Dzidzai Ngozi dzeKepa yeChangu Dzakabatana neBD, uye Zvaunogona Kuita Nezvavo
Hazvishamisi kuti kenza yepachirwere inetso yehutano hwevanhu, kunyanya mumasikati munzvimbo dzenyika. MuUnited States, uwandu hwekenza yemaperembudzi yekunamananoma yave ichiwedzera. Munenge munhu wose akave nekutema kwezuva kana maviri muhupenyu hwavo, zvikurukuru pavanotora zororo kumhenderekedzo yegungwa kana kuenda kunzvimbo inotonhora. Zvimwe vanhu vane chirwere chinoputika (IBD) vangave vasingazivi, zvakadaro, ndezvekuti vari pangozi yekuwedzera kenza yeganda nekuda kwekuti vane IBD.
Mashoko akanaka ndeokuti tinoziva pamusoro pengozi, izvo zvinoreva kuti zvakawanda zvinogona kuitwa kuti tisava pachena kune zuva rakawanda. Usagare kumba uye usapinda kufamba kana kunakidzwa nekuda kwezuva! Sunscreens ndiyo nzira yakanakisisa yekugadzirisa kusununguka, asi kune avo vasingadi kuishandisa, pane zvipfeko zvekuvhara UV zvinowanika mumhando dzakasiyana-siyana. Hats uye amburera kana kunyange kupinda mumumvuri zvinobatsira zvakare. Kutora maminetsi mashomanana zuva roga roga kuti ufunge pamusoro pekudzivirira kweVivvivi (UV) ichaenda nenzira yakareba yekudzivirira matambudziko emangwana. Vanhu vazhinji vanovaka kenza yeganda vachakwanisa kuwana kurapwa nekudzivisa matambudziko makuru, zvikuru kana akawanikwa kare.
Ndiani Anowana Kanzera Kweganda?
Vanhu vane IBD, uye kunyanya avo vane Crohn's disease, vari pangozi yekuwedzera kenza yepachirwere ( melanoma uye nonmelanoma). Imwe huru meta-analysis yakaratidza kuti njodzi inogona kuva yakakwirira se37 muzana. Izvozvo zvinonzwika zvinotyisa, asi kuvhara zuva kubuda kwezuva inzira yakanaka yekuderedza dambudziko iri, uye chinhu chiri pasi pekutungamirira kwako zvakananga.
Kuchengetedza girazi rezuva mubhuku rako reBD kit uye kuisa mari mune dzimwe mbatya dzekuvhara mavhambeo inzira dzakanakisisa dzokudzivirira zuva.
Chimwe chinetseka nezvengozi yakawanda ndeyekuti mishonga inoshandiswa kubata sei IBD inouya. Zvakave zvichiratidzwa kuti kushandisa madhiragi mumakirasi anonzi thiopurines (akadai semu Imuran nePurinethol ) anogona kuwedzera mikana yekuve nekenza yemuchera yeanomanoma kune vanhu vane IBD.
Kwemishonga inonzi biologics ( Remicade , Entyvio , Humira ), zvidzidzo zvakaratidza kuwedzera kwengozi ye melanoma. Kana iwe uri kutora imwe yemishonga iyi, unogona kunge uine hanya nekenza ngozi, asi inofanira kuenzaniswa nezvengozi yekurega kupisa kubva kuBD kuenda kusingatariswi uye kunokonzera zvinetso zvakakomba mumatumbo uye kunze kwematumbo. Taura ne gastroenterologist yako pamusoro pehutano hwako hwose uye kuti iwe ungaisa sei zvinhu nenzira yakajeka. Dermatologist inogonawo kubatsira uye kupa mazano ekudzivirira kudzivirira kwezuva uye kuti ungaziva sei dambudziko rako pachako.
Iwe Unofanirwa Sei Kuongororwa Nekenza Yeganda?
Vanhu vane IBD vanofanira kugara vachiongororwa kanzera reganda kamwechete pagore. Mune zvimwe zviitiko, kune vanhu vanofungidzirwa kuti vari pangozi yakanyanya, kuongorora nguva dzose kunogona kukurudzirwa. Chimwe chidzidzo chakaratidza kuti apo vanhu vane Crohn's disease vaongororwa kamwechete pagore, ndiyo yakawanda-inoshanda-yakawanda maererano nekubata kenza yepachivhu kare uye kuchirapa. Vanhu vane IBD vanofanira kubvunza vanachiremba vavo pamusoro pekukosha kwekuongororwa kwekenza yemaperembudzi uye kuti inguva yakawanda sei inofanira kuitwa.
Kugadzirisa Zuva Rokuratidzwa Kweganda Kudzivirira Kenza
Nemhaka yehutano hwekenza yeganda kune vanhu vane IBD, kudzivirira kunokosha.
Nenzira, kune nzira dzekushanda zuva kudzivirirwa mune chero hurongwa kana mararamiro. Hewa dzimwe nzira dzaunogona kudzivisa kujekeswa kune zuva rakawanda.
