Prevention against damage to the mucosa and mitigation
The mucous layer in the digestive system consisting of mouth, nasal, esophagus, stomach and intestine, that is the mucous layer, shows a very sensitive reaction against the harmful effect of cytostatic drugs. Therefore, during a chemotherapy , mucosal inflammation can often occur. Mouth and nasal inflammation of the mucous membranes themselves, blisters, gums and / or wounds are manifested in the form. In addition, difficulty in swallowing, dry mouth and changes in taste sensation are also observed. In the case of inflammation of the stomach and intestines, this may cause vomiting, digestive complaints and diarrhea. Mucosa injury is called mucositis . Since bacteria are present in the mucous membranes in the mouth and intestines, body-specific bacteria can penetrate other parts of the body from wounds and cause serious infections in addition to existing complaints. The damaged mucosal layer is suitable for the formation of virus and fungal infections. The weakness of the body's protection may further increase the risk of infection. Worth to know: It is very important to wash and rinse the patient's mouth with disinfecting fluids regularly and carefully to alleviate mucosal inflammation and take precautions against infection. Injury to the mucous membrane with a hard toothbrush, sharp-edged hard food or hot food and soft drinks should be avoided. It is also recommended to avoid very spicy or sour foods, and even fresh fruit and vegetables for a certain period of time. In this way, it may be possible to avoid unnecessary further stimulation of the mucous layer called mucosa. In case of severe mucositis, the patient is treated with antibiotics or antiviral drugs if necessary. In case of severe swallowing difficulties, it may sometimes not be possible to obtain adequate food by the natural route, ie by mouth. In such a case, it may be necessary to give the patient parenterally over a vein for a long period of time, ie outside the stomach and intestine. If there is diarrhea, depending on the finding, it may be possible not to take food for a while or to take food that will not exhaust the intestines. Where necessary, treatment is supplemented with antibacterial drugs, infusions against fluid and salt loss and a diet. In the case of a diarrhea, antibiotics are used only in rare cases, because antibiotic medications may cause diarrhea themselves. Radiotherapy is similar. However, the unwanted effects of radiotherapy are generally lighter than those mentioned above. They can be treated and controlled more easily, even if radiotherapy takes longer. 16AXX
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