Image: COURTESY
Reverend Kathy Kiuna of Jubilee Christian Church recently shared a heartfelt narrative of the struggles the late Bishop Allan Kiuna encountered due to the effects of Chemotherapy throughout his journey with Cancer until his last breath.
“2018 was a difficult time for us. My husband @bishopkiuna was diagnosed with cancer and was away seeking treatment. Chemotherapy had him losing hair, gaining weight and unable to do much physically; he was unable to stand or walk for long and had to tiptoe around from the immense pain in his legs. Chemotherapy had him at his lowest. What was most difficult for me, was having to be home preaching most of the time and not by his side physically and honestly speaking it took all of me to even stand and preach," Kathy said.
“Most of what I preached in 2018 was more for me than anyone else, it was God speaking to me at the same time using me to get to someone. Regardless of how I felt, I had to show my husband that we would get through this and show strength even when it was hard and would later go on my knees and remind God of His promises most times with tears rolling down my face. In that season, I learnt to put the weight of my faith in God. It is easy to say ‘My faith is in God’ yet still want to do things on your own and find other ways especially when you feel like God is ‘taking time.”
Image: courtesy
Talking about the effects of chemotherapy let's look at some and how they can be managed.
1. Nausea and Vomiting:
Causes: Chemotherapy can irritate the stomach lining and affect the brain's vomiting center.
Management Strategies:
Medications: Antiemetics like ondansetron, metoclopramide, and dexamethasone can be prescribed.
Dietary Changes: Eat small, frequent meals, avoid greasy, fried, and spicy foods; choose bland foods like toast and rice.
Hydration: Drink clear or ice-cold drinks, sip liquids slowly.
Ginger: Ginger tea or supplements may help reduce nausea.
Relaxation Techniques: Practice deep breathing, meditation, or acupuncture.
2. Fatigue:
Causes: Anemia, the body’s effort to repair itself, and the emotional stress of treatment.
Management Strategies:
Exercise: Light activities like walking or yoga can boost energy.
Sleep: Ensure 7-8 hours of restful sleep, consider naps if needed.
Nutrition: Eat a balanced diet rich in proteins, vitamins, and minerals. -
Energy Conservation: Prioritize tasks, take breaks, and ask for help with chores.
3. Hair Loss:
Causes: Chemotherapy drugs target rapidly dividing cells, including hair follicles.
Management Strategies:
Hair Care: Use mild shampoos and soft brushes, avoid heat styling.
Scalp Cooling: Cold caps can reduce blood flow to the scalp, potentially reducing hair loss.
Head Coverings: Explore wigs, hats, scarves, or turbans for comfort and style.
4. Infections:
Causes: Reduced white blood cell count (neutropenia) weakens the immune system.
Management Strategies:
Hygiene: Wash hands frequently with soap, use hand sanitizers.
Avoid Exposure: Stay away from crowded places and people who are sick. -
Vaccinations: Stay updated on vaccinations as advised by the doctor.
Prompt Reporting: Report any signs of infection to the healthcare provider immediately.
5. Anemia:
Causes: Chemotherapy can reduce red blood cell production.-
Management Strategies:
Diet: Consume iron-rich foods like red meat, leafy greens, beans, and fortified cereals.
Supplements: Iron supplements or vitamins B12 and folate if recommended.
Medications: Erythropoiesis-stimulating agents (ESAs) to boost red blood cell production.
Rest: Balance activity with rest; avoid overexertion.
6. Mouth Sores (Mucositis):
Causes: Chemotherapy can damage the mucous membranes in the mouth.
Management Strategies:
Oral Hygiene: Brush with a soft-bristled toothbrush, use a mild, alcohol-free mouthwash.
Diet: Avoid acidic, spicy, and crunchy foods, eat soft, bland foods like yogurt and mashed potatoes.
Mouth Rinses: Rinse with salt and baking soda solution (1 tsp salt + 1 tsp baking soda in 1 quart water).
Hydration: Drink plenty of fluids to keep the mouth moist.
7. Appetite Loss:
Causes: Nausea, altered taste, and emotional stress can decrease appetite.
Management Strategies:
Small Meals: Eat small, frequent meals throughout the day.
High-Calorie Foods: Incorporate high-calorie, high-protein foods like nuts, cheese, and protein shakes.
Appealing Foods: Eat foods that are visually appealing and smell good.
Supplements: Consider nutritional supplements if recommended by a healthcare provider.
8. Peripheral Neuropathy:
Causes: Some chemotherapy drugs can damage peripheral nerves.
Management Strategies:
Medications: Pain relievers, anticonvulsants (like gabapentin), and antidepressants.
Physical Therapy: Exercises to improve strength and balance.
Temperature Management: Avoid extreme temperatures; wear gloves and warm socks.
Foot Care: Keep feet clean and dry; wear comfortable, well-fitting shoes.
9. Cognitive Changes ("Chemo Brain"):
Causes: The exact cause is unclear, but it may involve inflammation, hormonal changes, or direct neurotoxicity.
Management Strategies:
Mental Exercises: Puzzles, reading, and memory games can help. - Organization: Use planners, lists, and alarms to keep track of tasks and appointments.
Adequate Rest: Ensure proper sleep and take breaks when needed.
Stress Management: Practice relaxation techniques like meditation or mindfulness.
10. Skin and Nail Changes:
Causes: Chemotherapy can affect skin and nails, leading to dryness, rashes, and discoloration.-
Management Strategies:
Moisturization:** Use hypoallergenic moisturizers; apply regularly.
Sun Protection: Wear sunscreen with SPF 30 or higher; avoid prolonged sun exposure.
Gentle Care: Use mild, fragrance-free soaps; avoid hot showers.
Nail Care: Keep nails trimmed; avoid nail polish removers with acetone.
