Ukubhekana ne-White White Cell Cell Kusukela kuKhemotherapy
I-neutropenia (inombolo ephansi ye-neutrophils egazini), ihlobene nomphumela wesifo we-chemotherapy kusukela la maseli asisivikela ekuthuthukiseni izifo.
Kuyini i-Neutropenia?
I-neutropenia ichazwa njengezinga legazi elinciphile lohlobo lwegazi elimhlophe elibizwa nge- neutrophils . Leli fomu lamangqamuzana egazi elimhlophe lisisivikela ekuthuthukiseni ukutheleleka kwamagciwane.
Izimbangela
Ukuhlasela kwe-Chemotherapy kuhlukanisa ngokushesha amaseli, kuhlanganise namaseli emnothweni we-bone oba neutrophils.
Ukuxilongwa
Udokotela wakho uzoyala inani eliphelele legazi (CBC) ngaphambi nangemva kwe-chemotherapy ukucacisa isibalo sakho segazi elimhlophe (WBC) . Inani lakho eliphelele lamangqamuzana egazi legazi livame ukuphakama kwamangqamuzana egazi angu-4 000 kuya ku-10,000 amhlophe egazi ngalinye. Udokotela wakho uzoba nesithakazelo ekubaleni kwakho kwe-neutrophil ngokuphelele (i-ANC) okuncane kakhulu kunenani lakho eliphelele lemhlophe. I-ANC evamile iphakathi kwama-2 500 kuya ku-6,000 ama-neutrophils ngamamitha ayi-cubic millimeter. Kunezigaba ezingu-3 ze-neutropenia:
- I-ANC ka-1000 kuya ku-1500 - imnene (okusho ingozi encane yokutheleleka)
- I-ANC ka-500 kuya ku-1000 - elinganiselwe (ehambisana nengozi yokutheleleka ngokulinganayo)
- I-ANC ingaphansi kuka-500 - inzima (ebonisa ukuthi ingozi enkulu yokuthuthukisa isifo)
Izimpawu
Izimpawu ze-neutropenia zihlobene nezifo ezingathuthuka uma umzimba wakho ungenayo i-neutrophils eyanele ukulwa nama-bacteria.
Lokhu kungafaka:
- Umkhuhlane ukhulu kunezingu-100.5 degrees F
- Ukuthungatha izikhukhula
- Umphimbo obuhlungu
- Isikhukhula
- Ukuphelelwa umoya
- Ukuvutha nge-urination noma igazi kumchamo wakho
- Ubuhlungu obuphansi emuva (isibonakaliso sokutheleleka kwezinso)
- Uhudo
- Ukuhlambalaza
- Ukubomvu, ukuvuvukala, noma ukugeleza ngokulimala noma okunye ukungena emzimbeni njengePort noma IV line
Ukwelapha
Uma inani lakho elimhlophe liba liphansi kakhulu, kungase kudingeke ukuba ugcine umthamo wakho olandelayo we-chemotherapy. Lokhu kusho ukuthi ukubambezeleka kwe-chemotherapy kunganciphisa ukusebenza kwayo, futhi i-oncologist yakho ingancoma ukwelashwa. Izinketho zokwelapha zifaka:
- Ama-antibiotic okuvimbela - Ngezinye izikhathi ama-antibiotic asetshenziselwa ukuvimbela ngaphambi kokuba ube nezimpawu zokutheleleka.
- Imithi - Imishanguzo (izici zokukhula) ingasetshenziselwa ukugqugquzela ukukhiqizwa kwe-neutrophils emangeni lakho (ngokwanele noma njengokwelashwa isibalo se-neutrophil esincane). Lokhu kufaka:
- I-Filgrastim, i-G-CSF (Neupogen)
- I-Pegfilgrastim (Neulasta)
- I-Sargramostim, i-GM-CSF (i-leukine)
Ukwelashwa kwezifo
Izifo zingaba yingozi kakhulu uma ungenayo amhlophe amangqamuzana egazi ukulwa nama-bacteria. Uma unesifo kulokhu kulungiselelwa i-oncologist yakho ngokuvamile izongconywa esibhedlela ngokulwa nama-antibiotic emithi.
