I-Mucositis: kuyini, izimpawu nezinketho zokwelashwa

-Delile

• Izimpawu eziyinhloko
• Ubani osengozini enkulu yokuthola isifo se-mucositis
• Iziqu eziyinhloko ze-mucositis
• Yelashwa kanjani

I-Mucositis ukuvuvukala kwe-mucosa yamathumbu evame ukuhlotshaniswa ne-chemotherapy noma i-radiation therapy, futhi ingenye yemiphumela emibi kakhulu ezigulini ezelashwa umdlavuza.

Njengoba ulwelwesi lwamafinyila lulayini wonke umgudu wokugaya ukudla usuka emlonyeni uye endunu, izimpawu zingahluka ngokuya ngesayithi elithinteke kakhulu, kepha okuvame kakhulu ukuthi i-mucositis ivela emlonyeni, ebizwa ngomlomo i-mucositis, futhi ibangele ukungaphatheki kahle njengezilonda zomlomo, ukuvuvukala izinsini nobuhlungu obuningi lapho udla, isibonelo.

Ngokuya ngezinga le-mucositis, ukwelashwa kungafaka ukwenza ushintsho oluncane ekuhambisaneni kokudla nokusebenzisa ama-gel wokubulala ngomlomo, kuze kube kulungiswa ekwelapheni umdlavuza futhi, ezimweni ezinzima kakhulu, ukungena esibhedlela ukuphathwa kwemithi kanye ukuzondla emthanjeni ngokusho kokuqondiswa kwe-oncologist.

Izimpawu eziyinhloko

Izimpawu ze-mucositis ziyehluka ngokuya ngendawo yethambo lamathumbu elithintekile, impilo yomuntu jikelele kanye nezinga le-mucositis. Noma kunjalo, izimpawu ezivame kakhulu zifaka:

• Ukuvuvukala nokubomvu kwezinsini nolwelwesi lomlomo;
• Ubuhlungu noma umuzwa ovuthayo emlonyeni nasemphinjeni;
• Kunzima ukugwinya, ukukhuluma noma ukuhlafuna;
• Ubukhona bezilonda negazi emlonyeni;
• Amathe amaningi emzimbeni.

Lezi zimpawu zivame ukuvela ezinsukwini ezingama-5 kuye kwezingu-10 ngemuva kokuqala komjikelezo we-chemotherapy kanye / noma we-radiotherapy, kepha zingaqhubeka kuze kufike ezinyangeni ezimbili, ngenxa yokwehla kwenani lamaseli amhlophe egazi.

Ngaphezu kwalokho, uma i-mucositis ithinta amathumbu, ezinye izimpawu nezimpawu zingavela, njengobuhlungu besisu, isifo sohudo, igazi esitokisini nobuhlungu lapho kuphuma, ngokwesibonelo.

Ezimweni ezinzima kakhulu, i-mucositis nayo ingaholela ekubonakaleni kwesendlalelo esimhlophe esimnyama, esenzeka lapho isikhunta sikhula ngokweqile emlonyeni.

Ubani osengozini enkulu yokuthola isifo se-mucositis

I-Mucositis ivame kakhulu kubantu abathola ukwelashwa komdlavuza ngamakhemikhali kanye / noma nge-radiotherapy, kepha lokho akusho ukuthi bonke abantu abenza lolu hlobo lwezokwelapha bazokwakha i-mucositis. Ezinye izinto ezibonakala zandisa ubungozi bokuba nalo mphumela ongemuhle kufaka phakathi ukungabi nenhlanzeko ngomlomo, ukuba obhemayo, ukuphuza amanzi amancane emini, ukuba nesisindo esiphansi noma ukuba nenkinga engapheli, njengesifo sezinso, isifo sikashukela noma ukutheleleka nge-HIV.

Iziqu eziyinhloko ze-mucositis

Ngokusho kwe-WHO, i-mucositis ingahlukaniswa ngama-degree ama-5:

• Ibanga 0: azikho izinguquko ku-mucosa;
• Ibanga 1: kungenzeka ukubheka ubomvu nokuvuvukala kwe-mucosa;
• Ibanga 2: kukhona amanxeba amancane futhi umuntu angaba nobunzima bokumunca ukudla okuqinile;
• Ibanga lesi-3: kukhona amanxeba futhi umuntu angaphuza uketshezi kuphela;
• Ibanga lesi-4: ukondla ngomlomo akunakwenzeka, kudinga ukulaliswa esibhedlela.

Ukuhlonza izinga le-mucositis kwenziwa udokotela futhi kusiza ukunquma uhlobo oluhle kakhulu lwezokwelapha.

Yelashwa kanjani

Imithi yokwelapha esetshenziselwa ukwelapha udaba lwe-mucositis ingahluka ngokuya ngezimpawu nezinga lokuvuvukala futhi, ngokuvamile, isebenza kuphela ekunciphiseni izimpawu, ukuze umuntu adle kalula futhi azizwe engakhululekile kangako ekuseni.

Isinyathelo esikhuthazwa njalo, kungakhathalekile ukuthi ubucayi be-mucositis bunjani, ukwenziwa kwemikhuba efanelekile yokuhlanzeka ngomlomo, okungaba ukusetshenziswa nje, okokugeza umlomo okunconywe ngudokotela, ama-2 kuya kathathu ngosuku, ukuhlanza amagciwane futhi ukuvimbela ukuthuthukiswa kwezifo. Uma lokhu kungenakwenzeka, isixazululo esenziwe ekhaya kungaba ukugeza umlomo wakho ngengxube yamanzi afudumele ngosawoti, isibonelo.

Ngaphezu kwalokho, kubalulekile ukuthi unake indlela odla ngayo, okumele iqukathe ukudla okuhlafunwa kalula futhi okungacasuli kangako. Ngakho-ke, kufanele ugweme ukudla okushisayo, okunzima kakhulu, njengama-toast noma amakinati; okubabayo kakhulu, njengopelepele; noma eziqukethe uhlobo oluthile lwe-asidi, njenge-lemon noma i-orange, isibonelo. Isixazululo esihle ukwenza ama-purees ezinye izithelo, ngokwesibonelo.

Nawa amanye amathiphu wokudla okunempilo angasiza:

Ezimweni lapho lezi zinyathelo zingenele, udokotela futhi angahle anikeze ukuphuza amaphilisi ezinhlungu noma ukufaka i-gel ethile yokubulala izinhlungu, engadambisa izinhlungu futhi ivumele umuntu ukuthi adle kalula.

Ezimweni ezinzima kakhulu, lapho i-mucositis ibanga lesi-4, ngokwesibonelo, futhi ivimbela umuntu ukuthi adle, udokotela angakweluleka ukuthi alaliswe esibhedlela, ukuze umuntu enze imithi ngqo emthanjeni, kanye nokudla okunomsoco womzali, lapho kufakwa khona izakhamzimba ngqo emgudwini wegazi. Funda kabanzi mayelana nokuthi ukondla kwabazali kusebenza kanjani.