Èdo ʋu kpɔa? Zi geɖe la, ne míena ʋu la, míetsɔa ʋu bliboa naa amewo. Gake ènya be atikewɔmɔnu tɔxɛ aɖe li si woyɔna be Apheresis—si woyɔna ɣeaɖewoɣi be pheresis—si na míete ŋu ɖea wò ʋu ƒe akpa aɖewo koŋ, abe ʋumenugbagbevi dzĩwo, lãmenugbagbevi ɣiwo, alo ʋumenugbagbevi dzĩwo ene, alo ɖea nusiwo gblẽa nu le ame ŋu siwo hea dɔléle aɖewo vɛ gɔ̃ hã ɖaa? Le Nirogi Lanka la, míedi be míakpe ɖe ŋuwò nàse atikewɔwɔmɔnu ɖedzesi sia gɔme bɔbɔe.
Nuka tututue nye Apheresis?
Bu eŋu abe koklozi ʋeʋĩ si le ʋeʋẽm la ɖeɖe ɖa tso esi me tsi le gbɔ le eƒoƒo vɔ megbe ene. Apheresis hã wɔa dɔ nenema ke. Mɔ̃ tɔxɛ aɖe si wotsɔna tsia ʋu me la hea wò ʋu hetrɔnɛ sesĩe be wòamae ɖe eƒe akpa vovovoawo me.
Ne míeɖe mía nɔewo ɖa ko la, míeƒoa akpa si hiã la nu ƒu (le kpɔɖeŋu me, ʋumenugbagbevi dzĩ siwo le lãmesẽ me) eye míegbugbɔa ʋu susɔea trɔna yia wò ŋutilã me. Taɖodzinu eve koŋue wozãna na mɔnu sia:
1. Na Ʋudodo: Nu siwo koŋ dɔnɔ hiã, abe ʋumenugbagbevi dzĩwo, ʋumenugbagbevi dzĩwo, alo ʋumenugbagbevi dzĩwo ene, ko nana.
2. Abe Atikewɔwɔ ene: Ʋumenu siwo mesɔ o alo esiwo gblẽa nu le ame ŋu (abe kansa lãmenugbagbeviwo ene ) siwo le dɔléle hem vɛ na wò ŋutilã la ɖeɖeɖa.
Nukawoe nye Apheresis ƒomevi veviwo?
Wotrɔ asi le atikewɔwɔ sia ŋu wòsɔ ɖe wò nuhiahiã tɔxɛwo nu. Taflatse kpɔ kplɔ̃ si le ete be nàse ƒomevi vovovoawo gɔme.
| Apheresis Ƒomevi | Nusi wòwɔna |
|---|---|
| Leukapheresis ƒe dɔléle | Ʋumenugbagbevi Dzĩ siwo gbɔ eme, siwo gblẽa nu le ame ŋu ɖeɖeɖa le wò ʋu me be nàɖe dzesiawo dzi akpɔtɔ. |
| Ʋumenugbagbeviɣidɔlékuiwo nuƒoƒoƒu le gotagome | Lãmenugbagbevi siwo metsi o nuƒoƒoƒu tso ʋua me hena lãmenugbagbeviwo dodo na ame. |
| Fotopheresis ƒe dɔwɔwɔ | Ʋumenugbagbevi ɣi ƒomevi aɖe koŋ si woyɔna be lymphocytes ɖeɖeɖa, wo tsɔtsɔ de UVA kekeli me be woƒe dɔwɔwɔ nadzi ɖe edzi, kple wo gbugbɔgaɖo ŋutilã me be woawɔ avu kple kansa lãmenugbagbeviwo alo dɔlékuiwo. |
| Plasmapheresis (ʋumenugbagbeviɣidɔ ƒe asitɔtrɔ) . | Wò ʋu ƒe akpa si nye tsi (plasma) ɖeɖe ɖa eye nàtsɔ plasma si le lãmesẽ me alo tsi si woatsɔ aɖo eteƒe atsɔ ada dɔléle sesẽ vovovowoe. |
| Ʋumenugbagbeviɣidɔ ƒe vɔvɔ | Ʋumenugbagbevi dzĩ siwo sɔ gbɔ ɖeɖeɖa ne wò ŋutilã ƒe xexlẽme sɔ gbɔ si me afɔku le. |
| Ʋumenugbagbevi dzĩwo ƒe asitɔtrɔ | Ʋumenugbagbevi dzĩ siwo mele lãmesẽ me o alo esiwo mesɔ o ɖeɖeɖa (le kpɔɖeŋu me, le ʋusɔgbɔdɔ si me ʋu sina tona me) eye woatsɔ ʋumenugbagbevi dzĩ siwo le lãmesẽ nam ame bubuwo aɖo wo teƒe. |
Nɔnɔme kawoe wozãa atike sia na?
