Zvaunogona kuita kuti udzivirire uye usapindire kuvhiringidzika panguva yechemotherapy
Overview
Kuvhara muviri inowanzosvibisa chikamu chemakemikari kana mamwe mishonga inorayirwa panguva yekurapa kenza . Kunyanya kunorondedzerwa seine zvigaro zvakaoma kana zvisingagoneki kana kuti kuoma pakuve nekufamba kwechirwere.
Zviratidzo
Vanhu vazhinji vanoziva zviratidzo zvekudzivirira. Izvi zvinogona kusanganisira kubata pamuviri, pfungwa yekuzadza mukati mamuviri, kurwadziwa kwepakadzika, uye zvirokwazvo unogona kuona kuti hauna kutora kufamba kwemafuro kwemazuva maviri kana matatu kana iwe kazhinji uchigara uchigara.
Zviratidzo, zvisinei, hazvirevi nguva dzose kune avo vanofamba nekemotherapy kana kubata nedzimwe mamiriro ezvehutano. Zvinogona kungosanganisira kuderera kwechido uye manzwiro asina kujeka ekusava nehanya - zviratidzo zvinowanzova nekenza kutanga.
Zvinokonzera
Pane zvinhu zvakasiyana-siyana zvinogona kutungamirira pakuzvimirira panguva yechemotherapy. Izvi zvinosanganisira:
- Chemotherapy drugs
- Zvinodhaka zvinoshandiswa kurapa tsvina uye kurutsa
- Kupera basa nekurara kwemubhedha
- Pain medication
- Yakakura calcium level muropa ( hypercalcemia of malignancy )
- Kuderedza mvura
- Matambudziko echitendero
Kuziva
Kazhinji yenguva yekuongororwa kwekudzivirira mukati memakemikrasi kunogona kugadziriswa zvichienderana nezviratidzo zvega pamwe chete nemishonga inokonzera ngozi.
Management
Chinhu chokutanga chaunofanira kuita ndechekutaura nachiremba wako. Mutaurire kuti uri kutora kuvhiringidzika kana kuti zvakasimba. Chiremba wako angangove achida kuziva nezvekudya kwako kana iwe wakatora chero kupfuura-the-counter-laxatives, enemas, kana suppositories, uye uchisimbisa mishonga iwe uri kutora.
Inobatsira kunyanya kuomesa paunongoronga mushonga wako kune chiremba wako kubva mishonga yakawanda inoshandiswa mukurapa kwekenza uye kusunungurwa kunorwadza kunogona kukonzera kuvhiringidzika. Iyi mibvunzo ichabatsira kuziva chikonzero chaicho chekuvharwa.
Fluid Intake
Varwere vakawanda vanorondedzera zororo apo pavanowedzera kuwanda kwemvura vanonwa.
Zvinwiwa semvura uye majisi zvinokurudzirwa. Dzivisa zvinwiwa zvine caffeine, sodas, kofi, uye doro, nokuti zvinogona kukonzera kupera simba, izvo zvinogona kuwedzera kuvhiringidza.
Dietary Fiber
Kuzviitiko zvinyoro zvekuvharwa, kuwedzera fiber muzvokudya kunogona kuva muviri wose unoda kuva nekufamba kwebasa nguva dzose . Usati wawedzera fiber muzvokudya, bvunza chiremba wako. Vamwe varwere havafaniri kunge vakawedzera fiber, zvakadai sevaya vakave nekudzivirirwa kwechirwere kana kuvhiyiwa .
Kuwedzerwa huwandu hwe fiber hunotanga nezvokudya zvaunodya. Nutsanga, branichi, miriwo, marumusi, zviyo zvose zvegorosi uye pastas, uye michero yakawanda uye miriwo zvose zvakakosha zvekudya zvinogona kubatsira kudzivirira kuvhiringidzwa. Mune imwe nguva ichangobva kuongorora, mbatatisi yakawanikwa inonyanya kushanda pakudzivirira kuvimbiswa.
Zvakakosha kucherechedza, zvisinei, kana mumwe munhu akanyanya kunyengedzwa, kuwedzera mune zvakanyanya fibre zvokudya zvinowedzera kusagadzikana kusvikira kuvimbiswa kwave kwakabviswa.
Taura nachiremba wako pamusoro pehuwandu hwefiber iwe unofanirwa kunge uchiwana zuva nezuva. Zvokudya zvinoratidzirwa kudya kwevakadzi vane utano zvakakwana 21-25 gm uye varume vanofanira kudya 30-38 gm pazuva. Iwe unogona kuona kuti yakawanda fibha iri mune chimwe chikafu nekuverenga maratidziro pamapuranga kana kutarisa paIndaneti mune zvekudya zvisina kunyorwa sezvibereko nemiriwo.
