Paunenge uchirapwa kenza, dzimwe nguva ungasangana nemaronda anorwadza mumuromo mako kana pahuro anonzwa asingatsungiririki. Pane dzimwe nguva apo kurwadziwa kunova kwakanyanya zvekuti zvinoita kuti kudya, kunwa, kana kutotaura kuve dambudziko rakaoma. Dambudziko iri ndiro ratinodaidza kuti Mucositis . Ndapota musatya; iyi imhedzisiro inowanzoonekwa nevarwere vazhinji, uye kuNirogi Lanka , tinoda kuti muzive kuti kune nzira dzinoshanda dzekuzvigadzirisa. Ngatitarisei izvi zvakadzama.
Chii chinonzi Mucositis? Zvichitaurwa zviri nyore…
Mucositis kuzvimba uye maronda eganda remudumbu rakapfava rinofukidza nzira yako yese yekugaya (GI) - kubva mumuromo mako kusvika muura hwako. Funga nezvenyama yakapfava, yakanyorova, yepingi iri mumuromo mako; jira rakafanana rinodzivirira rinofukidza hurongwa hwako hwekugaya, richishanda sechidziviriro kubva kuhutachiona nezvidimbu zvekudya zvine simba.
Zvisinei, mamwe marapirwo egomarara—kunyanya chemotherapy , radiation therapy , kana stem cell/bone marrow transplants —anogona kukuvadza jira iri rinonzwa. Dambudziko iri rinozivikanwa semucositis. Rinowanzoonekwa semucositis yemuromo (inokanganisa muromo).
Mucositis inokanganisa sei muviri wako?
Masero egomarara anokura nekukamurana nekukurumidza, ndosaka mishonga yegomarara yakagadzirirwa kunanga masero aya anokamurana nekukurumidza. Zvinosuwisa kuti masero ari mukati meganda remucous rako anokamuranawo nekukurumidza. Nekuti mishonga iyi haigone kusiyanisa zviri nyore pakati pemasero egomarara nemasero ako ane hutano, jira rako rekudzivirira rinogona kukuvara.
Kazhinji, jira iri rinopora nekukurumidza, izvo zvinokuchengetedza wakachengeteka. Zvisinei, kana uine mucositis, kugona kwemuviri wako kugadzirisa masero aya kunokanganiswa. Izvi zvinoita kuti zviito zviri nyore zvezuva nezuva zvakaita sekudya kana kutaura zvirwadze uye zvinokusiya uri panjodzi huru yekubatwa nezvirwere .
Muzviitiko zvemucositis yemuromo, muromo wako unogona kuita sewakatsvuka, unopenya, wakazvimba, kana kuti une maronda . Unogonawo kuona mavanga machena emapundu . Kunyange zvazvo marwadzo achisiyana, vanachiremba vanoaisa muzvikamu kubva paasina kusimba (giredhi 1-2) kusvika paakanyanya (giredhi 3-4). Muzviitiko zvakakomba, kurwadziwa kunogona kukura zvekuti unogona kunetseka kudya kana kunwa, dzimwe nguva zvichiita kuti chirongwa chako chekurapa kenza chideredzwe kwenguva pfupi.
Mucositis inogonawo kukanganisa nzira yako yekugaya chikafu kupfuura muromo, zvichikonzera zviratidzo zvakaita sekurwadziwa mudumbu, kuda kurutsa, uye kurutsa . Kana kuzvimba kwacho kukasvika mudumbu rezasi, kunogona kukonzera manyoka kana kurwadziwa mudumbu.
Ndiani ari panjodzi huru yekubatwa nechirwere cheMucositis?
Mucositis yakajairika; inobata anenge50% yevarwere vari kurapwa nechemotherapy uye pakati pe80% ne100% yeavo vanoiswa radiation kana stem cell transplants.
Njodzi yako yekubatwa nechirwere chemudumbu chakakomba inogona kuwedzera kana iwe:
- Shandisa zvinhu zvefodya kana kutsenga betel nut .
- Inwa doro rakawandisa .
- Hadzina mvura mumuviri .
- Une kushomeka kwemapuroteni mumuviri .
- Une Body Mass Index (BMI) yakaderera .
- Kuva nema "inplants" emazino kana kupfeka mazino emazino .
