Koj lub cev puas tiv thaiv kab mob qis? Cia peb tham txog qhov tsis muaj ntshav liab ntau!

Koj puas mob ntau zaus? Los yog puas tau muaj ib tug kws kho mob saib koj cov ntshav kuaj thiab hais tias, "Koj cov qe ntshav dawb qis me ntsis?" Tej zaum koj kub taub hau, xav tias qaug zog me ntsis, tab sis koj tsis paub yog vim li cas. Thaum lub sijhawm zoo li no, nws tseem ceeb heev rau koj kom paub txog qhov mob no hu ua neutropenia, uas peb tab tom tham txog hnub no. Tsis txhob txhawj, cia peb piav qhia yooj yim.

Neutropenia yog dab tsi? Nws yooj yim heev!

Hais yooj yim xwb, neutropenia yog ib qho mob uas koj cov ntshav muaj cov qe ntshav dawb hu ua neutrophils tsawg dua li qub. Xav txog cov neutrophils no ua cov tub ceev xwm uas tau kawm tshwj xeeb hauv peb lub cev. Lawv yog cov uas tawm tsam cov kab mob, xws li cov kab mob me me thiab cov kab mob, uas nkag mus rau hauv peb lub cev thiab tiv thaiv peb ntawm kab mob.

Cov tub rog no hu ua neutrophils feem ntau yog tsim nyob rau hauv lub Hoobkas hauv peb cov pob txha. Yog li, thaum tus lej ntawm cov neutrophils no txo ​​qis, peb lub cev lub peev xwm los tawm tsam cov kab mob kuj txo qis. Qhov ntawd txhais tau tias qhov muaj feem yuav kis tau kab mob nce ntxiv ntau heev. Hauv qee kis mob hnyav, txawm tias cov kab mob uas feem ntau tsis ua teeb meem ntau rau tus neeg noj qab haus huv, xws li cov nyob hauv peb lub qhov ncauj lossis txoj hnyuv, tuaj yeem ua rau muaj mob hnyav. Koj puas nkag siab?

Cov neutrophils yuav tsum yog dab tsi?

Neutropenia yog cais raws li tus naj npawb ntawm cov neutrophils hauv cov ntshav kuaj. Feem ntau lees txais tias ib tus neeg laus yuav tsum muaj tsawg kawg yog 1,500 neutrophils ib microliter ntawm cov ntshav. (Qee tus xav tias qhov txwv no yog 1,800). Nov yog li cas nws faib ua:

• Cov qe ntshav dawb tsis muaj zog me ntsis: Nruab nrab ntawm 1,000 - 1,500 cov qe ntshav dawb.
• Cov qe ntshav dawb tsis muaj zog txaus: Nruab nrab ntawm 500 - 1,000 cov qe ntshav dawb.
• Neutropenia hnyav: Tsawg dua 500 neutrophils.

Tus mob no yuav yog ib ntus xwb (mob hnyav heev) los yog mob ntev (mob ntev). Nws kuj tseem yuav yog mob txij thaum yug los yog mob tau los.

Leej twg yuav muaj feem ntau dua rau kev mob neutropenia?

Qee zaum cov qe ntshav dawb tsis muaj zog (neutropenia) tuaj yeem tshwm sim los ntawm kev kis kab mob. Txawm li cas los xij, feem ntau nws pom tias yog ib qho kev phiv los ntawm kev kho mob qog noj ntshav, tshwj xeeb tshaj yog kev kho mob qog noj ntshav. Cov kws tshawb fawb hais tias txog li 50% ntawm cov neeg uas tau txais kev kho mob qog noj ntshav yuav muaj cov qe ntshav dawb tsis muaj zog.

Muaj lwm hom mob hu ua 'Benign Ethnic Neutropenia (BEN).' Qhov no yog ib yam mob uas muaj txij thaum yug los thiab mob mus ntev. Feem ntau nws tshwm sim rau cov neeg African, Middle Eastern, thiab West Indian. Cov neeg no muaj cov neutrophil tsawg dua 1,500, tab sis lawv tsis muaj feem yuav kis tau kab mob.

Cov neutropenia cuam tshuam li cas rau kuv lub cev?

