Kodi nanunso mwakonzekera kulandira chithandizo cha khansa pogwiritsa ntchito radiation? Ndizachilendo kumva mantha pang'ono komanso kukayikira mukamva zimenezo. Mafunso monga "Kodi izi zidzachitika ndi chiyani? Kodi zidzakhala zovuta kwa ine? Kodi tsitsi langa lidzagwa?" mwina akukuzungulirani nthawi zambirimbiri. Zimenezi n'zomveka. Koma musachite mantha. Tiyenera kukumana ndi chilichonse mozindikira. Choncho lero, tiyeni tikambirane za zotsatirapo zomwe zingachitike pogwiritsa ntchito radiation therapy, chifukwa chake zimachitika, komanso momwe tingathanirane nazo.
N’chifukwa chiyani mankhwala a radiation amenewa amayambitsa zotsatirapo zake?
Mwachidule, chithandizo cha radiation ndi njira yowononga maselo a khansa pogwiritsa ntchito ma radiation amphamvu kwambiri (nthawi zambiri X-ray). Madokotala a khansa ya radiation omwe amakonza chithandizochi amayesetsa kuti ma radiation awa azitha kukhudza maselo a khansa okha, popanda kuvulaza maselo athanzi.
Tangoganizani tikupopera mankhwala ophera udzu pamalo enaake. Cholinga chathu chachikulu ndikupha udzu, koma nthawi zina ukhoza kukhala ndi zotsatirapo pang'ono pa zomera zabwino komanso zathanzi zomwe zili pafupi, sichoncho? Ndicho chimene chikuchitika apa. Maselo ena athanzi omwe ali pafupi ndi khansa amathanso kukhudzidwa ndi kuwala kumeneku.
Koma chabwino kwambiri n’chakuti, mosiyana ndi maselo a khansa, maselo athu athanzi amatha kuchira ku kuwonongeka kumeneku. Ndi panthawi yochira imeneyi pamene timakumana ndi zotsatirapo zake.
Chofunika ndichakuti si aliyense amene amakumana ndi zotsatirapo zofanana. Ndipo kuopsa kwake kumasiyana malinga ndi munthu. Dokotala wanu ndiye munthu woyenera kufotokoza zomwe mungakumane nazo.
Kodi ndi zotsatirapo zotani zomwe zimapezeka kawirikawiri?
Zotsatirapo zazikulu zomwe anthu ambiri omwe amalandira chithandizo cha radiation amakumana nazo ndi kutopa kwambiri. Izi sizikutanthauza kutopa kokha chifukwa chogwira ntchito tsiku lonse. Ndi kutopa kwambiri komwe kumachitika mosasamala kanthu za kugona kapena kupuma kochuluka bwanji.
Kuphatikiza apo, palinso zotsatira zina zofala:
- Kusintha kwa khungu: Khungu likhoza kufiira ndi kupsa ndi dzuwa pamalo ochizira, ndipo anthu ena akhoza kuona khungu likuda, kutupa, kutsekeka, kapena kuyabwa. Madokotala amatcha vutoli kuti ``Radiation Dermatitis''.
- Kutaya tsitsi: Ichi ndi chinthu chomwe anthu ambiri amaopa akachimva. Koma kumbukirani kuti kutaya tsitsi kumachitika kokha pamalo omwe kuwala kwa dzuwa kukukhudza. Mwachitsanzo, munthu amene akulandira chithandizo cha khansa ya muubongo kumutu angataye tsitsi lake. Munthu amene akulandira chithandizo cha pachifuwa sadzataya tsitsi lake kumutu.
- Kuchepa kwa chiwerengero cha maselo a m'magazi: Chiwerengero cha maselo ofiira a m'magazi, maselo oyera a m'magazi, ndi ma platelet m'magazi athu chingachepe pang'ono.
Zotsatirapo zambirizi zimakhala zakanthawi kochepa ndipo pang'onopang'ono zimabwerera mwakale chithandizo chikatha.
Zotsatirapo zake zimadalira mbali ya thupi yomwe ikulandira chithandizo.
Monga tanenera kale, zotsatira zake zimakhala za malo enieni. Izi zikutanthauza kuti zotsatira zake zingasiyane malinga ndi gawo la thupi lanu lomwe likulandira chithandizo. Tiyeni tiwone zomwe zingachitike pochiza madera akuluakulu.
| Gawo la thupi lomwe likulandira chithandizo | Zotsatirapo zomwe zingatheke |
|---|---|
| Ubongo | Kusanza, kutayika tsitsi, mutu, kulephera kukumbukira kapena kuvutika kuganizira, kusintha kwa masomphenya (kuona zinthu molakwika), kuvutika kumva. |
| Mutu ndi Khosi | Pakamwa pouma, malovu okhuthala mkamwa, mawu opweteka, mavuto a mano (chiopsezo chowonjezeka cha kuwola kwa mano), kutayika kapena kusintha kwa kukoma, zilonda pakamwa ndi pakhosi, kuvutika kumeza, kutupa kwa nkhope ndi khosi, kuchepa kwa ntchito ya chithokomiro (Hypothyroidism). |
| Chifuwa | Kupweteka pakhosi, kutentha pamtima, kuvutika kumeza, kusowa chilakolako cha chakudya, chifuwa, komanso kupuma movutikira. |
| Chifuwa | Kupweteka m'mawere, kuuma kwa mabere, kusintha kwa mawonekedwe a mabere, kuuma kwa phewa kapena mkono, kutupa kwa m'khwapa kapena mkono (Lymphedema). |
| Mimba ndi M'mimba | Kusanza ndi kusanza, kutsegula m'mimba (kudzimbidwa), kudzimbidwa, kupweteka m'mimba, kudzimbidwa, kusowa chilakolako cha chakudya, kuchepetsa thupi. |
| Chifuwa | Kukodza pafupipafupi, kutentha kwambiri mukakodza, kuvutika kulamulira mkodzo kapena ndowe, nseru, kutsegula m'mimba. Kwa akazi: kusabereka, kuuma kwa nyini kapena kuyabwa. Kwa amuna: kusabereka, kusagwira ntchito bwino kwa maliseche. |
Kodi zotsatirapozi zimayamba liti? Zimatenga nthawi yayitali bwanji?
