Leukapheresis yog dab tsi? Cia peb kawm txog kev kho mob no yooj yim.

Thaum koj tus kws kho mob qhia rau koj lossis ib tus neeg koj paub tias muaj mob qog ntshav xws li mob ntshav dawb (leukemia), lawv tham txog txhua txoj kev kho mob, puas yog? Tej zaum koj twb tau hnov ​​​​lo lus 'leukapheresis'. Txawm hais tias lub npe no yuav zoo li txaus ntshai thiab nyuaj me ntsis, nws tsis txaus ntshai heev. Hnub no, cia peb tham txog Leukapheresis yog dab tsi, vim li cas nws thiaj ua, thiab nws ua haujlwm li cas hauv txoj kev yooj yim heev.

Hauv lwm lo lus, leukapheresis yog dab tsi?

Xav txog nws zoo li thaum peb ua kua txiv maj phaub, peb nias cov txiv maj phaub thiab cais cov mis nyuj thiab cov tawv nqaij. Leukapheresis zoo li ntawd. Qhov no suav nrog kev rho qee cov ntshav ntawm koj lub cev, xa nws mus rau hauv lub tshuab tshwj xeeb, uas cais cov qe ntshav dawb tawm . Tom qab ntawd cov ntshav seem, uas yog cov qe ntshav liab, plasma, thiab platelets, raug muab rov qab rau hauv koj lub cev.

Vim li cas qhov kev kho mob no thiaj li tsim nyog?

Muaj ntau yam ua rau cov kws kho mob pom zoo kom siv txoj kev kho mob no. Cia peb saib cov laj thawj tseem ceeb.

• Thaum cov qe ntshav dawb hauv cov ntshav siab heev: Hauv qee hom kab mob leukemia (piv txwv li, `(Acute Myeloid Leukemia - AML)`, `(Acute Lymphocytic Leukemia - ALL)`, `(Chronic Lymphocytic Leukemia - CLL)`) cov qe ntshav dawb txawv txav nce ntxiv yam tsis tau tswj. Cov qe ntshav no tuaj yeem nyob hauv cov hlab ntsha thiab thaiv cov ntshav ntws. Qhov no ua rau muaj kev pheej hmoo ntawm kev puas tsuaj rau cov kabmob xws li lub plawv thiab lub hlwb. Yog li kev kho mob no yog siv los tshem tawm cov qe ntshav ntxiv sai sai thiab muab kev pab rau tus neeg mob.
• Sau cov hlwb pob txha: Rau qee hom mob qog noj ntshav (piv txwv li, lymphoma, multiple myeloma), kev siv tshuaj kho mob ntau dhau ua rau cov pob txha puas tsuaj. Yog li, ua ntej kev kho mob, cov hlwb pob txha noj qab haus huv raug sau los ntawm cov ntshav thiab khaws cia, thiab tom qab kev kho mob, lawv raug muab rov qab rau lub cev. Tom qab ntawd, cov hlwb ntshav tshiab noj qab haus huv tuaj yeem tsim tau. Cov hlwb pob txha no raug sau los ntawm txoj kev leukapheresis.
• Yuav pub cov noob hlwb rau lwm tus: Yog tias koj yog tus pub dawb uas tsim nyog rau kev hloov pob txha rau lwm tus neeg mob, txoj kev no kuj siv tau los txais cov noob hlwb ntawm koj.
• Yuav kom tau txais cov cell rau kev kho mob tshwj xeeb:Cov kev kho mob qog noj ntshav tshiab, xws li kev kho mob CAR T-cell, suav nrog kev coj tus neeg mob cov qe ntshav dawb uas tiv thaiv kab mob, "qhia" lawv hauv chav kuaj kom tawm tsam qog noj ntshav, thiab tom qab ntawd rov coj lawv rov qab rau hauv lub cev. Cov qe ntshav dawb no raug tshem tawm ntawm lub cev los ntawm cov txheej txheem hu ua leukapheresis.

Ua ntej kev kho mob muaj dab tsi tshwm sim?

Ua ntej pib kho mob no, koj tus kws kho mob yuav ua ntau yam kev kuaj mob.

• Kev kuaj ntshav: Lawv kuaj xyuas cov qe ntshav dawb, nrog rau cov qe ntshav liab thiab cov ntshav platelet.
• Kev kuaj electrolyte: Xyuas seb cov ntsev hauv lub cev muaj pes tsawg, xws li calcium thiab potassium.
• Kev kuaj mob raum thiab daim siab ua haujlwm.
• Kev ntsuam xyuas cov ntshav txhaws.

