Cancer medical care.
Improve the side effects of chemotherapy.
Improve the decrease of red blood cells/hemoglobin.
Improve anemia.
1. Causes of anemia during cancer treatment. Causes of decreased red blood cells/hemoglobin.
2. Symptoms of anemia. Symptoms of decreased red blood cells/hemoglobin.
3. Possible problems caused by anemia? Possible problems caused by decreased red blood cells/hemoglobin?
4. Treatment of anemia. Treatment of decreased red blood cells/hemoglobin.
5. What should I do when I am anemic? What should I do when my red blood cells/hemoglobin drops?
6. Hygiene and cleanliness that should be maintained when anemia is present. Hygiene and cleanliness should be maintained when red blood cells/hemoglobin are reduced.
7. Dietary matters that should be paid attention to when anemia occurs. Dietary matters that should be paid attention to when red blood cells/hemoglobin decreases.
8. When anemia occurs, please exercise moderately and regularly. | When red blood cells/hemoglobin decreases, please exercise moderately and regularly.
1. Causes of anemia during cancer treatment. | Causes of decrease in red blood cells/hemoglobin.
The hematopoietic system mainly includes organs such as liver, spleen, kidneys, thymus, lymph nodes, and bone marrow.
After cancer patients receive chemotherapy, radiotherapy or resection surgery, their internal organs are severely damaged.
These injuries affect and inhibit cell growth and metabolism in the body.
Because bone marrow is the main hematopoietic tissue.
Therefore, "myelosuppression" is a side effect of chemotherapy and radiotherapy.
A decrease in blood cells caused by "myelosuppression".
There are many causes of decreased blood count.
The reasons vary greatly depending on the type and dosage of therapeutic drugs, the patient's bone marrow function, and the sensitivity of hematopoietic cells to drugs.
It usually reaches its lowest level 7-14 days after treatment ends, and then slowly rises again.
Therefore, fever and risk of infection most often occur between days 10-14.
2. Symptoms of anemia. Symptoms of decreased red blood cells/hemoglobin.
When anemia occurs, the number of red blood cells/hemoglobin is reduced, and the oxygen-carrying capacity is reduced, resulting in a state of hypoxia and shortness of breath or wheezing.
Usually anemia symptoms are chronic and subtle.
So you may not notice symptoms of anemia at first.
As your hemoglobin continues to decrease, you may experience one or more of the following symptoms:
•Depressed mood.
•Loss of appetite.
•Irregular menstruation.
•Pale skin color, lips, and eyelids.
•Dizzy and dazzled easily when getting up.
•Hypothermia.
•Inability to move.
•Confusion.
•Difficulty concentrating.
•Fast heartbeat. (Heartbeat easily accelerates)
•Rapid breathing.
•Shortness of breath. (difficulty breathing.)
•Difficulty breathing when walking, climbing stairs, or talking.
•Dizziness or dizziness.
•Chest pain.
•Swelling of hands or feet.
•Skin, nail beds, mouth, and gums look pale than usual.
•Extremely tired. (Tired easily.)
Anemia can range from mild to life-threatening, depending on your hemoglobin data and the symptoms you experience.
Some of these symptoms are more severe than others.
Your doctor will explain your hemoglobin data and the severity of your anemia.
If you have any of these symptoms, tell your doctor or nurse right away.
Let your cancer care team know if you have other medical problems, such as heart or lung disease, as these may make anemia symptoms worse.
Throughout treatment, it is important to be aware of anemia and its symptoms. If you have any of the symptoms described here, tell your health care team.
Be sure to mention how your symptoms affect your daily life. Doing this will help you get the treatment you need, when you need it.
3. Problems that may be caused by anemia? | Problems that may be caused by low red blood cells/hemoglobin?
•The first thing your doctor needs to know is how severe your anemia is.
•Anemia can affect your quality of life and has been found to shorten the lives of cancer patients.
This can make you feel very tired since the cells in your body don't get enough oxygen.
In some cases, lack of oxygen can be life-threatening.
•Anemia also makes your heart work harder. So if you already have heart disease, anemia can make it worse.
