Te Whakahaere Whānau i roto i ngā Take Matepukupuku
Pendahuluan
Ko te mate pūkahukahu he mate kino o te pūnaha hanga toto e tohuhia ana e te tipu rerekē o ngā pūtau toto mā i roto i te hinu wheua. Ka taea e tēnei āhuatanga te whakararuraru i te hanga o ngā pūtau toto whero noa, ngā pereti toto, me ngā leukocyte, ka arahi ki te anemia, te toto, me te ngawari ki te pangia. I roto i te horopaki whānau, he wero te mate pūkahukahu nā te mea ko te haputanga tonu ka puta he huringa ā-tinana i roto i ngā pūnaha toto, ngākau, me te ārai mate. Ko te huinga o te mate pūkahukahu me ka taea e te hapūtanga te whakanui ake i te mōrearea o ngā raruraru ki te whaea me te pēpi i roto i te kōpū, me te whakauaua hoki i te whakatau haumanu. Nō reira, me maha ngā kaupapa whakahaere o ngā mate pukupuku toto i roto i te whānautanga, me ahu mai i ngā taunakitanga, ā, me arotahi ki te haumaru o te whaea me ngā putanga pai rawa atu o te hāputanga.
He Tirohanga Whānui me te Whakarōpūtanga o te Leukemia
Kua whakarōpūtia te mate toto toto ki te mate pāwera me te mate pūmau, ā, i runga i te whakapapa pūtau, ki te mate myeloid me te mate lymphoid. Ko ngā momo matua e whā ko te mate toto ...
Ngā Pānga o te Hapūtanga ki te mate pukupuku toto, me te Hurihanga
Ka piki ake te rahinga o te toto i te wā e hapu ana, ā, ka huna pea i ngā tohu o te anemia, tae atu ki ngā huringa o ngā uara taiwhanga noa (hei tauira, te leukocytosis ā-tinana). Ka taea e tēnei te whakaroa i te tātaritanga o te leukemia. I tetahi atu taha, ka taea e te leukemia te whakararu i te haputanga mā te anemia nui, te thrombocytopenia, me te nui o te mōrearea o te mate, ā, ka whai wāhi katoa ēnei ki te mōrearea o te preeclampsia. te toto i mua i te whānautanga me muri i te whānautanga, te whānautanga wawe, me te aukati i te tipu o te kukune.
Ngā Mātāpono Taketake o te Whakahaere Whakawhanau
Ko te whakahaere i te mate pukupuku toto i roto i te whānautanga e hangai ana ki ētahi mātāpono:
1. Te kaupapa matua o te haumaru o te whaea: nā te mea he tino whakawhirinaki te matapae o te tamaiti i roto i te kōpū ki te pumau o te whaea.
2. Te mahi tahi a te tini mātanga: te whānautanga, te toto-mate pukupuku, te rongoā whakamoe, te rongoā pēpi hou, me te rongoā ā-roto me te ICU mēnā e tika ana.
3. Aromatawai takitahi: ko te momo mate toto toto, te toru marama o te hapūtanga, te kaha, me te urupare ki te rongoā te mea e whakatau ana i te mahere.
4. Te whakawhitiwhiti kōrero me te whakaae ki te mahi: te tohutohu hōhonu e pā ana ki ngā mōrearea o te rongoā, te whakamutu pea, me ngā kōwhiringa rongoā tautoko.
Te Whakahaere i mua i te Whānautanga
1. Te Kimi me te Tātaritanga
I puta te whakapae mō te mate pukupuku toto i roto i whaea hāpu me ngā tohu pēnei i te ngoikore, te kiri mā, te kirika hoki, te toto o ngā kapia/ihu, te petechiae, te whēkau nui rānei. Ko ngā whakamātautau tuatahi ko te tatau toto katoa, te whakamātautau toto ā-taha, me ngā whakamātautau mahi toto toto. Ko te whakaū i te mate me tango te hinu wheua me te immunophenotyping; he haumaru ēnei tikanga i te wā e hapu ana mēnā ka mahia me te tupato.
2. Te Aroturuki i te Whaea
– Te āhua o te toto: ka aroturukitia i ia wā te hemoglobin, ngā pereti toto, ngā leukocyte, me ngā tawhā toto toto.
– Ngā tohu o te mate: he mate kino te kirika i roto i te tūroro e pangia ana e te toto toto; he mea tika kia whakamātauria ngā ahurea me ngā paturopi whakamātautau.
– Aromatawai i ngā okana: he mea nui te mahi a te ate me te whatukuhu, me te āhua o te ngākau, nā te mea he pānga ēnei ki te kōwhiringa rongoā.
3. Te Aroturuki i te Pēpi
Kei roto i te aroturukitanga ko ngā tirotiro ultrasound raupapa mō te tipu, te nui o te wai amniotic, me te Doppler, mēnā e tika ana. I te toru marama whakamutunga, ka mahia ngā whakamātautau oranga o te pēpi, pērā i te whakamātautau kore-ahotea (NST) me te kōtaha koiora, i runga i te āhua o te whaea. He maha ngā wā ka piki ake te mōrearea o te whānautanga o mua, nō reira he mea nui te whakaaro wawe ki te whakarite i te pēpi hou.
Te Whakaora i te Wāhanga Whakamutunga me ngā Whakaaroaro
Te toru marama tuatahi
I te toru marama tuatahi o te hapūtanga, ko te mōrearea teratogenika o te chemotherapy te mea tino nui nā te organogenesis. I roto i te leukemia ū tonu e hiahia ana ki te maimoatanga tonu, ko te tohutohu mō te āheinga o te whakamutu hapūtanga he wāhanga o te kōrero hauora-matatika, inā koa mēnā kāore e taea te whakaroa i te rongoā kaha. Mena ka whiriwhiri te tūroro ki te haere tonu i te hapūtanga, tīma hauora me whakamārama te tūponotanga o ngā whānautanga kohakore, te materoto, te ngoikore rānei o te tipu o te kukune.
Tekau mā toru o ngā marama
I ngā toru marama tuarua me tuatoru, ka taea te whakahaere i ētahi tikanga chemotherapy me te iti ake o te mōrearea teratogenic i tērā i te toru marama tuatahi, ahakoa kei te mau tonu ngā mōrearea o te whānautanga wawe, te taumaha whānau iti, me te pehi i te hinu wheua i roto i te tamaiti. I roto i te CML, ko ngā maimoatanga kua arotahihia pērā i ngā aukati tyrosine kinase (TKI) ka karohia i te tīmatanga o te hapūtanga nā te mea he mōrearea ki te tamaiti; ka whakaarohia pea ngā kōwhiringa pērā i te interferon i roto i ētahi take. Me whai whakaaro ngā whakataunga maimoatanga katoa ki te tere o te mate pukupuku me te tau hapūtanga.
Te Whakahaere Tautoko o te Whānautanga
Te Whakatikatika i te Whakawhitinga me te Hematology
– Ka mahia te whakawhiti toto whero mō ngā tohumate o te anemia, te iti rānei o te Hb e whakararuraru ana i te whakarato hāora ki te whaea me te pēpi.
– He mea nui ngā whakawhiti toto toto mō te thrombocytopenia kino, inā koa i te wā e tata ana te whānautanga, i te wā rānei e toto ana. Ka taea te whakatau i ngā whāinga toto toto i runga i te mahere whānautanga me te mahere whakamoe (hei tauira, ko te hiahia mō te whakamoe ā-rohe me nui ngā toto toto).
– Ka whakatikatikahia ngā mate toto totoka i runga anō i ngā hua o te taiwhanga, tae atu ki te hoatutanga o te toto hou tio mēnā e tika ana.
Te Ārai me te Whakahaere i te Mate Pāwera
Kua ngoikore te pūnaha ārai mate o ngā tūroro mate pukupuku toto. Me whakarite e ngā tākuta whānau he tino akuaku, he tirotiro mate, me te whakamahi paturopi mēnā he tohu o te sepsis. Me iti rawa te whakaekenga o ngā tikanga, ā, me whakamahi i te tikanga parakore.
Kai, Okiokinga, me te Tautoko Hinengaro
Ko te whakahaere whānautanga ehara i te mea ko ngā āhuatanga haumanu anake engari ko te tautoko hinengaro hoki, nā te mea e rua ngā mate nui e pāngia ana e ngā tūroro: te hāputanga me te mate pukupuku. Mā te tohutohu, te tautoko whānau, me ngā tuku tohutohu hinengaro/hinengaro, ki te tika, ka āwhina i te whakapai ake i te tutuki me te kounga o te oranga.
