Kodi Ndiyenera Kudziwa Zotani Zokhudza Matenda a M'thupi Panthawi ya Chemotherapy?

Kuchepa kwa magazi chifukwa cha mankhwala a chemotherapy si chinthu chomwe timamva nthawi zambiri monga, kunena, tsitsi , koma ndizofala kwambiri komanso zimapweteka kwambiri ndi mankhwala a chemotherapy . Izi zimati, kumvetsetsa zizindikiro komanso kukhala ndi lingaliro la zomwe mungadzipange kuti muzisamalira zingathandizire kuchepetsa kusintha kwa moyo wanu.

Mwachidule

Amadziwika kuti "magazi otsika" kapena "magazi osakanizika a iron," kuchepa kwa magazi kumatanthauza kuchepa kwa maselo ofiira a m'magazi (RBC) kapena hemoglobin.

Izi zimapangitsa kuti magazi awonongeke kwambiri kuti azitengera mpweya ku thupi.

Mankhwala amadzimadzi amatchedwa hemoglobin osapitirira 13.5 gramu / 100 ml mwa amuna ndi osachepera 12 gm / 100 ml mwa akazi. Zimatha kufooketsa ndikupangitsa zizindikiro zina zambiri zomwe zingakhudze moyo wanu.

Zimayambitsa

Pali zifukwa zingapo zomwe zimayambitsa matenda ochepetsa magazi m'thupi, kuphatikizapo:

• Mankhwala a Chemotherapy -Chemotherapy akugawidwa mofulumira maselo, kuphatikizapo maselo omwe pamapeto pake amapanga maselo ofiira a magazi. Zikhozanso kuyambitsa zilonda zam'kamwa , kulawa kusintha , kapena kunyoza komwe kungachepetse kudya kwa zakudya zofunikira kuti mupange maselo ofiira.
• Kutaya magazi - Kutaya mwazi chifukwa cha opaleshoni kapena kuchotsa magazi (hemoptysis) kungayambitse magazi m'thupi.
• Khansa yokha -Anemia ikhoza kuchitika ndi matenda ambiri, chifukwa cha matenda omwewo kapena chifukwa cha kusowa kwa zakudya chifukwa cha matenda kapena mankhwala.

• Kulephera kwa impso - Izi zimakhala zofala kwa odwala okalamba komanso chifukwa cha kuchepa kwa madzi ndi khansa yokha.

Chikoka

Kafukufuku wa 2016 anapeza kuti kuchepa kwa magazi kumakhala kofala kwambiri kwa odwala khansa, ndipo pafupifupi 90 peresenti ya anthu omwe ali ndi ziwalo zolimba zimalandira mankhwala a chemotherapy omwe ali ndi vuto la kuchepa kwa magazi.

Mwamwayi, ambiri mwa anthuwa anavutika ndi kuchepa kwa magazi pang'ono.

Kudziwa

Dokotala wanu adzalamula kuchuluka kwa magazi ( CBC ) musanayambe komanso pambuyo pake. Izi ndi zomwe zingamuthandize kudziwa kuti akudwala magazi m'thupi ngati muli nacho.

Zizindikiro

Zizindikiro zomwe mungapeze ndi kuchepa kwa magazi zikuphatikizapo:

• Kutopa
• Kutaya mphamvu
• Lightheadedness kapena chizungulire, makamaka pokhala mofulumira kapena kuima
• Kupuma pang'ono
• Mutu
• Kuonekera koonekera
• Kuthamanga kwa mtima mofulumira kapena kupopera
• Kupweteka pachifuwa

Chithandizo

Nthawi zambiri, kuchepetsa kuchepa kwa magazi kumatha kuthana ndi kusintha kokha moyo wanu pang'ono ndikuyembekezera thupi lanu kupanga maselo ofiira ambiri. Kupuma mokwanira, kuimirira mofulumira, kapena kumwa zakumwa ndi khofi kapena zakumwa zoledzeretsa zingapangitse zizindikiro zanu kuwonjezereka.

Nthawi zina, makamaka ngati selo lanu lofiira m'magazi ndi lochepa kwambiri kapena muli ndi zizindikiro, dokotala wanu angakulimbikitseni mankhwala. Zosankha za mankhwala zikuphatikizapo:

• Kuthamangitsidwa -Njira yowonjezera yowonjezera maselo ofiira a magazi ndi kuika magazi . Zotsatira zake zingakhale kuphatikizapo malungo, kuzizira, ndi chiopsezo chochepa chokhala ndi magazi kapena matenda opatsirana, monga chiwindi.
• Iron imathandizira -Zambiri za IV zowonjezera zitsulo zingakonzedwe. Iron yomwe imatengedwa pamlomo imakhala yosavuta koma ingabweretse mimba. Zotsatira zoyipa za chitsulo chosungunuka ndikumangokhalira kugwedezeka, kukoma mtima kwachitsulo, kupweteka mutu, ndi kukhudza thupi kapena minofu patapita masiku angapo chithandizo chisanachitike. Nthaŵi zina, jekeseni yachitsulo ingayambitse mavuto omwe angakhale oopsa.

