Izinzuzo zokuzivocavoca ngesikhathi ukwelashwa komdlavuza zibhalwe kahle. Ukuzivocavoca njalo kungakusiza ukushaya blues yokwelashwa nokulawula iminye imiphumela emibi njengokukhathala nobuhlungu . Kodwa, iziguli ezinegazi ne-bone lomdlavuza umdlavuza ezinjenge-leukemia, i-lymphoma, ne-myeloma zingase zibe nokukhathazeka okuyingqayizivele uma kuziwa ekuvivinya umzimba okuphephile futhi okunempilo. Nazi izinto ezimbalwa ongacabanga ngazo ngaphambi kokuqala noma ukugcina uhlelo lwakho lokuzivocavoca.
Cabanga ngamaseli akho egazi wegazi lapho uhlela ukuzivocavoca
Igazi nekhanda lomdlavuza, kanye nezindlela zokwelapha, kungabangela ukwehla kwenani elibomvu amangqamuzana egazi obomvu, amaseli egazi amhlophe , namaplatelet onayo ekujikelezeni kwakho. Lezi zingcingo ezilahlayo zingabenza ukuthi umzimba wakho ube yingozi noma ungaphephile.
- Amaseli egazi amhlophe aphansi (neutropenia): Lapho ukubala kwegazi lakho elimhlophe liphansi, unciphise amandla okulwa nezifo. Ngalesi sikhathi, kufanele ugweme izixuku futhi ugcine isimiso sakho sokuzivocavoca eduze kwasekhaya. Ama-gyms, amachibi okubhukuda, namakamelo okuzula akwandisa ingozi yokuthola igciwane noma amabhaktheriya angakwenza ugule. Uma unomkhuhlane, ungazishiyi ukuzivocavoca. Thatha isikhathi esithile ukusiza umzimba wakho uphulukise futhi uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde usebenze
- Amangqamuzana egazi abomvu aphansi (i-anemia): Amaseli aphuzi egazi abhekana ne- oxygen ezithombeni nasezicukweni zakho. Uma ziphansi, zingase zingakwazi ukuhambisana nesidingo sokwandisa sigqoke umzimba wakho ngesikhathi sokuzivocavoca. Ungase uqaphele ukuthi ukhathele kalula futhi ungase ube nobunzima ekutholeni ukuphefumula uma uzikhandla. Ngezikhathi lapho unezinombolo ezibomvu zamangqamuzana egazi, kufanele ubuyeke ngokukhululeka kokusebenza kwakho, noma uzigweme ngokuphelele kuye ngeseluleko sodokotela wakho.
- I-flatletlet ephansi (thrombocytopenia): Ama- platelets anesibopho sokwenza ama-clots emzimbeni wakho. Uma izinombolo zabo ziyancipha , usengozini yokuphuma nokuphuka. Ngenxa yalokhu, kufanele ugweme imisebenzi ongase ube yingozi enkulu yokuwa noma ukulimala. Ungakhetha ukusebenzisa ama-resistance bands esikhundleni sezinsimbi ezinkulu ongawayeka. Kufanele futhi uhlale kude nemidlalo yokuxhumana ngalesi sikhathi.
Ukuphepha Okokuqala Ngokuzivocavoca Ngesikhathi Ukwelashwa Kwemdlavuza
Ngaphandle kokubala kwamaseli, iziguli zesifo somdlavuza weMarrow zinamaphuzu ambalwa okuphepha okumele uwagcine engqondweni:
- Uma une- catheter ye-venous central (CVC) , kuzodingeka uqiniseke ukuthi ivikeleke kahle ngaphambi kokusebenza kwemisebenzi. I-CVC ene-Tunneled ingafakwa ebhodini yezemidlalo, noma ifakwe noma ifakwe emzimbeni wakho. I-Peripheral CVC (imigqa ye-PICC) kufanele ifakwe noma ihlanganiswe ngokuphepha ukuze ivimbele ukuba ingasuswa. Buza ithimba lakho lokunakekelwa kwempilo mayelana nokulinganiselwa komsebenzi wengalo yakho ye-PICC.
- Iziguli ezine-CVC nalabo abaye bathola ukwelashwa kwe-radiation kufanele futhi bagweme ukubhukuda nama-tubs ashisa ukuvimbela ukutheleleka.
- Iziguli ze- Myeloma zengozini enkulu yokwehlukana kwamathambo nokulimala. Kufanele ugweme imisebenzi ephezulu engozini nalabo abanokuxhumana komzimba.
- Ukuzivocavoca nomngane wakho, kokubili ukukugqugquzela futhi ukugcine uphephile.
- Njalo hlola uthisha wakho wezempilo ngaphambi kokuqala uhlelo lokuzivocavoca.
Qalisa izimo eziphuthumayo ukuze wazi
Gcina ithimba lakho lokunakekelwa kwezempilo ku-loop mayelana nemisebenzi yakho yokuzivocavoca futhi uhlolwe njalo (gcina ukuqokwa kwakho) ukuqinisekisa ukuthi awuzibeka engozini ngehlelo lwakho. Nokho, kunezikhathi, uma zingeke zilinde ukuqokwa okulandelayo, futhi kudingeka udinga ukunakekelwa okuphuthumayo kakhudlwana.
Thola usizo ngokushesha uma uthuthukisa:
- Ubuhlungu besifuba noma ama-palpitations
- Izinguquko kumbono wakho
- Isizungu
- Ukudideka
- Ubuhlungu bomlenze
- Ukuphefumula okungazelelwe
- Ubuhlungu obungavamile emathanjeni noma emathanjeni akho
- Isicasulezi esingenasisindo nokuhlanza
- Ukuphelelwa amandla
- Ukulimaza okungavamile
Imithombo:
Coon, S., Coleman, E. "Gcina ukuhamba: Iziguli ezine-Myeloma Talk Mayelana nokuzivocavoca nokukhathala" Iforamu ye-Oncology Nursing 2004. 31: 1127-1135.
Coleman, E., Hall-Barrow, J., Coon, S., Stewart, C. "Ukugqugquzela Ukuzibandakanya Ukuzivocavoca kweziguli ezine-Multiel Myeloma" Journal of Clinical of Oncology Nursing 2003. 7: 529-540.
I-Hacker, E. "Ukuzivocavoca Nekhwalithi Yokuphila: Ukuqinisa Ukuxhumeka" I- Clinical Journal ye-Oncology Nursing 2009. 13: 31-39.
Hacker, E., Larson, J., Peace, D. "Ukuzivocavoca ezigulini ezithola ukutholakala kokufakelwa kwama-stem cell (Hematopoietic Stem Transplantation): Izifundo ezifundwayo kanye neziphumo ezivela esiFundweni Sokwethenjelwa" I- Oncology Nursing Forum 2011. 38: 216-223.
Hanna, L., Avila, P., Meteer, J., Nicholas, D., Kaminsky, L. "Imiphumela YeHlelo Lokuzivocavoca Oluphelele Lokusebenza Komzimba, Ukukhathala, Nezinzwa Ezigulini Ezinhlobo Ze-Cancer" I- Oncology Nursing Forum 2008. 35: 461-469.
McLaughlin, T., Wittstein, E., White, T., Czaplinski, C., Gerard, S. "Ukuhambisa Ukuphila: Umshayeli Ukuhlola Uhlelo Lokuzivocavoca Oluhlinzekwa Ngumhlengikazi Eziguli Ezigulayo Ezinengculazi" Journal of Clinical Journal of Oncology Nursing 2012. 16: E105-110.