- Vanorwara nechirwere chemazino .
- Une chirwere cheitsvo .
- Gadzirisa Chirwere Cheshuga .
- Une hutachiona hweHIV .
Ndezvipi zviratidzo zveMucositis?
Kuzvimba kunowanzoonekwa sekutsvuka , kurwadziwa, kupisa, uye kuzvimba . Zvichienderana nenzvimbo, unogona kuona zviratidzo chaizvo.
Zviratidzo zveMucositis yeMumuromo:
- Nyama dzemuromo nemazino zvitsvuku, zvinopenya, kana kuti zvakazvimba .
- Muromo wakaoma .
- Mate gobvu .
- Maronda emuromo .
- Mavara machena akapfava eganda .
- Kuomerwa nekumedza, kutaura, kudya, kana kunwa .
- Kubuda ropa .
- Kuvhara manyoka machena mukati memuromo.
Zviratidzo zveMucositis yeMudumbu:
- Kutsvuka kwemucosa (erythematous mucosa) .
- Kurwadziwa kwemudumbu .
- Kusvotwa nekurutsa .
- Manyoka .
- Ropa kana kuti madzihwa ari mutsvina yako .
- Kufamba kwedumbu kunorwadza .
Ndezvipi zvikonzero zvikuru zveMucositis? (Nirogi Lanka)
Vanachiremba pavanotaura nezve mucositis , vanowanzoreva kuzvimba kwemukati memudumbu mako—kubva pamuromo wako kusvika mudumbu—kunokonzerwa nekurapwa negomarara. Sezvatakakurukura, kurapwa uku kunotarisa masero anokamuka nekukurumidza, izvo zvinokuvadza mucous membranes yako netsaona. Ungave uchigamuchira radiation yakawanda kana chemotherapy, kana kunyange radiation yakaderera, kurapwa uku kunogona kukanganisa matishu anonzwira mumuromo mako uye mudumbu.
Dzimwe nguva, kuzvimba kwemasero aya kunogonawo kuitika nekuda kwehumwe utachiona, kunyange zvazvo izvi zvinowanzo tumidzwa mazita chaiwo. Semuenzaniso, kuzvimba kunongogumira pamuromo kunonzi stomatitis , uye kana paine hutachiona, hunozivikanwa segingivostomatitis .
Ndezvipi zvinetso zvinogona kuitika kubva mucositis?
Zvakakosha kugara wakangwarira nezvematambudziko anotevera:
- Kushaya chikafu chinovaka muviri: Marwadzo mumuromo, pahuro, pagurokuro, kana mudumbu anogona kuita kuti kudya nekunwa zviome zvikuru. Sezvo varwere vazhinji vegomarara vachitotambura nekudzikira kwechido chekudya kana kudzikira huremu, izvi zvinogona kutowedzera kuipa. Kudya kwakakodzera kwakakosha. Mune zvimwe zviitiko, vanenge 70% yevarwere vangada kugara muchipatara kuti vape mwana chikafu chechubhu.
- Manyoka Asina Kurapwa: Kana ukaramba uchirwara kana kuona ropa mutsvina yako, ungangoda kuendeswa kuchipatara kuti utariswe kudzivirira kupera mvura mumuviri zvakanyanya uye kupererwa neropa.
- Utachiona: Kana matumbu ako akakanganiswa, unorasikirwa nechimwe chezvipingamupinyi zvakakosha zvekudzivirira muviri wako. Nekuti kurapwa kwegomarara kunogona kuderedza huwandu hwemasero machena eropa (neutropenia), dziviriro yemuviri wako inenge yatodzikira. Maronda emucositis anopa mukana wekuti mabhakitiriya apinde muropa rako, izvo zvinowedzera njodzi yezvirwere zvakakomba zvakaita sesepticemia.
- Kuderedza kana Kukanganisa Kurapa Gomarara: Kurwara kwakanyanya kwemucosa kunogona kumanikidza timu yako yezvekurapa kuti inonoke kana kuderedza huwandu hwekurapa kwako gomarara. Izvi zvinogona kukanganisa mhedzisiro yako yenguva refu, uye zvinonzi varwere vanopfuura 30% vangangoda kumbomira kurapwa kwavo nekuda kwechirwere ichi.
