Wo nipadua mu tumi a ɛko tia nyarewa no yɛ ahobammɔ nhyehyɛe a ɛyɛ nwonwa. Nanso ɛtɔ mmere bi a nhyehyɛe yi tumi yɛ adwuma wɔ ɔkwan soronko so kakra. Ɛtɔ mmere bi a ebetumi ayɛ adwuma atra so na apira yɛn ankasa nipadua, anaasɛ ɛtɔ mmere bi a ehia mmoa de ako atia atamfo te sɛ kokoram nkwammoaa. Wɔ nsɛm a ɛtete saa mu no, yɛreka ayaresa titiriw bi a ɛboa yɛn nipadua mu tumi a ɛko tia nyarewa na ɛhwɛ ne dwumadi so ho asɛm. Ɛno ne photopheresis.
Sɛ yɛbɛka no tiawa a, dɛn ne photopheresis?
Photopheresis yɛ ayaresa a wɔde hann di dwuma de sesa wo mogya mu nkwammoaa fitaa a wɔfrɛ no lymphocytes no dwumadi. Saa nkwammoaa yi a wɔfrɛ no lymphocytes no ne yɛn nipadua mu tumi a ɛko tia nyarewa no asraafo titiriw. Wɔn na wɔsɛe nneɛma te sɛ kokoram nkwammoaa, mmoawa, ne mmoawa. Enti, sɛ ɔhaw bi wɔ saa lymphocytes yi ho a, photopheresis ayaresa so wɔ mfaso kɛse.
Susuw ho saa kwan yi so. Wɔfa wo mogya no bi, de gu afiri mu, na wɔtetew mogya mu nkwammoaa fitaa a wɔfrɛ no lymphocytes nkutoo mu. Afei, wɔde fra aduru titiriw bi na wɔde ma UV hann, na ɛsakra ɔkwan a saa nkwammoaa no fa so yɛ adwuma no. Awiei koraa no, wɔsan de nkwammoaa a wɔasa no yare yi ka wo mogya a aka no ho kɔ wo nipadua mu.
Ɛdenam saa kwan yi so no, yebetumi ahyɛ yɛn nipadua mu tumi a ɛko tia nyarewa no mu den, anaasɛ sɛ ɛreyɛ ade wɔ ɔkwan a yɛmpɛ so a, yebetumi adi so. Ɔkwan foforo so no, saa ayaresa yi tumi ‘dannan switch no na edum’ nipadua no mu tumi a ɛko tia nyarewa no sɛnea ɛho hia.
Tebea bɛn na wɔde saa ayaresa yi di dwuma?
Photopheresis yɛ aduru bi a wɔde sa nipadua no mu tumi a ɛko tia nyarewa. Ɛne sɛ, ɛyɛ ɔkwan a yɛfa so sa nyarewa denam yɛn ankasa nipadua mu ahoɔden a ɛko tia nyarewa a yɛde di dwuma no so. Nneɛma atitiriw pii wɔ hɔ a wɔde di dwuma.
| Aduruyɛ mu tebea | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| T-cell lymphoma a ɛwɔ honam ani (CTCL) . | Eyi yɛ mogya mu kokoram a ɛntaa nsi a ɛka honam ani. Wodii kan de photopheresis ayaresa bae sɛ aduru a wɔde sa yare yi. Sɛ wɔsan de lymphocytes a wɔasa no yare no ba nipadua no mu a, ɛboa ma wɔsɛe kokoram nkwammoaa. |
| Graft ne Host Yare (GVHD) . | Bere a wɔde biribi te sɛ nnompe mu ntini a wɔde si ananmu akyi no, ntini mu nkwammoaa a wɔanya foforo no betumi afi ase atow ahyɛ w’ankasa wo nipadua so te sɛ nea ɛyɛ ‘ɔtamfo’. Saa ayaresa yi betumi asiw saa ntua a wɔmpɛ no ano anaasɛ adi so. |
| Akwaa a wɔde si ananmu a wɔpow | Sɛ wɔde akwaa titiriw bi te sɛ ahurututu, mmerɛbo, anaa koma foforo si ananmu wie a, nipadua no mu tumi a ɛko tia nyarewa no betumi apo akwaa foforo no. Saa ayaresa yi boa ma wosiw saa. |
Ayaresa mu tebea afoforo
Wɔ tebea atitiriw yi akyi no, ebia nnuruyɛfo bɛkamfo photopheresis akyerɛ wɔ aduruyɛ mu tebea afoforo pii ho.