Cov teebmeem ntawm neutropenia sib txawv nyob ntawm koj cov lej neutrophil. Ib tug neeg uas muaj neutropenia me ntsis tej zaum yuav tsis muaj tsos mob dab tsi. Nws feem ntau pom thaum lub sijhawm kuaj ntshav rau lwm yam mob. Txawm li cas los xij, yog tias koj muaj neutropenia nruab nrab mus rau hnyav, koj muaj kev pheej hmoo siab dua ntawm kev kis kab mob. Neutropenia hnyav tuaj yeem ua rau tuag taus yog tias tsis kho kom zoo. Qhov no yog vim li cas nws thiaj li tseem ceeb kom paub txog tus mob no.

Vim li cas cov qe ntshav dawb thiaj li tsis muaj zog (neutropenia)? Muaj tej yam ua rau muaj li cas?

Neutropenia tuaj yeem tshwm sim los ntawm peb yam tseem ceeb:

1. Koj cov pob txha tsis tsim cov neutrophils txaus.

2. Kev tawg sai (kev puas tsuaj) ntawm cov neutrophils uas tau tsim tawm.

3. Los yog, rhuav tshem cov neutrophils uas tau tsim.

Nov yog qee qhov laj thawj vim li cas:

• Cov mob caj ces: Qee zaum cov mob no tuaj yeem kis tau los ntawm niam txiv mus rau cov menyuam los ntawm cov noob caj ces. Benign Ethnic Neutropenia (BEN), Cyclic neutropenia, thiab Severe congenital neutropenia yog qee hom uas tshwm sim los ntawm cov laj thawj caj ces zoo li no.
• Cov Kab Mob: Cov qe ntshav dawb kuj tseem tuaj yeem tshwm sim los ntawm cov kab mob viral, bacterial, thiab parasitic. Piv txwv li suav nrog HIV, hepatitis, tuberculosis, sepsis (kev kis kab mob hnyav rau cov ntshav), thiab Lyme kab mob.
• Mob qog noj ntshav: Mob qog noj ntshav xws li leukemia, lymphoma, thiab lwm yam kab mob uas cuam tshuam nrog cov ntshav lossis pob txha pob txha tuaj yeem ua rau lub cev tsis tuaj yeem tsim cov qe ntshav dawb zoo uas nws xav tau, ua rau neutropenia.
• Cov Tshuaj: Kev kho mob rau mob qog noj ntshav, xws li kev siv tshuaj chemotherapy thiab kev kho mob hluav taws xob, tuaj yeem ua rau cov neutrophils thiab cov pob txha uas tsim lawv puas tsuaj. Tsis tas li ntawd, qee cov tshuaj rau lwm yam mob uas tsis yog mob qog noj ntshav tuaj yeem txo cov neutrophils ua ib qho kev phiv.
• Kev Tsis Txaus Noj Haus: Neutropenia tuaj yeem tshwm sim yog tias lub cev tsis tau txais cov vitamins thiab minerals txaus, xws li vitamin B12, folate, lossis tooj liab.
• Kev tsis muaj zog tiv thaiv kab mob: Qhov no yog thaum peb lub cev tiv thaiv kab mob tsis nkag siab peb lub cev tiv thaiv kab mob thiab tsim cov tshuaj tua kab mob uas rhuav tshem cov neutrophils noj qab haus huv. Nws zoo li peb cov tub rog tawm tsam nws tus kheej. Kab mob Crohn, lupus, thiab mob pob qij txha rheumatoid yog qee yam ntawm cov mob no.

Qee zaum muaj ib yam mob hu ua 'Chronic idiopathic neutropenia'. Uas yog, muaj neutropenia, tab sis tsis pom qhov ua rau tseeb .

Vim li cas kev kho mob qog noj ntshav thiaj ua rau muaj neutropenia?

Kev kho mob qog noj ntshav zoo li chemotherapy yog cov tshuaj muaj zog heev. Lawv tua cov hlwb qog noj ntshav. Txawm li cas los xij, lawv kuj tuaj yeem ua rau cov hlwb noj qab haus huv uas faib sai. Peb cov neutrophils thiab cov hlwb pob txha uas ua rau lawv kuj faib cov hlwb sai. Yog vim li cas neutropenia feem ntau tshwm sim thaum lub sijhawm chemotherapy. Cov theem Neutrophil feem ntau poob qis tshaj plaws hauv ob lub lis piam thawj zaug ntawm kev kho mob. Tom qab ntawd, lawv maj mam nce ntxiv dua.

