ʻAʻole anei e hana pono ana kou iwi iwi? E kamaʻilio kākou e pili ana i ka myelosuppression!

Ke manaʻo nei hoʻi ʻoe ʻaʻole ʻoe e maikaʻi ana, e maʻi mau ana, a i ʻole ke kahe ʻana o ke koko mai kahi ʻoki liʻiliʻi, inā paha ʻoe e mālama ʻia ana i ka maʻi kanesa a i ʻole kekahi maʻi ʻē aʻe? Ma hope o kēia mau mea, aia paha ka myelosuppression , kahi kūlana i hana pono ʻole ai ka iwi iwi . Mai hopohopo, e kamaʻilio maʻalahi kākou e pili ana i kēia.

He aha ka myelosuppression? I ka pololei, he hoʻonāwaliwali anei ia o ka iwi iwi?

I ka ʻōlelo maʻalahi, ʻae! ʻO ka iwi iwi ka ʻiʻo palupalu a huʻahuʻa i loko o kou mau iwi. E noʻonoʻo iā ia e like me ka hale hana koko o ko mākou kino. Hana kēia hale hana i nā piliona o nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a me nā platelets, he mea nui ia no ko mākou ola ʻana, a hoʻohui iā lākou i ko mākou koko. He ʻokoʻa ka hana a kēlā me kēia ʻano hunaola no ko mākou kino. Hoʻonui a hoʻemi paha ka iwi iwi i kēia hana ma muli o nā pono o ko mākou kino.

I kēia manawa, ma ke ʻano i kapa ʻia ʻo myelosuppression , ua hoʻopilikia ʻia ka hana o kēia hale hana iwi iwi no kekahi kumu. A laila, ʻaʻole hiki ke hana pono ʻia nā hunaola koko a me nā platelets. ʻO ke kumu nui o kēia, ʻo ia ka mālama ʻana i ka chemotherapy no ka maʻi kanesa. Eia nō naʻe, hiki i kekahi mau ʻano maʻi kanesa koko a me kekahi mau virus ke hana i ka hāʻule ʻana o ka iwi iwi.

He aha nā hōʻailona o ka myelosuppression?

Hiki ke ʻokoʻa nā hōʻailona mai kēlā kanaka a kēia kanaka, ma muli o ka hana ʻana o kou iwi iwi i nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a i ʻole nā ​​platelets.

Inā emi nā hunaola koko ʻulaʻula - Anemia

Lawe nā hunaola koko ʻulaʻula i ka oxygen ma loko o kou kino. Ke lawa ʻole lākou , ulu ka anemia . Hiki i nā hōʻailona ke komo pū me:

• Luhi
• Pōkole o ka hanu / dyspnea
• Pōʻino
• Puʻuwai wikiwiki a ʻano ʻole paha / arrhythmia
• Ka manaʻo o ke kani ʻana i loko o nā pepeiao, i kekahi manawa hele pū me ke kani "kuʻi" a me ka puʻuwai (Pulsatile tinnitus)
• ʻEha poʻo
• Ka ʻulaʻula o ke kala o ka ʻili
• ʻEha umauma

ʻO Neutropenia - kahi emi ʻana o nā keʻokeʻo koko (ʻoi aku ka neutrophils)

Hoʻouka nā keena koko keʻokeʻo i nā germs e komo i loko o ko mākou kino a pale iā mākou mai ka maʻi . ʻO kekahi ʻano keena koko keʻokeʻo i kapa ʻia he neutrophils . Ke hana ka iwi iwi i nā neutrophils liʻiliʻi ma muli o ka myelosuppression, ua kapa ʻia ke ʻano he neutropenia . ʻAʻohe hōʻailona kikoʻī o Neutropenia, akā ma muli o kēiaHiki ke loaʻa pinepine nā maʻi, a ʻo ia ka manawa e ʻike ʻia ai nā hōʻailona.

• ʻO ke kuni (i kekahi manawa i kapa ʻia ʻo febrile neutropenia )
• Luhi
• ʻEha ka ʻāʻī/maʻi (ʻEha ka ʻāʻī/pharyngitis)
• Nā ʻōpū lymph pehu
• Nā ʻeha ma ka waha a puni paha ka anus
• Ka maʻi pākī
• Ke kuni nei i ka wā e mimi ana, me ka manaʻo e like me ka wikiwiki o ka mimi ʻana, ka mimi pinepine ʻana

Inā emi nā platelets - Thrombocytopenia

Kōkua nā platelets i ke kāohi ʻana i ke kahe koko . Ke emi kēia mau pae, hiki mai kahi kūlana i kapa ʻia ʻo thrombocytopenia . Hiki i kēia ke hana:

• Ke kahe koko e mau ana no ka manawa lōʻihi, ʻoiai mai kahi ʻeha liʻiliʻi, a i ʻole ka pilikia i ka hoʻōki ʻana i ke kahe koko o ka ihu.
• ʻIke wikiwiki ʻia nā palapū ma mua o ka maʻamau.
• ʻO ke ʻano o nā kiko ʻulaʻula liʻiliʻi (e like me ka ʻulaʻula) ma nā wāwae haʻahaʻa - ua kapa ʻia kēia he petechiae .
• Nā kiko ʻulaʻula, poni, a ʻeleʻele paha ma ka ʻili - ua kapa ʻia kēia he purpura .

