As a hematologist, I often encounter patients asking me this question:Why is my blood disease past the myelosuppressive period, but the blood picture (such as white blood cells, red blood cells, platelets, etc.) still does not go up?
First of all, we need to understand what the myelosuppressive phase is. Myelosuppression is one of the most important processesTransient bone marrow suppressionIt is mainly manifested by a decrease in white blood cells, red blood cells, platelets and other blood cells. During chemotherapy, radiotherapy, immunology, etc., patients may have varying degrees of bone marrow suppression.
So, why can't the blood picture go up after the end of the **?
Bone marrow repair is slow
The length and degree of myelosuppressive period are related to factors such as ** regimen and individual differences. Some patients are more sensitive to ** response, and the myelosuppressive period may be longer;In some patients, the myelosuppression period may be shorter. At the same time,In some patients, bone marrow function recovery is slow, making it difficult for blood to return to normal in a short period of time.
Malnutrition
**During this period, due to the patient's decreased appetite and weakened digestive function, it may lead to insufficient nutrient intake and affect the repair of bone marrow. Therefore, patients should ensure adequate nutritional intakeEat foods rich in protein, iron, folic acid, vitamin B12 and other nutrientsto promote bone marrow repair.
Infection
During the myelosuppressive phase, patients are susceptible to infection due to a decrease in the number of white blood cells. The infection not only affects the patient's recovery, but can also lead to a further drop in blood count. Therefore,Patients should continue to maintain good hygiene Xi after the end of ** to avoid infection.
Medications***
Some medications may have an effect on the repair of the bone marrow, making it difficult for the blood picture to recover. At this time,Patients should communicate with their doctors to adjust the ** regimen to reduce the damage to the bone marrow caused by drugs.
Other diseases
Some patients may have other medical conditions at the same time, such as immune system disorders, liver diseases, etcThese disorders can also affect the repair of the bone marrow, making it difficult for the blood picture to return to normal.