Hana ʻia ko mākou koko me kahi wai i kapa ʻia he plasma, nā ʻulaʻula ʻulaʻula, nā keʻokeʻo keʻokeʻo a me nā platelets. ʻO kā mākou mau keʻokeʻo keʻokeʻo he ʻāpana o kā mākou ʻōnaehana pale a hakakā i ka maʻi a me ka maʻi.
Loaʻa iā mākou nā ʻano ʻokoʻa keʻokeʻo keʻokeʻo, kēlā me kēia kuleana no ka hakakā ʻana i nā ʻano maʻi like ʻole. ʻO nā neutrophils nā keʻokeʻo keʻokeʻo i loaʻa iā mākou ka hapa nui. ʻO lākou ka mea mua i ʻike a hakakā i nā maʻi.
ʻO ka Neutropenia kahi huaʻōlelo lapaʻau i hoʻohana ʻia inā ʻaʻole lawa ʻoe i nā neutrophils - hiki iā ʻoe ke pilikia i ka maʻi.
He aha kāu e ʻike ai e pili ana i nā neutrophils
ʻO Neutrophils ka hapa nui o ko mākou mau keʻokeʻo keʻokeʻo. ʻO kahi hapa liʻiliʻi o kā mākou mau keʻokeʻo keʻokeʻo he neutrophils.
Hana ʻia nā neutrophils i loko o ko mākou iwi iwi - ka ʻāpana spongy waena o ko mākou mau iwi. Noho lākou ma kahi o 14 mau lā i loko o ko mākou iwi iwi ma mua o ka hoʻokuʻu ʻia ʻana i loko o ko mākou kahawai koko.
Hiki iā lākou ke neʻe i waho o ko mākou koko inā pono lākou e hakakā i ka maʻi ma kahi ʻāpana o ko mākou kino.
ʻO Neutrophils nā pūnaewele mua e ʻike a hakakā i nā germs, nā maʻi a me nā maʻi.
ʻO nā maʻi maʻi, nā maʻi a me nā maʻi maʻi ʻino ʻO nā pathogens kekahi mea ʻaʻole i ʻāpana o mākou, hiki ke hoʻomake iā mākou. ʻO kekahi pathogen kekahi o kā mākou mau pūnaewele ponoʻī i hoʻomohala ʻia i kahi ala e pōʻino ai iā mākou, e like me ke kelepona i lilo i ka maʻi kanesa.
Hiki ke loli (hoʻololi) nā pae Neutrophil i loko o ko mākou koko i ka lā a pau ke hana ʻia nā mea hou a make kekahi.
Hana ko mākou kino ma kahi o 100 biliona neutrophils i kēlā me kēia lā! (Ma kahi o 1 miliona kēlā me kēia kekona). Akā, ola kēlā me kēia no 8-10 mau hola ke komo i loko o ko mākou kahawai koko. Hiki i kekahi ke ola a hiki i hoʻokahi lā.
ʻAʻole like me nā keʻokeʻo keʻokeʻo ʻē aʻe e hakakā nei i nā pathogens, ʻaʻole kikoʻī nā neutrophils. ʻO kēia ke ʻano hiki iā lākou ke hakakā i kekahi pathogen. Eia nō naʻe, ʻaʻole hiki iā lākou ke hoʻopau mau i ka pathogen.
Hoʻopuka nā Neutrophils nā kemika i kapa ʻia he cytokines ke hakakā lākou i nā pathogens. Hoʻouna kēia mau cytokines i nā leka i nā keʻokeʻo keʻokeʻo ʻē aʻe, e hōʻike iā lākou aia kahi pathogen e pono e hoʻopau ʻia. ʻO nā keʻokeʻo keʻokeʻo kikoʻī kikoʻī i hoʻolālā ʻia e hakakā i kēlā pathogen kikoʻī a laila e hoʻomaka i ka hana a hoʻopau iā ia.
Hoʻopili ko mākou kino me nā pathogens i nā manawa a pau! ʻO kā mākou neutrophils ke kumu ʻaʻole mākou e maʻi i nā manawa a pau.
