I-anemia ngenxa ye- chemotherapy ayiyona into esiyizwa ngayo njalo njengokuthi, ukuthi, ukulahlekelwa izinwele , kodwa kuyinto ejwayelekile kakhulu engaphansi kwe-chemotherapy . Lokho kusho ukuthi ukuqonda izimpawu kanye nokucabanga ukuthi yini ongayenza ukuze uziphathe kungasiza ekunciphiseni impilo yakho.
Sibutsetelo
Eyaziwa nangokuthi "igazi eliphansi" noma "igazi elibi elibi," i-anemia ichazwa njengokuncipha kwenani lamaseli abomvu e-red (RBC) noma i-hemoglobin.
Lokhu kubangela ikhono elinciphile legazi ukuthwala i-oxygen emathisini omzimba.
I-anemia ivame ukuchazwa ngokuthi i-hemoglobin engaphansi kuka-13,5 amagremu / 100 ml emadodeni angaphansi kuka-12 amagremu / 100 ml kwabesifazane. Kungabangela ukukhathala futhi kubangele ezinye izimpawu ezingathinta izinga lakho lokuphila.
Izimbangela
Kunezimbangela eziningi ze-anemia ngesikhathi sokwelapha umdlavuza, kubandakanya:
- Imithi ye-Chemotherapy - Ukuhlasela kweChemotherapy kuhlukanisa ngokushesha amaseli, kuhlanganise namaseli ekugcineni abumba amaseli abomvu egazi. Kungase kubangele izilonda zomlomo , izinguquko zokunambitheka , noma izinambuzane ezinganciphisa ukudla kwakho kwezakhi ezidingekayo ukwenza amangqamuzana egazi abomvu.
- Ukukhipha igazi - Ukuchitha igazi ngenxa yokuhlinzwa noma ukukhwehlela igazi (i-hemoptysis) kungabangela i-anemia.
- Umdlavuza ngokwayo -I-anemia ingenzeka ngezifo eziningi ezingapheli, ngenxa yesifo ngokwayo noma ngenxa yokuntuleka kokudla okunomsoco okubangelwa yisifo noma ukwelashwa.
- Ukuhluleka kwezinso -Lokhu kuvame kakhulu ezigulini ezigugile kanye nomphumela wokuphela kwamanzi kanye nomdlavuza ngokwawo.
Isigameko
Ucwaningo olwenziwa ngo-2016 lwathola ukuthi i-anemia ivame kakhulu kwizigameko zomdlavuza, cishe amaphesenti angama-90 abantu abanezinambuzane eziqinile ezithola i-chemotherapy enesifo esithile se-anemia.
Ngokuthakazelisayo, iningi lalaba bantu lahlushwa yi-anemia kuphela emnene kuya ekulinganiseni.
Ukuxilongwa
Udokotela wakho uzoyala inani eliphelele legazi ( CBC ) ngaphambi nangemva kwamakhemikhali. Yilokho okuzomsiza ukuba ahlolwe i-anemia uma unayo.
Izimpawu
Izimpawu ongase uzizwe nge-anemia zihlanganisa:
- Ukukhathala
- Ukungabi namandla
- Ukuphefumula noma isizungu, ikakhulukazi uma uhlezi ngokushesha noma emi
- Ukuphelelwa umoya
- Izinsizwa
- Ukubukeka kwe-Pale
- Ukushaya kwenhliziyo okusheshayo noma i-palpitations
- Ubuhlungu besifuba
Ukwelapha
Esikhathini esiningi, i-anemia encane ingasetshenziswa ngokushintsha nje indlela yakho yokuphila kancane futhi ulindele umzimba wakho ukuba wenze amangqamuzana amaningi obomvu egazi. Ukuphumula okwanele, ukuma ngokushesha, noma ukuphuza utshwala nge-caffeine noma utshwala kungalimaza izimpawu zakho.
Ngezinye izikhathi, ikakhulukazi uma inani lakho elibomvu selibalo liphansi kakhulu noma ubhekene nezimpawu, udokotela wakho angancoma ukwelashwa. Izinketho zokwelapha zifaka:
- Ukuguqulwa- Indlela esheshayo yokwandisa amangqamuzana egazi abomvu anegazi . Imiphumela emibi ingabandakanya ukushisa, ukubola, kanye nezinkinga ezincane zokwenza ukumpompela igazi noma ukufaka isifo esithathelwanayo, njengesi-hepatitis.
