I-Chemotherapy ithinte njani i-White Blood Cell count?
I-Chemotherapy iyabulala iiseli zomhlaza zesahlulelo ngokukhawuleza. Kwakhona kugqiba ukubulala ezinye iiseli eziqhelekileyo ezihlukeneyo emzimbeni, njengaleyo emnzini wethambo ogcina ukunikezelwa kweeseli ezimhlophe zegazi, okanye i-WBC, ekusasazeni kwakho. I-WBC ibalwa iwela okwesikhashana kunye namaqela amaninzi ahlukeneyo asetyenziswa njengekhemotherapy ukunyanga umdlavuza.
Ngomdlavuza wegazi ezifana ne-leukemia kunye ne-lymphoma, i-cancer iyakwenza ukuba i-WBC ibalwe xa iiseli zomhlaza zithathela iiseli ezinomzimba ezisempilweni kwintsi.
Ngokuqhelekileyo xa i-chemotherapy ithinta amanqanaba e-WBC, kubangela ukuhla kweminye iiseli kunye nemveliso yeseli egazini, njengeeseli ezibomvu zegazi kunye neeplatelet.
Xa iWBC Counts iwa?
Ukuncipha kwimizimba yamhlophe yeeseli yegazi kuqala iintsuku ezimbalwa emva kokuba i-chemotherapy ilawulwa, ifikelele kumanqanaba aphantsi kwisibini okanye yesithathu emva kwe-chemotherapy. Njengoko amathambo omncuba weethambo aphulukana nemiphumo ye-chemotherapy, iWBC iqala ukuvuka kwakhona. Ngaphambi komjikelo ngamnye we-chemotherapy, ukubala kwegazi kuqinisekiswa ukuba babuyele kwibala eliqhelekileyo.
Ngaba i-WBC ephantsi isebenzise ingozi?
Amaseli egazi aseMhlophe anembopheleleko yokukhusela umzimba kwiintsholongwane. Xa i-WBC ibalwa iphantsi, umngcipheko wezosuleleko ukhula.
Xa kubalwa kuncinci ngokwaneleyo, umzimba awukwazi ukulawula lula ezi zifo.
Nangona kunjalo, inani eliphantsi alisoloko likhokelela kwizifo. Phantse bonke abantu kwi-chemotherapy banamanani aphantsi ngexesha le-chemotherapy. Kodwa abantu abathile kuphela bahlakulele izifo ezinzulu ezinxulumene nokubalwa kwe-WBC.
Oogqirha bajonga njani i-WBC Counts ephantsi?
Ngexesha eliqhelekileyo ngexesha le-chemotherapy, iimvavanyo zegazi ukujonga iingqalelo zeseli ziyafuneka. Ezi mvavanyo zibizwa ngokuba yiCBC okanye 'iHemogram'. Ukubalwa kweeseli zegazi elimhlophe kuthiwa yi-Total Leukocyte Counts, okanye ii-TLC. Ii-TLC zibala iintlobo ezahlukeneyo zeeseli ezimhlophe zegazi. Inani elithile elithile li- Absolute Neutrophil Count (ANC) . I-neutrophils yinto enye ye-WBC, kwaye amanqanaba ama-neutrophils aqikelele kakhulu ukuba umzimba uya kukwazi njani ukulawula ukusuleleka kubaktheriya. Xa i-ANC ingaphantsi kwexabiso elithile, oogqirha banokulibaziseka ngakumbi i-chemotherapy kwaye baqale imishanguzo yokuthintela okanye yokunyanga izifo.
Ziziphi Iimpawu Zonyango Ngethuba leKhemotherapy?
Uphawu olubaluleke kakhulu lokusuleleka ngumkhuhlane. Xa kufika umkhuhlane phambi kobukhulu be-neutrophil (ANC), kuthiwa yi-febrile neutropenia. Ezinye iimpawu zentsholongwane ziquka:
- Ukhuhlane kunye nokuhlaziya
- Izikhundla ezilahlekileyo
- Amathumba okanye amaqhekeza
- Umlomo oqatha kakhulu kunye neengxaki zokugwinya
Xhagamshelana nogqirha wakho ngokukhawuleza ukuba unayo nayiphi na imiqondiso okanye impawu apha ngasentla ngexesha le-chemotherapy.