ʻO kā mākou neutrophils hoʻoikaika i kā mākou ʻōnaehana pale e hoʻopau i ka pathogen, pinepine ma mua o ka loaʻa ʻana o ka manawa e maʻi ai mākou.
Ke nānā nei kēia ʻaoʻao i ka neutropenia - haʻahaʻa neutrophils leves. Eia nō naʻe, loaʻa paha iā ʻoe nā pae neutrophil kiʻekiʻe i kekahi manawa āu e nīnau ai. Hiki i nā neutrophils kiʻekiʻe ke kumu e:
- nā steroid (e like me ka dexamethasone a i ʻole prednisolone)
- lāʻau ulu ulu (e like me GCSF, filgrastim, pegfilgrastim)
- maʻiʻaʻai
- aat i
- nā maʻi like leukemia.
ʻO kou pae maʻamau o neutrophils e pili ana i nā kumu he nui. Hiki i kēia mau mea ke komo:
- kou mau makahiki (nā pēpē, nā keiki, nā ʻōpio, nā mākua, a me nā poʻe ʻelemakule e loaʻa nā pae "maʻamau" like ʻole).
- nā lāʻau lapaʻau e loaʻa iā ʻoe - ʻo kekahi mau lāʻau lapaʻau e hoʻoulu i nā pae kiʻekiʻe, a ʻo nā mea ʻē aʻe ke kumu haʻahaʻa.
- inā paha ʻoe e hakakā nei i ka maʻi a i ʻole ka mumū.
- nā mea hana i hoʻohana ʻia i ka pathology a me nā ʻano hōʻike.
YHe kuleana ko ʻoe e noi i kope paʻi o kāu mau hopena koko. I ka nui o nā hihia, e hōʻike ka hōʻike i kou pae o nā neutrophils a laila ma nā brackets (….) hōʻike i ka laulā maʻamau. E kōkua kēia iā ʻoe e hana inā he maʻamau a ʻaʻole paha kāu hopena. Eia nō naʻe, pono ʻoe i kāu kauka e wehewehe i kēia mau mea iā ʻoe, no ka mea, ʻaʻole ʻike ka hōʻike ʻana o ka pathologist i kou kūlana pilikino. Hiki i kāu kauka ke hōʻike iā ʻoe inā maʻamau nā pae no kou kūlana pilikino.
E ʻike paha ʻoe ʻaʻole ʻike ʻia ka hopena i loko o nā palena maʻamau. Hiki i kēia ke hoʻoulu i ka hopohopo a me ka hopohopo - a laila e huikau ke ʻano hopohopo ʻole kāu kauka. He mea nui e hoʻomanaʻo ʻo kāu hoʻāʻo koko he ʻāpana liʻiliʻi wale nō o ka puzzle nui aʻe ʻo ʻoe. E nānā kāu kauka i kāu mau ho'āʻo koko me nā ʻike ʻē aʻe a pau e pili ana iā ʻoe, ma mua o ka hoʻoholo ʻana inā he mea hopohopo ka hoʻāʻo koko.
E noi i kāu kauka e wehewehe i kāu mau hopena me ʻoe, e pili ana i kāu kūlana maʻi pilikino.
He aha kāu e ʻike ai e pili ana i ka Neutropenia
ʻO ka Neutropenia kahi hopena maʻamau o ka mālama lymphoma. Nui nā lāʻau lapaʻau e hana ana ma ka hoʻouka ʻana i nā cell ulu wikiwiki. E hoʻomanaʻo i kā mākou i ʻōlelo ai ma luna, hana ko mākou kino i 100 biliona neutrophils i kēlā me kēia lā? ʻO ia ke ʻano hiki ke hoʻopaʻa ʻia lākou e nā lāʻau lapaʻau e hakakā i ka lymphoma.
ʻO ka neutropenia ke haʻahaʻa loa kāu mau neutrophils. Inā loaʻa iā ʻoe ka neutropenia, aia ʻoe neutropenic. ʻO ka neutropenic e hoʻonui iā ʻoe i ka pilikia o nā maʻi.
