Yog tias koj tab tom kho mob qog noj ntshav hauv lub mis , koj yuav xav tias nkees heev, qaug zog, thiab mob txhua lub sijhawm. Qhov no yog qhov tshwm sim ntau rau ntau tus neeg thaum lub sijhawm kho mob qog noj ntshav. Qhov no yog vim tias kev kho mob txo cov qe ntshav dawb, ib hom kab mob tiv thaiv kab mob uas tseem ceeb rau peb lub cev. Qhov no yog qhov peb tab tom tham txog hnub no.
Cov qe ntshav dawb tsis muaj zog (neutropenia) yog dab tsi?
Hais yooj yim xwb, thaum cov kab mob ua rau muaj kab mob, xws li cov kab mob bacteria thiab cov kab mob virus, nkag mus rau hauv peb lub cev, peb muaj ib pab tub rog los tawm tsam lawv. Cov neeg tawm tsam pem hauv ntej hauv pab tub rog no yog cov qe ntshav dawb hu ua neutrophils .
Tam sim no xav txog nws, chemotherapy yog ib yam tshuaj muaj zog uas tua cov hlwb qog noj ntshav. Cov tshuaj no tsis tuaj yeem paub txog cov hlwb qog noj ntshav thiab cov hlwb noj qab haus huv hauv peb lub cev uas faib sai. Yog li, thaum lawv tua cov hlwb qog noj ntshav, cov tub rog no hu ua neutrophils uas faib sai kuj raug tua.
Ib yam li peb cov tub rog muaj kev phom sij ntau dua rau kev tawm tsam thaum cov tub rog txo qis, peb lub cev muaj kev phom sij ntau dua rau kev kis kab mob thaum cov neutrophils txo qis. Hauv kev kho mob, peb hu qhov kev txo qis ntawm neutrophils neutropenia no.
Tiamsis nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias cov qe ntshav dawb tsis muaj zog (neutropenia) tsuas yog ib qho kev phiv ib ntus ntawm kev siv tshuaj kho mob xwb. Koj lub cev yuav rov qab zoo li qub thaum kev kho mob tas.
Peb yuav tsum ua li cas los tiv thaiv peb tus kheej ntawm kev kis kab mob?
Peb yuav tsum ceev faj ntxiv thaum lub sijhawm no, vim tias txawm tias mob khaub thuas me me kuj tuaj yeem ua rau mob hnyav. Nov yog qee cov kauj ruam yooj yim uas koj tuaj yeem ua raws.
| Cov kauj ruam yuav tsum ua | Kev piav qhia thiab qhov tseem ceeb |
|---|---|
| Kev txhaj tshuaj tiv thaiv kab mob | Tau txais txhua yam tshuaj tiv thaiv kab mob uas koj tus kws kho mob pom zoo (xws li tshuaj tiv thaiv mob khaub thuas, COVID-19, mob ntsws). Cov tshuaj tiv thaiv no muab kev tiv thaiv zoo rau koj thaum koj lub cev tiv thaiv kab mob tsis muaj zog. |
| Ntxuav koj txhais tes tsis tu ncua. | Nov yog txoj hauv kev zoo tshaj plaws thiab yooj yim tshaj plaws los tiv thaiv koj tus kheej ntawm cov kab mob. Ntxuav koj txhais tes kom huv si nrog xab npum thiab dej tsawg kawg yog 20 vib nas this. Nco ntsoov ntxuav koj txhais tes tom qab tawm sab nraud, ua ntej noj mov, thiab tom qab siv chav dej. |
| Nyob deb ntawm cov neeg mob | Nyob deb ntawm cov neeg uas hnoos thiab mob khaub thuas ntau li ntau tau. Txawm tias lawv hais tias, "Tam sim no zoo lawm, nws tsis kis tau," tsis txhob pheej hmoo. |
| Tsis txhob mus rau qhov chaw uas muaj neeg coob coob | Txo koj txoj kev mus xyuas cov chaw uas muaj neeg coob coob xws li tsheb npav, khw muag khoom, tuam tsev, thiab cov tsev teev ntuj. Yog tias koj yuav tsum mus, hnav lub npog ntsej muag zoo thiab tawm mus sai sai. |
| Kev nyab xeeb ntawm zaub mov | Ua zaub mov kom siav. Tsis txhob noj nqaij thiab ntses nyoos los yog tsis tau siav (piv txwv li sushi, nqaij nyuj tsis tau siav). Ntxuav thiab ntxuav cov zaub thiab txiv hmab txiv ntoo kom huv si ua ntej noj. |
| Kev pab los ntawm cov tswv cuab hauv tsev neeg | Qhia rau koj tsev neeg txog qhov no thiab hais kom lawv ua raws li cov kev ntsuas kev nyab xeeb no ntau li ntau tau. Qhov ntawd yuav pab tau koj heev. |
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Koj tsis tas yuav kuaj xyuas seb puas muaj kub taub hau txhua hnub thaum koj tab tom kho mob chemotherapy . Txawm li cas los xij, yog tias koj muaj cov cim qhia tias muaj kev kis kab mob, qhia rau koj tus kws kho mob tam sim ntawd.
