He aha ka Leukapheresis? E aʻo kākou e pili ana i kēia lāʻau lapaʻau ma nā ʻōlelo maʻalahi.

Ke haʻi aku kāu kauka iā ʻoe a i ʻole kekahi āu i ʻike ai he maʻi ʻaʻai koko e like me ka leukemia, kamaʻilio lākou e pili ana i kēlā me kēia ʻano lapaʻau, ʻeā? Ua lohe paha ʻoe i ka huaʻōlelo 'leukapheresis'. ʻOiai paha he mea weliweli a paʻakikī kēia inoa, ʻaʻole ia he mea weliweli loa. I kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o Leukapheresis, no ke aha i hana ʻia ai, a pehea e hana ai ma ke ʻano maʻalahi loa.

I ka ʻōlelo maʻalahi, he aha ka leukapheresis?

E noʻonoʻo e like me ka wā e hana ai mākou i ka waiū niu, ʻomi mākou i ka niu a hoʻokaʻawale i ka waiū a me ka pulp. ʻO Leukapheresis kekahi mea like. Pili kēia i ka lawe ʻana i kekahi koko mai kou kino, e hoʻouna ana ma o kahi mīkini kūikawā, kahi e hoʻokaʻawale ai i nā hunaola koko keʻokeʻo . A laila, ʻo ke koena o ke koko, ʻo ia hoʻi nā hunaola koko ʻulaʻula, plasma, a me nā platelets, e hoʻihoʻi ʻia i loko o kou kino.

No ke aha he mea pono kēia lāʻau lapaʻau?

Aia kekahi mau kumu e ʻōlelo ai nā kauka i kēia lāʻau lapaʻau. E nānā kākou i nā kumu nui.

• Ke kiʻekiʻe loa ka helu o nā hunaola koko keʻokeʻo i loko o ke koko: I kekahi mau ʻano leukemia (no ka laʻana, `(Acute Myeloid Leukemia - AML)`, `(Acute Lymphocytic Leukemia - ALL)`, `(Chronic Lymphocytic Leukemia - CLL)`) piʻi nui nā hunaola koko keʻokeʻo maʻamau ʻole. Hiki i kēia mau hunaola ke noho i loko o nā kīʻaha koko a ālai i ke kahe ʻana o ke koko. Hoʻonui kēia i ka pilikia o ka hōʻino ʻana i nā ʻōpū e like me ka puʻuwai a me ka lolo. No laila, hoʻohana ʻia kēia lāʻau lapaʻau e wehe koke i kēlā mau hunaola keu a hāʻawi i ka hōʻoluʻolu i ka mea maʻi.
• E hōʻiliʻili i nā pūnaewele kumu: No kekahi mau ʻano maʻi kanesa (no ka laʻana, lymphoma, myeloma maha), hōʻino ka chemotherapy nui i ka iwi iwi. No laila, ma mua o ka mālama ʻana, hōʻiliʻili ʻia nā pūnaewele kumu olakino mai ke koko a mālama ʻia, a ma hope o ka mālama ʻana, hāʻawi ʻia lākou i ke kino. A laila, hiki ke hana ʻia nā pūnaewele koko olakino hou. Hōʻiliʻili ʻia kēia mau pūnaewele kumu ma o ke ʻano leukapheresis.
• No ka hāʻawi ʻana i nā pūnaewele kumu i kekahi kanaka ʻē aʻe: Inā he mea hāʻawi kūpono ʻoe no kahi hoʻoili iwi iwi no kekahi maʻi ʻē aʻe, hoʻohana ʻia kēia ʻano hana e loaʻa ai nā pūnaewele kumu mai iā ʻoe.
• No ka loaʻa ʻana o nā pūnaewele no nā lāʻau lapaʻau kūikawā:ʻO nā lāʻau lapaʻau hou no ka maʻi kanesa, e like me ka CAR T-cell therapy, e pili ana i ka lawe ʻana i nā cell immune ponoʻī o ka mea maʻi, "hoʻomaʻamaʻa" iā lākou i loko o kahi lab e hakakā i ka maʻi kanesa, a laila hoʻihoʻi hou iā lākou i loko o ke kino. Hoʻoneʻe ʻia kēia mau cell mai ke kino ma o ke kaʻina hana i kapa ʻia ʻo leukapheresis.

He aha ka mea e hana ʻia ma mua o ka lāʻau lapaʻau?

Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, e hana kāu kauka i kekahi mau hoʻokolohua.