ʻO ka neutropenic ʻaʻole ia e hoʻoweliweli i ke ola. Eia naʻe, inā loaʻa iā ʻoe kahi maʻi i ka wā neutropenic, hiki i kēia mau maʻi ke lilo koke i mea weliweli i ke ola. Pono ʻoe e kiʻi koke i ke kākoʻo olakino. ʻO ka ʻike hou aku e pili ana i kēia ma lalo o ka ʻaoʻao ma lalo o Febrile Neutropenia.
Loaʻa paha ʻoe i ka neutropenic 7-14 mau lā ma hope o kou loaʻa ʻana i ka chemotherapy. Eia nō naʻe, hiki ke loaʻa ka neutropenia i kēlā me kēia manawa i kāu mālama ʻana i ka lymphoma. Inā haʻahaʻa loa kāu neutrophils, pono paha ʻoe e hoʻopaneʻe i kāu lapaʻau hou a hiki i ka piʻi ʻana i kahi pae palekana. Ke mālama ʻoe i ka lymphoma, ʻO kahi pae palekana no ka lapaʻau ʻana paha he pae haʻahaʻa ma mua o ka pae maʻamau.
Hiki i ka Neutropenia ke hopena hope loa o kekahi mau antibodies monoclonal e like me rituximab a me obinutuzumab. Hiki ke loaʻa nā hopena ʻaoʻao hope i nā mahina a i ʻole mau makahiki ma hope o kou hoʻopau ʻana i ka mālama ʻana.
Inā he neutropenic paha kāu lapaʻau ʻana, hiki i kāu haematologist a oncologist paha ke hoʻomaka iā ʻoe i kekahi lāʻau prophylactic. ʻO ka prophylactic ka mea e pale ai. Hāʻawi ʻia kēia mau mea inā ʻaʻole ʻoe i loaʻa i kahi maʻi, e hoʻāʻo a hoʻōki i kou maʻi ma hope.
ʻO kekahi mau ʻano lāʻau lapaʻau e hoʻomaka ai ʻoe:
- ʻO nā lāʻau anti-fungal e like me ka fluconazole a i ʻole posaconazole. Hoʻopaʻa a mālama paha kēia i nā maʻi fungal e like me ka thrush, hiki iā ʻoe ke loaʻa i loko o kou waha a i ʻole nā ʻōpū.
- ʻO nā lāʻau anti-viral e like me valacyclovir. ʻO kēia mau mea e pale ai i ka lapalapa a mālama ʻana paha i nā maʻi maʻi e like me ka herpes simplex virus (HSV), ka mea e hoʻoulu ai i nā ʻeha anu ma kou waha a i ʻole nā ʻeha ma kou ʻōpū.
- ʻO nā lāʻau anti-bacterial e like me trimethoprim. Mālama kēia mau mea i kekahi mau maʻi bacteria e like me ka maʻi maʻi bacterial.
- ʻO nā kumu ulu e hoʻonui ai i kāu mau keʻokeʻo keʻokeʻo e like me GCSF, pegfilgrastim a i ʻole filgrastim e kōkua i kāu mau keʻokeʻo keʻokeʻo e hoʻōla koke ma hope o ka chemotherapy.
ʻAʻole hiki ke pale ʻia ka neutropenia i ka wā mālama. Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i ka hopena i loaʻa iā ʻoe.
- E lawe i kāu mau lāʻau prophylactic (pale) e like me ke kauoha a kāu kauka iā lākou no ʻoe.
- Ka mamao pilikanaka. E mālama i 1 -1.5 mika ma waena o ʻoe a me nā poʻe ʻē aʻe ke hele ʻoe i waho i ka lehulehu. E hoʻopaʻa i ka mask inā ʻaʻole hiki iā ʻoe ke mamao aku.
- E mālama i ka mea hoʻomaʻemaʻe lima i loko o kāu ʻeke a i ʻole kaʻa, a holoi i kou mau lima me ke kopa a me ka wai. E hoʻomaʻemaʻe i nā lima ma mua a ma hope o ka ʻai ʻana, a hoʻopā paha i kekahi mea haumia a hoʻohana ʻia e nā poʻe he nui - e like me nā kaʻa kūʻai, nā kīʻaha kukui a me nā lima puka a ma hope o ka hele ʻana i ka lua a i ʻole ka hoʻololi ʻana i ka lole.
