Ua haʻi ʻia anei ʻoe a i ʻole kekahi āu i ʻike ai e ke kauka he maʻi ʻaʻai koko kou e like me ka leukemia? Ua lohe paha ʻoe i ka huaʻōlelo "leukapheresis" i ke kamaʻilio ʻana e pili ana i nā koho lapaʻau. Hiki i kēia inoa ke hopohopo iki. Akā he aha maoli kēia lāʻau lapaʻau? He aha kāna hana? He mea anei e makaʻu ai? I kēia lā, e kamaʻilio mākou e pili ana i kēia mau mea a pau ma ke ʻano maʻalahi loa hiki iā ʻoe ke hoʻomaopopo.
He aha ka Leukapheresis?
I ka ʻōlelo maʻalahi, he hana kūikawā ka leukapheresis e wehe koho ana i nā hunaola koko keʻokeʻo mai kou koko. E noʻonoʻo iā ia e like me ka mea hoʻomaʻemaʻe koko. Eia ka mea e hana ʻia i loko o kēia kaʻina hana:
1. Lawe ʻia kekahi koko mai loko mai o kou kino.
2. Hoʻouna ʻia ke koko i kahi mīkini kūikawā, kahi e hoʻokaʻawale wale ʻia ai nā hunaola koko keʻokeʻo.
3. ʻO nā ʻāpana i koe o ke koko, ʻo ia hoʻi nā hunaola koko ʻulaʻula, nā platelets, a me ka plasma, e hoʻihoʻi ʻia i kou kino ponoʻī.
ʻO ka mea nui, ʻaʻole kēia he lāʻau lapaʻau no nā maʻi e like me ke kanesa koko. Hoʻohana pinepine nā kauka i kēia lāʻau lapaʻau me nā lāʻau lapaʻau ʻē aʻe (no ka laʻana, chemotherapy).
I nā hihia hea e pono ai kēia lāʻau lapaʻau?
Hiki i nā kauka ke ʻōlelo aku i kēia lāʻau lapaʻau no kekahi mau kumu. E nānā kākou i ke ʻano o lākou.
| I ka wā e pono ai ka lāʻau lapaʻau | He wehewehe maʻalahi |
|---|---|
| No kekahi mau ʻano leukemia | Hoʻohana ʻia kēia lāʻau lapaʻau inā loaʻa iā ʻoe kahi maʻi e like me ka acute myeloid leukemia (AML), acute lymphocytic leukemia (ALL), a i ʻole chronic lymphocytic leukemia (CLL), a kiʻekiʻe loa kou helu koko keʻokeʻo. Ke nui loa nā koko keʻokeʻo, hiki i nā kīʻaha koko ke "paʻa," e hoʻoweliweli ana i kou puʻuwai. |
| E hōʻiliʻili i nā pūnaewele no nā lāʻau ʻē aʻe | Pono nā lāʻau lapaʻau hou e like me ka CAR T-cell therapy i nā hunaola koko keʻokeʻo olakino. Hoʻohana kēia ʻano hana i kāu mau hunaola ponoʻī e kiʻi i kēlā mau hunaola. |
| No ka hoʻoili ʻana i nā pūnaewele kumu | Hoʻohana ʻia kēia ʻano hana e hōʻiliʻili i nā hunaola kumu olakino mai ou aku ma mua o ke komo ʻana i kahi hoʻoili hunaola kumu/iwi no kekahi mau maʻi kanesa, e like me ka lymphoma a i ʻole ka myeloma maha. |
| Ma ke ʻano he mea hāʻawi pūnaewele kumu | Inā he mea hāʻawi ʻoe i nā pūnaewele kumu i kekahi, loaʻa pū kēia mau pūnaewele mai kou kino mai ma kēia ʻano like. |
He aha kāu e hana ai ma mua o ka mālama ʻana?
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, e hana ke kauka i kekahi mau hoʻokolohua e hoʻoholo pono ai i ka mea e hana nei me kou kino. He mea maʻamau kēia, no laila mai hopohopo.
- Nā hoʻāʻo koko: E nānā i kāu mau keʻokeʻo koko, nā keʻokeʻo koko ʻulaʻula, a me nā pae platelet.
- Nā hoʻāʻo electrolyte: E nānā i nā pae paʻakai o ke kino.
- Hana o nā puʻupaʻa a me ke akepaʻa: Nānā inā e hana pono ana kēia mau ʻōkana.
- Nā hoʻāʻo koko: Nānā kēia i ka hiki o ke koko ke koko.
ʻOiai e lōʻihi ana kēia hana ma kahi o ʻelua a ʻekolu hola, makemake paha ʻoe 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 e hoʻomau iā ʻoe.
He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?
