Created at:1/13/2025
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I-Neutropenia yisimo lapho umzimba wakho unama-neutrophil ambalwa kunokujwayelekile egazini lakho. Ama-Neutrophil ayingxenye yamaseli amhlophe egazi asebenza njengomugqa wokuqala womzimba wakho wokuzivikela ezifweni, ikakhulukazi ezibangelwa amagciwane. Uma ungenayo lezi zinhlobo zamaseli alwa nezifo, uba sengozini enkulu yokugula emagciwaneni umzimba wakho obungawasingatha kalula.
I-Neutropenia yenzeka lapho inani lakho le-neutrophil lehla libe ngaphansi kwamaseli ayi-1,500 ngemikrolitha yegazi. Cabanga ngama-neutrophil njengabalindi bezokuphepha bomzimba wakho abaqapha ngaphakathi kwegazi lakho nezicubu, basabele ngokushesha kunoma yiziphi izinsongo zamagciwane. Emuntwini onempilo, la maseli enza cishe ama-50-70% wawo wonke amaseli amhlophe egazi.
Lesi simo singaba sibi kancane, esiphakathi nendawo, noma esibi kakhulu kuye ngokuthi inani lakho le-neutrophil lehla kangakanani. I-neutropenia encane ingase ingabangeli izinkinga eziqaphelekayo, kuyilapho i-neutropenia enkulu ingakwenza ube sengozini enkulu yokuthola izifo ezinzima. Udokotela wakho angahlola kalula amazinga akho e-neutrophil ngomsebenzi wegazi olula obizwa ngokuthi ukubalwa kwegazi okuphelele.
I-Neutropenia ngokwayo ayibangeli izimpawu ezithile ongazizwa ngokuqondile. Kunalokho, cishe uzoqaphela izimpawu zokuthi umzimba wakho ulwela ukulwa nezifo. Abantu abaningi abane-neutropenia encane bazizwa bejwayelekile ngokuphelele futhi bathola kuphela lesi simo ngesikhathi somsebenzi wegazi ojwayelekile.
Lapho izimpawu zivela, zivame ukuhlobana nezifo umzimba wakho ongakwazi ukuzilwa kahle njengoba kufanele. Ungase uzithole ugula kaningi kunokujwayelekile, noma izifo ezingaba zincane ngokujwayelekile zingase zibonakale zihlala isikhathi eside noma zizizwe zinamandla kakhulu kunalokho obukulindele.
Nazi izimpawu ezivame kakhulu ezingase zikhombe ukuthi umzimba wakho ubhekene nezifo ezivamile ngenxa yokwehla kwenani le-neutrophil:
Kufanelekile ukuqaphela ukuthi abanye abantu abane-neutropenia bangase babe nalezi zimpawu ngobumnene, kanti abanye bangase babe nezifo ezivame kakhulu noma ezinzima. Okubalulekile ukunaka amaphethini empilweni yakho kunokuba izigameko ezihlukile.
I-Neutropenia ingase ivele lapho umnkantsha wakho wamathambo ungenzi ama-neutrophil anele, lapho la maseli ebhubhiswa ngokushesha kakhulu, noma lapho esetshenziswa ngokushesha kunokuba angashintshwa. Umnkantsha wakho wamathambo unjengemboni ekhiqiza amaseli egazi, futhi ngezinye izikhathi le mboni ingancipha noma ibhekane nokuphazamiseka.
Izici eziningana zingaphazamisa ikhono lomzimba wakho lokugcina amazinga e-neutrophil anempilo. Ezinye izimbangela zesikhashana futhi ziyaguquleka, kanti ezinye zingase zidinge ukuphathwa okuqhubekayo. Ukuqonda ukuthi yini ngemuva kwe-neutropenia yakho kusiza udokotela wakho ukuthi akhethe indlela yokwelapha esebenza kahle kakhulu.
Nazi izimbangela ezivame kakhulu ze-neutropenia, kusukela kwezivamile:
Ngokuvamile, i-neutropenia ingase ibe khona kusukela ekuzalweni ngenxa yezimo zofuzo, noma ingase ithuthuke njengomphumela ohlangothini wezifo ezithile ezingapheli. Udokotela wakho uzosebenza nawe ukukhomba imbangela ethile esimweni sakho, okubalulekile ekunqumeni uhlelo olungcono kakhulu lokwelapha.
