Cancer medical care.
Chemotherapy side effects care.
Improve low platelet count
Improve Low platelets
Improve Bleeding
Improve Thrombocytopenia
1. Causes of low platelet count (Bleeding / thrombocytopenia) during cancer treatment.
2. Symptoms of low platelet count (Bleeding / thrombocytopenia).
3. Problems that may be caused by low platelet count (Bleeding / thrombocytopenia).
4. Treatment of low platelet count (Bleeding / thrombocytopenia).
5. What should I do when my platelet count is too low (Bleeding / thrombocytopenia)?
6. Maintain hygiene when platelet count is low (Bleeding / thrombocytopenia).
7. When the platelet count is too low (Bleeding / thrombocytopenia), you should pay attention to your diet.
8. Please exercise moderately and regularly when the platelet count is too low (Bleeding / thrombocytopenia).
9. Simple health exercises: Promote blood circulation.
10. The best solution for cancer cells - Weaknesses of cancer cells.
1. Causes of low platelet count (Bleeding / thrombocytopenia) 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 low platelet count (Bleeding / thrombocytopenia).
•Bleeding from anywhere, such as the mouth, nose, or rectum.
•Bleeding in mucous membranes, such as the cornea, oral cavity, nasal mucosa, and anus.
•Bleeding from nostrils and gums.
•There is blood when you blow your nose.
•Bloody or dark brown spit or vomit.
•Bright red, dark red or black stool.
•Red, pink or brown urine.
•Women may have heavy vaginal bleeding every month.
•Subcutaneous petechiae and ecchymoses.
•Intravenous ecchymosis.
•New unexplained bruises on the skin.
• Pinpoint red spots on the skin, usually starting on the feet and legs.
•Headache, dizziness or blurred vision.
•The ecchymosis becomes worse and enlarges.
•Joint or muscle pain.
•Hemorrhagic stroke.
Low platelet counts (Bleeding / thrombocytopenia) can range from mild to life-threatening, depending on the patient's platelet count below 150,000/L and the symptoms they experience.
If the patient has any of these symptoms, tell the patient's doctor or nurse.
Let the patient's health care team know if the patient has other medical problems, such as heart or other conditions, as this may make symptoms of low platelets (Bleeding / thrombocytopenia) worse.
It is important to be aware of low platelets (Bleeding / thrombocytopenia) and its symptoms throughout treatment. If the patient has any of the symptoms described here, please inform the patient's health care team.
Be sure to mention how the symptoms affect the patient's daily life. Doing so will help patients get the treatment they need, when they need it.
3. Problems that may be caused by low platelet count (Bleeding / thrombocytopenia).
•The first thing the doctor needs to know is how severe the patient's low platelets (Bleeding / thrombocytopenia) are.
•Low platelets (Bleeding / thrombocytopenia) can affect a patient's quality of life and have been found to shorten survival in cancer patients. It may be enough to threaten the patient's life.
•Low platelets (Bleeding / thrombocytopenia), causing internal bleeding, can make the condition worse.
•Severe low platelets (Bleeding / thrombocytopenia) may require the patient to delay cancer treatment or reduce the dose of treatment. It can also cause some cancer treatments to not work properly.
•If you have headache, vomiting, shortness of breath, or bleeding, it is recommended to return to the hospital for medical treatment.
4. Treatment of low platelets (Bleeding / thrombocytopenia).
There are two main goals in treating low platelets (Bleeding / thrombocytopenia):
•Cause of low platelets (Bleeding / thrombocytopenia).
•Depends on patient's platelet count and presence or absence of bleeding symptoms.
The most common treatments for low platelets (Bleeding / thrombocytopenia) in people with cancer include:
•Blood transfusion (injection of platelets).
•Steroids, which reduce platelet destruction by suppressing the immune system.
•Other methods.
Doctors will base treatment on the patient's test results, symptoms, how long the symptoms have been present, the type of cancer, cancer treatment, and other factors. Doctors discuss with the patient's care team what treatments are best for the patient.
Transfusion risk
•Transfusion reaction: The patient's immune system attacks the foreign blood cells. This often looks like an allergic reaction. Most of these allergic 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 and require 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.
5. What should I do when my platelets are too low (Bleeding / thrombocytopenia)?
Prevent internal bleeding [cranium (brain), respiratory tract, gastrointestinal tract]
•Avoid blowing your nose too hard, which may increase brain pressure and cause blood vessels to rupture and cause bleeding.
•Avoid coughing forcefully, which may increase cerebral pressure and cause blood vessels to rupture and cause bleeding.
•Avoid straining to defecate, which may increase cerebral pressure and cause blood vessel rupture and bleeding.
•Prevent falling and hitting the head.
•If you have headache, drowsiness, vomiting, or confusion, seek medical attention immediately.
•Avoid taking rectal temperatures, enemas, or the use of anal suppositories.
•To prevent constipation, drink more water and use stool softeners prescribed by your doctor.
•Observe daily for bloody and black stools.
Prevent mucosal bleeding.
