Uma uthola i- chemotherapy , kungenzeka ukuthi i-oncologist yakho ikukhulume ngengozi yokutheleleka nokuthi unganciphisa kanjani ingozi yakho. Inani eliphansi elimhlophe legazi elibhekwa ngokuthi i - neutropenia elenziwe ngamakhemikhali angenza kube nzima ukwelapha ngisho nezifo ezibulalayo uma zingelashwa ngesikhathi.
Ngokuqinisekile, lokhu kubungozi kuyahlukahluka ngokuya kwezidakamizwa ze-chemotherapy ozitholayo, isibalo sakho segazi elimhlophe, nanoma yiziphi izinyathelo ozitholayo ukuphakamisa isibalo sakho segazi elimhlophe (njenge- Neulasta noma i-Neupogen ).
Kodwa noma ubani kufanele aqaphele ezinye zezingozi ezijwayelekile zokutheleleka ngesikhathi ukwelashwa komdlavuza.
Kubalulekile ukuqaphela nokuthi, ngisho noma izibalo zakho zivamile, ungase usengozini. Ngomdlavuza kanye nokwelashwa komdlavuza ungaba nenombolo evamile yamangqamuzana egazi amhlophe, kodwa labo abakhona bangase bangasebenzi futhi ukulwa nabahlaseli njengebhaktheriya.
Ngesikhathi esifanayo ukuthi kukhona ubungozi bokutheleleka, noma kunjalo, kubalulekile ukuhlala impilo evamile ngangokunokwenzeka futhi uhlanganyele emisebenzini oyithandayo. Udweba kuphi umugqa? Ungakwazi yini ukuya enkundleni yekhonsathi yomlingani oneminyaka engu-10 ubudala?
Ake siqale ngokuxoxa ngezinye zezingozi ezingenzeka kanye nezengqondo zokutheleleka. Kunezinyathelo eziningi ezilula ongazithatha ukuze unciphise ingozi yakho. Ungase ufise ukuletha lolu hlu kuwe bese ubuza udokotela ukuthi yiziphi izinyathelo ezibalulekile futhi uma eneminye imibono yokuthi ungahlala kanjani uphilile ngangokunokwenzeka ngesikhathi ukwelashwa komdlavuza.
Ukubuyela emuva kumbuthano we-choir, kubalulekile ukubuza i-oncologist yakho nganoma imiphi imisebenzi ongaqiniseki ngayo. Kunezici eziningi eziza ukudlala, hhayi kuphela ukuthi ngabe lelo khonsathi liphakathi nenkathi yempukane.
Ingozi Yokuthola Ingculaza Kubaluleke Kakhulu Phakathi Nekhemotherapy
Kunezizathu eziningana zokuthi kungani ukuqonda ingozi yokutheleleka kubalulekile ngesikhathi samakhemikhali.
Esinye sezizathu ezicacile ukuthi, uma kufanele uhlakulele isifo, kungaba nzima kakhulu ukulwa. Ngokuqinisekile, ama-antibiotics angasiza, kodwa sisencike kakhulu esimisweni somzimba sokuzivikela esinempilo sokwenza impi eminingi. Lokhu kubonakala uma ukhumbule izindaba ze "baby bubble" ezizalwa ngaphandle kwesimiso sokuzivikela esiqinile.
Esinye isizathu ukuthi lapho amasosha omzimba wakho egxiliwe, ungase uhlakulele isifo ngebhaktheriya noma igciwane elingabangela ukugula. Sibheke ezincane zezinyoni ezinsukwini zonke ngaphandle kokukwazi ngoba amasosha omzimba ethu enza umsebenzi wawo.
Nenye ingozi, ukuthi izinambuzane ozitholela emtholampilo noma endaweni yezibhedlela zingaba nzima ukwelapha. Lezi "bugs" ezingamelana nazo zenze izindlela zokusinda ngisho nemithi elwa namagciwane. Uma ngabe uke wabuzwa mayelana ne- " MRSA " lokhu yisibonelo. Ukuphikiswa kwama-antibiotic kuyinkinga enkulu njalo ngonyaka njengoba "izimbungulu" zithola kahle.
