Nzira Yokubata Nayo Mhepo Yakachena Yeropa Verenga Pa Chemo
Maso matsvene eropa anokosha zvikamu zvemuviri wemuviri unobatsira muviri kurwisa utachiona. Paunotarisana nekenza, zvirwere zvekudzivirira muviri zvinogona kushaya simba, zvichiita kuti kurasikirwa kwemasero aya uye kuwedzereka kwehutachiona.
Chimiro chemuchena weropa reropa rinowanzobatwa chinonzi neutrophil. Neutrophils ndiyo yakawanda kwazvo yemasero anochengetedza uye inonyanya kushandiswa kwemasimba evanhu vasina kuchena .
Vanoshanda semutambo wemutambo wekutanga kutarisana nehutachiona, huchibatisisa kusvikira chitunha chemuviri chinogadzirisa chinogona kukanda.
Neutropenia chirwere chinoratidzwa nemaitiro asinganzwisisiki neutrophil. Kana maitiro akawira zvakanyanya, neutropenia inogona kukusiya iwe paya kubudiswa kune huwandu hwehutachiona hwehutano uye hunoita kuti upore kubva pamishonga kunyanya kuoma.
Zvinokonzera Neutropenia muKenza
Neutropenia inogona kukonzerwa zvose nekenza (yakadai se- lymphoma , leukemia , kana myeloma ) uye nemishonga inoshandiswa kurapa kenza.
Neimwe mhando dzekenza, kubudisa neutrophil kunogona kukanganiswa nehupenzi hunowanikwa mumapfupa emapfupa pachayo. Bone marora ndiyo inonyanya kukonzera kuchena kwemasero eropa, uye, kana chirwere chichikura, chinogona kukonzera mazinga kuregera zvikuru. Dzimwe mhando dzekenza yeropa dzinokanganisa neutrophils zvakananga.
Chemotherapy mishonga inogona kuva nezvakawanda zvakafanana. Vanoshanda nekutsvaga uye kuparadza nekukurumidza-kujekesa masero sekenza.
Zvinosuruvarisa, vanogonawo kuuraya dzimwe dzinokurumidza-kudzokorora, masero ane utano, kusanganisira bvudzi uye marrow ropa.
Nokudzvinyirira mapfupa emasasa, chemotherapy mishonga inowanzokonzera neutropenia, kunyangwe pane zvakasiyana-siyana. Inowanzoitika mazuva manomwe kusvika kwegumi nemaviri mushure mekunge kurapwa kunotanga uye kunogona kupfuurira kwenguva yakareba yerapi.
Kana imwe chemo yapera, bone marora basa zvishoma nezvishoma zvinotungamira uye zvinotungamirira kuhutsika hwehuchena ropa.
Kurapa Neutropenia
Vanachiremba vakawanda vanowanzotora nzira yekurinda-uye-kumirira kana vachibata ne-chemo-neutropenia yakabatana. Zvisinei, kana mungozi yako yehutachiwana yakakwirira, chiremba wako angaronga rudzi rwechirwere chinonzi "granulocyte colony stimulating factor" (G-CSF). Kazhinji inonzi inonzi marrow stimulants , mishonga inobudiswa nejisi uye, sezvinoreva zita ravo, inokurudzira kugadzirwa kwemasero matsvuku eropa.
Izvi zvinosanganisira dzakasarudzwa sezvakaita Neulasta (pegfilgrastim) , Neupogen (filgrastim), uye Leukine (sargramostim). Zvichienderana nemishonga inoshandiswa, iwe unogona kunge uine mashoma sejekisi rimwe chete pamusana wekodzero kana kupiwa mutsara wezuva nezuva kusvikira weropa rako rekuyera ropa richikwira zvakare.
Mukuwedzera, mushonga weprophylactic unogona kurongerwa kuti ubatsire kudzivisa utachiona. Izvi zvinosanganisira mishonga inorwisa mabhakitiriya inoshandiswa kudzivirira utachiona hwehutachiona uye hutachiona hunoshandiswa kudzivirira utachiona hutachiona.
Kuchengetedza Utachiona
Kunyange zvazvo pane kazhinji usingaiti zvakawanda kuti udzivise neutropenia munguva ye chemo, kune nzira dzekuderedza ngozi yako yehutachiwana kana mazinga ako akatanga kumira. Pakati pavo:
- Shamba ruoko rwako kakawanda pazuva nemvura inopisa neswa
- Chengetedza mabiko, kicheni, uye nzvimbo dzinosungirirwa dzakachena uye dzakasununguka kubva pakusvibiswa
- Dzivisa mapoka makuru evanhu
- Gara kure nemunhu wese anorwara uye achangobva kurwara, kusanganisira nhengo dzemhuri
- Geza uye bhanha chero upfudze kana zviputi
- Chengetedza hutano hwakanaka mumuromo
- Usatora midziyo, tirasi, miromo, kana kuzvitarisira
- Pfeka magasi kana uchiita mubindu
- Usashambidza mabhokisi emarara kana masango emabhiri
- Cook nyama, huku, kana hove zvakanaka
- Dzivisa hove yakakura kana nyama, kusanganisira sushi kana carpaccio
- Shambai michero nemiriwo musati madya
- Dzivisa rectal suppositories kana enemas
- Dzivisa kuvimbiswa
- Shandisa sanitary napkins panzvimbo pematamponi
- Dzivisa douching kana mabhati ekugeza izvo zvinogona kuvhiringidza marara ako
- Kumbira chiremba wako pamusoro pemishonga, kusanganisira chirwere chechirwere
Pakupedzisira, zvakakosha kuti uve ne-thermometer yakanaka pane iwe kuitira kuti ugone kuona fivhiri kutanga. Kana uchinge uchitarirwa chemo, gara uchibata fivhiri senjodzi uye utsva chiremba wako pakarepo kana iwe uine chirwere.
> Kwakabva:
> Yarbro, C .; Wujcik, D .; uye Holmes Gobel, B. (2010) Kurapa Kenza: Mazano uye Maitiro (7th ed.) Sudbury, Massachusetts: Jones naBartlett. ISBN-13: 978-0763763572.