UW MEDICINE PATIENT EDUCATION RADIATION TO THE CHEST KOREAN 흉부방사선치료알아야할사항 본안내자료는흉부방사선치료를받은후예상되는일에관한설명입니다. 부작용흉부방사선치료는치료부위에부작용을일으킬수있습니다. 이러한부작용은개인에따라다릅

UW MEDICINE PATIENT EDUCATION RADIATION TO THE CHEST KOREAN 흉부방사선치료알아야할사항 본안내자료는흉부방사선치료를받은후예상되는일에관한설명입니다. 부작용흉부방사선치료는치료부위에부작용을일으킬수있습니다. 이러한부작용은개인에따라다릅니다. 대부분은단기간지속되다가방사선치료가끝나면사라집니다. 흉부방사선치료후가장흔한부작용 : 피부반응 목구멍이건조하고따가움 기침 삼킴장애 속쓰림 피로 피부반응 흉부에방사선치료를받는동안에피부반응이있을수도있습니다. 방사선이피부를통과하여종양에도달해야하기때문에피부반응이일어납니다. 치료부위의피부에특수치료를하면피부반응을예방하거나줄이는데도움이됩니다. ( 방사선치료중의피부치료 안내자료를요청하십시오.) 목구멍이건조하거나따가움 방사선요법이나부작용에관해의문사항이있으면담당의사와상담하십시오. 이부작용은치료 2주또는 3주후에발생할가능성이가장큽니다. 목구멍이건조하거나따가울때완화법 : 매일적어도 8잔에서 10잔의물 (8온스씩) 을마십시오. 딱딱한사탕이나민트사탕을빨아먹거나껌을씹어입안에수분이많게하십시오. 무설탕껌및사탕을선택하십시오. 1/3 페이지 흉부방사선치료

식사전후, 그리고필요에따라자주입을헹구거나가글링을하십시오. 2컵의미온수에소금반티스푼과베이킹소다반티스푼을혼합하십시오. 시판용구강청결제는사용하지마십시오. 그런제품들은목구멍을건조하게합니다. 담배, 시가또는파이프흡연을하지마십시오. 씹는담배를쓰지 기침 마십시오. 기침약사용에관해담당의사와간호사와상의하십시오. 가래가많으면반드시물을많이마십시오. 물을마시면가래가묽어져서뱉어내기가더쉬워집니다. 삼킴장애 치료중과회복기에식도 ( 목구멍과위사이의관 ) 의기능을잘유지하는것이중요합니다. 적당량의식사를하는것은식도건강을유지하는데도움이될것입니다. 이런이유로귀하가음식을먹고삼키는데영향을주는부작용을줄이려고합니다. 그러한부작용증상 : 삼킬때식도에작열감이있습니다. 팽만감이나혹이있는것처럼느껴질수도있습니다. 이러한부작용은치료를하고 2-3주후에생길가능성이큽니다. 이러한증상을개선시키는방법 : 부드럽고연하며촉촉한음식을먹습니다. 그런음식들은삼키기쉽습니다. 냉장되었거나상온의음식을섭취하십시오. 그런음식들이삼키기에더편합니다. 음식을삼키기더쉽도록국물이나소스등의액체를첨가하십시오. 크래커, 너트, 감자칩, 프레첼과같은마르고거친음식과생과일과생야채를피하십시오. 오렌지, 토마토와같은자극적이고신음식은피하십시오. 술과담배는피하십시오. 그런것들은목구멍과식도 ( 위로연결된, 음식물이지나가는관 ) 에자극을줍니다. 소량의음식을자주드십시오. 하루 4회내지 6회소량의식사를하는것이 3회다량의식사를하는것보다더낫다는사람들이있습니다. 건강에좋은부드러운음식을드십시오. 모든식품의종류를골고루드십시오. 방사선요법동안에는체중감량을하지마십시오. 삼키는데도움을주는약이있습니다. 이에관해담당간호사나의사에게문의하십시오. 2/3 페이지 흉부방사선치료

속쓰림 방사선치료 2-3 주후에속쓰림이나위산역류가있을수있습니다. 이런증상이있을경우위산을줄이는일반의약품 ( 비처방약 ) 을복용하는것은괜찮습니다. 화학요법도받고있다면, 일부속쓰림약이효과가없을수도있습니다. 어떤약이본인에게가장좋을지담당간호사나의사에게문의하십시오. 피로 방사선요법동안신체는많은에너지를사용하게됩니다. 피로를가중시키는것들에는질병과관련된스트레스, 치료를위한통원, 그리고방사선이정상세포에미치는영향이있습니다. 피로를줄이기위해서는식사를잘하고활동적인생활을하고스트레스관리에최선을다해야합니다. 피로의정도는개인마다다르고방사선치료가끝나면시간이흐르면서사라질것입니다. 활동의정도를잘조절하시고너무피로해지지않도록자주휴식을취할것을권합니다. 다른사람에게집안청소, 장보기와식사준비에도움을청하십시오. 누군가가도와주겠다고하면, 그도움을받으십시오. 혼자살고있고너무피로해서요리를할수가없으면냉동식품을드셔보십시오. 칼로리, 지방, 또는염분이너무많지않은영양가있는음식을선택하십시오. 또는식사배달서비스 (Meals on Wheels) 와같은지역사회의서비스를이용할수도있습니다. 질문이있습니까? 다른부작용 그외덜흔한부작용이있을가능성도있습니다. 다른증상이있다면의사나간호사또는치료사에게알리십시오. 귀하의질문은중요합니다. 질문이나우려사항이있으시면담당의사나의료진에게연락해주십시오. 평일오전 8 시부터오후 5 시까지 UWMC 암센터, 206.598.4100 번으로전화해주십시오. 전화가연결되면 1 번을누르십시오. 근무시간후, 주말과휴일에는 206.598.6190 에전화하신다음방사선종양전문의당직레지던트의호출을요청하십시오. University of Washington Medical Center Radiation to the Chest Korean Published PFES: 10/2011, 02/2012, 05/2015 Clinician Review: 05/2015 Reprints on Health Online: https://healthonline.washington.edu 3/3 페이지 흉부방사선치료