Zotsatira zoyipa nthawi zambiri zimayamba mkati mwa milungu ingapo yoyambirira ya chithandizo. Nthawi zina, mungazindikire kusintha pang'ono pakhungu lanu mkati mwa masiku ochepa oyamba. Zotsatira zoyipazi zimatha kukhala zoopsa kwambiri pamene chithandizo chikupitirira.
Kwa anthu ambiri, zotsatirapo zake zimayamba kuchepa pakatha milungu ingapo kuchokera pamene amaliza chithandizo. Mwachitsanzo, kutopa nthawi zambiri kumatha pakatha miyezi ingapo. Ngati tsitsi latayika, zimatenga miyezi iwiri kapena itatu kuti libwererenso kukula.
Komabe, nthawi zina, makamaka ndi chithandizo cha radiation cha mlingo waukulu, zotsatirapo zina zimatha kukhala zokhalitsa kapena zosatha. Chifukwa chake ndikofunikira kukambirana momasuka ndi dokotala wanu za zoopsa zomwe zingachitike chifukwa cha dongosolo lanu la chithandizo.
Chabwino, kodi mumatha bwanji kuthana ndi zotsatirapo izi?
Kuthana ndi mavutowa kungakhale kovuta, koma pali zinthu zambiri zomwe tingachite kuti tithane nawo.
- Patsani thupi lanu mpumulo wokwanira: Musadzikakamize kuganiza kuti, 'Ndichita izibe.' Pumulani mukatopa. Chitani masewera olimbitsa thupi pang'ono komanso homuweki mukapeza mpumulo.
- Samalani kwambiri khungu lanu: Tsukani mosamala malo ochiritsidwa ndi madzi ofunda komanso sopo wofewa komanso wopanda fungo. Pukutani pang'onopang'ono popanda kukanda. Ngati mukupita panja, onetsetsani kuti mwagwiritsa ntchito mafuta oteteza khungu ku dzuwa okhala ndi SPF ya 30 kapena kuposerapo. Musamagwiritse ntchito mafuta odzola kapena mafuta odzola pamalo ochiritsidwa popanda kufunsa dokotala wanu.
- Samalani zakudya zanu: M'malo mwa kudya zakudya zitatu zazikulu, idyani zakudya zazing'ono zingapo patsiku. M'malo mwa zakudya zokometsera, zamafuta, sankhani zakudya zopepuka komanso zophikidwa ndi nthunzi. Ngati muli ndi nseru, chinthu monga tiyi wa ginger chingathandize. Ndikofunikira kwambiri kufunafuna thandizo kwa katswiri wazakudya panthawiyi.
- Ganizirani za thanzi lanu la maganizo: Ndi zachilendo kumva kupsinjika maganizo panthawiyi. Gonani mokwanira. Yesani kuchita zinthu zotonthoza monga kusinkhasinkha. Zingakhale zothandiza kulankhula ndi katswiri wa zamaganizo za mavuto omwe mukukumana nawo chifukwa chokhala ndi khansa.
- Imwani mankhwala ngati pakufunika kutero: Dokotala wanu adzakupatsani mankhwala oletsa zotsatirapo zoyipa monga nseru, kupweteka, ndi kutsegula m'mimba. Gwiritsani ntchito monga momwe mwalangizidwira.
- Pezani thandizo kwa akatswiri: Muthanso kupeza thandizo kwa akatswiri azakudya, akatswiri a zamaganizo, ndi akatswiri osamalira odwala omwe angathandize kuchepetsa kusasangalala komwe kumachitika chifukwa cha zizindikiro ndi zotsatirapo zake.
Ndizachilendo kumva kutopa kwambiri mukakonzekera chithandizo cha radiation. Koma kumbukirani, ukadaulo wamakono ndi wapamwamba kwambiri kuposa kale. Tsopano n'zotheka kuthana ndi maselo a khansa okha molondola kwambiri, pomwe mukuchepetsa kuwonongeka kwa maselo athanzi ozungulira. Izi zikutanthauza kuti pali zotsatirapo zochepa kuposa kale. Kambiranani mafunso anu onse ndi mantha anu ndi dokotala wanu. Mukatero mudzakhala ndi mphamvu zambiri zopitilira ulendowu.
Uthenga Wopita Nawo Kunyumba
- Chithandizo cha radiation ndi chithandizo chomwe chimawononga maselo a khansa, komanso chimawononga maselo athanzi omwe ali pafupi.
- Ndi zachilendo kumva kutopa, kusintha kwa khungu, komanso kutayika kwa tsitsi pamalo ochizira. Zambiri mwa izi zimatha pambuyo pa chithandizo.
- Zotsatirapo zake zimasiyana malinga ndi gawo la thupi lomwe likulandira chithandizo.
- Pali njira zambiri zothanirana ndi mavutowa. Pumulani mokwanira, samalirani khungu lanu, ndipo ganizirani za zakudya zanu.
- Chofunika kwambiri ndikulankhula ndi dokotala wanu za vuto lililonse lomwe mukumva, ngakhale pang'ono, popanda mantha kapena kukayikira. Kenako angakuthandizeni m'njira yabwino kwambiri.
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