Ne èle avu wɔm kple kansa la, esɔ be nàvɔ̃ vie eye nàtsi dzodzodzoe ne èse nya ‘kekeli ƒe atikewɔwɔ’. Ke hã, ne èse nya ‘keklẽ si yia ŋutilã bliboa me’ la, vɔvɔ̃ ma ate ŋu alolo wu. Gake Total Body Irradiation (TBI) si ŋu míele nu ƒom tsoe egbea, ne wose egɔme nyuie la, ate ŋu anye afɔɖeɖe vevi aɖe ŋutɔ eye wòle dedie le wò atikewɔwɔ mɔzɔzɔa me. Eyata mina míadi wò biabia siwo katã ku ɖe eŋu la ƒe ŋuɖoɖowo, alo?
Nukae Nye Ŋutilã ƒe Kekeli Katã (TBI)?
Kpuie ko la, esia hã nye keklẽŋusẽdɔdamɔnu ƒomevi aɖe. Gake mele abe keklẽŋusẽdɔdamɔnu bubuwo ene o. Le esi teƒe be zi geɖe la, TBI naɖo keklẽŋusẽ gbogbo aɖe ɖe dɔdzẽa ɖeɖeko ŋu la, etsɔa keklẽŋusẽ si bɔbɔ ŋutɔ yia ŋutilã bliboa me le mɔ si dzi wokpɔna nu.
Bu eŋu abe anyigba si le wò abɔ bliboa me dzadzraɖo to ami vi aɖe dede eme me ene, ke menye gbe ʋɛ aɖewo ɖeɖe ko hehe o. Esia ƒe taɖodzinu vevitɔe nye be wòadzra wò ɖo ɖe afɔɖeɖe gã si kplɔe ɖo le atikewɔwɔ me, si nye ƒumeŋuɖui dodo alo lãmenugbagbeviwo dodo na ame ŋu.
Nukatae nèhiã atikewɔwɔ sia?
Susu vevi geɖewo li siwo tae wò ɖɔkta ate ŋu akafu atike sia na wò ɖo.
- Tsrɔ̃ kansa lãmenugbagbeviwo: Esia kpena ɖe ame ŋu wògblẽa kansa lãmenugbagbevi siwo ɣla ɖe teƒe siwo gbɔ ɖoɖo sesẽ, vevietɔ le ƒumeŋuɖui kple lãmekawo me.
- Be teƒe nanɔ ƒumeŋuɖui dodo na ame ŋu: Ne woɖoe be woado ƒumeŋuɖui na wò la, atikewɔwɔ sia kpena ɖe ŋuwò be ƒumeŋuɖui xoxowo ƒe xexlẽme dzi naɖe akpɔtɔ be wòana teƒe na lãmenugbagbevi yeye siwo le lãmesẽ me le wò ŋutilã me.
- Dzra wò dɔlélenutsiŋutete dzi: Hafi ƒumeŋuɖui dodo na ame nakpɔ dzidzedze la, mele be wò ŋutilã ƒe dɔlélenutsiŋutete nagbe lãmenugbagbevi yeyeawo o. Dɔdamɔnu sia kpɔa dɔlélenutsiŋutete ma ƒe dɔwɔwɔ dzi dedie, si wɔnɛ be mɔnukpɔkpɔ si li be ame dodo na amea nakpɔ dzidzedze la dzina ɖe edzi.
Nɔnɔme kawoe wozãa TBI dada na?
Zi geɖe la, wonaa Total Body Irradiation kpe ɖe kansadɔdada bubuwo abe atikewɔmɔnu ene ŋu. Nɔnɔme siwo woate ŋu atsɔe adae dometɔ aɖewoe nye esi.
| Dɔlélea ƒe ŋkɔ (Nɔnɔme) . | Ŋgɔdonya kpui aɖe |
|---|---|
| Ʋumenugbagbeviɣidɔ | Ʋu kple ƒumeŋuɖui me kansa. |
| Lãmetsiŋusẽ ƒe dɔléle | Kansa si dzɔna le ʋukawo me. |
| Multiple Myeloma ƒe dɔléle | Kansa si le ʋumenugbagbevi dzĩwo me le ƒumeŋuɖui me. |
| Myelodysplastic Dɔléle si woyɔna be Myelodysplastic Dɔléle | Dɔléle si me ʋumenugbagbevi siwo le lãmesẽ me ƒe wɔwɔme le ƒumeŋuɖui me mewɔa dɔ edziedzi o. |
Nukae dzɔna do ŋgɔ na atikewɔwɔ kple le atikewɔwɔ me?