• Nā hoʻāʻo koko: Nānā lākou i ka helu o nā cell koko keʻokeʻo, a me nā pae o nā cell koko ʻulaʻula a me nā platelet.
• Nā hoʻāʻo electrolyte: E nānā i nā pae o nā paʻakai i loko o ke kino, e like me ka calcium a me ka potassium.
• Nā hoʻokolohua hana puʻupaʻa a me ke akepaʻa.
• Nā hoʻāʻo hoʻohuihui koko.

ʻOiai e lōʻihi ana kēia lapaʻau no kekahi mau hola, e ʻoluʻolu e ʻaʻahu i nā lole ʻoluʻolu . He manaʻo maikaʻi nō hoʻi e lawe mai i kahi puke e heluhelu ai a i ʻole kekahi mea e nānā ai ma kāu kelepona i ka wā o ka lapaʻau ʻana.

He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?

E kau ʻia ʻoe ma luna o kahi moe ʻoluʻolu, a e hoʻokomo kekahi kahu maʻi a kauka paha i ʻelua mau cannulas (laina IV) i loko o kou mau lima, e like me ka saline, i loko o kou mau aa. E hoʻokahe mālie kekahi i kou koko mai kou kino i loko o ka mīkini, a ʻo kekahi e hoʻihoʻi i ke koko i hoʻomaʻemaʻe ʻia i kou kino. I kekahi manawa, e hoʻokomo ʻia kahi ʻōmole nui hoʻokahi (laina waena) i loko o kahi aa nui ma kou ʻāʻī a i ʻole ma lalo o kou lima. Loaʻa i kēia nā ʻano ʻelua o ka lawe ʻana i ke koko a me ka hoʻihoʻi ʻana.

Hiki i kēia kaʻina hana holoʻokoʻa ke hala i ʻelua a ʻekolu paha hola .

I ka wā o ka mālama ʻana, hiki iā ʻoe ke manaʻo i kahi ʻano ʻūlū a puni kou mau lima, nā wāwae, a me nā lehelehe. Mai hopohopo. ʻO kēia no ka mea he haʻahaʻa iki kou pae calcium i ke koko. Inā manaʻo ʻoe i kēia ʻano, e haʻi i ke kahu ma laila, a na lākou e hoʻohui i kahi calcium i ka wai saline a lākou e hāʻawi ai iā ʻoe. A laila e nalowale ke ʻano.

He aha ka mea e manaʻo ai ma hope o ka mālama ʻana?

Ma hope o kāu lāʻau lapaʻau, e nānā nā limahana lapaʻau iā ʻoe no kekahi manawa. E nānā lākou i kou koko a me kou pulse. Hiki iā lākou ke lawe i kahi hāpana koko ʻē aʻe. Ma muli o nā hopena o kēlā mau hoʻokolohua, inā haʻahaʻa kou pae koko ʻulaʻula a i ʻole nā ​​​​pae platelet, hiki i kāu kauka ke ʻōlelo aku i kahi hoʻoili koko .

Aia kekahi mau hopena ʻaoʻao i kēia? Pono anei au e hopohopo?

E like me nā lāʻau lapaʻau āpau, aia nā hopena ʻaoʻao e hiki mai ana. Eia nō naʻe, he kakaikahi nā hopena ʻaoʻao koʻikoʻi . ʻO ka mea nui loa, ʻo ia ke kiaʻi ʻana o ke kauka a kahu maʻi paha iā ʻoe i ka wā o ka lāʻau lapaʻau. No laila, inā he pilikia, e komo koke lākou.

E nānā kākou i nā hopena ʻaoʻao nui e hiki ke hana.

Ma hope o ka hoʻi ʻana i ka home a i ka wā e pono ai ʻoe e kamaʻilio me ke kauka

ʻOi aku ka maikaʻi o ka hoʻomaha ʻana no hoʻokahi lā a i ʻole ma hope o ka mālama ʻana. Inā ʻoe e loaʻa ana i kēia lāʻau lapaʻau, aia paha ʻoe e loaʻa ana i ka lāʻau lapaʻau no ke kanesa a i ʻole kahi maʻi e pili ana i ke koko. No laila, inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e hoʻomaopopo koke i kāu kauka .

• Inā loaʻa iā ʻoe ke kuni (ma luna o 38 Celsius a i ʻole 100.4 Fahrenheit), he hōʻailona paha kēia o kahi maʻi.
• Inā hoʻokomo ʻia kahi laina waena, e ʻulaʻula ka wahi, pehu, ʻeha, a i ʻole e puka mai ana kahi wai e like me ka pus .
• Ke ʻoi aku nei ka ʻino o kou mau hōʻailona ma mua o ka maʻamau.Inā makemake ʻoe.

Mai hoʻowahāwahā i nā mea e like me kēia. ʻO ka wikiwiki o kou hōʻike ʻana, ʻo ka maʻalahi ka kaohi ʻana i nā pilikia.