I-Chemotherapy, i-Deep Venous Thrombosis, ne-Pulmonary Embolism
Ama-clots egazi ahlobene ne-chemotherapy akhulunywa ngaphasi kokuthi, ukuthi, ukuhlanzeka nokuhlanza, kodwa lokho akusho ukuthi bancane kakhulu inkinga. Eqinisweni, uma kuqhathaniswa nezinambuzane eziyaziwayo zesicashu, ukukhathala, nokushaywa izinwele, kungaba yingozi kakhulu. Okushiwo, ukuqonda izici eziyingozi, ukwazi izindlela zokunciphisa ingozi yakho, nokuqaphela izimpawu, konke kungakusiza ukunciphisa ingozi yakho ngenkathi ukwelashwa umdlavuza.
Sibutsetelo
Amakhethini egazi - okunye okuyaziwa ngezokwelapha njenge "thrombosis enezinhlungu" -kuyiqiniso ukukhathazeka okukhulu kubantu abane-cancer. Siyazi isikhathi esithile ukuthi abantu abanomdlavuza jikelele - hhayi nje labo abathola imithi yokwelapha - banengozi enkulu Ama-clots wegazi . Ngokwabo , ama-clots egazi emilenzeni angaba buhlungu, kodwa okukhathazeka kakhulu ukuthi lezi zindwangu zizophuma bese zihambela emaphashini. Uma lokhu kwenzeka - into ebizwa ngokuthi i-pulmonary embolism - kuyisimo esiphuthumayo sezokwelapha.
Uma uhamba emazweni angaphandle, ungazijwayele amavidiyo angaphambi kokushayela okubaluleke kakhulu ukuvivinya umlenze ukuvimbela ama-clots wegazi, kodwa asivame ukuzwa ngale ngozi ngenxa yemisebenzi eyenziwa ngokunye - njengokusebenzisa i-chemotherapy. Kulesi simo, lokho ongakuzwanga kungakulimaza. Eqinisweni, lokhu kuyisici esisodwa okumele ube ngummeli wakho ekunakekelweni komdlavuza wakho - ukufunda ngale nkinga engaba khona, nokuxhumana nodokotela wakho uma ukhathazekile - kungenza umehluko empilweni yakho futhi mhlawumbe nomphumela wakho.
Izingozi Zezingozi
Kusoloko kukhishwa ukuthi abantu abahamba nge-chemotherapy banomngcipheko owandayo wezindwangu zegazi, kodwa kuze kube ngu-2013 ukuthi lesi sici somuthi wokwelashwa sihlolwe yedwa. Esicwaningweni esikhulu, kutholakala ukuthi izigameko zamagundane egazi zithinta i-chemotherapy yayingamaphesenti angu-12,6, uma kuqhathaniswa nobungozi bama-1.4 amaphesenti ngenxa yeziguli zomdlavuza ezingatholi i-chemotherapy.
Ingozi yayiphakeme kwamanye amagciwane kaningi kunabanye, abanekhansana njengomdlavuza we-pancreatic nomdlavuza wamaphaphu abanengozi enkulu. Ngaphezu kwalokho, ezinye izidakamizwa zamakhemikhali kanye nemithi esetshenziselwa ukulwa nemiphumela emibi ye-chemotherapy nazo zihlobene nengozi eyengeziwe. Kulesi sifundo, izidakamizwa ezandisa ingozi zihlanganisa i-Platinol (cisplatin), i-Avastin (bevacizumab), ne-Epogen noma i-Propress (i-red stimulator erythropoietin.)
Ngaphandle kwe-chemotherapy, yiziphi ezinye izifo nemibandela engabangela ingozi yezindwangu zegazi kubantu abaphila nomdlavuza? Ezinye izici zengozi zihlanganisa:
- Ukwelashwa - Kwezinye izifundo, ingozi yezindwangu zamagciwane ezigulini zomdlavuza iye yaba ngamaphesenti angaba ngu-50 emva kokuhlinzwa
- Ukuhlala esibhedlela, ikakhulukazi uhlala ngaphezu kosuku olulodwa
- Ukuphumula okulele isikhathi eside
- Ukungena okuphakathi kwe-venous (njengokuthi i-portotherapy port)
- Imithi ebizwa nge-angiogenesis inhibitors (njenge-Avastin)
Izimpawu
Ukuze uqaphele izimpawu ezingenzeka, kungasiza ukuphulukisa lezi zibonakaliso ngokuvamile zibonwe nge-clot yegazi emilenzeni (i-thrombosis ene-venous) nezimpawu ezihlobene ne-clot yegazi ephukile futhi iya emaphashini (i-pulmonary embolism .)
Izimpawu ze-thrombosis ye-venous (i-blood clots emlenzeni) zifaka izimpawu kumathole noma emlenzeni ongaphezulu kuhlanganise:
- Ukubomvu
- Ububele
- Ukuvuvukala
- Ukufudumala
Izimpawu ngenxa yokuzibandakanya kwe-pulmonary zingabandakanya:
- Usizi lwesifuba ngokungazelelwe - ngokuvamile lubuhlungu obunzima. Khumbula ukuthi ngezinye izikhathi uvala ukuhamba ezindaweni ezihlukahlukene emaphashini, futhi ubuhlungu kungenzeka ukuthi abukho endaweni eyodwa kuphela
- Ukuphelelwa umoya
- Ukukhwehlela noma ukukhwehlela igazi
- Lightheadedness
- Ukungaboni
- I-Cyanosis - i-discoloration eluhlaza okwesibhakabhaka kwesikhumba nezindebe
- I-arrhythmias yenhliziyo - izilinganiso ezingavamile zenhliziyo
- Kuphakanyiswe izinga lokuphefumula nenani lenhliziyo ngomfutho wegazi ophansi
Ukuvimbela
Imithi
Imithi-i-anticoagulants-isetshenziselwa kaningi eminyakeni yamuva ukunciphisa ingozi yezindwangu zegazi kumagciwane omdlavuza.
