If yu de tek kemotɛrapi fɔ brɔst kansa , yu kin fil taya bad bad wan, yu taya, ɛn yu kin sik ɔltɛm. Dis na rili tin we kin apin to bɔku pipul dɛn we dɛn de tek kimotɛrapi. Dis na bikɔs di tritmɛnt de ridyus di nɔmba fɔ di wayt blɔd sɛl dɛn, we na wan kayn imyun sistɛm we impɔtant fɔ wi bɔdi. Dis na wetin wi de tɔk bɔt tide.
Wetin na nyutropenia?
Fɔ tɔk am simpul wan, we smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Di fɔs layn fɛtman dɛn na dis ami na wayt blɔd sɛl dɛn we dɛn kɔl nyutrofil .
Naw tink bɔt am, kemotɛrapi na pawaful mɛrɛsin we de kil kansa sɛl dɛn. Dɛn mɛrɛsin ya nɔ kin ebul fɔ no di kansa sɛl dɛn ɛn bak di wɛlbɔdi sɛl dɛn na wi bɔdi we kin sheb kwik kwik wan. So, we dɛn kil kansa sɛl dɛn, dɛn kin kil dɛn sojaman dɛn ya we dɛn kɔl nyutrofil we kin sheb kwik kwik wan.
Jɔs lɛk aw wi sojaman dɛn kin atak mɔ we di sojaman dɛn nɔ bɔku, na so wi bɔdi kin gɛt infɛkshɔn mɔ we di nyutrofil dɛn nɔ bɔku. pan mεdikal, wi kin kכl dis dεkrεshכn pan nyutrofil dεm nyutropenia .
Bɔt i impɔtant fɔ mɛmba se nyutropenia na jɔs wan tɛmporari sayd ɛfɛkt fɔ kemotɛrapi. Yu bɔdi go kam bak to nɔmal wans di tritmɛnt dɔn.
Wetin wi fɔ du fɔ protɛkt wisɛf frɔm infɛkshɔn?
Wi nid fɔ tek tɛm mɔ insay dis tɛm, bikɔs ivin smɔl kol kin kam siriɔs. Na sɔm simpul tin dɛn we yu kin du.
| Step dɛn fɔ tek | Diskripshɔn ɛn impɔtant tin |
|---|---|
| Fɔ gɛt di vaysin | Gɛt ɔl di vaysin dɛn we yu dɔktɔ se (lɛk flu shot, COVID-19, nyumonia). Dɛn vaysin ya de gi yu big protɛkshɔn we yu imyun sistɛm wik. |
| Wash yu an ɔltɛm. | Dis na di bɛst ɛn simpul we fɔ protɛkt yusɛf frɔm jem. Wash yu an fayn fayn wan wit sop ɛn wata fɔ at le 20 sɛkɔn. Mek shɔ se yu was yu an afta yu dɔn kɔmɔt na do, bifo yu it, ɛn afta yu dɔn yuz di bafa. |
| Fɔ de fa frɔm pipul dɛn we sik | Stay away frɔm pipul dɛm wae gɛt kɔf ɛn kol as yu ebul. Ivin if dɛn se, "I fayn naw, i nɔ de pas pɔsin," nɔ tek ɛni risk. |
| Fɔ avɔyd ples dɛn we pipul dɛn kin bɔku | Nɔto fɔ go na say dɛn we pipul dɛn kin bɔku lɛk bɔs, shɔp, tɛmpul, ɛn chɔch dɛn. If yu fɔ go, wɛr gud mask ɛn kɔmɔt de kwik kwik wan. |
| Fɔd sef | Kuk it fayn fayn wan. Nɔ it mit ɛn fish we nɔ kuk ɔ we nɔ kuk fayn (e.g. sushi, steak we nɔ kuk fayn). Wash ɛn klin di vɛjitebul ɛn frut dɛn fayn fayn wan bifo yu it. |
| Ɛp frɔm di wan dɛn we de na di famili | Tɛl yu famili bɔt dis ɛn aks dɛn fɔ fala dɛn sef tin ya as dɛn ebul. Dat go rili ɛp yu. |
Ustɛm a fɔ go to di dɔktɔ?
Yu nɔ nid fɔ chɛk fɔ si if yu gɛt fiva ɛvride we yu de du kemotɛrapi . Bɔt if yu si ɛni sayn fɔ se yu gɛt di sik, tɛl yu dɔktɔ wantɛm wantɛm.
Kip yu yay fɔ dɛn sayn ya:
- Fiva (bɔku tɛm i kin pas 100.4°F ɔ 38°C)
- Fɔ fil se yu wam ɔ yu de shek shek
- I nɔ kin izi fɔ yu fɔ blo
- Fɔ fil taya pasmak ɛn nɔ gɛt layf
- Fɔ fil fayn, difrɛn frɔm aw i kin fil
If yu gɛt fiva, nɔ ignore am. Kɔl yu dɔktɔ wantɛm wantɛm. I go tɛl yu if yu fɔ de na os, kam na di klinik, ɔ go na di ɔspitul we de nia yu.If yu fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU). If yu go na di ETU, mek shɔ se yu tɛl di dɔktɔ we de de se yu de tek kemotɛrapi.
