Phindu lochita masewera olimbitsa thupi pa nthawi ya chithandizo cha khansa lili bwino. Kuchita masewera olimbitsa thupi nthawi zonse kungakuthandizeni kuthana ndi mankhwala omwe amachiza matenda komanso kuteteza zotsatira zina monga kutopa ndi kupweteka . Koma, odwala opatsirana magazi ndi mafupa a m'mafupa ngati khansa ya m'magazi, mitsemphama, ndi myeloma akhoza kukhala ndi nkhawa yapadera pazochita zolimbitsa thupi. Nazi zinthu zingapo zomwe muyenera kuganizira musanayambe kapena kusunga pulogalamu yanu.
Ganizirani za Msirikali Wanu wa Magazi Pamene Mukukonzekera Kuchita Zochita
Magazi a khansa ndi mafuta a mthempha, komanso mankhwala awo, amachititsa kuchepa kwa maselo ofiira a magazi, maselo oyera a magazi , ndi mapaleletti omwe mumakhala nawo. Izi zowonongetsera selo zingapangitse zochitika zanu kukhala zoopsa kapena zosatetezeka.
- Maselo oyera a m'magazi otsika (neutropenia): Pamene selo lanu loyera la magazi likuwerengera , muli ndi mphamvu yothetsera matenda. Panthawiyi, muyenera kupewa masewerawa ndikupitiriza kuchita masewera olimbitsa thupi pafupi ndi kwanu. Mafunde, mathithi osambira, ndi zipinda zamakono zimapangitsa kuti mukhale ndi kachilombo ka HIV kapena mabakiteriya omwe angakuchititseni kudwala. Ngati muli ndi malungo, musamadzikakamize kuchita masewera olimbitsa thupi. Tengani nthawi kuti muthandize thupi lanu kuchiza ndi kubwezeretsanso.
- Maselo ofiira a m'magazi otsika (magazi a magazi): Maselo ofiira a m'magazi amanyamula oksijeni ku ziwalo zanu. Akakhala otsika, sangathe kupitirizabe kufunika kwa thupi lanu nthawi yochita masewera olimbitsa thupi. Mutha kuwona kuti mutopa kwambiri mosavuta ndipo mukhoza kukhala ndi vuto lopeza mpweya wanu pamene mukudzipereka. Nthawi zina pamene muli ndi maselo ofiira a maselo ofiira a magazi, muyenera kubwerera kuntchito yanu, kapena kuwapeweratu kwathunthu malingana ndi malangizo a dokotala wanu.
- Mankhwala otsika a platelet (thrombocytopenia): Platelet ndi omwe amachititsa kupanga ziphuphu m'thupi lanu. Pamene chiwerengero chawo chicheperachepera , muli pachiopsezo chakumwazika ndi kuvulaza. Pa chifukwa chimenechi, muyenera kupewa zinthu zomwe zingakhale pangozi ya kugwa kapena kuvulala. Mungasankhe kugwiritsira ntchito magulu m'malo mwa zovuta zomwe mungagwe. Muyeneranso kukhala kutali ndi masewera ocheza nawo panthawiyi.
Chitetezo Choyamba Pochita Zochita Pakati pa Chithandizo cha Khansa
Kuphatikiza pa chiwerengero cha maselo, odwala khansa ya m'magazi ndi mongozi ali ndi mfundo zingapo zotetezera kuti muzikumbukira:
- Ngati muli ndi catheter yapakati yam'mimba (CVC) , muyenera kuyesetsa kuti mutetezedwe musanayambe kuchita masewera olimbitsa thupi. CVC yotumizidwa ikhoza kulowa mu masewera olimbitsa thupi, kapena kuikidwa pamtanda kapena kumangiriza thupi lanu. Mipiringi ya CVC (mizere ya PICC) iyenera kujambulidwa kapena kukulumikizidwa mosatetezedwa kuti ipewe kusokonezeka. Funsani gulu lanu la chisamaliro za zochepa zochitika za mkono wanu wa PICC.
- Odwala omwe ali ndi CVC ndi omwe alandira chithandizo cha ma radiation ayenera kupewa kusambira komanso kutentha kwapadera kuti ateteze matenda.
- Odwala a Myeloma ali pangozi yowopsa ya mafupa ndi kuwonongeka kwa mafupa. Muyenera kupewa zochitika zapamwamba kwambiri ndi omwe ali ndi kukhudzana ndi thupi.
- Muzichita masewera olimbitsa thupi ndi bwenzi lanu, kuti akulimbikitseni ndikusunga bwino.
- Nthawi zonse funsani ndi dokotala wanu asanayambe pulogalamu iliyonse yothandizira.
Chitani Zozizwitsa Kuti Mukhale Odziwa
Sungani gulu lanu la thanzi labwino pazochita zanu ndi kuyang'aniridwa nthawi zonse (khalani ndi udindo wanu) kuti musadziike nokha pangozi ndi pulogalamu yanu. Pali nthawi zina, pamene simungakwanitse kusankhidwa, ndipo muyenera kupeza chithandizo chamankhwala chofulumira.
Pezani thandizo mwamsanga ngati mukukula:
- Kupweteka pachifuwa kapena palpitations
- Kusintha kwa masomphenya anu
- Chizungulire
- Kusokonezeka
- Kupweteka kwa m'mimba
- Kupuma pang'ono mwadzidzidzi
- Kupweteka kosazolowereka m'mapfupa anu kapena mafupa anu
- Kudzudzula mwadzidzidzi ndi kusanza
- Kusokonezeka
- Kudula kosazolowereka
Zotsatira:
Coon, S., Coleman, E. "Pitirizani Kusuntha: Odwala ndi Nkhani ya Myeloma Ponena za Kuchita Zochita ndi Kutopa" Oncology Nursing Forum 2004. 31: 1127-1135.
Coleman, E., Hall-Barrow, J., Coon, S., Stewart, C. "Kuwongolera Kugwiritsa Ntchito Odwala kwa Odwala Anga Ambiri" Clinical Journal of Oncology Nursing 2003. 7: 529-540.
Wowonongeka, E. "Kuchita Zochita ndi Makhalidwe Abwino: Kulimbikitsa Kugwirizana" Clinic Journal of Oncology Nursing 2009. 13: 31-39.
Wowonongeka, E., Larson, J., Peace, D. "Kuchita Ophunzira Odwala Kulandira Kuphatikizidwa kwa Maselo a Hematopoietic: Zophunzira Zomwe Zaphunzira ndi Zotsatira Kuchokera Phunziro Lomwe Lingatheke" Oncology Nursing Forum 2011. 38: 216-223.
Hanna, L., Avila, P., Meteer, J., Nicholas, D., Kaminsky, L. "Zotsatira za Pulogalamu Yoyenera Kuchita Zochita Zathupi, Kutopa, ndi Maganizo kwa Odwala Amene Ali ndi Mitundu Yambiri ya Khansa Forum 2008. 35: 461-469.
McLaughlin, T., Wittstein, E., White, T., Czaplinski, C., Gerard, S. "Kupita ku Umoyo: Woyendetsa Pulogalamu Yophunzitsa Mayi Odwala Opaleshoni Yopanda Thanzi M'madera Odwala Opatsirana ndi Khansa" Clinical Journal of Oncology Nursing 2012. 16: E105-110.