•Anemia can also make it difficult for you to breathe properly, making it difficult for you to perform daily activities.
•Severe anemia may mean that you must delay cancer treatment or reduce the dose of treatment. It can also cause some cancer treatments to not work properly.
4. Treatment of Anemia. | Treatment of Red Blood Cell/Hemopenia.
Treatment of anemia has two main goals:
•Treat the cause of anemia.
•Increase hemoglobin levels and make symptoms better.
The most common treatments for anemia in cancer patients include:
• Iron therapy.
• Blood transfusions.
• Erythropoiesis-stimulating agents (ESA).
• Other medications.
Your doctor will review your test results, symptoms, when symptoms occurred, type of cancer, cancer treatment, and other factors. Talk to your health care team about the treatments that are right for you.
As with any medical problem, the expected benefits of treatment should always outweigh the possible risks.
•Iron treatment:
(1) Oral iron: Generally it takes 4-6 months to replenish iron stores. Iron is better absorbed when taken on an empty stomach. Do not take with calcium tablets, cereal, yogurt, cheese or milk as iron absorption may be reduced.
Possible side effects of oral iron supplements are: diarrhea or constipation, upper abdominal discomfort, heartburn, abdominal pain, allergies (itching, rash), nausea, and vomiting. Taking iron supplements to darken your stool is not harmful.
(2) Injectable iron: The indications for using intravenous iron are: patients cannot tolerate gastrointestinal discomfort caused by oral iron, the rate of iron (blood) loss exceeds the rate of absorption of oral iron, the patient is unable to swallow or absorb iron due to illness, and the patient has inflammatory bowel disease (inflammatory bowel disease) or chronic kidney disease.
Possible side effects of iron injections are: facial flushing, muscle pain, joint pain, headache, dizziness, hypotension, sweating, nausea, vomiting, diarrhea, allergies (itching, rash, urticaria, anaphylactic shock).
Transfusion Risks
•Transfusion reaction: occurs when the patient's immune system attacks foreign blood cells. This often looks like an allergic reaction. Most of these reactions are mild and can be treated, but sometimes they can be more serious.
•Transfusion-related lung injury: This is one of the more serious risks. It may cause difficulty breathing, requiring treatment in hospital.
•Exposure to certain bacteria, such as hepatitis B or C viruses.
•Transfusion-associated risks (TACO): This occurs when blood is supplied too quickly for the heart to process.
•Iron overload: People who receive a lot of blood transfusions may end up taking in too much iron and then need to treat it.
Erythropoiesis-Stimulating Agents (ESAs).
ESAs work like a hormone produced by the kidneys (called erythropoietin) that helps the body produce its own new red blood cells.
Drugs can cause very serious side effects (can induce cancer cell proliferation, cancer cell blood vessel proliferation, cell lymphatic proliferation, accelerated cancer cell proliferation, easy blood and lymphatic metastasis, and prone to deterioration and recurrence).
However, it can help patients increase their hemoglobin levels and require fewer blood transfusions. Please discuss the risks of ESAs with your doctor.
Other medicines to treat anemia.
Depending on the type of anemia, anemia may also be treated with vitamin B12 or folic acid supplements.
Talk to your doctor about what kind of anemia you have, recommended treatments, and risks of treatment.
5. What should I do when I am anemic? | What should I do when my red blood cells/hemoglobin levels drop?
•Get adequate rest and activity. Only do activities that you can tolerate.
•Record your symptoms, when they occur, and what makes or worsens your symptoms.
•Tell your health care team if you can't move around as usual.
•Plan your important activities when you are full of energy.
•Drink 8 to 10 glasses (2000cc) of water per day, unless your health care team directs you otherwise.
•You can drink other liquids instead of water, but not beer, wine, or other alcoholic beverages.
•Appropriate amount of exercise, at least 30 minutes each time, at least 3 to 5 days a week.
•Strenuous exercise, staying up late and overexertion should be avoided.
•There should be adequate rest to avoid excessive consumption of physical strength and nutrients.
•If the anemia is too severe, exercise is not suitable.
