Your oncologist inogona kukurudzira Neupogen injections kana iwe uine chemotherapy yekenza yemucheche. Ndeipi chinangwa chezvipikisi izvi, zvinoitwa sei, uye ndezvipi zvingava nemigumisiro inogona kuitika iwe?
Overview
Neupogen (filgrastim) chirwere chinopiwa kune vanhu vanogamuchira chemotherapy vane nhamba yepamusoro yeutrophil ( chemotherapy-induced neutropenia .) Neutrophils rudzi rwechichena chemuviri weropa rinobatsira kudzivirira utachiona.
Neupogen inoshanda nekusimudzira marora emapfupa kuwedzera kubudiswa kwemasero matsvuku eropa.Iyo mvura yakajeka inowanzopiwa sepfuti (injection.)
Neupogen inogona kupiwa mushure mekuita chemotherapy iyo inogona kunge yakanyanya kuderedza nhamba yako yeutrophil (yakadai sedhiviri inonzi Cytoxan uye Adriamycin.) Pane imwe nguva inogona kupiwa kana kuongorora kweropa kuchiratidza kuti ropa rako rekuyera ropa, kunyanya yako neutrophil count, yakaderera zvakakwana kukuisa iwe pangozi yakakomba yekudzivirira utachiona.
Neupogen muvanhu vane kenza yemazamu
Chemotherapy nokuda kwekenza yemazamu inobata zvose zvinokurumidza kuparadzanisa masero mumumuviri wako, kusanganisira masero ari mumapfupa eropa anoita masero eropa dema, masero matsvuku eropa, uye maplatelet. Apo ose aya emasero eropa ari kuderedzwa, anonzi inonzi bone marrow kuderedza chemotherapy.
Kunyange zvazvo vanhu vangava nehuwandu hwemasero matsvuku eropa ( chemotherapy-induced anemia ) uye maplatelets (chemotherapy-induced thrombocytopenia) inowanzova nechepakati yeeutrophils (chemotherapy-induced neutropenia) iyo inowedzera ngozi.
Panguva yekhemotherapy, wako oncologist achaongorora CBC yako nguva nenguva.
Neupogen Inoshanda Sei?
Kazhinji, muviri wako unobereka puroteni inokurudzira kubudiswa kweeutrophils mune zvinonzi hematopoiesis . Asi panguva yechirwere chekenza yepamuviri, muviri wako haugone kuita zvakakwana zveprotini iyi. CBC yako inogona kuzarura kuti yako neutrophil ropa inowanikwa yakaderera uye iwe uri neutropenic.
Neupogen injections ichawedzera kukura kweeutrophils yako. Unogona kunzwa aches uye kurwadziwa kwepfupa apo ichi chinodhaka chiri kushanda, asi chinogona kubatsira kufungidzira kuti muviri wako wekuzvidzivirira unozvivakira uye unowedzera kukudzivirira utano hwako.
Administration
Iwe uchava nejojojeni yeNeupogen kamwechete zuva nezuva kusvikira weropa rako rega rega rinodzokera kumashure ezvakanaka. Apo zvakakodzera kupa, majekiseni aya haazokuvadzi. Ichi chinodhaka chinogonawo kupiwa kuburikidza nekupererwa kwepravenous (IV).
Migumisiro Yechiri
Haasi munhu wose achava nemigumisiro paNeupogen, asi marwadzo ose epafu uye fever zvakajairika. Zvinorwadza zvinowanzoita sekunzwa kwakadzika munzvimbo dzomuviri wako apo vazhinji vemazipa enyu eropa vanoitwa, zvakadai sezamupa rako, mazamu ako epamusoro, uye mapepa ako.
Kazhinji, kurapwa hakudi kudiwa kurwadziwa kwepfupa asi taura nachiremba wako mberi kwenguva. Anogona kukurudzira kuti utore Tylenol (acetaminophen) kana Advil (ibuprofen) asi, sezvo mishonga inogona kuwirirana kana kuisa matambudziko kana chiropa chako kana tsutsvo zvisina kushanda zvakanaka, zvakakosha kubvisa izvi zvisati zvaitika. Vanhu vazhinji vanoona kuti kunyura mumvura inoshambidza kunobatsira kuderedza zvakawanda zvepfupa.
Ndeipi Paunofanira Kudana Doctor yako?
Kupindura kunogona kuitika dzimwe nguva uye iwe unofanirwa kudana chiremba wako pakarepo kana iwe uchifanira kukura:
- Anorigic reaction (mikoko); kuoma kufema; kurira kwechiso, miromo, rurimi kana huro; kuputika kupararira pamusoro pemuviri wako)
- Marwadzo emudumbu
- Kutambudzika kwepamuviri
Iwe unofanirwawo kudana chiremba wako kana iwe uchicherechedza chirwere chepfupa, chirwere chemwoyo, kana kuneta kusingawanzoshandi kana kushaya simba.
Ngozi
Neupogen mishonga yakachengeteka yakashandiswa kune marudzi mazhinji eutachiona. Iko kazhinji hakune hutano kana hutsinye hunoguma kubva kune ichi chirwere. Chero mimwe migumisiro yaunosangana nayo ichapedza uye inogumira paunomira kugamuchira Neupogen shots. Pakave nemhosva dzepleen rupture dzinoguma murufu, kunyange izvi zvisinganyanyi kukosha.
Ndivanaani Vanofanira Kudzivisa Iyi Mishonga
Usatora ichi chirwere kana:
- Iwe uri nepamuviri kana kunwisa
- Iwe une allergiki kuNeupogen
Mazano
Pamberi kwejisi rako rekutanga raNeupogen, chiremba wako acharaira CBCs nguva dzose kuti awane mazana eeplatelets , matsvuku nemasero eropa, uye neutrophils. Sezvo kurapwa kuchifambira mberi, chengetedza pamwe nekukurudzirwa kutevera-up test blood. Izvi zvakakosha sezvavanotarisa kubudirira kweNeupogen uye kuti uri kuwana mukana wakakodzera.
Kana iwe uchiyamwisa kana uine pamuviri, kurukura izvi nechiremba wako usati watora Neupogen. Ikoko hakuna kuve nekuongororwa kwakakwana kunoitwa kuti uone kushanda kwechirwere ichi pamukaka wemuviri kana kuti fetus mwana.
The Bottom Line
Neupogen (kana Neulasta ) inogona kuva yakakosha pakuwedzera huwandu hweweutrophils mumuviri wako kuderedza ngozi yako yehutachiona. Izvo zvichiri kukosha, zvisinei, kuchenjerera uye kuita zviito zvinogona kuderedza ngozi yako yehutachiwana panguva yechemotherapy yakadai sekushamba maoko nekuchenjerera nekudzivisa kusangana nevaya vanorwara.
> Sources:
> Lee, K., Kim, J., Lee, M. et al. A Randomized, Multicenter, Phase II / III Kudzidza Kutarisa Dambudziko rakanaka uye Kuongorora Kubudirira uye Kuchengeteka kwePegteograstim pamusoro peKemotherapy-Inokonzerwa Neutropenia Kuenzanisirwa naPegfilgrastim muAchirwere Chepabonde VaKati: KCSG PC10-09. Kuchengetedza Kuchengetedza muCancer . 2016. 24: 1709-1717.