Zviratidzo, Zvirwere, uye Kurwisana neAlly Platelet Count Mukati Chemo
Thrombocytopenia (aine platelet yakakura muropa) inoitika sechikamu chemugumo wemakemikrasi isinganyanyi dambudziko kupfuura munguva yakapfuura, asi inogona kuve yakanyanya kunetseka. Ndezvipi zvaunofanira kuziva pamusoro pezviratidzo zveplate platelet yepamusoro uye zvaunogona kuzviita kuti uderedze njodzi yako kubva pakurwisana kwe chemotherapy ?
Overview
Thrombocytopenia inotsanangurwa sechidimbu cheplatelet muropa.
A low platelet count inogonawo, inokonzera kubuda ropa uye / kana kudikanwa kunonoka chemotherapy. Thrombocytopenia inowanzotsanangurwa sechepasi 150 000 platelets per cubic millimeter yeropa, zvisinei kuti kubuda ropa kunowanzosati kuitika kusvikira madonheji ari pasi pe 20,000 kana kunyange gumi. Izvozvo zvakati, zvakakosha kuziva kuti hakuna hukama hwakajeka pakati peplatelet level uye chido chekubuda ropa. Kana uine zviratidzo zvakadai sekubuda ropa kana kuputika, zvakakosha kurega chiremba wako achiziva, pasinei nehuwandu hweplatelet yako yakawanda.
Kuziva
Chiremba wako acharayira ropa rakazara (CBC) mushure mekunge chemotherapi mushure mekunge uone kana une ine platelet yepasi. A common platelet count (thrombocyte count) inowanzotsanangurwa seine 150,000 kusvika 400,000 platelets per cubic millimeter yeropa. Nhamba iri pasi apa 150,000 inofungidzirwa isiri, kana thrombocytopenia.
Kazhinji yenguva yepamusoro yeplatelet inopfuura 50,000 haina kubatana nematambudziko makuru.
Nhamba ye10 000 kusvika ku20 000 dzimwe nguva inogona kukonzera kubuda ropa, asi kazhinji inowanikwa inogona kudonha kusvika ku10 000 kana kudarika isati yaita kuti ropa riwedzere.
Nenzira yakawanda, zvikamu zviduku zvinopfuura 10 000 zvinowanzobatwa (kazhinji kazhinji neplatelet transfusion) asi maitiro akaderera pasi pe20,000 anogonawo kubatwa, zvikuru kana akabatana nefivha.
Kune avo vanofamba kuburikidza ne chemotherapy, mazinga emakore makumi mashanu kusvika ku100 000 angaita kuti kunonoka kwechemotherapy. Zvakakosha kuziva kuti munhu wese akasiyana, uye zvakaenzana zvakafanana nevanhu vaviri vakasiyana-siyana zvinogona kunge zvinotambudza kune imwe uye zvishoma zvichitarisira mune imwe.
Platelets muropa inorarama mazuva anenge 8 kusvika ku10 uye anokurumidza kudzorerwa.
Zvinokonzera Panguva yeKrapa Kuchivirira
Chikonzero chinowanzovhiringidzika cheprombocytopenia kune vanhu vane kenza ndeyekupisa kwemaranda kunokonzerwa nechemotherapy. (Ona zvimwe zvinokonzera pasi apa.) Chemotherapy inoparadza masero mashoma, akadai seaya ari mumapfupa ayo anova maplatelet. Kuwedzera kune zvinonzi thrombocytopenia, kupisa kwemapfupa emasokera kubva kumakemikari kunogona kukonzera kuvhara kwemasero matsvuku eropa ( chemotherapy-induced anemia ) uye uwandu hwemhando dzeropa dema dzeropa dzinonzi neutrophils ( chemotherapy-induced neutropenia ) inodzivirira kupararira kwebhakitiriya .
