Anemia, Neutropenia & Thrombocytopenia
Maganin ɓarna mai lalacewa yana nufin ragewa a cikin karfin kasusuwan kasuwa don samar da kwayoyin halitta. Ƙarfin kasusuwan shine "mai karfi" wanda ke samarwa da kuma samar da dukkanin jini, jini mai launin jini, da kuma takarda don tallafawa jiki.
Sakamakon
Lokacin da yunkurin karfin ƙasƙanci ya ƙare, ba zai iya samar da jiki tare da isasshen jini ba.
Kowane irin wadannan nau'o'in jini yana yin tasiri sosai a cikin jiki:
- Kwayoyin jinin jini - Jirgin jini na jini yana dauke da haemoglobin wanda ke dauke da oxygen zuwa kowane tantanin jiki a cikin jiki, kuma ya dawo da carbon dioxide zuwa ƙwaƙwalwar da za a kwashe. Idan babu iyakokin jini na jan jini don yada oxygen zuwa duk nau'ikan takalmin jikin, lalacewar lalacewa da mutuwa yana faruwa, tsarin da ake kira hypoxia . Ƙananan jinin jini shine ake kira anemia .
- Kwayoyin Jinsin Kwayoyin - Kwayoyin jini (wanda aka fi sani da leukocytes) su ne tsarin kare jikinmu, kare mu daga kwayoyin cuta, ƙwayoyin cuta, da sauran abubuwa na waje, har ma kwayoyin cutar kanjamau. Rashin rashi na jinin jini shine ake kira leukopenia . Tare da ciwon daji, za ku ji labarin neutropenia. Neutropenia tana nufin raunin wani nau'in jini na jini wanda aka sani da neutrophils . Neutrophils na taka muhimmiyar rawa wajen kare mu daga kwayoyin cuta da ƙwayoyin cuta, kuma idan ba'a sami isasshen lambobi ba, an riga mun kasancewa zuwa kamuwa da cuta.
- Platelets - Platelets suna da alhakin ƙirƙirar murfin jini. Idan mun ragu a cikin takalma, jinin mu ba zai iya yin kirkirar jiki ba idan an yanke mu ko rauni. Wannan rashi idan ake kira thrombocytopenia .
Mene ne yake haifar da shi a lokacin kumburin kisa?
An tsara chemotherapy don kashe kwayoyin halitta mai sauri kamar kwayoyin cutar ciwon daji amma yana rinjayar kwayoyin halitta masu girma.
Wannan ya hada da kwayoyin jikinsu a cikin gashin gashin mu, ɓangaren gastrointestinal, da kasusuwa. Lokacin da waɗannan kwayoyin jikinsu sun lalace, sun kasa haifuwa kuma sun zama nau'i na jini.
Dukkanin jini yana farawa da kwayar sananniyar da aka sani da sakon kwayoyin hematopoietic. Ta hanyar tsarin da aka sani da hematopoiesis, kwayoyin kwayar halitta "kwarewa" kuma sun kasance daga cikin jini wanda ya hada da kwayoyin jini, da nau'in jini, da nau'in jini.
Cutar cututtuka
Alamar cututtuka na maye gurbin kasusuwan sun dogara ne akan irin kwayar jini da aka lalata kuma za a bayyana a kasa a ƙarƙashin kowane irin jini. Gaba ɗaya, rashi na jini yana haifar da gajiya da rauni.
Sanin asali
Kafin da kuma bayan shan magani, likitanku zai umarci cikakken jinin jini (CBC) , don ganin idan wani jinin ku yana da ƙasa. Ƙarin binciken da magani zai dogara ne akan abin da, idan wani, daga cikin waɗannan, ƙananan.
Cigawon shan-jiji-kwantar da jini
Sashin ƙananan jinin jini a lokacin da ake amfani da kwayar cutar shan-jiji anemia. Lokacin da akwai 'yan jinin jini masu yawa don ɗaukar oxygen zuwa kwayoyin, alamun bayyanar cututtuka. Hanyoyin cututtuka na anemia zasu iya haɗawa da:
- Wulo
- Haskewa ko rashin hankali
- Kyakkyawan bayyanar
- Rawancin numfashi
- Rafin zuciya ko raguwa
Dangane da matakin jinin jinin ku, likitanku na iya tabbatar da ku cewa anemia zai inganta bayan an yi shi tare da maganin rigakafi, ko kuma ya bada shawara da magani tare da magani don tayar da samfurin jini, tsara kayan ƙarfe, ko bayar da shawarar jinin jini . Abun wulakanci wani abu ne mai wuya na gajiya, saboda haka masu binciken ilimin likita suna kallon wannan yayin magani. Abin takaici, akwai matsaloli masu yawa na gajiya na ciwon daji , kuma anemia shine ɗaya daga cikin waɗannan.
Chemotherapy-Induced Neutropenia
Wani matakin ƙananan irin nau'in jini na jini wanda aka sani da neutrophils a lokacin chemotherapy an kira shi ne neutropenia-induced-chemotherapy-induced neutropenia .
