Helu keʻokeʻo haʻahaʻa keʻokeʻo haʻahaʻa a me ka maʻi ʻaʻai

ʻO nā ʻula koko keʻokeʻo (WBC) hakakā i nā maʻi mai nā koʻohune, nā mea hoʻomaʻi, nā fungi, a me nā mea ʻino ʻē aʻe (nā meaola e kū ai ka maʻi). ʻO kekahi ʻano nui o WBC ka neutrophil. Hana ʻia kēia mau hunaola i ka iwi iwi a hele i loko o ke koko i loko o ke kino. ʻIke lākou i nā maʻi, ʻākoakoa ma nā pūnaewele o ka maʻi, a hoʻopau i nā pathogens.

Ke loaʻa he mau neutrophil ke kino, kapa ʻia ke ʻano ʻo neutropenia. ʻOi aku ka paʻakikī o kēia i ke kino e hakakā i nā maʻi pathogens. A ʻo kahi hopena e maʻi paha ke kanaka mai nā maʻi. Ma ke ʻano laulā, he neutropenia kahi makua ma mua o 1,000 neutrophil i kahi microliter o ke koko.

Inā haʻahaʻa loa ka helu neutrophil, ʻoi aku ma mua o 500 neutrophil i kahi microliter o ke koko, ua kapa ʻia ʻo neutropenia koʻikoʻi. Ke loaʻa ka haʻahaʻa o ka helu neutrophil, ʻoiai ʻo nā bacteria e noho maʻamau nei i ka waha o ke kanaka, ka ʻili, a me ka ʻōpū e hiki ai ke hōʻeha i nā maʻi nui.

Hiki i ke kanaka me ka maʻi ʻaʻai ke hoʻomohala i kahi helu WBC haʻahaʻa mai ke kanesa a i ʻole mai ka mālama ʻana no ka maʻi ʻaʻai. Aia paha ka maʻi ʻaʻai i loko o ka iwi iwi, e hoʻoemi ai i nā neutrophil e hana ʻia. Hiki i ka helu WBC ke iho i lalo ke mālama ʻia ka maʻi ʻaʻai me nā lāʻau chemotherapy, kahi e lohi ai i ka iwi iwi o WBC olakino.

Ke hoʻāʻo ʻia kou koko, e noi i kāu helu WBC a kikoʻī, i kāu helu neutrophil. Inā haʻahaʻa kāu helu, hana i ka mea hiki iā ʻoe ke pale i nā maʻi. ʻIke i nā hōʻailona o ka maʻi a me ka mea e hana inā loaʻa iā ʻoe.

Kāohi i nā maʻi ma ka lawe ʻana i nā ana aʻe:

• E akahele me nā holoholona a me nā holoholona ʻē aʻe e hōʻalo i ka hopu ʻana i nā maʻi mai iā lākou.
• E hoʻomaʻamaʻa i nā ʻano hana palekana a me ka inu ʻana.
• E holoi pinepine i kou mau lima me ke kopa a me ka wai.
• E noho kaʻawale i ka poʻe i loaʻa nā ʻōuli o ka maʻi.
• Hōʻalo i ka huakaʻi a lehulehu hoʻi i nā wahi lehulehu.

Inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli, e kāhea i kāu lawelawe mālama ola:

• Nā ʻūlū, haʻalulu, a i ʻole ka hou. He hōʻailona paha kēia o ka maʻi.
• ʻO ke kīpē ʻole e hele a koko ʻole.
• Kaʻi nui a me ka luaʻi.
• ʻAʻole hiki ke ʻai a inu paha.
• Nāwaliwali loa.
• ʻO ka ʻulaʻula, ka pehu ʻana, a me ke kahawai mai kēlā me kēia wahi āu e hoʻokomo ai i kahi laina IV i loko o kou kino.
• ʻO kahi wīwī o ka ʻili a palapū paha.
• ʻEha ma kāu wahi ʻōpū.
• He maʻi ʻehaʻeha loa a i ʻole hele aku.
• ʻO kahi puʻu e ʻinoʻino ana.
• Pilikia ka hanu ʻana ke hoʻomaha ʻoe a i ʻole ke hana nei ʻoe i nā hana maʻalahi.
• Puhi ke ʻihi.

Neutropenia a me ka maʻi ʻaʻai; Helu helu piha neutrophil a me ka maʻi ʻaʻai; ANC a me ka maʻi ʻaʻai

Pūnaewele ʻAmelika Hui Pū ʻIa ʻAmelika. Nā maʻi i nā poʻe me ka maʻi ʻaʻai. www.cancer.org/treatment/treatments-and-side-effects/physical-side-effects/infections/infections-in-people-with-cancer.html. Hoʻohou ʻia Pepeluali 25, 2015. Loaʻa iā Mei 2, 2019.

Nā kikowaena no ka pūnaewele Disease Control a me Prevent. Kāohi i nā maʻi i nā maʻi ʻaʻai. www.cdc.gov/cancer/preventinfections/index.htm. Hoʻohou Nowemapa 28, 2018. Loaʻa iā Mei 2, 2019.

Freifeld AG, Kaul DR. ʻO ka maʻi i ka mea maʻi me ka maʻi ʻaʻai. I: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 34.

• Nā ho'āʻo helu ʻana i ke koko
• Nā maʻi koko
• ʻO Chemotherapy Kanesa