Kodi Chemotherapy Amakhudza Bwanji Mzungu wa Mzungu wa Mwazi?
Chemotherapy imapha maselo a khansa yogawanika mwamsanga. Zimatheraponso kupha maselo ena omwe amagawanika mofulumira m'thupi, ngati omwe ali m'mafupa omwe amapitiriza kupezeka kwa maselo oyera, kapena WBC, pakuyenda kwanu. WBC chiwerengero chikugwa pang'onopang'ono ndi othandizira osiyanasiyana omwe amagwiritsidwa ntchito monga chemotherapy kuchiza khansa.
Ndi khansa ya magazi monga khansa ya m'magazi ndi lymphoma, khansa yokha ingayambitsenso kuti WBC izigwe pansi pamene maselo a khansa amalowetsa maselo abwino opanga magazi mu mafupa.
Kawirikawiri pamene chemotherapy imakhudza ma WBC, imayambitsanso maselo ena ndi maselo m'magazi, monga maselo ofiira ndi mapiritsi.
Kodi WBC Counts Akugwa Liti?
Kutsika kwa maselo oyera a maselo oyera kumayambira patangotha masiku owerengeka pambuyo poti chemotherapy ikuyendetsedwa, kufika pamapeto pa sabata lachiwiri kapena lachitatu pambuyo chemotherapy. Pamene mafupa amatha kupulumuka ku zotsatira za chemotherapy, chiwerengero cha WBC chiyamba kuwuka. Musanayambe kupanga mankhwala a chemotherapy, mawerengedwe a magazi amatsimikiziridwa kuti atsimikizire kuti abwerera kumtundu woyenera.
Kodi Low WBC Ndi Oopsa?
Maselo oyera amachititsa kuteteza thupi ku matenda. Pamene WBC imawerengera ndizochepa, chiopsezo chotenga matenda chimakula.
Akawerengera ali otsika mokwanira, thupi silingathe kulamulira mosavuta matendawa.
Komabe, ziwerengero zochepa sizimayambitsa matenda. Pafupifupi anthu onse omwe amagwiritsa ntchito mankhwala a chemotherapy amakhala ndi chiwerengero chochepa pa mankhwala a chemotherapy. Koma anthu ena okha amakhala ndi matenda akuluakulu okhudzana ndi zochepa za WBC.
Kodi Madokotala Amayang'anitsitsa Bwanji WBC Low Counts?
Pafupipafupi panthawi ya chemotherapy, kuyesedwa kwa magazi kuti muone ngati chiwerengero cha maselo chikufunika. Mayesero awa amatchedwa CBCs kapena 'Mafilimu.' Kuwerengera kwa maselo oyera a magazi kumatchedwa kuti Total Leukocyte Counts, kapena TLCs. Ma CDs amawerengera mitundu yosiyanasiyana ya maselo oyera. Chiwerengero chodziwikiratu ndichowerengero cha Absolute Neutrophil (ANC) . Mitundu ya Neutrophils ndi mtundu umodzi wa WBC, ndipo magulu a neutrophils amatsimikizira momwe thupi lidzathetsere matenda opatsirana. Pamene ANC ili ndi mtengo wapadera, madokotala akhoza kuchepetsa kupititsa patsogolo mankhwala enaake ndi kuyamba mankhwala kuti athetse kapena kuchiza matenda.
Kodi Zizindikiro Zotani pa Matenda a Chemotherapy?
Chizindikiro chodziwika kwambiri cha matenda ndi malungo. Pamene malungo amapezeka pamaso pa ziwerengero zochepa za neutrophil (ANC), amatchedwa febrile neutropenia. Zizindikiro zina za matenda ndizo:
- Cough ndi expectoration
- Zithunzi zosavuta
- Zithupsa kapena zopweteka
- Mlomo wowawa kwambiri ndi kumeza mavuto
Lembani dokotala mwamsanga ngati muli ndi zizindikiro zapadera pa mankhwalawa.
Kodi Matenda Angapezedwe Bwanji Ngati Kulimbana Ndi Kochepa?
Njira zochepa zochepa zingachepetse mwayi wanu wa matenda:
- Pewani kutentha kwambiri ndi zovuta zomwe zingachepetse chitetezo
- Onetsetsani kuti chakudya chatsekedwa mwatsopano kupeŵa chiopsezo cha matenda obwera chifukwa cha zakudya
- Kumbukirani kusamba m'manja musadye chakudya
- Pewani kukhudzana ndi anthu omwe ali ndi matenda alionse
- Pewani malo odzaza ndi mpweya wabwino
Maantibayotiki samagwiritsidwa ntchito nthawi zonse pamene owerengera ali otsika ndipo palibe zizindikiro za matenda. Komabe, mkhalidwe wa munthu aliyense ukhoza kukhala wosiyana. Dokotala wanu amalingalira kufunikira koti maantibayotiki pogwiritsa ntchito zizindikiro ndi zifukwa zoopsa , komanso chidziwitso chodziwika bwino kwa mbiri yanu yachipatala ndi zochitika zachipatala.
Kodi Low WBC Imayang'aniridwa Bwanji?
Nthawi zambiri, ziwerengero zochepa ndi zazing'ono.
Kuyamba kuyamba kukwera msanga ndikufika pamayendedwe abwino popanda kuchititsa matenda, ndipo mankhwala ena amatha kupitiliza.
Pamene magazi amawerengeka ndi otsika kwambiri kapena pali vuto la matenda m'thupi, madokotala akhoza:
- Kuchepetsanso mankhwala othandizana ndi mankhwala mpaka chiwerengerocho ndi chachilendo.
- Yambani mankhwala osokoneza maselo oyera a magazi. Izi zimatchedwa zinthu zolimbikitsa, kapena CSFs. G-CSF ndi GM-CSF ndi mitundu iwiri ya CSF yomwe ilipo.
- Yambani mankhwala ndi maantibayotiki ngati pali chizindikiro chilichonse cha matenda m'thupi.
Si anthu onse omwe amalephera kupeza ndalama za WBC ndizofunikira kwa mankhwala omwe amawonjezera ziwerengerozi.
Kodi WBC Zingatheke Kutsekedwa?
Nthawi zina kumalimbikitsa thupi kuti likhale ndi maselo atsopano a magazi kungakhale kothandiza pamene imodzi kapena zambiri mwa selo lanu la magazi ndizochepa kapena zomwe mukuyembekezera zikuyenera kukhala zochepa kwambiri. Mwachitsanzo, nthawi zina mafupa amathandizidwa patsogolo, ngati njira yothandizira, pamene chiwerengero chiyenera kugwera chifukwa cha kansa yothandizira.
Akatswiri apanga magulu angapo ofunikira zokhudzana ndi momwe mawotchi opatsa mafupa akuyenera kusagwiritsidwa ntchito. Zambiri mwazimenezi ndizokhazikitsa zowonongeka ndi zomwe zimapangitsa kuti thupi likhale lopanda mphamvu.
Kafukufuku akuyesa kuyesa kupeza njira yabwino yolankhulira odwala omwe angapindule ndi kukula komwe kumalimbikitsa kupanga maselo a magazi. Ochita kafukufuku amakhalanso ndi chidwi chodziŵitsa njira yabwino yosonkhanitsira zinthu zowonjezerana wina ndi mzake-komanso ndi othandizira ena omwe amaphatikizapo chemotherapy ndi mankhwala a mahomoni.
> Zotsatira:
> Smith TJ, Bohlke K, Lyman GH, et al. Malangizo othandizira kugwiritsa ntchito WBC kukula: Factory American Society of Clinical Oncology. J Clin Oncol. 2015; 33: 3199-3212.