Apheresis nye dɔwɔnu vevi aɖe le lãmesẽkuxi geɖe dada kple wo dzi kpɔkpɔ me. Le kpɔɖeŋu me, le amesiwo le atikewɔmɔnu sesẽwo zãm gome la, míate ŋu aŋe wò lãmenugbagbevi siwo le lãmesẽ me to mɔnu sia dzi be woadzra wo ɖo dedie eye woatrɔ ava gbɔwò le wò atikewɔwɔ vɔ megbe.
Wozãnɛ koŋ na nɔnɔme siwo gbɔna:
Ʋume Kansawo
- Ʋumenugbagbeviɣidɔ sesẽ si woyɔna be myeloid leukemia
- Lãmetsiŋusẽ ƒe dɔléle ƒomevi aɖewo
- Multiple myeloma ƒe dɔléle
- Waldenstrom ƒe ʋumenugbagbevi dzĩwo ƒe ʋumenugbagbeviɣidɔ
Ʋumedɔ Bubuwo
- Ʋusɔgbɔdɔ si woyɔna be sickle cell
- Cryoglobulinemia ƒe ʋumenugbagbeviɣidɔ
- Ʋuka me ʋumenugbagbeviɣidɔ ƒe purpura
Ahɔhɔ̃mekawo ƒe Dɔlélewo
- Guillain-Barré ƒe dɔlélea
- Dɔléle si nye multiple sclerosis
- Myasthenia gravis ƒe dɔléle si woyɔna be myasthenia gravis
Tsɔ kpe ɖe eŋu la, wozãa apheresis tsɔ kpɔa ŋutinuwo dodo na ame ƒe gbegbe kple Graft vs. host dɔlélea gbɔ.
Aleke wòle be madzra ɖoe?
Esi wònye be wozãa dɔ sia le susu vovovowo ta ta la, dzadzraɖo toa vovo na dɔnɔ ɖesiaɖe. Nu vevitɔe nye be nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ. Wò ɖɔkta aɖe ɣeyiɣi didi si dɔa axɔ kple afɔɖeɖe siwo koŋ wòle be nàɖe do ŋgɔ la me.
Le kpɔɖeŋu me, ne ènye lãmenugbagbeviwo nana la, ahiã be nàno atike ŋkeke ʋɛ aɖewo do ŋgɔ na dɔa wɔwɔ be wòakpe ɖe ŋuwò nàɖe lãmenugbagbevi siwo tso wò ƒumeŋuɖui me ayi wò ʋu me.
Zi geɖe la, wokafui vevie be nànɔ tsi nyui me to tsi geɖe nono le ŋkeke siwo do ŋgɔ na wò atikewɔwɔ me.
Nukae dzɔna le Apheresis ƒe dɔwɔwɔ me?
Togbɔ be aɖi nu sesẽ hã la, wowɔa dɔa ɖe ɖoɖo nu ŋutɔ eye wowɔa eŋudɔ le mɔ si ana nàvo le ɖokuiwò me alesi nàte ŋui nu.
- Gbã la, woanɔ anyi alo abia tso asiwò be nàmlɔ zikpui alo aba nyui aɖe dzi.
- Eyome míaƒe atikewɔlawo ade aŋe sue eve ʋuka siwo le wò abɔ eveawo me la me. Wotsɔa aŋe ɖesiaɖe doa ka kple catheter , si nye mɔ̃ tsɛ aɖe si te ŋu trɔna bɔbɔe.
- Woaɖe ʋu blewuu tso alɔ ɖeka me eye woaɖoe ɖe mɔ̃ tɔxɛ aɖe me, si ama wò ʋu ƒe akpa vovovoawo ɖe vovo nyuie.
- Ne wonya ƒo akpa siwo hiã la nu ƒu ko la, ʋu si susɔ la trɔna yia wò ŋutilã me dedie to mɔ̃ si le wò alɔ kemɛa me la me.
