Breast cancer vei chemotherapy i neih chuan , i chau hle mai thei a, i chau hle a, i damlo reng bawk. Hei hi a takah chuan chemotherapy an tih lai hian mi tam tak tan chuan thil thleng fo a ni. Hei hi a chhan chu a enkawlna hian kan taksa tana pawimawh tak immune system chi khat, thisen var (white blood cells) a tihtlem vang a ni. Hei hi vawiina kan sawi tum chu a ni.
Neutropenia chu eng nge ni?
A awlsam zawngin sawi ila, natna thlentu hrik, bacteria leh virus te kan taksaa an rawn luh chuan anmahni do tur sipai kan nei a ni. He sipai zinga frontline fighter te hi thisen var cell neutrophil an tih te an ni .
Tunah chuan han ngaihtuah teh, Chemotherapy hi damdawi chak tak, cancer cells thattu a ni. Heng damdawi te hian cancer cell bakah kan taksaa cell hrisel tak tak, rang taka inthen darh te pawh a hre thei lo. Chuvangin, cancer cell an tihlum hian heng sipai neutrophil an tih, rang taka inthen darh te pawh hi an that ve bawk.
Kan sipaite hi sipai an tlem chuan beih an hlauhawm zawk ang bawkin, kan taksa pawh hian neutrophil a tlem chuan natna hrik a kai awlsam zawk a ni. Damdawi lamah chuan hei hi neutrophils tlahniam hi neutropenia kan ti a ni.
Mahse neutropenia hi chemotherapy avanga hun eng emaw chen atana side effect awm mai a ni tih hriat reng a pawimawh. Enkawlna a zawh veleh i taksa chu a pangngaiin a awm leh ang.
Hri kai laka inven nan eng nge kan tih ang?
Hetih lai hian kan fimkhur zual a ngai a, khawsik tenau tak pawh hi a na thei hle. Hetah hian step awlsam tak tak i zawm theih tur thenkhat chu tarlan a ni.
| Step lak tur | Sawifiah leh pawimawhna |
|---|---|
| Vaccine lak a ni | I doctor-in a rawt vaccine zawng zawng (flu shot, COVID-19, pneumonia ang chi) la vek rawh. Heng vaccine te hian i immune system a chak loh hunah venhimna nasa tak a pe che a ni. |
| Kut sil fo thin ang che. | Hei hi hrik laka invenna tha ber leh awlsam ber a ni. Sahbawn leh tuiin second 20 tal i kut silfai tur a ni. Pawn lam atanga lo kal hnuah, chaw ei hma leh bathroom hman zawhah kut sil ngei ngei tur a ni. |
| Damlo laka inthiarfihlim | Khuh leh khawsik nei te lakah a theih ang anga inthiarfihlim tur a ni. "Tunah chuan a tha e, kai theih a ni lo," an ti a nih pawhin risk engmah la suh. |
| Mipui tamna hmun pumpelh | Bus, dawr, biak in, leh biak in ang chi hmun mipui tamna hmun tlawh hi tlem ber rawh. I kal ngei ngei tur a nih chuan mask tha tak vuah la, chhuak vat rawh. |
| Ei leh in himna tur | Chaw chu uluk takin chhum rawh. Sa leh sangha (e.g. sushi, undercooked steak) raw emaw undercooked emaw ei loh tur. Thlai leh thei chi hrang hrang ei hmain uluk takin silfai la, silfai thin ang che. |
| Chhungte hnen atangin tanpuina | Hemi chungchang hi i chhungte hnenah hrilh la, heng himna dante hi a theih ang anga zawm turin hrilh rawh. Chu chu i tân ṭanpuina nasa tak a ni ang. |
Engtik hunah nge Doctor ka hmuh ang?
Chemotherapy i neih laiin nitin khawsik i neih leh neih loh enfiah a ngai lo . Mahse, hri kai chhinchhiahna i neih chuan doctor hnenah hrilh nghal rawh.
Heng chhinchhiahnate hi lo thlir reng ang che:
- Khawsik (a tlangpuiin 100.4°F emaw 38°C aia sang) .
