Ua hāʻawi koko paha ʻoe? I ka wā e hāʻawi pinepine ai mākou i ke koko, hāʻawi mākou i ko mākou koko holoʻokoʻa. Akā, ua ʻike anei ʻoe aia kekahi ʻano hana kūikawā e hiki ke hoʻokaʻawale i nā ʻāpana like ʻole o ko mākou koko, e like me nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a me nā platelets, a i ʻole e wehe wale i nā ʻāpana ʻino e hoʻoulu ai i kahi maʻi mai ke koko? Ua kapa ʻia kēlā ʻano lapaʻau kupaianaha he apheresis. Ua kapa pū kekahi poʻe i kēia he pheresis. E kamaʻilio kākou e pili ana i kēia i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka apheresis?
E noʻonoʻo e like me ka hoʻokaʻawale ʻana i nā curd mai ka waiū ma hope o ke kaomi ʻana i ka niu. He hana like ka Apheresis. Ma kēia hana, he mīkini kūikawā, i kapa ʻia he centrifuge, e milo i ke koko i lawe ʻia mai kou kino me ka wikiwiki loa a hoʻokaʻawale i nā ʻāpana like ʻole (nā ʻāpana) i loko. Hoʻokaʻawale kēia i ke koko, lawe wale i ka ʻāpana āu e pono ai (no ka laʻana, nā platelets olakino), a hoʻokomo i ke koena o ke koko i loko o kou kino ponoʻī. Hoʻohana ʻia kēia ʻano hana no ʻelua mau kumu nui: 1.
No ka hāʻawi koko: E hāʻawi wale i ka ʻāpana o kou koko e pono ai kekahi maʻi ʻē aʻe, e like me nā hunaola koko ʻulaʻula, nā platelets, a i ʻole plasma. 2.
Ma ke ʻano he lāʻau lapaʻau: Wehe i nā ʻāpana koko ʻē aʻe a ʻino paha (no ka laʻana,
nā hunaola kanesa ) e hoʻoulu nei i kahi maʻi i loko o kou kino.
He aha nā ʻano nui o ka apheresis?
Hana ʻia kēia ʻano lapaʻau ma nā ʻano like ʻole ma muli o ka pono. No ka hoʻomaopopo pono ʻana, e nānā i ka papa ma lalo.
| ʻAno o ka Apheresis | He aha ka hana a kēia? (He aha kāna hana) |
|---|
| Leukapheresis | Ke wehe nei i ka ulu ʻana o nā hunaola koko keʻokeʻo ʻino mai ke koko. Hoʻomaha kēia i nā hōʻailona. |
| ʻOhi ʻana o nā pūnaewele kumu koko peripheral | ʻO ka hōʻiliʻili ʻana i nā hunaola kumu ʻōpiopio mai ke koko e pono ai no ka hoʻoili ʻana i nā hunaola kumu. |
| Hoʻopili kiʻi | Hoʻokomo ʻia kekahi ʻano o ke koko keʻokeʻo i kapa ʻia ʻo lymphocytes, kahi i lawe ʻia mai ke kino, i ka mālamalama UVA, hoʻonui ʻia ka hana, a laila hoʻokomo hou ʻia i loko o ke kino. Hoʻonui kēia i ka hiki ke hakakā i nā mea e like me nā hunaola kanesa a me nā virus. |
| Plasmapheresis (hoʻololi plasma) | Ke wehe ʻana i ka ʻāpana wai o ke koko, plasma, a hoʻololi iā ia me ka plasma olakino a i ʻole kekahi wai ʻē aʻe. Hoʻohana ʻia kēia no kekahi mau maʻi koʻikoʻi. |
| Ka hoʻopau ʻana o ka platelet | Inā nui loa nā platelets i ke kino, nā mea e kōkua ai i ke kāpili ʻana o ke koko, e wehe ʻia nā platelets keu. |
| Hoʻololi ʻana o nā hunaola koko ʻulaʻula | Ke wehe ʻana i nā hunaola koko ʻulaʻula maikaʻi ʻole a maʻamau ʻole (e like me ke anemia cell sickle) a hoʻololi iā lākou me nā hunaola koko ʻulaʻula olakino i hāʻawi ʻia. |
He aha nā maʻi e hoʻohana ʻia ai kēia lāʻau lapaʻau?
He ʻano hana koʻikoʻi loa ka Apheresis i ka mālama ʻana a me ka hoʻokele ʻana i nā maʻi he nui. No ka laʻana, hiki ke wehe ʻia nā cell kumu olakino mai kahi kanaka e hana ana i ka chemotherapy ikaika no ka maʻi kanesa, mālama palekana, a hoʻihoʻi ʻia ma hope o ka mālama ʻana. Hoʻohana nui ʻia kēia lāʻau no nā kūlana penei:
Nā maʻi ʻaʻai koko
Nā maʻi koko ʻē aʻe
Nā maʻi Neurologic
Eia kekahi, hoʻohana ʻia ka apheresis e mālama i nā kūlana e like me ka hōʻole ʻana o ka hoʻoili ʻana o nā kino a me ka maʻi graft vs. host.
Pehea lā wau e hoʻomākaukau ai no kēia?
Hana ʻia kēia no nā kumu like ʻole, no laila ʻaʻole pono nā kānaka a pau e hoʻomākaukau ma ke ʻano like.
