Indlela Yokubhekana Nama-White White Cell Count Bala Ngesikhathi Chemo
Amangqamuzana egazi amhlophe ayizingxenye ezibalulekile zesimiso somzimba sokuzivikela esisiza umzimba ukuba ulwe nokutheleleka. Lapho ubhekene nomdlavuza, isifo somzimba sokuzivikela ngculazi singasakwazi ukukhubazeka, okuholela ekulahlekelweni kwala maseli kanye nokukhushulwa kokutheleleka.
Uhlobo lwegazi elimhlophe elivame ukuthinteka liyaziwa njenge-neutrophil. Ama-neutrophils yiwona maningi kakhulu amangqamuzana avikelayo futhi ayingxenye yesistimu yomzimba wokuzivikela .
Basebenzisa njengendlela yokuvikela emzimbeni wokuqala ngokumelene nokutheleleka, ukuwagcina kuze kube yilapho isistimu yomzimba yokuguqula ingaguquguquka.
I-Neutropenia yisimo esibonakala ngamazinga ajwayelekile aphansi kwe-neutrophil. Uma amazinga awela ngokweqile, i-neutropenia ingakushiya idalulwe kuhla olubanzi olubanzi lwezifo bese yenza ukululashwa kokwelashwa kube nzima nakakhulu.
Izimbangela ze-Neutropenia eCanscer
I-neutropenia ingabangelwa kokubili ngamagciwane (njenge- lymphoma , i- leukemia , noma i- myeloma ) kanye kanye nezidakamizwa ezisetshenziselwa ukwelapha umdlavuza.
Ngezinhlobo ezithile zomdlavuza, ukukhiqizwa kwe-neutrophil kungathinteka yizigqila ezithuthuka emnothongeni ngokwayo. Umnkantsha we-Bone unesibopho esikhulu sokukhiqiza amangqamuzana amhlophe wegazi, futhi, uma isifo sikhula, singabangela amazinga ukuba awe phansi ngokuphawulekayo. Ezinye izinhlobo zomdlavuza wegazi zithinta ama-neutrophils ngokuqondile.
Imithi ye-chemotherapy ingaba nomthelela omkhulu. Basebenza ngokukhomba nokubhubhisa amaseli okuphindaphindiwe okusheshayo njengomdlavuza.
Ngeshwa, bangaphinda babulale ezinye izinhlamvu ezisheshayo, eziphilile, kufaka phakathi izinwele kanye nomongo wegazi.
Ngokucindezela umsebenzi we-bone lomnumzane, izidakamizwa ze-chemotherapy ziyovame ukubangela i-neutropenia, noma ngabe yizigaba ezihlukahlukene. Ngokuvamile kwenzeka izinsuku eziyisikhombisa kuya kwezingu-12 emva kokuqala ukwelashwa futhi kungaqhubeka isikhathi sokwelapha.
Uma i-chemo isiphelile, umsebenzi we-bone lomnumzana uzothuthuka kancane kancane futhi uholele ekuqaliseni ukubala kwegazi elimhlophe.
Ukwelapha i-Neutropenia
Odokotela abaningi bavame ukuthatha indlela yokulinda nokulinda lapho bebhekene ne-neutropenia ehlobene ne-chemo. Kodwa-ke, uma ingozi yokutheleleka iphezulu, udokotela wakho angabeka uhlobo lomuthi owaziwa ngokuthi yi-granulocyte colony stimulating factor (G-CSF). Ngokuvame ukubhekwa ngokuthi i- bone marrow stimulants , lezi zidakamizwa zihanjiswa ngomjovo futhi, njengoba igama labo lisho, zikhuthaza ukukhiqizwa kwamaseli amhlophe ahlanzekile egazi.
Lokhu kufaka phakathi izinketho ezifana Neulasta (pegfilgrastim) , Neupogen (filgrastim), neLeukine (sargramostim). Kuye ngesidakamizwa esetshenzisiwe, ungadinga njengamancane njengomjovo owodwa ngosuku lokunciphisa noma unikezwe i-shot yansuku zonke kuze kube yilapho isibalo sakho segazi elimhlophe siphinde siphinde.
Ngaphezu kwalokho, imishanguzo ye-prophylactic ingase ibekwe ukuze ikusize ugweme ukutheleleka. Lezi zihlanganisa ama-antibiotics asetshenziselwa ukuvimbela ukutheleleka kwebhaktheriya kanye nemithi elwa namagciwane esetshenziselwa ukuvimbela ukutheleleka ngegciwane.
Ukuvimbela Ukutheleleka
Nakuba kuningi ongakwenza ukuze uvimbele i-neutropenia ngesikhathi se-chemo, kunezindlela zokunciphisa ingozi yokutheleleka uma amazinga akho eqala ukwehla. Phakathi kwazo:
- Geza izandla zakho izikhathi eziningana ngosuku ngamanzi ashisayo nesepha
- Gcina indawo yokugezela, ikhishi, nezindawo zokubeletha zihlanzekile futhi zikhululekile ukungcola
- Gwema izixuku ezinkulu
- Hlala kude nanoma ubani ogulayo futhi usanda kugula, kuhlanganise namalungu omndeni
- Hlanza futhi uboshize noma yikuphi ukusikeka noma ukuchotshozwa
- Gcina ukuhlanzeka komlomo okuhle
- Ungahlanganyeli izitsha, ithawula, i-lipstick, noma izinto zokunakekelwa komuntu siqu
- Gqoka amagilavu lapho usebenza ensimini
- Ungahlanza amabhokisi amachashazi noma amakheji ezinyoni
- Pheka inyama, izinkukhu noma inhlanzi kahle
- Gwema inhlanzi noma inyama, okubandakanya i-sushi noma i-carpaccio
- Geza zonke izithelo nemifino ngaphambi kokudla
- Gwema i-suppository yama-rectal noma i-enemas
- Gwema ukuqotshwa
- Sebenzisa ama-napkins ahlanzekile esikhundleni samatamponi
- Gwema ukugeza okune-douching noma oku-bubble okungase kuphazamise ubuncwane bakho besifazane
- Buza udokotela wakho mayelana nokugoma, kufaka phakathi ukushaywa komkhuhlane
Okokugcina, kubalulekile ukuthi ube ne-thermometer enhle esandleni sakho ukuze ukwazi ukubona umkhuhlane kuqala. Uma uphethwe i-chemo, njalo uphathe umkhuhlane njengesimo esiphuthumayo futhi uxhumane nodokotela wakho masinyane lapho kwenzeka ukuthi uthole isifo.
> Umthombo:
> Yarbro, C .; I-Wujcik, i-D.; kanye noHolmes Gobel, B. (2010) Ukwelashwa Kwemdlavuza: Izimiso Nezenzo (7th ed.) eSudbury, eMassachusetts: Jones noBartlett. I-ISBN-13: 978-0763763572.