Izibonelelo zomzimba ngexesha lotyando lomhlaza zibhalwe kakuhle. Umsebenzi oqhelekileyo ongokwenyama unokukunceda ukubetha i-blues yonyango nokulawula ezithile iziphumo ezichaphazelekayo ezifana nokukhathala kunye nentlungu . Kodwa, izigulane ezinegazi kunye nomnyo we-bone lomdlavuza ezinjenge-leukemia, i-lymphoma kunye ne-myeloma zinokuxhalabisa ngokukhethekileyo xa kuzibandakanya ukuvivinya umzimba nokukhuselekile. Nazi izinto ezimbalwa ozicingayo ngaphambi kokuqalisa okanye ukugcina inkqubo yakho yokuzilolonga.
Cinga ngeCandelo lakho leGazi eliLawulayo xa UCwangcisa ukuSebenza
Igazi kunye nomdlavuza we-khansa kunye nokunyanga kwabo, kunokubangela ukuncipha kwinani legazi elibomvu, iiseli zegazi ezimhlophe kunye neeplatelet onokuhamba ngazo. Ezi zixhobo zehlisa iseli zinokukwenza u-regimen wakho umonakalo okanye ungakhuselekanga.
- Amaseli e-white white (neutropenia): Xa i- white cell cell count you are low, unakho ukunciphisa amandla okulwa nezifo. Ngeli xesha, kufuneka ugweme izihlwele kwaye ugcine usebenze ngokuqhelekileyo kwindlu. Amagumbi, amabhuku okubhukuda, kunye namagumbi okukhenkcisa ukwandisa umngcipheko wokutyhila kwi-virus okanye ibhaktheriya enokukugula. Ukuba unesifo somkhuhlane, musa ukuziphoqa ukuba usebenzise. Thatha ixesha elide ukunceda umzimba wakho uphilise kwaye uphinde uhlawule.
- Iibomvu zegazi ezibomvu eziphantsi (i-anemia): Iiseli zegazi ezibomvu zithwala oksijini kwizitho zakho kunye nezicubu. Xa bephantsi, basenokungakwazi ukuqhubeka kunye nesidingo sokwandisa ukubeka umzimba wakho ngexesha lokuzivocavoca. Uyakubona ukuba ukhathala ngokulula kwaye unokuba nobunzima bokubamba umoya wakho xa usebenza. Ngethuba lamaxesha xa unomlinganiselo obomvu weeseli zegazi, kufuneka ubaleke ngamandla ekusebenzeni kwakho, okanye ugweme ngokupheleleyo ngokuxhomekeke kwiingcebiso zogqirha wakho.
- I-platelet ephantsi ibala (thrombocytopenia): Iiplatesti zinoxanduva lokuseka i-clots emzimbeni wakho. Xa inani labo liyancipha , unomngcipheko wokuphaphaza kunye nokutyumla. Ngenxa yesi sizathu, kufuneka uphephe imisebenzi onokuba yingozi enkulu yokuwa okanye ukulimala. Unokukhetha ukusebenzisa amashishini okumelana neengxaki kunokuba unqabile. Kufuneka uhlale kude nemidlalo yokudibanisa ngeli xesha.
Ukhuseleko Lokuqala Ngokuzivocavoca Ngethuba Lonyango Lwemhlaza
Ukongeza kwiibalo zeeseli, izigulane zegazi kunye nomdlavuza wesibeletho somongo zineenkcukacha ezimbalwa zokukhusela ukugcina engqondweni:
- Ukuba unendawo yecatheter ye-venet (CVC) , uya kufuneka uqinisekise ukuba ukhuselekile kakuhle ngaphambi kokuba usebenzise imisebenzi. I-CVC ifakwe kwi-bra yezemidlalo, okanye ifakwe okanye ifakwe emzimbeni wakho. I-CVC yePeripher (imigca ye-PICC) kufuneka ifakwe okanye ihlanganiswe ngokukhuselekileyo ukuze ikhusele ukuba ingabikho. Buza iqela lakho lononophelo lwempilo malunga nokunciphisa umsebenzi weengalo zakho zePICC.
- Abagulane neCVC kunye nabo bafumene unyango lwe-radiation kufuneka baphephe ukugeba kunye nezibhakabhaka ezitshisa ukukhusela intsholongwane.
- Izigulane zaseMyeloma zisesichengeni sokunyuka kwamathambo kunye nomonakalo. Kufuneka uphephe imisebenzi enobungozi obuphezulu kunye nalabo abanxibelelana nomzimba.
- Ukuzivocavoca kunye nomhlobo, kokubili ukukukhuthaza nokugcina ukhusele.
- Njalo uhlolisise ubuchule bakho bezempilo ngaphambi kokuba uqalise nayiphina inkqubo yoqeqesho.
Ukuzivocavoca Iimvavanyo Zokuba Uyazi
Gcina iqela lakho lokunakekelwa kwezempilo kwinqanaba lomsebenzi wakho kwaye uhlolwe rhoqo (gcina ukuqeshwa kwakho) ukuqinisekisa ukuba awuyikubeka ingozi kwiprogram yakho. Kukho amaxesha, nangona kunjalo, xa kungenako ukulinda ukuqokwa okulandelayo, kwaye kufuneka ufune uncedo olongezelelweyo lwezonyango.
Fumana uncedo ngokukhawuleza xa ukhula:
- Intlungu yesifuba okanye iipilpitations
- Utshintsho kumbono wakho
- Utywala
- Ukudideka
- Intlungu yomlenze
- Ukuphefumula ngokukhawuleza
- Intlungu engavamile emathanjeni okanye kumalungu akho
- Ukucabana ngokukhawuleza nokuhlanza
- Ukutyhafa
- Ukuqhwala okungavamile
Imithombo:
Coon, S., Coleman, E. "Qhubeka Uhamba: Abaguli abaneNgxoxo ye-Myeloma malunga nokuzivocavoca nokukhathala" Iforum yoLondolozo lwe-Oncology 2004. 31: 1127-1135.
Coleman, E., Hall-Barrow, J., Coon, S., Stewart, C. "Ukuququzelela ukuxhaswa kwezilwanyana ezine-Multiel Myeloma" Journal of Clinical Journal of Oncology Nursing 2003. 7: 529-540.
Hacker, E. "Ukuzivocavoca neGangatho yoBomi: Ukuqinisa ii-Connections" Journal of Clinical of Oncology Nursing 2009. 13: 31-39.
Hacker, E., Larson, J., Ukuthula, D. "Ukuzivocavoca kwizigulane ezitholayo i-Hematopoietic Stem Cell Transplantation: Izifundo ezifundwayo kunye neziphumo ezivela kwisifundo esinokukwazi ukuzenza" I- Forum ye-Nursing Forum 2011. 38: 216-223.
Hanna, L., Avila, P., Meteer, J., Nicholas, D., Kaminsky, L. "Iimpembelelo zeProgram yoQeqesho oluPhezulu kwiMisebenzi yeMvelo, ukukhathala, kunye nomoya kwizigulane ngeentlobo ezahlukeneyo zeCarcer" i- Oncology Nursing I-Forum 2008. 35: 461-469.
McLaughlin, T., Wittstein, E., White, T., Czaplinski, C., Gerard, S. "Ukunyuka kwi-Wellness: Umqhubi uhlola i-Programme yoVavanyo yokuThengisa umThengi kwiZifo ezigulisa kakhulu ngeCarcer" I- Clinical Journal ye-Oncology Nursing 2012. 16: E105-110.