- Crohn yare no
- Eczema (Atopic honam ani yare) .
- Scleroderma a ɛma nipadua no yɛ adwuma
- Psoriasis, honam ani yare bi
- Asikreyare a ɛto so 1
Ɔkwan bɛn so na ɛsɛ sɛ yesiesie yɛn ho ansa na yɛanya ayaresa?
Wo duruyɛfo bɛkyerɛkyerɛ eyi mu akyerɛ wo. Mpɛn pii no, wɔbɛka akyerɛ wo sɛ hwɛ saa nneɛma yi so ansa na wɔasa wo yare.
- Nom nsu pii: Anyɛ yiye koraa no, nom nsu nkuruwa 8 da biara nna abien ansa na woasa yare. Eyi bɛboa ma wo mogya akɔ yiye, na ama ayɛ mmerɛw sɛ wobɛtwe mogya bere a woresa wo yare no.
- Kwati caffeine ne nsa: Nneɛma te sɛ tii, kɔfe, ne nsa betumi ama nipadua no mu nsu atɔ, na ɛma mogya no brɛ ase.
- Kwati nnuan a srade wom: Sɛ wudi nnuan a srade pii wom te sɛ nnuan a wɔayam ne nnɔkɔnnɔkɔwade a, ebetumi ayɛ den kakra ama afiri a ɛtetew mogya mu nkwammoaa fitaa fi mogya mu no sɛ ɛbɛyɛ n’adwuma.
Ɔkwan bɛn so na saa ayaresa yi yɛ adwuma?
Saa adeyɛ yi nyinaa kɔ so bere a woda mpa so yiye no. Ɛyɛ adeyɛ a ɛnyɛ yaw.
1. Mogya a wɔtwe: Ɔyarehwɛfo anaa oduruyɛfo bɛtwe mogya afi ntini bi a ɛwɔ wo nsa mu anaa afiri soronko bi (catheter) a wɔde ahyɛ wo moma so mu. Sɛ ɛho hia a, wobetumi de aduru a ɛma obi ho yɛ no yaw apete baabi a ɛhɔ yɛ no na amma ɛyaw no ankɔ.
2. Nkwammoaa mu mpaapaemu:Mogya a wofa no kɔ afiri soronko bi mu tẽẽ. Saa afiri yi tetew mogya mu nkwammoaa fitaa a wɔfrɛ no lymphocytes nkutoo fi mogya mu nkwammoaa kɔkɔɔ ne mogya nkwammoaa a ɛwɔ wo mogya mu no ho.
3. Nnuru a wɔde ka ho: Wɔde nhabannuru a ahobammɔ wom a wɔfrɛ no `8-methoxypsoralen (8-MOP)` ka mogya mu nkwammoaa fitaa a wɔatew mu no ho. Saa aduru yi yɛ adwuma bere a wɔde ahyɛ hann mu nkutoo.
4. Hann ayaresa: Afei, mogya mu nkwammoaa fitaa a ɛka aduru yi ho no hyɛ ultraviolet A hann (UVA hann) mu wɔ afiri no mu. Afei, aduru no yɛ adwuma na ɛsakra mogya mu nkwammoaa fitaa no dwumadi.
5. Wɔsan de mogya gu wo nipadua mu: Awiei koraa no, wɔde mogya mu nkwammoaa fitaa a wɔayɛ ho adwuma wɔ saa kwan yi so no san kɔ wo nipadua mu, ne mogya mu nneɛma afoforo a wɔadi kan atetew mu no.
Saa adeyɛ yi nyinaa betumi agye bɛyɛ nnɔnhwerew 3-4.
Dɛn ne nneɛma bɔne a efi mu ba ne nneɛma a ɛsɛ sɛ yɛma yɛn ani da hɔ?
Wobu photopheresis sɛ aduru a ahobammɔ wom yiye , na nnipa dodow no ara nnya ɔhaw biara.
