Kei te whakaaro anō koe kāore koe i te pai, kei te pāngia tonu koe e te mate, kei te toto rānei i tētahi motu iti noa iho, ahakoa kei te rongoatia koe e te mate pukupuku, e tētahi atu mate rānei? Kei muri i ēnei mea, tera pea ko te myelosuppression , he āhuatanga e kore ai e mahi tika te hinu wheua . Kaua e manukanuka, me kōrero noa iho tātou mō tēnei.

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He aha te myelosuppression? Hei whakamārama tika, he ngoikore rānei te hinu wheua?

He māmā noa iho, āe! Ko te hinu wheua te kiko ngohengohe, he rite ki te hautai i roto i ō wheua. Whakaarohia he rite ki te wheketere hanga toto o tō tātou tinana. Ka hangaia e tēnei wheketere he piriona toto whero, he toto mā, me he pereti toto, he mea nui mō tō tātou oranga, ā, ka tāpirihia ki roto i ō tātou toto. He rerekē te mahi a ia momo pūtau mō tō tātou tinana. Ka whakanui, ka whakaiti rānei te hinu wheua i tēnei hanga i runga i ngā hiahia o tō tātou tinana.

Ināianei, i roto i tētahi āhuatanga e kiia nei ko te myelosuppression , ka whakararuraruhia te mahi a tēnei wheketere hinu wheua mō tētahi take. Kātahi ka kore e taea te whakaputa tika i ngā pūtau toto me ngā pereti toto. Ko te take matua mō tēnei ko te maimoatanga chemotherapy mō te mate pukupuku. Heoi, ka taea hoki e ētahi momo mate pukupuku toto me ētahi huaketo te whakararu i te hinu wheua.

He aha ngā tohu o te myelosuppression?

Ka rerekē pea ngā tohu i ia tangata, i ia tangata, i runga i te mea kei roto i tō hinu wheua he toto whero, he toto mā, he pereti toto rānei.

Ki te heke te toto whero - Anemia

Ka haria e ngā pūtau toto whero te hāora puta noa i tō tinana. Ina kore e ranea , ka puta te anemia . Ko ētahi o ngā tohu ko:

Ngenge
Te poto o te manawa / te poto o te manawa
Pōuriuri
Te tere o te manawa, te koretake rānei o te manawa/te arrhythmia
Te rongo i te tangi o te taringa, i ētahi wā ka haere tahi me te tangi "pāorooro" me te pao o te manawa (Pulsatile tinnitus)
Ānini
Te mā o te tae kiri
Mamae o te uma

Neutropenia - he iti iho te maha o ngā toto toto ma (ina koa ko ngā neutrophils)

Ka whawhai ngā pūtau toto mā ki ngā iroriki e uru mai ana ki roto i ō tātou tinana, ā, ka tiaki i a tātou i te mate . Ko tētahi momo pūtau toto mā e kiia ana ko ngā neutrophils . Ina iti ake ngā neutrophils e whakaputaina ana e te hinu wheua nā te myelosuppression, ka kiia te mate ko te neutropenia . Kāore he tohu motuhake o te neutropenia, engari nā tēneiKa pā mai pea ngā mate urutā maha, ā, koinei te wā ka puta mai ai ngā tohu.

Te kirika (i ētahi wā ka kiia ko te febrile neutropenia )
Ngenge
Korokoro mamae/mate (Korokoro mamae/pharyngitis)
Ngā kōpū lymph pupuhi
Ngā mate pukupuku i roto i te waha, i te taha rānei o te nono
Korere
Te werawera i te wā e mimi ana, te āhua me mimi wawe, te mimi pinepine

Ki te heke te nui o ngā pereti toto - Thrombocytopenia

Ka āwhina ngā pereti toto ki te whakahaere i te toto . Ina heke iho ēnei taumata, ka puta he āhuatanga e kiia nei ko te thrombocytopenia . Ka puta pea tēnei i ēnei āhuatanga:

He toto e kore e mutu mō te wā roa, ahakoa i puta mai i tētahi patunga iti, he uaua rānei ki te aukati i te toto o te ihu.
Ka tere ake te puta mai o ngā marō i te tikanga.
Ko te putanga mai o ngā ira whero iti (he rite ki te ponana) i ngā waewae o raro - ka kiia tēnei ko te petechiae .
He whero, he papura, he parauri rānei ngā ira i runga i te kiri - ka kiia tēnei he purpura .

