Anemia, Neutropenia & Thrombocytopenia
Bhuna marora kuderedza kunoreva kuderera kwekwaniso yemafuta ekugadzira masero. Iropa marora ndiro "simba" rinogadzira uye rinopa ose masero matsvuku eropa, masero machena eropa, uye maplatelet kutsigira muviri.
Migumisiro
Apo pfupa remapfupa rinodzingwa, harigone kupa mutumbi ine masero eropa akawanda.
Rimwe nerimwe remhando idzi dzemasero eropa rinoita basa rinokosha mumutumbi:
- Masero matsvuku eropa - Masero matsvuku eropa ane hemoglobin inotakura oksijeni kune rimwe sero mumuviri, uye inodzorera carbon dioxide pamapapu kuti abudiswe. Kana pasina masero matsvuku eropa kuti ataure okisijeni kumatumbu ose emuviri, sero rinoparadza uye rufu zvinowanzoitika, chirongwa chinonzi hypoxia . Nhamba yakaderedzwa yemasero matsvuku eropa inotumidzwa seanemia .
- Maso matsvuku eropa - Mutsvuku eropa (anonziwo leukocytes) ndiyo inodzivirirwa yemitumbi yedu, inotidzivirira kubva kubhakitiriya, mavairasi, nezvimwe zvinhu zvekunze, kunyange masero ekenza. Kushayikwa kwemasero machena eropa kunonzi seukopenia . Uine kenza, uchanzwa nezve neutropenia. Neutropenia inoreva kushayikwa kwerudzi rwemhando yakachena yeropa regazi rinonzi neutrophils . Neutrophils inobatsira zvikuru pakudzivirira kubva kubhakitiriya uye mavairusi, uye kana pasina nhamba yakakwana, isu tinotarirwa kutapukirwa.
- Platelets - Platelets ane basa rokusika ropa clots. Kana isu tisina kukwana mumaplatelet, ropa redu harigoni kunyatsovhara kana takatemwa kana tikakuvadzwa. Izvi zvinoshaya kana zvinonzi seprombocytopenia .
Chii Chinokonzera Iyo PaKemotherapy?
Chemotherapy yakagadzirirwa kuuraya masero anowedzera nokukurumidza akadai sekenza masero asi anokanganisa masero ose anokura nokukurumidza.
Izvi zvinosanganisira masero mumapfupa edu emvere, mapuropa emimba, uye marora. Apo masero aya ari mumapfupa echepa ari kukuvadza, haakwanisi kubereka uye anova maitiro akasiyana emasero eropa.
Zvose masero eropa anotanga nesero rinowanzozivikanwa sehematopoietic stem cell. Achishandisa chirongwa chinozivikanwa sehematopoiesis, masero emukati "anoshandura" uye anova masero eropa anosanganisira masero matsvuku eropa, marudzi akasiyana emasero machena, uye maplatelet.
Zviratidzo
Zviratidzo zvekutsvaira kwemafupa zvinotaridzirwa nemhando yemasero eropa akabatwa uye acharondedzerwa pasi apa pasi pemhando yega yega yeropa rega. Muzhinji, kushayikwa kwemasero eropa kunokonzera kuneta uye kushaya simba.
Kuziva
Mushure mekupedzisira uye shure kwekemotherapy, chiremba wako anorayira ropa rakazara (CBC) , kuona kana rimwe ropa rako rakaverengwa rakaderera. Kuwedzera kuongororwa uye kurapwa kunobva pane izvo, kana pane, zvezvi, zviri pasi.
Chemotherapy-Induced Anemia
Kurasikirwa kwemasero matsvuku eropa pamakemikrasi kunonzi chemotherapy-induced anemia. Apo paine mashoma masero matsvuku eropa kutakura okisijeni kune masero, zviratidzo zvinoguma. Zviratidzo zvekushaya ropa rinogona kusanganisira:
- Kuneta
- Lightheadedness kana chirwere
- Chimiro chakachena
- Kupfupika kwemhepo
- Rapid moyo yevheti kana kupera
Zvichienderana nehuwandu hwemasero matsvuku eropa, chiremba wako anogona kukuvimbisa kuti chirwere chako chemaemia chichavandudza mushure mekunge waita chemotherapy, kana kuti ungakurudzira kurapwa nemishonga yekukurudzira masero matsvuku ekugadzirwa kweropa, kurayira zvese zvinowedzera, kana kukurudzira kuwedzerwa ropa . Anemia inokonzera kukanganisa kwekuneta, saka oncologists tarisa zvakanyanya izvi panguva yekurapa. Zvinosuruvarisa, kune zvikonzero zvakawanda zvekukanda kwekenza , uye anemia ndeimwe yeiyi.
Chemotherapy-Induced Neutropenia
Nhamba yakaderera yemhando yemachena masero eropa anozivikanwa seveutrophils panguva yemakemikari inonzi semotherapy-induced neutropenia .
