Chemotherapy, Deep Deeplyous Thrombosis, ndi Pulmonary Embolism
Magazi okhudzana ndi mankhwala a chemotherapy amanenedwa mochepa kuposa, kunena, kunyoza ndi kusanza, koma izo sizikutanthauza kuti alibe vuto. Ndipotu, poyerekeza ndi zizindikiro zodzikongoletsera, kutopa, ndi tsitsi, zikhoza kukhala zoopsa kwambiri. Zomwe zikunenedwa, kumvetsetsa zoopsa, kudziwa njira zochepetsera chiopsezo chanu, ndikuzindikira zizindikiro, zingathe kukuthandizani kuchepetsa vuto lanu pa chithandizo cha khansa.
Mwachidule
Mwazi wa magazi - mwinamwake wodziwika mu chithandizo chachipatala monga "thrombosis" yowopsya -didakali chidwi kwambiri ndi anthu omwe ali ndi khansa.Tidziwa nthawi kuti anthu omwe ali ndi khansa yambiri - osati okha omwe amalandira mankhwala a chemotherapy - ali ndi chiopsezo chowonjezeka cha Magazi amadzimadzi okha, magazi amatha kupweteka m'milingo, koma chodetsa nkhaŵa kwambiri ndi chakuti ma clotiwa amatha kuchoka ndikupita kumapapo. Izi zikachitika - chinachake chotchedwa pulmonary embolism - ndi mankhwala ofulumira.
Mukayenda padziko lonse, mukhoza kudziwa mavidiyo omwe asanathamangireko omwe amayenera kuteteza mitsempha ya magazi, koma nthawi zambiri sitimamva za chiopsezo choterechi chifukwa chochita zinthu zina zomwe zimapangidwanso. Pankhaniyi, zomwe simunamve zingakuvulazeni. Ndipotu, izi ndi mbali imodzi yomwe mumalimbikitsa kansali yanu - kuphunzira za vutoli, komanso kuonana ndi dokotala ngati muli ndi nkhawa - zingathe kusintha kwambiri moyo wanu komanso mwina zotsatira zake.
Zowopsa
Nthaŵi zonse zimakayikira kuti anthu omwe amatha kupatsirana mankhwala a chemotherapy ali ndi chiopsezo chowonjezereka chokhala ndi magazi, koma mpaka chaka cha 2013 chomwe chiwerengero cha khansachi chinayesedwa yekha. Phunziro lalikulu, anapeza kuti chiwerengero cha mankhwala a chemotherapy chimafika pa 12.6 peresenti, poyerekeza ndi chiopsezo cha 1.4 peresenti kwa odwala khansa osalandira mankhwala a chemotherapy.
Mavutowa anali oposa khansa ina kuposa ena, ndipo khansa monga khansa ya pancreatic ndi khansa ya m'mapapo zili ndi chiopsezo chachikulu. Kuphatikizanso apo, mankhwala enaake omwe amagwiritsidwa ntchito pofuna kuthana ndi zotsatira za mankhwala a chemotherapy amathandizanso kuwonjezeka kwa chiopsezo. Mu phunziro ili, mankhwala omwe adayambitsa ngozi omwe analipo anali Platinol (cisplatin), Avastin (bevacizumab), ndi Epogen kapena Malembo (magazi ofuira ochititsa khungu erythropoietin.)
Kuwonjezera pa chemotherapy, ndi mankhwala ena otani omwe angayambitse kuika magazi magazi kwa anthu omwe ali ndi khansa? Zina mwaziopsezo ndizo:
- Opaleshoni - Muzochita zina, chiopsezo cha kupha magazi kwa odwala matenda a khansa chakhala chapakati pa 50 peresenti pambuyo pa opaleshoni
- Kuchekera kuchipatala, makamaka maulendo opitirira tsiku limodzi
- Kugona kwa nthawi yaitali
- Kutentha kwapakati pamtundu (monga kukhala ndi chipika cha chemotherapy)
- Mankhwala otchedwa angiogenesis inhibitors (monga Avastin)
Zizindikiro
Pofuna kudziŵa zizindikiro zomwe zingatheke, zingathandize kuthana ndi zizindikiro zomwe zimawoneka ndi magazi m'milingo (venous thrombosis) ndi zizindikiro zokhudzana ndi magazi omwe atha ndipo amapita kumapapo (pulmonary embolism) .)
Zizindikiro za venous thrombosis (magazi amphwa pamlendo) zimaphatikizapo zizindikiro za mwana wamphongo kapena mwendo wakutsogolo kuphatikizapo:
- Kufiira
- Chifundo
- Kutupa
- Chikondi
Zizindikiro chifukwa cha embolism yamapangidwe zingaphatikizepo izi:
- Kupweteka kwa chifuwa mwadzidzidzi - nthawi zambiri ululu wowawa. Kumbukirani kuti nthawi zina amatsegula ulendo kupita kumadera osiyanasiyana m'mapapu, ndipo ululu sungakhale pamalo amodzi okha
- Kupuma pang'ono
- Kuwaza kapena kukakamira magazi
- Lightheadedness
- Kusadziŵa
- Cyanosis - kutuluka kwa buluu kwa khungu ndi milomo
- Mtima arrhythmias - zizoloŵezi zosagwirizana ndi mtima
- Kuchuluka kwa kupuma ndi kuthamanga kwa mtima ndi kutsika kwa magazi
Kupewa
Mankhwala
Mankhwala-anticoagulants-akugwiritsidwa ntchito mobwerezabwereza m'zaka zaposachedwa kuchepetsa chiopsezo cha magazi m'matenda odwala khansa.