Nws yog ib qho tseem ceeb heev uas yuav tsum ua cov kauj ruam ntxiv los tiv thaiv koj tus kheej ntawm kev kis kab mob thaum lub sijhawm no, vim tias qhov no yog lub sijhawm uas lub cev tiv thaiv tsis muaj zog tshaj plaws.

Cov tsos mob ntawm cov qe ntshav dawb tsis muaj zog (neutropenia) yog dab tsi?

Neutropenia nws tus kheej tsis muaj cov tsos mob tshwj xeeb. Txawm li cas los xij, yog tias koj kis tau kab mob vim yog neutropenia, koj yuav muaj cov tsos mob ntawm cov kab mob ntawd. Kev kis kab mob ntau zaus kuj tuaj yeem yog ib qho cim ntawm neutropenia. Nov yog qee cov tsos mob:

• Kub taub hau (tshwj xeeb yog ib qho mob hu ua febrile neutropenia)
• Kev qaug zog
• Mob caj pas (Pharingitis)
• Cov qog ntshav o
• Mob qog hauv qhov ncauj lossis nyob ib puag ncig lub qhov quav
• Mob, o, thiab liab ntawm qhov chaw kis kab mob
• Kev zom zaub mov tsis zoo, raws plab
• Cov tsos mob ntawm kev tso zis, xws li kub hnyiab thaum tso zis thiab tso zis ntau zaus

Yog koj muaj cov qe ntshav dawb me ntsis xwb, tej zaum koj yuav muaj cov qe ntshav dawb txaus hauv koj lub cev los tawm tsam cov kab mob. Yog li ntawd, tej zaum koj yuav tsis muaj tsos mob dab tsi li.

Yuav kuaj mob neutropenia li cas?

Qhov kev kuaj mob tseem ceeb thiab yooj yim tshaj plaws los kuaj qhov no yog kev suav cov ntshav tag nrho (CBC) nrog rau qhov sib txawv . Yog tias koj tab tom kho mob xws li chemotherapy, koj tus kws kho mob yuav ua qhov kev kuaj mob no tas li los saib xyuas koj cov neutrophils.

Yog tias koj tus kws kho mob tsis paub meej tias dab tsi ua rau koj cov neutropenia, nws yuav kom kuaj ntxiv. Piv txwv li, yuav muab ib qho qauv ntawm koj cov pob txha pob txha coj mus kuaj hauv qab lub tshuab microscope. Qhov kev kuaj no tuaj yeem txiav txim siab seb cov neutrophils puas tau tsim tawm zoo hauv koj cov pob txha pob txha, lossis seb lawv puas raug rhuav tshem tom qab lawv tsim tawm. Cov ntaub ntawv no tuaj yeem pab koj tus kws kho mob lees paub qhov kev kuaj mob.

Cov kev kho mob rau cov neutropenia yog dab tsi?

Tej hom mob neutropenia tej zaum yuav tsis tas yuav kho. Lwm txoj kev kho mob nyob ntawm seb ua rau koj cov neutrophil qis npaum li cas.

Cov hauv qab no tuaj yeem ua tau raws li kev kho mob:

• Cov Tshuaj Tua Kab Mob: Yog tias koj muaj tus kab mob febrile neutropenia nrog rau kub taub hau, cov tshuaj tua kab mob tuaj yeem cawm tau koj txoj sia. Feem ntau koj yuav raug xa mus rau tsev kho mob thiab muab cov tshuaj tua kab mob, xws li saline, rau hauv cov hlab ntsha. Thaum lub sijhawm no, yuav muaj kev kuaj mob kom nrhiav tau qhov ua rau muaj kev kis kab mob.
• Cov tshuaj Corticosteroids: Yog tias koj muaj cov qe ntshav dawb tsawg tsawg uas yog los ntawm tus kab mob autoimmune, koj tus kws kho mob yuav sau ntawv kom koj noj tshuaj hu ua corticosteroids. Cov tshuaj no ua rau koj lub cev tiv thaiv kab mob tsis ua haujlwm zoo, uas ua rau koj cov qe ntshav dawb puas tsuaj.
• Granulocyte colony-stimulating factor (G-CSF): Koj tus kws kho mob kuj tseem yuav sau ntawv kom koj cov pob txha ua haujlwm kom tsim cov qe ntshav dawb. Yog tias koj tab tom kho mob chemotherapy, koj yuav tau txhaj tshuaj G-CSF no.