Okokugcina, kungaba nzima ukubona ukuthi kukhona ukutheleleka uma umuntu elwa nomdlavuza. Uma usuvele unezimpawu ezifana nokukhwehlela okuhlobene nomdlavuza wakho, kungaba nzima ukuthola ukuthi ngabe usuqale yini ukutheleleka noma uma izimpawu zakho zihlobene nomdlavuza wedwa.
Manje ukuthi uyazi ezinye zezingozi zokutheleleka, ake sibheke ngokugcwele indlela yokunciphisa ukuvezwa kwakho.
Ukuboniswa Kwesixuku
Esinye sezingozi ezivamile zokutheleleka ngesikhathi se-chemotherapy kwenzeka lapho abantu besondelene kakhulu nabanye. I-oncologists ivame ukuncoma ukugwema izixuku, kodwa lokho kusho ukuthini ngempela? Vala ukuthintana emagumbini avaliwe kunomngcipheko omkhulu kunokuba ungaphandle kweminyango. Lokhu kungafaka phakathi ukuhamba njengendiza noma ibhasi, noma izindawo ezinjengezitolo ezinkulu ezitolo.
Kungakhathaliseki ukuthi udinga ukugwema izixuku kuzoxhomeka ngokuqondile ukuthi inani lakho elimhlophe liyisikhathi sonyaka.
Uma kungukuthi kunesiphakamiso sezinkukhu, njengoba ngoJanuwari, kungenzeka kakhulu ukuthi ubambe ukutheleleka kunokuba ukhuluphele (kusukela ekuboneni ukutheleleka) izinyanga zasehlobo.
Uma ngabe usendaweni egcwele, xoxa nodokotela wakho ukuthi ngabe kufanele ugqoke imaski.
Ingozi Yokutheleleka Nabaxhumana Nabo Abagulayo
Kungcono ukugwema abantu abagulayo kuhlanganise nabathandekayo bakho. Lokhu kungase kube ukuhlukumeza inhliziyo ngezinye izikhathi, kodwa cabangela ukuthi othandekayo wakho uzozizwa kanjani uma bebona ukuthi udlulisela isifo kubo.
Ukulinganisa ukwabelana nganoma yini nabathandekayo, kusuka ezinkomishi zokudla izitsha, kumabhulebhu wamazinyo ngisho nokwenza.
Izinhlekelele zokudla
Siyazi ukuthi ukudla kungabangela ukutheleleka, futhi kukhona amacala angaphezu kwezigidi ezingu-50 zokugula kokudla minyaka yonke e-United States.
Noma kunjalo, njengoba kuphawuliwe ngenhla, ungase ube engozini yokutheleleka kokudla okungaba yinkinga, futhi ngisho nezifo ezincane zingase zibe nzima kakhulu. Nazi ezinye iziphakamiso zokunciphisa ukutholakala kwakho kwezifo ezifakwe ekudleni ngesikhathi se-chemotherapy.
- Gwema noma iyiphi inyama eluhlaza. Uku-oda inyama ebomvu kwenziwe kahle. Yidla ukudla okudla okuphekwe ngokugcwele kuphela, ngamanye amazwi, akukho sushi kuze kube yilapho usuqediwe ukwelashwa.
- Geza wonke umkhiqizo ngokucophelela.
- Amaqanda kufanele aphekwe ngokugcwele. Gwema amaqanda okuphekwe ohlangothini olususwe phezulu bese uhlela amaqanda benedict kuphela uma amaqanda aluhlaza engasetshenzisiwe.
- Gwema uju- Njengoba nje izinsana ezingaphansi kweminyaka yobudala zingadli ubusi ngenxa yobungozi bokuthi i-botulism, uju kufanele igwenywe kulabo abangenakuzivikela.