Izi zimatchulidwa kuti "prophylactic antiticoagulation" yomwe, yomasulira, imatanthawuza kuteteza magazi.
Pali madokotala angapo omwe angapangire kuti mankhwalawa akutheka. Kafukufuku waposachedwapa amasonyeza kuti mankhwala monga heparin amagwira ntchito bwino kwa anthu omwe ali ndi khansa kusiyana ndi mankhwala omwe amachititsa kuti vitamin K-monga Coumadin (warfarin) iwonongeke. Zina mwa mankhwalawa (omwe mumamva kuti ndi otsika kwambiri maselo a heparin) ndi awa:
- Lovenox (enoxaparin)
- Fragmin (dalteparin)
- Innohep (tinzaparin)
- Arixtra (fondaparinux) - ichi ndi mankhwala atsopano "a heparin"
Kudzikonda
Mu mankhwala, timakonda kulankhula za mankhwala pankhani ya kupewa, komabe pali zinthu zambiri zomwe mungadzipange kuti muchepetse chiopsezo chanu. Choyamba ndi chofunikira kwambiri ndikungodziphunzitsa nokha ndikufunsa mafunso. Dziwani bwino za zizindikiro za magazi ndi pulmonary embolism. Ngati muli ndi nkhawa nonse, musayembekezere, koma kambiranani ndi dokotala mwamsanga. Funsani oncologist wanu ngati pali chilichonse chapadera chomwe mungachite kuti muchepetse chiopsezo chanu, kapena ngati angapangire mankhwala kuti asatengeke. Kuphatikizanso apo, mungafune ku:
- Yendetsani mozungulira momwe mungathere, mulimonse malire anu. Ngati simukudziwa kuti ntchito ikulimbikitsidwa, funsani dokotala wanu. Nthawi yayitali yochita masewera olimbitsa thupi ndi yabwino kusiyana ndi ntchito zowonjezereka
- Ngakhale mutagona, yesani miyendo yanu. Dokotala wanu kapena namwino angathandize kuthandizira machitidwe awa. Mukhoza kuyesa zala zanu kumutu wanu ndiyeno nthawi zingapo (kambiranani ndi dokotala wanu kuti njira zabwino zingasinthidwe malinga ndi matenda anu)
- Pewani kuyendetsa kwautali. Ngati mukuyenera kukhala m'galimoto kwa nthawi yaitali, khalani kawirikawiri-maola ola limodzi-ndikutuluka m'galimoto ndikuyendayenda
- Kuwonjezera pa zowonjezereka zogwira ndi khansara , yesetsani kudzuka ola lililonse, ndipo makamaka maminiti 30 ndikuyendayenda. Mungathe kuchita masewera olimbitsa thupi ngakhale mutakhala pansi. Malingana ndi momwe zinthu zilili, ovomerezeka angaganize kukuchiritsa ndi anticoagulant (mwachitsanzo, otsika kwambiri maselo a heparin) musanayambe kuthawa. Onetsetsani kuti mufunse. DVT chifukwa cha kuyenda kwa ndege ndizokwanira kuti apanga "matenda a chikhalidwe chachuma."
- Musasute
- Ngati dokotala akulangizani zowonongeka, onetsetsani kuti mukutsatira malangizo ake
- Pewani kudutsa miyendo yanu
- Pewani zovala zolimbitsa thupi, makamaka zovala zomwe ziri pambali pa mawondo anu kapena m'munda wanu
- Kwezani miyendo yanu ngati n'kotheka
- Peŵani caffeine ndi mowa. Zikhofi ndi zakumwa zoledzeretsa zingayambitse kuchepa kwa madzi, ndipo kutaya madzi m'thupi kumabweretsa chiopsezo cha magazi
> Zotsatira:
> American Society of Clinical Oncology. Khansa.Net Kupewa ndi Kuchitira Zophimba Magazi. Kusinthidwa 01/20/15.
> Garcia Escobar, I., Antonio Rebollo, M., Garcia Adrian, S. et al. Chitetezo ndi Mphamvu za Matenda Aakulu Amphamvu Odwala Matenda a Khansa. Chipatala ndi Chitembenuzidwe cha Oncology . 2016 May 4. (Epub patsogolo pa kusindikiza).
> Khorana, A., Dalal, M., Lin, J., ndi G. Connolly. Zochitika ndi zowonongeka za mavenda otchedwa veous thromboembolism (VTE) pakati pa odwala khansa yapamwamba yomwe imayambitsa matenda a khansa ku United States. Khansa . 2013. 119 (3): 648-55.
> Posch, F., Konigsbrugge, O., Zielinski, C., Pabinger, I., ndi C. Ay. Kuchiza kwa matenda oopsa a odwala matenda a khansa: Njira yowonongeka yochepetsera makina poyerekeza ndi mphamvu komanso chitetezo cha anticoagulants. Kufufuza kwa Thrombosis . 2015. 136 (3): 582-9.
> Vitale, C., D'Amato, Venous thromboembolism ndi khansa ya m'mapapo: ndemanga. Mitundu Yambiri Yopumiritsa Mankhwala . 2015. 10 (1): 28.