•Stand up slowly to avoid falling due to dizziness and fainting.
•When changing postures, such as getting up from a chair or getting up, you should slow down your movements and sit on the edge of the bed for 5 to 10 minutes. It is best to have someone accompany you.
•Reduce excessive social activities to avoid increasing physical burden.
6. Hygiene and cleanliness should be maintained when anemia occurs. | Hygiene and cleanliness should be maintained when red blood cells/hemoglobin decreases.
•Pay attention to the cleanliness and hygiene of the integrity of the mouth, skin, and anal mucosa.
•Do not pick your nose with your hands to avoid damaging the nasal mucosa.
•You should use a soft toothbrush to brush your teeth.
•Keep defecation smooth.
•Avoid causing bleeding in the nasal cavity, gums, and anus, which may affect changes in the condition.
7. What should you pay attention to in your diet when you are anemic? | When your red blood cells/hemoglobin decreases, what should you pay attention to in your diet:
•Eat a balanced diet, as sufficient calories and protein can provide energy to restore damaged normal cells.
•Do not eat uncooked food, such as lettuce salad, sashimi, etc.
•Avoid drinking commercially available drinks containing ice (hand shake drinks, cold drinks).
•If there are no special restrictions, you should drink more water every day, at least 2000C.C. per day.
•Eat cooked food and take in more vitamins and phytochemicals.
•Comprehensive brewed cereal powder (easy to digest, easy to absorb, less burdensome).
•Natural organic juice (non-chemical blended juice).
•Supplement calcium with breakfast and iron with lunch and dinner.
•Retain calcium = vitamin D (15-20 minutes in the sun in the morning, black fungus) + magnesium ions (nuts, leafy vegetables, beans and whole grains)
•Pay attention to the dosage of calcium tablets and iron supplements, and take them more than 2 hours apart.
•Supplement necessary nutrients for red blood cell production = high-iron foods + vitamin C (increased absorption by 67%) + folic acid + B complex + protein
•To avoid hindering iron absorption, it is best not to drink tea or coffee two hours before or after meals.
•After meals, take fruits and drinks containing high vitamin C.
•Vegetables high in vitamin C: bell peppers, mung bean sprouts, rapeseed, pea sprouts
•Fruits high in vitamin C: guava, papaya, kiwi, diced orange, grapefruit, lemon.
•High-iron foods: dragon fruit, black sesame seeds, seaweed, emperor beans, brown sugar, black beans, red amaranth, red phoenix, dark green vegetables, yuba, emperor beans, pumpkin seeds,
•Inhibit iron absorption: tannins (tea, coffee), oxalic acid (spinach, chocolate, tea), hyaluronic acid (corn, whole grains, beans), egg yolk, calcium, zinc, manganese...supplements (tablets).
•To avoid hindering iron absorption, it is best not to drink tea or coffee two hours before or after meals.
•Fermented soybean products, such as miso and natto. The iron absorption rate of fermented soybean products is better than that of soybeans; because the germination and fermentation processes will destroy phytic acid, reduce the interference of phytic acid on iron absorption, and improve the body's absorption of iron.
•Avoid taking calcium, zinc, manganese supplements (tablets) at the same time.
•The "myelosuppression" adverse reactions (insufficiency of red blood cells and platelets) that occur after radiotherapy and chemotherapy are caused by weak qi and blood, insufficient kidney yang, liver and kidney yin deficiency in traditional Chinese medicine. Generally, nourishing qi and blood are used. To nourish blood, the first step is to strengthen the spleen and stomach.
•For those with reduced red blood cells, the first thing to replenish blood is to strengthen the spleen and stomach. You can choose medicines such as astragalus, longan, wolfberry, ginseng, codonopsis, red dates, etc.; Huangqi,-wolfberry-red dates drink.
•Patients with thrombocytopenia can choose to use drugs such as angelica root, jujube, cohosh, and ligustrum lucidum.
Recommended table of foods rich in high iron (content of 100 grams).
Cereals:
(11-20 mg) Healthy wheat flour, cereals, oatmeal.
(21-30 mg) Oatmeal.
