Kulimbana ndi Msirikali Wochepa Wachizungu Wagazi Kuchokera Chemotherapy
Neutropenia (chiwerengero chochepa cha neutrophils m'magazi), ndi chokhudza zotsatira za mankhwala a chemotherapy popeza maselowa amatiteteza kuti tisakhale ndi matenda.
Kodi Neutropenia N'chiyani?
Neutropenia imatanthawuzidwa ngati kuchepa kwa msinkhu wamagazi wa mtundu wa selo loyera la magazi lotchedwa neutrophils . Mtundu uwu wa maselo oyera a magazi amatiteteza kuti tisakhale ndi matenda opatsirana.
Zimayambitsa
Matenda a Chemotherapy amalekanitsa mofulumira maselo, kuphatikizapo maselo m'fupa omwe amatha kukhala ndi neutrophils.
Kudziwa
Dokotala wanu adzalangiza kuchuluka kwathunthu kwa magazi (CBC) musanafike ndi pambuyo pa chemotherapy kuti mudziwe kuchuluka kwa maselo oyera a magazi (WBC) . Chiwerengero chanu cha maselo oyera amagazi nthawi zambiri mumakhala maselo oyera a 4,000 mpaka 10,000 pamagazimita imodzi. Dokotala wanu adzakondwera ndi chiwerengero chanu cha neutrophil (ANC) chomwe chiri poyerekeza ndi chiwerengero chanu choyera choyera. A ANC yachibadwa imakhala ndi 2,500 mpaka 6,000 neutrophils pa mamitamita imodzi. Pali madigiri 3 a neutropenia:
- ANC ya 1000 mpaka 1500 - yofatsa (kutanthauza ngozi yochepa ya matenda)
- ANC ya 500 mpaka 1000 - yocheperako (yogwirizana ndi chiopsezo chachikulu cha matenda)
- ANC yosachepera 500 - yoopsa (yosonyeza chiopsezo chachikulu chotenga matenda)
Zizindikiro
Zizindikiro za neutropenia zimagwirizana ndi matenda omwe angapangitse pamene thupi lanu liribe neutrophils yokwanira kuti imenyane ndi mabakiteriya.
Izi ziphatikizapo:
- Chiwindi chimaposa madigiri 100.5 F
- Kugwedezeka
- Chikhure
- Kukuda
- Kupuma pang'ono
- Kutentha ndi kukodza kapena magazi m'mkodzo
- Kumva kupweteka kwapang'ono (chizindikiro cha matenda otheka a impso)
- Kutsekula m'mimba
- Rashes
- Kufiira, kutupa, kapena kukhetsa pangozi kapena kulowanso thupi monga Port kapena IV mzere
Chithandizo
Ngati chiwerengero chanu choyera chikhala chochepa kwambiri, pangakhale kofunikira kuti mukhale ndi mankhwala enaake a mankhwalawa. Izi zimati, kuchepetsa mankhwala a chemotherapy kungachepetse mphamvu zake, ndipo oncologist wanu angakulimbikitseni chithandizo. Zosankha za mankhwala zikuphatikizapo:
- Maantibayotiki Oletsa - Nthawi zina maantibayotiki amagwiritsidwa ntchito musanayambe kukhala ndi zizindikiro za matenda.
- Mankhwala - Mankhwala (kukula) akhoza kugwiritsidwa ntchito kuti apangitse ma neutrophils mu fupa lanu (mwachangu kapena ngati mankhwala owerengera otsika a neutrophil). Izi zikuphatikizapo:
- Filgrastim, G-CSF (Neupogen)
- Pegfilgrastim (Neulasta)
- Sargramostim, GM-CSF (Leukine)
Kuchiza kwa Matenda
Matendawa akhoza kukhala ovuta kwambiri pamene mulibe maselo oyera a magazi kuti mumenyane ndi mabakiteriya. Ngati muli ndi kachilombo koyambitsa matenda anu ovomerezeka, nthawi zambiri mumalimbikitsa odwala matenda opatsirana pogwiritsa ntchito mankhwala osokoneza bongo.