Ðoɖowɔwɔ do ŋgɔ na atikewɔwɔ
Esia le abe fefe aɖe ƒe dzadzraɖo ene. Hafi woana keklẽŋusẽ ŋutɔŋutɔ la, ‘ɖoɖowɔwɔ ƒe kpekpe’ (siwɔwɔ ƒe nɔnɔmetata) nɔa anyi be woawɔ ɖoɖo ɖe nusianu ŋu pɛpɛpɛ. Le ɣeyiɣi sia me la, wowɔa CT-dɔdamɔnu na wò, eye keklẽŋusẽdɔdalaa dzidzea nu siwo hiã. Wotsɔa wò ŋutilã dana ɖe teƒe aɖe koŋ, eye wotsɔa dzesi sue ʋɛ aɖewo dea ŋutigbalẽa ŋu be wòalé nɔnɔme ma me ɖe asi le atikewɔwɔa katã me. Zi geɖe la, esiawo nɔa anyi ɖaa, gake wole sue ŋutɔ, abe dometsotso si le nutata me ene.
Le atikewɔwɔ me
Ðewohĩ ahiã be nànɔ kɔdzi ŋkeke ʋɛ aɖewo esime nèle TBI ƒe atike wɔm. Nusiwo dzɔna le atikewɔwɔ me enye si:
- Kekeliŋutinunyala la aɖo wò ɖe nɔnɔme nyuitɔ me abe alesi wòɖoe ene.
- Be woaɖe keklẽŋusẽ ƒe agbɔsɔsɔ dzi akpɔtɔ na ŋutinu aɖewo, abe lãkusi ene la, woate ŋu atsɔ akpoxɔnu tɔxɛwo ade teƒe mawo.
- Kekeliŋutinunyala la ado le xɔa me. Wò ɖeka anɔ anyi le atikewɔwɔa wɔɣi. Gake mègatsi dzi o, woatsɔ fotoɖemɔ̃wo anɔ ŋku lém ɖe ŋuwò, eye àte ŋu aƒo nu kpli wo to intercom dzi.
- Mɔ̃ gã aɖe si woyɔna be linear accelerator zɔna ƒoa xlã wò eye wònaa keklẽŋusẽ ƒe keklẽwo.
Zi geɖe la, atikewɔwɔ zi ɖeka ate ŋu axɔ miniti 60. Mɔnukpɔkpɔ ate ŋu asu asiwò hã be nàwɔ nu bubuwo le ɣeyiɣi sia me, abe haƒoƒo sese ene, ne èdi. Ame akpa gãtɔ xɔa atike sia zi eve alo zi etɔ̃ gbesiagbe, hena ŋkeke etɔ̃ va ɖo atɔ̃.
Vevietɔ wu la, atikewɔwɔ sia mevea ame kura o . Màse keklẽ aɖeke alo ase le ɖokuiwò me be mɔ̃a le yeƒe ŋutilã ƒom o.
Nukawoe nye eƒe nugbegblẽ le ame ŋu kple afɔku siwo le eme?
Abe kansadɔdamɔnu ɖesiaɖe ene la, TBI ate ŋu ahe eƒe nugbegblẽ le ame ŋu vɛ. Gake zi geɖe la, woate ŋu akpɔ nusiawo dzi. Nusiwo dona tso eme siawo ate ŋu ato vovo le atike agbɔsɔsɔme si nèzãna, keklẽŋusẽ ƒe agbɔsɔsɔme si nàzã, kple wò lãmesẽ bliboa nu.
