Koj puas tau pub ntshav dua? Feem ntau, thaum peb pub ntshav, peb muab tag nrho cov ntshav kuaj. Tab sis koj puas paub tias muaj ib txoj kev kho mob tshwj xeeb hu ua Apheresis—qee zaum hu ua pheresis—uas tso cai rau peb cais cov khoom tshwj xeeb ntawm koj cov ntshav, xws li cov qe ntshav liab, cov qe ntshav dawb, lossis cov ntshav platelets, lossis tshem tawm cov khoom phom sij uas ua rau muaj kab mob? Ntawm Nirogi Lanka, peb xav pab koj nkag siab txog txoj kev kho mob zoo kawg no yooj yim.
Apheresis yog dab tsi tiag?
Xav txog nws zoo li cais cov kua txiv maj phaub tuab ntawm cov kua dej tom qab nias nws. Apheresis ua haujlwm zoo sib xws. Lub tshuab centrifuge tshwj xeeb rub koj cov ntshav thiab tig nws ntawm qhov ceev ceev kom cais nws ua ntau yam khoom sib txawv.
Thaum twg peb cais tawm lawm, peb tsuas yog sau cov khoom tsim nyog (piv txwv li, cov ntshav platelets noj qab nyob zoo) thiab xa cov ntshav seem rov qab rau hauv koj lub cev. Txoj kev no feem ntau yog siv rau ob lub hom phiaj:
1. Rau Kev Pub Ntshav: Tsuas pub cov khoom tshwj xeeb uas tus neeg mob xav tau, xws li cov qe ntshav liab, cov ntshav platelets, lossis cov ntshav plasma.
2. Ua Kev Kho Mob: Tshem tawm cov khoom tsis zoo lossis cov ntshav uas ua rau muaj kev phom sij (xws li cov hlwb qog nqaij hlav ) uas ua rau muaj mob hauv koj lub cev.
Cov hom Apheresis tseem ceeb yog dab tsi?
Kev kho mob no yog tsim los rau koj cov kev xav tau tshwj xeeb. Thov saib daim ntawv teev lus hauv qab no kom nkag siab txog ntau hom kev kho mob sib txawv.
| Hom Apheresis | Nws ua dab tsi |
|---|---|
| Kev kho mob Leukapheresis | Tshem tawm cov Qog Ntshav Dawb uas ntau dhau thiab ua rau muaj kev phom sij ntawm koj cov ntshav kom txo cov tsos mob. |
| Kev sau cov noob hlwb ntawm cov ntshav sab nraud | Sau cov noob hlwb uas tsis tau loj hlob los ntawm cov ntshav rau kev hloov noob hlwb. |
| Kev siv photopheresis | Tshem tawm ib hom qe ntshav dawb tshwj xeeb hu ua lymphocytes, tso rau lawv rau lub teeb UVA kom txhawb lawv txoj haujlwm, thiab rov qab los rau hauv lub cev los tawm tsam cov qe ntshav qog lossis cov kab mob. |
| Plasmapheresis (kev pauv plasma) | Tshem tawm cov kua ntawm koj cov ntshav (plasma) thiab hloov nws nrog cov plasma noj qab haus huv lossis cov kua hloov pauv los kho ntau yam mob hnyav. |
| Kev txo cov ntshav platelet | Tshem tawm cov platelets ntau dhau thaum koj lub cev muaj cov ntshav platelets ntau dhau. |
| Kev pauv cov qe ntshav liab | Tshem tawm cov qe ntshav liab uas tsis zoo lossis txawv txav (piv txwv li, hauv cov ntshav liab sickle cell anemia) thiab hloov lawv nrog cov qe ntshav liab pub dawb uas noj qab nyob zoo. |
Kev kho mob no siv rau cov mob twg?
Kev siv tshuaj apheresis yog ib qho cuab yeej tseem ceeb hauv kev kho thiab tswj ntau yam mob. Piv txwv li, rau cov neeg uas tau txais kev kho mob chemotherapy ntau, peb tuaj yeem sau koj cov noob hlwb noj qab haus huv los ntawm txoj kev no kom khaws cia kom muaj kev nyab xeeb thiab xa rov qab rau koj tom qab koj kho mob.
Nws yog siv rau cov mob hauv qab no:
Mob qog ntshav
- Kab mob leukemia myeloid mob hnyav
- Qee hom lymphoma
- ntau yam mob myeloma
- Waldenstrom macroglobulinemia
Lwm Yam Kab Mob Ntshav
- Kab mob ntshav liab ntshav liab
- Cryoglobulinemia
- Thrombotic thrombocytopenic purpura
Kev Mob Hlwb
- Guillain-Barré syndrome
- Ntau yam sclerosis
- Myasthenia gravis
Tsis tas li ntawd xwb, kev siv apheresis los tswj kev tsis lees txais cov noob hloov pauv thiab kab mob Graft vs. tus tswv tsev.
Kuv yuav tsum npaj li cas?
Vim tias cov txheej txheem no siv rau ntau yam laj thawj, kev npaj sib txawv rau txhua tus neeg mob. Qhov tseem ceeb tshaj plaws yog ua raws li koj tus kws kho mob cov lus qhia kom meej. Koj tus kws kho mob yuav piav qhia tias cov txheej txheem yuav siv sijhawm ntev npaum li cas thiab cov kauj ruam tshwj xeeb twg koj yuav tsum ua ua ntej.
