Nangmah emaw, i hriat mi emaw
cancer enkawlna , chu chu
chemotherapy , kan hriat vek angin, doctor-te chuan, "I fimkhur a ngai a, natna dotu cell-te chu a tlahniam thei a ni," an ti fo ṭhin. A chhan chu cancer cells te hi a chhiat hunah chuan kan taksa tana pawimawh cell hrisel tak takte pawh hi eng emaw chen chu a chhe vek thei a ni. Chuvangin, he hun lai hian taksa invenna puitu damdawi chi khat bik a awm a. Chu chu vawiina kan sawi tum chu a ni.
A awlsam zawngin G-CSF chu eng nge ni?
G-CSF hi kan taksain
neutrophils tam zawk siam turin a pui a, hei hi thisen var chi khat a ni a, chu chuan kan taksain natna a do theih nan a pui a ni. Heng neutrophils te hi kan taksa venhimna sipai lian ber ber ang an ni.
Germs , virus, leh bacteria ang chi thilte taksaa a luh hian heng cell te hian an do a, natna lakah min chhanchhuak thin. G-CSF tih hming awmzia kan en chuan hei hi kan hrethiam zawk ang:
- Granulocyte: Hei hi thisen var chi khat hming a ni . Neutrophils hi granulocyte chi khat a ni bawk. G-CSF hian heng neutrophils siam chhuahna hi a tichak ber a ni.
- Colony-Stimulating Factor: Hei hi protein ang mai a ni a, chu chuan cell te chu "eng nge an tih tur" a hrilh thin. G-CSF hian kan ruhro chhunga stem cell pakhat chu, "Tun ah chuan neutrophil i ni dawn" tih a hrilh thei a ni. Neutrophil awm tawh chu "divide and multiply" turin a hrilh thei bawk.
A awlsam zawngin, G-CSF hi kan ruhroah kal a, "Emergency! Defense sipai (neutrophils) tam zawk kan mamawh a, siam vat la, thisenah chhuah tir rawh," tih thuchah a thawn a ni.
G-CSF hi eng condition atan nge hman a nih?
G-CSF hi
neutropenia enkawlna leh venna atan hman a ni ber . Neutropenia chu thisenah neutrophils awm zat pangngai aia tlem a nih chuan a ni. Chutiang a lo thlen chuan taksain natna hrik a do theihna chu nasa takin a tlahniam a ni. I doctor-in he damdawi hi a pek chhan lian tak tak a awm thei.
Cancer enkawl lai hian (Chemotherapy) .
Chemotherapy damdawiin cancer cell a tihlum hian neutrophil hrisel tak takte pawh a that thei bawk. Hei vang hian chemotherapy hnuah neutropenia hi a hluar hle a ni. A châng chuan hei hian nunna a tichhe thei a ni. G-CSF hian he hlauhawmna hi a tihziaawm a, ruhro (bone marrow) a tichak a, neutrophil thar siam thuai turin a tichak a ni.
Stem cell transplant lai hian
Cancer emaw thisen natna thenkhat nei te chuan stem cell transplant an mamawh mai thei. G-CSF hian he process hi a hma leh a hnuah pawh a pui thin.
- Transplant hma: G-CSF pek a nih chuan ruhro atanga stem cell tam tak thisenah a chhuak thin. Chumi hnuah chuan doctor-te chuan chu stem cell hrisel tak takte chu an la khawm thin.
- Transplant zawhah: Damlo taksaa cell pangngai lo awmte an tihchhiat hnuah a hmaa stem cell hrisel tak tak an khawnkhawmte chu taksaah an kir leh thin. G-CSF hian chu cell te chu a lo thang lian tha a, thisen cell pangngaiah a lo chang ta a ni .
Neutropenia natna dangte
Mi thenkhat chu pianpui neutropenia na tak nei an ni. Mi dangte chuan chhan hriat lohvin he natna hi an nei thei a ni. Heng hunah hian G-CSF hi neutrophil level tihsan nan pawh hman a ni.
