Inā ʻoe e hana ana i ka chemotherapy no ka maʻi ʻaʻai umauma , e luhi paha ʻoe, e palaualelo, a e maʻi mau ana. He mea maʻamau kēia no nā poʻe he nui i ka wā o ka chemotherapy. ʻO kēia no ka mea e hōʻemi ana ka lāʻau i ka helu o nā hunaola koko keʻokeʻo, kahi ʻano ʻōnaehana pale kino he mea nui no ko mākou kino. ʻO kēia ka mea a mākou e kamaʻilio nei i kēia lā.
He aha ka neutropenia?
I ka ʻōlelo maʻalahi, ke komo mai nā huakino e hoʻoulu ai i nā maʻi, e like me nā bacteria a me nā virus, i ko mākou kino, he pūʻali koa ko mākou e hakakā iā lākou. ʻO nā mea hakakā mua ma kēia pūʻali koa he mau keʻokeʻo koko i kapa ʻia he neutrophils .
I kēia manawa, e noʻonoʻo e pili ana i ia mea, he lāʻau ikaika ka chemotherapy e pepehi ana i nā hunaola kanesa. ʻAʻole hiki i kēia mau lāʻau ke ʻike i nā hunaola kanesa a me nā hunaola olakino i loko o ko kākou kino e māhele wikiwiki ana. No laila, ke pepehi lākou i nā hunaola kanesa, ua pepehi ʻia hoʻi kēia mau koa i kapa ʻia he neutrophils e māhele wikiwiki ana.
E like me ko kākou pūʻali koa i ʻoi aku ka maʻalahi i ka hoʻouka ʻia ʻana i ka wā e emi ai ka nui o nā koa, ʻoi aku ka maʻalahi o ko kākou kino i nā maʻi i ka wā e emi ai ka nui o nā neutrophils. Ma ke ʻano lapaʻau, kapa mākou i kēia emi ʻana o nā neutrophils he neutropenia .
Akā, he mea nui e hoʻomanaʻo he hopena pōkole wale nō ka neutropenia o ka chemotherapy. E hoʻi hou kou kino i ka maʻamau ke pau ka lāʻau lapaʻau.
He aha kā kākou e hana ai e pale aku iā kākou iho mai nā maʻi?
Pono kākou e akahele loa i kēia manawa, no ka mea, hiki i ke anu liʻiliʻi ke lilo i mea koʻikoʻi. Eia kekahi mau ʻanuʻu maʻalahi hiki iā ʻoe ke hahai.
| Nā ʻanuʻu e hana ai | Ka wehewehe a me ke koʻikoʻi |
|---|---|
| Ke loaʻa ʻana o ka lāʻau pale | E kiʻi i nā lāʻau pale āpau a kāu kauka e ʻōlelo ai (e like me ka lāʻau pale maʻi, COVID-19, pneumonia). Hāʻawi kēia mau lāʻau pale iā ʻoe i ka palekana nui i ka wā e nāwaliwali ai kou ʻōnaehana pale. |
| E holoi pinepine i kou mau lima. | ʻO kēia ke ala maikaʻi loa a maʻalahi hoʻi e pale aku ai iā ʻoe iho mai nā germs. E holoi pono i kou mau lima me ke kopa a me ka wai no 20 kekona ma ka liʻiliʻi. E hōʻoia e holoi i kou mau lima ma hope o ka hele ʻana mai waho, ma mua o ka ʻai ʻana, a ma hope o ka hoʻohana ʻana i ka lua. |
| Ka noho mamao ʻana mai ka poʻe maʻi | E noho mamao aku mai ka poʻe i loaʻa i ke kuni a me ke anu i ka hiki. ʻOiai inā ʻōlelo lākou, "Ua maikaʻi i kēia manawa, ʻaʻole ia he mea laha," mai hoʻāʻo. |
| Ke pale ʻana i nā wahi piha kanaka | E hōʻemi i kāu mau kipa ʻana i nā wahi i piha i ka poʻe e like me nā kaʻa ʻōhua, nā hale kūʻai, nā luakini, a me nā hale pule. Inā pono ʻoe e hele, e ʻaʻahu i kahi pale maka maikaʻi a haʻalele koke. |
| Palekana meaʻai | E kuke pono i ka meaʻai. E pale i ka ʻai ʻana i ka ʻiʻo a me ka iʻa maka a i ʻole i moʻa pono ʻole ʻia (e.g. sushi, steak i moʻa pono ʻole ʻia). E holoi a hoʻomaʻemaʻe pono i nā mea kanu a me nā huaʻai ma mua o ka ʻai ʻana. |
| Kōkua mai nā lālā o ka ʻohana | E haʻi aku i kou ʻohana e pili ana i kēia a noi iā lākou e hahai i kēia mau hana palekana i ka hiki. He kōkua nui kēlā iā ʻoe. |
I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?
ʻAʻole pono ʻoe e nānā i ke kuni i kēlā me kēia lā i ka wā e hana ʻia ai ka chemotherapy . Eia nō naʻe, inā ʻike ʻoe i kekahi mau hōʻailona o ka maʻi, e haʻi koke i kāu kauka.
