Ukuba usebenzisa i-chemotherapy yomhlaza webele , usenokuba uzive udiniwe kakhulu, udiniwe, kwaye ugule rhoqo. Oku kuyinto eqhelekileyo kubantu abaninzi ngexesha le-chemotherapy. Oku kungenxa yokuba unyango lunciphisa inani leeseli ezimhlophe zegazi, uhlobo lwenkqubo yokuzikhusela yomzimba ebaluleke kakhulu emzimbeni wethu. Yile nto sithetha ngayo namhlanje.
Yintoni i-neutropenia?
Ngamafutshane, xa iintsholongwane ezibangela izifo, ezinje ngeebhaktheriya kunye neentsholongwane, zingena emizimbeni yethu, sinomkhosi wokulwa nazo. Abalwi abaphambili kulo mkhosi ziiseli ezimhlophe zegazi ezibizwa ngokuba zii-neutrophils .
Khawucinge nje, i-chemotherapy liyeza elinamandla elibulala iiseli zomhlaza. La mayeza awakwazi ukubona iiseli zomhlaza kunye neeseli eziphilileyo emizimbeni yethu ezahlukana ngokukhawuleza. Ngoko ke, xa zibulala iiseli zomhlaza, la majoni abizwa ngokuba zii-neutrophils ezahlukana ngokukhawuleza nawo ayabulawa.
Kanye njengokuba umkhosi wethu usengozini enkulu yokuhlaselwa xa inani lamajoni lincipha, imizimba yethu isengozini enkulu yosulelo xa inani lee-neutrophils lincipha. Ngokwezonyango, oku sikubiza ngokuba kukuncipha kwee-neutrophils yi-neutropenia .
Kodwa kubalulekile ukukhumbula ukuba i-neutropenia yimpembelelo yexeshana ye-chemotherapy. Umzimba wakho uza kubuyela esiqhelweni xa unyango luphelile.
Yintoni esifanele siyenze ukuze sizikhusele kwiintsholongwane?
Kufuneka silumke ngakumbi ngeli xesha, kuba nokuba umkhuhlane omncinci unokuba yingozi. Nazi ezinye iindlela ezilula onokuzilandela.
| Amanyathelo ekufuneka athathwe | Inkcazo kunye nokubaluleka |
|---|---|
| Ukugonywa | Fumana zonke izitofu ezicetyiswa ngugqirha wakho (ezifana nomphumo womkhuhlane, i-COVID-19, i-pneumonia). Ezi zitofu zikunika ukhuseleko olukhulu xa inkqubo yakho yomzimba yokuzikhusela ibuthathaka. |
| Hlamba izandla zakho rhoqo. | Le yeyona ndlela ilungileyo nelula yokuzikhusela kwiintsholongwane. Hlamba izandla zakho kakuhle ngesepha namanzi ubuncinane imizuzwana engama-20. Qiniseka ukuba uhlamba izandla zakho emva kokuphuma ngaphandle, ngaphambi kokutya, nasemva kokusebenzisa indlu yangasese. |
| Ukuhlala kude nabantu abagulayo | Zigcine kude nabantu abakhohlelayo kunye nomkhuhlane kangangoko kunokwenzeka. Nokuba bathi, "Kulungile ngoku, ayisuleli," musa ukuthatha naziphi na iingozi. |
| Ukuphepha iindawo ezixineneyo | Nciphisa ukutyelela kwakho kwiindawo ezinabantu abaninzi njengeebhasi, iivenkile, iitempile, neecawe. Ukuba kufuneka uye, nxiba imaski elungileyo kwaye uhambe ngokukhawuleza. |
| Ukhuseleko lokutya | Pheka ukutya kakuhle. Kuphephe ukutya inyama nentlanzi eluhlaza okanye engaphekwanga kakuhle (umz. i-sushi, i-steak engaphekwanga kakuhle). Hlamba kwaye ucoce imifuno neziqhamo kakuhle phambi kokuba utye. |
| Uncedo oluvela kumalungu osapho | Xelela usapho lwakho ngale nto kwaye ubacele ukuba balandele la manyathelo okhuseleko kangangoko kunokwenzeka. Oko kuya kuba luncedo olukhulu kuwe. |
Ndifanele ndibonane nogqirha nini?
Akunyanzelekanga ukuba ujonge umkhuhlane yonke imihla ngelixa usebenzisa i-chemotherapy . Nangona kunjalo, ukuba ufumana naziphi na iimpawu zosulelo, xelela ugqirha wakho ngoko nangoko.