G-CSF chi hrang hrang leh pek dan
Damdawi G-CSF hi hming hrang hrangin bazarah a awm a. Chungte chu an hnathawh hun chhung leh an siam danah a inang lo deuh hlek a ni.
| Ruihhlo chi hrang hrang | Sawifiahna leh entirnan |
|---|
| Hun rei lote chhunga tih theih G-CSF | Hengte hi nitin ei a ngai tlangpui. Damdawi ber chu Filgrastim (brand name: Neupogen®) a ni. Damdawi inang, him leh tangkai tak tak (biosimilars) engemaw zat a awm. |
| Hun rei tak chhunga thawk thei G-CSF | Hengte hi taksaah a rei zawk a, chuvangin injection lak fo a ngai lo. Damdawi ber chu Pegfilgrastim (brand name: Neulasta®) a ni. Chemotherapy round hnih inkara injection vawi khat chauh lak chu a tawk mai thei. |
A pawimawh ber chu i doctor-in i tana damdawi chi leh a zat tur a ruatsak hi a ni.
G-CSF hi vun hnuaia injection angin pek a ni tlangpui. A chang chuan IV infusion angin pek thin a ni. In lama injection i pek theih chuan i doctor emaw nurse emaw chuan a tih dan tur a hrilhfiah ang.
G-CSF hian eng side effect nge a neih?
Damdawi dang ang bawkin G-CSF hian hlawkna leh side effect a nei a. Mahse, doctor chuan he damdawi hi a pe che a ni tih hre reng ang che, a chhan chu a hlawkna chuan a hlauhawmna aiin a tam zawk daih a ni. Side effect tam zawk chu enkawlna tihtawp a nih chuan a bo vek.
| Side effect awm fo thin | Condition na tak tak a awm lo |
|---|
| - Allergy natna nasa tak (Anaphylaxis) .
- Spleen a hring chhuak
- Acute thawk lama harsatna nei (ARDS) .
- Taksa a hring chhuak
|
Engvangin nge G-CSF hian ruh natna a thlen?
Hei hi mi tam takin an tawn thin side effect tlanglawn tak a ni. A chhan dik tak hriat ni lo mah se, scientist-te chuan G-CSF-in ruhro (bone marrow) chu rang takin cell thar a siam tan nghal vang niin an ngai. Hetianga lo thang chak lutuk avanga pressure lo awm hi natna anga kan hriat chu a ni. He natna hi a tlangpuiin tuar theih a ni. Chumi chungchang chu i doctor nen in sawi dun thei a, painkiller tha tak i la thei bawk.
Engtikah nge Doctor i hmuh ang?
G-CSF i ei lai hian i doctor hnenah side effect i neih apiang hrilh
a pawimawh hle . A bik takin, a hnuaia chhinchhiahnate hi i neih chuan
damdawi lam thurawn i la nghal tur a ni . A chang chuan damdawi in Emergency Department (ETU) pan a ngai mai thei.
- Infection symptoms: khawsik, khawsik, ril na, khuh.
- Allergy natna lan chhuah dan:Vun rawng, vun hring, thawk harsa .
- Thâwk hah lutuk.
- Thinlung thawk chak tak.
- Kut emaw ke emaw a hring chhuak nghal.
I theihnghilh suh, i himna a pawimawh ber. Ringhlelna i neih chuan, tê tê chauh pawh ni se, i doctor phone-a zawh chu hlau ngai suh.
Take-Home Thuchah a ni
- G-CSF hi natna dotu thisen var, neutrophils an tih, cancer enkawlna (chemotherapy) ang chi thilin a tihziaawmna tur damdawi a ni.
- Hei hian natna hrik i vei theihna a ti tlem ang a, cancer enkawlna chu a hun takah i chhunzawm zel theih nan a pui bawk ang.
- Ruh leh ruh natna hi he damdawi hian side effect a nei tlangpui a, mahse a tlangpuiin tuar theih a ni.
- Thâwk harsa, allergy na tak, emaw khawsik ang chi symptoms i neih chuan i doctor hnenah hriattir nghal rawh.
- He damdawi hi i mamawh leh mamawh loh leh eng chi nge i tan a tha tih chu i doctor chauhvin a rel thei ang. Chuvangin engkim chu a hnenah sawipui rawh.
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