Vim tias qhov kev kho mob no yuav siv sijhawm ob peb teev, thov hnav khaub ncaws xis nyob . Nws tseem yog ib lub tswv yim zoo kom coj ib phau ntawv los nyeem lossis ib yam dab tsi los saib hauv koj lub xov tooj thaum lub sijhawm kho mob.

Muaj dab tsi tshwm sim thaum lub sijhawm kho mob?

Koj yuav raug muab tso rau ntawm ib lub txaj pw xis nyob, thiab tus kws saib mob lossis tus kws kho mob yuav muab ob lub cannulas (cov kab IV) rau hauv koj txhais tes, zoo li saline, rau hauv koj cov leeg ntshav. Ib qho yuav maj mam ntws koj cov ntshav ntawm koj lub cev mus rau hauv lub tshuab, thiab lwm qhov yuav xa cov ntshav huv rov qab mus rau koj lub cev. Qee zaum, ib lub raj loj (kab nruab nrab) yuav raug ntxig rau hauv cov leeg ntshav loj hauv koj lub caj dab lossis hauv qab koj txhais tes. Qhov no muaj ob txoj hauv kev ntawm kev noj ntshav thiab muab nws rov qab.

Tag nrho cov txheej txheem no feem ntau yuav siv sijhawm ob lossis peb teev .

Thaum lub sijhawm kho mob, koj yuav hnov ​​​​​​qhov mob tingling nyob ib puag ncig koj txhais tes, taw, thiab daim di ncauj. Tsis txhob txhawj. Qhov no yog vim tias koj cov calcium hauv cov ntshav qis me ntsis. Yog tias koj xav li no, qhia tus kws tu mob ntawd, thiab lawv yuav ntxiv qee cov calcium rau hauv cov kua saline uas lawv muab rau koj. Tom qab ntawd qhov kev xav yuav ploj mus.

Yuav tsum tau tos dab tsi tom qab kho mob?

Tom qab koj kho mob tas, cov neeg ua haujlwm kho mob yuav saib xyuas koj ib pliag. Lawv yuav xyuas koj cov ntshav siab thiab lub plawv dhia. Lawv kuj tseem yuav coj lwm cov ntshav mus kuaj. Nyob ntawm cov txiaj ntsig ntawm cov kev kuaj ntawd, yog tias koj cov qe ntshav liab lossis cov ntshav platelet qis, koj tus kws kho mob yuav pom zoo kom hloov ntshav .

Puas muaj tej yam tshwm sim tsis zoo rau qhov no? Kuv puas yuav tsum txhawj?

Ib yam li kev kho mob twg los xij, muaj tej yam tshwm sim tsis zoo. Txawm li cas los xij, tej yam tshwm sim loj heev tsis tshua muaj . Qhov tseem ceeb tshaj plaws yog tus kws kho mob lossis tus nais yuav saib xyuas koj thoob plaws hauv kev kho mob. Yog li ntawd, yog tias muaj teeb meem, lawv yuav cuam tshuam tam sim ntawd.

Cia peb saib seb cov kev mob tshwm sim tseem ceeb uas tuaj yeem tshwm sim yog dab tsi.

Tom qab mus tsev thiab thaum twg koj xav tau tham nrog kws kho mob

Zoo tshaj plaws yog so ib hnub lossis li ntawd tom qab kev kho mob. Yog tias koj tau txais kev kho mob no, tej zaum koj twb tau txais kev kho mob rau mob qog noj ntshav lossis mob ntsig txog ntshav lawm. Yog li ntawd, yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no, qhia rau koj tus kws kho mob tam sim ntawd .

• Yog koj kub taub hau (ntau tshaj 38 Celsius lossis 100.4 Fahrenheit), qhov no yuav yog ib qho cim qhia txog kev kis kab mob.
• Yog koj ntxig ib txoj hlua nruab nrab rau hauv, qhov chaw ntawd yuav liab, o, mob, lossis muaj kua zoo li kua qaub tawm los .
• Koj cov tsos mob hnyav zuj zus dua li niaj zaus.Yog koj xav li ntawd.

Tsis txhob tsis quav ntsej txog tej yam zoo li no. Thaum koj tshaj tawm sai npaum li cas, ces yuav yooj yim dua rau koj tswj tej teeb meem.