Ukuba ufumana i- chemotherapy , i-oncologist yakho inokuthetha nawe ngomngcipheko wokusuleleka kunye nendlela onokunciphisa umngcipheko wakho. Inani eliphantsi lamaseli egazi elibhekiselelwe kwi - neutropenia elikhutshwa yi-chemotherapy lingaholela ekubeni kunzima ukunyanga kunye nezifo ezibulalayo xa zingaphathwa ngexesha.
Ngokuqinisekileyo, lo mngcipheko uya kuhluka ngokuxhomekeka kweziyobisi ze-chemotherapy ozifumanayo, isibalo sakho samhlophe segazi, kunye naluphi na unyango olulwamkelayo ukuphakamisa inani lakho legazi lamhlophe (njenge- Neulasta okanye i-Neupogen ).
Nangona kunjalo nabani na omele aqonde ezinye zeengozi eziqhelekileyo zonyango ngexesha lomhlaza.
Kubalulekile ukuba uqaphele kwakhona, ukuba nangona ubunzima bakho buqhelekileyo, usenokuba yingozi. Unomdlavuza kunye nomhlaza wonyango ungaba nenani eliqhelekileyo leeseli ezimhlophe zegazi, kodwa ezo zikhoyo zingase zisebenze kunye nokulwa nabahlaseli njengabaktheriya.
Ngexesha elifanayo ukuba kukho umngcipheko wokusuleleka, noko kubalulekile ukuba uphile ngokuqhelekileyo ubomi ngokusemandleni kwaye uthathe inxaxheba kwimisebenzi oyithandayo. Ubekaphi umgca? Ngaba unakho ukuya kwikhonsti yakho ye-choir yomntwana oneminyaka eyi-10?
Masiqale ngokuxoxa ngezinye zeengozi ezinokuthi zithintelo. Kukho iindlela ezininzi ezinokuthi ungathabatha ukuze unciphise umngcipheko wakho. Unokuba unqwenela ukuzisa olu luhlu kunye nawe kwaye ubuze ugqirha wakho ukuba amanyathelo abalulekile kwaye ukuba unayo nayiphi na ingcinga malunga nendlela onokuhlala unempilweni xa unokwenzeka ngexesha lotyando lomhlaza.
Ukubuyela kumbuthano we-choir, kubalulekile ukubuza i-oncologist yakho malunga nayiphi na imisebenzi ongaqinisekanga ngayo. Kukho izinto ezininzi eziza kudlala, kungaphelelanga nokuba ingaba ikhonkethi iphakathi kwenkathi yomkhuhlane.
Umngcipheko woGawulayo ubaluleke kakhulu ngexesha leKhemotherapy
Kukho izizathu ezininzi zokuba ukuqonda umngcipheko wobungozi kubaluleke kakhulu ngexesha le-chemotherapy.
Esinye sezizathu ezicacileyo kukuba, ukuba kufuneka uhlakulele intsholongwane, kunokuba nzima ukulwa. Ngokuqinisekileyo, i-antibiotics inokukunceda, kodwa siyaqhubeka sincike kakhulu kwi- immune system enempilo yokwenza ininzi yemfazwe. Oku kubonakala ukuba ukhumbule amabali athi "abantwana abancinci" abazalelwa ngaphandle kwe-immune system.
Esinye isizathu kukuba xa isistim somzimba sakho siphelile, unokuhlakulela intsholongwane kunye ne-bhakteria okanye intsholongwane engazange ibangele ukugula. Sifumene nama-microorganism yonke imihla ngaphandle kokukwazi ngenxa yokuba amasosha omzimba wethu enza umsebenzi wawo.
Enye enye ingozi, kukuba iimpawu ezincinci ozibonakalisa kuzo kwiklinikhi okanye kwisibhedlele esibhedlele kunokuba nzima ukunyanga. Ezi "zigijimi" ezixhatshaziweyo ziye zaphuhlisa iindlela zokusinda ezinokuthi zithintele iintsholongwane. Ukuba uke wabuzwa malunga ne " MRSA " lo mzekelo. Ukuchasana kwama-antibiotiki kuya kuba yingxaki yonyaka ngamnye nje ngokuba "izigulane" zithobela.