Mishonga yakawanda yemakemikrasi haibatsiri platelet mazinga kusvika kune chidimbu chakakosha kuti chidimbure kurapwa, asi mamwe mishonga yakawanda kwazvo kudarika vamwe kuderedza kuwanda. Zvinodhaka zvinowanzobatanidzwa ne thrombocytopenia zvinosanganisira:
- Platinum-based drug such as Paraplatin (carboplatin) uye Platinol (cisplatin)
- Gemzar (gemcitabine)
- Taxol (paclitaxel)
Thrombocytopenia yakabatana nekemotherapy inowanzotadza nguva pfupi. Platelet mazinga anotanga kudonhedzana kwevhiki imwe mushure mekuita chikamu chemakiriniki uye kusvika kune yakaderera (level nadir) kwemazuva gumi nemasere mushure mekuvharwa. Nhamba dzinodzokera kune yakasvibirira mukati mazuva makumi maviri nemasere kusvika makumi matatu zvichizotevera asi zvinogona kutora kusvika mazuva makumi matanhatu kuti uende kusati kwatanga kurapwa.
Zvimwe Zvinokonzera Thrombocytopenia muvanhu vane Kansa / Kuona Tsanangudzo
Pane zvikonzero zvakawanda zvekuti platelet yakawanda inogona kunge yakaderera kune vanhu vane kenza. Mukuwedzera kumapfupa emapfupa sezvinotaurwa pamusoro apa, izvi zvinogona kusanganisira:
- Immune thrombocytopenia (ITP) - Immune thrombocytopenia inoitika apo muviri wako unoita zvirwere zvinopesana nemaaplatelet ako. Izvi zvinowanzojairika nekenza yakadai seHodgkin chirwere uye chronic lymphocytic leukemia
- Zvirwere, kunyanya zvirwere zvehutachiwana
- Mimwe mishonga inogona kukonzera pasi maplatelets akadai sevan antibiotic vancomycin, uye mishonga inorwisa mishonga
- Kumhanyira kunopararira kumapfupa (kazhinji kacho lymphomas, kenza yemazamu, kenza yemapapu)
- Thrombotic microangiopathy (mamiriro ayo mukati memasero rinopinda mumidziyo yeropa yakakuvara iyo dzimwe nguva inowanikwa nemishonga inokonzera mishonga yakadai seMitomycin C uye gemcitabine.)
Zviratidzo
Zviratidzo zvingasangana ne thrombocytopenia zvinosanganisira:
- Zviri nyore kupwanya
- Kudonha - Kubva mumhino dzako, muromo wako (kunyanya nekuputika,) rectum (kusviba kana kubuda ropa), kana kusuruvara (kurutsa ropa kana kofi-kuonekwa zvinhu)
- Petechiae - Tsvuku dzemavara paganda rako (rakajairika pamakumbo ezasi), izvo hazvina kuchenesa kana iwe uchisimudza pamusoro pavo neminwe yako
- Ecchymosis - Mvura yakakura yebhuruu-bhuruu (maronda) paganda rako
- Mumadzimai, nguva dzinorema kudarika zvinowanzoitika
- Kubatana uye kusuruvara kurwadziwa
- Kushaya simba
- Headaches
Mishonga / Kudzivirira
Zvakakosha kutanga kutarisa chinokonzera thrombocytopenia yako sezvo pane zvingava nezvikonzero zvakasiyana zveplate platelet yako iyo inobatwa nenzira dzakasiyana. Somuenzaniso, kana yakabatana nechemotherapy remishonga, kurapwa kunogona kusanganisira kunonoka kwekemotherapy, asi kana yakabatana nemigumisiro yomuviri, steroid inogona kuva chikamu cherapa inorayirwa.