Lokhu kubhekiselwa ku "antiticoagulation" ye-prophylactic, okuhunyushwa, kusho ukuvimbela igazi elivikelayo.
Kunezinhlobo eziningana zokwelapha izidakamizwa ezingase zincome ukuthi i-prophylactically. Ucwaningo lwamuva lubonisa ukuthi imithi efana ne-heparin isebenza kangcono kubantu abanomdlavuza kunemithi ephazamisa u-vitamin K-njenge-Coumadin (warfarin), kodwa imithi ehlukile inganconywa kuye ngesimo sakho. Ezinye zalezi zidakamizwa (ongase uzizwe zibhekwa njenge-heparin yesisindo esincane) zifaka:
- Lovenox (enoxaparin)
- I-Fragmin (i-dalteparin)
- Innohep (tinzaparin)
- Arixtra (fondaparinux) - lokhu kuyisidakamizwa esisha "se-heparin"
Ukuzinakekela
Ezokwelapha, sivame ukukhuluma ngezidakamizwa uma kuziwa ekuvimbeleni, kodwa kunezinto eziningi ongazenza ngokwakho ukuze unciphise ingozi yakho. Isinyathelo sokuqala nesibaluleke kakhulu nje ukuzifundisa futhi ubuze imibuzo. Yazi kahle izimpawu zezindwangu zegazi ne-embolism ye-pulmonary. Uma ukhathazekile nhlobo, ungalindi, kodwa xhumana nodokotela wakho ngokushesha. Buza i-oncologist yakho uma kukhona okukhethekile ongayenza ukuze unciphise ingozi yakho, noma uma engancoma imithi ukuthi ingabe yingozi. Ngaphezu kwalokho, ungase ufise:
- Hambisa cishe ngangokunokwenzeka, ngaphakathi kwemingcele yakho. Uma ungaqiniseki ukuthi kunconywa kangakanani umsebenzi, cela udokotela wakho. Izikhathi ezincane zomsebenzi wokuzivocavoca zingcono kunezenzo ezithatha isikhathi eside
- Ngisho noma ulala, sebenzisa imilenze yakho. Udokotela wakho noma umhlengikazi angasiza ekuboniseni lezi zenzo zokuzivocavoca ngawe. Ungazama ukukhomba izinzwane zakho ezihlokweni zakho bese phansi izikhathi eziningana (futhi, khuluma nodokotela wakho njengoba izinyathelo ezinhle kakhulu zingahluka kuye ngesimo sakho sezokwelapha)
- Gwema ukushayela okude. Uma kufanele ube semotweni isikhathi eside, hlela ukuyeka njalo-okungenani njalo ihora-uphume emotweni bese uhambahamba
- Ngaphezu kokunye okuqapha ukuhamba ngenomdlavuza , zama ukuvuka okungenani njalo ihora, futhi mhlawumbe njalo ngemizuzu engu-30 bese uhambahamba. Ungenza ukuvivinya umlenze ngisho nalapho uhlezi. Kuye ngesimo sakho, i-oncologist yakho ingase ikucabange ukukuphatha nge-anticoagulant (isibonelo, i-heparin yesisindo samandla esincane) ngaphambi kokuhamba kwakho. Qiniseka ukuthi ubuza. Ama-DVT ngenxa yokuhamba kwezindiza avamile ngokwanele ukuthi ahlanganiswe "isifo se-class class".
- Ungabhemi
- Uma udokotela wakho encoma ukuncintisana kwe-stockings, qiniseka ukuthi ulandela izinkomba zakhe
- Gwema ukuwela imilenze yakho
- Gwema izingubo ezifanelekile, ikakhulukazi izingubo eziqinile emadolweni akho noma endaweni yakho yokugaya
- Phakamisa imilenze yakho uma kungenzeka
- Gwema i-caffeine no-alcohol. Kokubili i-caffeine nokuphuza utshwala kungaholela ekudambiseni amanzi, futhi ukuphelelwa amandla kwamanzi kuphakamisa ingozi yezindwangu zegazi
> Imithombo:
> Society of American of Clinical Oncology. Cancer.Net Ukuvimbela Nokuphatha Izindwangu zegazi. Kubuyekezwe 01/20/15.
> Garcia Escobar, I., Antonio Rebollo, M., Garcia Adrian, S. et al. Ukuphepha nokusebenza kwe-Primary Thromboprophylaxis kuma-Cancer Patients. I-Oncology yezokwelapha kanye nokuhumusha . 2016 Meyi 4. (Epub ngaphambi kokuphrinta).
> Khorana, A., uDalal, M., Lin, J., noG. Connolly. Ukukhubazeka nokubikezela kwe-thromboembolism ene-venous (VTE) phakathi kweziguli ezinomdlavuza ophezulu onobungozi obuphethwe yi-chemotherapy e-United States. I-Cancer . 2013. 119 (3): 648-55.
> Posch, F., Konigsbrugge, O., Zielinski, C., Pabinger, I., no-C. Ay. Ukwelashwa kwe-thromboembolism enomdlavuza ezigulini ezine-cancer: I-network meta-analysis efanisa ukusebenza nokuphepha kwama-anticoagulants. Ucwaningo lwe-Thrombosis . 2015. 136 (3): 582-9.
> Vitale, C., D'Amato, i-thromboembolism ye-Venous nomdlavuza wamaphaphu: ukubuyekezwa. Imithi yokuphefumula eminingi . 2015. 10 (1): 28.