Chirwere chemucosa chinowanikwa sei?
Mucositis idambudziko rinozivikanwa rinogona kuitika kana munhu akabatwa nekenza. Chiremba wako anogona kuiongorora nekuongorora nhoroondo yako yezvekurapa, kuongorora zviratidzo zvako, uye kuongorora nzvimbo dzakakanganiswa. Kana uine mucositis yemudumbu, vanogona kuita bvunzo yekuona kuti chii chiri kuitika mukati. Pamusoro pezvo, chiremba wako anogona kuraira kuongororwa kweropa kuti aone kana paine hutachiona hwebhakitiriya kana hwefungus.
Mucositis inorapwa sei?
Kazhinji, mucositis inonyangarika yoga kana kurapwa kwegomarara kwapera. Kana uri kushandisa chemotherapy, zviratidzo zvinowanzoonekwa mukati mevhiki imwe kusvika mbiri uye zvinopera mukati mevhiki imwe kusvika kumatanhatu. Nemwaranzi, zviratidzo zvinowanzotanga mukati memavhiki maviri kusvika matatu uye zvinopera mushure memavhiki maviri kusvika mana kurapwa kwapera. Kukurumidza kupora kunoenderana nekuoma uye kuti unokwanisa sei kubata chirwere chacho. Kusvika wapora, ungangoda rubatsiro runotevera:
Kutarisira Marwadzo
Marwadzo anowanzo kuve chinhu chinonetsa zvikuru chemucositis. Nekuti mishonga yemudumbu inogona kusagara kwenguva refu kana kufukidza nzvimbo dzese dzine dambudziko, ungangoda nzira yakasanganiswa. Izvi zvinogona kusanganisira magel anonyaradza, mishonga yekugeza muromo yakanyorwa nachiremba, mishonga yekuderedza marwadzo inotengwa nechiremba, kana, kana zvichidikanwa, mishonga yeopioid inonyorerwa nachiremba . Usatambura wakanyarara. Kugona kwako kudya nekunwa kwakakosha kuti upore. Kurukura chirongwa chekugadzirisa marwadzo nechikwata chako chehutano cheNirogi Lanka.
Nzira dzinowanzo shandiswa dzekurapa mucositis dzinosanganisira:
- Mishonga Inonyaradza Mudumbu: Yakadai se lidocaine, benzocaine, dyclonine hydrochloride (HCl), uye Ulcerease® (0.6% phenol).
- "Kushamba Muromo Kwemashiripiti":Musanganiswa wakasanganiswa unowanzova ne lidocaine, diphenhydramine, uye Maalox®.
- Mishonga Inodzivirira Kuzvimba: Semuenzaniso, prednisone.
- "GI Cocktail": Musanganiswa unowanzova neMaalox®, Nystatin®, uye Hurricane Liquid®.
- Acetaminophen: Yakadai seTylenol®.
- Mishonga yekurwadziwa kwemudumbu inonyorerwa nachiremba: Kana izvi zvichidikanwa, chiremba wako angangokupa mishonga inonyorovesa tsvina kudzivirira kuvimbiwa.
Kuchengetedza Muromo
Paunenge uchirapa mucositis yemuromo, nzira yako yekuchengeta muromo yakakosha pakuderedza marwadzo uye kudzivirira kukuvara kwenyama kana hutachiona. Mabasa akareruka akadai sekudya, kutaura, kana kumedza anogona kutsamwisa membranes dzakapfava. Sarudza chikafu chakapfava, chisina kusimba chiri nyore kumedza uye chengetedza muromo wako uine mvura. Nekuti membranes yako isina simba inogona kubatwa nemabhakitiriya, kuchengetedza hutsanana hwemuromo ndicho chinhu chinonyanya kukosha.
Kubatsira kwemushonga wemuromo wemucosa wemuromo kunosanganisira:
- Kukwesha mazino kakawanda - asi zvinyoro nyoro: Unofanira kuvavarira kukwesha mazino katatu kana kana pazuva. Shandisa bhurashi remazino rine mabhurugwa akapfava uye bhurashi remazino rine fluoride rakapfava . Dzivisa kushandisa mishonga inochenesa mazino kana bhurashi remazino rakaoma. Kana bhurashi rako remazino richikonzera kupisa, edza bhurashi rakapfava rakagadzirwa nemunyu nebaking soda. Fukunura zvinyoro nyoro , uye iva nechokwadi chekuti mazino ako emazino acheneswa zuva nezuva.
