Maine kabhi nahi socha tha ke dehydration mujhe hospital bhejegi.
Apne breast cancer ka ilaj karne ke liye dose-dense doxorubicin (Adriamycin) aur cyclophosphamide (Cytoxan) chemotherapy ke teesre daur ko mukammal karne ke baad, meri jism ko dawaiyon ke jama asarat se takleef hui.
Mere taste buds itne nuksan huye ke paani bhi galat mehsoos hota tha. Qeyamat ne khana aur peena mushkil banaya tha, aur gastrointestinal masail, jaise ke dast, ne mujhe kamzor aur khali mehsoos hone par majboor kar diya.
Teeni infusion ke kuch din baad, main ek subah jaldi utha dull dard ke saath apne gurdon mein aur ek headache ke saath jo ke dard ki dawai ke bawajood dhamakedar tha. Dehydration mere zehan mein bhi nahi aayi.
"Heather Cruz, BSN, RN, CBCN," jo ke Memorial Sloan Kettering Cancer Center mein breast cancer par mahir oncology nurse hain, ke mutabiq, "Humein in regimen mein jo dawaiyan dete hain, woh kam se kam hissa tor par gurdon se nikalti hain," kehti hain. "Isliye gurde ko dhona ahem hai kyun ke agar sahi se nahi nikali gayi to dawai nuksan pahuncha sakti hai."
Jabke hamesha zaroori hai ke aap pani mein rahein, chemotherapy ke doran ye khaas tor par zaroori hai. Chemo drugs ulti, qeyamat, dast, aur taste changes ka sabab bana sakti hain jo pani ki zarurat ko poori karne mein mushkil bana deti hai.
"Cruz" ke mutabiq, "Jism ka zyadatar hissa pani hai, aur pani mein jism mein bohot se ahem kaam hain," kehti hain. "Yeh hamare jism se zehar nikalta hai aur hamare aza ke kam karne mein madad karta hai, aur cellular level par, pani bohot se processes mein madad karta hai, jaise ke hamari temperature aur blood pressure ko qaim rakhna."
Lekin chemo ke doran kafi mushkil ho sakta hai ke pani kaafi piya jaaye.
Yahan chemo ke doran apne pani intake ko barhane aur dehydration se bachne ke liye kuch tajaweezat hain.
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Fluid Intake Ko Balance Karein
Agar aapko lagta hai ke aap kaafi pani pee rahe hain, to agar ulti ya dast ki mushkilat hai, to aapko isko mad e nazar rakhte hue apne fluid intake ko barhaana hoga.
Cruz ke mutabiq, "Fluid intake ko woh nuksan ke saath balance mein hona chahiye jo ho raha hai," kehti hain. "Main kaise apne fluid intake ko barhaun? Main apne fluid loss ko kaise kam karun?"
Iske alawa, jab aap apne fluids kho rahe hain, to sirf pani peena kaafi nahi hai, kehti hain Cruz. Aapko kuch chahiye hoga jo electrolytes ko dobara bharayega bhi.
Sports drinks aur coconut water jaise drinks electrolytes ko bharne ke saath saath hydrate karte hain.
Pani Ko Behtar Banayein
Mere taste buds chemo ke doran itne kharab huye the ke maine paani peene mein bohot mushkil mehsoos ki. Nafrat ke pani ko thoda sa swaadmand banane ke tariqe bhi hain.
"Bohot se mareez lemon ya thode se podine ke patte daal dete hain taake woh taste ko cut kar sakein," kehti hain Cruz.
Maine bhi paani mein swaad sudharne ke liye easily bottle mein squeeze karne wale flavor additives ka istemaal kiya aur isme kaamyabi hasil ki.
Pani Ke Alawa Sochein
Flavor ke saath bhi chemo ke doran kuch log paani peene mein asamar nahi ho sakte. Lekin aapko is baat ko bhi nahi hone dena chahiye ke paani ka aversion aapko apne jism ki zarurat hone wale fluid se door rakh de.
