Mucositis ishoko rekurapa remaronda, maronda uye kuzvimba mudumbu rako (GI) turakiti. Yedu GI turakiti inosanganisira muromo wedu, esophagus (pombi yekudya pakati pemuromo wedu nemudumbu), dumbu uye ura. Mishonga yakawanda ye lymphoma inogona kukonzera mucositis inogona kurwadza, kuwedzera njodzi yako yehutachiona uye kubuda ropa, uye kuita kuti zviome kutaura, kudya kana kunwa.
Peji ino ichakurukura mucositis yemuromo nehuro. Kuti uwane rumwe ruzivo nezve mucositis inokanganisa ura hwako, inogona kukonzera manyoka kana kuvimbiswa, ndapota. tinya pano.
Chii chinonzi mucositis?
Mucositis inogona kukonzera kurwadza, kwakaputsika nzvimbo dze mucous membranes (lining) yemuromo wako nehuro. Idzi nzvimbo dzakaputsika dzinogona kubuda ropa, kunyanya kana uri thrombocytopenic, kana kuti inotapukirwa. Ngozi yekutapukirwa kwemucositis yakakura kana iwe uri neutropenic, zvisinei hutachiona hunogona kuitika kana immune system yako ichishanda nemazvo.
Mucositis inogona zvakare kuzvimba, kusviba, dzvuku kana chena nzvimbo mumuromo mako nepahuro, kunyangwe kana mucous membranes isina kusimba.
Tsanangudzo
Thrombocytopenic ndiro izwi rezvokurapa rekuti kana uine yakaderera maplatelet mazinga. Ma<em>platelets anobatsira ropa redu kugwamba kudzivirira kubuda ropa uye maronda.
Neutropenic ndiro izwi rezvokurapa kana uine yakaderera neutrophils. Neutrophils imhando yemasero machena eropa uye ndiwo masero ekutanga mumuviri wedu kurwisa utachiona.
Zvikonzero zve mucositis
Zvinosuruvarisa, mamwe marapirwo e-lymphoma haasi kungoparadza masero e-lymphoma, asi anogonawo kurwisa mamwe masero ako akanaka. Mishonga mikuru inogona kukonzera mucositis yemuromo wako nehuro yakanyorwa pazasi. Baya misoro kuti udzidze zvakawanda.
Chemotherapy chirongwa che systemic chinoshanda nekuparadza maseru ari kukura kana kuwanda nekukurumidza. Systemic zvinoreva kuti inofamba nemuropa rako, uye saka inogona kukanganisa chero nzvimbo yemuviri wako. Izvi zvinoita kana zvichinyatsoshanda pakurapa marudzi mazhinji e lymphoma. Zvakadaro, mazhinji emasero edu ane hutano anokurawo nekuwanda nekukurumidza. Masero ari mugwaro redu reGI mamwe emasero ari kukurumidza kukura.
Chemotherapy haigoni kutaurira musiyano pakati pekenza lymphoma masero uye masero ako ane utano. Saka nekudaro, iyo chemotherapy inogona kurwisa maseru ari muGI yako turakiti zvichikonzera mucositis.
Mucositis inowanzotanga mazuva mashomanana mushure mekurapa uye inonyangarika mukati memavhiki 2-3 mushure mokunge wapedza kurapwa. Yako yakadzikira immune system (neutropenia) uye thrombocytopenia inokonzerwa nekemotherapy yako inogonawo kuita kuti mucositis iwedzere, ine njodzi yekubuda ropa uye hutachiona.
Radiotherapy inonyanya kunangwa kupfuura chemotherapy, saka inongobata nzvimbo diki yemuviri wako ine kurapwa. Zvisinei, radiotherapy haigoni kutaurira mutsauko pakati pekenza lymphoma masero uye masero ako ane utano.
Kana radiotherapy iri kunanga lymphoma padyo nemuromo wako kana huro, senge malymph nodes mumusoro nemumutsipa, unogona kuwana mucositis.
