I-Chemotherapy Yithinta Kanjani I-White Cell Cell Count?
I-Chemotherapy ibulala amangqamuzana omdlavuza wokushayela ngokushesha. Iphetha nokubulala amanye amangqamuzana avamile okuhlukanisa emzimbeni, afana nalawo asemnkantsheni wamathambo abalondoloza ukuhlinzeka ngamaseli amhlophe egazi, noma i-WBC, ekusakazeni kwakho. I-WBC ibala iwela okwesikhashana nama agents amaningi ahlukene asetshenziswa njengekhemotherapy ukuphatha umdlavuza.
Ngama-khansa egazi afana ne-leukemia ne-lymphoma, amakhemikhali ngokwawo angabangela ukuthi i-WBC ibalwe uma amangqamuzana anomdlavuza engena esikhundleni samangqamuzana aphethwe igazi emangeni.
Ngokuvamile lapho i-chemotherapy ithinta amazinga e-WBC, ibuye ibangele nakweminye amaseli nemikhiqizo yeseli egazini, njengezibomvu zegazi elibomvu namaplatelets.
Ngabe i-WBC Counts iwa nini?
Ukuncipha kwamazinga omhlophe wegazi kuqala izinsuku ezimbalwa emva kokuba i-chemotherapy ihlinzekwe, kufinyelela emazingeni aphansi kunesonto lesibili noma lesithathu ngemva kwe-chemotherapy. Njengoba ithoni lamathambo lisinda emiphumeleni ye-chemotherapy, i-WBC ibalwa iqale ukuvuka. Ngaphambi komjikelezo ngamunye we-chemotherapy, ukubala kwegazi kuqinisekiswa ukuqinisekisa ukuthi babuyele ebangeni elijwayelekile.
Ingabe i-WBC ephansi ibheka ukuthi iyingozi?
Amangqamuzana egazi amhlophe anesibopho sokuvikela umzimba kusuka ezifweni. Lapho ukubalwa kwe-WBC kuphansi, ingozi yokutheleleka iyanda.
Uma kubalwa kuncane ngokwanele, umzimba awukwazi ukulawula kalula lezi zifo.
Noma kunjalo, izibalo eziphansi azikho njalo eziholela ekutheleleni. Cishe bonke abantu abakhiqiza i-chemotherapy banamaphesenti aphansi ngesikhathi samakhemikhali. Kodwa abantu abathile kuphela abahlakulela izifo ezinzulu ezihlobene nezibalo eziphansi ze-WBC.
Odokotela bahlola kanjani ama-Low WBC Counts?
Ngezinye izikhathi ngesikhathi samakhemikhali, ukuhlolwa kwegazi ukuhlola izibalo zeselula kuyadingeka. Lezi zivivinyo zibizwa nge-CBC noma 'Hemograms.' Ukubalwa kwe-white cell cells kubikwa njenge-Total Leukocyte Counts, noma ama-TLC. Ama-TLC abala izinhlobo ezahlukene zamangqamuzana egazi elimhlophe. Isibalo esicacile kakhulu yi- Absolute Neutrophil Count (ANC) . Ama-neutrophils yilohlobo olulodwa lwe-WBC, futhi amazinga we-neutrophils asho kakhulu ukuthi umzimba uzokwazi kanjani ukulawula ukutheleleka kwama-bacterium. Ngenkathi i-ANC ingaphansi kokubaluleka okukhethekile, odokotela bangase balinde ukuqhubeka kwe-chemotherapy futhi baqale imithi yokuvimbela noma yokwelapha izifo.
Ziyini Izimpawu Zokutheleleka Phakathi Nekhemotherapy?
Isibonakaliso esiningi kakhulu sokutheleleka ngumkhuhlane. Uma umkhuhlane uvela phambi kwama-neutrophil aphansi (ANC), kuthiwa i-febrile neutropenia. Ezinye izimpawu zokutheleleka zihlanganisa:
- Isikhukhula kanye ne-expectoration
- Izihlalo ezikhululekile
- Amathumba noma ama-abscesses
- Izinkinga ezinkulu zomlomo nezinkinga zokugwinya
Xhumana nodokotela wakho ngokushesha uma unezibonakaliso noma izimpawu ezingenhla ngesikhathi samakhemikhali.
