Radioterapia powodować może popromienne zapalenie skóry, które jest przyczyną podrażnienia, wysuszenia, złuszczania naskórka, obrzęków czy bólu. W czasie terapii i po jej zakończeniu, należy smarować skórę preparatem, który zawiera olej lniany i alantoinę, a także unikać słońca czy nosić przewiewne ubrania.

Popromienne zapalenie skóry.
Radioterapia jest jedną z metod stosowanych w leczeniu nowotworów złośliwych. Pomimo wielkiego postępu techniki w sposobie dostarczania dawki do obszarów tarczowych, a także ochronie narządów krytycznych, w obszarze napromienianym zawsze znajduje się skóra. Dlatego promieniowanie jonizujące powoduje często jej popromienne zapalenie.

Jest to problem istotny klinicznie w leczeniu Pacjentów, szczególnie, gdy miejscem napromienianym jest obszar, w którym:
– stykają się dwie powierzchnie skóry (krocze, pierś)
– naskórek jest cienki (twarz, krocze, pacha).

Do czynników ryzyka związanych z Pacjentem należy zaliczyć:
– indywidualną promieniowrażliwość skóry
– choroby współistniejące takie jak cukrzyca czy niewydolność nerek
– spożywanie alkoholu i palenie papierosów
– niedostateczny stopień odżywienia
– starszy wiek.

Popromienne zapalenia skóry, w zależności od stopnia zaawansowania, powoduje:
– zaczerwienienia, podrażnienie, wysuszenie, pieczenie, świąd
– pozbawienie owłosienia
– złuszczanie naskórka suche lub z surowiczym wysiękiem
– obrzęki i owrzodzenia
– ból.

Zmiany w wyglądzie skóry w odsłoniętych częściach ciała, takich jak głowa i szyja, mogą powodować zaburzenia w wypełnianiu ról społecznych czy zawodowych, co w połączeniu z dolegliwościami somatycznymi w istotny sposób pogarsza jakość życia. Jednak bardziej zaawansowane mogą być powodem przerwania leczenia, przechodzić w nowotwory złośliwe lub nawet powodować zgon.

Pielęgnacja skóry podczas i po radioterapii.
Osoby, które poddawane są radioterapii powinny:
1. Chronić napromienianą skórę przed urazami i nasłonecznieniem. Jeśli nie unikniemy ekspozycji słonecznych, należy stosować kremy i maści, które zawierają filtry przeciwsłoneczne.
2. Nosić możliwie najlżejsze i przewiewne ubrania z materiałów naturalnych (bawełna, jedwab), aby skóra mogła „oddychać” i uniknąć odparzeń w fałdach skóry.
3. Utrzymywać higienę skóry naświetlanej. Wykazano, że delikatne przemywanie i osuszanie skóry w obszarze napromienianym, zmniejsza częstość występowania ostrych reakcji skórnych związanych z radioterapią.
4. Sugeruje się także używanie golarek elektrycznych.

W przypadku preparatów, zaleca się stosowanie kremu Aquastop Radioterapia, który składa się z:
– oleju lnianego, bogatego w niezbędne nienasycone kwasy tłuszczowe (omega -3 i -6)
– alantoiny, będącej pochodną kwasu moczowego.
Preparat nie zawiera kompozycji zapachowych, barwników, ani wody, a jego zadaniem jest nie tylko natłuszczanie skóry, ale również tworzenie ochronnego filtra, który zabezpiecza przed utratą wody i działaniem czynników zewnętrznych.

Krem zmniejsza wysuszenie, zaczerwienienia, podrażnienia i świąd, a także złuszczanie i pękanie naskórka. Dzięki temu poprawia tolerancję odczynów popromiennych na skórze, przyczynia się do zmniejszenia stanu zapalnego i przyspiesza gojenie.

Działania profilaktyczne oraz leczenie popromiennego zapalenia skóry należy rozpocząć w trakcie napromieniania i kontynuować przez wiele miesięcy po jego zakończeniu. W innym przypadku proces gojenia może zostać przedłużony, mogą powstawać owrzodzenia, blizny czy nawet martwica, a jedynym rozwiązaniem będzie przeszczep skóry.

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