Ko Chemotherapy Inobata Sei Mucherecheche Wemazimbe Eropa?
Chemotherapy inouraya kanhi kanomwe inoparadzanisa masero. Icho chinopedzisawo kuuraya mamwe masero mashoma akaparadzanisa mumuviri, seaya ari mumapfupa emapfupa anochengetedza kupiwa kwemasero machena eropa, kana kuti WBC, mukupararira kwako. WBC inonzi inowira kwekanguva kwenguva yakawanda nevashandi vakasiyana-siyana vanoshandiswa sekemotherapy kuti inoporesa kenza.
Nekenza yeropa yakafanana nerukemia uye lymphoma, kenzawo pachayo inogonawo kukonzera WBC kukosha kuwira apo masero anouraya anotsiva masero anopa ropa ane utano mumusepa.
Kazhinji apo chemotherapy inokanganisa maWBC, inokonzera kuderera mune mamwe masero uye zvinhu zvemasero muropa, zvakadai semasero matsvuku eropa uye maplatelet.
Apo WBC Inotonga Kuwa?
Kupera kweropa rega rega rega rinotanga mazuva mashomanana mushure mekunge chemotherapy inotarisirwa, kusvika kune yakaderera mumashure muchipiri kana chechitatu mushure mechemotherapy. Sezvo mapfupa emapfupa ari kuponesa kubva pamigumisiro yechemotherapy, WBC inotanga kubuda zvakare. Pamberi pega roga kushandiswa kwechemotherapy, kuverenga ropa kunosimbiswa kuti kuve nechokwadi chokuti vakadzokera kune yakarongeka.
Ari pasi WBC Inoratidzira Ngozi Here?
Maso matsvene eropa ane kodzero yekudzivirira muviri kubva kune hutachiona. Apo WBC inorayira yakaderera, njodzi yezvirwere inowedzera.
Kana kuverenga kuchikwana zvakakwana, muviri haugoni kudzora zvirwere izvi nyore nyore.
Zvisinei, nhamba dzakaderera haisi nguva dzose dzinotungamirira kuzvirwere. Inenge vanhu vose pachemotherapy vane zvikamu zvishoma panguva yekemotherapy. Asi vamwe vanhu chete vanoita zvirwere zvakakomba zvine chokuita nechepasi pasi peWBC.
Vanachiremba Vanotsvaga Sei Kuderera KweWBC?
Penguva dzose panguva yemakemikrasi, kuongororwa kweropa kuti uongorore chikero chezviyero zvinodiwa. Iyi miedzo inonzi CBCs kana kuti 'Hemograms.' Nhamba yakachena yeiyo yeropa inonzi yakanyorwa seLe Total Leukocyte Counts, kana TLCs. TLC dzinotarisa mhando dzakasiyana dzemasero machena eropa. Rimwe rinonyanya kuverengwa ndeye Absolute Neutrophil Count (ANC) . Neutrophils imwe yerudzi rweWBC, uye mazinga e-neutrophils anonyanya kufungidzira kuti muviri unogona sei kudzora zvirwere zvebhakitiriya. Apo ANC inonyanya kukosha, vanachiremba vanogona kunonoka kuwedzerazve chemotherapy uye kutanga mishonga yekudzivirira kana kubata zvirwere.
Ndezvipi Zviratidzo zveHwere Mukati Chemotherapy?
Chiratidzo chikuru chekutapukirwa ndifivha. Apo fivha inowanikwa muhupo hwehutachiona hwehutachiona hwe-neutrophil (ANC), inonzi febrile neutropenia. Zvimwe zviratidzo zvehutachiona zvinosanganisira:
- Cough uye expectoration
- Loose stools
- Mota kana mapfupa
- Mwoyo wakaipa uye unomedza matambudziko
Bvunza chiremba wako pakarepo kana uine chero zviratidzo kana zviratidzo zvinotevera pamusoro pemakemikari.
Mavhirwere Anogona Sei Kudzivirirwa apo Zvikwereti Zvishoma?
