Mikozis Fungoides ve Hemşirelik Yönetimi

Yıl 2019, Cilt: 35 Sayı: 1, 29 - 35, 30.04.2019

İsmail Toygar Asiye Akyol

Öz

Mikozis Fungoides ve Hemşirelik
Yönetimi

Özet

                Mikozis
fungoides (MF) toplumda yaygın olarak görülen kutanöz T hücreli lenfoma (KTHL)
tipidir. MF tüm KTHL olgularının %73’ünü oluşturmaktadır. MF ülkemizde ve
dünyada sık karşılaşılan sağlık problemleri arasında yer almaktadır. MF
hastaları klinik olarak 4 evrede ele alınmaktadır. Bu evreler sırası ile
premikotik evre, yama evresi, plak evresi ve tümör evresidir. Erken evrelerde
MF ayırıcı tanısı oldukça zordur. MF hastalarının tedavisi lokal deri
uygulamaları ve sistemik uygulamalar olarak iki başlık altında gruplandırılmaktadır.
Erken evre hastalarda yalnızca lokal deri uygulamaları tam remisyon sağlar
iken, ileri evre hastalarda sistemik tedaviler de kullanılmalıdır. Hastaların
şikâyetleri arasında kızarıklık, kuruluk, ağrı ve enfeksiyon ilk sırayı alırken
bunları psikiyatrik ve sosyal sorunlar izlemektedir. MF hastalarının hemşirelik
yönetiminde hasta ile işbirlikçi bir yaklaşım yürütülmesi ve semptomların etkin
kontrolünün sağlanması yer almaktadır. MF hastalarının semptom kontrolünde
kızarıklık, kuruluk, kaşıntı, ağrı, enfeksiyon ve psikiyatrik problemler hedef
alınmalıdır. MF hastalarının etkin tedavi ve bakım ile şikâyetleri
azaltılabilmekte ve ortadan kaldırılabilmektedir. Bu makalede, MF’in tanım,
epidemiyoloji, tanı kriterleri, tedavi ve hemşirelik yönetimi ele alınmıştır.

Anahtar
Kelimeler: Mikozis Fungoides,
Hemşirelik Yönetimi, Bakım.

Mycosis Fungoides and Nursing
Management

Abstract

Mycosis Fungoides (MF), common in community, is a type
of Cutaneous T-Cell Lymphoma (CTCL). MF is 73% of all CTCL case. MF is among
the common health problems in our country and in the world. MF patients
clinically classified in four phases. This phases are premycotic phase, patch
phase, plaque phase and tumor phase respectively. In the early stages, the MF
differential diagnosis is difficult. MF patients’ treatment is grouped as local
skin therapy and systemic therapy. While the early stages of MF, lokal skin
therapy provide complete remission, the advanced stages of MF, systemic therapy
should be used. While patients primarily  suffer from rash, dryness, pain and infection;
psychiatric and social problems follow this symptoms. Nursing management of MF
patients include collaborative approach and effective symptoms management. With
effective treatment and care, MF patients’ suffers may be reduced and removed. Rash,
itching dryness, pain and infection, and psychiatric problems should be
targeted in symptom control of MF patients. In this article definition,
epidemiology, diagnostic criteria, classification, treatment and nursing
management of MF is discussed.

Key
Words: Mycosis Fungoides,
Nursing Management, Care.

Anahtar Kelimeler

Mikozis Fungoides, Hemşirelik Yönetimi, Bakım

Kaynakça

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