Ua tib zoo saib xyuas cov cim qhia no:
- Kub taub hau (feem ntau siab tshaj 100.4°F lossis 38°C)
- Hnov kub los yog tshee hnyo
- Ua pa nyuaj
- Xav tias nkees heev thiab tsis muaj sia nyob
- Xav tias tsis zoo, txawv ntawm niaj hnub
Yog koj kub taub hau, tsis txhob tsis quav ntsej. Hu rau koj tus kws kho mob tam sim ntawd. Nws yuav qhia koj seb puas yuav tsum nyob hauv tsev, tuaj rau chaw kho mob, lossis mus rau tsev kho mob ze tshaj plaws.Seb puas yuav mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU). Yog koj mus rau ETU, nco ntsoov qhia rau tus kws kho mob tias koj tab tom txais kev kho mob chemotherapy.
Cov qe ntshav dawb tsis muaj zog (neutropenia) kav ntev npaum li cas?
Qhov mob no hnyav npaum li cas thiab nws kav ntev npaum li cas yuav sib txawv nyob ntawm hom tshuaj chemotherapy uas koj tau txais.
Feem ntau, cov neutrophils poob qis tshaj plaws thaum lub sijhawm kho mob chemotherapy. Piv txwv li, yog tias koj tau txais chemotherapy txhua 4 lub lis piam, koj cov neutrophils yuav mus txog qib qis tshaj plaws li ntawm 2 lub lis piam tom qab kev kho mob. Qhov no yuav hnyav dua thaum koj txoj kev kho mob txuas ntxiv mus. Tab sis tsis txhob txhawj, koj cov kws kho mob tau npaj rau nws.
Cov kev kho mob rau qhov no yog dab tsi?
Muaj ib pawg tshuaj tshwj xeeb uas cov kws kho mob siv los txo lub sijhawm ntawm neutropenia thiab tiv thaiv koj ntawm kev kis kab mob. Cov no hu ua G-CSF (granulocyte colony-stimulating factors) . Hais yooj yim xwb, cov tshuaj no ua rau koj cov pob txha ua haujlwm thiab ua rau cov qe ntshav dawb ntau ntxiv (tshwj xeeb tshaj yog neutrophils).
Feem ntau cov no yog muab ua tshuaj txhaj li ntawm 24 teev tom qab noj tshuaj chemo.
G-CSF ua haujlwm ntev
Hom tshuaj no, uas tsuas yog xav tau ib koob tshuaj rau ib zaug tshuaj chemotherapy xwb, yog hom tshuaj uas siv ntau tshaj plaws tam sim no. Muaj ob txoj hauv kev kom tau txais nws:
1. Rov qab mus rau tsev kho mob hnub tom qab chemo mus txhaj tshuaj.
2. Los yog, koj tuaj yeem txhaj tshuaj rau koj tus kheej hauv tsev lossis kom ib tug neeg hauv tsev neeg txhaj tshuaj rau.
Ntxiv rau qhov ntawd, muaj ib lub cuab yeej tshiab hu ua Onpro . Hauv qhov no, ib lub pob me me uas muaj cov tshuaj txhaj tshuaj raug txuas rau ntawm daim tawv nqaij ntawm koj txhais caj npab. Tom qab li 27 teev, cov tshuaj raug txhaj rau hauv qab daim tawv nqaij los ntawm ib rab koob me me sab hauv. Qhov no yog ib qho kev xaiv zoo rau cov neeg uas ntshai txhaj tshuaj thiab tsis xav rov qab mus rau tsev kho mob.
G-CSF ua haujlwm luv luv
Hauv hom no, koj yuav tsum tau txhaj tshuaj ntau zaus txhua hnub ntawm ob zaug chemo. Txawm hais tias cov no tsis tshua muaj nrog kev tshwm sim ntawm cov tshuaj ua haujlwm ntev, cov kws kho mob tseem yuav pom zoo kom lawv yog tias qee tus neeg muaj ntau cov kev phiv los ntawm cov tshuaj ua haujlwm ntev.
Cov kev mob tshwm sim ntawm cov tshuaj no
Cov kev mob tshwm sim feem ntau ntawm G-CSF yog mob pob txha thiab mob nqaij thiab kub taub hau . Feem ntau cov no tuaj yeem tswj tau nrog cov tshuaj tua kab mob (nug koj tus kws kho mob).
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Neutropenia yog ib qho mob uas tshwm sim ib ntus xwb thaum lub sijhawm kho mob chemotherapy. Tsis txhob txhawj txog qhov no yam tsis tsim nyog.
- Koj qhov kev pheej hmoo loj tshaj plaws thaum lub sijhawm no yog kev kis kab mob , yog li nco ntsoov ua raws li cov kev ntsuas kev nyab xeeb xws li ntxuav koj txhais tes thiab zam kev coob coob.
- Yog koj kub taub hau los yog muaj cov cim qhia tias muaj kev kis kab mob , hu rau koj tus kws kho mob tam sim ntawd.
- Muaj cov kev kho mob zoo, xws li G-CSF, los kho koj cov qe ntshav dawb sai sai.
- Koj tsis yog ib leeg xwb hauv txoj kev taug kev no. Koj pab neeg kho mob yeej ib txwm npaj txhij los pab koj. Yog li ntawd, nrog lawv tham txog txhua yam kev txhawj xeeb.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus