ʻO Fetile neutropenia: he aha ia, nā kumu a me ka mālama ʻana

Anter

• Nā kumu o ka neutropenia febrile
• Pehea ka lāʻau

Hiki ke hoʻohālikelike ʻia ʻo nehthropenia febrile ma ke ʻano he emi o ka nui o nā neutrophil, ʻike ʻia i ke hoʻokolohua koko ma lalo o 500 / µL, pili i ke kuni ma luna a i ʻole like me 38 equalC no 1 hola. ʻOi aku ka pinepine o kēia kūlana i nā maʻi maʻi ʻaʻai ma hope o ka chemotherapy a hiki ke alakaʻi i nā hopena a me nā pilikia i ka mālama ʻana inā ʻaʻole e mālama koke ʻia.

ʻO nā Neutrophil nā aʻa koko nui ke kuleana no ka pale ʻana a me ka hakakā ʻana i nā maʻi, ke nānā ʻia ka waiwai maʻamau ma waena o 1600 a me 8000 / µL, i loli paha e like me ka keʻena hoʻokolohua. Ke like ka helu o nā neutrophil a ʻoi aku paha ma mua o 500 / µL, noʻonoʻo ʻia ka neutropenia nui, no laila e maʻalahi ke kanaka i ka hoʻomohala ʻana i nā maʻi e nā microorganism e noho kūlohelohe i ka meaola.

Nā kumu o ka neutropenia febrile

ʻO ka neile nepropenia ʻo Chrile pinepine ia i nā maʻi maʻi ʻaʻai e hana ana i ka chemotherapy, ʻo ia kekahi o nā kumu nui o ka make ma kēia mau maʻi, ʻoiai ʻo ka emi ʻana o neutrophil e hoʻonui ai i ka makaʻi o ke kanaka i ka loaʻa ʻana o nā maʻi ʻino.

Ma waho aʻe o ka chemotherapy, hiki i ka febrile neutropenia ke hopena ma ke ʻano he hopena o nā maʻi mau i hoʻokumu ʻia e fungi, bacteria a me nā virus, ʻo ia hoʻi ka maʻi Epstein-Barr a me ka hepatitis. E aʻo e pili ana i nā kumu ʻē aʻe o neutropenia.

Pehea ka lāʻau

Hoʻololi ka mālama ʻana i ka neutropenia febrile ma muli o ke koʻikoʻi. ʻO nā mea maʻi i ʻike ʻia me ka loaʻa ʻana i nā neutropenia febrile nui, kahi i emi ai ka nui o nā neutrophil a i ʻole like paha me 200 / µL, mālama pinepine ʻia me ka hoʻohana ʻana i nā lāʻau ʻaloʻalo e pili ana i ka papa o nā beta-lactams, nā cephalosporins ʻehā a i ʻole nā ​​carbapenems. Eia hou, i ka hihia o ka mea maʻi i kūleʻa ʻole i ka maʻi a i ʻole kānalua ʻia e loaʻa ana i kahi maʻi kūpale, e paipai ʻia ka hoʻohana ʻana i kahi lāʻau lāʻau ʻē aʻe e hakakā i ka maʻi.

I nā hihia o ka neutropenia febrile haʻahaʻa haʻahaʻa, nānā pinepine ʻia ka mea maʻi, a hana ʻia kahi helu piha o ke koko i kēlā me kēia manawa e nānā i nā pae o nā neutrophil. Hoʻohui ʻia, inā hoʻokūpaʻa ʻia kahi maʻi fungal a bacteria paha, ʻo ka hoʻohana ʻana i nā antimicrobial, inā he antibiotic a i ʻole antifungal, e koi ʻia e ke kauka e pili ana i ka agena kuleana no ka maʻi.

Ke hiki mai ka febrile neutropenia ma hope o ka chemotherapy, koi ʻia e hoʻomaka koke ʻia ka lāʻau antibiotic i loko o 1 mau hola ma hope o ka nānā ʻana no ke kuni.