Ukujamelana ne-White White Cell Count From Chemotherapy
I-Neutropenia (inani eliphantsi le-neutrophils egazini), libhekiselele kwimpembelelo yecandelo le-chemotherapy ekubeni ezi zisele zisikhusela ekuhlaleni izifo.
Yintoni i-Neutropenia?
I-Neutropenia ichazwa njengendlela yokunciphisa izinga legazi lohlobo lwegazi elimhlophe elibizwa ngokuba yi- neutrophils . Le fomu yamaseli amhlophe e-white asisikhusela ekuphuhliseni iintsholongwane ze-bacteria.
Izizathu
Ukuhlaselwa kwe-Chemotherapy ngokukhawuleza kwahlula iiseli, kubandakanywa neeseli kwintsipho yethambo elingaba yi-neutrophils.
Ukuxilongwa
Ugqirha wakho uya kulawula inani elipheleleyo legazi (CBC) ngaphambi nangemva kwe-chemotherapy ukucacisa inani lakho le- white blood cell (WBC) . Inani lakho elipheleleyo lamaseli egazi eliqhelekileyo lidla ngokubanzi kwi-4,000 ukuya ku-10,000 amaseli egazi abamhlophe nge-cubic millimeter nganye. Ugqirha wakho uya kuba nomdla kwi-count yakho ye-neutrophil (i-ANC) engekho ngaphantsi kwesibalo sakho samhlophe. I-ANC eqhelekileyo iphakathi kwama-2 500 ukuya kuma-6,000 ama-neutrophils nge-cubic millimeter nganye. Kukho ama-3 degrees e-neutropenia:
- I-ANC ye-1000 ukuya kwe-1500-enobubele (ithetha umngcipheko omncinci wokusuleleka)
- I-ANC ye-500 ukuya ku-1000 - i-moderation (ehambelana nomngcipheko ophantsi wokusuleleka)
- I-ANC engaphantsi kwe-500 - inzima (ibonisa umngcipheko omkhulu wokuhlawula isifo)
Iimpawu
Iimpawu ze-neutropenia zihlobene nezifo ezinokukhula xa umzimba wakho ungenayo i-neutrophils eyaneleyo ukulwa neebhaktheriya.
Ezi ziquka:
- Umkhuhlane ukhulu kune-100.5 degrees F
- Ukutshatyalaliswa kwezinto
- Umqala obuhkungu
- Isiqhamo
- Ukuqhawukelwa ngumphefumlo
- Ukuvutha ngokucoca okanye igazi kumchamo wakho
- Ubunzima bokubuya buhlungu (uphawu lweentsholongwane zentsholongwane enokwenzeka)
- Uhudo
- Rashes
- Ubomvu, ukuvuvukala, okanye umjelo malunga nokulimala okanye ukungena emzimbeni onjengePort okanye IV line
Unyango
Ukuba inani lakho elimhlophe libe liphantsi kakhulu, kunokuba kuyimfuneko ukuba ubambe kwi-dose elandelayo ye-chemotherapy. Oko kwathiwa, ukulibazisa i-chemotherapy kunokunciphisa ukusebenza kwayo, kwaye i-oncologist yakho ingancoma unyango. Izinketho zokonyango ziquka:
- Iintsholongwane ezikhuselekileyo - Ngamanye ama-antibiotic asetyenziselwa ukukhusela phambi kokuba unemiqondiso yesifo.
- Imithi - Imithi (ukukhula kwezinto) ingasetyenziselwa ukukhuthaza ukuveliswa kwe-neutrophils kwintolongo yakho (ngokuchanekileyo okanye njengonyango lokubalwa kwe-neutrophil). Ezi ziquka:
- I-Filgrastim, i-G-CSF (i-Neupogen)
- Pegfilgrastim (Neulasta)
- I-Sargramostim, i-GM-CSF (i-Leukine)
Unyango lwe zifo
Izifo ziyakwazi kakhulu xa ungenayo iiseli zegazi ezimhlophe ukulwa neebhaktheriya. Ukuba unentsholongwane kulolu hlobo, i-oncologist yakho iyakuthi ikhuthaze ukulaliswa esibhedlele kunye ne-antibiotics.
