Ukuxhatshazwa kweCanscer and Anemia
I-Cancer kunye ne-anemia zidibaniswe ngeendlela ezininzi. Ukuba unomdlavuza, unokufumana i-anemia ngenxa yomhlaza ngokwawo okanye ngenxa yonyango lomhlaza, njengokhemotherapy. Abantu abanomdla bangaphinda bahlakulele i-anemia ngenxa yezizathu ezingekho komhlaza (ngenxa yezizathu zokuba abantu abangenayo umdlavuza bangakhula i-anemia.) Ukuba unemia kodwa ungenayo umdlavuza, ugqirha wakho unokuncoma ukukhangela umdlavuza njengokuba unobangela.
Makhe sijonge ngeendlela ezi zidibeneyo, kwaye oko kufuneka ukwazi ukuba ngummeli wakho kwiinkonzo zakho zempilo.
Ukudibanisa phakathi kweColon kunye namanye amaKhansela anxulumene negazi kunye ne-Anemia
I-Cancer kunye ne-anemia zidibaniswe ngeendlela ezininzi. Kwababandezeleka ngomhlaza, ngokukodwa umdlavuza wekoloni okanye umdlavuza ochaphazeleka ngegazi njengengxaki yegazi okanye i-lymphoma, i-anemia ingaba yinye yeempawu zokuqala zesifo. Ukuba une-anemia ngaphandle kwesizathu esaziwayo (njengokwindoda enzima yokuphuma kwindoda) ugqirha wakho unokuthetha nawe malunga nokuhlolwa kwesifo somdlavuza , okanye ezinye iimvavanyo.
Kubantu abaphila nomhlaza, baninzi ubunobangela be-anemia, bobabini abanxulumene nomhlaza, kunye nalabo abanokuchaphazela nabani okanye abanomdlavuza. Yintoni oyifunayo ukuba ufunde ukuba unemigodi?
Ubume obubanzi be-Anemia
I-anemia yintsilelo yeeseli ezibomvu zegazi okanye amandla abo okuthutha oksijini. I-anemia ayiyixilongo, kodwa kunokuba impawu ezininzi zinokubangela.
Inokubangela kwiimeko ezichaphazela iiseli ezibomvu zegazi ngokuthe ngqo, okanye kunokuthi zibangelwe yintlupheko yensimbi. I-Hemoglobin yi-molecule ephethe isinyithi ngaphakathi kweeseli zakho ezibomvu zegazi ezisebenzela ukuxhoma kunye nokuthutha i-oksijini kwizicubu zakho.
Xa une-anemia (nokuba ibalo lakho elibomvu legazi liphantsi okanye i-hemoglobin kwiiseli zakho ezibomvu zegazi liphantsi) unako ukunciphisa amandla okuhambisa i-oksijini kwiimfucu emzimbeni wakho.
Oku kungakhokelela kwiimpawu ezifana nokukhathala, ukuphefumula okufutshane, kunye nokungazi ukuba i-anemia yakho inzima.
Izizathu ezinokuthi zenze i-Anemia okanye ngaphandle kweCarcer
Ezinye zezizathu ezinokubangela i-anemia zibandakanya
- Ukulahleka kwegazi - Ukulahleka kwegazi okukhokelela ekudiseni i-anemia kungabangelwa kukulahlekelwa kwegazi elikhulu (njengokwenziwa kwindlela yokuhlinzwa, ukuya esikhathini okanye kwingozi yemoto) okanye ukulahleka okungapheliyo kwemilinganiselo yamagazi (njengama-polyps kunye nama-tumors i-digestive tract, i-ulcers, okanye i-hemorrhoids.) Ukulahleka kwegazi kunokuba kube ngokulinganayo kodwa kukhulu kunokuba umzimba wakho unako ukuqhubeka nokulahlekelwa njengokuba kubonakala kuphakathi kwabesetyhini abanexesha elinzima lokuya esikhathini.
- Ukunciphisa izondlo - Ukutya okunqongophe kokutya kwesityebi kungabangela ukungafumaneki kwe-anemia, ikakhulukazi kwabasetyhini abanexesha eliqhelekileyo lokuya esikhathini. Ukutya okunqongophe kwi-vitamin B12 kunokubangela ukuba i-anemia ibonakaliswe ngamaseli egazi abomvu (i-anemia ephazamisayo).