Ekugqibeleni, kunokuba nzima ukuqonda ubungqina bentsholongwane xa umntu elwa nomhlaza. Ukuba sele sele unempawu ezifana nekhwehlela ehlobene nomhlaza wakho, kunokuba nzima ukunquma ukuba ngaba usulele isifo okanye ukuba iimpawu zakho zihlobene nomhlaza wakho wodwa.
Ngoku ukuba uyazi ezinye zeengozi zentsholongwane, makhe sithathe uhlolo olubanzi malunga nendlela yokunciphisa ukubonakala kwakho.
Isihlwele Ukuboniswa
Enye yeengozi eziqhelekileyo zentsholongwane ngexesha le-khemotherapy lwenzeka xa abantu besondelene nabanye. I-Oncologists ihlala ikhuthaza ukukhusela izihlwele, kodwa oko kuthetha ukuthini oko? Uqhagamshelwano oluvaliweyo kwikota edibeneyo inomngcipheko ophezulu kunokuba ungaphandle kwendlu. Oku kungabandakanya ukuthutha njengendiza okanye ibhasi, okanye iindawo ezinjengeentengiso ezinkulu.
Ingaba ufuna ukukhusela izihlwele ziya kuxhomekeka kwinto yakho emhlophe kunye nexesha lonyaka.
Ukuba ngaba yinkqubela yexesha lomkhuhlane, njengokuba ngoJanuwari, unako ukufumana intsholongwane kunokuba utyhefu (ukusuka kwimeko yokusuleleka kwiinyanga) zasehlotyeni.
Ukuba kufuneka ube kwindawo egcweleyo, xela ugqirha wakho malunga nokuba ufanele ugqoke imaski.
Umngcipheko woGawulayo kunye nabaqhagamshelana nabani abagulayo
Kungcono ukuphepha abantu abagulayo kuquka nabathandekayo bakho. Oku kunokuphuka kwentliziyo ngamanye amaxesha, kodwa qwa lasela ukuba umntu obathandayo uyayivakalelwa njani xa befumanisa ukuba uyasasaza isifo kubo.
Ukunciphisa ukwabelana nantoni nabathandekayo, kwiikomityi zokutya izitya, ukuya kwiibhokhwe zokuzinyo kunye nokwenza.
Izingozi zokutya
Siyazi ukuba ukutya kunokubangela ukusuleleka, kwaye kukho iziganeko ezizigidi ezingama-50 zokugula ukutya ngonyaka ngamnye e-United States.
Nangona kunjalo, njengoko kuphawuliwe ngasentla, unokuba usengozini yokufumana izifo ezithintekayo zokutya okuqhelekileyo kube yinkathazo, kwaye nokuba nezifo ezincinci zingabinzima kakhulu. Nazi ezinye izicutshu zokunciphisa ukutyhila kwakho kwiimfuyo ezinokutya ngexesha le-chemotherapy.
- Gwema nayiphi na inyama egqityiweyo. Umyalelo obomvu wenziwe kakuhle. Yidla kuphela ukutya okuloba ngokupheka ngokupheka, ngamanye amagama, akukho sushi kuze kube yenziwe ngonyango.
- Geza zonke iimveliso ngokucokisekileyo.
- Amaqanda kufuneka aphekwe ngokupheleleyo. Gwema amaqanda okuphekwe ngelanga kunye nokucwangcisa amaqanda benedict kuphela ukuba amaqanda aluhlaza asebenziswanga.
- Gwema ubusi- Njengokuba iintsana ezingaphantsi kweminyaka yobudala kufuneka zingadli ubusi ngenxa yengozi ye-botulism, ubusi kufuneka kugwenywe kulabo abangaxilwanga.