E makaʻala no kēia mau hōʻailona:
- Kuni (ʻoi aku ma mua o 100.4°F a i ʻole 38°C)
- Manaʻo wela a haʻalulu paha
- Paʻakikī ka hanu ʻana
- Manaʻo luhi loa a me ke ola ʻole
- Manaʻo maikaʻi ʻole, ʻokoʻa mai ka maʻamau
Inā loaʻa iā ʻoe ke kuni, mai hoʻowahāwahā. E kāhea koke aku i kāu kauka. E haʻi aku ʻo ia iā ʻoe inā e noho ma ka home, e hele mai i ke keʻena lapaʻau, a i ʻole e hele i ka haukapila kokoke loa.Inā paha e hele i ka Emergency Treatment Unit (ETU). Inā ʻoe e hele i ka ETU, e hōʻoia e haʻi i ke kauka ma laila e loaʻa ana iā ʻoe ka chemotherapy.
Pehea ka lōʻihi o ka neutropenia?
Pehea ke koʻikoʻi o kēia maʻi a me ka lōʻihi o kona mau ʻana e loli like ia ma muli o ke ʻano o ka chemotherapy āu e loaʻa ai.
ʻO ka maʻamau, hāʻule nui nā pae neutrophil i waenakonu o kahi pōʻaiapuni chemotherapy. No ka laʻana, inā ʻoe e loaʻa ana i ka chemotherapy i kēlā me kēia 4 pule, e hōʻea kāu mau pae neutrophil i ko lākou pae haʻahaʻa loa ma kahi o 2 mau pule ma hope o ka mālama ʻana. Hiki ke ʻoi aku ka ʻino o kēia i ka hoʻomau ʻana o kāu mālama ʻana. Akā, mai hopohopo, ua mākaukau kāu mau kauka no ia mea.
He aha nā lāʻau lapaʻau no kēia?
Aia kekahi papa kūikawā o nā lāʻau lapaʻau a nā kauka e hoʻohana ai e hōʻemi i ka lōʻihi o ka neutropenia a pale iā ʻoe mai nā maʻi. Ua kapa ʻia kēia mau mea ʻo G-CSF (granulocyte colony-stimulating factors) . I ka ʻōlelo maʻalahi, hoʻoulu kēia mau lāʻau i kou iwi iwi a hoʻonui i ka hana ʻana o nā hunaola koko keʻokeʻo (ʻoi aku hoʻi nā neutrophils).
Hoʻokomo pinepine ʻia kēia mau mea ma ke ʻano he injection ma kahi o 24 mau hola ma hope o ka chemo dose.
G-CSF hana lōʻihi
ʻO kēia ʻano, kahi e pono ai hoʻokahi wale nō inikini no kēlā me kēia pōʻai o ka chemotherapy, ʻo ia ke ʻano i hoʻohana nui ʻia i kēia manawa. ʻElua ala e loaʻa ai:
1. Ke hoʻi nei i ka haukapila i ka lā ma hope o ka chemo e kiʻi i ka inikini.
2. A i ʻole, hiki iā ʻoe ke hoʻokomo iā ʻoe iho ma ka home a i ʻole e hoʻokomo kekahi lālā o ka ʻohana.
Eia kekahi, aia kahi hāmeʻa hou i kapa ʻia ʻo Onpro . Ma loko o kēia, ua hoʻopili ʻia kahi ʻeke liʻiliʻi e loaʻa ana ka inikini i ka ʻili o kou lima. Ma hope o kahi 27 mau hola, e inikini ʻakomi ʻia ka lāʻau lapaʻau ma lalo o ka ʻili ma o kahi nila liʻiliʻi i loko. He koho maikaʻi kēia no ka poʻe makaʻu i nā inikini a ʻaʻole makemake e hoʻi i ka haukapila.
G-CSF hana pōkole
I kēia ʻano, pono ʻoe e lawe i kekahi mau inikini i kēlā me kēia lā ma waena o ʻelua mau pōʻai o ka chemo. ʻOiai ʻaʻole maʻamau kēia me ka hiki ʻana mai o nā lāʻau hana lōʻihi, hiki i nā kauka ke ʻōlelo aku iā lākou inā loaʻa i kekahi poʻe nā hopena ʻaoʻao mai nā lāʻau hana lōʻihi.
Nā hopena ʻaoʻao o kēia mau lāʻau lapaʻau
ʻO nā hopena ʻaoʻao maʻamau o G-CSF ka ʻeha o ka iwi a me nā ʻiʻo a me ke kuni . Hiki ke hoʻomalu ʻia kēia mau mea me nā lāʻau ʻeha (e nīnau i kāu kauka).
Leka Lawe-Home
- He maʻi maʻamau a manawa pōkole ka Neutropenia e kū mai ana i ka wā o ka chemotherapy. Mai hopohopo no ia mea me ke kumu ʻole.
- ʻO kou pilikia nui loa i kēia manawa, ʻo ia ka maʻi , no laila e hoʻomaopopo pono e hahai i nā hana palekana e like me ka holoi ʻana i kou mau lima a me ka pale ʻana i nā lehulehu.
- Inā loaʻa iā ʻoe ke kuni a i ʻole he mau hōʻailona o ka maʻi , e kāhea koke aku i kāu kauka.
- Aia nā lāʻau lapaʻau kūpono, e like me G-CSF, e hoʻihoʻi koke i kāu mau pae koko keʻokeʻo.
- ʻAʻole ʻoe hoʻokahi ma kēia huakaʻi. Ua mākaukau mau kāu hui lapaʻau e kōkua iā ʻoe. No laila e kamaʻilio me lākou e pili ana i nā hopohopo āpau.
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