- Isifo esingapheliyo - Iimeko ezininzi zonyango, ezifana nesifo esingasasigxina sesifo singabangela i-anemia apho amangqamuzana egazi abomvu ayinto encinci (njengokwenqaba kwe-anemia) okanye inkulu (njengokwenza i-anemia ephazamisayo.) Oku kwaziwa ngokuba yi- anemia yezifo ezingapheliyo isifo .
- Ukungakwazi ukuthatha isinyithi oyidlayo - I-Malabsorption ingaba ngumphumo wezifo ezingapheliyo zamathumbu, ezifana ne-Crohn's, okanye ngenxa yesifo sohudo esingapheliyo (umzimba wakho awukwazi ukuthatha insimbi ngokukhawuleza.)
- Ukutshatyalaliswa kweeseli ezibomvu zegazi - Izimo ezinjenge- autoemmune i-hemolytic anemia zingakhokelela ekubhujisweni kweeseli ezibomvu zegazi. Oku kunokwenzeka kubantu abangenayo umdlavuza kodwa ngokuqhelekileyo kubantu abantu abane-lymphomas. Kukho izidakamizwa ezininzi ezinokubangela ukuba i -hemolytic anemia eyenzelwe iziyobisi iquka ezinye ii-antibiotics.
Iimbangela ze-Anemia ezihlobene neCanscer
Iimbangela ze-anemia ezihlobene nomhlaza (mhlawumbi ngenxa yomhlaza ngokwawo okanye ngenxa yonyango lomhlaza ziquka:
- Ukutshintsha umongo we-Bone - Ezinye i-cancer, ezifana ne-lymphomas okanye i-metastases ezivela kumhlaza wesifuba zingangena emnxeni wethambo kwaye zibuyisele iiseli zethambo zethambo ezenza amangqamuzana egazi abomvu.
- Ukuchithwa kwe-anemia (khangele ngezantsi)
- Amanqanaba aphezulu e-cytokines anxulumene namanye amachiza anganciphisa umveliso weeseli ezibomvu zegazi ngomnatha wethambo.
- Sitshintsha ekudleni - I-Cancer ngokwayo ingabangela isondlo esingenasiphelo esingabangela ukungaphumeleli kokutya okunokubangela i-anemia. Ukongeza ngaphezu kokuchaphazela umongo wethambo, i-chemotherapy ingabangela iimpawu ezinjengezilonda zomlomo , ukutshintsha ingqalelo , kunye nokuphelelwa kwesidlo esinokubangela ukuba i-anemia.
- I-héemolytic anemia (njengoko kuphawuliwe ngasentla)
Inemia ngenxa yeKhemotherapy
I-Chemotherapy yimbangela eqhelekileyo ye-anemia kubantu abanomdlavuza, kwaye oku kwenzeka ngezilwanyana ezininzi ezisetyenziswa ngokuqhelekileyo. I-Chemotherapy ihlasele zonke iiseli ezikhula ngokukhawuleza, kungekhona nje iiseli zomhlaza, kunye neeseli ezisetyenziselwa ukutshintsha amangqamuzana egazi ezimhlophe, iiseli ezibomvu zegazi kunye neeplatelet zizinye zeeseli ezihlukana ngokukhawuleza emzimbeni. Ukubala kwegazi kudla rhoqo kwenziwa phambi kokunyuswa kwamakhemikhali, kunye nokuba inani leesibomvu segazi liphantsi kakhulu, i-chemotherapy ingadinga ukulibaziseka. Abanye abantu abanomdlavuza baphathwa ngamachiza avuselela ukuveliswa kweeseli ezibomvu zegazi ukwenzela ukuba i-chemotherapy iqhubeke nokunikezelwa.
Ngophando lwango-2016, amaphesenti angama-90 abantu abafumana i-chemotherapy kwizigulane eziqinileyo babonwa ukuba bane-anemia.
IAnemia kunye neCaron Cancer
Ukunqongophala kwetsimbi kungabokuqala iimpawu zomhlaza wekolon. Ngenxa yokuba kwicala elifanelekileyo lekholoni yakho likude kwi-rectum yakho, igazi kwi-stool linalo ixesha lokuhlaziya kwaye mhlawumbi aliyi kuqondwa ngethuba elidlulayo. Iimvumi ezinkulu kule nxalenye yekolon ziyakwazi ukuqhubeka ziphuma ngegazi, kwaye emva kwexesha, oku kuza kubonakala kwixabiso eliphantsi legazi. Funda kabanzi malunga ne- anemia njengombonakaliso womhlaza wekoloni .
