Tsela ea ho Sebetsana le Setsi se Lefubelu la Mali le Letšoao Nakong ea Chemo
Lisele tsa mali tse tšoeu ke karolo ea bohlokoa ea tsamaiso ea 'mele ea ho itšireletsa mafung e thusang' mele ho loantša tšoaetso. Ha o tobane le kankere, matšoao a 'mele ea ho itšireletsa mafung a atisa ho ba kotsi, e leng ho fella ka ho lahleheloa ke lisele tsena le ho eketseha ha kotsing ea tšoaetso.
Mofuta oa sele e tšoeu ea mali e atisang ho ameha o tsebahala e le neutrophil. Li-neutrophils ke lisele tse ngata tse sireletsang haholo 'me li bohareng ba tsamaiso ea ' mele ea ho itšireletsa mafung .
Li sebetsa e le tšireletso ea mantlha ea 'mele khahlanong le tšoaetso, e li tšoere ho fihlela tsamaiso ea ' mele ea ho itšireletsa mafung e fetoha .
Neutropenia ke boemo bo khetholloang ke maemo a sa tloaelehang a neutrophil. Haeba maemo a oela haholo, neutropenia e ka u tlohela ho pepesehela mefuta e mengata ea maloetse 'me o etsa hore ho hlaphoheloa kalafo ho thata haholoanyane.
Mabaka a Neutropenia Kankere
Neutropenia e ka bakoa ka bobeli ke kankere (e kang lymphoma , leukemia , kapa myeloma ) le lithethefatsi tse sebelisoang ho phekola kankere.
Le mefuta e meng ea kankere, tlhahiso ea neutrophil e ka angoa ke mekhoa e mebe e hlahang lerung la bone . Mongobo oa masapo ke oona o ikarabellang bakeng sa ho hlahisa lisele tse tšoeu tsa mali, 'me, haeba hlahala e hlaha, e ka etsa hore maemo a theohe haholo. Mefuta e meng ea kankere ea mali e ama li-neutrophils ka ho toba.
Meriana ea chemotherapy e ka ba le phello e tšoanang. Ba sebetsa ka ho hlasela le ho senya lisele tse potlakileng tse kang kankere.
Ka bomalimabe, ba ka boela ba bolaea tse ling tse potlakileng, tse nang le bophelo bo botle, ho kenyelletsoa moriri le moloso oa mali.
Ka ho thibela mosebetsi oa masapo, chemotherapy ea litlhare e atisa ho baka neutropenia, ho sa tsotellehe maemo a sa tšoaneng. Hangata e hlaha matsatsi a supileng ho isa ho a 12 ka mor'a hore phekolo e qala 'me e ka' na ea phehella nako ea phekolo.
Hang ha chemo e phethiloe, mosebetsi oa 'mele oa bone o tla ntlafatsa butle-butle mme o lebise ho tloaelehileng ea litekanyo tse tšoeu tsa mali.
Ho Phekola Neutropenia
Bongata ba lingaka hangata ba nka mokhoa oa ho lebella le ho letela ha ba sebetsana le neutropenia e amanang le chemo. Leha ho le joalo, haeba kotsi ea hao ea tšoaetso e phahame, ngaka ea hao e ka 'na ea fana ka mofuta oa lithethefatsi tse tsejoang e le granulocyte colony factor stimulating factor (G-CSF). Li atisa ho bitsoa li-stimulants tsa 'mele , lithethefatsi li fanoa ka ente' me, kamoo lebitso la tsona le bolelang kateng, li susumetsa tlhahiso ea lisele tse tšoeu tsa mali tse tšoeu.
Tsena li kenyeletsa dikgetho tse kang Neulasta (pegfilgrastim) , Neupogen (filgrastim), le Leukine (sargramostim). Ho itšetlehile ka lithethefatsi tse sebelisitsoeng, u ka 'na ua hloka tse seng kae joaloka ente e le' ngoe ka ho phalla kapa ho fuoa thunya ea letsatsi le letsatsi ho fihlela palo ea lisele tsa hao tsa mali e tšoeu .
Ho phaella moo, meriana ea prophylactic e ka laeloa ho u thusa ho qoba tšoaetso. Tsena li kenyelletsa lithibela-mafu tse sebelisetsoang ho thibela tšoaetso ea baktheria le likokoana-hloko tse sebelisetsoang ho thibela tšoaetso ea kokoana-hloko.
Ho thibela tšoaetso
Le hoja hangata ho se letho leo u ka le etsang ho thibela neutropenia nakong ea chemo, ho na le litsela tsa ho fokotsa kotsi ea tšoaetso haeba maemo a hau a qala ho theoha. Har'a bona:
- Hlatsoa letsoho ka makhetlo a 'maloa ka letsatsi ka metsi a chesang le sesepa
- Boloka ntlo ea ho hlapela ntlo, kichineng le matloana a manyenyane a hloekile ebile a se na litšila
- Qoba letšoele le leholo
- Lula hole le mang kapa mang ea kulang mme o sa tsoa kula, ho kenyelletsa litho tsa malapa
- Hloekisa le ho kenya likhahlo leha e le life tse fokolang
- Boloka boemo bo hloekileng ba molomo
- U se ke ua arolelana lisebelisoa, lithaole, molomo oa lipuo, kapa lintho tsa tlhokomelo ea motho
- Apara li-gloves ha u sebetsa serapeng
- U se ke ua hloekisa mabokose a lithitara kapa koaletsoeng ea nonyana
- Pheha nama, likhoho kapa litlhapi hantle
- Qoba litlhapi tse tala kapa nama, ho akarelletsa sushi kapa carpaccio
- Hlatsoa litholoana le meroho pele u li ja
- Qoba li-suppositories tsa li-rectal kapa li-enemas
- Qoba ho imeloa
- Sebelisa napkins e hloekileng ho e-na le lisebelisoa
- Qoba ho hlatsoa kapa ho itlhatsoa ka li-bubble tse ka senyang botona ba hau ba botšehali
- Botsa ngaka ea hau ka liente tsa mafu, ho akarelletsa le lifofane
Qetellong, ke habohlokoa hore u be le thermometer e ntle letsohong e le hore u ka bona feberu kapele. Haeba u ntse u le chemo, lula u tšoara feberu e le tšohanyetso 'me u iteanye le ngaka hang-hang haeba u ka fumana tšoaetso.
> Mohloli:
> Yarbro, C .; Wujcik, D .; le Holmes Gobel, B. (2010) Tlhokomelo ea kankere: Melao-motheo le mekhoa (7th ed.) Sudbury, Massachusetts: Jones le Bartlett. ISBN-13: 978-0763763572.