Izifo Zingagcinwa Njani Uma Amacala Aphansi?
Izinyathelo ezimbalwa ezilula zinganciphisa amathuba akho okutheleleka:
- Gwema ukushisa okukhulu nokucindezeleka okunganciphisa ukuzivikela
- Qinisekisa ukuthi ukudla kusanda kuphekwe ukugwema ingozi yokugula kokudla
- Khumbula ukugeza izandla ngaphambi kokudla
- Gwema ukuxhumana nabantu abanezinkinga
- Gwema izindawo ezinabantu abaningi nge-ventilation empofu
Ama-antibiotics awasetshenziswanga njalo uma kubalwa aphansi futhi azikho izimpawu zokutheleleka. Nokho, isimo somuntu ngamunye singase sihluke. Udokotela wakho unquma ngesidingo sama-antibiotic esekelwe ezimpawu ezithile kanye nezici zobungozi , kanye nolwazi oluthile ngqo emlandweni wakho wezokwelapha kanye nesimo somtholampilo.
Ama- Counter WBC aphansi alawulwa kanjani?
Ezimweni eziningi, izibalo eziphansi zingezesikhashana.
Ukubala ukuqala ukukhuphuka maduzane futhi kufinyelele emazingeni avamile ngaphandle kokubangela ukutheleleka, futhi ukuqhubeka kwamakhemikhali angenziwa.
Lapho igazi libala liphansi kakhulu noma kunesifo sokutheleleka emzimbeni, odokotela bangase:
- Ukuyeka isikhathi eside ngokwama-chemotherapy kuze kube yilapho kubalwa okuvamile.
- Qala izidakamizwa ezandisa ukubalwa kwamaseli amhlophe wegazi. Lezi zibizwa ngokuthi izici zokugqugquzela i-koloni, noma ama-CSF. I-G-CSF ne-GM-CSF yizinhlobo ezimbili ze-CSF etholakalayo.
- Qala ukwelashwa ngama-antibiotics uma kukhona uphawu lwezifo emzimbeni.
Akubona bonke abantu abahlakulela izibalo eziphansi ze-WBC abafanelekile izidakamizwa ezandisa lezi zibalo.
Ingabe i-WBC ephansi ingaba Nqande?
Ngezinye izikhathi ukugqugquzela umzimba ukukhiqiza amangqamuzana amaningi wegazi kungasiza uma omunye noma ngaphezulu kwesibalo segazi lakho ebalwa noma ukubalwa kwakho kulindeleke ukuba kube phansi kakhulu. Ngokwesibonelo, ngezinye izikhathi umnkantsha wamathambo uvuselelwa kusengaphambili, njengesilinganiso sokuvimbela, lapho kubalwa kulindeleke ukuthi kuwele ngenxa yokwelashwa komdlavuza ohleliwe.
Ochwepheshe baye bahlakulela amasethi amaningi emikhombandlela mayelana nokuthi ama-agent okuvuselela ama-marrow kufanele yini futhi akufanele asetshenziswe. Okugxile kakhulu ekwenzeni izingozi kanye nezinzuzo zokuvuselela umongo we-bone ngomqondo olinganiselayo esifundeni sesiguli, futhi kunezici eziningi zemitholampilo ezihlukahlukene okufanele zicatshangelwe.
Izifundo ziyaqhubeka ukuze zizame ukuthola indlela engcono kakhulu yokutshela ukuthi iziphi iziguli ezingase zizuze ezikhungweni zokukhula ezikhuthaza ukukhiqizwa kwamaseli egazi. Abacwaningi banesithakazelo ekunqumeni indlela engcono yokuhlanganisa izici zokukhula komunye nomunye-kanye namanye ama-agent afaka phakathi i-chemotherapy kanye ne-hormone therapy.
> Imithombo:
> Smith TJ, Bohlke K, uLyman GH, et al. Izincomo zokusetshenziswa kwezici zokukhula kwe-WBC: I-American Society of Clinical Oncology Clinical practice guide guide. J Clin Oncol. 2015; 33: 3199-3212.