Zvose zvakasiyana-siyana zvemasero matsvuku eropa zvinogona kuchinjwa nekudzvinyirirwa kwemapfupa emapfupa, asi kudzvinyirirwa kwenhamba yeeutrophils inonyanya kukosha mukusimudza ngozi yehutachiona. Zvizhinji zvezviratidzo zve neutropenia zvakabatana nehutachiona hunokura uye hunogona kusanganisira:
- Fivhiri inopfuura 100.5 F.
- Chills
- Kukosora
- Kupfupika kwemhepo
- Rusununguko kana kunyura pamusana pekukuvara kana kupinda mumuviri wakaita sePort kana IV line
Panguva yekhemotherapy, chiremba wako achakukurudzira kuti usapinda mamiriro ezvinhu angaguma nehutachiona, zvakadai sokupedza nguva nevanhu vanorwara kana kutengesa mune zvivako zvepamusoro. Kana nyeredzi yako yakawanda yakanyanyisa, inogona kukurudzira kuti yako inotevera chemotherapy yakarapwa inonoka, kana kupa mishonga kuti ibatsire kudzivirira utachiona kana kuti kukurudzira kugadzirwa kwemasero matsvuku eropa. Mishonga yakadai saNeupogen kana Neulasta ine injection inokurudzira kugadziriswa uye kusunungurwa kwemasero machena eropa kubva mumufupa. Mune zvimwe zviitiko, achapiwa nguva dzose kuitira kuti uchengetedze nhamba yako yakaita seyakachena munguva yechemotherapy.
Chemotherapy-Induced Thrombocytopenia
Sezvo maplatelet ane simba rekuvhara ropa, imwe platelet yakawanda inogona kuunza kubuda ropa. A low platelet count nemhaka yemhemotherapy inonzi chemotherapy-induced thrombocytopenia. Zviratidzo zve thrombocytopenia zvinogona kusanganisira:
- Zviri nyore kupwanya
- Petechiae - mavara matsvuku paganda rako rinogara rakatsvuka kunyange kana iwe ukaisa dambudziko kwavari
- Kubatana uye kusuruvara kurwadziwa
- Ropa mumuguta wako kana zvigaro
- Nguva huru yokuenda kumwedzi
Kana iyo platelet yako yakawandisa kana uine matambudziko nekubuda ropa, chiremba wako angakurudzira kupirisa kweplatelet kana mishonga yekukurudzira mapfupa ako kuti aite maplatelet akawanda. Kana iwe uchida, iwe unogona kudzidza zvakawanda pamusoro pokurwisa chemotherapy-induced thrombocytopenia .
Mazano Okukunda
Bato renyu rekuchengetedza utano ruchacherechedza ropa rako uye rinorayira mushonga kana izvi zvikadzika zvakanyanya, asi kune zvinhu zvakawanda zvaunogona kuzviita iwe panguva ino:
- Dzidza kuti unoshamba sei nemaoko ako - Studies inotiudza kuti huwandu hwevanhu - kunyange vashandi vehutano - usashamba maoko avo nenzira yakanakisisa yekuchengeteka panguva yechemotherapy.
- Dana chiremba wako nezvimwe zviratidzo zvehutachiona, zvakadai sefivha inopfuura 100.5 F, kukwezva, chills, kupererwa kwemhepo, kana kurwadziwa nekugunzva
- Zorora apo iwe unonzwa wakaneta
- Simuka zvishoma nezvishoma mushure mekunge iwe uine zororo
- Dzivisa mishonga yakadai sa aspirin uye ibuprofen inogona kuwedzera kubuda ropa
- Nyatsocherechedza kuti udzivise mamiriro ezvinhu apo iwe unogona kutemwa kana kukuvadzwa
Sources:
American Cancer Society. Zvirwere Muvanhu vane Kansa. Yakasvika 03/08/16. http://www.cancer.org/treatment/kutsvaga nehupfumi / hupfumi-
Cella D. Unhu hwehupenyu uye hutano hwechipatara mune chemotherapy-induced anemia. Oncology (Williston Park) . 2006 (20 Kubatsira 6): 25-8.
Crea, F. et al. Pharmacologic rationale yekutanga G-GSF prophylaxis mune chirwere chekenza uye basa re pharmacogenetics pakugadzirisa kurapa. Mazano Anotsoropodza muOnology / Hematology . 2008. Dec 24. (Epub mberi kwekudhinda).
Hensley, M. et al. American Society of Clinical Oncology 2008 mishonga yemakemikari inoshandiswa patsva: kushandiswa kwemakemikirwo uye remishonga inonzi radiation therapy. Nyaya yeCliniki Oncology . 2009. 27 (1): 127-45.
Pascoe, J. naN. Steven. Antibiotics ekudzivirira febrile neutropenia. Nhasi Maonero muHematology . 2009. 16 (1): 48-52
Dhipatimendi reUnited Health Health and Human Services. National Institute of Health. National Heart Lung uye Blood Institute Disease uye Conditions Index. Anemia. Updated 05/18/12. http://www.nhlbi.nih.gov/health/health-topics/topics/anemia/.