Dukkanin nau'o'in jini mai tsabta za su iya shafawa tare da maye gurbin kashi, amma maye gurbin adadin tsaka-tsakin tsaka-tsakin shine mafi mahimmanci wajen inganta haɗarin kamuwa da cuta. Yawancin bayyanar cututtuka na neutropenia suna da alaka da cututtuka da suka bunkasa kuma zasu iya haɗawa da:
- A zazzabi fiye da 100.5 F.
- Hannu
- Ƙara
- Rawancin numfashi
- Redness ko malalewa kewaye da rauni ko shiga cikin jiki kamar layin Port ko IV
A lokacin shan magani, likitanku zai shawarce ka ka kauce wa yanayin da zai iya haifar da kamuwa da cuta, irin su ba da lokaci tare da mutanen da ke da rashin lafiya ko cin kasuwa a manyan wuraren shakatawa. Idan farin karen kuɗi ne ƙwarai, ta iya bayar da shawarar cewa an jinkirta jiyya na gaba na likita, ko kuma rubuta magunguna don taimakawa wajen hana kamuwa da cuta ko kuma ƙarfafa samar da kwayoyin jini. Magunguna irin su Neupogen ko Neulasta sune injections wanda ke motsa samuwa da kuma saki kwayoyin jini daga kasusuwa. A wasu lokuta, za a ba su da sauri don kiyaye karen fararen kirki a lokacin yaduwar cutar.
Chemotherapy-Haɓaka Thrombocytopenia
Tun lokacin da tallan ke da alhakin jini, sai ƙididdigar ƙwayar plats zai haifar da zub da jini. An ƙididdige ƙidayaccen nau'in platelet saboda ilimin chemotherapy da ake kira chemotherapy-induced thrombocytopenia. Alamun thrombocytopenia na iya hada da:
- Ƙarfafawa mai sauki
- Petechiae - launin toka a kan fata ɗin da ke tsayawa a ja ko da lokacin da ka matsa musu
- Haɗin gwiwa da tsoka
- Blood a cikin fitsari
- Lokaci na menstual lokaci
Idan ƙididdigar abincin ku yana da ƙananan ku ko kuna da matsala tare da zub da jini, likitanku na iya bada shawara ga transfusion na platinum ko magani don tayar da kasusuwa daga kasusuwan don yin karin plalets. Idan kuna da sha'awar, za ku iya samun ƙarin bayani game da shan maganin thrombocytopenia tare da chemotherapy-induced thrombocytopenia .
Tips don Kashewa
Ƙungiyar kula da lafiyar ku za ta lura da jinin ku kuma bayar da shawarwarin magani idan waɗannan sun zama marasa ƙarfi, amma akwai abubuwa da yawa da za ku iya yi don kula da kanku a wannan lokaci:
- Koyi yadda za a wanke hannayenka da kyau - Nazarin ya gaya mana cewa mafiya yawan mutane - har ma masu sana'a na kiwon lafiya - kada su wanke hannayen su a hanya mafi kyau don yin zaman lafiya yayin chemotherapy.
- Kira likitan ku da wasu alamun kamuwa da cuta, irin su zazzabi fiye da 100.5 F, tari, bala'i, rashin ƙarfi, ko zafi tare da urination
- Sauran lokacin da kake jin kunya
- Tsayawa sannu a hankali bayan kun kasance hutawa
- Ka guje wa magunguna kamar aspirin da ibuprofen wanda zai iya ƙara zub da jini
- Yi la'akari sosai don kaucewa yanayin da za a iya yanke ka ko kuma ya ji rauni
Sources:
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Cella D. Darajar rayuwa da yanke shawara na asibiti a cikin ilimin cutar jijiyyar cutar. Oncology (Williston Park) . 2006. 20 (8 Samar 6): 25-8.
Crea, F. et al. Magungunan Pharmacologic na farkon G-GSF prophylaxis a marasa lafiya na ciwon daji da kuma rawar da kwayoyin pharmacogenetics a ingantawa. Mahimman Bayani a kan Oncology / Hematology . 2008. Dec. 24. (Epub gaba da bugu).
Hensley, M. et al. Cibiyar Nazarin Harkokin Kwayoyin Harkokin Nahiyar Amirka ta 2008: Taimakon aikin sabuntawa: yin amfani da cutar shan magani da kuma radiation treatment guardians. Journal of Clinical Oncology . 2009. 27 (1): 127-45.
Pascoe, J. da N. Steven. Magunguna masu rigakafin rigakafi don rigakafin furotin. Rahotanni a yanzu a ilmin Halitta . 2009. 16 (1): 48-52
Ma'aikatar Lafiya ta Amurka da kuma Ayyukan Dan Adam. Cibiyar Nazarin Lafiya ta kasa. Ciwon Zuciya na Ƙasar da Ciwon Cutar Ciwon Harkokin Cutar da Yanayi. Anana. Updated 05/18/12. http://www.nhlbi.nih.gov/health/health-topics/topics/anemia/.