Immune checkpoint inhibitors (ICIs) yakadai se nivolumab kana pembrolizumab imhando ye monoclonal antibody. Vanoshanda zvakasiyana zvakasiyana kune mamwe marapirwo e lymphoma.
Masero edu ese akajairwa ane masoja ekudzivirira zvirwere paari. Mamwe aya anonzi PD-L1 kana PD-L2. Aya macheki anobatsira immune system yedu kuziva maseru edu. Masero ane macheckpoints anosiiwa ega ne immune system yedu, asi masero asina nzvimbo dzekutarisa anoonekwa seane ngozi, saka immune system yedu inoparadza maseru asina nzvimbo dzekutarisa.
Nekudaro, mamwe magomarara anosanganisira mamwe lymphomas anochinjika kukura aya ekudzivirira ekudzivirira. Nekuva neaya ma immune ekutarisa, iwo lymphoma inogona kuvanza kubva kune immune system yako.
Immune checkpoint inhibitors inoshanda nekubatanidza kune PD-L1 kana PD-L2 yekutarisa pamasero e-lymphoma, uye nekuita izvi, immune checkpoint inhibitor inovanza immune yekutarisa kubva kune immune system yako. Nekuti immune system yako haichakwanisa kuona cheki, inogona kuona masero e-lymphoma ane ngozi uye saka anoaparadza.
Nekuti idzi dzekutarisa dziri pamasero ako ane hutano, dzimwe nguva kurapwa neimmune checkpoint inhibitors kunogona kukonzera immune system yako kurwisa maseru ako akanaka futi. Kana immune system yako ikatadza kuziva maseru ari muGI yako turakiti seyakajairwa, anogona kukonzera auto-immune kurwiswa uko immune system yako inorwisa masero ako ane hutano, zvichikonzera mucositis. Izvi zvinowanzova zvenguva pfupi uye zvinovandudza kana kurapwa kwamira. Muzviitiko zvisingawanzoitiki, immune checkpoint inhibitors inogona kukonzera kwenguva yakareba auto-immune mamiriro.
Stem cell transplants anoshandiswa semushonga wekununura kuchengetedza mwongo wako mushure mekunge uine madosi akanyanya echemotherapy.
Mucositis inowanzoitika kana iwe uine stem cell transplant nekuda kweiyo yakanyanya dose chemotherapy. Kuyamwa paaizi kweanenge 20minutes pamberi uye mushure memamwe chemotherapies akapihwa stem cell transplants anogona kubatsira kuderedza kuoma kwemucositis. Bvunza mukoti wako nezveizvi kana uri kuita stem-cell transplant
Kudzivirira mucositis
Sezvinoita zvinhu zvakawanda, kudzivirira kuri nani pane kurapa. Nehurombo, nekuda kwemashandiro anoita mamwe marapirwo, haugone kugara uchikwanisa kudzivirira mucositis. Asi pane nzira dzekudzivirira kuti dzisanyanya uye kugadzirisa njodzi dzekubuda ropa uye kutapukirwa.
chiremba wemazino
Usati watanga kurapwa inogona kuva pfungwa yakanaka kuona chiremba wemazino kana uine chero kunetseka pamusoro mazino ako. Izvi zvinogona kunge zvisingagoneke nguva dzose, zvichienderana nerudzi rwako uye giredhi re lymphoma, zvisinei zvakakosha kubvunza wako wehematologist kana oncologist nezvazvo.
Chero matambudziko auinawo nemazino ako kana chingamu anogona kuwedzera panguva yekurapwa uye kukuisa panjodzi huru yekutapukirwa, izvo zvinoita kuti mucositis yako irwadze uye kurapa kwakaoma. Utachiona hunogonawo kureva kuti unofanira kunonoka kurapwa.
Vamwe vanachiremba vemazino vanonyanya kurapa vanhu vane gomarara. Kumbira kurudziro kana kutumirwa kubva kune wako haematologist kana oncologist.