Zvichienderana nehuwandu hweplatelets, uye kana usina kana zviratidzo, chiremba wako anogona kukurudzira kurapwa kusimudza platelet yako count. Zvimwe zvinosanganisira:
- Platelet transfusions - Platelet kuiswa ropa ndiyo nzira inowanzogadziriswa yekurapa thrombocytopenia, kunyanya nguva shomanana thrombocytopenia inobatanidza chemotherapy remishonga. Kushandiswa kunogona kushandiswa sechirwere (kuwedzera maplatelet kune avo vari kubuda ropa) kana kudzivirira (kune avo vane shoma kana vanotarisirwa pasi shorelet count asi vasina kubuda ropa). Nzira yakanyanya kufanana nayo inonzi fever temporarily. Kazhinji migumisiro inogona kusanganisira kuwedzerwa kuwedzerwa ropa kana kutapurirwa kwezvirwere zvakadai sehupatitis.
- Kuteerera chemotherapy - Kuderedza chemotherapi, kana kugadzirisa dhimwe nguva dzimwe nguva kungave kwakakosha.
- Mishonga inokurudzira kuumbwa kweplatelet - Mishonga dzimwe nguva inoshandiswa kukurudzira marora emapfupa kuita maplatelet akawanda. Nzira yakanyanya kufanana nayo ndeyekuchengetedza kwemvura (kurira).
- Mishonga yemakiriniki - Clinical trials inoramba ichienderera mberi, vachitarisa dzimwe nzira kuti kuderedze njodzi ye thrombocytopenia munguva yekemotherapy.
Kutsungirira
Mukuwedzera kune chero kurapwa kwakakurudzirwa nachiremba wako, kana iwe uri pangozi ye thrombocytopenia edza ku:
- Kudzivisa aspirin nemishonga inopesana nekuputika sezvakaita ibuprofen uye naproxen. Kumbira chiremba wako pamusoro pepi-in-counter kana mishonga yemishonga yaunotora, sezvo imwe yei inogona kuwedzera kubuda ropa.
- Dzivisa doro sezvo izvi zvinogona kuwedzera njodzi yekubuda ropa.
- Shandisa bhino rakanyorova. Vakawanda veoncologists vanokurudzira kuti usapinda kushandisa dental floss zvakare, asi izvi zvisati zvaratidzwa kubatsira.
- Shandisa razor yegesi kuti usapinda.
- Vhura mhino yako zvinyoro.
- Edza kuti usazvidzivirirwa, uye kana ukadaro, dzivisa kuomesa kana kushandisa suppositories. Mimwe mishonga inorwadza, uyewo kuchinja kwezvokudya, kunogona kukonzera kuvimbiswa, uye chiremba wako angakurudzira chigaro checheki kana mamwe mishonga kwauri panguva yechemotherapy kuti udzivise izvi.
- Dzivisa mamiriro ezvinhu apo iwe unogona kukuvara kana kuti uzvikuvadze iwe pachako. Tora zvakanyanya paunenge uchishandisa zvisi, uchibika, uye uchishandisa zvishandiso. Dzivisa kutarisana nemitambo.
Nguva Yokudaidza Chiremba
Iwe unofanirwa kurega chiremba wako achiziva kana iwe uchikura chero zviratidzo zveprombocytopenia. Murumidze iye pakarepo kana iwe uine ropa raunenge usingakwanisi kumira, mutsva unopera, usina kuonekwa kana utera.
> Sources:
> Estcourt, L., Stanworth, S., Doree, C., Hopewell, S., Trivella, M., uye M. Murphy. Kuenzanisa Platelet Yakasiyana Count Tarresholds kuti Inotungamirirwa Kutungamirirwa kweProphylactic Platelet Transfusion yekudzivirira Kuvhara Muvanhu vane Hematological Disorders mushure meMyelosuppressive Chemotherapy kana Semu Cell Transplantation. Cochrane Database yekuongorora kwakarongeka . 2015. 18 (11): CD010983.
> Kuter, D. Kutarisira Thrombocytopenia Yakabatana neCcercer Chemotherapy. Oncology (Williston Park) . 2015. 29 (4): 282-94.
> Liebman, H. Thrombocytopenia muCcercer Patients. Kutsvakurudza Kwemhando . 2014. 133 Suppl 2: S63-9.