Scalp-Cooling - scalp cooling during chemotherapy
What does scalp cooling mean?
Some types of chemotherapy drugs (cytostatics) cause hair loss. Scalp cooling (scalp cooling) is the method for reducing the hair loss caused by chemotherapy (alopecia).
How does scalp cooling work?
Every hair on the body grows from a hair follicle. Small blood vessels in the scalp supply the cells of these follicles with food and oxygen and remove "waste products". All chemotherapy drugs in the bloodstream are also transported to the hair follicles. When blood vessels in the scalp are cooled, they become smaller and less blood flows through them. Cooling the scalp during chemotherapy means that fewer chemotherapy drugs reach and damage the hair follicles - which in turn means that the hair is less likely to fall out.
A common method of scalp cooling uses a "cold cap" filled with a gel that is cooled to the required temperature. The cap must fit snugly on the head to function correctly and effectively.
How effective is scalp cooling?
Scalp cooling is very effective in preventing or reducing hair loss. You can only determine whether it works for you if you try it out. However, there is no guarantee.
Despite scalp cooling, you can find that your hair becomes slightly thinner. Unfortunately, some patients still lose their hair despite scalp cooling. However, cases are reported in which the hair grows again during chemotherapy because the users have continued to cool.
Scalp cooling only protects the hair on the scalp. Body hair - including eyelashes, eyebrows, beards and mustaches, chest hair, and pubic hair - can be lost.
Hair loss from chemotherapy is almost always temporary. As soon as the treatment is over, your hair will grow again. In the beginning the hair is very thin, but after 3-6 months you will probably have full hair again. You may find that the structure or color of your hair is different, but this is often temporary. After about 12 months, the color and structure of your hair can be the same as it was before chemotherapy.
Who can use scalp cooling?
Scalp cooling is not suitable for everyone:
It is in no way suitable for hematological cancers such as myeloma, leukemia and lymphoma, as there is a high risk that cancer cells in the blood vessels of the scalp survive and cause the cancer to return after treatment
May not be suitable for those who need very high doses of chemotherapy. The positive effects of scalp cooling may be less likely with these very high doses
May not be suitable for patients whose liver is not working as well as it should - because this can cause chemotherapy drugs to circulate in the body longer than usual - the scalp may not be kept cold long enough. In these cases, definitely lengthen the post-cooling time and continue cooling at home
May not be suitable for people with severe migraines - talk to your doctor
Concerns about scalp cooling
Some doctors still fear that cooling the scalp with chemotherapy could cause cancer cells that may have spread to the scalp to survive chemotherapy. That is why a few patients do not use scalp cooling, while others still like to try it, especially since international studies have shown that the risk of this development due to scalp cooling is extremely low - "no indication of scalp metatstasis"
- except for hematological cancers ..
Scalp Cooling with Arctic Heat cooling caps
In order for scalp cooling to work, the scalp temperature must be kept low throughout the time the medication is circulating in your blood. International studies show that hair loss can be prevented as soon as the scalp temperature cools below 22 ° Celsius. arcticheat hypothermia caps reduce the temperature of the scalp by 17 ° Celsius within only 7 minutes, the required skin temperature of <22 ° Celsius is reached at around 19 ° Celsius (optimal level) and approx.1 hour (per cap) held.
Your scalp must be pre-cooled at least 45 - 60 minutes before the chemotherapy medication infusion begins, then during the entire chemotherapy period, and at least 45 - 60 minutes afterwards.
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