- E hoʻohana i ka moisturizer maikaʻi ma nā lima maloʻo a me ka ʻili e pale i nā māwae e hiki ke hoʻokuʻu i nā germs i loko o kou kino.
- Inā hele ʻoe e kūʻai, e hele i kahi manawa mālie o ka lā i ka liʻiliʻi o ka poʻe a puni.
- E hōʻalo i ka poʻe inā loaʻa iā lākou ka lāʻau lapaʻau ola - e like me ka nui o nā lāʻau lapaʻau kamaliʻi a me nā maʻi shingles.
- E haʻi aku i nā hoaaloha a me nā ʻohana mai kipa aku inā loaʻa iā lākou kekahi mau hōʻailona o ka maʻi e like me ka ihu kahe, ka ʻū, ke kuni, ka ʻūhū a i ʻole ke ʻano maʻamau a nāwaliwali. E noi i nā malihini e holoi i ko lākou mau lima ke hiki lākou.
- E hōʻalo i nā pā hoʻomoe holoholona a i ʻole ka ʻōpala. Holoi a hoʻomaʻemaʻe paha i kou mau lima ma hope o ka hoʻopā ʻana i nā holoholona.
- E hoʻopaʻa i nā ʻoki ma lalo o ka wai kahe no 30-60 kekona no ka wehe ʻana i nā germs, e hoʻohana i ka antiseptic i ka wā maʻemaʻe a maloʻo, a kau i kahi pahu kōkua a i ʻole nā ʻaʻahu maʻemaʻe ʻē aʻe ma luna o ka ʻoki a ola.
- Inā he laina waena kāu e like me ka PICC, i hoʻokomo ʻia i ke awa a i ʻole HICKMANS e hoʻomaʻemaʻe a maloʻo kekahi mau lole, ʻaʻole e hoʻokiʻekiʻe mai kou ʻili. E hōʻike koke i ka ʻeha a i ʻole ke kahe ʻana i kāu kahu. Inā haumia kou ʻaʻahu ma ka laina waena, a ʻaʻole pili i kou ʻili, e hōʻike koke i kāu kahu.
- E ʻai i ka meaʻai olakino waiwai nui. Pono kou kino i ka ikehu hou e hoʻololi i nā pūnaewele olakino me nā neutrophils, i hōʻino ʻia a luku ʻia paha e kāu mālama ʻana. Pono ka protein no ka hana ʻana i kēia mau cell.
- E holoi i nā huaʻai a me nā mea kanu ma mua o ka ʻai ʻana a i ʻole ke kuke ʻana. E ʻai wale i nā meaʻai i hoʻomākaukau ʻia a i ʻole nā mea paʻa ma hope koke o ke kuke ʻana. Hoʻomaʻa hou i mea wela ka meaʻai a pau. E hōʻalo i nā buffets a me nā mea a pau āu e ʻai ai i nā hale ʻaina.
- E ʻai i nā meaʻai me ka liʻiliʻi o ka hopena o ka maʻi - E nānā i ka papa ma lalo.
ʻAʻai Neutropenic | |
E Ai | KEKAHI |
Milk Pasteurized ʻO ka yogurt pasteurized ʻO nā pākaʻi paʻa Ice-cream paʻakikī Jelly ʻO ka palaoa hou (ʻaʻohe ʻāpana poʻo) Kahe a pau mānoanoa inoaia Pāpaʻa Moʻa Huamoa - moʻa ʻIʻo - moʻa a hana maikaʻi ʻiʻo ʻiʻo ka wai Kofe a me ke kī koke ʻO nā huaʻai a me nā mea kanu i holoi ʻia. | waiu unpasteurized a me ka yogurt ʻO nā pāpaʻi palupalu a me nā paʻakai me ka ʻōpala (e like me ka brie, feta, cottage, cheese blue, camembert) Ice-cream palupalu ʻO nā hua holo Egg nog a i ʻole smoothies me nā hua maka ʻIʻi ʻaʻa ʻole - ʻIʻi me ke koko a i ʻole nā ʻāpana maka Nā ʻiʻo anu ʻAi puhi Sushi Iʻa maka Māhele Nā hua maloʻo Nā kīʻaha a me nā pā salakeke ʻAʻole i hana hou ʻia nā salakeke Koena ʻO Apple cider Probiotics a me nā moʻomeheu ola. |
Ka lawelawe ʻana i ka meaʻai
- Holoi mau lima ma mua o ka ʻai ʻana.