I-Neutropenia ingaba yisibonakaliso sezimo ezihlukahlukene zempilo ezingaphansi, kusukela ezinkingeni zesikhashana kuya ezifweni ezingathi sína. Ngezinye izikhathi kuyisibonakaliso sokuqala esixwayisa odokotela ukuthi baphenye ngokuqhubekayo ngezimo ezingase zingabi nazimpawu ezibonakalayo okwamanje.
Ezimweni eziningi, i-neutropenia ingumphumela ohlangothini wokwelashwa kwezokwelapha kunokuba yisibonakaliso sesifo esiyinhloko. Isibonelo, kuvamile kakhulu ngesikhathi sokwelashwa komdlavuza futhi ngokuvamile kuyanyamalala lapho ukwelashwa sekuqediwe. Kodwa-ke, i-neutropenia eqhubekayo ingase ikhombise isimo esingaphansi esidinga ukunakwa.
Nazi izimo eziyinhloko i-neutropenia engase izibonakalise:
Ngokungavamile, i-neutropenia ingaba yisibonakaliso sezimo zofuzo eziqhamukayo ezithinta indlela umnkantsha wamathambo okhiqiza ngayo amaseli amhlophe egazi. Lezi zimo zivame ukutholakala ebuntwaneni, kodwa izinhlobo ezithambile zingase zingatholakali kuze kube sebudaleni ngesikhathi somsebenzi wegazi ojwayelekile.
Udokotela wakho uzocabangela impilo yakho yonke, umlando wezokwelapha, nezinye izimpawu ukuze anqume ukuthi i-neutropenia ikhomba esimo esithile esingaphansi esidinga ukwelashwa.
Ukuthi i-neutropenia iyazixazulula yodwa kuncike ngokuphelele kulokho okuyibangela ekuqaleni. Uma kungenxa yesici sesikhashana njengokutheleleka ngegciwane noma umphumela ohlangothini womuthi, inani lakho le-neutrophil livame ukubuyela kokujwayelekile uma imbangela eyisisekelo isixazululiwe.
I-Neutropenia ebangelwa i-chemotherapy noma imithi ethile ngokuvamile ithuthuka ngemva kokuthi ukwelashwa kuphele noma umuthi uyekwa. Umnkantsha wakho wamathambo uvame ukubuyisa ikhono lawo lokukhiqiza amazinga avamile e-neutrophils phakathi kwamasonto ambalwa kuya ezinyangeni, nakuba lo mgomo wesikhathi ungahluka kumuntu nomuntu.
Nokho, i-neutropenia ebangelwa izimo ezingamahlalakhona njengezifo ze-autoimmune noma izifo zomnkantsha wamathambo ngokuvamile idinga ukuphathwa kwezokwelapha okuqhubekayo. Lezi zinhlobo ngokuvamile azixazululi ngaphandle kokwelashwa, futhi ukuqapha kuba yingxenye ebalulekile yomkhuba wakho wokunakekelwa kwezempilo.
Udokotela wakho uzokusiza ukuthi uqonde ukuthi ngabe isimo sakho esithile singathuthuka yini sodwa noma ngabe uzodinga ukwelashwa ukuze ubuyisele amazinga e-neutrophil anempilo. Bazophinde baqaphe ukubalwa kwegazi lakho njalo ukuze balandele noma yiziphi izinguquko futhi balungise uhlelo lwakho lokunakekela njengoba kudingeka.
Ngenkathi i-neutropenia ngokwayo ingelashwa ngemithi yasekhaya, kunezinyathelo ezibalulekile ongazithatha ukuze uzivikele ekuvikelweni ezifweni futhi usekele impilo yakho yonke. Umgomo oyinhloko ukunciphisa ukuchayeka kwakho kumagciwane ngenkathi umzimba wakho unamaseli ambalwa okulwa nezifo atholakalayo.
Inhlanzeko enhle iba yinto ebaluleke kakhulu uma une-neutropenia. Imikhuba elula ongase uyithathe kalula ingenza umehluko wangempela ekuvikeleni izifo ezingase zibe zimbi uma inani lakho le-neutrophil liphansi.