- Izithako ze-Iron -Ingxenye yezingxenye ezine ze-iron zingase zinconywe. I-iron ethathwa ngomlomo ilula kodwa ingabangela ukunganaki kwesisu. Imiphumela emibi evamile yensimbi enesisindo ingumzwelo wokuhamba kancane, ukunambitheka okuncibilikisayo, ikhanda, kanye nama-acry joint noma muscle ezinsukwini ezimbalwa emva kokwelashwa. Ngezinye izikhathi, umjovo wensimbi ungabangela ukusabela okweqile okungaba yingozi.
- Imithi yokugqugquzela ukwakhiwa kwamaseli abomvu wegazi - Ngezinye izikhathi ukusetshenziswa kwezidakamizwa (ngokuvamile kuvamise ne-intravenous iron) ukukhuthaza ukukhiqizwa kwamaseli abomvu emzimbeni wakho. Kukhona okwamanje ukuphikisana okuningi ngalokhu ukwelashwa futhi i-oncologist yakho izoxoxa ngezinzuzo nezingozi ezingenzeka uma lokhu kunconywa. Le mithi ihlanganisa Ukubhaliswa noma i-Epogen (i-epoetin alfa) ne-Aranesp (i-Darbepoetin alfa) .
Ukubhekana
Indlela engcono kakhulu yokubhekana ne-anemia ukuzivumela ukuba uwenze kube lula kunokujwayelekile kuze umzimba wakho ukwazi ukubamba futhi wenze amanye amangqamuzana egazi abomvu. Izindaba ezinhle ukuthi i-anemia yimbangela eyodwa yokukhathala ephathwa kakhulu futhi ngokuvamile izoqala ukuthuthukisa amasonto ambalwa ngemva kokuqeda i-chemotherapy.
Ngenkathi une-anemic, zama uku:
- Thola inani elifanele lokulala nokulala uma kudingeka.
- Sukuma kancane, ikakhulukazi uma uhlezi noma ulele phansi isikhathi eside.
- Phuza amanzi amaningi.
- Gwema i-caffeine, ugwayi nokuphuza utshwala.
- Cela usizo.
Nini Ukubiza Udokotela
Vumela udokotela wakho wazi ukuthi uhlangabezana nanoma yiziphi izimpawu ezingase zibe ngenxa ye-anemia. Phakathi kokuvakashelwa, shayela uma ubona noma iyiphi yalezi zimpawu ziba nzima, ikakhulukazi uma usheshe uphefumule, izinga lakho lenhliziyo lihamba ngokushesha kunokujwayelekile, uzizwa ukhululekile naphezu kokuphumula, noma uma uzizwa unesihloko noma uphazamisekile.
Kwabathandekayo
Njengoba kuphawuliwe ngenhla, enye yezindlela ezinhle kunazo zonke abantu abangakwazi ukubhekana nazo nge-anemia ngesikhathi se-chemotherapy ngokucela usizo. Lokho kusho ukuthi abantu abaningi abaphila nomdlavuza bayanqikaza ukucela usizo. Bayesaba ukuthi bangumthwalo noma balahlekelwa umuzwa wokuzimela.
Uma ungumuntu othandekayo womuntu onomdlavuza, hlola lezi zeluleko mayelana nokuthi ungamsekela kanjani othandekayo ngomdlavuza kanye nokuthi " yini ngempela ethanda ukuhlala nomdlavuza " ekhuluma ngalokho abantu abanomdlavuza abafisa ukuthi abathandekayo babo bazi.
Imithombo:
Auerbach, M. no H. Ballard. Intravenous iron incology. I-Journal ye-National Comprehensive Cancer Network . 2008. 6 (6): 585-92.
Umndeni, uL., Xu, L., Hu, H. et al. Umphumela we-anemia wokukhipha i-chemotherapy ekunciphiseni idosi kanye nokulibaziseka kwemithi. Ukondla Ukusekela Ekhanda . 2016 Meyi 11. (Epub ngaphambi kokuphrinta).
I-Glaspy, J. Erythropoietin kuma-Cancer Iziguli. Ukubuyekezwa Kwaminyaka Yomuthi . 2008. Nov 3. (Epub ngaphambi kokuphrinta).
Mhaskar, R., Wao, J., Miladinovic, B., Kumar, A., no B. Djulbegovic. Indima yensimbi ekulawuleni i-chemotherapy-eyenziwe i-anemia ezigulini zomdlavuza ezithola ama-erythropoiesis-avuselela ama-agent. I-Cochrane Database yezibuyekezo ezihleliwe . 2016. 2: CD009624.
Xu, H., Xu, L., Page, J. et al. Isifo se-anemia ezigulweni ezitholakalayo ezinezinambuzane eziqinile zithola i-chemotherapy, ngo-2010-2013. Epidemiology yezokwelapha . 2016. 8: 61-71.