- Qaphela ukungahambisani nokuhamba. Ungasebenzisi ibhodi elilodwa lokusika ukusika inkukhu eluhlaza nemifino.
- Hlola zonke izithelo nemifino yezibonakaliso zokuphanga.
- Uma udla, gwema ama-buffets lapho kuphelelwa khona ukudla futhi ungakwazi ukungcola abantu abakhwehlela noma abanciphisa.
- Gwema izinhlanzi ezihloswe ukuba zibunjiwe, njenge-brie ne-blue cheese.
Lokho kuyisiqalo, kodwa funda kabanzi ngalokho ongakudli ngesikhathi samakhemikhali .
Izilwane ezifuywayo zingaba yisisusa esiyinhloko sokutheleleka
Inja ingaba ngumngani omkhulu kakhulu womuntu, futhi empeleni, ukuphathwa kwezilwane kubantu abanomdlavuza kutholakale ukuthi kunezinzuzo eziningana. Kodwa kukhona izinto okufanele uziqaphele uma ufisa ukugcina izifuyo zakho ngesikhathi samakhemikhali. Kukhona nezilwane ezifuywayo ezimbalwa ongafisa ukuziboleka kumngane wakho kuze kube yilapho ukwelashwa kwakho kuphelile.
Izifo eziningi ezingabangela inkinga ngesikhathi samakhemikhali akuyona inkinga enkulu uma unempilo. Ngenxa yalesi sizathu, kungenzeka ukuthi awujwayele okujwayelekile kulezi. Odokotela basebenzisa igama elithi infections zoonotic ukuchaza izifo ezingasakazwa phakathi kwezilwane nabantu.
Esinye sezingozi ezivame kakhulu yi- Toxoplasmosis . Abantu abangamaphesenti angama-25 kuya ku-30 banesiqinisekiso sokuthi bavezwe kulokhu kutholakala okubangelwa yi-bacterium Toxoplasma gondii . Ngenkathi ukutheleleka kuvame ukuba mncane noma kungabonakali, kungabangela izimpawu ezinzima ezifana nokuhlukunyezwa noma ukuphuphuthekisa kubantu abaye banciphisa amasosha omzimba. Ungase ujwayelane nalesi sifo ngoba yingabe abesifazane abakhulelwe bayelulekwa ukuba bangashintshi ibhokisi lodoti.
Uma uthanda kitty yakho okulungile. Kuncomeka ukuthi ugqoke amagilavu noma omunye umuntu ashintshe udoti. Ukugcina ikati lakho endlini kunganciphisa ingozi. Khumbula ukuthi amakati ngokuvamile asebenzisa izivande njengebhokisi lesitshalo, futhi ukugqoka amagilavu kuwumqondo omuhle uma ugadile ukuthi unayo yini ikati noma cha.
Kuningi esingabelana ngakho mayelana nezilwane ezifuywayo nezifo ngesikhathi samakhemikhali. Uma unezilwane ezifuywayo, qaphela ukuthi ungagcina kanjani izilwane ezifuywayo ngesikhathi se-chemotherapy ngokufunda ngokuqapha izilwane ezithile. Ukusebenzisa amathiphu ambalwa kungakwazi ukumboza izinkolelo zakho eziningi.
- Gwema ukuthatha inja noma i-puppy phakathi ne-chemotherapy. Akuzona nje kuphela ukuthi lezi zintsha zikwazi ukudlulisela ukutheleleka kubafana babo abadala, kodwa zingabasebenzi kakhulu, uma zingekho umsebenzi, kunomncane, futhi ukuphumula kwakho kubaluleke kakhulu ngesikhathi sokwelashwa.
- Uma unamakati, zama ukuwagcina endlini uma kungenzeka. Izifo eziningi zithathwa "emdlalweni wendle" abamba.
- Ngabe omunye umuntu uhlanza ibhokisi lensimbi futhi athathe inja doo-doo.