Hlala ujonge ezi mpawu:
- Umkhuhlane (ngokudla ngokuba ngaphezulu kwe-100.4°F okanye i-38°C)
- Ukuziva ushushu okanye uqhaqhazela
- Ubunzima bokuphefumla
- Ndiziva ndidiniwe kakhulu kwaye ndingenabomi
- Ukuziva ungaphilanga kakuhle, kwahlukile kokuqhelekileyo
Ukuba unesifo somkhuhlane, musa ukusityeshela. Fowunela ugqirha wakho ngoko nangoko. Uza kukuxelela ukuba uhlale ekhaya, uze ekliniki, okanye uye esibhedlele esikufutshane.Nokuba uza kuya kwiYunithi yoNyango oluNgxamisekileyo (ETU). Ukuba uza kuya kwi-ETU, qiniseka ukuba uxelela ugqirha wakho ukuba ufumana i-chemotherapy.
Ihlala ixesha elingakanani i-neutropenia?
Ukuba le meko inzima kangakanani kwaye ihlala ixesha elingakanani kuya kwahluka ngokuxhomekeke kuhlobo lwe-chemotherapy oyifumanayo.
Ngokwesiqhelo, amanqanaba e-neutrophil ehla kakhulu phakathi komjikelo we-chemotherapy. Umzekelo, ukuba ufumana i-chemotherapy rhoqo kwiiveki ezi-4, amanqanaba akho e-neutrophil aya kufikelela kwinqanaba lawo eliphantsi malunga neeveki ezi-2 emva konyango. Oku kunokuba mandundu njengoko unyango lwakho luqhubeka. Kodwa ungakhathazeki, oogqirha bakho bakulungele oko.
Zithini iindlela zonyango zoku?
Kukho udidi olukhethekileyo lwamayeza asetyenziswa ngoogqirha ukunciphisa ixesha le- neutropenia kunye nokukhusela kwiintsholongwane. La mayeza abizwa ngokuba yi -G-CSF (granulocyte colony-stimulating factors) . Ngamafutshane, la mayeza avuselela umongo wakho wethambo kwaye anyuse imveliso yeeseli ezimhlophe zegazi (ingakumbi ii-neutrophils).
Ezi zihlala zinikwa njengenaliti malunga neeyure ezingama-24 emva kwedosi ye-chemo.
I-G-CSF esebenza ixesha elide
Olu hlobo, olufuna inaliti enye kuphela ngomjikelo ngamnye we-chemotherapy, lolona hlobo lusetyenziswa kakhulu ngoku. Kukho iindlela ezimbini zokuyifumana:
1. Ukubuyela esibhedlele ngosuku olulandelayo emva kwe-chemotherapy ukuze ufumane inaliti.
2. Okanye, ungazitofa ngokwakho ekhaya okanye ufumane ilungu losapho lizitofe.
Ukongeza, kukho isixhobo esitsha esibizwa ngokuba yi-Onpro . Kule nto, ipakethi encinci equlethe inaliti incamatheliswa eluswini lwengalo yakho. Emva kweeyure ezingama-27, iyeza lifakwa ngokuzenzekelayo phantsi kwesikhumba ngenaliti encinci ngaphakathi. Olu lukhetho olufanelekileyo kwabo boyika inaliti kwaye abafuni ukubuyela esibhedlele.
I-G-CSF esebenza ixesha elifutshane
Kolu hlobo, kufuneka uthathe inaliti ezininzi imihla ngemihla phakathi kwezihlandlo ezibini ze-chemo. Nangona ezi zingaqhelekanga xa kufika amayeza asebenza ixesha elide, oogqirha basenokuwacebisa ukuba abanye abantu bafumana iziphumo ebezingalindelekanga ezininzi ezivela kumayeza asebenza ixesha elide.
Iziphumo ebezingalindelekanga zala mayeza
Iziphumo ebezingalindelekanga ze-G-CSF zintlungu yamathambo nezihlunu kunye nomkhuhlane . Ezi ziphumo zinokulawulwa ngeentlungu zentlungu (buza ugqirha wakho).
Umyalezo Wokuya Ekhaya
- I-Neutropenia yimeko eqhelekileyo neyexeshana eyenzeka ngexesha le-chemotherapy. Musa ukukhathazeka ngayo ngokungeyomfuneko.
- Umngcipheko wakho omkhulu ngeli xesha kusulelo , ngoko ke qiniseka ukuba ulandela amanyathelo okhuseleko afana nokuhlamba izandla zakho nokuphepha ukuxinana kwabantu.
- Ukuba uqalisa ukuba nomkhuhlane okanye uneempawu zosulelo , fowunela ugqirha wakho ngoko nangoko.
- Kukho unyango olusebenzayo, olufana ne-G-CSF, ukubuyisela ngokukhawuleza amanqanaba eeseli zakho ezimhlophe zegazi.
- Awuwedwa kolu hambo. Iqela lakho lezonyango lihlala likulungele ukukunceda. Ngoko ke thetha nabo ngayo nayiphi na into ebaxhalabisayo.
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