- Holoi mau lima ma mua a ma hope o ka hoʻomākaukau ʻana i ka meaʻai.
- E hoʻohana mau i nā papa ʻoki ʻokoʻa no ka ʻiʻo, ka moa, a me ka iʻa.
- E mālama i ka ʻiʻo maka, ka iʻa, a me nā hua mai nā meaʻai mākaukau. E hōʻalo i ka ʻiʻo maka a me ka moa ʻole. Mai ʻai i nā meaʻai me ka hua maka i loko. Mai ʻai i ka ʻiʻo puhi a i ʻole ka iʻa.
- E hoʻolei i nā sponges a holoi mau i nā kāwele kīʻaha.
- E hoʻomoʻa pono i ka meaʻai ma nā mahana kūpono.
- E uhi a hoʻopaʻa i nā koena a hoʻopaʻa paha i loko o hoʻokahi hola o ka hoʻomākaukau ʻana e kaupalena i ka ulu ʻana o ka bacteria.
- E mālama pono i ka meli a me ka waiu i pasteurised. E hōʻalo i nā paʻakai i oo ʻia, nā paʻakai uliuli a me nā paʻakai palupalu.
- Mai ʻai i nā meaʻai i hala i ka lā pau.
- Mai kūʻai a hoʻohana paha i nā meaʻai i loko o nā kini i niho a poino paha.
- E pale i ka meaʻai mai nā hale kūʻai deli.
ʻO ka maʻi a me ka neutropenia
Hiki ke hoʻomaka nā maʻi ma nā wahi āpau o kou kino ke neutropenic ʻoe. ʻO nā maʻi maʻamau e loaʻa iā ʻoe e komo pū nā maʻi i kāu:
- nā ala ea - e like me ka infuenza (Flu), ke anu, ka maʻi pneumonia a me COVID
- ʻōnaehana hoʻoheheʻe - e like me ka ʻai ʻana i ka meaʻai, a i ʻole nā pepa ʻē aʻe e hiki ke hoʻoulu i ka maʻi maʻi a me ka luaʻi
- nā maʻi ʻeha a i ʻole nā maʻi mimi
- laina waena a i ʻole nā ʻeha ʻē aʻe.
ʻO ka neutropenic, ʻaʻole hiki i kou kino ke hakakā i ka maʻi e like me ka mea maʻamau. ʻO ka nui o nā hōʻailona i loaʻa iā mākou i ka wā e loaʻa ai ka maʻi mai ka pane ʻana o ka pale i ka maʻi ma mua o ka maʻi ponoʻī. ʻAʻole paha ʻoe e loaʻa nā hōʻailona like ʻole o nā maʻi e like me kou maʻamau.
Nā hōʻailona maʻamau o ka maʻi
ʻO ka pane kūlohelohe maʻamau i ka maʻi e hoʻokuʻu i nā cytokines a me nā kemika ʻē aʻe mai kā mākou mau cell immune a me nā pathogens i luku ʻia. ʻO kēia kaʻina hana, a me ka wehe ʻana i nā cell i luku ʻia ke kumu o ka nui o kā mākou mau hōʻailona. ʻO nā hōʻailona maʻamau o kēia kaʻina hana:
- ʻulaʻula a pehu.
- puss - he lele mānoanoa melemele a keʻokeʻo paha.
- eha.
