Cancer Medical Care
Chemotherapy side effects care
Improve leukopenia
leukopenia
1. Reasons for the decrease in white blood cells during cancer treatment.
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 leukopenia
When the white blood cells are low, the patient will not feel any symptoms; unless the following symptoms are related to infection, please pay more attention.
• Fever (over 38°C)
• Chill
• Mouth sores
• Cough, sore throat
• Difficulty breathing
• Abdominal or rectal pain
• Sweating
• Diarrhea
• Burning sensation during urination
• Abnormal vaginal discharge or itching
3. Problems that may be caused by leukopenia.
Increased risk of infection.
In people with healthy immune systems, common signs of infection may include fever, pus, pain, swelling, and redness.
As ANC decreases, signs of infection will not be obvious when a patient becomes infected.
Because signs of infection are caused by white blood cells fighting bacteria, and your white blood cells are too low to produce these signs.
Your healthcare team may need to delay treatment or reduce the dose to prevent further leukopenia.
4. Treatment of leukopenia
Treatment item：granulocyte colony-stimulating factor (G-CSF)
Mechanism of action：It is a cytokine that stimulates bone marrow to produce more white blood cells. Drives the release of hematopoietic stem cells, mesenchymal stem cells, precursor cells and VSELs in the bone marrow into the peripheral blood.
Side effects：Cold-like symptoms often occur
1. Soreness of muscles and bone marrow: such as low back pain, back pain, chest pain, and joint pain.
2. Fever and fatigue.
3. Redness or swelling of the skin.
4. Nausea and vomiting.
Antibiotics may be given in some cases to prevent infection.
Cancer treatment may be delayed to give your body enough time to make more white blood cells and restore ANC.
5. What should I do when my white blood cells drop?
˙First of all, we must avoid the occurrence of infection.
˙Avoid contact with patients with colds and infectious diseases.
˙Wearing a mask is required when going to public places or crowded places.
˙Remember to wear protective gloves when planting flowers and plants or cleaning animals and their excrement.
˙Wash your hands frequently, especially before eating or after going to the bathroom.
˙Do not squeeze or scratch pimples and pimples.
˙It is very important to maintain a balanced diet and adequate nutrition.
˙Maintain the integrity of skin and mucous membranes.
˙Most infections come from "normal flora" in the skin, gastrointestinal tract and reproductive tract.
˙Perform daily self-oral examination. Pay special attention to whether there are red spots, ulcers or white floating skin, and rinse your mouth with "non-irritating mouthwash" frequently.
˙Use a soft-bristled toothbrush instead to brush your teeth to avoid damaging your gums.
˙Try to use an electric razor instead of a razor to avoid scratching the skin and causing infection.
˙Use neutral soap to clean the shower. After bathing, pat your skin dry with a towel. Do not use friction.
˙If your skin becomes dry and prone to cracking, you can use lotion or oil to soften it.
˙When cutting nails, be careful not to cut the skin.
˙Please be careful when using scissors, needles or knives to avoid injury and infection.
6. Maintain excretory system hygiene during leukopenia.
˙After each bowel movement, wash the anal area gently and thoroughly.
˙If inflammation or hemorrhoids occur in the anal area, be sure to ask your doctor or caregiver for some self-care methods.
˙Also ask your doctor before using enemas or suppositories to avoid damage to the anal mucosa and cause infection.
˙Patients with urinary catheters must disinfect the urinary catheter at least twice a day.
˙After urinating, female patients should wipe from front to back and not back and forth.
˙When you are in your menstrual period, you should change sanitary napkins frequently to avoid infection.
˙Do not receive any vaccinations without your doctor’s permission.
˙If you have a fever, do not take antipyretics or any other medicine to lower your body temperature without your doctor's consent.
˙If your white blood cell count continues to drop during chemotherapy, the doctor may postpone your subsequent chemotherapy or lower the drug dose for a period of time.
˙If the white blood cell count is too low, the doctor may give you "G-CSF" to maintain your blood cell count and prevent the white blood cells from continuing to drop.
7. When you have leukopenia, you should pay attention to the following dietary considerations:
˙Eat a balanced diet, as sufficient calories and protein can provide energy to restore injured normal cells.
˙Do not eat uncooked food, such as lettuce salad, sashimi, etc.
˙Avoid drinking cold drinks (ice cubes, iced foods)
˙If there are no special restrictions, you should drink more water every day, at least 2,000 C.C. per day.
˙Eat cooked food and take in more vitamins and phytochemicals.
˙Comprehensive brewing cereal powder. (Easy to digest, easy to absorb, less burdensome)
˙Organic vegetable and vegetable juices. (Non-chemical blended juices.)
˙Foods that increase immunity, such as shiitake mushrooms (dry or wet, polysaccharides), black fungus, coix seed, white fungus, lotus seeds, mulberry (juice), and eight-treasure porridge.
˙Adverse symptoms caused by "myelosuppression" occur after radiotherapy and chemotherapy (red blood cell, white blood cell, and platelet deficiency symptoms).
In traditional Chinese medicine, symptoms include weak qi and blood, insufficient kidney yang, and liver and kidney yin deficiency.
Generally, the methods of nourishing qi and blood, replenishing essence and marrow are adopted.
˙Patients with leukopenia can choose medicines such as Astragalus, Polygonatum, Suberect Spatholobus Stem, wolfberry, ginseng, Codonopsis, red dates, etc.; Astragalus, Wolfberry and Red Date Drink.
˙Those with thrombocytopenia can choose drugs such as Angelica sinensis, Jujube, Cimicifuga, Ligustrum lucidum, etc.
8. Patients with leukopenia should exercise moderately and regularly.
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, vitamin 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:
110-year-old Mr. Cui's simple health exercises. Reduce colds, prevent Alzheimer's disease, and prevent cardiovascular problems.
💪🦾💪👊 Super jogging!! Run out of your wonderful new life!
Ancient Qigong Association: https://healthlives.org/
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