Le esia wɔwɔ me la, àte ŋu axlẽ agbalẽ aɖe faa, ase haƒoƒo, alo aɖi ɖe eme ko. Susu aɖeke meli si ta nàtsi dzimaɖi o, elabena míaƒe atikewɔlawo anɔ axawò tututu le dɔwɔwɔ bliboa katã me.
Afɔku kawoe ate ŋu ado tso atikewɔwɔ sia me?
Abe alesi wòle le atikewɔwɔ ɖesiaɖe gome ene la, afɔku sue aɖewo li, togbɔ be ƒã ŋutɔ hã. Amesiawo dometɔ akpa gãtɔ mefa o. Gakpe ɖe eŋu la, esi míaƒe atikewɔlawo ƒe ƒuƒoƒoa léa ŋku ɖe ŋuwò nyuie le ɣeyiɣi bliboa me ta la, woate ŋu akpɔ nya ɖesiaɖe gbɔ enumake ne edo mo ɖa.
| Afɔku/Kuxiwo | Ne míagblɔe bɔbɔe la... |
|---|---|
| Ʋusɔgbɔdɔ (Ʋu ƒe sisi ƒe ɖiɖi) . | Esi ʋu aɖewo le wò ŋutilã godo eye wozãa atike siwo tsia ʋumenugbagbeviɣidɔ nu ta la, wò ʋu ƒe sisi ate ŋu aɖiɖi vie, si ate ŋu ana nàse le ɖokuiwò me be yeƒe ta natsi vie. |
| Hypocalcemia (Calcium ƒe agbɔsɔsɔ si bɔbɔ) . | Nusi wozãna tsɔ xea mɔ na ʋu ƒe sisi ate ŋu aɖe wò calcium ƒe agbɔsɔsɔ dzi akpɔtɔ hena ɣeyiɣi aɖe, si ate ŋu ana wò nuyiwo alo wò abɔwo naʋuʋu. |
| Ʋu si le dodom | Àte ŋu akpɔ ʋu vi aɖe le dodom le teƒe si wotsɔ aŋea de. |
| Dɔdzedze | Togbɔ be ƒã ŋutɔ hã la, afɔku sue aɖe li be dɔlékuiwo xɔxɔ le afisi wotsɔ aŋea de. |
| Lãmetsiŋusẽ ƒe gbegblẽ | Ƒã ŋutɔ la, nyaƒoɖeamenu ɖe lãmeka aɖe ŋu le aŋea dodo me ate ŋu ana wòazu lãmetutudɔ alo gbɔdzɔgbɔdzɔ hena ɣeyiɣi aɖe. |
Ðo ŋku edzi be kuxi siawo mate ŋu adzɔ kura o. Ne èse le ɖokuiwò me be yeƒe dzi dze eme, yeƒe lãme gbã, alo yeƒe ta le ƒoƒom la, taflatse na atikewɔlawo nanya enumake.
Ɣekaɣie wòle be mate ɖe nye ɖɔkta ŋu?
Le atikewɔwɔa megbe la, zi geɖe la, àte ŋu atrɔ ayi wò gbesiagbedɔwo gbɔ. Wò ɖɔkta aɖe dzesi sue siwo nàkpɔ mɔ na le dɔdamɔnua megbe la me. Ne edze abe wò dzesiwo nu sẽ wu alesi wogblɔe ene, alo ne ètsi dzi alo ɖikeke aɖe le ŋuwò la, taflatse te ɖe wò ɖɔkta ŋu enumake.
Gbedasi si Wotsɔ Yi Aƒeme
- Apheresis nye atikewɔwɔmɔnu tɔxɛ aɖe si wozãna tsɔ ɖea akpa aɖewo koŋ ɖa tso wò ʋu me.
- Wozãnɛ tsɔ naa ʋu ƒe akpa aɖewo alo abe atike ene tsɔ ɖea nusiwo gblẽa nu le ame ŋu ɖa.
- Esia nye dɔdamɔnu si le dedie ŋutɔ, si dzi atikewɔlawo kpɔna, eyata mehiã be woatsi dzimaɖi madzemadzee o.
- Taflatse wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi nyuie do ŋgɔ na atikewɔwɔa kple emegbe.
- Ne èse veve aɖe le atikewɔwɔa me alo le ewɔwɔ vɔ megbe la, na wò atikewɔha alo ɖɔkta nanya enumake.