| Nusiwo wògblẽna le ame ŋu ƒomevi | Nusi woakpɔ mɔ na |
|---|---|
| Ɣeyiɣi kpui aɖe ƒe nugbegblẽ le ame ŋu (ŋkeke alo kwasiɖa ʋɛ aɖewo le atikewɔwɔ vɔ megbe) . | |
| Aɖuɖɔtoe kple ʋuʋudedi | Aɖuɖɔtoe kple ʋuʋudedi. Atikewo li woatsɔ aɖu nusiawo dzi. |
| Ɖeɖiteameŋu | Sese le eɖokui me be ɖeɖi te ye ŋu ŋutɔ eye ɖeɖi te ye ŋu. |
| Taɖa ƒe ŋeŋe | Taɖa ƒe ŋeŋe kple ŋutilã ƒe taɖa ƒe ŋeŋe (zi geɖe la, ɣeyiɣi kpui aɖe koe wòdzɔna) . |
| Dɔmetɔtrɔ | Aɖuɖɔtoe ƒe ʋuʋu. |
| Ŋutilã ƒe tɔtrɔ | Ŋutilã si le ʋuʋum, si ƒu, alo eƒe amadede trɔ. |
| Ʋumenugbagbeviɣiwo dzi ɖe kpɔtɔ | Esia ate ŋu ana dɔlékuiwo xɔxɔ, ʋu nado (e.g. ŋɔti me ʋu , aɖu siwo me ʋu le dodom le), kple ʋusɔgbɔdɔ si me iron mele o ƒe afɔku nadzi ɖe edzi. |
| Nusiwo dona tso eme ɣeyiɣi didi (ate ŋu adzɔ ƒã) . | |
| Ŋku ƒe ʋuʋu | Ŋku ƒe ŋkumeɖonu ƒe alilikpo dodo. |
| Ŋusẽ si wòkpɔna ɖe vidzidzi ƒe ŋutete dzi (Vidzidzi) . | Afɔku le vidzidzi me. |
| Aɖuɖɔtoewo ƒe abi (Pulmonary Fibrosis) . | Aɖuɖɔtoe ƒe lãkusiwo ƒe abi. |
| Lãmetsiŋusẽ ƒe dɔmawɔmawɔ nyuie | Lãmetsiŋusẽ ƒe dɔwɔwɔ dzi ɖe kpɔtɔ. |
Vevietɔ: Togbɔ be afɔku si le kansa evelia xɔxɔ me le ƒumeŋuɖui dodo vɔ megbe ate ŋu adzi ɖe edzi vie hã la, ele vevie be míaɖo ŋku edzi be lãmesẽkuxi siwo dona tso ƒumeŋuɖui dodo na ame me la lolo wu sã .
Aleke malé be na ɖokuinye le atikewɔwɔ vɔ megbe?
Dɔlékuiwutikewo dzi ɖuɖu ate ŋu ana ɣeyiɣi sia nanɔ bɔbɔe wu.
- Ne èse le ɖokuiwò me be yeƒe lãme le ʋuʋum la, bia atike ɖe eta.
- Wɔ ɖe wò ɖɔkta ƒe aɖaŋuɖoɖo siwo ku ɖe ŋutigbalẽdzikpɔkpɔ ŋu dzi. Ne wogblɔ na wò be nàzã atike si naa tsi nɔa lãme na ame la, kpɔ egbɔ be yezãe.
- Mlɔ anyi nyuie, eye ne anya wɔ la, ɖoe be yeadɔ alɔ̃ gaƒoƒo 8 ya teti le zã ɖeka me .
- Ƒo nu tso wò seselelãmewo, vɔvɔ̃wo, kple blanuiléle ŋu na ame aɖe si dzi nèka ɖo alo aɖaŋuɖola aɖe.
- Ne èdo le kɔdzi vɔ la, ne anya wɔ la, xɔ mɔkeke vie tso dɔme nàɖi ɖe eme.
Ɣekaɣie wòle be maƒo ka na ɖɔktaa?
Ne èkpɔ nane si le abe esia ene le atikewɔwɔ me alo le atikewɔwɔ vɔ megbe la, ele be nàƒo nu kple wò ɖɔkta enumake .
- Dzoxɔxɔ ƒe dzesiwo
- Dzoxɔxɔ si tae o
- Ŋutilã ƒe tɔtrɔ abe ŋutigbalẽ ƒe ʋuʋu kple ŋutigbalẽ ƒe ʋuʋu ene
Gbedasi si Wotsɔ Yi Aƒeme
- Total Body Irradiation (TBI) nye keklẽŋusẽdɔ tɔxɛ aɖe si wotsɔna naa wò ŋutilã bliboa le agbɔsɔsɔ sue aɖe me be wòadzra wò ɖo ɖe ƒumeŋuɖui dodo na ame ŋu.
- Atikewɔwɔ sia mevea ame o, gake ate ŋu agblẽ nu le ame ŋu ɣeyiɣi kpui aɖe (abe ʋuʋudedi, ɖeɖiteameŋu, ɖa ƒe ŋeŋe ene). Woate ŋu akpɔ nusiawo gbɔ.
- Ðo dze kple wò ɖɔkta gaglãa tso wò atikewɔwɔ ƒe ɖoɖoa, eƒe nugbegblẽ le ame ŋu, kple vɔvɔ̃ alo dzimaɖitsitsi ɖesiaɖe si ate ŋu anɔ ŋuwò ŋu.
- Taɖodzinu si le atikewɔwɔ sia ŋue nye be wòatsrɔ̃ kansa lãmenugbagbeviwo le teƒe siwo gbɔ ɖoɖo sesẽ eye wòakpe ɖe wò ƒumeŋuɖui dodo na ame ŋu wòakpɔ dzidzedze.
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