Inā ua hoʻemi ʻia nā ʻano hunaola koko āpau - Pancytopenia

I kekahi manawa, hiki i kēia mau hunaola koko ʻekolu—nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a me nā platelet—ke haʻahaʻa i ka manawa like . Ua kapa ʻia kēia maʻi he pancytopenia . E like me ka neutropenia, ʻaʻole kēia he maʻi i loko ona iho, akā hiki ke lilo i hōʻailona o kahi maʻi olakino.

No ke aha e hana ai ka myelosuppression? He aha nā kumu?

E like me kā mākou i ʻōlelo ai ma mua, ʻo ka chemotherapy ke kumu maʻamau . Eia nō naʻe, aia kekahi mau kumu ʻē aʻe.

ʻO ka Chemotherapy, immunotherapy, a me ka myelosuppression

Hiki i kekahi mau ʻano lāʻau chemotherapy ke hana i kēia. ʻO kekahi o nā mea maʻamau:

• ʻO Fluorouracil
• ʻOxaliplatin
• ʻIrinotecan
• ʻO Capecitabine

Eia kekahi, ʻo ka CAR T-cell therapy, kahi ʻano immunotherapy , hiki ke hoʻopilikia i ka hana o ka iwi ʻiʻo a hoʻemi i ka hana ʻana o nā cell koko a me nā platelet.

Nā maʻi ʻaʻai koko a me ka Myelosuppression

Hiki i kekahi mau maʻi kanesa koko ke hoʻopilikia i ka hana ʻana o nā hunaola koko maʻamau. No ka laʻana, i nā maʻi kanesa e like me ka leukemia, lymphoma, a me ka myeloma , ulu nui nā hunaola kanesa ʻē aʻe i loko o ka iwi iwi a hoʻōki i ka hana ʻana o nā hunaola koko olakino a me nā platelets.

Nā maʻi a me ka myelosuppression

Hiki i kekahi mau maʻi viral ke hoʻopilikia i ke kaʻina hana koko i loko o ka iwi iwi. E noʻonoʻo i ka wā e komo ai kahi virus i ke kino, ʻo nā pale o ko mākou kino, ʻo ia hoʻi nā keʻokeʻo koko, e hakakā i ka virus. I loko o kēia hakakā, hiki i ka iwi iwi ke hana i kahi liʻiliʻi o nā keʻokeʻo koko ʻulaʻula a me nā platelets. Manaʻo kekahi mau haʻawina e hoʻopili pololei kekahi mau virus i nā keʻena hana koko i loko o ka iwi iwi, e hōʻemi ana i ka helu o nā keʻena koko. ʻO kekahi mau virus i ʻike ʻia e pili ana i kēia kūlana o ka myelosuppression:

• ʻO ka maʻi Epstein-Barr (EBV)
• ʻO ka maʻi Hepatitis C
• ʻO ka maʻi Parvovirus B19
• ʻO ka maʻi Cytomegalovirus (CMV)
• ʻO ka maʻi e hoʻoulu ai i ka moa (Chickenpox / varicella zoster)
• ʻO ka maʻi pale ʻole kanaka (HIV)
• kuni dengue

Hiki i ka myelosuppression ke hoʻoulu i nā pilikia koʻikoʻi?

ʻAe, i kekahi manawa hiki i kēia ke alakaʻi i nā pilikia e hoʻoweliweli i ke ola . No ka laʻana, kahi hāʻule koke o nā hunaola koko ʻulaʻula (anemia koʻikoʻi) a i ʻole ka hāʻule ʻana o nā platelets (ke kahe koko hiki ʻole ke kāohi) .

Mea nui: Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​ʻoiai inā ʻoe e mālama ʻia nei no ka maʻi kanesa, he mea nui loa ia e ʻimi koke i ke kōkua lapaʻau.

Pehea e ʻike pololei ai nā kauka i kēia maʻi?

ʻIke nui ʻia kēia ma o nā hoʻāʻo koko . Nānā kēia mau hoʻāʻo koko inā hana maʻamau kou iwi iwi i nā hunaola koko a me nā platelets.