Nawa amaqhinga okunakekelwa ekhaya asebenzayo kakhulu ukuze uzivikele:
Kuyasiza futhi ukudla ukudla okunomsoco ocebile ngamavithamini namaminerali asekela ukukhiqizwa kwamaseli egazi, njengokudla okunothe ngamavithamini B, insimbi, kanye ne-folate. Kodwa-ke, lezi zinguquko zokudla zisebenza kahle njengengxenye yohlelo lwakho lokwelapha olujwayelekile kunokuba zibe yizixazululo ezizimele.
Khumbula ukuthi ukunakekelwa ekhaya kumayelana nokuvimbela nokusekela, hhayi ukwelapha. Usazodinga ukusebenza nethimba lakho lezempilo ukuze ubhekane nembangela eyinhloko ye-neutropenia yakho.
Ukwelashwa kwezokwelapha kwe-neutropenia kugxila ekubhekaneni nembangela eyinhloko ngenkathi kukuvikela ezifweni. Indlela kadokotela wakho izoncika kulokho okubangela ukuthi inani lakho le-neutrophil liphansi, ukuthi linzima kangakanani, nokuthi ngabe unazo yini izifo ezivamile.
Uma imithi ibangela i-neutropenia yakho, udokotela wakho angase alungise imithamo noma ashintshele emithini ehlukene uma kungenzeka. Nge-neutropenia ebangelwa ukuntuleka kokudla okunomsoco, izithasiselo zivame ukusiza ukubuyisela amazinga avamile ngokuhamba kwesikhathi.
Nawa amakhambi amakhulu ezokwelapha udokotela wakho angase awancomise:
Ezimweni ezinzima, ikakhulukazi uma i-neutropenia ibangelwa izinkinga zomnkantsha wamathambo, ukwelashwa okuningi kungase kudingeke. Lokhu kungabandakanya i-chemotherapy yomdlavuza wegazi noma, ngezikhathi ezithile, ukufakelwa komnkantsha wamathambo ngezimo ezithile zofuzo.
Udokotela wakho uzoqapha ukubalwa kwegazi lakho njalo ngesikhathi sokwelashwa ukuze abone ukuthi uphendula kahle kangakanani futhi enze izinguquko njengoba kudingeka. Bazophinda baqaphele izimpawu zokutheleleka futhi bangase batusa izinyathelo zokuvimbela ngezikhathi lapho ukubalwa kwakho kwe-neutrophil kuphansi kakhulu.
Kufanele ubone udokotela uma uqaphela amaphethini okutheleleka okuvamile noma uma umsebenzi wegazi ojwayelekile ukhombisa ukubalwa okuphansi kwe-neutrophil. Njengoba i-neutropenia ngokwayo ingabangeli izimpawu ezisobala, abantu abaningi bayayithola ngesikhathi sokuhlolwa okuvamile noma lapho behlolwa ezinye izinkinga zempilo.
Naka ngokukhethekile izifo ezibonakala zivame kakhulu, zinzima, noma zihlala isikhathi eside kunalokho obungakujwayela. Ngenkathi wonke umuntu egula ngezikhathi ezithile, i-neutropenia ingenza izifo ezincane zizizwe zibaluleke kakhulu noma zibangele ukuthi zibuye ngokuphindaphindiwe.
Nazi izimo ezithile ezidinga ukunakekelwa kwezokwelapha:
Uma usuvele unokuxilongwa kwe-neutropenia, kufanele uthinte udokotela wakho ngokushesha nganoma yimuphi umkhuhlane noma izimpawu zesifo. Ngisho nezimpawu ezincane zingase zibe zimbi uma inani lakho le-neutrophil liphansi, ngakho-ke kungcono ukuhlola ngaphambi kokulinda ukubona ukuthi izinto ziyathuthuka yini.
Ithimba lakho lezempilo lizokunikeza imihlahlandlela ethile mayelana nokuthi ungashayela nini, njengoba umkhawulo wokukhathazeka ungase uhluke kuye ngokuthi i-neutropenia yakho inzima kangakanani nokuthi yini eyibangelayo.
