Uma uphathwa i-chemotherapy yomdlavuza webele , ungase uzizwe ukhathele kakhulu, ukhathele, futhi ugule ngaso sonke isikhathi. Lokhu empeleni kuyinto evamile kubantu abaningi ngesikhathi se-chemotherapy. Lokhu kungenxa yokuthi ukwelashwa kunciphisa inani lamaseli amhlophe egazi, uhlobo lwesimiso sokuzivikela esibalulekile emzimbeni wethu. Yilokhu esikhuluma ngakho namuhla.
Kuyini i-neutropenia?
Kalula nje, lapho amagciwane abangela izifo, njengamagciwane namagciwane, engena emizimbeni yethu, sinebutho lokulwa nawo. Amasosha angaphambili kuleli butho amangqamuzana amhlophe egazi abizwa ngokuthi ama-neutrophils .
Cabanga ngakho manje, i-chemotherapy iyisidakamizwa esinamandla esibulala amangqamuzana omdlavuza. Le mithi ayikwazi ukubona amangqamuzana omdlavuza kanye namangqamuzana anempilo emzimbeni wethu ahlukana ngokushesha. Ngakho-ke, uma ebulala amangqamuzana omdlavuza, la masosha abizwa ngokuthi ama-neutrophils ahlukana ngokushesha nawo ayabulawa.
Njengoba nje ibutho lethu lisengozini enkulu yokuhlaselwa lapho inani lamasosha lehla, imizimba yethu isengozini enkulu yokutheleleka lapho inani lama-neutrophil lehla. Ngokwezokwelapha, lokhu sikubiza ngokuthi ukwehla kwama-neutrophil ngokuthi i-neutropenia .
Kodwa kubalulekile ukukhumbula ukuthi i-neutropenia imane nje ingumphumela wesikhashana we-chemotherapy. Umzimba wakho uzobuyela esimweni esijwayelekile uma ukwelashwa sekuphelile.
Yini okufanele siyenze ukuze sizivikele ezifweni?
Kudingeka siqaphele kakhulu phakathi nalesi sikhathi, njengoba ngisho nomkhuhlane omncane ungaba mubi kakhulu. Nazi ezinye izinyathelo ezilula ongazilandela.
| Izinyathelo okufanele uzithathe | Incazelo nokubaluleka |
|---|---|
| Ukugonywa | Thola yonke imijovo udokotela wakho ayincomayo (njengomjovo womkhuhlane, i-COVID-19, i-pneumonia). Le mijovo ikunikeza isivikelo esihle lapho amasosha omzimba wakho ebuthaka. |
| Geza izandla zakho njalo. | Lena indlela engcono kakhulu nelula yokuzivikela emagciwaneni. Geza izandla zakho kahle ngensipho namanzi okungenani imizuzwana engama-20. Qiniseka ukuthi ugeza izandla zakho ngemva kokuphuma ngaphandle, ngaphambi kokudla, nangemva kokusebenzisa indlu yangasese. |
| Ukuhlala kude nabantu abagulayo | Gwema abantu abakhwehlelayo kanye nomkhuhlane ngangokunokwenzeka. Ngisho noma bethi, "Kulungile manje, akuthelelani," ungathathi cala. |
| Ukugwema izindawo ezinabantu abaningi | Nciphisa ukuvakashela kwakho ezindaweni ezinabantu abaningi njengamabhasi, izitolo, amathempeli, kanye namasonto. Uma kufanele uhambe, gqoka imaski enhle bese uphuma ngokushesha. |
| Ukuphepha kokudla | Pheka ukudla kahle. Gwema ukudla inyama nenhlanzi eluhlaza noma engaphekiwe kahle (isb. i-sushi, i-steak engaphekiwe kahle). Geza futhi uhlanze imifino nezithelo kahle ngaphambi kokudla. |
| Usizo oluvela kumalungu omndeni | Tshela umndeni wakho ngalokhu bese ubacela ukuthi balandele lezi zinyathelo zokuphepha ngangokunokwenzeka. Lokho kuzokusiza kakhulu. |
Ngingambona nini udokotela?
Akudingeki ukuthi uhlole umkhuhlane nsuku zonke ngenkathi uthatha i-chemotherapy . Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu zokutheleleka, tshela udokotela wakho ngokushesha.