Dzidzira
Kudzidzira muviri kuchiri kukosha zvikuru kana uchienda kuburikidza nemishonga. Chimwe chinhu chakajeka sekuenda kwenguva pfupi, kufamba nguva dzose kunogona kubatsira kudzivirira uye kubvisa kuzvidzora. Kune avo vanovata pamubhedha, kutama kubva pachigaro kuenda kumubhedha kunogona kubatsira nekuti inoshandisa mimba yemimba
Usati watanga chero kurovedza muviri, pasinei nokuti iwe unofunga zvishoma sei, taura nachiremba wako. Anokwanisa kukurudzira maitiro uye kukuudza kuti unofanira kunge uchiwana zvakadini.
Mishonga
Kune mitezo yakasiyana yemishonga inoshandiswa pakuvhiringidza nenzira dzakasiyana. Mimwe yeiyi ingashanda zviri nani kupfuura dzimwe dzechikonzero chekuita chikonzero chekuvharwa, naizvozvo zvakakosha kutaura nachiremba wako uye kuwana mazano ake.
Mamwe mishonga inouya nechisungo chezviviri kana kupfuura zvezvinodhaka izvi, zvakagadzirirwa kuti zvose zvinyoroveshe chigaro uye chibatsire pakubuda kwayo.
Nechimwe chemotherapy regimens, kusanganiswa kwezvinodhaka, zvikurukuru mishonga yekudzivirira kusuruvara. vari kunyanya kuvhiringidza, uye oncologist yako inogona kukurudzira kushandisa mishonga yekudzivirira kuvhiringidzika Iva nechokwadi chekuti iwe, sezvo zviri nyore kudzivirira kupfuura kubata mushonga wakaoma. Uyewo, iva nechokwadi chekutaura kune wako oncologist usati watanga chero mishonga, sezvo mamwe eaya anogona kukanganisa chemotherapy zvinodhaka. Mimwe mishonga inosanganisira:
- Mishonga yakakosha -Mishonga iyi inoshanda kusvitsa mvura mudumbu kuitira kuderedza dambudziko rechigaro, pamwe nekuderedza nguva yekutengesa - nguva yakareba iyo inogara mumakoloni. Muenzaniso weiyo iyi ndiMetamucil (psyllium) .
- Zvinokonzera mishonga - Stimulants inoshanda zvakananga pamisungo inopoteredza korosi kuti ikurudzire kufamba kwechigaro kuburikidza nehutachiona hwemimba. Sezvo zvinogona kuva zvinorwadza apo zvibato zvakaoma zvakapfuura nepakati pekoni, izvi zvinowanzopiwa pamwe chete nechitsiko chekunamatira. Mienzaniso yemakwenzi anotsvaga anosanganisira Senekot (senna) uye Dulcolax (bisacodyl).
- Osmotic laxatives - Osmotic laxatives inoshandiswa kuchengetedza mvura mumakoloni uyewo inokurudzira kumira - zvipikiso zvinokonzerwa nekoloni inotamira mberi. Mienzaniso inosanganisira Chronulac (lactulose), glycerin suppositories, Miralax (polyethylene glycol), magnesium citrate uye Misi yeMagnesia (magnesium hydroxide.)
- Emollients / Stool softeners - Stool softeners anonyorovesa chigaro chacho nekushanda pamwe nekusanganiswa kwemvura nemafuta ari muchigaro. Iyi mishonga inoderedza chigaro asi haina kuderedza nguva yekutengesa, saka inowanzoshandiswa pamwe chete nemumwe mushonga wekuita shanho remuviri kana izvi zvisingachaperi. Muenzaniso weiyi ndiColace (docusate).
- Mafuta - Mishonga iyi inounza mvura muchigaro kuti iideredze uye inogadzirisa chigaro chekubuda kunze kwemuviri. Mineral oil muenzaniso.
Manual Removal
Kana zvimwe zvose zvisingakwanisi, kana fecal inosangana, kana kuti kuvimbiswa kunorwadza, digital evacuation ingada kuitika. Izvi zvinoreva kushandiswa kwebhuku rechigaro vachishandisa minwe yakavezwa.
Matambudziko
Kurwara kwakanyanya kuvharwa kunogona kukonzera kutora mafecal , iyo mamiriro ayo akaoma, akaoma fecal nhau inowedzera mu rectum uye haigoni kudarika. Izvo zvipfeko zvinoshandiswa zvinobva zvabviswa nachiremba manyore.
Zvimwe zvinetso kubva mukugara kwenguva refu zvinosanganisira zvipembenene, zviputi zvakakonzerwa, zviputi zve perianal, uye rectal prolapse.
Sources:
American Society of Clinical Oncology. Cancer.Net. Constipation. Updated 01/16. http://www.cancer.net/navigating-cancer-care/side-effects/constipation
National Cancer Institute. Matambudziko ehutachiwana - Health Professional Version. Updated 01/04/16. http://www.cancer.gov/about-cancer/treatment/side-effects/constipation/GI-complications-hp-pdq
Zou, J., Xu, Y., Wang, X., Juang, Q., uye X. Zhu. Kuvandudza Constipation muAukemia Varwere Vanopinda Chemotherapy vachishandisa Sweet Potato. Cancer Nursing .