Izici eziningana zingakhuphula amathuba akho okuthuthukisa i-neutropenia, nakuba ukuba nezici eziyingozi akusho ukuthi nakanjani uzothuthukisa lesi simo. Ukuqonda lezi zici eziyingozi kukusiza wena nodokotela wakho ukuthi bahlale beqaphile ngezimpawu zakuqala futhi bathathe izinyathelo zokuvimbela uma kungenzeka.
Ezinye izici eziyingozi zilawulwa nguwe, kanti ezinye zihlobene nezimo zezokwelapha noma ukwelashwa okungenzeka ukuthi ukudinga kwezinye izinkinga zempilo. Ubudala nabo badlala indima, njengoba ezinye izimbangela ze-neutropenia zivame kakhulu emaqenjini ahlukene obudala.
Nazi izici eziyingozi eziyinhloko ze-neutropenia:
Izici ezihlobene nobudala nazo ziyabaluleka. Abantu abadala bangase babe sengozini enkulu ye-neutropenia ngenxa yezinguquko ezihlobene nobudala ekusebenzeni komnkantsha wamathambo, kanti izinsana nezingane ezincane ezinemibandela ethile yofuzo zingase ziveze izimpawu ze-neutropenia ekuqaleni kwempilo.
Uma unezici eziyingozi eziningi, udokotela wakho angase ancome ukuqapha okuningi kokubala igazi ukuze kubanjwe i-neutropenia kusenesikhathi uma ithuthuka. Le ndlela yokuvikela isiza ukuqinisekisa ukwelashwa okusheshayo futhi inciphisa ingozi yezifo ezingathi sína.
Inkinga enkulu ye-neutropenia ingozi eyengeziwe yezifo, ezingahluka ekuphazamisekeni okuncane kuya ezimweni ezingathi sína, ezisongela impilo. Uma inani lakho le-neutrophil liphansi, umzimba wakho ulwela ukulwa namagciwane nama-fungi okungathi uvame ukuwabamba kalula.
Abantu abaningi abane-neutropenia encane bathola izinkinga ezincane kuphela, njengemikhuhlane evame kakhulu noma izifo zesikhumba ezincane ezithatha isikhathi eside ukuphola. Kodwa-ke, i-neutropenia eqinile ingaholela ezinkingeni ezingathi sína ezidinga ukunakekelwa kwezempilo ngokushesha.
Nawa ama-complications angaba khona, ahlelwe kusuka kokuvamile kuya kokungavamile:
Ingozi yezinkinga incike kakhulu ekutheni liphansi kangakanani inani lakho le-neutrophil nokuthi lihlala isikhathi esingakanani liphansi. Abantu abane-neutropenia enzima (amanani angaphansi kuka-500) babhekene nezingozi eziphakeme kunezabo ezinokwehla okuncane.
Ngenhlanhla, izinkinga eziningi zingavinjelwa noma ziphathwe ngempumelelo uma i-neutropenia iphathwa kahle. Ithimba lakho lezempilo lizosebenza nawe ukunciphisa izingozi zokutheleleka futhi lisabele ngokushesha kunoma yiziphi izimpawu zezinkinga.
I-Neutropenia ingadidaniswa nezinye izimo ezibangela ukutheleleka okuvame ukwenzeka noma ukukhathala, njengoba ingenazo izimpawu zayo ezihlukile. Izimpawu ezisikisela i-neutropenia - njengokutheleleka okuphindaphindayo noma ukuphola kancane - zingakhomba nakwezinye izinkinga ezihlukahlukene zesimiso somzimba sokuzivikela.
Ngezinye izikhathi abantu babeka ukutheleleka okuvame ukwenzeka ekucindezelekeni, ukuntula ukulala, noma "ukuba nje nesimiso somzimba sokuzivikela esibuthakathaka" ngaphandle kokuqaphela ukuthi kungase kube nesizathu esithile sezokwelapha njenge-neutropenia. Yingakho ukuhlolwa kwegazi kubaluleke kakhulu ekutholeni ukuxilongwa okunembile.