Kwisifundo esithile, ama-6 ekhulwini abantu abhekiselwe kwiklinikhi ngenxa yokunqongophala kwe-anemia kwatholakala ukuba babe nomhlaza wekoloni. Kula bantu, uninzi lwamanomdla e-cancer asemkholoni olungileyo. I-anemia ngexesha lokuxilongwa ngomhlaza wekolon yadibaniswa nokuxhatshazwa kwexesha elidlulileyo, kodwa oku akubonakali ukuba kunjalo kwiinkwenkwezi zakutshanje.
Iimpawu zeAemia
I-anemia ingahamba kunye neempawu ezibonisa ukulahleka komzimba wakho weeseli ezibomvu zegazi, kuquka:
- Ukuziva ubuthathaka okanye udinwe lonke ixesha
- Ukuphefumula (akuhambelani nembali yesifuba okanye isimo sengqondo)
- Ukwanda kwamathuba okusuleleka kwintsholongwane
- Izandla okanye iinyawo ezibandayo
- I-Pallor (eyona nto kulula ukuyibona kwiimbrane ezinamaqabunga)
- I-Pica (ivakalelwa isidingo sokutya izinto ezingasetyenziswanga njengokutya, njengokungcola)
Kubalulekile ukuba uqaphele, nangona kunjalo, kungekhona wonke umntu onobomi obunzima obunzima.
Ukuba unobandezeleka okanye enye yezi zimpawu, ingakumbi ukuba unomdla wentsapho ye-colon, ungalangazi ukuthetha nodokotela wakho.
Ukuxilongwa kwe-Anemia
I-anemia ifumaneka kwibala elipheleleyo legazi apho kubalwa inani elibomvu lamaseli egazi okanye amanqanaba aphantsi e-hemoglobin.
- Inani elibomvu leeseli legazi - Inani eliqhelekileyo le-cell red is 4.32 ukuya ku-5.72 iilili zeetriliyoni / L kumadoda kunye ne-3,90 t0 5.03 trillion cells / L kwabasetyhini.
- I-Hemoglobin - I-hemoglobin level engaphantsi kwama-13,5 grams / 100 ml kumadoda okanye 12.0 igram / 100 ml kubasetyhini ibonwa njengezantsi.
- I-Hematocrit - I-hematocrit eqhelekileyo ingama-42 ukuya kuma-54 ekhulwini kumadoda kunye nama-38 ukuya kuma-46 ekhulwini kwabafazi.
Ukongezelela kumanqanaba, oogqirha bajonga ezinye iimvavanyo zeebhabhi ukuze bafunde okungakumbi malunga nezizathu ezinokubangela i-anemia. Ezinye zezi ziquka:
- I-MCV (ithetha umthamo we-corpuscular) - I-MCV inika ulwazi malunga nobukhulu beeseli ezibomvu zegazi, nokuba ziqhelekileyo, zincinci (ezifana nokusilela kwintsimbi) okanye zininzi (njengobunzima kunye nobunzima be-B12.)
- I-RDW (ububanzi obuninzi bokusabalalisa i-cell) - I-RDW inikeza ulwazi olungaphezulu ngobukhulu bamaseli obomvu obomvu.
- I-MCHC (ithetha ingcamango ye-hemoglobin corpuscular) - I-MCHC inikeza ulwazi oluthe vetshe malunga nokuma kweeseli ezibomvu zegazi.
Unyango lwe-Anemia Ngomhlaza
Njengoko kuphawuliwe, xa imbangela ye-anemia engaziwayo kumntu ongenomhlaza, iimvavanyo zokulawula umhlaza, ingakumbi umdlavuza wekolon kunye neengcambu ezinxulumene negazi zingacingelwa, kuxhomekeke kwizinto ezibandakanya ubudala bomntu kunye nokunye.
Ukunyanga kwe-anemia kubantu abanomdla kubandakanya amanyathelo amabini aphambili. Eyokuqala yonyango yeso sizathu esibangela ukuba i-anemia, edla ngezinye izihlandlo. Unyango lujoliswe ekuphatheni i-anemia ngokwayo, ngakumbi ukuba ibangela iimpawu okanye iqhutywe ngokukhawuleza.
