Chemotherapy, Deep Venous Thrombosis, da kuma Polmonary Embolism
Rufin jini da aka danganta da ilimin cutar shan magani yana magana ne game da kasa da, ce, tashin hankali da zubar da ciki, amma wannan ba yana nufin basu da matsala. A gaskiya, idan aka kwatanta da sanannun alamun alamomin tashin hankali, gajiya, da asarar gashi, zasu iya zama mafi haɗari. Wannan ya ce, fahimtar abubuwan haɗari, sanin hanyoyin da za a rage haɗarin ku, da kuma fahimtar bayyanar cututtuka, zasu iya taimaka muku rage ƙalubalen ku a lokacin magani.
Bayani
Ruwan jini - in ba haka ba an san shi a likitan likita a matsayin "mai ɓarkewa mai haɗari" - yana da matukar damuwa ga mutanen da ke fama da ciwon daji. Mun san wasu lokaci cewa mutane da ciwon daji a general - ba kawai waɗanda ke karbar ilimin chemotherapy - sun kara yawan haɗari Tashin jini yana iya zama mai zafi, amma mafi girma damuwa shi ne cewa wadannan yatsun za su rabu da tafiya zuwa ga huhu - lokacin da wannan ya faru - wani abu da ake magana a kai a matsayin hoton motsa jiki - yana da gaggawa gaggawa.
Idan ka yi tafiya a duniya, zaka iya zama da masaniyar bidiyon da aka yi a farkon bidiyon wanda duk da muhimmancin kafa don hana jinin jini, amma ba zamu iya jin labarin wannan hadarin ba tare da wasu abubuwan da ke faruwa ba - irin su yin tafiya ta hanyar maganin ilimin chemotherapy. A wannan yanayin, abin da ba ku ji ba zai cutar da ku. A gaskiya ma, wannan wani abu ne ta hanyar kasancewa mai ba da shawara a cikin kulawa da ciwon daji - koyo game da wannan matsala, da kuma tuntuɓar likitanka idan ka damu - zai iya kawo bambanci ga lafiyarka kuma yiwuwar ma sakamakonka.
Dalili na Hadarin
A kullum an yi zaton cewa mutane da ke tafiya ta hanyar shan magani suna da haɗari na jini, amma ba har zuwa shekarar 2013 cewa wannan yanayin na maganin ciwon daji ya ƙayyade shi kaɗai. A cikin wani babban binciken, an gano cewa tasirin jini na yin amfani da kwayar cutar shan kwayar cutar ya kasance kashi 12.6 cikin dari, idan aka kwatanta da wata kasuwa da kashi 1.4 cikin dari na marasa lafiya da ke fama da ciwon daji ba tare da karbar cutar chemotherapy ba.
Rashin haɗari ya fi girma a cikin wasu cututtuka fiye da wasu, tare da ciwon daji irin su ciwon daji da kuma ciwon huhu na ciwon huhu da ciwon haɗari. Bugu da ƙari, wasu magunguna da magunguna da aka yi amfani da su don magance cutar da cutar kodotherapy sun haɗa da haɗari da yawa. A cikin wannan binciken, kwayoyi waɗanda suka kara haɗari sun hada da Platinol (cisplatin), Avastin (bevacizumab), da kuma Epogen ko Procrit (jinin jini na jini na erythropoietin.)
Bugu da ƙari ga chemotherapy, menene wasu jiyya da yanayi na iya haifar da hadarin jinin jini ga mutanen da ke ciwon ciwon daji? Wasu abubuwan haɗari sun haɗa da:
- Tiyata - A wasu nazarin, hadarin jini a cikin marasa lafiyar jiki ya kai kashi 50 cikin dari bayan tiyata
- Harkokin lafiya, musamman ma ya zauna har kwana daya
- Dakatar da gado da kwanciyar hankali
- Babban venous access (kamar ciwon chemotherapy tashar jiragen ruwa)
- Magunguna da ake kira angiogenesis inhibitors (irin su Avastin)
Cutar cututtuka
Don gane da yiwuwar bayyanar cututtuka, zai iya taimakawa wajen warware wadannan a cikin alamun bayyanar da aka gani tare da jini a kafafu (ɓacin jini) da kuma bayyanar cututtuka da suka shafi jini wanda ya fadi kuma yayi tafiya zuwa ga huhu .)
Kwayoyin cututtuka na thrombosis (zub da jini a cikin kafa) sun hada da bayyanar cututtuka a cikin calves ko kafa na sama ciki har da:
- Redness
- Mai tausayi
- Kusawa
- Warmth
Kwayoyin cututtuka saboda gwanin kunya na wucin gadi na iya hada da:
- Cikin baƙin ciki zafi - sau da yawa mai zafi ciwo. Ka tuna cewa wasu lokuta sukan yi tafiya zuwa wurare daban-daban a cikin huhu, kuma jin zafi bazai kasance a wuri ɗaya ba
- Rawancin numfashi
- Ƙunƙara ko ƙin jini
- Haskewa
- Ba'a sani ba
- Cyanosis - zanewar launin fata na fata da lebe
- Zuciya arrhythmias - mahaukaciyar zuciya
- Girma na numfashi da kuma karfin zuciya tare da karfin jini
Rigakafin
Magunguna
Magunguna-anticoagulants-ana amfani dasu akai-akai a cikin 'yan shekarun nan don rage hadarin jini a cikin marasa lafiya.