Nanso, ɛtɔ mmere bi a nneɛma nketenkete betumi asi.
- Ebia wo mogya mmoroso bɛkɔ fam kakra bere a wɔreyɛ ayaresa no. Sɛ eyi ba a, wobetumi ama wo nsu a wɔde fa ntini mu na ama asan aba sɛnea na ɛte kan no.
- Ebia wobɛte akisikuru, wo tirim ayɛ wo yaw, anaa awɔw, te sɛ bere a wode mogya rema no ara pɛ. Sɛ wote nka saa a, ka kyerɛ ɔyarehwɛfo no ntɛm ara.
- Wubetumi anya kɔkɔɔ, w’adwene atu afra, anaa atiridiinini wɔ nnɔnhwerew 6-8 akyi wɔ ayaresa akyi. Sɛ w’atiridii boro Celsius digrii 37.8 (digrii Fahrenheit 100) a, ka kyerɛ wo duruyɛfo. Ebia ɔbɛkamfo akyerɛ sɛ wɔnnom aduru bi te sɛ paracetamol.
Nneɛma a ɛsɛ sɛ yɛhwɛ yiye wɔ ho titiriw wɔ ayaresa akyi
Eyi ho hia paa. Photopheresis ayaresa ma wo honam ani ne w’ani yɛ mmerɛw kɛse wɔ owia hann ho.
Kwati sɛ wode wo ho bɛhyɛ owia hann tẽẽ ne nea ɛnteɛ mu nnɔnhwerew 24 wɔ ayaresa akyi. Owia hann a ɛnteɛ yɛ hann a efi mfɛnsere anaa ntama mu ba.
- Sɛ wokɔ abɔnten a, hyɛ ntade a ɛkata wo nipadua nyinaa so. Fa aduru a ɛbɔ wo ho ban fi owia ho a SPF yɛ 30 anaa nea ɛboro saa di dwuma.
- Hyɛ ahwehwɛ a ɛbɔ wo ho ban fi UVA mframa ho, wɔ dan mu ne abɔnten nyinaa, nnɔnhwerew 24. "wraparound" awia ahwehwɛ a ɛkata aniwa abien no nyinaa so no ye sen biara.
Bere tenten ahe na egye ansa na woahu nea efi mu ba?
Eyi bɛyɛ soronko a egyina wo tebea ne ayaresa dodow a wode bɛma so. Nnipa binom hu nkɔso kɛse wɔ wɔn sɛnkyerɛnne ahorow mu wɔ asram 3-4 ntam. Wɔ tebea horow bi mu (te sɛ scleroderma) no, ebetumi agye asram 6-12 ansa na sɛnkyerɛnne ahorow no atu mpɔn. Enti, boasetɔ ho hia wɔ saa ayaresa yi ho. Bisa wo duruyɛfo bere a wubetumi ahwɛ kwan sɛ wubehu nea ebefi mu aba a egyina wo tebea no so no ho asɛm.
Nkrasɛm a Wɔde Kɔ Fie
- Photopheresis yɛ aduru a ahobammɔ wom a wɔde hann di dwuma de sa w’ankasa mogya mu nkwammoaa fitaa yare na ɛhwɛ nipadua no mu tumi a ɛko tia nyarewa no dwumadi so.
- Wɔde eyi di dwuma titiriw ma nneɛma te sɛ CTCL kokoram, GVHD tebea horow, ne pow a wosiw ano bere a wɔde akwaa foforo ahyɛ obi foforo akyi.
- Ayaresa no nyɛ yaw, nanso ɛyɛ ahyɛde sɛ wɔbɔ obi ho ban fi owia ho nnɔnhwerew 24 wɔ ayaresa akyi.
- Ebia ebegye bere kakra ansa na woahu nea efi mu ba, enti ɛho hia sɛ wunya abotare na wohwehwɛ ayaresa.
- Wo ne wo duruyɛfo nka ɔhaw, ehu, anaa adwenem naayɛ biara a wowɔ wɔ eyi ho no ho nkɔmmɔ pefee.
💬 Comments (0)
Wɔnnya nyɛɛ nsɛm biara. Fa wo nsɛm no ka ho wɔ ha nea edi kan.
Fa wo nsɛm no ka ho