Te Whakamahere Whānau
Wā Tukunga
Ko te wā whānau ka whakawhirinaki ki te āhua o te whaea, te urupare ki te rongoā, me te tau o te hapūtanga. Mena he pumau te whaea, ka taea te whakaroa i te whānautanga kia pakeke ra ano te tamaiti. Heoi, mena ka kino haere ngā āhuatanga toto, ka hiahiatia rānei he rongoā kaha kāore e hototahi ki te hapūtanga, ka taea te tere ake te whānautanga i muri i te whakaaro ki te rite o te tamaiti.
Tikanga Tukunga
Ko te whānautanga ā-tinana te mea e pai ake ana mēnā kāore he tohu mō te pokanga whakawhānau, nā te mea ka nui ake te mōrearea o te toto me te mate i te pokanga. Heoi, mēnā he tohu pēnei i te mamae o te pēpi, te āhua hē o te whānautanga, ngā āhuatanga rānei o te whaea e ārai ana i te pēhi, ka taea te mahi pokanga whakawhānau me te whakarite i te whakawhiti toto me te whakahaere kaha i te toto.
Whakangote
Ko te kōwhiringa o te rongoā whakangote e whakawhirinaki ana ki te āhua o te pereti toto me te toto totoka. Tērā pea he mōrearea te rongoā whakangote rohe i roto i ngā take o te thrombocytopenia nā te mea ka puta he hematoma tuaiwi. Tērā pea ka pai ake te rongoā whakangote whānui i ētahi wā, i raro i te tirotiro tata a te tohunga whakangote.
Te Whakahaere i te Wāhanga Tuatoru o te Whānautanga me te Whānautanga i muri i te Whānautanga
Wāhanga III mōrearea nui nā te toto i muri i te whānautanga, inā koa i ngā take o te thrombocytopenia me ngā mate toto toto. Ka tukuna te ārai mate uterotonic pēnei i te oxytocin kia rite ki te tikanga, ā, me pupuri tonu te waatea o te toto me te pereti toto. I muri i te whānautanga, me aroturuki tonu i ngā tohu ora, te toto, me ngā tohu o te mate. He maha ngā wā ka hiahiatia kia haere tonu, kia kaha ake rānei te chemotherapy i muri i te whānautanga o ngā tūroro, nō reira he mea nui te mahi tahi me te hematology.
Whāngai ū
Ko te whakatau ki te whāngai ū, e whakawhirinaki ana ki te momo rongoā e tukuna ana. He maha ngā rongoā chemotherapy me ngā rongoā arotahi ka taea te puta ki roto i te waiū ū, ā, ka pā kino pea ki te pēpi. Nō reira, he maha ngā wā kāore i te tūtohutia kia whāngai ū i te wā e rongoatia ana. Te tohutohu mō te whāngai ū ā, me matapakihia wawe tonu ngā momo kai rerekē mō ngā pēpi kia rite ai te whānau.
Whakamutunga
Ko te whakahaere i te mate pukupuku toto i roto i te whānautanga me whai huarahi whānui, maha-mātauranga hoki. Ko te arotahi matua ko te pumau me te haumaru o te whaea, me te whakanui ake i ngā hua o te kukune mā te aroturuki tata me te whakamahere whānau āta. Kei roto i te maimoatanga ko te tautuhi tika, te rongoā e tika ana mō te toru marama o te haputanga, te tautoko i te whakawhiti toto, te aukati i te mate, me te whakarite mō te pēpi. te toto i muri i te whānautangaNā te mea he motuhake ia kēhi, me whakarite takitahi ngā whakataunga haumanu, me te whakauru i te tūroro me te whānau ki te tukanga whakaaetanga whai whakaaro, me te whakataurite i ngā āhuatanga hauora, matatika, me te hinengaro-ā-hinengaro. Mā te mahi tahi pai i waenga i ngā tīma whānau me ngā tīma toto, ka taea e te tini o ngā tūroro te hapu me te whiwhi i te rongoā mate toto e tika ana.