- ke kuni (ke wela kiʻekiʻe) - ʻO ka mahana maʻamau he 36 degere a 37.2 degere. He mea maʻamau kekahi mau loli. Akā inā ʻo kou wela 38 degere a ʻoi paha, e hoʻomaopopo koke i kāu kauka a kahu hānai paha.
- ke kuni haʻahaʻa ma lalo o 35.5 degere hiki ke hōʻike i ka maʻi.
- ʻaʻala ʻaʻala.
ʻO ka neutropenia febrile
ʻO ka febrile neutropenia e pili ana i kahi maʻi maʻi he a pilikia olakino. ʻO Febrile neutropenia ʻo ia ka neutropenic, a ʻoi aku ka mahana ma mua o 38 degere. Eia naʻe, ʻo ka loaʻa ʻana o ka mahana ma lalo o 35.5 degere hiki ke hōʻike i ka maʻi a hiki ke lilo i mea weliweli i ke ola.
E hōʻike i kāu kahu hānai a kauka paha inā he 38 degere ʻoe a ʻoi aʻe paha, a i ʻole he emi kou wela ma mua o 36 degere.
Eia naʻe, ʻaʻole nā hihia āpau o ka febrile neutropenia ma muli o nā maʻi. I kekahi mau hihia, loaʻa paha ʻoe i ke kuni ma mua o 38 degere, ʻoiai inā ʻaʻole ʻoe i loaʻa i kahi maʻi. Inā loaʻa kēia i ka wā e neutropenic ʻoe, e mālama ʻia ia me he maʻi lā a hiki i ka wā e hoʻopau ʻia ai ka maʻi. Hiki i kekahi mau lāʻau lapaʻau e like me ka cytarabine chemotherapy ke hoʻonui i kou wela, ʻoiai me ka ʻole o ka maʻi.
I ka wā e hele ai i ke keʻena pilikia
E like me ka mea i ʻōlelo ʻia ma luna, ʻo ka febrile neutropenia kahi pilikia olakino. Mai hoʻokaʻulua e kelepona i kahi kaʻa kaʻa a i ʻole e kiʻi i kekahi e hoʻokele iā ʻoe i ke keʻena pilikia ma kou haukapila kokoke loa inā ua loaʻa iā ʻoe ka mālama ʻana i kou lymphoma a loaʻa kekahi o kēia mau hōʻailona:
- kuni o 38 degere a oi - ʻoiai inā ua iho i lalo mai kou nānā hope ʻana
- kou wela ma lalo o 36 kekelē
- ua loli kou wela ʻoi aku ma mua o 1 degere mai ka mea maʻamau – No ka laʻana – Inā he 36.2 degere kou wela a he 37.3 degere. A i ʻole inā he 37.1 degere maʻamau a he 35.9 degere
- ʻoʻoleʻa - (shake) a i ʻole ke anuanu
- ʻūlū a i ʻole nā loli i kou ʻike - hiki ke hōʻike i ke emi ʻana o ke kahe koko he hōʻailona ia o ka maʻi
- hoʻololi i kou puʻuwai puʻuwai, a i ʻole ka manaʻo ʻana i ka paʻi ʻana o kou puʻuwai ma mua o ka mea maʻamau
- ka maʻi ʻaʻai, nausea a luaʻi paha
- ʻū, pōkole o ka hanu a i ʻole ʻū
- nā hōʻailona o nā maʻi e like me ka mea i helu ʻia ma luna
- ʻaʻole maikaʻi loa ʻoe
- loaʻa ka manaʻo ua hewa kekahi mea.
He aha kāu e manaʻo ai ke hele ʻoe i ka haukapila
Ke kāhea ʻoe i kahi kaʻa kaʻa a hōʻea paha i ke keʻena pilikia, e haʻi iā lākou:
- Loaʻa iā ʻoe ka lymphoma (a me ka subtype)
- He aha nā lāʻau i loaʻa iā ʻoe a i ka wā hea
- He neutropenic paha ʻoe
- He kuni kou
- ʻO nā hōʻailona ʻē aʻe i loaʻa iā ʻoe.
Loaʻa paha iā ʻoe kahi hoʻāʻo koko e nānā i nā pae neutrophils, a me kahi pale septic.