Unyango lwesisiseko esiyintloko - Ukunyanga kwe-anemia kuya kuxhomekeka kwisisiseko esiyintloko, njengoko kuphawuliwe, sinokubakho inani lezinto ezahlukeneyo. Ukukhulelwa kwe-anemia eyenziwa yi-chemotherapy, ukunyuka kwakho okulandelayo kunokufuna ukucinywa okanye ukulibaziseka kude kubekho ukubala kwakho kwanda. Ukuba umhlaza wakho uye wangena wakho umongo, itransti ejongene nomhlaza emnzini wethambo iya kuba yinyathelo lokuqala.
Unyango lwe-anemia - Iipilisi ezithile ze-anemia zingabandakanya:
- Ukuba i-anemia yakho imnene, ukutya ukutya okunesitye kunokutya. Kuthatha ixesha elithile (kwimiyalelo yeenyanga) ukubuyisela inani elibomvu leeseli zegazi ngale ndlela kuphela. Ukutya okunotyebileyo okunokwakheka kwintsimbi okungenza ukhetho olufanelekileyo kubandakanya isibindi (inkukhu okanye inyama yenkomo), inyama ebomvu, okusanhlamvu okusanqwenela isinyithi kunye nemifuno.
- I-Iron supplement - I-Iron supplement mayimiselwe, kodwa yithatha kuphela phantsi kweengcebiso zogqirha wakho. Uphando olutshanje lubonisa ukuba isinyithi esinezintlu ezinokubangela umdla kunokuba luncedo kakhulu kwabanye abantu abane-anemia ngenxa yomhlaza. Ngelishwa, uninzi lwezi lungiso luyaqina, kwaye ugqirha wakho unokuncoma ukuba uqale isitampu se-softol ngexesha elinye.
- Ukumpontshelwa igazi yindlela yokunyusa ngokukhawuleza inani lakho elibomvu leeseli kwaye ngokuqhelekileyo lisetyenziswe ukuba i-anemia yakho ibangela iimpawu ezibalulekileyo.
- Amachiza okukhuthaza ukuveliswa kweeseli ezibomvu zegazi kwi-bone yakho. Iziyobisi ezibhalisiweyo okanye i-Epogen (i-epoetin alfa) okanye i-Aranesp (i-darbepoetin alfa) ifana neemveliso ezenziwe yimibutho yethu ukukhuthaza ukuveliswa kweeseli zegazi.
- Ngamanye amaxesha ii-Steroids zisetyenziselwa unyango lwe-anemia ye-hemolytic kunye ne-lymphomas.
Ukujamelana ne-Anemia Ngomhlaza
I-anemia ingaba nzima ukujamelana nayo, ngakumbi ukukhathala okuphumela. Nangona ukukhathala kungabungozi ngokwabo, abaninzi abantu bafumana ukukhathala komhlaza kuba enye yeempawu ezinomsindo womhlaza kunye nezokwelapha.
Ezinye iindlela ezilula zinokukunceda njengoko i-anemia yakho ihlolwa kwaye iphathwa. Ukuma okanye ukuhlala ngokukhawuleza kunokunceda ukuphepha i -hypotension orthostatic orthostatic hypotension okanye ukunciphisa uxinzelelo lwegazi olungakhokelela ekuphatheni umbane okanye "ukumnyama" xa usuka kwindawo yokulala ukuya kwindawo yokuma ngokukhawuleza.
Ukuziqhawula ngemini yonke imihla kunye nemisebenzi ebalulekileyo kukunceda, njengoko ufunda ukucela uncedo. Ukutya kakuhle kwaye uqinisekise ukuba u-hydrated kubalulekile kokubili ukukhulelwa kwegazi kunye nokujamelana nomhlaza ngokwawo.
> Imithombo:
> DeLoughery, T. Ukunqongophala kwe-Anemia yeNsimbi. Iiklinikhi zezoNyango zaseMntla Melika . 2017. 101 (2): 319-332.
> Kasper, uDennis L .., u-Anthony S. Fauci, noStephen L .. Hauser. Iinqununu zeHarrison zeMithi yoPhakathi. ENew York: imfundo kaMc Graw Hill, 2015. Print.
> Lebrun, F., Klastersky, J., Levacq, D., Wissam, Y, noM M. Paesmanns. Ulwaphulo lweNtsholongwane ye-Iron ye-Anemic Cancer Iziguli: Ukuhlaziywa kwee-Studies ezipapashwe ngokutsha. Unonophelo loNcedo kwiCancer . 2017. 25 (7): 2313-2319.