Nazi izimo i-neutropenia engase ididaniswe nazo:
Ngakolunye uhlangothi, i-neutropenia ngokwayo ngezinye izikhathi ingase ididaniswe nezinye izifo zegazi uma kwenziwa kuphela ukubalwa okuyisisekelo kwegazi. Ukuhlolwa okuningiliziwe kungase kudingeke ukuze kuhluke i-neutropenia ezimweni ezithinta ezinye izinhlobo zamaseli amhlophe egazi.
Yingakho kubalulekile ukuba nokuhlolwa okufanele kwezokwelapha kunokucabanga ukuthi uyazi ukuthi yini ebangela izifo ezivamile. Ukuhlolwa kwegazi okulula kungathola ngokushesha ukuthi i-neutropenia idlala yini indima ezimpawini zakho.
Cha, i-neutropenia akuyona umdlavuza ngokwawo, kodwa kunalokho isimo lapho unama-neutrophil ambalwa kakhulu egazini lakho. Kodwa-ke, i-neutropenia ingabangelwa imidlavuza yegazi efana ne-leukemia, noma ingase ithuthuke njengomphumela wezindlela zokwelapha umdlavuza njenge-chemotherapy. Abantu abaningi abane-neutropenia abanawo umdlavuza nhlobo - isimo sabo singase sibangelwe imithi, izifo, noma ezinye izimbangela.
Yebo, ngokuvamile ungenza ukuzivocavoca nge-neutropenia, kodwa uzofuna ukuhlakanipha ngakho. Ukuzivocavoca okulula kuya kokulingene kungakwazi ngempela ukusekela isimiso sakho somzimba sokuzivikela kanye nempilo yonke. Kodwa-ke, gwema imisebenzi engase ikhulise ingozi yakho yokusikeka noma ukulimala, futhi gwema ama-gyms agcwele phakathi nezinkathi eziphezulu zezifo. Ukubhukuda emachibini agcinwe kahle ngokuvamile kuphephile, kodwa gwema ama-hot tubs noma amanzi emvelo angase abe namagciwane.
Lokhu kuncike ngokuphelele kulokho okubangela i-neutropenia yakho. Uma kungenxa yomuthi noma ukutheleleka ngegciwane, izibalo zakho zingase zibuyele kokujwayelekile emasontweni ambalwa ngemva kokususwa kwembangela. I-Neutropenia evela ekhemotherapy ngokuvamile ithuthuka phakathi kwamasonto angu-2-4 ngemva kokuphela kokwelashwa. Nokho, i-neutropenia ebangelwa izimo ezingamahlalakhona ingase idinge ukwelashwa okuqhubekayo futhi ingase ingaxazululeki ngokugcwele ngaphandle kokungenelela kwezokwelapha.
Ukucindezeleka okukhulu, okungamahlalakhona kungase kube nomthelela ku-neutropenia ngokuthinta amasosha akho omzimba kanye nomsebenzi womnkantsha wamathambo ngokuhamba kwesikhathi. Nokho, ukucindezeleka kuphela akuvamile ukubangela i-neutropenia ebalulekile. Ngokuvamile, ukucindezeleka kungase kukwenze uthambekele ekuvukeni izifo uma usuvele unezibalo eziphansi ze-neutrophil ezivela kwezinye izimbangela. Ukuphatha ukucindezeleka ngokukhetha indlela yokuphila enempilo kuhlale kunenzuzo empilweni yakho yonke yamasosha omzimba.
Yebo, kufanele ugweme ukudla okuthwala izingozi eziphakeme zokungcoliswa ngamabhaktheriya. Lokhu kuhlanganisa inyama eluhlaza noma engaphekwe kahle, ukudla kwasolwandle okuluhlaza, imikhiqizo yobisi engashisiwe, namaqanda aluhlaza. Izithelo nemifino emisha ngokuvamile iphephile uma igezwe kahle, kodwa ungase ufune ukugwema amahlumela aluhlaza. Ushizi othambile nenyama ye-deli kufanele futhi zigwenywe ngaphandle kwalapho zishiswa kuze kube shisa. Udokotela wakho angakunikeza imihlahlandlela ethile yokudla ngokusekelwe ekutheni i-neutropenia yakho inkulu kangakanani.