ʻO ka pale septic kahi huaʻōlelo i hoʻohana ʻia no kahi hui o nā hoʻāʻo e nānā i nā maʻi. Aia kēia mau mea i lalo:
- ʻO nā hoʻokolohua koko i kapa ʻia ʻo "moʻomeheu koko". E lawe ʻia paha kēia mai nā lumen a pau o kāu laina waena inā loaʻa iā ʻoe kekahi, a mai kou lima pū me ka nila.
- X-Ray o ka umauma.
- Laʻana mimi.
- He laʻana (poo) inā loaʻa ʻoe i ka maʻi maʻi.
- Holoi mai nā ʻeha ma kou kino a ma kou waha.
- Holoi mai a puni kou laina waena inā he maʻi ia.
- Hoʻopili ʻia ka hanu inā loaʻa iā ʻoe nā hōʻailona o COVID, ke anu, ka maʻi maʻi a i ʻole ka maʻi pneumonia.
Inā kānalua ʻia kahi maʻi, e hoʻomaka ʻia ʻoe ma mua o ka hiki ʻana mai o nā hopena. Loaʻa paha iā ʻoe ma mua o hoʻokahi ʻano lāʻau antibiotic.
E hoʻokomo ʻia ʻoe i ka haukapila no laila hiki ke hāʻawi ʻia nā lāʻau antibiotic me ka intravenously (i loko o kou kahe koko ma o kahi cannula a i ʻole laina waena) no laila e hoʻokō wikiwiki lākou.
Ke hiki mai nā hopena o kāu mau ʻū, nā hoʻāʻo koko a me nā laʻana ʻē aʻe, hiki i kāu kauka ke hoʻololi i kāu mau lāʻau antibiotic. ʻO kēia no ka mea ke ʻike lākou i ka maʻi germ e maʻi ai iā ʻoe, hiki iā lākou ke koho i kahi lāʻau antibiotic ʻoi aku ka maikaʻi i ke kaua ʻana i kēlā germ. Eia nō naʻe, hiki ke lawe i kekahi mau lā a hiki i kēia mau hopena, no laila e noho ʻoe ma nā lāʻau antibiotic ākea i kēia manawa.
hōʻuluʻulu manaʻo
- ʻO ka Neutropenia kahi hopena maʻamau o nā lāʻau lapaʻau no ka lymphoma.
- Hiki paha iā ʻoe ke neutropenic 7-14 mau lā ma hope o ka chemotherapy akā naʻe, hiki i ka neutropenia ke hopena hope loa o kekahi mau lapaʻau, e hoʻomaka ana i nā mahina a hiki i nā makahiki ma hope o ka mālama ʻana.
- Loaʻa paha ʻoe i nā maʻi ke neutropenic ʻoe.
- E lawe i kāu mau lāʻau prophylactic a pau e like me kāu i ʻōlelo ʻia ai, a e mālama i ka pale ʻana i nā maʻi.
- Inā he neutropenic ʻoe, e pale aku i nā meaʻai e lawe i nā maʻi.
- ʻO nā maʻi ʻoiai ʻoe e neutropenic hiki ke lilo i mea weliweli i ke ola.
- Inā ua lapaʻau ʻia ʻoe no ka lymphoma, a ʻike ʻoe he neutropenic ʻoe, e kiʻi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe nā hōʻailona o nā maʻi. Kāhea i kahi kaʻa kaʻa a i ʻole e hele i kāu keʻena ulia pōpilikia kokoke loa
- ʻAʻole hiki iā ʻoe ke loaʻa nā hōʻailona maʻamau o ka maʻi i ka wā neutropenic.
- Inā loaʻa iā ʻoe ka febrile neutropenia, e hoʻokomo ʻia ʻoe i ka haukapila no nā lāʻau antibiotic intravenous.
- Inā ʻaʻole ʻoe maopopo, he mau nīnau kāu, mai hoʻokaʻulua e kelepona i kā mākou Lymphoma Care Nurses Monday - Friday Eastern Standard Time.