Kuchengeta muromo
Zvipatara zvakawanda zvinokurudzira imwe mhando yemhinduro yekuchengeta muromo kuti iwe ushandise. Mune zvimwe zviitiko, iyi inogona kunge iri mvura ine munyu ine bicarbonate soda mairi.
Kana uine mazino emazino, bvisa aya usati wageza muromo wako.
Chenesa mazino emazino usati waadzosera mumuromo mako.
Gadzira muromo wako wega
Iwe unogona kugadzira muromo wako wega kana uchida.
Fashaidza imwe mvura wozoisiya ichitonhorera.
Ingredients
- Kapu imwe (250mls) yemvura yakabikwa yakabikwa
- 1/4 ye teaspoon (tsp) yemunyu
- 1/4 teaspoon (tsp) yebicarbonate soda.
Shandisa chipunu chekuyeresa kuyera huwandu hwemunyu uye bicarbonate yesoda. Kana iwe ukaita kuti iwedzere kusimba inogona kuruma muromo wako uye kuita kuti mucositis yako iwedzere.
nzira
- Isa munyu nebicarbonate yesoda mumvura yakanyoroveswa uye simbisa.
- Tora mukanwa - USAMVETSA.
- Shamba mvura yakatenderedza muromo wako uye gargle kweinenge 30 seconds.
- Dura mvura kunze.
- Dzokorora kaviri kana katatu.
Ita izvi mushure mekudya kwega kwega uye usati warara - kanenge ka4 pazuva.
Dzivisa kugeza mukanwa nedoro
Usashandise muromo nedoro mukati mawo. Tarisa zvinyorwa zvinyorwa sezvo vazhinji vanogeza muromo vane doro. Aya mawashes emuromo ane hasha kumuromo wako panguva yekurapa uye anogona kuita kuti mucositis iwedzere, zvichikonzera kurwadziwa.
Shandisa lip balm
Kukwesha
Shandisa bhurasho remazino rakapfava. Usashandise bhurasho remazino riri pakati nepakati kana rakaomarara kukwesha mazino ako. Kana muromo wako uchirwadza uye uchinetsa kuvhura, kushandisa bhurasho remwana nemusoro mudiki kungava nyore. Geza kaviri pazuva - kamwe mangwanani uye kamwe manheru mushure mekudya.
Geza rurimi rwako. Kuseri kwemabhurashi emazino mazhinji kune mitsetse midiki yekubatsira kubvisa chero mabhakitiriya akavakirwa uye mucheka muchena kubva parurimi rwako. Iwe unogona zvakare kushandisa iyo yakapfava bristle yebhurashi rako remazino kana kutenga rurimi scraper kubva kune mazhinji ma pharmacy. Iva munyoro paunochenesa rurimi rwako, uye tanga kubva kumashure uye shanda nzira yako kuenda kumberi.
Sangano reAustralia Dental Association rinokurudzira kusageza muromo wako nemvura mushure mekukwesha mazino ako. Izvi zvinobvumira fluoride paste kugara pamazino ako kwenguva yakareba kuti ikupe dziviriro yakawanda.
Chete floss kana chatova chikamu chemaitiro ako ezuva nezuva.
Kana wanga uchipepeta nguva nenguva usati watanga kurapwa, unogona kuramba uchipepeta.
Kana usina kupepeta kare, kana kuti usina kupeperetswa nguva nenguva, kwete kwete kutanga panguva yekurapa. Iwe unogona kunge uine kuzvimba mumazamu ako kana usati wambopepeta.
Kuyerera kana wazvimba mazamu kunogona kukonzera kucheka kunogona kubuda ropa uye kuwedzera njodzi yekutapukirwa.
Kana ukapepeta wobuda ropa, rega kupeperetsa nekukasika.
Shamba muromo wako nekugezesa mukanwa kwawakakurudzirwa uye kana kubuda ropa kusingaregi mushure memaminitsi mashoma, kana uine zviratidzo zvehutachiona, taura nachiremba wako.