Mena ka whakaitihia ngā momo pūtau toto katoa - Pancytopenia

I ētahi wā, ka iti haere ēnei toto toto e toru—ngā toto toto whero, ngā toto toto mā, me ngā pereti toto—i te wā kotahi . Ka kiia tēnei mate ko te pancytopenia . Pērā i te neutropenia, ehara tēnei i te mate tonu, engari he tohu pea nō tētahi mate hauora kei raro.

He aha te take e puta ai te myelosuppression? He aha ngā take?

E ai ki tā mātou i kōrero ai i mua, ko te rongoā mate pukupuku te tino take . Heoi anō, tera atu anō ētahi atu take.

Te rongoā matū, te rongoā ārai mate, me te myelosuppression

Ka taea tēnei te puta mai i ētahi momo rongoā chemotherapy. Ko ētahi o ngā mea tino noa ko:

Fluorouracil
Oxaliplatin
Irinotecan
Capecitabine

Hei tāpiri, ka taea hoki e te rongoā pūtau-T CAR, he momo rongoā ārai mate , te whakararu i te mahi a te hinu wheua me te whakaiti i te hanga o ngā pūtau toto me te hanga pereti toto.

Ngā Matepukupuku Toto me te Myelosuppression

Ka taea hoki e ētahi mate pukupuku toto te whakararuraru i te hanga toto noa. Hei tauira, i roto i ngā mate pukupuku pērā i te leukemia, te lymphoma, me te myeloma , ka nui rawa te tipu o ngā pūtau mate pukupuku rerekē i roto i te hinu wheua, ā, ka mutu te hanga o ngā pūtau toto hauora me ngā pereti toto.

Ngā huaketo me te myelosuppression

Ka taea hoki e ētahi mate huaketo te whakararuraru i te tukanga hanga toto i roto i te hinu wheua. Whakaarohia, ina uru mai he huaketo ki te tinana, ka whawhai ngā parepare o tō tātou tinana, arā, ngā toto toto mā, ki te huaketo. I roto i tēnei pakanga, ka puta pea i te hinu wheua he iti noa ngā toto toto whero me ngā pereti toto. E kī ana ētahi rangahau ka pangia tika e ētahi huaketo ngā pūtau hanga toto i roto i te hinu wheua, ka whakaiti i te maha o ngā toto toto. Ko ētahi huaketo kua kitea he hononga ki tēnei āhuatanga o te myelosuppression ko:

Te huaketo Epstein-Barr (EBV)
Huaketo Hepatitis C
Parvovirus B19
Te huaketo Cytomegalo (CMV)
Te huaketo e hua ai te rewharewha (Chickenpox / varicella zoster)
Huaketo ngoikore o te ārai mate tangata (HIV)
Te kirika dengue

Ka taea e te myelosuppression te whakaputa raruraru nui?

Ae, i ētahi wā ka arahi pea tēnei ki ngā raruraru e morearea ana ki te ora . Hei tauira, he hekenga ohorere o ngā toto whero (anemia whakapeka) he hekenga rānei o ngā pereti toto (toto kore e taea te whakahaere) .

He mea nui: Ki te pāngia koe e tētahi o ēnei tohu, inā koa kei te rongoatia koe e te mate pukupuku, he mea tino nui kia rapu tohutohu hauora tonu atu.

Me pēhea te tautuhi tika a ngā tākuta i tēnei mate?

Ko te nuinga o tēnei ka kitea mā roto i ngā whakamātautau toto . Mā ēnei whakamātautau toto ka tirohia mēnā kei te whakaputa noa tō hinu wheua i ngā pūtau toto me ngā pereti toto.