Yog tias pom tau tias cov neutropenia yog los ntawm cov tshuaj uas koj noj, koj tus kws kho mob yuav hais kom koj tsum tsis txhob noj cov tshuaj ntawd lossis hloov qhov ntau npaum li cas.

Puas tiv thaiv tau cov qe ntshav dawb tsis muaj zog (neutropenia)?

Peb tsis tuaj yeem tiv thaiv cov hom neutropenia uas muaj txij thaum yug los. Txawm li cas los xij, yog tias koj tab tom kho mob chemotherapy, yog tias koj tus kws kho mob xav tias koj cov neutrophil qis, nws yuav ncua qhov kev kho mob chemotherapy tom ntej lossis txo qhov koob tshuaj. Lawv kuj tseem yuav pom zoo kom txhaj tshuaj G-CSF kom nce cov qe ntshav dawb.

Yog tias kuv muaj cov qe ntshav dawb tsis txaus (neutropenia), kuv yuav tiv thaiv kuv tus kheej li cas ntawm kev kis kab mob?

Yog koj paub tias koj cov neutrophils qis, muaj ntau yam uas koj ua tau los tiv thaiv koj tus kheej ntawm kev kis kab mob. Cov no yog cov yam tseem ceeb heev uas yuav tsum nco ntsoov.

• Ntxuav koj txhais tes tsis tu ncua nrog xab npum los yog siv cov tshuaj ntxuav tes uas muaj cawv.
• Xws li mob khaub thuas thiab Covid-19 '(COVID-19)'Tau txais tag nrho koj cov tshuaj tiv thaiv kab mob raws sijhawm.
• Nyob deb ntawm cov neeg mob thiab nyob deb ntawm cov chaw muaj neeg coob coob uas koj yuav ntsib ib tus neeg mob.
• Ceev faj txog cov qhov khawb, cov qhov txiav, thiab cov qhov txhab (xws li cov duab kos thiab cov qhov tho lub cev). Kho cov tawv nqaij uas raug mob tam sim ntawd.
• Ntxuav cov txiv hmab txiv ntoo thiab zaub kom huv si, cais cov nqaij thiab cov ntses ntawm lwm cov khoom noj, thiab npaj zaub mov hauv chav ua noj huv si, ua noj kom raug. Ua li no, koj tuaj yeem tiv thaiv kev kis kab mob.
• Tsis txhob sib koom siv cov khoom siv noj mov, khob, lossis zaub mov thiab dej haus nrog lwm tus.
• Tsis txhob sib koom cov khoom xws li phuam da dej, rab chais plaub hau, thiab txhuam hniav nrog lwm tus.
• Yog koj ua haujlwm hauv lub vaj, hnav hnab looj tes.
• Tsis txhob muab cov quav tsiaj pov tseg thiab hloov cov ntaub qhwv menyuam mos kom ntau li ntau tau (yog tias koj yuav tsum tau ua, hnav hnab looj tes thiab ntxuav koj txhais tes kom huv si tom qab koj ua tiav).
• Tsis txhob siv cov pas dej, cov pas dej me, cov dej ntws, thiab cov pas dej kub.
• Siv cov tshuaj raws nraim li koj tus kws kho mob tau hais kom tiv thaiv kev kis kab mob.

Cov lus qhia no feem ntau yog tej yam uas peb feem ntau ua kom noj qab nyob zoo. Txawm li cas los xij, yog tias koj muaj neutropenia, koj yuav tsum ceev faj ntxiv. Nug koj tus kws kho mob seb koj ua tau dab tsi ntxiv los tiv thaiv koj tus kheej ntawm kev kis kab mob, nyob ntawm koj txoj kev ua neej thiab mob nkeeg.