- Dlala ngezilwane zakho ngokucophelela. Izifo eziningi zidluliselwa ngokulunywa kanye nokukhwabanisa (noma ngamathe kanye nesikhumba).
- Sebenzisa amagilavu uma uqoqa izidakamizwa, uhlanza i-cage bird, noma uhlanza i-aquarium.
- Izilwane ezifuywayo ezifana nezilwane ezihuquzelayo nezilwane zasendle zingagwenywa kangcono ngesikhathi samakhemikhali. Uma ingane yakho inedrako enezinyosi, cishe kungenzeka, uma nje ubheka futhi ungathinti.
Amanye amathiphu okuvimbela ukutheleleka
Kukhona amathiphu amaningi ngosuku nosuku ongasiza ekunciphiseni ingozi yokutheleleka kanye.
- Sebenzisa i-shaver kagesi esikhundleni sensimbi
- Bathe noma ugeza ngosuku
- Sebenzisa i-toothbrush elula
Ukugonywa kanye neKhemotherapy
Kungakhathaliseki ukuthi kufanele uthole imithi noma cha ngesikhathi se-chemotherapy, ungahamba ngezindlela zombili, futhi kubalulekile ukukhuluma nodokotela wakho.
Kunezinhlobo ezimbili eziyinhloko zemigomo, labo "ababulawa" nalabo "abathintekayo." Imithi yokugoma iyaphila futhi kufanele igwenywe ngesikhathi samakhemikhali. Imithi yokugoma ayinakwenzeka ukudala inkinga ngezifo, kepha ingase ingasebenzi ukufaka impendulo yomzimba.
Njengoba isifo sofuba siyaziwayo ngokubangela ukutheleleka okunamandla kubantu abano-mdlavuza, khuluma nodokotela wakho ukuthi ngabe kufanele uthole ukuguzwa komkhuhlane kanye nesikhathi esihle sokuwuthola. Umuthi wokugoma womkhuhlane we-nasal (FluMist) uyigciwane lokugonywa futhi akufanele lisetshenziswe ngesikhathi samakhemikhali.
Kukhona ukugoma okuqondile okukhuthazwa abantu abanomdlavuza .
Izindlela zokuvikelwa: Amaski namaGlovu
Uma inani lakho elimhlophe liphansi futhi uma uzobe usesidlangalaleni, i-oncologist yakho ingancoma ukuthi ugqoke imaski. Uma ugqoka imaski, qinisekisa ukuthi kufanelana kahle futhi impawu ngokufanele. Khumbula ukuthi i-mask inganciphisa ukuvezwa kwethu kodwa ayivimbeli ukuvezwa kwakho kuwo wonke amabhaktheriya namagciwane.
Ngaphambi kokuqala i-chemotherapy, kungaba usizo ukuthatha ibhokisi lamagilavu elahlayo ongayisebenzisa kuyo yonke into kusuka ekuhlanza izindwangu zezingane ekuhlanzeni ngemuva kwezilwane.
Indlela Yokugeza Amazandla Akho
Kubonakala sengathi sonke siyazi ukuthi singasigeza kanjani izandla zethu , akunjalo? Iningi lethu lafundiswa lapho singakabi esikoleni. Ekukhulumeni ngokubaluleka kokufunda kabusha ukulungisa izandla ngendlela efanele kungasiza ekuqapheliseni ukuthi bonke odokotela abahlinzayo "bafunda kabusha" indlela yokugeza izandla ngesikhathi esikoleni sezokwelapha nokuhlala. Akuzona zonke izikhathi ezicacile ukuthi yini edingekayo ukwehlisa umthwalo webhaktheriya ezandleni zethu.
Isinyathelo sokuqala ukugoqa ngokugcwele izandla zakho. Okumangalisa ukuthi insipho yama-antibiotic ayidingekile, nje insipho enhle yesandla. Isinyathelo esilandelayo yilapho abantu abaningi behlekisa khona. Sula izandla zakho okungenani imizuzwana engu-20. Kungase kudingeke uzinike isikhathi, njengoba iningi labantu liyamangala ukuthi lokhu kuyisikhathi esingakanani. Isinyathelo sokugcina ukomisa izandla zakho ngethawula elihlanzekile. Sebenzisa ithawula leshidi noma ithawula ehlanzekile okungabikho muntu oyenzile.