Hlala uqaphile ngalezi zimpawu:
- Umkhuhlane (ngokuvamile ungaphezu kuka-100.4°F noma u-38°C)
- Ukuzizwa ushisa noma uthuthumela
- Ubunzima bokuphefumula
- Ukuzizwa ukhathele kakhulu futhi ungenampilo
- Ukuzizwa ungaphilile, kuhlukile kokujwayelekile
Uma uhlaselwa umkhuhlane, ungawushayi indiva. Shayela udokotela wakho ngokushesha. Uzokutshela ukuthi uhlale ekhaya, uze emtholampilo, noma uye esibhedlela esiseduze.Ukuthi kufanele uye e- Emergency Treatment Unit (ETU) noma cha. Uma uya e-ETU, qiniseka ukuthi utshela udokotela lapho ukuthi uthola ukwelashwa ngamakhemikhali.
I-neutropenia ihlala isikhathi esingakanani?
Ukuthi lesi simo sibi kangakanani nokuthi sihlala isikhathi esingakanani kuzohluka kuye ngohlobo lwe-chemotherapy oyitholayo.
Ngokuvamile, amazinga e-neutrophil ehla kakhulu phakathi nomjikelezo we-chemotherapy. Isibonelo, uma uthola i-chemotherapy njalo emavikini ama-4, amazinga akho e-neutrophil azofinyelela ezingeni lawo eliphansi cishe emavikini ama-2 ngemva kokwelashwa. Lokhu kungase kube kubi njengoba ukwelashwa kwakho kuqhubeka. Kodwa ungakhathazeki, odokotela bakho bakulungele lokho.
Yiziphi izindlela zokwelapha lokhu?
Kukhona uhlobo olukhethekile lwemithi olusetshenziswa odokotela ukunciphisa isikhathi se- neutropenia nokukuvikela ezifweni. Lezi zibizwa ngokuthi i-G-CSF (izinto ezikhuthaza ikoloni yama-granulocyte) . Kalula nje, le mithi ivuselela umongo wakho wethambo futhi yandise ukukhiqizwa kwamangqamuzana amhlophe egazi (ikakhulukazi ama-neutrophils).
Lokhu kuvame ukunikezwa njengomjovo cishe emahoreni angama-24 ngemuva komthamo we-chemo.
I-G-CSF esebenza isikhathi eside
Lolu hlobo, oludinga umjovo owodwa kuphela ngomjikelezo ngamunye we-chemotherapy, yilona uhlobo olusetshenziswa kakhulu manje. Kunezindlela ezimbili zokuyithola:
1. Ukubuyela esibhedlela ngosuku olulandelayo ngemva kokwelashwa ngamakhemikhali ukuze uthole umjovo.
2. Ngaphandle kwalokho, ungazijova wena ekhaya noma ube nelungu lomndeni eliwujovayo.
Ngaphezu kwalokho, kukhona idivayisi entsha ebizwa ngokuthi i-Onpro . Kulokhu, iphakethe elincane eliqukethe umjovo linamathiselwe esikhumbeni sengalo yakho. Ngemva kwamahora angaba ngu-27, umuthi ufakwa ngokuzenzakalelayo ngaphansi kwesikhumba ngenaliti encane ngaphakathi. Lena inketho enhle kulabo abesaba imijovo futhi abangafuni ukubuyela esibhedlela.
I-G-CSF esebenza isikhathi esifushane
Kulolu hlobo, kufanele uthathe imijovo eminingana nsuku zonke phakathi kwemijikelezo emibili ye-chemo. Nakuba lokhu kungavamile kakhulu njengoba kufika imithi esebenza isikhathi eside, odokotela bangase bakutuse uma abanye abantu beba nemiphumela emibi eminingi evela emithini esebenza isikhathi eside.
Imiphumela emibi yale mithi
Imiphumela emibi evame kakhulu ye-G-CSF ubuhlungu bamathambo nemisipha kanye nomkhuhlane . Lokhu ngokuvamile kungalawulwa ngezinhlungu zobuhlungu (buza udokotela wakho).
Umlayezo Wokuya Nawe Ekhaya
- I-Neutropenia yisimo esivamile nesesikhashana esenzeka ngesikhathi sokwelashwa ngamakhemikhali. Ungakhathazeki ngakho ngokungadingekile.
- Ingozi yakho enkulu phakathi nalesi sikhathi ukutheleleka , ngakho-ke qiniseka ukuthi ulandela izinyathelo zokuphepha njengokugeza izandla zakho nokugwema ukuminyana kwabantu.
- Uma uba nomkhuhlane noma unezimpawu zokutheleleka , shayela udokotela wakho ngokushesha.
- Kunezindlela zokwelapha ezisebenzayo, njenge-G-CSF, zokubuyisela amazinga amhlophe egazi lakho ngokushesha.
- Awuwedwa kulolu hambo. Ithimba lakho lezokwelapha lihlala likulungele ukukusiza. Ngakho-ke khuluma nabo nganoma yiziphi izinkinga.
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