wāhanga tino uaua o te mucositis. Nā te mea kāore pea e roa te mau o ngā rongoā ā-waha, kāore hoki e kapi katoa ngā wāhi e pāngia ana, me whakamahi pea koe i tētahi huarahi whakakotahi. Kei roto pea i tēnei ko ngā hinu whakamarie, ngā wai horoi waha kua tohua, ngā rongoā whakamamae mamae e hokona ana i waho o te tākuta, ngā rongoā opioid rānei, mēnā e tika ana. Kaua e mamae noa iho. He mea nui tō kaha ki te kai me te inu mō tō whakaoranga. Kōrerohia he mahere whakahaere mamae matatau me tō rōpū hauora o Nirogi Lanka.

Ko ngā kōwhiringa whakahaere mamae noa mō te mucositis ko:

• Ngā rongoā whakangote kiri: Pērā i te lidocaine, te benzocaine, te dyclonine hydrochloride (HCl), me te Ulcerease® (0.6% phenol).
• "Horoi Waha Makutu":He ranunga kua whakaranua kei roto i te nuinga o te wā ko te lidocaine, te diphenhydramine, me te Maalox®.
• Ngā rongoā ārai-mumura: Hei tauira, prednisone.
• "GI Cocktail": He ranunga kei roto i te nuinga o te wā ko Maalox®, Nystatin®, me te Hurricane Liquid®.
• Acetaminophen: Pērā i te Tylenol®.
• Ngā Rongoā Mamae Narcotic kua Whakahaungia: Mena e hiahiatia ana ēnei, ka tohua pea e tō tākuta he rongoā whakangawari paru hei ārai i te mate kōroke.

Te Tiaki i te Waha

I te wā e pāngia ana koe e te mucositis waha, he mea nui te tiaki i tō waha hei whakaiti i te mamae me te ārai i ngā kino o ngā kiko, i ngā mate rānei. Ka taea e ngā mahi māmā pēnei i te kai, te kōrero, te horomi rānei te whakapōrearea i ngā kiriuhi ngawari. Kōwhiria he kai ngawari, he kai mātotoru, he ngāwari ki te horomi, ā, kia mau tonu te makuku o tō waha. Nā te mea he tino ngāwari te pāngia e ngā huakita ō kiriuhi mucous ngoikore, ko te pupuri i te akuaku o te waha he mea nui.

Ko te tiaki tautoko mō te mucositis ā-waha ko:

• Parai pinepine – engari mārire: Me ngana koe ki te parai i ngā niho e toru, e whā rānei ngā wā i te rā. Whakamahia he paraihe niho he ngawari ngā huruhuru me te paraihe niho fluoride ngawari, mārire. Āta karohia te whakamahi i ngā mea whakama, i ngā paraihe niho kino rānei. Mena ka puta he ahua wera i tō paraihe niho, ngana ki te whakamahi i tētahi whakapiri māmā i hangaia ki te tote me te houra tunutunu. Mirohia mārire ō niho , ā, kia tino horoia ō niho rūpahu i ia rā.
• Te horoi waha: Horoia tō waha e rima ki te ono ngā wā i te rā ki te wai tote, ki te ranunga tote me te houra tunutunu rānei. Koinei tētahi o ngā huarahi haumaru me te whai hua ki te horoi i ngā mate waha me te ārai i ngā huakita. Ka taea hoki e koe te whakamahi i ngā horoi waha paturopi kore-waipiro .
• Kai: Kia mau ki ngā kai ngawari me ngā kai mātotoru . Āta karohia ngā kai waikawa, ngā kai raukikī, me ngā kai pakari ka whakapataritari i tō waha. Kaua e kai i te huka me te waipiro, nā te mea ka kino pea te arai o tō waha, ka akiaki hoki i te tipu o ngā huakita me ngā harore. He huarahi pai ngā inu pūmua hei pupuri i tō kai me te wai.
• Te Whakamakuku: Hei ārai i te waha maroke, me te pupuri i te makuku o tō pūnaha nakunaku, me whakanui ake e koe te nui o te wai e inumia ana. Whakaarohia te whakamahi i ngā hua huware horihori i runga i ngā whākōkī, pērā i te Oral Balance®. Mō te tini, ko te ngote i ngā maramara hukapapa ka whakarato i te makuku whakamarie me te pānga whakangote e whakamamae ana i te mamae. Whakamahia ngā hinu ngutu i ia wā hei tiaki i ō ngutu.