Yuav ua li cas thiaj paub tias cov neeg uas muaj cov qe ntshav dawb tsis muaj zog (neutropenia) yuav muaj kev kwv yees li cas?

Cov kab mob Neutropenia kho tau, yog li ntawd feem ntau cov neeg yuav zoo. Qhov tseem ceeb tshaj plaws yog tiv thaiv kev kis kab mob thiab nrhiav kev kho mob sai sai (yog tias koj mob).

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj tab tom txais tshuaj chemotherapy lossis muaj lwm yam mob uas ua rau neutropenia, mus ntsib kws kho mob tam sim ntawd yog tias koj muaj cov tsos mob no, lossis hu rau koj tus kws kho mob tam sim ntawd kom tau lus qhia txog yuav ua li cas:

• Kub taub hau txog 100.4 degrees Fahrenheit (38 degrees Celsius) lossis siab dua.
• Tawm hws los yog tshee hnyo vim txias.
• Ua pa nyuaj.
• Qhov ntswg txhaws.
• Mob caj pas los yog mob caj dab.
• Hnoos tshiab los yog hnoos uas twb muaj lawm zuj zus tuaj.
• Raws plab thiab/lossis ntuav.
• Cov kua tawm ntawm qhov chaw mos los yog khaus.
• Mob, liab, lossis o nyob qhov twg ntawm lub cev.
• Kev hloov pauv ntawm kev tso zis (mob, kub hnyiab, yuav tsum tau tso zis ntau zaus).
• Mob tshiab pib mob, tshwj xeeb tshaj yog nyob rau hauv lub plab lossis lub qhov quav.
• Xav tias tsis meej pem lossis lub hlwb txawv ntawm ib txwm muaj.
• Xav tias nkees heev lossis tsis xis nyob.

Koj tus mob neutropenia li cas nyob ntawm seb yog dab tsi ua rau koj cov neutrophils poob qis. Yog tias koj cov neutrophils qis vim yog muaj kab mob tsis ntev los no, lawv yuav rov qab mus rau qhov qub thaum koj lub cev kho. Yog tias koj cov neutropenia yog los ntawm kev mob ntev lossis kev kho mob chemotherapy, koj tus kws kho mob yuav saib xyuas koj cov neutrophils tsis tu ncua kom tiv thaiv cov teeb meem los ntawm kev kis kab mob. Nug koj tus kws kho mob yog tias koj cov neutropenia xav tau kev kuaj mob tsis tu ncua thiab tshuaj kom tiv thaiv kev kis kab mob.

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Neutropenia yog ib qho mob uas lub cev cov qe ntshav dawb, hu ua neutrophils, qis. Qhov no ua rau muaj kev pheej hmoo ntawm kev kis kab mob. Qhov mob no feem ntau tshwm sim rau cov neeg uas tab tom kho mob qog noj ntshav xws li chemotherapy.

Tsis muaj dab tsi yuav txhawj txog, muaj kev kho rau qhov no. Qhov tseem ceeb tshaj plaws yog:

• Ua raws li koj tus kws kho mob cov lus qhia kom meej.
• Ua txhua yam uas ua tau los tiv thaiv koj tus kheej ntawm kev kis kab mob.
• Yog koj pom muaj cov cim qhia txog kev kis kab mob, xws li kub taub hau , nrhiav kev pab kho mob tam sim ntawd.

Yog koj paub txog qhov no thiab ua tib zoo saib xyuas, koj tuaj yeem noj qab nyob zoo txawm tias muaj neutropenia los xij. Tsis txhob yig tham nrog koj tus kws kho mob txog tej lus nug lossis kev txhawj xeeb uas koj muaj.

Cov qe ntshav dawb tsis muaj zog (neutropenia), cov qe ntshav dawb tsis muaj zog (neutrophils), cov qe ntshav dawb tsis muaj zog tiv thaiv kab mob (immune system), cov kab mob sib kis (infections), cov kab mob qog noj ntshav (cancer), cov tshuaj kho mob qog noj ntshav (chemotherapy).