Imisebe Yesikhumba

-Delile

• Izimbangela zokusha kwemisebe
• Izimpawu
• Izici zobungozi
• Izindlela zokwelashwa ezi-5
• 1. Ukhilimu we-Corticosteroid
• 2. Imithi elwa namagciwane
• 3. Ukugqokwa kwenayiloni yesiliva
• 4. Izinki
• 5. I-Amifostine
• Ukuvimbela ukusha kwemisebe
• Umbono

Yini i-radiation dermatitis?

Ukwelashwa ngemisebe ukwelashwa komdlavuza. Isebenzisa ama-X-ray ukubhubhisa amangqamuzana omdlavuza futhi anciphise izicubu ezibulalayo. Ukwelashwa ngemisebe kuyasebenza ezinhlotsheni eziningi zomdlavuza.

Umphumela ohlangothini ovamile yisimo sesikhumba esibizwa nge-radiation dermatitis, esaziwa nangokuthi yi-X-ray dermatitis noma ukusha kwemisebe. Ukuvezwa okugxile emisebeni kubanga amamaki abuhlungu esikhunjeni.

Izimbangela zokusha kwemisebe

Cishe izingxenye ezimbili kwezintathu zabantu abanomdlavuza baphathwa ngemithi yokwelashwa ngemisebe. Kulabo bantu, cishe babhekana nokuphendula kwesikhumba ngokulingene kuya kokubi.

Lokhu kwenzeka kakhulu emavikini amabili okuqala okwelashwa futhi kungahlala iminyaka eminingana ngemuva kokuba ukwelashwa kuqediwe.

Ngesikhathi sokwelashwa ngemisebe, imishayo ye-X-ray egxilile idlula esikhunjeni futhi ikhiqize ama-radical free free. Lokhu kubangela:

• ukulimala kwezicubu
• Ukulimala kwe-DNA
• isikhumba esivuthayo (sithinta i-epidermis ne-dermis, noma izingqimba zangaphandle nezangaphakathi zesikhumba)

Njengoba ukwelashwa ngemisebe kuqhubeka, isikhumba asinaso isikhathi esanele phakathi kwezilinganiso zokwelapha. Ekugcineni, indawo ethintekile yesikhumba iyawohloka. Lokhu kubangela ubuhlungu, ukungakhululeki, nokuqubuka.

Izimpawu

Izimpawu ezijwayelekile zokusha kwemisebe zifaka:

• ububomvu
• ukulunywa
• ukuqhuma
• uyaxebuka
• ubuhlungu
• ubumanzi
• ukushisa
• izinguquko zombala
• i-fibrosis, noma ukusikeka kwezicubu ezixhuma
• ukuthuthukiswa kwezilonda

I-X-ray dermatitis isukela kokubi kuya kokungalapheki, futhi ivame ukukhula ngezigaba ezine zokuqina. Kwezinye izimo ezingavamile, umuntu angahle angabi nokusha kwemisebe.

Amabanga amane e-radiation dermatitis yilawa:

1. ububomvu
2. uyaxebuka
3. ukuvuvukala
4. ukufa kwamangqamuzana esikhumba

Izici zobungozi

Abanye abantu banamathuba amaningi okuthola i-radiation dermatitis kunabanye. Izici zobungozi zifaka:

• isifo sesikhumba
• ukukhuluphala ngokweqile
• ukusetshenziswa ukhilimu ngaphambi kokwelashwa
• ukungondleki
• izifo ezithathelwanayo ezifana ne-HIV
• isifo sikashukela

Izindlela zokwelashwa ezi-5

Ngendlela elungile, lo mphumela oseceleni ungancishiswa noma uqedwe. Indlela engcono kakhulu ukuhlanganisa izinketho zokwelashwa ngezihloko nezomlomo.

1. Ukhilimu we-Corticosteroid

Ukhilimu we-topical steroid uvame ukunikezwa i-radiation dermatitis, yize ubufakazi bomtholampilo buxubekile maqondana nale ndlela yokwelashwa.

2. Imithi elwa namagciwane

Ama-antibiotic omlomo nawesihloko akhombise ukusebenza kahle ekwelapheni ukusha okuhambisana ne-radiotherapy.

3. Ukugqokwa kwenayiloni yesiliva

Ukusha esikhunjeni kuvame ukuphathwa nge-gauze. Uma kukhulunywa ngokushisa kwemisebe, noma kunjalo, ukugqoka imayiloni yesiliva kungenye yezinketho ezinhle kakhulu ezitholakalayo.

Lokhu kugqokwa kwesikhumba kuyasebenza ngenxa yezakhi zayo zokulwa namagciwane nezokulwa nokutheleleka. Ama-ayoni esiliva asetshenziswa ekugqokisweni kwenayiloni esikhunjeni futhi asebenze ngokushesha ukudambisa ukungakhululeki futhi athuthukise nokululama.

Kuyasiza futhi ekunciphiseni izimpawu ze:

• ubuhlungu
• ukulunywa
• ukutheleleka
• ukuvuvukala
• evuthayo

4. Izinki

Umzimba usebenzisa i-zinc ukukhuthaza ukusebenza komzimba. Ingasetshenziswa ngokwezihloko ukwelapha izinduna, ukusha, ukusikeka nezilonda, ngaphezu kwe-X-ray dermatitis.

Ngenkathi odokotela bengayivumeli ngokuphelele i-zinc njengendlela yokwelashwa ephumelelayo, inezinzuzo eziningi ezingathuthukisa isikhumba sakho. Uma ithathwa ngomlomo, i-zinc iyindlela yokwelapha ephumelelayo yezilonda nokuvuvukala.

5. I-Amifostine

I-Amifostine umuthi osusa ama-radicals amahhala futhi unciphise ubuthi emisebeni.

Ngokuya ngezivivinyo zomtholampilo, iziguli ze-chemotherapy ezisebenzisa i-amifostine zazinciphise amaphesenti angama-77 engcupheni ye-radiation dermatitis uma iqhathaniswa nalabo abangazange basebenzise lesi sidakamizwa.

Ukuphathwa Kwezokudla Nezidakamizwa e-U.S. Kugunyaze uhlobo lomjovo lwe-amifostine. Itholakala kuphela ngemithi kadokotela, ngakho-ke kufanele ukhulume nodokotela wakho ngokusebenzisa le ndlela yokwelashwa.

Ukuvimbela ukusha kwemisebe

Kunezinyathelo ezithile zokuqapha ongazithatha ukuvimbela izimpawu ezimbi kakhulu zokusha kwemisebe.

Izinto eziningi zingenza isikhumba esibuhlungu, esishwabanayo, esomile sibe sibi kakhulu. Njengomthetho ojwayelekile, zama ukugwema:

• ukunwaya nokukha isikhumba esithintekile
• amakha, iziqholo, notshwala obuncike otshwaleni
• insipho enamakha
• ukubhukuda emachibini noma kubhavu oshisayo nge-chlorine
• ukuchitha isikhathi esiningi elangeni

Ukugcina isikhumba sakho sihlanzekile, somile futhi siswakanyisiwe kungaya kude njengohlelo lokuvikela jikelele ukusha kwemisebe.

Umbono

Ukwelashwa ngemisebe kungelapha umdlavuza, kodwa futhi kubangela nemiphumela emibi kakhulu. Kodwa-ke, ngokwelashwa okulungile nokubhekwa okuvela kudokotela noma kudokotela wesikhumba sakho, ungavimbela futhi welaphe i-X-ray dermatitis.