- Kusukurudza muromo: Sukurudza muromo wako kashanu kusvika katanhatu pazuva nemusanganiswa wemvura ine munyu kana musanganiswa wemunyu nebaking soda. Iyi ndeimwe yenzira dzakachengeteka uye dzinoshanda dzekuchenesa maronda emuromo uye kudzivirira mabhakitiriya. Unogona zvakare kushandisa mishonga yekushambidza muromo isina doro .
- Kudya: Gara uchidya zvikafu zvakapfava uye zvisina mafuta . Dzivisa chikafu chine acidic, spicy, uye crunchy chinogona kutsamwisa muromo wako. Rega shuga nedoro, sezvo izvi zvinogona kukuvadza muromo wako uye kukurudzira kukura kwebhakitiriya nefungus. Mapuroteni anonyungudutsa inzira yakanaka yekuchengetedza hutano hwako uye mvura mumuviri.
- Kunyudza Mvura: Kuti urwise muromo wakaoma uye kuti muviri wako ugare uine mvura yakawanda, unofanira kuwedzera mvura yaunonwa. Funga nezvekushandisa zvigadzirwa zvemate zvakagadzirwa nema enzymes, zvakaita seOral Balance®. Kune vazhinji, kunwa ice chips kunonyaradza uye kunobvisa kusagadzikana. Shandisa mafuta emuromo nguva dzose kudzivirira miromo yako.
Kurapa matambudziko
Kana uchinzwa kupera mvura mumuviri zvakanyanya, kushaya chikafu chakakwana, kana hutachiona, ungangoda rubatsiro rwechiremba, rwakadai se:
- Kudya kwemukati (machubhu ekudyisa)
- Mvura yemutsinga
- Mishonga inorwisa mabhakitiriya
Zvekudya nekunwa paunenge uchipora kubva kuMucositis?
Zvinokurudzirwa:
- Zvikafu zvine mapuroteni akawanda
- Zvinonhuwirira zvine hutano
- Zvokudya zvakapfava
- Mapopsicles asina shuga
Dzivisa:
- Zvokudya zvinonaka
- Zvikafu zvine asidhi
- Zvikafu zvine mafuta kana zvakakangwa
- Zvikafu zvine shuga yakawanda
Zvinwiwa zvinokurudzirwa:
- Tii yeChamomile
- Mvura yakawanda
Dzivisa zvinwiwa:
- Zvinwiwa zvine kabhoni
- Doro
Mucositis inogona kudzivirirwa here?
Kunyange zvazvo tisingakwanise kudzivirira zvizere chirwere chemucositis chinokonzerwa nekurapwa kwegomarara nguva dzose, vaongorori vari kudzidza nzira itsva dzekurapa chirwere ichi. Kupindira kwakasiyana-siyana kunogona kubatsira kuderedza kuoma uye nguva yechirwere ichi:
- Kurapa neCryotherapy: Kunwa ice chips panguva yechemotherapy uye nguva pfupi mushure mekurapa kunogona kubatsira kudzivirira kubva mucositis yemuromo.
- Palifermin: Iyi imhando yakagadzirwa ye keratinocyte growth factor (KGF) , puroteni inogadzirwa nemuviri wako. Inobatsira kuchengetedza nekugadzirisa muromo wako nedumbu. Yakaratidzwa kuti inoderedza kuoma uye nguva ye mucositis muvarwere vari kuisirwa bone marrow kana stem cell nekuda kwekenza yeropa .
- Mishonga yekubvisa ganda: Majeli akaita seGelclair® neZilactin® anogona kubatsira kufukidza mucosa yemuromo, zvichipa dziviriro kubva pakurapwa nemwaranzi.
- Amifostine: Kana uri kugamuchira kurapwa nemwaranzi mumusoro nemutsipa, chiremba wako anogona kukupa mushonga uyu kuderedza kuoma kwemucositis yemuromo, kunyange hazvo kuda kurutsa kuchigona kuva mhedzisiro.
Chii chandinofanira kutarisira kana ndine chirwere ichi?
