Kurwisana neAini Yakachena Yemajeri Akaverengwa Kubva Chemotherapy
Neutropenia (nhamba yakaderera ye-neutrophils muropa), ndeye chokuita nemigumisiro yechirwere chemotherapy sezvo masero aya anotidzivirira kubva pakukura zvirwere.
Chii Chinonzi Neutropenia?
Neutropenia inotsanangurwa sokuderera kweropa romuviri werudzi rutsvuku rwesopa rinonzi neutrophils . Ichi chimiro chemasero machena edziviriro chinotidzivirira kubva pakugadzira zvirwere zvebhakitiriya.
Zvinokonzera
Chemotherapy inokurwisa nokukurumidza kugovera masero, kusanganisira masero mufupa marora anova neutrophils.
Kuziva
Chiremba wako anorayira ropa rakazara (CBC) kare uye shure kwechemotherapy kuti uone kuti weropa rekuyera masero yako (WBC) . Yako tsvuku yega-yega masero mashoma inowanikwa mumakiromita 4 000 kusvika ku10 000 masero eropa rega rega cubic millimeter. Chiremba wako achave achifarira nhamba yako ye absolute neutrophil (ANC) iyo inenge yakaderera kupfuura yako yose yakawanda yakawanda. Nhengo yeAIDS inowanikwa 2,500 kusvika ku6,000 neutrophils per cubic millimeter. Kune zvidimbu zvitatu zveeutropenia:
- ANC ye1000 kusvika ku1500 - munyoro (zvinoreva ngozi shoma yekutapukirwa)
- ANC ye500 kusvika 1000 - inonzwisisa (inobatanidza nehuwandu hwehutachiwana hwehutachiona)
- ANC inopfuura mazana mashanu - yakaoma (inoratidza dambudziko guru rekudzivirira utachiona)
Zviratidzo
Zviratidzo zveveetropenia zvakabatana nehutachiona hunogona kukura kana muviri wako usina mazitiphiro akakwana kuti urwise mabhakitiriya.
Izvi zvinogona kusanganisira:
- Fivhiri inopfuura 100,5 degrees F
- Kugunzva chills
- Huro inorwadza
- Kukosora
- Kupfupika kwemhepo
- Kupisa nekusvina kana ropa mumuviri wako
- Kutambudzika kwekudzokera shure (chiratidzo chekugona kutapukirwa kwemakumbo)
- Diarrhea
- Rashes
- Rurefu, kuvhuvhuta, kana kunyura pamusana pekukuvadzwa kana zvimwe kupinda mumuviri sePort kana IV line
Kurapa
Kana uwandu hwemucheka wako hukadzika zvakanyanya, zvingave zvakakosha kubvisa pane yako inotevera chemotherapy. Izvozvo zvakati, kunonoka chemotherapy kunogona kuderedza kubudirira kwayo, uye wako oncologist angakurudzira kurapwa. Sarudzo dzekurapa dzinosanganisira:
- Kudzivirira Maantibayoti - Dzimwe nguva mishonga inorwisa mabhakitiriya inoshandiswa kudzivirira musati mava nezviratidzo zvehutachiona.
- Mishonga - Mishonga (kukura kwezvinhu) inogona kushandiswa kukurudzira kugadzirwa kweeutrophils mumapfupa ako (zvichifananidzira kana sechirapa nokuda kwekuverengeka kweeutrophil count). Izvi zvinosanganisira:
- Filgrastim, G-CSF (Neupogen)
- Pegfilgrastim (Neulasta)
- Sargramostim, GM-CSF (Leukine)
Kurapa Kwezvirwere
Zvirwere zvinogona kuva zvakakomba zvikuru kana iwe uine masero machena eropa kuti urwise mabhakitiriya. Kana iwe uine hutachiwana mukugadziriswa kwako, oncologist yako inowanzokurudzira kuparidzirwa nemishonga inorwisa mabhakitiriya.
Kuderedza Dambudziko Rako Rwere
Mukuwedzera kune chero kurapwa kwako oncologist inokurudzira, kune zvinhu zvakawanda zvaunogona kuita kuderedza ngozi yako yehutachiwana panguva ino:
- Dzidzira kushambidza maoko nemaoko (iwe nevanoda) - Ichi ndicho chinhu chakakosha iwe unogona kuita kuderedza dambudziko rako
- Shandisa sese yemvura panzvimbo yebasa sadhi
- Gara kure nevanhu vane zvirwere
- Dzivisa mapoka evanhu, semuenzaniso, mabhizimisi uye mabhizimisi emitambo
- Dzivisa vana (uye vanhu vakuru) avo vachangobva kugamuchira zvirwere nemararamiro anorarama, zvakadai sechirwere chechickenpox
- Dzokai chero majekiseni (somuenzaniso chirwere chinoputika kana kuti pneumonia kupfura) kusvikira iwe uchikurukurirana izvi ne oncologist yako (Dzidza nezvekufukidzwa kwevanhu vane kenza - izvo zvaunofanira kuva nazvo, izvo zvaunofanira kuzvidzivirira, uye paunoda kunetseka nezvekugemerwa nemararamiro anorarama vamwe vane izvo zvaigona kupfuudzwa)
- Dzivisa chero basa remazino kusvikira iwe uchikurukurirana neo oncologist yako
- Dzivisa mazai mavara uye nyama isina kudya, hove, kana hove. Shandisa zvakachengeteka kubika maitiro.
- Zvipfuwo zvinogona kuva chikonzero chekutapukirwa apo dera rako rekuyera ropa riri pasi - Ita mumwe munhu kuti achinje maritare, bvisa shiri yegeji, kana kuchinja tangi yehove. Dzivisa kubata zvinotyisa. Ichi chikonzero chechokwadi chekudzoka shure uye kubvumira vamwe kuti vabatsire - kushandisa zvishoma.
- Kumbira chiremba wako usati watanga mishonga yakadai seyaketetaminophen (Tylenol). Izvi zvinogona kuvhara fever
- Vakadzi vanofanira kudzivisa matamponi, uye vanoshandisa zvigadzirwa zvehutsanana panzvimbo
- Shandisa shaver yegesi
- Dzivisa kudzvora zvako. Zvakanakisisa kudzivisa manicures uye pedicures pamwe chete kusvikira wapedza chemotherapy
- Ita zvakanaka kutarisira ganda. Taura nezvemuviri weganda zvakabatana nemakemikrasi uye yako oncologist
Nguva Yekudaidza Chiremba Wako
Iwe unofanirwa kurega oncologist yako kuziva kana uri kutarisana chero zviratidzo zvehutachiona. Iye angangokupa mazano pane nguva yekushevedza, asi zvirokwazvo mumurege azive pakarepo kana une kutonhora kupfuura 100,5 degrees F, kuzunungusa chills, kana zvimwe zviratidzo zvehutachiona hwehutachiona.
> Sources:
> 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).
> D'Souza, A. et al. Granulocyte colony-stimulating factor administration: zviitiko zvakashata. Transfusion Medicine Reviews . 2008. 22 (4): 280-90.
> Lyman, G. uye M. Shayne. Granulocyte colony-zvinokonzera zvinhu: kuwana chiratidzo chakanaka. Nhasi Maonero muOncology . 2007. 19 (4): 299-307.
> Pascoe, J. naN. Steven. Antibiotics ekudzivirira febrile neutropenia. Nhasi Maonero muHematology . 2009. 16 (1): 48-52.