Hana ʻia kēia lāʻau lapaʻau ʻoiai ʻoe e moe ana ma luna o kahi moena ʻoluʻolu. E kau nā limahana lapaʻau i ʻelua mau laina IV (cannulas) i loko o kou mau lima. E lawe kekahi i ke koko mai kou kino aku, a e hoʻihoʻi kekahi i ke koko i hoʻomaʻemaʻe ʻia i loko o kou kino. I kekahi manawa, hiki ke kau ʻia kahi ʻōmole nui (laina waena) me nā laina ʻelua kokoke i kou ʻāʻī a i ʻole ma lalo o kou lima.
I ka wā o ka mālama ʻana, hiki paha iā ʻoe ke manaʻo i kahi ʻūlū iki ma kou mau lima, nā wāwae, a puni kou waha . Mai hopohopo no kēia. ʻO kēia no ka mea ua haʻahaʻa iki ka pae calcium o kou koko. E haʻi koke i ke kauka a kahu maʻi paha i kou manaʻo ʻana i kēia. E hāʻawi lākou iā ʻoe i kahi calcium ma o kāu saline a e hoʻoponopono koke kēia i ke kūlana.
E aʻo pū kākou e pili ana i nā hopena ma hope o ka mālama ʻana a me nā hopena ʻaoʻao.
ʻOiai ma hope o ka pau ʻana o ka lāʻau lapaʻau, e nānā pono nā kauka iā ʻoe no kekahi manawa e ʻike i ke ʻano o ka hana. I kekahi manawa, pono paha ʻoe e loaʻa i kahi hoʻoili koko e pani i nā hunaola koko ʻulaʻula a i ʻole nā platelets i nalowale.
E like me nā lāʻau lapaʻau a pau, hiki ke loaʻa nā hopena ʻaoʻao liʻiliʻi. Eia nō naʻe, he mea kākaʻikahi loa nā hopena ʻaoʻao koʻikoʻi. ʻAʻohe mea e hopohopo ai no ka mea e nānā pono ke kauka i ke kaʻina holoʻokoʻa.
ʻO nā hopena ʻaoʻao maʻamau:
- Hypocalcemia: He haʻahaʻa kēia o ka calcium i loko o ke koko. Hiki ke mālama maʻalahi ʻia kēia me ka calcium IV.
- Anemia: Ka emi ʻana o ka helu o nā hunaola koko ʻulaʻula. Hiki ke mālama ʻia kēia me ka hoʻoili koko inā pono.
- Thrombocytopenia: ʻO ka emi ʻana o nā platelets, ka mea e kōkua ai i ke kāpili ʻana o ke koko. I kekahi manawa hiki i kēia ke kumu e lōʻihi ai ke kahe ʻana o ke koko, ʻoiai mai kahi ʻeha liʻiliʻi.
I ka lā o ka mālama ʻana, ʻoi aku ka maikaʻi o ka hoʻi ʻana i ka home a hoʻomaha no kekahi manawa. Hiki iā ʻoe ke hoʻomaka hou i kāu mau hana maʻamau i ka lā aʻe.
Āhea wau e kāhea aku ai i ke kauka?
ʻOiai ʻoe e hana nei i kēia lāʻau lapaʻau, e nānā mau ana kāu kauka i kou olakino, e like me ʻoe. Eia nō naʻe, inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e hoʻomaopopo koke i kāu kauka.
- Kuni: Inā ʻoi aku ka mahana o kou kino ma mua o 38 degere Celsius (100.4 Fahrenheit), he hōʻailona paha kēia o kahi maʻi.
- Nā loli ma ka pūnaewele IV: Inā he laina waena kou, ua ʻulaʻula ka pūnaewele, pehu, ʻeha, a i ʻole he wai e puka mai ana mai loko mai.
- Ka ʻoi aku o ka ʻino o nā hōʻailona: Inā ʻike ʻia kāu mau hōʻailona kahiko e ʻoi aku ka ʻino a i ʻole e ʻike ʻia nā hōʻailona hou.
Leka Lawe-Home
- ʻO Leukapheresis kahi hana e wehe ai i nā nui kūpono ʻole a nui paha o nā keʻokeʻo keʻokeʻo mai ke koko.
- ʻOiai ʻaʻole kēia he lāʻau lapaʻau piha no nā maʻi e like me ka leukemia, he hana koʻikoʻi loa ia e kaohi koke i nā hōʻailona a kākoʻo i nā lāʻau ʻē aʻe.
- Hoʻiliʻili kēia kaʻina hana i nā pūnaewele kumu a hoʻohana iā lākou no nā lāʻau lapaʻau e like me ke kāpili ʻana i ka iwi ʻiʻo.
- He mau hola ka lōʻihi o ka mālama ʻana a palekana ia. Hiki ke loaʻa nā hopena ʻaoʻao, e like me nā pae calcium haʻahaʻa, akā hiki ke mālama ʻia i ka manawa.
- Inā ʻike ʻoe i ke kuni, ka ʻeha ma kahi o ka laina IV, a i ʻole ka ʻino ʻana o nā hōʻailona ma hope o ka lāʻau lapaʻau, e hoʻomaopopo koke i kāu kauka.
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