- Qaphela ukucoceka komgca. Ungasebenzisi enye ibhodi yokusika ukusika inkukhu eluhlaza kunye nemifuno.
- Hlola zonke iziqhamo kunye nemifuno kwimpawu zokutshatyalaliswa.
- Ukuba uyadla, gwema ii-buffets apho ukutya kushiywe khona kwaye unokukwazi ukuhlambulukiswa ngabantu abakhwehlela okanye badibanise.
- Gwema iitshizi ezenzelwe ukubunjwa, njenge-brie ne-blue cheese.
Okokuqala, kodwa funda ngakumbi malunga noko ungayidli ngexesha le-chemotherapy .
Iimfuyo zingaba yimbangela ebalulekileyo yokukhulelwa
Inja ingaba ngumhlobo omhle kakhulu womntu, kwaye ngokwenene, unyango lwezilwanyana kubantu abanomdla lufunyenwe ukuba luncedo oluninzi. Nangona kukho ezinye izinto omele uziqaphele ukuba unqwenela ukugcina iimfuyo zakho ngexesha le-chemotherapy. Kukho izilwanyana ezimbalwa onokuzifuna ukubolekisa kumhlobo de unyango lwakho lwenziwe.
Uninzi lwezifo ezingabangela ukuba ingxaki ngexesha le-chemotherapy ayinayo ingxaki xa unempilweni. Ngenxa yoko, ungaziqhelana nolona luqhelekileyo kwezi zinto. Oogqirha basebenzisa i-term zoonotic infections ukuchaza izifo ezinokudluliselwa phakathi kwezilwanyana nabantu.
Enye yeengozi eziqhelekileyo yi- Toxoplasmosis . Amaphesenti angama-25 ukuya kuma-30 abantu banobungqina bokuba bafumene ukusuleleka kubangelwa yi-bacterium Toxoplasma gondii . Nangona usulelo luhlala ludinga okanye lungaqatshelwa, lunokubangela iimpawu ezinzima ezifana nokugunjwa okanye ukungafihlisiyo kubantu abaye banciphisa amayeza omzimba. Usenokuba uqhelane nesi sifo kuba isizathu sokuba abafazi abakhulelweyo bayacetyiswa ukuba bangatshintshi ibhokisi leetter.
Ukuba uthanda ikiti yakho efanelekileyo. Kucetyiswa ukuba ugqoke iiglavu okanye omnye umntu atshintshe ityala. Ukugcina ikati lakho ngaphakathi libuye linciphise ingozi. Khumbula ukuba iikati zivame ukusebenzisa izitya njengebhokisi le-litter, kwaye ukugqoka iiglavu yinto efanelekileyo xa ugadi ingaba unayo ikati okanye ayikho.
Kukho okuninzi esingabelana ngazo malunga nezilwanyana kunye nezifo ngexesha le-chemotherapy. Ukuba unemfuyo, qaphela indlela yokugcina iimfuyo zakho ngexesha le-chemotherapy ngokufunda malunga nezilwanyana kunye nezilwanyana ezithile. Ukusebenzisa amathiphu ambalwa kunokufikelela kwiinkalo zakho ezininzi.
- Gwema ukwamukela intaka okanye intsana ngexesha le-chemotherapy. Akunjalo nje kuphela abatsha abasenokuba banokusulela usulelo lwabahlobo babo abadala, kodwa banokuthi baninzi, bengabikho msebenzi, kunokuba bancinci, kwaye ukuphumla kwakho kubaluleke kakhulu ngexesha lokunyanga.
- Ukuba unayo ikati, zama ukuzigcina zingena endlwini xa kunokwenzeka. Izifo ezininzi zisuselwa kwi "game game".
- Yiba nomnye umntu uhlambulule ibhokisi yenkunkuma kwaye athathe inja doo-doo.