Ukunciphisa Ingozi Yakho Yokwelapha
Ngaphezu kwanoma yikuphi ukwelashwa kwakho oncologist ukutusa, kunezinto eziningana ongazenza ukuze unciphise ingozi yokutheleleka ngalesi sikhathi:
- Hlanganisa ukugeza izandla ngokucophelela (wena nabathandekayo bakho) - Le nto ebaluleke kakhulu ongayenza ukuze unciphise ingozi yakho
- Sebenzisa isepha elimanzi esikhundleni sensipho yesabha
- Hlala kude nabantu abanezifo
- Gwema izixuku ezinkulu, isibonelo, izindawo zokuthenga ezitolo kanye nemidlalo yeshashalazi
- Gwema izingane (kanye nabantu abadala) abasanda kuthola imishanguzo ngamagciwane aphilayo, njengomuthi wokugoma wenkukhu
- Yeqa noma yikuphi ukugonywa (isibonelo umkhuhlane wesifo sofuba noma i-pneumonia shot) uze uxoxisane nale nge-oncologist yakho (Funda mayelana nokugoma kwabantu abanomdlavuza - okufanele ube nakho, okufanele ukugweme, futhi uma udinga ukukhathazeka ngokugoma ngamagciwane aphilayo abanye baye bathola lokho okungadluliselwa)
- Gwema noma yimuphi umsebenzi wamazinyo uze uxoxe ngawo nge-oncologist yakho
- Gwema amaqanda aluhlaza kanye nenyama engaphekiwe, inhlanzi noma izilwane zasolwandle. Sebenzisa imikhuba yokupheka ephephile.
- Izilwane ezifuywayo zingaba umthombo wokutheleleka lapho inani lakho legazi elimhlophe liphansi - Yiba nomunye umuntu ashintshe ibhokisi lensimbi, ahlanze inqolobane yezinyoni, noma ashintshe ithangi lezinhlanzi. Gwema ukuphatha izilwane ezinwabuzelayo. Lesi yisizathu sangempela sokubuyela emuva futhi uvumele abanye ukuba basize - bayisebenzise.
- Buza udokotela wakho ngaphambi kokusebenzisa imithi efana ne-acetaminophen (iTylenol). Lezi zingakwazi ukufihla umkhuhlane
- Abesifazane kufanele bagweme amathoni, futhi basebenzise ama-napkins okuhlanzekile esikhundleni salokho
- Sebenzisa i-shaver kagesi
- Gwema ukusika amakhemikhali akho. Kungcono ukugwema ukuzithokozisa nokuhamba ngezinyawo kuze kube yilapho usuqedela i-chemotherapy
- Hlanganisa ukunakekelwa okuhle kwesikhumba. Izimo zesikhumba zekheli zihlobene ne-chemotherapy ne-oncologist yakho
Nini Ukubiza Udokotela Wakho
Kufanele uvumele i-oncologist yakho ukuthi wazi ukuthi uhlangabezana nanoma yiziphi izimpawu zokutheleleka. Mhlawumbe uzokunikeza imihlahlandlela lapho uzokubiza khona, kodwa ngokuqinisekile umzise ngokushesha uma unezinga lokushisa elingaphezu kuka-100.5 degrees F, ukuzamazama ukukhukhumeza, noma ezinye izimpawu zesifo esibi kakhulu.
> Imithombo:
> Crea, F. et al. Isizathu se-Pharmacologic sokuqala kwe-G-GSF prophylaxis emitholampilo yomdlavuza kanye nendima ye-pharmacogenetics ekwenzeni ukwelashwa. Ukubuyekeza Okubalulekile ku-Oncology / Hematology . 2008. Dec 24. (Epub ngaphambi kokuphrinta).
> D'Souza, A. et al. I-Granulocyte i-coloni-stimulating factor administration: izenzakalo ezimbi. Ukubuyekezwa kwemithi ye-Transfusion . 2008. 22 (4): 280-90.
> Lyman, G. noMnu Shayne. Izinto ze-Granulocyte ezikhuthaza: ukuthola isibonakaliso esifanele. Ama-Opinions amanje ku-Oncology . 2007. 19 (4): 299-307.
> Pascoe, J. noN. Steven. Ama-antibiotics ekuvimbeleni i-febrile neutropenia. Ama-Opinions amanje ku-Hematology . 2009. 16 (1): 48-52.