- A lum emaw, a khur emaw tih hriat
- Thâwk harsa
- Chau lutuk leh nunna nei lo anga inhria
- Hrisel lohna, a tlangpui aia danglam
Khawsik i neih chuan ngaihthah suh. I doctor ko nghal rawh. In lama awm tur nge, clinic-a lo kal tur nge, damdawi in hnai ber pan tur tih a hrilh ang che.Emergency Treatment Unit (ETU)-ah kal tur nge kal dawn nge dawn lo. ETU-ah i kal chuan chuta doctor hnenah chemotherapy i dawng tih hrilh ngei ang che.
Neutropenia hi eng chen nge a awm?
He natna hi engtiang chiahin nge a nasat tih leh eng chen nge a awm tih chu chemotherapy i dawn chi hrang hrang a zirin a danglam ang.
A tlangpuiin neutrophil level hi chemotherapy cycle lai takah a tlahniam ber thin. Entirnan, kar 4 danah chemotherapy i dawng a nih chuan i neutrophil level chu i enkawl hnu kar 2 vel ah a hniam ber a thleng ang. Hei hi i enkawl chhunzawm zel chuan a na zual thei. Mahse, lungngai suh, i doctor-te chu chutiang tur chuan an inpeih reng a ni.
Hei hi eng enkawlna nge ni?
Doctor-te’n neutropenia natna rei zawng tihtlem nan leh natna hrik laka venhimna atana an hman thin damdawi chi khat bik a awm a. Chungte chu G-CSF (granulocyte colony-stimulating factors) an ti a . A awlsam zawngin sawi ila, heng damdawi te hian i ruhro a tichak a, thisen var (a bik takin neutrophils) siam chhuah a tipung a ni.
Hengte hi chemo dose atanga darkar 24 vel hnuah injection angin pek thin a ni.
Hun rei tak chhunga thawk thei G-CSF
He chi hi chemotherapy round khatah injection vawi khat chauh a ngai a, tunah chuan hman tlanglawn ber a ni. A hmuh theih dan kawng hnih a awm a:
1. Chemo zawh ni khatah damdawi inah injection lak leh.
2. A dang pawhin in lamah self-inject emaw chhungte inject tir emaw theih a ni.
Hei bakah hian device thar Onpro tih a awm bawk. Hetah hian injection awmna pack te tak te chu i kut vunah a inbuntir thin. Darkar 27 vel hnuah chuan damdawi chu a chhunga needle te tak te hmangin vun hnuaiah automatic in a inject leh thin. Hei hi injection hlau leh damdawi ina kal leh duh lo tan chuan duhthlan tur tha tak a ni.
Hun rei lote chhunga tih theih G-CSF
Hetiang chiah hian chemo round hnih inkarah nitin injection eng emaw zat i ei a ngai a ni. Chûngte chu hun rei tak daih damdawi lo chhuahnaah chuan a tam lo hle nachungin, mi ṭhenkhatin hun rei tak daih damdawi avânga nghawng ṭha lo an neih tam chuan doctor-te chuan an la rawt thei tho a ni.
Heng damdawi te hian side effect a nei thei
G-CSF hian a nghawng tha lo ber chu ruh leh thau natna leh khawsik a ni . Hengte hi natna tidamtu damdawi hmanga control theih a ni tlangpui (doctor zawt rawh).
Take-Home Thuchah a ni
- Neutropenia hi thil awm dan tlangpui leh hun rei lote chhunga awm thin a ni a, chemotherapy lai hian a awm thin. A tul lovah lungngai suh.
- Hemi hun chhunga i hlauhawm ber chu infection a ni , chuvangin kut sil leh mipui pungkhawm laka inthiarfihlim ang chi himna dan zawm ngei ngei tur a ni.
- I khawsik emaw, natna kai chhinchhiahna i neih emaw chuan , i doctor ko nghal rawh.
- I thisen var level rang taka siam that theihna tur damdawi tha tak tak, G-CSF ang chi a awm.
- He zinkawngah hian nangmah chauh i ni lo. I medical team te chuan tanpui turin an inpeih reng a ni. Chuvângin, i ngaihtuahna eng pawh chu sawipui rawh.
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