Aw lɔng nyutropenia kin las?
Aw dis sik kin tranga ɛn aw lɔng i kin te go difrɛn difrɛn wan bay di kayn kemotɛrapi we yu de gɛt.
Tipikli, di nyutrofil lεvεl dεm dכn dכn mכst na di midul fכ wan kεmothεrapi saykl. Fɔ ɛgzampul, if yu de tek kimotɛrapi ɛvri 4 wik, yu nyutrofil lɛvɛl go rich in lɔs lɛvɛl lɛk 2 wik afta di tritmɛnt. Dis kin wɔs as yu de kɔntinyu fɔ trit yu. Bɔt nɔ wɔri, yu dɔktɔ dɛn dɔn rɛdi fɔ am.
Wetin na di tritmɛnt dɛm fɔ dis?
Wan spɛshal klas de fɔ drɔgs we dɔktɔ dɛn kin yuz fɔ ridyus di tɛm we nyutropenia kin tek ɛn protɛkt yu frɔm infɛkshɔn. dεn kכl dεn tin ya G-CSF (granulocyte colony-stimulating factors) . Fɔ tɔk am simpul wan, dɛn drɔgs ya de mek yu bon mɛro wok ɛn mek yu gɛt wayt blɔd sɛl dɛn (espɛshali nyutrofil dɛn).
Dɛn kin gi dɛn tin ya as injɛkshɔn lɛk 24 awa afta di kemo doz.
G-CSF we de wok fɔ lɔng tɛm
Dis kayn wae na wan injεkshכn nכmכ pan wan rawnd kεmothεrapi, na di kayn we dεn kin yus mכst naw. Tu we dɛn de fɔ gɛt am:
1. Go bak na ɔspitul di de afta kemo fɔ gɛt di injɛkshɔn.
2. Ɔda we de fɔ mek yu injɛkt yusɛf na os ɔ mek yu fambul injɛkt am.
Apat frɔm dat, wan nyu tin de we dɛn kɔl Onpro . Insay dis, dɛn kin tay wan smɔl pak we gɛt di injɛkshɔn na di skin na yu an. Afta lɛk 27 awa so, dɛn kin put di mɛrɛsin ɔnda di skin ɔtomɛtik wan tru wan smɔl nidul we de insay. Dis na gud opshɔn fɔ di wan dɛn we de fred fɔ injɛkshɔn ɛn nɔ want fɔ go bak na ɔspitul.
G-CSF we de wok fɔ shɔt tɛm
Insay dis kayn, yu fɔ tek sɔm injɛkshɔn ɛvride bitwin tu rawnd dɛn fɔ kemo. Pan ɔl we dɛn tin ya nɔ kin apin so ɔltɛm we dɛn dɔn kam wit mɛrɛsin dɛn we de wok fɔ lɔng tɛm, dɔktɔ dɛn kin stil tɛl dɛn if sɔm pipul dɛn gɛt mɔ bad bad tin dɛn we kin apin to dɛn we dɛn de tek mɛrɛsin fɔ lɔng tɛm.
Di sayd ɛfɛkt dɛn we dɛn mɛrɛsin ya kin gɛt
Di sayd ɛfɛkt dɛm we G-CSF kin gɛt na pen ɛn mɔsul dɛm ɛn fiva . Bɔku tɛm yu kin kɔntrol dɛn tin ya wit mɛrɛsin fɔ mek yu fil pen (aks yu dɔktɔ).
Mɛsej we dɛn kin kɛr go na os
- Nyutropenia na wan kɔmɔn ɛn fɔ shɔt tɛm tin we kin apin we dɛn de tek kimotɛrapi. Nɔ wɔri bɔt am we yu nɔ nid fɔ wɔri.
- Yu big risk insay dis tɛm na infekshɔn , so mek shɔ se yu fala di tin dɛn we yu fɔ du fɔ mek yu nɔ gɛt prɔblɛm lɛk fɔ was yu an ɛn fɔ avɔyd krawd.
- If yu gɛt fiva ɔ yu gɛt sayn dɛn fɔ se yu gɛt di sik , kɔl yu dɔktɔ wantɛm wantɛm.
- Dɛn gɛt fayn tritmɛnt dɛn lɛk G-CSF fɔ mek yu wayt blɔd sɛl dɛn kam bak kwik kwik wan.
- Nɔto yu wan de pan dis waka. Yu mɛdikal tim de rɛdi ɔltɛm fɔ ɛp yu. So tɔk to dɛn bɔt ɛnitin we de mɔna dɛn.
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