Maitiro mashoma mashoma anogona kuderedza mikana yako yehutachiona:
- Dzivisa kupisa kwakanyanya uye kushungurudzika kunogona kuderedza kusagadzikana
- Iva nechokwadi chokuti zvokudya zvakagadzirwa zvekare kuti zvidzivirire njodzi yekurwara kwekudya
- Yeuka kushambidza maoko usati wadya
- Dzivisa kusangana nevanhu vane zvirwere
- Dzivisa nzvimbo dzakawanda dzine uwandu hwemhepo isina kunaka
Mishonga inorwisa mabhakitiriya haisi kushandiswa nguva dzose kana kuverengwa kuri pasi uye hapana zviratidzo zvehutachiona. Zvisinei, mamiriro emunhu wese angave akasiyana. Chiremba wako anofunga nezvekudiwa kwemishonga inorwisa mabhakitiriya inobva pane zviratidzo zvakananga uye zvinokonzera njodzi , uyewo ruzivo rwakanyanya kunyanya kumunhu wega wehutano hwehutano uye chirwere chechipatara.
Ndeipi Icho Low LowWBC Inotariswa?
Muzvizhinji zvezviitiko, nhamba shoma ndeyenguva pfupi.
Inotanga kubuda nokukurumidza uye kusvika kumaitiro akaenzana pasina kukonzera zvirwere, nekuwedzera chemotherapy inogona kupfuurirwa.
Apo ropa rinoratidza kuti rakadzika kwazvo kana pane chirwere chetachiona mumuviri, vanachiremba vanogona:
- Delay further chemotherapy kusvikira kuverengwa kwakanaka.
- Tanga zvinodhaka zvinowedzera jena rega rega ropa. Izvo zvinonzi maitiro e-colon-stimulating, kana CSFs. G-CSF uye GM-CSF ndiyo mhando mbiri dzeCSF dziripo.
- Tanga kurapwa nemishonga inorwisa mabhakitiriya kana pane chiratidzo chipi chezvirwere mumuviri.
Havasi vanhu vose vanowedzera pasi pasi veWBC vanoverengeka vakakodzwa zvakanaka kune zvinodhaka zvinowedzera izvi zviyero.
Inogona Kuderedza WBC Inorayira Inodziviswa Here?
Dzimwe nguva kukurudzira muviri kuti uwane mamwe masero matsva eropa kunogona kubatsira kana imwe kana akawanda yeropa rako yakawanda yakaderera kana kuti zviyero zvako zvinotarisirwa kuva zvishoma. Semuenzaniso, dzimwe nguva mapfupa emapfupa anokurudzirwa mberi, sechiyero chekudzivirira, kana chiitiko chinotarisirwa kuwira nekuda kwerongwa hwekenza yakarongwa.
Nyanzvi dzakagadzira mapoka akawanda emitemo pamusoro apo apo mapfupa emafuta anokurudzira vashandi anofanira uye haafaniri kushandiswa. Zvakawanda zvekutarisa ndezvekuita zviitiko zvinokonzera uye kubatsirika kwemapfupa ekusimudzira marara zvinonzwisisika mumurwere, uye kune zvakawanda, zvakawanda zvakasiyana-siyana zvekliniki zvinofanira kufunga.
Zvidzidzo zviri kuedza kuedza kuwana nzira yakanakisisa yekuudza vatachipi vangave vanobatsirwa nekukura kwezvinhu zvinosimudzira kushandiswa kwesero reropa. Vanotsvakurudza vanofarirawo kugadzirisa nzira yakanakisisa yekubatanidza kukura kwezvinhu kune umwe neumwe-uye nemamwe mazita anosanganisira chemotherapy uye hormone therapy.
> Sources:
> Smith TJ, Bohlke K, Lyman GH, et al. Mazano ekushandiswa kweWBC kukura zvinhu: American Society of Clinical Oncology Clinical practice guideline update. J Clin Oncol. 2015; 33: 3199-3212.