Mucositis inowanzopera yega mushure mekunge kurapwa kwako kwegomarara kwapera, kazhinji kunotora mavhiki maviri kusvika matanhatu. Munguva iyi, chiremba wako anogona kukunyorera mushonga wekuderedza marwadzo kuti ugare wakasununguka. Kuchengetedza hutsanana hwemuromo wako uye kugara usina hutachiona kuchakubatsira kuti ukurumidze kupora. Kana ukaona zviratidzo zvehutachiona kana kuti uchinetseka kudya nekunwa, ndapota bvunza timu yako yezvekurapa nekukasika.
Ndinofanira kutaura nachiremba wangu rini?
Tsvaga rubatsiro rwechiremba nekukasika kana ukaona:
- Zviratidzo zvekutanga zveMucositis.
- Zviratidzo zvehutachiona, zvakaita sefivha.
- Kuomerwa nekudya kana kunwa.
- Kuderedza uremu zvisina kurongerwa.
- Manyoka anogara achiitika.
- Kubuda ropa kakawanda mumuromo kana mutsvina.
Mucositis idambudziko rinowanzoitika uye rinonetsa rekurapwa kwegomarara. Kuoma kwayo kunoenderana nehutano hwako hwese, rudzi rwekurapwa kwauri kugamuchira, uye kuti unochengetedza sei tsika yako yekurapwa. KuNirogi Lanka, tiri pano kuti tikutsigire munhanho yega yega yekupora kwako.
Mharidzo Yekuenda Nayo Kumba
Kunyange zvazvo chirwere chemucositis chiri chirwere chenguva pfupi, haufanirwe kutambura nacho wega; rutsigiro rwuripo. Mavhiki mashoma anotevera kurapwa kwegomarara akakosha kuti upore. Munguva iyi, unogona kunge uri panjodzi yekushaya chikafu chakakwana kana hutachiona. Kuzvichengeta nguva dzose uye kutevedzera mazano echiremba zvakakosha zvakaenzana pakurapa mucositis. Ndapota inzwa simba rekutaura nachiremba wako kuti uwane rutsigiro rwaunoda. Hausi wega—Nirogi Lanka aripo kuti akutsigire.
👩🏽⚕️ Mibvunzo Inowanzo bvunzwa (Mibvunzo Inowanzo bvunzwa)
💬 Ko mucositis igomarara remuromo here?
Kwete, haisi kenza. Idambudziko rinowanzoitika uye rinorwadza re chemotherapy ne radiation therapy, kunyanya kune varwere vari kurapwa kenza yemusoro nemutsipa. Inoitika kana nyama dzakapfava dziri mumuromo mako—uye munzira yako yese yekugaya—dzikazvimba dzoita maronda, zvichikonzera kusagadzikana kukuru.
💬 Maronda aya anokanganisa sei murwere?
Maronda aya anogona kukonzera kurwadziwa kwakanyanya, zvichiita kuti zviomere kumedza, kudya, kunwa, kana kutotaura. Kana usingakwanise kuchengetedza kudya kwakakwana, unogona kudzikira uremu nekukurumidza. Uyezve, maronda aya anogona kubvumira mabhakitiriya kupinda muropa, zvichikonzera hutachiona hwakakomba hunonzi sepsis, hunoda rubatsiro rwekukurumidzira (fonera 911 kana uchinzwa fivha kana kuneta zvakanyanya).
💬 Ko chirwere chemudumbu chinogona kudzivirirwa kana kurapwa here?
Kunyange hazvo zvisingagone kudzivirirwa zvizere, nzira dzakadai se cryotherapy (kunwa ice chips panguva yechemotherapy) dzinogona kuderedza zvakanyanya kuoma kwayo. Chikwata chenyu chekurapa chinogonawo kunyora "magic mouthwash" chaiyo yekunyaradza kuzvimba. Kana chirwere chacho chikanyanya kuipa uye chikakutadzisa kudya kana kunwa, mungada intravenous nutrition (TPN) kuchipatara kuti murambe muchidya.
Mazwi akakosha: Mucositis, kurapwa kwegomarara, maronda emuromo, kuzvimba kwemudumbu, migumisiro yechemotherapy, migumisiro yekurapa nemwaranzi, kurapwa nemuromo