Ka taea te mahi i ngā whakamātautau toto penei:

Te tatau toto katoa (CBC)
Whakamātautau MCV (Te rahinga toharite o te tinana / whakamātautau MCV)
Whakamātautau RDW (Whānui tohatoha pūtau whero / whakamātautau RDW)
Te maha o ngā retikulosit
Te paninga toto ā-taha
Whakamātautau MPV (Te rahinga pereti toharite / whakamātautau MPV)

He aha ngā maimoatanga mō te myelosuppression?

Ka rongoatia tēnei e ngā tākuta mā ēnei tikanga:

Mena ko te chemotherapy te take o te myelosuppression, me whakaiti te horopeta o te chemotherapy, me whakamutu rānei mō te wā poto .
Ngā whakawhiti toto hei whakanui ake i te taumata o ngā toto toto whero me ngā pereti toto.
Te hoatu rongoā ki a koe hei āwhina i tō hinu wheua ki te hanga i ngā pūtau toto me ngā pereti toto kia nui ake.

Ka taea te ārai i tēnei āhuatanga kei puta?

He maha ngā wā ka puta te myelosuppression hei pānga taha o ngā maimoatanga mate pukupuku. Nō reira, kei te tirotiro tonu ngā tākuta i ēnei pānga taha i te wā e rongoatia ana te mate pukupuku. Ka tirohia e rātou ō whakamātautau toto i ia wā, ā, ka huri i tō mahere maimoatanga mēnā e tika ana.

He aha taku e tumanako atu ai mēnā he myelosuppression tōku?

He tokomaha te hunga e pāngia ana e tēnei mate nā te mea kei te whiwhi rātou i te rongoā matū. Mena koinā, ka aro turukihia e tō tākuta te pānga o te rongoā matū ki tō hinu wheua. Me okioki pea koe i te maimoatanga matepukupuku kia taea ai e tō hinu wheua te hanga anō i te maha o ngā pūtau toto.

Me pēhea taku tiaki i ahau anō?

Ka taea e te myelosuppression te whakanui ake i tō tupono ki te pangia e ngā mate me te toto . Ka taea e koe te mahi i ēnei mea hei whakaiti i tēnei tupono:

Tikina he werohanga hei ārai i ngā huaketo noa.
Te mahi i ngā tikanga akuaku pai , pērā i te horoi pinepine i ō ringaringa me te noho tawhiti atu i te hunga e mate ana.
Tiakina koe i ngā āhuatanga ka whara, ka motu rānei koe . Hei tauira, kia tūpato i te wā e whakamahi ana i ngā patu koi.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Ka taea e koe te pātai atu ki te tākuta i ngā pātai pēnei:

He aha te take i pā mai ai tēnei mate myelosuppression ki ahau?
He aha te pānga o tēnei āhuatanga ki tōku tinana?
He aha ngā kōwhiringa maimoatanga kei a au?
Ka ora katoatia rānei taku myelosuppression e te maimoatanga?

Whakarāpopototanga: Ngā mea hei maumahara (Karere hei tango ki te kāinga)

He wāhanga nui tō hinu wheua o tō tinana. Ngā toto whero e kawe ana i te hāora, ngā toto mā e whawhai ana ki te mate, ngā pereti toto e āwhina ana i tō toto kia totoka – ka hangaia katoatia ēnei i reira. Ko te myelosuppression te wā ka mutu te mahi a tō hinu wheua mō tētahi take. Ko te tino take ko te chemotherapy mō te mate pukupuku, engari ka taea hoki e ētahi mate pukupuku toto me ngā huaketo te puta. Kaua e manukanuka. Ka kitea e ngā tākuta te take, ā, ka rongoāhia e rātou. Ko te mea nui ko te rapu awhina hauora mēnā he tohu rerekē āu, me te whai i ā rātou tohutohu. Kāore koe i te mokemoke, ā, kei reira ngā tākuta hei āwhina i a koe i tēnei haerenga.

Te Pehi i te Myelosuppression, Te Pehi i te Hinu Wheua, Hinu Wheua, Ngā Pūtau Toto Whero, Ngā Pūtau Toto Mā, Ngā Peretā, Te Matūkai, Te Matepukupuku, Te Anemia, Te Neutropenia, Te Thrombocytopenia, Ngā Mate Pukupuku