•Avoid flossing until your platelet count increases.
•Avoid picking your nose with your fingers as it may damage the mucous membrane and bleed.
•Avoid picking your ears to cause blood vessels to rupture and cause bleeding.
•When nosebleeds occur, you should sit up immediately and apply pressure to the nostrils under the bridge of the nose. If continued pressure for more than 10 minutes is ineffective or there is heavy bleeding, please return to the doctor immediately.
•Use a soft toothbrush.
•Protect and maintain the integrity of skin and oral mucosa.
Prevent skin bleeding.
•Only use an electric shaver (not a blade) for shaving.
•Avoid collisions, strenuous sports (such as wrestling, boxing or rugby) and any other activities that may result in injury or falls.
•Protect skin from cuts, abrasions and sharp objects.
•If the patient's mouth bleeds, rinse it several times with ice water.
•Do not squeeze or scratch pimples and pimples.
•Use skin lotion to protect dry skin.
Prevent falls.
•Place anti-slip mats and install handrails in the bathroom.
•Wear non-slip shoes whenever possible.
•Proper lighting should be maintained indoors at night to avoid falls.
•Remove dangerous items indoors and outdoors, such as sharp table corners, fragile glass pieces, etc.
•Avoid wearing tight clothing.
•Do not take anti-inflammatory analgesics, such as aspirin, on your own, as they may make bleeding more serious.
•Observe whether there is bleeding tendency, gastrointestinal bleeding, hematuria, bloody stool, etc.
Other
•Women should pay attention to their menstrual flow.
•If necessary, provide blood transfusion treatment according to the medical team.
•Return to the clinic on time and draw blood for follow-up to keep track of the situation at any time.
•Keep your head above your heart (lying flat or upright).
•If bleeding starts, stay calm. Sit or lie down to get help.
•If the patient has unusual bleeding or any form of bleeding that does not stop, seek medical attention immediately.
•Reduce excessive social activities to avoid increasing physical burden.
Please return to the clinic as soon as possible.
•Bleeding doesn’t stop
•Large-scale bruises, enlarging in size.
•If you have a fever exceeding 38 degrees Celsius, chills or shivering, please seek medical evaluation and do not take any antipyretics.
•If you have headache or vomiting, please notify medical staff immediately.
•Redness, swelling and pain at the injection site.
• Severe stomatitis or ulcers
•Hematuria or bloody stools.
Drugs are strictly prohibited. (It may make bleeding more serious, please seek medical treatment)
•Platelet inhibitors are prohibited
• Anticoagulant medications are prohibited
•Aspirin, and Voltaren antipyretics are prohibited.
6. Maintain hygiene when platelets are low (Bleeding / thrombocytopenia).
•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.
•Teeth should be brushed with a soft toothbrush.
•Keep bowel movement smooth.
•Avoid causing bleeding in the nasal cavity, gums, and anus, which may affect changes in the condition.
7. When platelets are too low (Bleeding / thrombocytopenia), you should pay attention to the following dietary considerations:
• Avoid eating fish oil; after ingesting fish oil EPA, EPA will replace AA on the platelet cell membrane, thereby inhibiting platelet aggregation and reducing the formation of thrombus.
•Avoid 'heaty' foods. 'Heaty' foods can aggravate bleeding in platelet patients. Such as mutton, leeks, lychees.
•Avoid spicy food. Spicy food can easily aggravate bleeding and should not be eaten in excess.
•Avoid hard foods.
•Avoid grilled and fried foods. The outer skin of barbecued and fried foods is burnt and hard, which can easily rub the mucous membrane of the digestive tract and cause bleeding. It is not easy to digest, hinders the normal work of the spleen and stomach, and easily burdens the digestive function of the intestines.
•Avoid overeating and alcohol abuse. Overeating can aggravate the burden on the digestive tract and cause a large amount of food to accumulate in the gastrointestinal tract, which can easily cause internal bleeding. At the same time, strong alcohol should never be drunk.
•Avoid excess fat. Excessive fat intake will inhibit the body's hematopoietic function and cause digestion and malabsorption in patients.
•Avoid eating leeks. Leeks contain sulfide, which inhibits platelet clotting.
•Soft food, liquid food or semi-liquid food should be high in protein, high in vitamins, high in phytochemicals, easy to digest and absorb.
•It is advisable to eat foods that nourish blood, stop bleeding, cool blood, and clear away heat. Such as red dates, longan, walnut kernels, lentils, lotus root, and radish.
•Eat a balanced diet. Enough calories and protein can provide energy to restore injured normal cells.
•Do not eat undercooked food. Such as lettuce salad, sashimi, etc.
•Avoid cold drinks and ice products.
•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 brewed cereal powder. (Easy to digest, easy to absorb, less burdensome)
•Organic vegetable and vegetable juices. (Non-chemical blended juices)
8. Please exercise moderately and regularly when platelets are low (Bleeding / thrombocytopenia).
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.
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9. Simple health exercises: Promote blood circulation.
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10. The best solution for cancer cells - Weaknesses of cancer cells.
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