Iintsholongwane ziyakuthi zikhutshwe njani xa ii-Counts ziphantsi?
Amanyathelo ambalwa amancinci anganciphisa amathuba okusuleleka:
- Gwema ukufudumala kwamaqondo okushisa kunye noxinzelelo olunganciphisa umzimba
- Qiniseka ukuba ukutya kuphekwe ngokutsha ukuphepha ingozi yokugula kokutya
- Khumbula ukuhlamba izandla phambi kokutya
- Gwema ukunxibelelana nabantu abanezifo
- Gwema indawo ezixhamlekileyo kunye nokuphuphuma umoya
I-antibiotics ayisebenzisi rhoqo xa kubalwa iphantsi kwaye akukho zibonakaliso zentsholongwane. Nangona kunjalo, imeko yomntu ngamnye ingahluka. Ugqirha wakho ugqiba ngesidingo se-antibiotics esekelwe kwimimiselo ethile kunye nemingcipheko , kunye nolwazi oluchanekileyo kwimbali yakho yonyango kunye nesimo sekliniki.
Ngaba i- WBC Counts ilawulwa njani?
Kwimeko ezininzi, iibalo eziphantsi zingezesikhashana.
Ukuqala ukuqalisa ngokukhawuleza kwaye kufinyelele kumgangatho oqhelekileyo ngaphandle kokubangela ukusulelwa, kwaye i-chemotherapy eqhubekayo ingaqhubeka.
Xa igazi libala liphantsi kakhulu okanye kukho ukuphawula kumzimba, oogqirha banako:
- Ukulahla i-chemotherapy eqhubekayo kude kubekho okuqhelekileyo.
- Qala iziyobisi ezandisa inani lamhlophe legazi. Ezi zibizwa ngokuba yi-colony-stimulating factors, okanye ii-CSF. I-G-CSF kunye ne-GM-CSF ziintlobo ezimbini ze-CSF ezikhoyo.
- Qala unyango ngamayeza omzimba ukuba kukho nawuphi na uphawu losuleleka kumzimba.
Akunabo bonke abantu abahlakulela ukubalwa kwe-WBC abafanelekileyo abaviwa abalungileyo kwizonyango ezandisa ezi zibalo.
Ngaba i-WBC i-Low Counts iyakhutshwa?
Ngamanye amaxesha ukukhuthaza umzimba ukuba kuveliswe iiseli ezintsha zegazi kunokunceda xa omnye okanye ngaphezulu kweseli yakho yegazi ibalwa okanye ukubala kwakho kulindeleke ukuba kube phantsi kakhulu. Ngokomzekelo, maxa wambi ithambo lomongo likhuthazwa kwangaphambili, njengesilinganisi sokukhusela, xa kubalwa kulindeleke ukuba liwele ngenxa yonyango lomhlaza.
Iingcali ziye zavelisa iiseti ezininzi zezikhokelo malunga nokuba ama-arhente amathambo ashukumisayo afanelekileyo kwaye akufanele asetyenziswe. Ininzi ekujoliswe kuyo ekuqinisekiseni ukuba iingozi kunye neenzuzo zokuvuselela umongo weethambo zilungelelaniswa nesigulane, kwaye kukho ezininzi iinkalo ezahlukeneyo zekliniki eziza kuziqwalasela.
Izifundo ziyaqhubeka ukuzama ukufumana indlela engcono yokuxelela ukuba iziphi izigulana zinokuzuza kwiimeko zokukhula ezikhuthaza ukuveliswa kweeseli zegazi. Abaphandi banomdla ekunqumeni indlela engcono yokudibanisa izinto zokukhula kunye kunye namanye ama-agent abandakanya i-chemotherapy kunye ne-hormone therapy.
> Imithombo:
> Smith TJ, Bohlke K, Lyman GH, et al. Iingcebiso zokusetyenziswa kwezinto ze-WBC zokukhula: Umbutho waseMelika we-Clinical Oncology okhokelo lwekliniki yokuhlaziya izikhokelo. J Clin Oncol. 2015; 33: 3199-3212.