Kuchepetsa Chiopsezo Chanu cha Matenda
Kuphatikiza pa mankhwala aliwonse anu oncologist akuyamikira, pali zinthu zingapo zomwe mungachite kuti muchepetse chiopsezo chanu cha matenda panthawi ino:
- Pangani kusamba m'manja mosamala (inuyo ndi okondedwa anu) - Ichi ndi chinthu chofunikira kwambiri chomwe mungachite kuti muchepetse chiopsezo chanu
- Gwiritsani ntchito sopo wamadzi m'malo mwa sopo
- Khalani kutali ndi anthu omwe ali ndi matenda
- Pewani makamu ambiri, mwachitsanzo, malo ogulitsa ndi masewera a kanema
- Pewani ana (ndi akulu) omwe atangotenga katemera ndi mavairasi amoyo, monga katemera wa nkhuku
- Lembani katemera uliwonse (mwachitsanzo chifuwa chowombera kapena chibayo chakuwombera) mpaka mutakambirane izi ndi oncologist yanu (Phunzirani za katemera kwa anthu omwe ali ndi khansara - zomwe muyenera kukhala nazo, zomwe muyenera kuzipewa, komanso pamene mukudandaula za katemera ndi mavairasi amoyo ena adapeza kuti zimenezo zikhoza kuperekedwa)
- Pewani ntchito iliyonse ya mano mpaka mutakambirane ndi wanu oncologist
- Pewani mazira yaiwisi ndi nyama zopanda nsomba, nsomba, kapena nsomba. Gwiritsani ntchito njira zophika.
- Zinyama zikhoza kukhala magwero a kachilomboka pamene kuchuluka kwa maselo oyera a magazi akuchepa - Khalani ndi wina akusintha chiguduli, chotsani khola la mbalame, kapena kusintha tangi ya nsomba. Pewani kusamalira zozizira. Ichi ndi chifukwa chenicheni chobwerera mmbuyo ndikulola ena kuthandizira - kuthandizani.
- Funsani dokotala wanu asanayambe kugwiritsa ntchito mankhwala monga acetaminophen (Tylenol). Izi zimatha kusokoneza malungo
- Akazi ayenera kupewa ziphuphu, ndi kugwiritsa ntchito zibokosi zobisika m'malo mwake
- Gwiritsani ntchito kugwiritsira ntchito magetsi
- Pewani kudula mankhwala anu. Ndibwino kuti musagwiritse ntchito mankhwala ozunguza bongo komanso mankhwala opangira mankhwala mpaka mutamaliza mankhwala a chemotherapy
- Yesetsani kusamalira bwino khungu. Mafuta a pakhungu amayenderana ndi chemotherapy ndi oncologist wanu
Nthawi yoitanira Dokotala Wanu
Muyenera kulola wanu oncologist kudziwa ngati muli ndi zizindikiro zilizonse za matenda. Akhoza kukupatsani malangizo pa nthawi yomwe mungayitane, koma mum'dziwitse nthawi yomweyo ngati muli ndi kutentha kwa madigiri 100.5, kugwedezeka, kapena zizindikiro zina za matenda aakulu.
> Zotsatira:
> Crea, F. et al. Maphunziro a Pharmacologic kumayambiriro a G-GSF prophylaxis mu odwala khansa komanso ntchito ya pharmacogenetics pakukonzekera mankhwala. Zofufuza Zovuta pa Oncology / Hematology . 2008. Dec 24. (Epub patsogolo of print).
> D'Souza, A. et al. Ntchito ya Granulocyte colon-stimulating factor: zochitika zovuta. Kusungidwa Mankhwala Opatsirana . 2008. 22 (4): 280-90.
> Lyman, G. ndi M. Shayne. Zolemba za Granulocyte colon-stimulating factors: kupeza chizindikiro choyenera. Zolemba zamakono mu Oncology . 2007. 19 (4): 299-307.
> Pascoe, J. ndi N. Steven. Maantibayotiki oletsa kutentha kwa febrile neutropenia. Malingaliro enieni mu Hematology . 2009. 16 (1): 48-52.