UW MEDICINE PATIENT EDUCATION Radiation to the Chest What you should know This handout explains what to expect after having radiation treatments to the chest. Side Effects Radiation therapy to your chest can cause side effects to the area. These side effects vary from person to person. Most last only a short time and will go away after your radiation treatments are done. The most common side effects after radiation therapy to the chest are: Skin reactions Dry or sore throat Cough Difficulty swallowing Heartburn Fatigue Talk with your doctor if you have any questions about your radiation treatment or side effects. Skin Reactions You may have skin reactions while you are having radiation to your chest. Skin reactions occur because radiation must pass through your skin to reach the tumor. Special care of the skin in the treatment area helps prevent or lessen skin reactions. (Ask for our handout Skin Care During Radiation Therapy. ) Dry or Sore Throat This side effect is most likely to occur after 2 or 3 weeks of treatment. To help a dry or sore throat: Drink plenty of fluids, at least 8 to 10 glasses (8 ounces each) every day. Page 1 of 3 Radiation to the Chest

Try sucking on hard candies or mints, or chewing gum to increase moisture in your mouth. Choose sugarless gums and candies. Rinse or gargle before and after eating, and as often as needed. Mix ½ teaspoon salt and ½ teaspoon baking soda in 2 cups of warm water. Do not use commercial mouthwashes. They will dry your throat. Do not smoke cigarettes, cigars, or a pipe. Do not chew tobacco. Cough Your nurse and doctor will talk with you about using cough medicine. If you have a lot of mucus, make sure you are drinking enough fluids. Fluids help keep mucus thin so that you can cough it up more easily. Difficulty Swallowing It is important to keep your esophagus (the tube between your throat and your stomach) working well during your treatment and recovery time. Drinking and eating normal amounts will help keep your esophagus healthy. Because of this, we want to reduce any side effects that affect how you eat and swallow. These side effects include: It may burn when you swallow. You may have a feeling of fullness or a lump. These side effects are more likely to occur after 2 or 3 weeks of treatment. To help ease these symptoms: Eat foods that are soft, smooth, and moist. They are easier to swallow. Eat foods at cool or room temperature. They are more comfortable to swallow. Add liquids such as gravies and sauces to make foods easier to swallow. Avoid dry or coarse foods such as crackers, nuts, potato chips, pretzels, and raw fruits and vegetables. Avoid spicy foods and acidic foods, such as oranges and tomatoes. Avoid alcohol and tobacco. They will irritate your throat and esophagus (the tube that carries food to your stomach). Eat smaller amounts of food more often. Some people find that eating 4 to 6 small meals is better than eating 3 large meals a day. Eat a healthy soft diet. Include foods from all the food groups. Try not to lose weight during radiation therapy. There are medicines that can help you swallow. Ask your nurse or doctor about these. Page 2 of 3 Radiation to the Chest

Heartburn You may have heartburn or acid reflux after 2 or 3 weeks of radiation treatment. If you have these symptoms, it is OK to take an over-thecounter (non-prescription) medicine that reduces acid. If you are also having chemotherapy treatment, some heartburn medicines may not work. Ask your nurse or doctor about what medicines will work best for you. Fatigue During radiation therapy, your body uses a lot of energy. Other things that add to fatigue are stress related to your illness, daily trips for treatment, and the effects of radiation on normal cells. To reduce fatigue, eat well, stay active, and do your best to manage your stress. The amount of fatigue varies with each person and will likely go away over time after your radiation treatment is finished. We suggest that you pace your activities and plan to rest often so that you do not get too tired. Ask someone to help you clean the house, shop, and cook meals. If someone offers to help, accept their help. If you live alone and are too tired to cook, try frozen dinners. Choose options that provide good nutrition without too many calories, fat, or salt. Or, you might want to use a community service such as Meals on Wheels. Other Side Effects It is possible that other less common side effects may also occur. Tell your doctor, nurse, or therapist if you have any other symptoms. Questions? Your questions are important. Call your doctor or healthcare provider if you have questions or concerns. Weekdays from 8 a.m. to 5 p.m., call UWMC Cancer Center at 206.598.4100. Press 1 after the call goes through. After hours and on weekends and holidays, call 206.598.6190 and ask for the Radiation Oncology resident on call to be paged. University of Washington Medical Center Published PFES: 10/2011, 02/2012, 05/2015 Clinician Review: 05/2015 Reprints on Health Online: https://healthonline.washington.edu Page 3 of 3 Radiation to the Chest