Tirinta unugyada dhiigga cad oo hooseeya iyo kansar

Unugyada dhiigga cad (WBCs) waxay la dagaallamaan infekshannada ka yimaada bakteeriyada, fayrasyada, fungi, iyo cudur-keenayaasha kale (noolaha keena infekshinka). Mid ka mid ah noocyada muhiimka ah ee WBC waa neutrophil. Unugyadan waxaa lagu sameeyaa dhuuxa lafta waxayna ku dhex socdaan dhiigga jirka oo dhan. Waxay dareemaan infekshin, waxay ku urursadaan goobaha cudurka, waxayna baabi'iyaan jeermiga.

Marka jirku aad u tiro yar yahay, xaaladda waxaa loo yaqaan 'neutropenia'. Tani waxay ku adkeyneysaa jirka inuu la dagaalamo cudurada keena cudurada. Sidaas awgeed qofku wuxuu u badan yahay inuu ku bukoodo cudurada. Guud ahaan, qof weyn oo wax kayar 1,000 neutrophils ku leh microliter dhiig ayaa leh neutropenia.

Haddii tirada nafaqeedu ay aad u yar tahay, in ka yar 500 nafaqeysan oo ku jirta microliter dhiig ah, waxaa loogu yeeraa 'neutropenia daran'. Marka tirada neutrophil ay tan hoos u dhacdo, xitaa bakteeriyada sida caadiga ah ku nool qofka afkiisa, maqaarkiisa, iyo mindhicirkiisu waxay sababi karaan infekshanno daran.

Qofka qaba kansarka wuxuu ku kobcin karaa tirinta WBC ee kansarka ama daaweynta kansarka. Kansarku wuxuu ku jiri karaa dhuuxa lafta, taasoo keenta in la yareeyo neutrophils. Tirakoobka WBC sidoo kale wuu hoos u dhici karaa marka kansarka lagu daaweeyo dawooyinka kemotherabi, taasoo hoos u dhigaysa soosaarka dhuuxa lafta ee WBCs caafimaad qaba.

Marka dhiigaaga la baaro, weydii tirintaada WBC iyo gaar ahaan, tiradaada 'neutrophil count'. Haddii tirintaadu hooseyso, samee waxa aad awooddo si aad uga hortagto infekshinka. Ogow calaamadaha cudurka iyo waxa la sameeyo haddii aad leedahay.

Kahortaga infekshinka adoo qaadaya tallaabooyinka soo socda:

• Ka taxaddar xayawaanka rabaayadda ah iyo xayawaannada kale si aad uga fogaato in aad qaadsiiso infekshannada ka yimaada.
• Ku celceli dhaqanka cunidda iyo cabbitaanka aaminka ah.
• Gacmahaaga badanaa ku dhaq saabuun iyo biyo.
• Ka fogow dadka leh calaamadaha cudurka.
• Ka fogow safarka iyo meelaha dadku ku badan yahay.

Haddii aad leedahay mid ka mid ah astaamaha soo socda, wac daryeel caafimaad bixiyahaaga:

• Qandhooyin, dhaxan, ama dhidid. Kuwaani waxay noqon karaan calaamado infekshan.
• Shuban aan tagin ama dhiig leh.
• Lalabbo iyo matag daran.
• Awood la'aanta inaad wax cunto ama cabto.
• Daciifnimo daran.
• Guduudasho, barar, ama dheecaan ka soo baxa meel kasta oo lagaa geliyo khadka IV-ga ee jirkaaga.
• Furuuruc ama maqaar cusub oo maqaarka ka soo baxa.
• Xanuun aagga calooshaada ah.
• Madax xanuun aad u xun ama mid aan tagaynin.
• Qufac kasii daraysa.
• Dhibaato xagga neefsashada ah marka aad nasaneyso ama aad qabato howlo fudud.
• Gubasho markaad kaadido.

Neutropenia iyo kansar; Tirada guud ee cudurka neerfayaasha iyo kansarka; ANC iyo kansar

Websaydhka Bulshada Kansarka ee Maraykanka. Infekshannada ku dhaca dadka qaba kansarka. www.cancer.org/treatment/treatments-and-side-effects/physical-side-effects/infections/infections-in-people-with-cancer.html. La cusbooneysiiyay Febraayo 25, 2015. La helay May 2, 2019.

Xarumaha Xakamaynta iyo Ka-hortagga Cudurrada. Kahortaga infekshinka bukaanka kansarka. www.cdc.gov/cancer/preventinfections/index.htm. La cusbooneysiiyay Noofambar 28, 2018. La helay May 2, 2019.

Freifeld AG, Kaul DR. Infekshinka bukaanka qaba kansarka. Gudaha: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6aad ed. Philadelphia, PA: Elsevier; 2020: baab 34.

• Tijaabooyinka Dhiiga
• Xanuunada Dhiiga
• Daaweynta Chemotherapy