Hiki ke hana i nā hoʻāʻo koko e like me kēia:

• Helu koko piha (CBC)
• Hoʻāʻo MCV (ka nui o ke kino / hoʻāʻo MCV)
• Hoʻāʻo RDW (ka laulā o ka hoʻolaha ʻana o nā cell ʻulaʻula / hoʻāʻo RDW)
• Helu o nā reticulocyte
• ʻO ka hoʻopili koko peripheral
• Hoʻāʻo MPV (ka nui o ka platelet / hoʻāʻo MPV)

He aha nā lāʻau lapaʻau no ka myelosuppression?

Hoʻoponopono nā kauka i kēia me kēia mau ʻano:

• Inā ʻo ke kumu o ka myelosuppression ka chemotherapy, pono e hoʻemi ʻia ka nui o ka chemotherapy a hoʻōki paha i kahi manawa pōkole .
• Nā hoʻoili koko e hoʻonui i ka pae o nā sela koko ʻulaʻula a me nā platelet.
• Ke hāʻawi nei iā ʻoe i nā lāʻau lapaʻau e kōkua ai i kou iwi iwi e hana i nā hunaola koko a me nā platelets hou aku.

Hiki ke pale ʻia kēia kūlana mai ka hanana ʻana?

Hoʻomaka pinepine ka Myelosuppression ma ke ʻano he hopena ʻaoʻao o nā lāʻau lapaʻau maʻi kanesa. No laila, ke nānā mau nei nā kauka i kēia mau hopena ʻaoʻao i ka wā o ka mālama ʻana i ka maʻi kanesa. E nānā pinepine lākou i kāu mau hoʻāʻo koko a hana i nā hoʻololi i kāu hoʻolālā lapaʻau inā pono.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka myelosuppression?

Loaʻa i nā kānaka he nui kēia maʻi no ka mea ke loaʻa nei iā lākou ka chemotherapy. Inā pēlā, e nānā pono kāu kauka i ke ʻano o ka hopena o ka chemotherapy i kou iwi iwi. Pono paha ʻoe e hoʻomaha iki mai ka mālama ʻana i ka maʻi kanesa e hiki ai i kou iwi iwi ke kūkulu hou i kona helu koko.

Pehea wau e mālama ai iaʻu iho?

Hiki i ka Myelosuppression ke hoʻonui i kou pilikia o ka loaʻa ʻana o nā maʻi a me ke kahe ʻana o ke koko . Hiki iā ʻoe ke hana i kēia mau mea e hōʻemi ai i kēia pilikia:

• E kiʻi i nā lāʻau pale e pale aku i nā maʻi maʻamau.
• Ke hoʻomaʻamaʻa nei i nā hana hoʻomaʻemaʻe maikaʻi , e like me ka holoi pinepine ʻana i kou mau lima a me ka noho mamao aku mai ka poʻe maʻi.
• E pale iā ʻoe iho mai nā kūlana kahi e hiki ai iā ʻoe ke ʻeha a ʻoki ʻia paha . Eia kekahi laʻana, e makaʻala i ka wā e hoʻohana ai i nā mea kaua ʻoi.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Hiki iā ʻoe ke nīnau i ke kauka i nā nīnau e like me kēia:

• No ke aha i loaʻa ai iaʻu kēia kūlana myelosuppression?
• Pehea ka hopena o kēia maʻi i koʻu kino?
• He aha nā koho lapaʻau e loaʻa iaʻu?
• E ho'ōla loa anei ka lāʻau lapaʻau i koʻu myelosuppression?

Hōʻuluʻulu Manaʻo: Nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

He ʻāpana koʻikoʻi kou iwi iwi o kou kino. Nā hunaola koko ʻulaʻula e lawe ana i ka oxygen, nā hunaola koko keʻokeʻo e hakakā ana i ka maʻi, nā platelets e kōkua ana i kou hoʻopaʻa koko - hana ʻia lākou a pau ma laila. ʻO ka Myelosuppression ka wā e pau ai ka hana ʻana o kou iwi iwi no kekahi kumu. ʻO ke kumu maʻamau ka chemotherapy no ka maʻi kanesa, akā hiki nō hoʻi ke hana ʻia e kekahi mau maʻi kanesa koko a me nā virus. Mai hopohopo. E ʻike nā kauka i ke kumu a mālama iā ia e like me ia. ʻO ka mea nui loa, ʻo ia ke ʻimi i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe a hahai pono i kā lākou ʻōlelo aʻo. ʻAʻole ʻoe hoʻokahi, a aia nā kauka e hiki ke kōkua iā ʻoe ma kēia huakaʻi.

ʻO ka Myelosuppression, ka hoʻopau ʻana i ka iwi iwi, ka iwi iwi, nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, nā platelets, kemoterapy, ka maʻi kanesa, ka anemia, ka neutropenia, ka thrombocytopenia, nā maʻi ʻaʻai