• Mankhwala othandiza kupanga mapangidwe a maselo ofiira a magazi - Nthaŵi zina mankhwala amagwiritsidwa ntchito (nthawi zambiri pamodzi ndi chitsulo chosakanikirana) pofuna kulimbitsa maselo ofiira m'magazi anu. Pakalipano pali kutsutsana kwakukulu pokhudza mankhwalawa ndipo wanu oncologist adzakambirana ubwino ndi ngozi zomwe zingatheke ngati izi zikulimbikitsidwa. Mankhwalawa akuphatikizapo Kulemba kapena Epogen (epoetin alfa) ndi Aranesp (Darbepoetin alfa) .

Kulimbana

Njira yabwino yothetsera vuto la kuchepa magazi m'thupi ndi kudzipangitsa kukhala kosavuta kusiyana ndi nthawi zonse mpaka thupi lanu likhoza kugwira ndi kupanga maselo ofiira ambiri. Nkhani yabwino ndi yakuti kuperewera kwa magazi ndi chimodzi mwa zifukwa zomwe zimatopa kwambiri ndipo nthawi zambiri zimayamba kusintha masabata angapo mutatha mankhwala a chemotherapy.

Pamene muli ndi magazi, yesani ku:

• Pezani kugona mokwanira ndi pulogalamu ngati mukufunikira.
• Imani pang'onopang'ono, makamaka mukadakhala kapena kugona kwa nthawi yaitali.
• Imwani madzi ambiri.
• Peŵani caffeine, fodya, ndi mowa.
• Pemphani thandizo.

Nthawi yoyenera Dokotala

Dokotala wanu adziwe ngati mukukumana ndi zizindikiro zilizonse zomwe zingakhale chifukwa cha kuchepa kwa magazi. Pakati pa maulendo, funsani ngati muwona kuti zizindikiro izi zikukulirakulira, makamaka ngati mutapuma pang'ono, mtima wanu umakhala wofulumira kwambiri kuposa momwe mumakhalira, mumakhala wotopa ngakhale mutapumula, kapena mumamva ngati muli ndi mutu kapena mumasokonezeka.

Kwa Okondedwa

Monga tanena kale, imodzi mwa njira zabwino kwambiri zomwe anthu angathe kuthana ndi kuchepa kwa magazi m'kati mwa mankhwalawa ndi kupempha thandizo. Izi zikuti, anthu ambiri omwe ali ndi khansa amazengereza kupempha thandizo. Amaopa kukhala katundu wolemetsa kapena kutaya mtima wawo wodziimira.

Ngati ndinu wokondedwa wa munthu amene ali ndi khansara, fufuzani malangizo awa momwe mungathandizire wokondedwa ndi khansara komanso " zomwe zimakonda kukhala ndi khansa " zomwe zimakambirana zomwe anthu omwe ali ndi khansara amafuna kuti okondedwa awo azidziwe.

_Zotsatira:

_{Auerbach, M. ndi H. Ballard. Chitsulo chosasunthika mu zojambulajambula. Journal of National Comprehensive Cancer Network . 2008. 6 (6): 585-92.}

_{Banja, L., Xu, L., Hu, H. et al. Zotsatira za kuchepa kwa magazi m'thupi mwa kuchepetsa mlingo ndi kuchepa kwa mlingo. Thandizo Lothandiza ku Khansa . 2016 May 11. (Epub patsogolo pa kusindikiza).}

_{Glaspy, J. Erythropoietin mu Odwala Khansa. Kupenda Kwadongosolo kwa Mankhwala . 2008. Nov 3. (Epub patsogolo pa kusindikiza).}

_{Mhaskar, R., Wao, J., Miladinovic, B., Kumar, A., ndi B. Djulbegovic. Udindo wa chitsulo mu kayendetsedwe ka mankhwala a chemotherapy-omwe amachititsa magazi m'thupi mwa odwala omwe akulandira odwala omwe amachititsa khungu. Dongosolo la Cochrane la Zosintha Zogwirizana . 2016. 2: CD009624.}

_{Xu, H., Xu, L., Page, J. et al. Chiwerengero cha kuchepa kwa magazi m'thupi mwa odwala omwe ali ndi zilonda zolimba zomwe zimalandira chemotherapy, 2010-2013. Clinical Epidemiology . 2016. 8: 61-71.}