Tips of the doctor

How to overcome side effects and improve the quality of life during the treatment of RMW?

D.M.n, head of the chemotherapy department of MNII named.A. Herzen – branch of the FSBI "NMITs of Radiology" of the Ministry of Health of Russia, an oncologist.

D.M.n, head of the chemotherapy department of MNII named.A. Herzen – branch of the FSBI "NMITs of Radiology" of the Ministry of Health of Russia, an oncologist.

Treatment of breast cancer – a difficult period in the life of any woman. Modern drugs are very effective, they are struggling with the tumor, but give a lot of side effects. Cope with them will help the physician. Do not give up on supportive care, do not hesitate to talk about what’s bothering you and adversely affects quality of life. The doctor will choose the medicines that will improve your condition.

Assays for control – always!

To understand how the body carries the treatment, during treatment it is important to take not only the general, but also biochemical analysis of blood, which reflects the work of internal organs. If there are any marked deviations, the doctor will recommend corrective agents, and if necessary, suspend treatment to improve blood parameters.

The main task – to prevent serious complications. During treatment, you may experience changes in the general analysis of blood: neutropenia, thrombocytopenia, anemia, decreased or vice versa increase in blood clotting.

Nausea and vomiting

This frequent chemotherapy satellites. Before the procedure, do not adjust themselves to the fact that it will suffer badly: Waiting vomiting – not an uncommon phenomenon. Do not worry! Modern antiemetic drugs to help you cope with this side effect.

Acute vomiting during chemotherapy starts and can stay for a day after it. Deferred appears in a couple of days after the procedure 1 .

anti-nausea Diet

Chemotherapy can have a negative impact on the digestive system. And she is "responsible" for this nausea and vomiting. Facilitate the side effects of not only drugs, but also dieting.

  • On the day of chemotherapy give up fatty and fried foods. In the morning drink a broth – breakfast should be in liquid form.
  • ventilate the room, which are. Avoid strong odors, they reinforce nausea.
  • In the morning, If nausea after chemotherapy fails toeshte something lying in bed.
  • Do not drink food! Drink between meals.
  • The basis of your diet – lean fish, rice, chicken, eggs.
  • For dessert – baby food, cookies, crackers, jelly.

Diarrhea

After her face with chemotherapy to 75% of patients 2 . Diarrhea can lead to dehydration, so to immediately report it to the attending physician, he will pick up treatment for you.

How to ease the diarrhea through diet?

    Tips of the doctor_7
  • More drinks. So you quickly recover the lost fluid volume. Drinks should be at room temperature, drink them slowly.
  • Eat small meals. Do not take too hot / cold food.
  • Choose foods rich in potassium. This trace element during diarrhea in short supply. Much potassium is contained in dried apricots, raisins, bananas, oranges, potatoes.
  • Reduce the amount of fiber. Temporarily give up the foods where it is a lot of bread, whole grain cereal, raw fruits and vegetables, nuts. Little fiber in rice, pasta, cereal porridge, meat, chicken and turkey (without skin!), Boiled vegetables.
  • Do not drink milk, do not eat dairy products. This prohibition also applies to ice cream.

Stomatitis

The development of this side effect depends not only on the type of chemotherapy, but also on the oral mucosa 3 . Before starting chemotherapy, visit the dentist and if necessary eliminate the inflammatory focus special attention – to gingivitis and periodontitis. The doctor will tell you what steps to take to avoid the sores during chemotherapy.

  • Inspect daily oral cavity. If you notice swelling of the gums, redness, bleeding, white coating, feel pain, sign up to the dentist and report it immediately to your doctor.
  • Prepare a solution of a salt or soda (A glass of water a teaspoon) and often rinse their mouths. Additionally, help rinse solution miramistina, treatment mucous sea buckthorn oil.

Stomatitis – this is a temporary problem. After the chemotherapy, she would no longer be relevant to you.

Temperature increase

After chemotherapy, the condition may occur which happens with influenza. A few hours, or even days, some patients feel as if a cold start. Headache, muscle or joint pain, there is a weakness, chills, fever.

What to do in this case?

Take antipyretic and immediately inform your doctor. Most likely, he will recommend you to pass a complete blood count to exclude the level of white blood cells fall.

Hair loss

Painless, but perhaps the most psychologically difficult for the women side effects. This is also a temporary phenomenon – six months after chemotherapy hair will be the same, or perhaps someone will find a new way by a short cut instead of the usual square or beam. In order not to experience stress in the form of falling hair, before the procedure, do yourself a possible short cut. During chemotherapy, you can wear a wig, a nice hat or a scarf.

Some clinics offer patients use Kholodov helmets, believing that they can reduce the rate of hair loss. But in practice, these expectations are not always justified.

delicate moment

During hormone therapy, women often complain of vaginal dryness. Before intimacy use special grease. Its composition should be estrogen.

Move more! Even when bad

Physical activity – a mandatory recommendation for women after breast cancer treatment. Try not to lie too long! Go for a walk, breathe fresh air, to do something around the house. Good feel better yoga and swimming 4 .

Adverse effects during the treatment of breast cancer – unavoidable, but controlled. After completion of chemotherapy will significantly improve your condition, nausea will pass, the hair grows back.

Antitumor treatment requires patience.
The main thing – to get well or to achieve long-term remission counter.

Try to communicate more with family and loved ones, listen to soft music, think about the good, tune in to a long and happy life.

1. L. G. Zhukova, N. AND. Rozhkova, A.M. Stepanova. Breast cancer in matters and answers. M., 2019. WITH.48.
2. L. G. Zhukova, N. AND. Rozhkova, A.M. Stepanova. Breast cancer in matters and answers. M., 2019. WITH.48.
3. L. G. Zhukova, N. AND. Rozhkova, A.M. Stepanova. Breast cancer in matters and answers. M., 2019. WITH.49.
4. L. G. Zhukova, N. AND. Rozhkova, A.M. Stepanova. Breast cancer in matters and answers. M., 2019. WITH.63.

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