Ukunciphisa Ingozi Yakho Yokugula
Ukongezelela nayiphi na unyango lwakho oncologist uncoma, kukho izinto ezininzi ongayenza ukuze unciphise umngcipheko wakho wokusuleleka ngelo xesha:
- Hlalani ukuhlamba izandla ngokuzenzekelayo (wena kunye nabathandekayo bakho) - Le nto ebaluleke kakhulu ongayenza ukunciphisa umngcipheko wakho
- Sebenzisa isepha yamanzi endaweni yesabatha yesabha
- Hlala kude nabantu abanezifo
- Gwema izihlwele ezinkulu, umzekelo, izitolo zokuthengisa kunye neema-movie
- Gwema abantwana (kunye nabantu abadala) abasandul 'ukufumana izitofu ngeentsholongwane eziphilayo, ezinjengegciwane lokukhupha inkukhu
- Dweba nayiphina imithi yokugonywa (umzekelo umkhuhlane wetsholongwane okanye i-pneumonia shot) uze uxoxe ngazo kunye ne-oncologist yakho (Funda malunga nokugonywa kwabantu abanomdlavuza - okufuneka uyenayo, okufuneka uyiphephe, kwaye xa ufuna ukukhathazeka malunga nokugonywa kunye neentsholongwane eziphilayo abanye baye bafumana loo nto ingadluliselwa)
- Gwema nawuphi na umsebenzi wamazinyo de uxoxe ngawo nge-oncologist yakho
- Gwema amaqanda anqabileyo kunye nenyama engenakunqandwa, intlanzi okanye ivenkile. Sebenzisa iindlela zokupheka ezikhuselekileyo.
- Izilwanyana zingaba ngumthombo wentsholongwane xa inani lakho legazi elimhlophe liphantsi - Yiba nomnye umntu utshintshe ibhokisi yenkunkuma, uhlambulule intambo yeentaka, okanye utshintshe itanki yentlanzi. Gwema ukuphatha izilwanyana. Esi sizathu sokwenene ukubuyela emva kwaye uvumele abanye ukuba bancede - bathathe inzuzo.
- Buza udokotela wakho ngaphambi kokusebenzisa imishanguzo efana ne-acetaminophen (iTylenol). Ezi zinokusifihla umkhuhlane
- Abasetyhini bafanele baphephe iifampu, basebenzise iifetkins zangasese endaweni yoko
- Sebenzisa i-shaver yombane
- Gwema ukusika i-cuticles yakho. Kukulungele ukuphepha ukunyanga kunye nokuhamba ngokukhawuleza uze ugcwalise i-chemotherapy
- Ziqhelise ukunyamekela kwesikhumba. Iimeko zesikhumba edibeneyo malunga ne-chemotherapy kunye ne-oncologist yakho
Nini ukubiza uDokotela wakho
Kufuneka uvumele i-oncologist yakho ukuba wazi ukuba unayo nayiphi na imiqondiso yesifo. Mhlawumbi uya kukunika izikhokelo malunga nokubiza, kodwa ngokuqinisekileyo umxelele ngokukhawuleza ukuba uneqondo lokushisa ngaphezu kwama-degrees F, u-shaking chills, okanye ezinye iimpawu zentsholongwane ebalulekileyo.
> Imithombo:
> Crea, F. et al. I-Pharmacologic ingqiqo ye-G-GSF prophylaxis yokuqala kwiigulane zomhlaza kunye nendima ye-pharmacogenetics ekuphuculeni ukonyango. Iingxelo eziPhambili kwi-Oncology / Hematology . 2008. Dec 24 24. (Epub phambi kokuprinta).
> D'Souza, A. et al. Ukulawulwa kwe-Granulocyte ekoloni-stimulation factor: iziganeko ezimbi. Ukugqithiswa kweMithi yokuPhepha . 2008. 22 (4): 280-90.
> ULyman, uG. noMnu Shayne. Izinto ze-Granulocyte ezikhuthazayo: ukufumana uphawu olufanelekileyo. Iingcamango zangoku kwi-Oncology . 2007. 19 (4): 299-307.
> Pascoe, J. noN. Steven. Amayeza okukhusela i-febrile neutropenia. Iingcamango zangoku kwi-Hematology . 2009. 16 (1): 48-52.