Dɛn ne Leukapheresis? Momma yensua ho ade kɛkɛ!

So oduruyɛfo bi aka akyerɛ wo anaa obi a wunim no sɛ wowɔ mogya mu kokoram te sɛ mogya mu kokoram? Ebia woate asɛmfua "leukapheresis" bere a woreka ayaresa a wobetumi apaw ho asɛm no. Saa din yi betumi ayɛ hu kakra. Nanso dɛn ankasa ne saa ayaresa yi? Dɛn na ɛyɛ? So ɛyɛ biribi a ɛsɛ sɛ yesuro? Ɛnnɛ, yɛbɛka eyinom nyinaa ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw yiye a wubetumi ate ase so.

Dɛn ne Leukapheresis?

Sɛ yɛbɛka no tiawa a, leukapheresis yɛ adeyɛ titiriw bi a wɔpaw yi mogya mu nkwammoaa fitaa fi wo mogya mu. Fa no sɛ ɛte sɛ nea wɔde tew mogya ho. Nea ɛkɔ so wɔ saa adeyɛ yi mu ni:

1. Woyi mogya bi fi wo nipadua mu.

2. Wɔde mogya no kɔ afiri soronko bi mu, baabi a mogya mu nkwammoaa fitaa no nkutoo na wɔtetew mu.

3. Mogya no afã horow a aka, a ɛne mogya mu nkwammoaa kɔkɔɔ, mogya mu nkwammoaa kɔkɔɔ, ne plasma no san kɔ w’ankasa wo nipadua mu.

Wɔ tebea horow bɛn mu na ayaresa yi ho hia?

Ebia nnuruyɛfo bɛkamfo saa ayaresa yi akyerɛ esiane nneɛma pii nti. Momma yɛnhwɛ nea wɔyɛ.

Dɛn na woyɛ ansa na woasa wo yare?

Ansa na oduruyɛfo no befi saa ayaresa yi ase no, ɔbɛyɛ nhwehwɛmu kakraa bi de ahu nea ɛrekɔ so wɔ wo nipadua no ho ankasa. Eyinom yɛ ade a ɛfata, enti mma ɛnhaw wo.

• Mogya mu nhwehwɛmu: Hwɛ wo mogya mu nkwammoaa fitaa, mogya mu nkwammoaa kɔkɔɔ, ne mogya mu nkwammoaa dodow.
• Electrolyte nhwehwɛmu: Hwɛ nipadua no mu nkyene dodow.
• Asaabo ne mmerɛbo dwumadi: Ɛhwɛ sɛ saa akwaa ahorow yi reyɛ adwuma yiye anaa.
• Mogya a ɛma mogya tu mu nhwehwɛmu: Eyinom hwɛ sɛnea mogya no tumi tu.

Esiane sɛ saa ayaresa yi begye bɛyɛ nnɔnhwerew abien kosi abiɛsa nti, ebia wobɛpɛ sɛ wohyɛ ntade a ɛyɛ fɛ. Ɛyɛ papa nso sɛ wode nhoma bi bɛba abɛkenkan anaa biribi a wobɛhwɛ wɔ wo fon so na ama woakɔ so ayɛ adwuma.

Dɛn na ɛba bere a wɔreyɛ ayaresa no?

Wɔyɛ saa ayaresa yi bere a woda mpa a ɛyɛ fɛ so no. Aduruyɛ adwumayɛfo no de IV nhama (cannulas) abien bɛhyɛ wo nsa mu. Obiako beyi mogya afi wo nipadua mu, na ɔfoforo nso de mogya a ɛho tew no asan akɔ wo nipadua mu. Ɛtɔ da bi a, wobetumi de afiri kɛse bi (mfinimfini nhama) a nhama abien no nyinaa wom abɛn wo kɔn anaa wo nsa ase.

Bere a wɔreyɛ ayaresa no, ebia wobɛte nka sɛ wo nsa, wo nan, ne w’ano ho ayɛ wo yaw kakra . Mma eyi nhaw wo. Nea enti a ɛte saa ne sɛ calcium dodow a ɛwɔ wo mogya mu no sua kakra. Ka kyerɛ oduruyɛfo anaa ɔyarehwɛfo no bere a wote eyi nka ara pɛ. Wɔbɛma wo calcium kakra denam wo saline no so na eyi bɛsiesie tebea no ntɛm.

Momma yensua ayaresa akyi ne nea efi mu ba nso ho ade.

Sɛ wowie ayaresa no mpo a, nnuruyɛfo no bɛhwɛ wo so kakra ahwɛ nea ɛrekɔ so. Ɛtɔ mmere bi a, ebia ebehia sɛ wɔma wo mogya de si mogya mu nkwammoaa kɔkɔɔ anaa mogya mu nkwammoaa a ayera no ananmu.

Sɛnea ɛte wɔ ayaresa biara ho no, nsunsuanso nketenkete betumi aba. Nanso, nsunsuanso bɔne a anibere wom ho yɛ na koraa. Biribiara nni hɔ a ɛsɛ sɛ wohaw wo ho efisɛ oduruyɛfo no bɛhwɛ adeyɛ no nyinaa so yiye.

Nneɛma bɔne a ɛtaa ba no bi ne:

• Hypocalcemia: Eyi yɛ calcium a ɛba fam wɔ mogya no mu. Ɛnyɛ den sɛ wɔde IV calcium bedi eyi ho dwuma.
• Monemia: Mogya mu nkwammoaa kɔkɔɔ dodow a ɛso tew. Sɛ ɛho hia a, wobetumi de mogya nso asa eyi.
• Thrombocytopenia: Nkwammoaa a ɛma mogya tu no so tew, na ɛboa ma mogya tu. Ɛtɔ mmere bi a eyi betumi ama mogya atɔ no agye bere kakra ansa na agyae, mpo afi opira ketewaa bi mu.

Da a wɔbɛsa no yare no, ɛbɛyɛ papa sɛ wobɛkɔ fie akɔhome kakra. Wubetumi asan afi wo dwumadi ahorow a wotaa yɛ no ase da a edi hɔ no.

Bere bɛn na ɛsɛ sɛ mefrɛ oduruyɛfo no?

Esiane sɛ woreyɛ saa ayaresa yi nti, wo duruyɛfo bɛhwɛ w’akwahosan so bere nyinaa, na wo nso wobɛyɛ. Nanso, sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi mu biara a, ka kyerɛ wo duruyɛfo ntɛm ara.

• Atiridiinini: Sɛ wo nipadua mu hyew boro digrii Celsius 38 (100.4 Fahrenheit) a, eyi betumi ayɛ ɔyare mmoawa ho sɛnkyerɛnne.
• Nsakrae a ɛba baabi a IV line no wɔ: Sɛ wowɔ mfinimfini line a, beae no yɛ kɔkɔɔ, ɛho ahonhon, ɛyɛ yaw, anaasɛ nsu fi mu ba.
• Nsɛnkyerɛnne a emu yɛ den: Sɛ ɛte sɛ nea wo sɛnkyerɛnne dedaw no reyɛ kɛse anaasɛ sɛnkyerɛnne foforo da adi a.