Zvokudya zvekudya uye kudzivirira kana uine mucositis
Zvimwe zvekudya zvinogona kuita kuti mucositis iwedzere kana kurwadza kudya kana uine mucositis. Zvisinei, zvichiri kukosha kudya zvakanaka. Muviri wako unoda kuwana chikafu chakakodzera kuti ukubatsire kupora. Tafura iri pasi apa inoronga zvokudya zvaunofanira kudya uye zvausingafaniri kudya kana une mucositis.
Unogonawo kuwana zviri nyore kunwa neshanga kuitira kuti ugone kuisa mashanga kupfuura nzvimbo dzinorwadza dzemucositis. Ita shuwa kuti chikafu chako nezvinwiwa zvinotonhorera kana kudziya. Dzivisa zvokudya zvinopisa uye zvinwiwa.
Idya izvi: | Usadya izvi: |
Eggs Tuna yemumagaba kana salmon Inononoka kubikwa nyama Soft noodles kana pasta Mucheka muchena wakabikwa Mashed muriwo - mbatatisi dzakadaro, peas karoti, mbatatisi Creamed sipinachi kana chibage Bhinzi dzakabikwa Tofu Yoghurt, cottage cheese, mukaka (kana uri neutropenic, dzivisa machizi akapfava uye ita chokwadi kuti mukaka neyoghuti zvaiswa pasteurized) Chingwa chakapfava Pancakes mabhanana Watermelon kana mamwe mavise Ice zvidhinha (kudzivisa mipendero yakapinza papepa), jelly kana ice-cream Caffeine isina tii Mapuroteni anozunungusa kana smoothies. | Kucheka kwakaomarara kwenyama Chibage machipisi kana mamwe machipisi anoomeswa Zvikafu zvakaoma, zvinotsenga kana zvinotsenga zvinosanganisira maroli, mabhisikiti, zvingwa zvakakanyiwa, zviyo uye zviyo zvakaoma. madomasi Michero yeCitrus yakadai semaranjisi, mandimu, marimu uye mandarins Zvokudya zvine munyu Nzungu kana mbeu Maapuro kana mango Zvokudya zvinopisa - kupisa kunopisa uye zvinonhuwira zvinopisa Caffeine yakadai semukofi kana zvinwiwa zvesimba Doro rakaita sedoro, waini, zvinwiwa nedoro. |
Kugadzirisa muromo wakaoma
Kupererwa nemvura, kurapwa kwelymphoma, uye mimwe mishonga yakadai sevanouraya marwadzo inogona kukonzera muromo wakaoma. Kuva nemuromo wakaoma kunogona kuita kuti zviome kudya, kunwa uye kutaura. Zvinogonawo kuita kuti chifukidziro chichena chebhakitiriya chikure parurimi rwako izvo zvinogona kutungamirira kumunhu wakashata mumuromo mako, mweya wakaipa uye kunyadziswa.
Uku kuunganidzwa kwebhakitiriya kunogona zvakare kukonzera hutachiona hunogona kuoma apo immune system yako isisina simba kubva mukurapwa.
Kuva nemuromo wakaoma kwenguva yakareba kunogona kuwedzera njodzi yako yekuora mazino (maburi mumeno ako).
Inwa zvinenge 2-3 litres emvura zuva rega rega. Dzivisa caffeine uye doro sezvo izvi zvinogona kuita kuti muromo wakaoma uwedzere. Kushandisa muromo wekugeza sezvinotsanangurwa pamusoro apa kuchabatsirawo nemuromo wakaoma.
Kana aya ekugeza mukanwa asina kukwana, unogona kutenga zvinotsiva mate kubva kuchitoro chako chemishonga. Aya ndiwo magadzirirwo anobatsira kudzoreredza uye kuchengetedza mwando mumuromo mako.
xerostomia
Izwi rekurapa remuromo wakaoma ndiro Xerostomia.
Chii chinonzi mucositis?