Piv txwv li, yog tias koj yog tus pub cov noob hlwb (stem cell) rau koj, tej zaum koj yuav tau noj tshuaj ob peb hnub ua ntej txoj kev kho mob kom pab tso cov noob hlwb (stem cell) tawm ntawm koj cov pob txha mus rau hauv koj cov ntshav.
Feem ntau, nws raug pom zoo kom haus dej kom txaus rau hnub ua ntej koj kho mob.
Muaj dab tsi tshwm sim thaum lub sijhawm ua Apheresis?
Txawm hais tias nws yuav zoo li nyuaj heev los, cov txheej txheem no yog qhov ua tau zoo heev thiab ua tiav rau hauv txoj hauv kev uas ua rau koj xis nyob li sai tau.
- Ua ntej, koj yuav raug zaum lossis hais kom pw hauv lub rooj zaum lossis txaj pw uas xis nyob.
- Tom ntej no, peb cov neeg ua haujlwm kho mob yuav ntxig ob lub koob me me rau hauv cov leeg ntawm koj ob txhais caj npab. Txhua lub koob txuas nrog lub catheter , uas yog ib lub raj nyias nyias thiab yoog tau.
- Cov ntshav yuav raug rub maj mam los ntawm ib sab caj npab thiab xa mus rau hauv lub tshuab tshwj xeeb, uas ua tib zoo cais cov khoom sib txawv ntawm koj cov ntshav.
- Thaum cov khoom tsim nyog tau sau tiav lawm, cov ntshav uas seem yuav raug xa rov qab mus rau koj lub cev kom muaj kev nyab xeeb los ntawm lub raj hauv koj sab caj npab.
Thaum lub sijhawm no, koj muaj kev ywj pheej nyeem ib phau ntawv, mloog nkauj, lossis tsuas yog so kom txaus. Tsis muaj laj thawj yuav tsum ntxhov siab, vim peb cov neeg ua haujlwm kho mob yuav nyob ntawm koj ib sab thoob plaws hauv txoj kev kho mob.
Tej yam kev pheej hmoo ntawm kev kho mob no yog dab tsi?
Ib yam li lwm yam kev kho mob, muaj qee qhov kev pheej hmoo me me, txawm hais tias lawv tsis tshua muaj. Feem ntau ntawm cov no tsis hnyav heev. Ntxiv mus, vim peb pab neeg kho mob saib xyuas koj ze thoob plaws hauv kev sib tham, lawv tuaj yeem daws txhua yam teeb meem tam sim ntawd yog tias lawv tshwm sim.
| Kev Pheej Hmoo/Teeb Meem | Hauv cov lus yooj yim ... |
|---|---|
| Ntshav qis (ntshav qis) | Vim tias muaj cov ntshav nyob sab nraum koj lub cev thiab cov tshuaj anticoagulants raug siv, koj cov ntshav siab yuav poob me ntsis, uas yuav ua rau koj kiv taub hau me ntsis. |
| Hypocalcemia (Cov calcium tsawg) | Cov tshuaj siv los tiv thaiv cov ntshav txhaws tuaj yeem txo koj cov calcium ib ntus, uas yuav ua rau khaus ncig koj daim di ncauj lossis hauv koj txhais ceg. |
| Los ntshav | Tej zaum koj yuav los ntshav me ntsis ntawm qhov chaw uas koj muab koob txhaj rau hauv. |
| Kev kis kab mob | Txawm hais tias tsis tshua muaj los xij, muaj kev pheej hmoo me me ntawm kev kis kab mob ntawm qhov chaw ntxig koob. |
| Kev puas tsuaj rau cov hlab ntsha | Tsis tshua muaj, qhov kev nias rau ntawm cov hlab ntsha thaum lub sijhawm ntxig koob yuav ua rau loog lossis qaug zog ib ntus. |
Nco ntsoov tias, tej teeb meem no yuav tsis tshua muaj. Yog tias koj xav tias tsis xis nyob, tsis muaj zog, lossis kiv taub hau, thov qhia rau cov neeg ua haujlwm kho mob tam sim ntawd.
Kuv yuav tsum hu rau kuv tus kws kho mob thaum twg?
Tom qab kev kho mob tas, feem ntau koj rov qab mus ua koj tej dej num niaj hnub tau. Koj tus kws kho mob yuav piav qhia seb yuav muaj tej yam me me li cas tom qab kev kho mob. Yog tias koj tej tsos mob zoo li hnyav dua li qhov tau piav qhia, lossis yog tias koj muaj kev txhawj xeeb lossis kev tsis ntseeg, thov hu rau koj tus kws kho mob tam sim ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Apheresis yog ib txoj kev kho mob tshwj xeeb uas siv los cais cov khoom tshwj xeeb ntawm koj cov ntshav.
- Nws yog siv rau kev pub cov ntshav los yog ua kev kho mob kom tshem tawm cov tshuaj lom.
- Qhov no yog ib qho kev kho mob uas muaj kev nyab xeeb heev, tau txais kev saib xyuas los ntawm kws kho mob, yog li ntawd tsis tas yuav txhawj xeeb dab tsi.
- Thov ua raws li koj tus kws kho mob cov lus qhia ua tib zoo ua ntej thiab tom qab kev kho mob.
- Yog tias koj muaj kev tsis xis nyob thaum lub sijhawm lossis tom qab kev kho mob, qhia rau koj pab neeg kho mob lossis kws kho mob paub tam sim ntawd.