Wannan ake kira "anticoagulation prophylactic" wanda, fassara, yana nufin m bloodning thinning.
Akwai magunguna masu magunguna da dama sun iya bayar da shawarar prophylactically. Binciken da aka yi kwanan nan ya nuna cewa magunguna irin su heparin suna aiki mafi kyau ga mutanen da ke fama da ciwon daji fiye da maganin da ke shawo kan kwayoyin K-irin su Coumadin (warfarin), amma magunguna daban-daban za a iya bada shawara dangane da halin da kake ciki. Wasu daga cikin wadannan kwayoyi (wanda zaka ji an kira shi heparin nau'i na kwayoyin) sun hada da:
- Lovenox (enoxaparin)
- Fragmin (dalteparin)
- Innohep (tinzaparin)
- Arixtra (fondaparinux) - wannan sabuwar kwayar cutar "heparin-like"
Kai-Kula
A cikin maganin likita, zamu yi magana game da kwayoyi idan yazo ga rigakafi, duk da haka akwai abubuwa da dama da zaka iya yin kanka don rage haɗarinka. Abu na farko kuma mafi muhimmanci shi ne kawai don ilmantar da kanka da kuma yin tambayoyi. Sanar da alamun bayyanar cututtuka na jini da kuma embolism na pulmon. Idan kun damu da kome, kada ku jira, amma tuntuɓi likitanku nan da nan. Tambayi likitan ku idan akwai wani abu na musamman da za ku iya yi don rage haɗarin ku, ko kuma idan ta bada shawarar magani don rage hadarin. Bugu da kari, kuna so:
- Matsa kusa da yadda za ta yiwu, a cikin iyaka. Idan ba ku da tabbacin yadda ake bada shawarar aiki, tambayi likitanku. Kwanan lokaci na lokaci na aiki na jiki yana da kyau fiye da ayyukan da ya wuce
- Ko da idan kun kwanta barci, kuyi tafiya da kafafu. Kwararka ko likita zai iya taimakawa wajen nuna waɗannan darussan a gare ku. Kuna iya gwada nuna yatsunku a kan kai da kuma ƙasa sau da yawa (sake yin magana da likitanku kamar yadda mafi dacewa zai iya bambanta dangane da yanayin lafiyar ku)
- Ka guji dogon tafiyarwa. Idan dole ne ku kasance a cikin mota don wani lokaci mai tsawo, tsara kullun dakatarwa-akalla kowane sa'a-kuma ku fita daga motar ku yi tafiya a kusa
- Bugu da ƙari ga wasu tsare-tsaren don yawo tare da ciwon daji , yi ƙoƙarin tashi sama da kowane sa'a, kuma zai fi dacewa kowane minti 30 kuma motsawa. Zaka iya yin gyaran kafa ko da lokacin da zaunar da ku. Dangane da halin da ake ciki, likitanku na iya ɗaukar yin zalunta da kwayar cutar (misali, heparin) mai ƙananan nauyi kafin ka tashi. Tabbatar tambayar. Shirin DVT saboda tafiya jirgin sama yafi dacewa da cewa an sanya su "ciwon tattalin arziki."
- Kada ku shan taba
- Idan likita ya ba da shawarar gyaran fuska, tabbatar da bi tafarkinta
- Ka guji tsallaka kafafunku
- Ka guje wa tufafi masu dacewa, musamman kayan da ke kusa da gwiwoyinka ko a yankinka
- Hada kafafunku lokacin da zai yiwu
- Ka guje wa maganin kafeyin da barasa. Duka caffeine da barasa zai iya haifar da ciwon shayarwa, kuma jin dadi yana haifar da hadarin jini
> Sources:
> Cibiyar Nazarin Harkokin Kwayoyi ta Amirka. Cutar Cancer.Net Tsayawa da Kulawa da Hutun Jiki. Updated 01/20/15.
> Garcia Escobar, I., Antonio Rebollo, M., Garcia Adrian, S. et al. Tsaro da Inganci na Thromboprophylaxis na Primer a cikin marasa lafiya. Clinical da Translational Oncology . 2016 Mayu 4. (Epub gaba da bugu).
> Khorana, A., Dalal, M., Lin, J., da G. Connolly. Abinda ke faruwa da kuma masu hangen nesa daga cikin thromboembolism (VTE) a tsakanin marasa lafiya marasa lafiya da ke fama da cutar shan magani a Amurka. Ciwon daji . 2013. 119 (3): 648-55.
> Posch, F., Konigsbrugge, O., Zielinski, C., Pabinger, I., da C. Ay. Yin jiyya na thromboembolism a marasa lafiya tare da ciwon daji: Sashin hanyar sadarwa na zamani kwatanta inganci da aminci na anticoagulants. Kimiyyar Thrombosis . 2015. 136 (3): 582-9.
> Vitale, C., D'Amato, Binciken da ke ciki da ciwon huhu na huhu: wani bita. Multidisciplinary na numfashi Medicine . 2015. 10 (1): 28.