- Dlala ngezilwanyana zakho ngokucophelela. Uninzi lwezifo ezidluliselwayo zihanjiswe ngokubetha kunye nemijelo (okanye ngamathambo kunye namanzi).
- Sebenzisa iiglavu ukuba uqoke iifesi, uhlambulule intambo yeentaka, okanye uhlambulule i-aquarium.
- Izilwanyana ezinjengezilwanyana ezihlambulukileyo kunye nezilwanyana zasendle ziyakuphepheka xa zikhutshwa ngekhemotherapy. Ukuba umntwana wakho unentlanzi yelitye, mhlawumbi ulungile, nje ngokuba ukhangele kwaye ungathinti.
Ezinye Iingcebiso Zokukhusela Ukugula
Kukho iingcebiso zemihla ngemihla ezinokukunceda ukunciphisa umngcipheko wakho wokusuleleka.
- Sebenzisa i-shaver yombane endaweni yeeriti
- Bathe okanye uhlambe imihla ngemihla
- Sebenzisa i-toothbrush elula
Ukugonywa kunye neKhemotherapy
Ingaba kufuneka ufumane amagonyo okanye kungekhona ngexesha le-chemotherapy lingahamba ngeendlela zombini, kwaye kubalulekile ukuthetha nodokotela wakho.
Kukho iintlobo ezimbini ezibalulekileyo zokugonywa, abo "babulawa" kunye nabo "banqanyulwa." Iigonti zokugonywa zihlala kwaye zifanele zikhutshwe ngexesha le-chemotherapy. Ama-vaccine abulaweyo akanakwenzeka ukubangela ingxaki ngamayeza, kodwa angenakusebenza ukukhupha iimpendulo zomzimba.
Ekubeni umkhuhlane uyaziwayo ngenxa yokubangela izifo ezithintekayo ezincinci kubantu abanomdlavuza, xela ugqirha wakho malunga nokuba ufanele ufumane umkhuhlane kunye nexesha elifanelekileyo lokufumana. Isifo sokugonya umkhuhlane we-nasal (FluMist) sisigxina esilungisiwe kwaye akufanele sisetyenziswe ngexesha le-chemotherapy.
Kukhona ukugonywa okuthe ngqo kubantu abanomdlavuza .
Amanyathelo okukhusela: iMasks neeGlove
Ukuba inani lakho elimhlophe liphantsi kwaye ukuba uya kubakho esidlangalaleni, i-oncologist yakho ingacebisa ukugqoka imaski. Ukuba unxibe imaski, qinisekisa ukuba ihambelana kakuhle kwaye imanyanisiweyo ngokufanelekileyo. Khumbula ukuba i-mask inganciphisa ukuvezwa kwethu kodwa ayikuthinteli ukubonakala kwakho kuzo zonke iibhaktheriya kunye neentsholongwane.
Ngaphambi kokuqala i-chemotherapy, kunokunceda ukufumana ibhokisi yeiglavu ezilahlayo onokuzisebenzisa kuzo zonke izinto ukususela ekucoceni iiswini zezingane ukucoca emva kwezilwanyana.
Indlela yokuhlamba izandla zakho
Kubonakala ngathi sonke siyazi ukuhlamba izandla zethu , akunjalo? Uninzi lwethu lwafundiswa xa sasingekafiki esikolweni. Xa uthetha ngokubaluleka kokufunda kwakhona ukuhlamba izandla ngokufanelekileyo kunokunceda uqaphele ukuba bonke oogqirha baye "bafunda kwakhona" indlela yokuhlamba izandla zabo ngexesha lezonyango kunye nokuhlala. Akusoloko kucacisa oko kuyimfuneko ukunciphisa umthwalo webhaktheriya ezandleni zethu.