Izimpawu Zokutheleleka Phakathi Nekhambi LamaKhemotherapy
Njengoba kubalulekile ukwelapha izifo ngokushesha ngangokunokwenzeka ngesikhathi samakhemikhali, kuyasiza ukuba nomqondo wokuthi yiziphi izimpawu okufanele uzibuke. Qiniseka ukuthi ukhuluma nodokotela wakho ngokuthi yiziphi izimpawu ezithile okufanele uzibuke. Ezinye zazo zihlanganisa:
- Umkhuhlane - Buza udokotela wakho ukuthi kufanele yini ukushisa kwakho ngaphambi kokuba ubize. Angase ancoma ukushayela uma izinga lokushisa lakho lingaphezu kuka-100.5 F, kodwa lokhu kungahluka
- Ama-chill noma ukungakwazi ukufudumala
- Ukukhwehlela, kungaba okukhiqizayo noma cha
- Ukuphelelwa umoya
- Ubuhlungu noma imvamisa ngokuchama
- Izinsizwa noma intamo eqinile
- Ubuhlungu besisu
- Uhudo
Ukwelashwa kwezifo
Uma une-white white count count cell, ukutheleleka kungaba nzima nakakhulu ukuphatha kunokuba uma inani lakho elimhlophe livamile. Isibonelo, i-oncologist yakho ingase iphakamise ama-antibiotic (i-IV) ama-antibiotic ngokutheleleka okwakudlashwa nge-antibiotics ngomlomo. Umkhuhlane oqhubeka ngesikhathi se-chemotherapy uvame ukwelashwa ngokuhlanganiswa kwama-antibiotic aqinile kuze kube yilapho isizathu esiqondile sokutheleleka sinqunywa. Ukwelashwa kuvamise kwenzeka esibhedlela lapho ungabonwa khona eduze.
Inothi Mayelana Nezifo Ezithathelwana Nezibhedlela (I-Nosocomial)
Unyaka ngamunye sizwa ngezinombolo ze-nosocomial infections. Akuzona nje izibhedlela indawo enhle yegciwane elizohlangana, kepha amabhaktheriya anqabile ayaziwa endaweni yezibhedlela. Abantu abangaphezu kwezigidi eziyi-1.5 banesifo esibhedlela minyaka yonke, kanti abayi-100 000 bazofa. Ukuphikelela ukuthi wonke umuntu ovakashela wena, kusuka kudokotela wakho kuya kubathandekayo bakho, ugeza izandla kuqala. Ngaphezu kwalokho, hlola lezi zeluleko ngokugwema izifo ezitholwe esibhedlela .
Imithombo:
Dunbar, A., Tai, E., Beauchesne Nielsen, D., Shropshire, S., noL. Richarson. Ukuvimbela Izifo Ngesikhathi Ukwelashwa Kwemdlavuza. I-Clinical Journal of Oncology Nursing . 2014. 18 (4): 426-431.
van Dalan, E., Mank, A., Leclercq, E., Mulder, R., Davies, M., Kersten, M., noMn van van Wetering. Izidakamizwa Eziphansi Zokudla Nokunciphisa Ukulawula Ukuvimbela Ukwelashwa Emdlalweni We-Cancer Iziguli Ezibhekene Ne-Chemotherapy Ezibangelwa Iziqephu Ze-Neutropenia. I-Cochrane Database yezibuyekezo ezihleliwe . 2016. 4: CD006247.
Kasper, uDennis L .., u-Anthony S. Fauci, noStephen L .. Hauser. Izimiso zikaHarrison zemithi yangaphakathi. ENew York: imfundo kaMc Graw Hill, 2015. Print.