- Maronda mumuromo mako anogona kunge akatsvuka, machena, anoita semaronda kana matuzu
- Kuzvimba mumazamu, mukanwa, kana pahuro
- Marwadzo kana kusagadzikana paunenge uchitsenga nekumedza
- Zvivara zvichena kana yeyero mumuromo mako kana parurimi rwako
- Kuwedzera hurwa mumukanwa - mate gobvu
- Kushungurudza kana kugaya.
mabatiro
Mucositis haigone kudzivirirwa nguva dzose, asi kune marapirwo ekubatsira kuti ugare wakasununguka paunenge uchipora.
Kudzivirira kana kubata zvirwere
Chiremba wako anogona kukupa mishonga yekubatsira kudzivirira iwe kuwana hutachiona senge thrush mumuromo mako kana maronda anotonhora (herpes).
- Aanti-viral Mushonga wakadai sevalacyclovir unogona kubatsira kudzivirira kana kuderedza kuputika kwezvironda zvinotonhora zvinokonzerwa nehutachiona hweherpes simplex.
- Anti-fungal Mushonga wakadai senystatin unogona kushandiswa kurapa kumuromo wemuromo unogona kuita kuti mucositis iwedzere.
- Antibiotics - Kana iwe wakaputsika nzvimbo pamiromo yako, kana mumuromo mako kana esophagus unogona kuwana hutachiona hwehutachiona hunogona kuita kuti mucositis yako iwedzere. Unogona kupihwa mishonga inorwisa mabhakitiriya kuti ibatsire kurwisa utachiona.
Pain relief
- Kenalog kana bongela mafuta (pamusoro pekaunda)
- Xylocaine jelly (prescription chete).
Mimwe mishonga
- Soluble panadol - nyungudutsa panadol mumvura, svetuka pamuromo wako uye guza nayo usati wamedza. Unogona kutenga izvi pamusoro pekaunda muchitoro chegirosari kana muchitoro chemishonga.
- Endone - Iri ndiro piritsi remishonga chete. Kana sarudzo dziri pamusoro dzisiri kushanda, bvunza chiremba wako kuti akupe mushonga.
Nasogastric chubhu
Muzviitiko zvakakomba zvemucositis, chiremba wako anogona kukurudzira kuti uve nenasogastric chubhu (NGT) yekudyiswa nayo. Iyo NGT yakapfava uye inochinjika chubhu inoiswa mune imwe yemhino dzako uye pasi nesophagus yako mudumbu mako. Chikafu chemvura chakapfuma mukudya, uye mvura inogona kuiswa pasi pechubhu. Izvi zvinokutendera kuti uwane chikafu uye zvinwiwa zvaunoda apo mucositis yako ichipora.
pfupiso
- Mucositis ndiyo yakajairika mhedzisiro yekurapa lymphoma.
- Kudzivirira kuri nani pane kurapa, asi hazvigoneke nguva dzose.
- Kana zvichidiwa, ona chiremba wemazino usati watanga kurapwa - bvunza chiremba wako weropa kana oncologist kana uchifanira kumuona, uye wavangakukurudzira.
- Shandisa bhurashi remazino rakapfava, kukwesha mazino ako mushure mekudya mangwanani neusiku, uye sukurudza nemuromo usina doro kanenge ka4 pazuva - Usakanganwa kuchenesa rurimi rwako.
- Ungada mushonga kudzivirira kana kurapa utachiona.
- Dzivisa chikafu chinoita kuti mucositis iwedzere kana kurwadza, asi ita shuwa kuti uchiri kudya nekunwa zvakanaka.
- Pamusoro pemafuta ekuzora anogona kubatsira - kana zvisiri, bvunza chiremba wako kuti akupe mushonga.
- Soluble panadol kana endone mapiritsi anogonawo kubatsira kana mafuta ekuzora asina kukwana.
- Taura nemishonga yako kana chiremba kuti uwane mamwe mazano kana mucositis yako isiri kuvandudza nemazano ari pamusoro apa.
- Fonera vanamukoti vedu veLymphoma kuti uwane rumwe ruzivo kana zano. Dzvanya pabhatani rekutibata pazasi pescreen kuti uwane ruzivo.