No laila, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke hahai pololei i nā kuhikuhi a kāu kauka. E haʻi maopopo ʻo ia iā ʻoe i ka lōʻihi o ka lāʻau lapaʻau a me nā mea āu e pono ai e hana ma mua. No ka laʻana, inā he mea hāʻawi cell kumu ʻoe, pono ʻoe e lawe i kahi lāʻau lapaʻau i kekahi mau lā ma mua o ka lāʻau lapaʻau. Kōkua kēia i nā cell kumu i loko o kou iwi iwi e komo wikiwiki i kou koko. Ma keʻano laulā,
he manaʻo maikaʻi e inu i nā wai he nui, e like me ka wai, no kekahi mau lā ma mua o ka lāʻau lapaʻau. He aha ka mea e hana ʻia i ka wā o ka apheresis?
ʻOiai paha e like me kahi mea nui kēia, hana ʻia ia me ka ʻōnaehana maʻamau, ma ke ʻano e hōʻoluʻolu ai ʻoe.
- ʻO ka mea mua, e hoʻoholo ʻia ʻoe e noho/moe i kahi noho a moe paha ʻoluʻolu.
- A laila, e hoʻokomo ke limahana lapaʻau i ʻelua nila i loko o kahi aʻa koko i kēlā me kēia o kou mau lima. E loaʻa i kēlā me kēia nila kahi catheter , kahi ʻōmole lahilahi a palupalu, i hoʻopili ʻia iā ia.
- Ma kekahi ʻaoʻao, hele kekahi o kou koko i loko o kēlā mīkini kūikawā. I loko o ka mīkini, pono e hoʻokaʻawale ʻia nā ʻāpana koko.
- A laila, hoʻokaʻawale ʻia ka ʻāpana e pono ai, a hoʻihoʻi ʻia ke koena o ke koko i loko o kou kino ma o ka ʻōmole ma ka lima ʻē aʻe.
ʻOiai e hana ʻia ana kēia kaʻina holoʻokoʻa, hiki iā ʻoe ke heluhelu i kahi puke, hoʻolohe i kahi mele, a hoʻomaha wale paha.
ʻAʻohe pono e makaʻu no ka mea e noho mau ana nā limahana lapaʻau me ʻoe. He aha nā pilikia e hiki mai ana ma hope o kēia lāʻau lapaʻau?
E like me nā hana lapaʻau āpau, aia kekahi mau pilikia kakaikahi loa. Akā, he mau mea liʻiliʻi kēia mau mea. Eia kekahi, ʻoiai ke nānā nei ke kime lapaʻau iā ʻoe i ke kaʻina hana holoʻokoʻa, inā kū mai kekahi mau pilikia, hiki iā lākou ke hoʻoponopono koke iā lākou.
| Pilikia/Paʻakikī | I ka ʻōlelo maʻalahi... |
|---|
| Ke koko haʻahaʻa (Hypotension) | Hiki ke emi iki kou koko no ka mea ua lawe ʻia kekahi koko mai kou kino a hāʻawi ʻia nā wai e pale aku i nā ʻūpā koko. Hiki paha iā ʻoe ke poniuniu. |
| Nā pae calcium haʻahaʻa (Hypocalcemia) | Hiki i nā anticoagulants ke hoʻohaʻahaʻa i nā pae calcium i ke kino no kekahi manawa, e hoʻoulu ai i ka ʻeha a puni nā lehelehe a me nā wēlau. |
| Ke kahe ʻana o ke koko | Aia paha he wahi kahe koko iki mai kahi i hoʻokomo ʻia ai. |
| Maʻi | He mea kākaʻikahi loa, aia kahi manawa e loaʻa ai ka maʻi ma kahi i hoʻokomo ʻia ai. |
| Ka pōʻino o ke aʻalolo | He mea kākaʻikahi loa, hiki mai ka maneʻo a nāwaliwali paha ma muli o ke kaomi ʻana ma luna o ke aʻalolo i ka wā e hoʻokomo ʻia ai ke kui. |
E hoʻomanaʻo, he haʻahaʻa loa ka hiki ke hana ʻia kēia mau mea. Inā ʻoe e manaʻo i kekahi ʻeha, mae, a poniuniu paha , e hoʻomaopopo koke i ke limahana lapaʻau.
Āhea wau e kāhea aku ai i ke kauka?
Ma hope o ka lāʻau lapaʻau, hiki iā ʻoe ke hoʻomaka hou i kāu mau hana o kēlā me kēia lā. E wehewehe kāu kauka iā ʻoe i nā hōʻailona liʻiliʻi āu e manaʻo ai ma hope o ka lāʻau lapaʻau.
Inā ʻoi aku ka koʻikoʻi o kāu mau hōʻailona ma mua o kāna i ʻōlelo ai, a inā he mau hopohopo a hopohopo paha kāu, e kāhea koke i kāu kauka. Leka Lawe-Home
- He hana lapaʻau kūikawā ka Apheresis i hoʻohana ʻia e hoʻokaʻawale i nā ʻāpana like ʻole o ke koko.
- ʻO kēia ka hāʻawi ʻana i kahi ʻāpana o ke koko, a i ʻole ka wehe ʻana a me ka mālama ʻana i nā ʻāpana maʻi.
- He lāʻau palekana loa kēia i hana ʻia ma lalo o ka mākaʻikaʻi lapaʻau, no laila mai makaʻu.
- E hahai pono i nā ʻōlelo a kāu kauka ma mua a ma hope o ka lāʻau lapaʻau.
- Inā loaʻa iā ʻoe kekahi ʻehaʻeha i ka wā a ma hope paha o ka mālama ʻana, e hoʻomaopopo koke i ke limahana lapaʻau a i ʻole kāu kauka.
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