"Bohot se mareezon ko paani peene mein mushkil hoti hai, to ye paani hi nahi hona chahiye," kehti hain Cruz. "Electrolytes ke saath cheezein jaise ke coconut water, soups aur broths, Jell-O, smoothies — ye paani ke liye achhi alternatives ho sakti hain."
Yaad rakhein ke fluids hamesha ek drink ke roop mein nahi aana chahiye. Kai fruits aur sabziyon mein aisi zaroorat ko poori karne wala zyada pani hota hai.
"Cucumbers aur watermelons jaise chezein jo zyada paani contain karte hain, woh madadgar ho sakti hain," kehti hain Cruz.
Kam Piyein, Ziyada Baar Baar
Kabhi kabhi chemo ke doran ek glass paani pee lene ka khayal almost mumkin ho sakta hai. Lekin aapko peeene ki zarurat nahi hai. Iske bajaye, din bhar chakkar lagayein.
Cruz ke mutabiq, "Agar aapko ulti mehsoos ho rahi hai to din bhar small, frequent amounts of fluid lein," kehti hain. "Agar aap ek dafa mein zyada paani ya kisi aur drink pee lete hain, to aap ko ulti hone ke zyada chances hain."
Cruz ye mashwara deti hain ke aap apne paas ek refillable bottle ya kisi aur cheez ko din bhar saath rakh sakte hain taake aapko continuous sipping karne mein asaan ho.
"Agar aapko bed ke paas ek chhota sa cooler rakhna hai jisme drinks hon taake aapko uthne ki zarurat na
ho," kehti hain.
Dehydrating Drinks Ko Hudood Mein Rakhein
Jab aap dehydration se lad rahe hain, to kuch drinks nuksan pahuncha sakti hain.
Caffeine wale beverages jaise ke soda aur coffee moderate mein theek hain, lekin agar aapke zyadatar fluids caffeine ke saath hain, to ye dehydration ka sabab ban sakti hai. Isliye ke caffeine gurde par diuretic asar dal sakta hai, jisse aapke jism se zyada pani bahar nikalta hai.
Cruz ke mutabiq, "Log ek cup coffee to pee sakte hain, lekin agar kisi ke fluids mostly iced tea ya iced coffee hain to unko isse bachna chahiye," kehti hain.
Ek aur no-no? Sharaab, jo ke ek aur diuretic hai. Sharaab bhi aapke jism ko antidiuretic hormone vasopressin banane mein madad karta hai.
Sab se ahem baat ye hai ke dehydration ke symptoms ko pehchanen aur madad ke liye kab poochhna hai. Inmein shaamil hain:
- chakkar aana
- kam peshab aana
- gahra peela peshab
- headache
- shiddat se pyaas
Mere case mein, maine socha ke main aur zyada paani pee sakta hoon aur apne aap ko power through kar sakta hoon. Maine mushkil taur par ye sikha ke kabhi kabhi paani peena kaafi nahi hota aur IV fluids ki zarurat hoti hai.
Cruz ke mutabiq, "Dast ke sath fluid loss bohot zyada hota hai, aur agar aap ulti kar rahe hain to aap saare woh electrolytes kho rahe hain," kehti hain. "Is waqt chezein khatre mein aa sakti hain. Agar aapko asaan se control nahi ho rahe dast ya ulti ho rahi hai, to aapko apne provider se rabta karna chahiye kyun ke zyadatar chances hain ke aapko IV electrolytes aur fluids ki zarurat hogi."
Takeaway
Jab mujhe woh fluids mile aur main wapas track par aaya, to meri jism ke fully hydrated hone ka behtareen hone ne mujhe meri treatment ke aakhir mein through karne mein madad ki.
"Agar aap mushkil mein hain to aap payenge ke aap puri tarah se hydrated hote huye kitna achha mehsoos karte hain," kehti hain Cruz.