Nuts and seeds:
(5-10 mg) Wild rice balls, sesame paste, white sesame seeds, aiyuzi, peanut powder.
(11-20 mg) Lotus seeds, white melon seeds.
(21-30 mg) Peanuts, sesame paste.
Vegetables:
(11-20 mg) prunes, red amaranth.
(30 mg or more) seaweed, nostoc.
Beans:
(5-10 mg) red beans, pinto beans, black beans, soybeans, mung beans.
(11-20 mg) emperor beans, tempeh.
Others:
(11-20 mg) wolfberry.
(30 mg or more) Brown sugar. :
"Food Nutritional Facts Database", published by the Department of Health, Executive Yuan.
High-iron drink.
1. Ingredients: half an apple, 1 diced willow, 50g cabbage, 20g celery, 60g beetroot, 5 cashews, 2 tablespoons brown sugar, 300CC boiling water.
Nutritional information
Calories |
Protein |
Carbohydrates |
Lipids |
Iron |
維生素C |
233 |
2.24 |
20 |
5 |
10.7 |
81.7 |
2. Ingredients: 100g purple cabbage, half a lemon, 80g saint tomatoes, 1 apple, 2 brown sugar soups, 5 walnuts, 300cc boiled water.
Nutritional information
Calories |
Protein |
Carbohydrates |
Lipids |
Iron |
維生素C |
230 |
1 |
95 |
5 |
13.4 |
81.7 |
8. Please exercise moderately and regularly when you are anemic. | Please exercise moderately and regularly when your red blood cells/hemoglobin decreases.
Exercise can promote bone marrow blood flow and maintain normal hematopoietic function.
The bone marrow in bones is the main hematopoietic tool of the human body. It contains a large amount of red bone marrow that can produce many hematopoietic stem cells and provide sufficient blood supply to the human body. If there is not enough blood supply, the bones will not receive adequate nutrition, and a series of diseases will occur.
Quantitative and moderate exercise, especially aerobic exercise, such as slow walking, jogging, and yoga. Inhale slowly and deeply, then hold your breath and exhale slowly. It can increase the activity of hematopoietic stem cells, thereby enhancing the hematopoietic function of bone marrow. At the same time, it can also strengthen the strength of bones, making them stronger and healthier.
There are two main reasons for the decline of bone marrow hematopoietic function:
The first is the lack of exercise, which weakens the hematopoietic ability of cells. Without moderate and regular exercise, no amount of nutritional supplements is useless; if a factory imports a large amount of materials and does not operate normally (exercise produces blood circulation), it will not be able to produce good products (red and white blood cells, platelets).
The second is malnutrition and lack of hematopoietic materials. Including protein, iron, vitamin C, B complex, folic acid, amino acids, trace elements, vitamins and other nutrients. Good eating habits need to be developed.
Protein does not mean big fish or meat.
After patients undergo chemotherapy, certain parts of the gastrointestinal tract are damaged. Therefore, they should eat foods that are easy to digest and absorb to reduce the burden on the gastrointestinal tract.
Such as: soy milk, tofu, plant milk, brewed comprehensive cereal powder,...etc.
Exercise for at least 30 minutes each time, at least 3 to 5 days a week.
Strenuous exercise, staying up late and overexertion must be avoided. Adequate rest is necessary to avoid excessive consumption of physical strength and nutrients. If the anemia is too severe, exercise is not suitable.
When changing positions, such as getting up from a chair or getting out of bed. Must move slowly.
You can first sit on the edge of the bed for 5 to 10 minutes and have someone help you to avoid falling due to dizziness and fainting.
Excerpt: With good Qi and blood, all diseases will be avoided.
Simple health exercises:
💪🦾💪👊 Super jogging!! Run out of your wonderful new life!
Ancient Qigong Association: https://healthlives.org/
Teacher Yezi’s health lecture: https://www.youtube.com/channel/UC6YO6az9CLMqJy3_3X2g0Vg/videos
Teacher Ye Zi - Monkey Pose - Super Jogging Experience Sharing https://reurl.cc/DK3mRR
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