Te rongoā i ngā raruraru

Mena ka pāngia koe e te matewai nui, te kore kai pai, te mate pāwera rānei, me rapu pea koe i te awhina hauora ngaio, pēnei i:

• Kai whāngai (ngā ngongo whāngai)
• Ngā wai IV
• Ngā rongoā paturopi

He aha ngā mea hei kai me te inu i a koe e ora ana i te Mucositis?

I tūtohutia:

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

Ārai:

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

Ngā inu e taunakitia ana:

• Tī kamomira
• He nui te wai

Āta karohia ngā inu:

• Ngā inu warowaihā
• Waipiro

Ka taea te ārai i te Mucositis?

Ahakoa kāore e taea te ārai katoa i te mucositis i puta mai i ngā maimoatanga mate pukupuku, kei te kaha te rangahau a ngā kairangahau i ngā huarahi hou hei whakahaere i tēnei mate. Tērā pea ka āwhina ētahi wawaotanga ki te whakaiti i te kaha me te roa o te mate:

• Whakaora-kanohi: Mā te ngote i ngā maramara hukapapa i te wā o te chemotherapy, me muri tata mai hoki, ka āwhina pea ki te ārai i te mucositis waha.
• Palifermin: He putanga hangai tēnei o te keratinocyte growth factor (KGF) , he pūmua e hangaia ana e tō tinana. Ka āwhina ki te tiaki me te whakatika i te arai o tō waha me te ara nakunaku. Kua whakaatuhia he whakaiti i te kaha me te roa o te mucositis i roto i ngā tūroro e whiwhi ana i te hinu wheua, i te pūtau take rānei mō te mate pukupuku toto .
• Ngā rongoā ā-waha: Ka taea e ngā hinu pēnei i a Gelclair® me Zilactin® te āwhina ki te pani i te kiriuhi waha, hei ārai i te rongoā irahiko.
• Amifostine: Mena kei te whiwhi koe i te rongoā irahiko ki te mahunga me te kaki, ka tūtohu pea tō tākuta i tēnei rongoā hei whakaiti i te kaha o te mucositis ā-waha, ahakoa he pānga taha pea te whakapairuaki.

He aha taku e tumanako atu ai mēnā kei a au tēnei āhuatanga?

I te nuinga o te wā ka memeha noa te mucositis i muri i te otinga o tō maimoatanga matepukupuku, ā, e rua ki te ono wiki te roa. I tēnei wā, ka tohua pea e tō tākuta he rongoā mamae hei pupuri i a koe kia pai. Mā te pupuri i te akuaku o te waha me te noho kore mate ka tere ake tō whakaoranga. Mena kei te whakaatu koe i ngā tohu o te mate, kei te uaua rānei ki te kai me te inu, tēnā whakapā atu ki tō tīma hauora tonu.

Āhea ahau me whakapā atu ki taku tākuta?

Rapua tonutia te awhina hauora mēnā ka kite koe i ēnei:

• Ngā tohu wawe o te mucositis.
• Ngā tohu o te mate pāwera, pērā i te kirika.
• Te uaua ki te kai, ki te inu rānei.
• Te whakahekenga taumaha kāore i te whakaarohia.
• Te mate korere tonu.
• Te toto pinepine i roto i tō waha, i tō tūtae rānei.

He pānga taha noa, he uaua hoki te mucositis o te maimoatanga mate pukupuku. Ko tōna kaha ka whakawhirinaki ki tō hauora whānui, ki te momo maimoatanga e whiwhi ana koe, me te kaha o tō pupuri i tō mahinga tiaki. I Nirogi Lanka, kei konei mātou hei tautoko i a koe i roto i ia taahiraa o tō whakaoranga.

Karere Tangohia ki te Kāinga

Ahakoa he mate rangitahi te mucositis, kāore koe e mamae ko koe anake; kei te wātea te tautoko. He mea nui ngā wiki torutoru i muri i ō maimoatanga mate pukupuku mō tō whakaoranga. I tēnei wā, tera pea ka tūpono koe ki te matekai, ki te mate pāwera rānei. He mea nui te mahi tonu i te tiaki i a koe anō me te whai i ngā tohutohu hauora ngaio i te wā e whakahaere ana i te mucositis. Kia kaha koe ki te kōrero ki tō tākuta kia whiwhi ai koe i te tautoko e hiahiatia ana e koe. Kāore koe i te mokemoke—kei konei a Nirogi Lanka hei tautoko i a koe.

Ngā Kupumatua: Mucositis, maimoatanga mate pukupuku, mate waha, mumura puku, ngā pānga taha o te chemotherapy, ngā pānga taha o te radiation therapy, tiaki waha