Mmene Mungagwirire ndi Msirikali Wochepa Wachizungu Werengani Pa Chemo
Maselo oyera ndi ofunika kwambiri m'thupi lomwe limathandiza thupi kulimbana ndi matenda. Mukakumana ndi khansa, matenda a chitetezo cha mthupi amatha kufooka, zomwe zimapangitsa kuti maselowa asokonezeke komanso kuwonjezeka kwa chiopsezo.
Mtundu wa maselo oyera amagazi ambiri amachititsa kuti azidziwika kuti ndi neutrophil. Mavitaminiwa ndi ambiri mwa maselo otetezerawa ndipo ndi ofunika kwambiri ku machitidwe a chitetezo cha mthupi .
Amakhala ngati chitetezo cha mthupi choyamba pa matenda, kuwateteza mpaka chitetezo cha chitetezo cha thupi chitha kusintha .
Neutropenia ndi chikhalidwe chodziwika ndi miyezo yosavomerezeka ya neutrophil. Ngati minofu ikukula kwambiri, neutropenia ingakulepheretseni kuwonetsa matenda osiyanasiyana ndikupangitsa kuti kuchipatala kukhale kovuta kwambiri.
Zifukwa za Neutropenia mu Khansa
Neutropenia imayambitsidwa ndi khansa (monga lymphoma , leukemia , kapena myeloma ) komanso mankhwala omwe amagwiritsidwa ntchito pochiza khansa.
Ndi mitundu ina ya khansara, kupanga kwa neutrophil kungakhudzidwe ndi ziwanda zomwe zimapezeka m'mafupa . Mafupa a mafupa ndiwo makamaka omwe amachititsa kupanga maselo oyera a magazi, ndipo, ngati chotupa chikukula, chikhoza kuchititsa kuti mayendedwe agwe pansi kwambiri. Mitundu ina ya khansa ya magazi imakhudza ma neutrophils mwachindunji.
Mankhwala a chemotherapy akhoza kukhala ndi zotsatira zofanana. Amagwira ntchito powalondolera ndi kuwononga maselo ophwanya mofulumira monga khansa.
Mwatsoka, amatha kupha zina zowonongeka, maselo wathanzi, kuphatikizapo tsitsi ndi mphero ya magazi.
Pogwiritsa ntchito mankhwala osokoneza bongo, chemotherapy imayambitsa matenda a neutropenia, ngakhale pazosiyana. Kawirikawiri imachitika masiku asanu ndi awiri mpaka 12 mutatha mankhwala ndipo amatha kupitirizabe mankhwala.
Pomwe chemo yatsirizika, ntchito yamtundu wa mafupa idzapita patsogolo ndikutsogolera kuika magazi magazi.
Kuchiza Neutropenia
Madokotala ambiri nthawi zambiri amakhala ndi mawonekedwe odikira ndi odikira pogwiritsa ntchito neutropenia. Komabe, ngati chiopsezo chanu chotenga kachilomboka ndi chachikulu, dokotala wanu angapereke mankhwala omwe amadziwika kuti granulocyte colony factor factor (G-CSF). Kaŵirikaŵiri amatchedwa stimulants mafupa a mafupa , mankhwalawa amaperekedwa ndi jekeseni ndipo, monga dzina lawo limatanthawuzira, amachititsa kupanga maselo oyera a magazi abwino.
Izi zikuphatikizapo zinthu monga Neulasta (pegfilgrastim) , Neupogen (filgrastim), ndi Leukine (sargramostim). Malingana ndi mankhwala ogwiritsidwa ntchito, mungafunike ochepa ngati jekeseni imodzi pokhapokha ndikuperekera kuwombera tsiku lililonse kufikira mutayika kachilombo ka maselo oyera .
Kuphatikiza apo, mankhwala opatsirana amatha kuperekedwa kuti akuthandizeni kupewa matenda. Izi zimaphatikizapo ma antibiotic omwe amapewa kuteteza matenda a bakiteriya ndi mankhwala oletsa tizilombo toyambitsa matenda omwe amagwiritsidwa ntchito poteteza tizilombo toyambitsa matenda.
Kupewa Kuteteza
Ngakhale kuti nthawi zambiri mulibe zambiri zomwe mungachite kuti mupewe matenda a neutropenia pa chemo, pali njira zowonjezera chiopsezo chanu chotenga kachilomboka ngati zigawo zanu zikuyamba kugwa. Mwa iwo:
- Sambani dzanja lanu kangapo patsiku ndi madzi otentha ndi sopo
- Sungani malo osambira, khitchini, ndi malo odyetserako ana oyeretsa komanso osadetsedwa
- Pewani khamu lalikulu
- Khalani kutali ndi aliyense yemwe akudwala ndipo posachedwapa wadwala, kuphatikizapo mamembala
- Oyeretsani ndi kumangirira mabala kapena mabala
- Sungani ukhondo wabwino
- Musagwiritse ntchito ziwiya, tilu, milomo yamoto, kapena zinthu zakuthupi
- Valani magolovesi mukagwira ntchito m'munda
- Musayambe mabotolo amatala kapena osungirako mbalame
- Cook nyama, nkhuku, kapena nsomba bwino
- Pewani nsomba yaiwisi kapena nyama, kuphatikizapo sushi kapena carpaccio
- Sambani zipatso ndi ndiwo zamasamba musanadye
- Pewani zolemba zamatsenga kapena zofunikira
- Pewani kudzimbidwa
- Gwiritsani ntchito zopukutira zaukhondo m'malo mwazitsulo
- Pewani ma doucha kapena mababu omwe angasokoneze ubongo wanu
- Funsani dokotala wanu za katemera, kuphatikizapo chimfine
Pomaliza, nkofunika kuti mukhale ndi thermometer yabwino kuti muwone malungo oyambirira. Ngati muli ndi chemo, nthawi zonse muzimwa malungo ngati chodzidzimutsa ndipo kambiranani ndi dokotala mwamsanga mukadakhala ndi matenda.
> Chitsime:
> Yarbro, C .; Wujcik, D .; ndi Holmes Gobel, B. (2010) Nursing Cancer: Mfundo ndi Zochita (7th ed.) Sudbury, Massachusetts: Jones ndi Bartlett. ISBN-13: 978-0763763572.