- Sunscreens. Zviri pachena kuti nzira iri nyore uye yakanyanya kupararira yekudzivirira kusvikirwa kwezuva. Sarudza mutengo wepamusoro unopa zuva rakadzivirirwa (SPF). Hazvidikanwi kusarudza marudzi akawanda, asi kune avo vanoda SPF yakasiyana yezvikamu zvakasiyana zvemuviri, zveganda rakaoma, kana kushandura, kune zvakawanda zvingasarudzwa.
- Hats. Kunyange kana iwe usingawanzove munhu ane hanya, unogona kuwana chikwata chingakubatira iwe uye kukupa zuva rinodzivirirwa. Sebhonasi, hove dzinogona kubatsira kudzikisa pasi uye kuvhara maziso ako pakuwana zuva rakawanda.
- Tarira zvisikwa kana mazamu. Mafuta akawanda ekudzivirira kana nheyo dzakadzivirirwa mukati, kazhinji SPF iri pakati pe15 ne25. Kushandisa zvose miviri uye nheyo neSFF hakurevi kuti vanowedzera, naizvozvo kusarudza chigadzirwa chimwechete ne SPF chakanaka.
- Nguo. Kune marudzi akawanda ezvokupfeka zviripo izvo zvine SPF yakavakwa mazviri. Nguva dzose zvipfeko zvinongopa SPF chete zvinenge zvishanu, nepo zvipfeko zvipfeko zvingave zvakakwirira sepamusoro pe50. Izvi zvinonyanya kubatsira pakuvhara musana nemutsipa, izvo zvinogona kuva zvinotyisa kusvika kune kisiki yezuva.
- Umbrellas. Usaseka! Kushandisa umburera kugadzira mumwe mumvuri inyaya yakanyatsonaka, kunyanya paya pahombekombe kana padziva. Kana iwe uchifunga nezvekugona kwezvinetso zvakakomba zveganda uye zvavanokwanisa kutenga mari uye muhupenyu hwehupenyu, mutengo wekutenga kana kubhadhara murazi ndeba.
- Kuramba mukati. Gara mukati mukati pepamusoro peawa maawa. Izvi zvinogona kusiyana, asi kazhinji, kugara kunze kwezuva kana kushandisa zuva rakachengeteka zuva pakati peawa 11 AM uye 2 PM pfungwa yakanaka. Kutarisa mamiriro ekunze kwehuwandu hweUV inobatsirawo pakunzwisisa kuti kufungidzira kunogona kuitika sei kune rimwe zuva rimwe chete kana panguva yakatarwa.
Asi Handidi Iko Zuva reVitamin D?
Ichokwadi kuti tinoda vitamini D uye kuti "vhiniga yezuva" inosikwa apo ganda rako rinoratidzwa nezuva. Zvinonyatsozivikanwawo kuti vanhu vane IBD vanofarira kuva nemavitamini D akawandisa kupfuura vanhu vasina IBD. Mashoko akanaka ndeokuti vitamini D inogona kuwanikwa kuburikidza nekuwedzera uye kudya, uye chiremba wako anogona kukukurudzira kuti unoda vitamini D yakawanda sei iwe ungada. Kuchenesa ganda kuzuva nguva dzose, uye kunyanya kupisa, kunobatanidza nehuwandu hwehutano hwekenza yemaperembudzi, saka zvakakosha kuti vanhu vane IBD vasawana zuva rakawanda.
Tanning Beds
ICentral for Disease Control and Prevention (CDC) mamiriro ezvinhu, zvakajeka, kuti "kupisa kwemukati kunogona kukonzera kenza yekenza kusanganisira melanoma (rudzi rwakanyanya kufadza rwekenza yechipfu), basal cell carcinoma, uye squamous cell carcinoma." Kune ngano dzakawanda pamusoro pekuchenesa mabhedha, kusanganisira pfungwa yokuti yakachengeteka kudarika kubuda kwezuva, kuti inobatsira pakuwana vitamini D, uye kuti kuwana "tsananguro tan" chinhu chakanaka. Hakunobatsiri kutsvaira mabhedha, uye vanhu vanoishandisa, kunyange kamwe chete, vari pangozi yakawanda yekuita kenza yeganda.
The Bottom Line
Vitamini D inokosha kumitumbi yedu, asi inogona kuwanikwa kuburikidza nezvokudya uye kuwedzera, uye kwete kubva kune zuva. Rimwe zuva kubuda kwezuva chikamu chehupenyu hwehupenyu nekuwana nguva inobatsira kunze, asi vanhu vane IBD vanofanira kuvhara mavhisi avo. Mimwe mishonga inogona kuisa vanhu vane IBD pangozi yakakura yokuva nekenza yeganda. Zvisinei, pane nzira dzakawanda dzekudzivirira kusvibisa kwezuva kusanganisira suncreen, nguo dzokudzivirira, nekushandisa mumvuri. Zvakakosha kuti usatya kuve nekuita kenza yepachizi, uye kuziva kuti imwe yengozi iri pasi pekutonga kwemunhu.
Sources:
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Yadav S, Singh S, Harmsen WS, et al. "Migumisiro Yemishonga Pangozi yeKanare Muvarwere Vanoputira Zvirwere Zvirwere: Chidzidzo chevanhu-Based Based Cohort kubva kuOlmsted County, Minnesota." Mayo Clin Proc . 2015 Jun; 90 (6): 738-746.