Isinyathelo sokuqala kukuqokelela ngokupheleleyo izandla zakho. Okumangalisa kukuba, isepha ye-antibiotic ayifuni, nje isepha esandleni esihle. Isinyathelo esilandelayo yilapho abantu baninzi baphahla khona. Sula izandla zakho ubuncinane imizuzwana engama-20. Ungadinga ukuzimela ixesha, njengoko abaninzi abantu bayamangalisa ukuba le nto ide kangakanani. Isinyathelo sokugqibela ukomisa izandla zakho ngehayile ecocekileyo. Sebenzisa ithawula lephepha okanye ithayile ecocekileyo engabikho mntu uphatha ngayo.
Iimpawu zokugula ngexesha leKhemotherapy
Ekubeni kubalulekile ukunyanga izifo ngokukhawuleza xa kunokwenzeka ngexesha le-chemotherapy, kunceda ukuba ube nembono yintoni na iimpawu zokuzijonga. Qinisekisa ukuba uthethe ugqirha wakho malunga naziphi iimpawu ezifanele uzilinde. Ezinye zezi ziquka:
- Umkhuhlane - Buza ugqirha wakho ukuba kufuneka ubushushu bakho ngaphambi kokuba ubize. Unokuncoma ukubiza ukuba ubushushu bakho bukhulu kunama-100.5 F, kodwa oku kuyahluka
- Ama-chill okanye ukungakwazi ukufudumala
- Ukukhwehlela, nokuba kuvelisa okanye kungenjalo
- Ukuqhawukelwa ngumphefumlo
- Ubuhlungu okanye ukuvama ngokucoca
- Intloko okanye intamo enzima
- Intlungu zesisu
- Uhudo
Unyango lwe zifo
Ukuba unesibalo se-white white cell, ulwasulelo lunokuba lunzima ukunyanga kunokuba ukubala kwakho kumhlophe kuqhelekile. Ngokomzekelo, i-oncologist yakho ingancoma i-antibiotic (IV) ye-antibiotics ngenxa yesifo esasisoloko siphathwa ngamayeza omlomo. Umkhuhlane oqhubeka ngexesha le-chemotherapy kwakhona uphathwa ngonxibelelwano lwe-antibiotic ezinamandla kuze kube yintoni isizathu esona sosulelo. Unyango luhlala luhlala esibhedlele apho ungabonwa ngokukhawuleza.
Isaziso malunga Nezibhedlele-ezifunyenweyo (IiNosocomial) Izifo
Unyaka ngamnye siva ngeenombolo zezifo ezithintekayo ze-nosocomial. Akunjalo kuphela izibhedlele indawo enhle yeentlobo zegciwane ukuba zihlangane, kodwa iintsholongwane ezichasayo ziyaziwa kwiindawo ezibhedlele. Abantu abangaphezu kwezigidi eziyi-1.5 banesifo kwiibhedlele ngamnye ngonyaka, kwaye abayi-100 000 baya kufa. Unxininise ukuba wonke umntu onokutyelela, evela kugqirha wakho ukuya kubathandekayo bakho, uhlamba izandla kuqala. Ukongezelela, jonga ezi ngcebiso malunga nokuphepha izifo ezifakwe esibhedlele .
Imithombo:
Dunbar, A., Tai, E., Beauchesne Nielsen, D., Shropshire, S., noL. Richarson. Ukuthintela izifo ngexesha leChrease Treatment. I-Clinical Journal ye-Oncology Nursing . 2014. 18 (4): 426-431.
van Dalan, E., Mank, A., Leclercq, E., Mulder, R., Davies, M., Kersten, M., noMn van van Wetering. I-Bacterial Diet ejongene nokutya okuLawulayo ukukhusela ukukhuselwa kwiiCercer Iziguli ezithathwa ngeKhemotherapy kubangela iziqephu ze-Neutropenia. I-Cochrane Database yeeNkqubo eziPhezulu . 2016. 4: CD006247.
Kasper, uDennis L .., u-Anthony S. Fauci, noStephen L .. Hauser. Imigaqo kaHarrison yeyeza langaphakathi. ENew York: imfundo kaMc Graw Hill, 2015. Print.