Koj lossis ib tug neeg koj paub puas tau raug kws kho mob qhia tias koj muaj mob qog ntshav zoo li leukemia? Tej zaum koj yuav tau hnov lo lus "leukapheresis" thaum tham txog cov kev kho mob. Lub npe no tuaj yeem ua rau ntshai me ntsis. Tab sis qhov kev kho mob no yog dab tsi tiag? Nws ua dab tsi? Puas yog nws yog ib yam dab tsi uas yuav tsum ntshai? Hnub no, peb yuav tham txog txhua yam no hauv txoj kev yooj yim uas koj tuaj yeem nkag siab.
Leukapheresis yog dab tsi?
Hais yooj yim xwb, leukapheresis yog ib txoj kev kho mob tshwj xeeb uas xaiv cov qe ntshav dawb tawm ntawm koj cov ntshav. Xav txog nws zoo li lub tshuab ntxuav ntshav. Nov yog qhov tshwm sim thaum lub sijhawm no:
1. Ib co ntshav raug rho tawm ntawm koj lub cev.
2. Cov ntshav raug xa mus rau lub tshuab tshwj xeeb, qhov chaw uas tsuas yog cov qe ntshav dawb raug cais tawm.
3. Cov seem ntawm cov ntshav, uas yog cov qe ntshav liab, cov ntshav platelets, thiab cov ntshav plasma, raug xa rov qab mus rau koj lub cev.
Qhov tseem ceeb yog tias qhov no tsis yog kev kho mob rau cov kab mob xws li mob qog ntshav. Cov kws kho mob feem ntau siv txoj kev kho mob no ua ke nrog lwm yam kev kho mob (piv txwv li, chemotherapy).
Hauv cov xwm txheej twg uas yuav tsum tau kho qhov no?
Cov kws kho mob yuav pom zoo kom siv txoj kev kho mob no vim muaj ntau yam laj thawj. Cia peb saib seb lawv yog dab tsi.
| Thaum twg xav tau kev kho mob | Piav qhia yooj yim |
|---|---|
| Rau qee hom mob leukemia | Kev kho mob no yog siv yog tias koj muaj mob xws li mob ntshav qab zib myeloid leukemia (AML), mob ntshav qab zib lymphocytic leukemia (ALL), lossis mob ntshav qab zib lymphocytic leukemia (CLL), thiab koj cov qe ntshav dawb ntau dhau. Thaum muaj cov qe ntshav dawb ntau dhau, cov hlab ntsha tuaj yeem "kaw", ua rau koj lub plawv muaj kev pheej hmoo. |
| Txhawm rau sau cov hlwb rau lwm yam kev kho mob | Cov kev kho mob niaj hnub nim no zoo li kev kho mob CAR T-cell xav tau cov qe ntshav dawb noj qab nyob zoo. Txoj kev no siv koj cov qe ntshav kom tau cov qe ntshav ntawd. |
| Yuav hloov cov hlwb ntawm cov noob | Txoj kev no yog siv los sau cov noob hlwb noj qab haus huv ntawm koj tus kheej ua ntej yuav hloov noob hlwb/pob txha rau qee yam mob qog noj ntshav, xws li lymphoma lossis multiple myeloma. |
| Ua ib tug neeg pub cov hlwb ntawm lub hlwb | Yog tias koj yog tus pub cov noob hlwb rau lwm tus, cov hlwb no kuj tau txais los ntawm koj lub cev tib yam li no. |
Ua ntej kho mob, koj ua dab tsi?
Ua ntej pib kho mob no, tus kws kho mob yuav ua ob peb qhov kev kuaj mob kom paub tseeb tias muaj dab tsi tshwm sim rau koj lub cev. Cov no yog qhov ib txwm muaj, yog li ntawd tsis txhob txhawj.
- Kev kuaj ntshav: Xyuas koj cov qe ntshav dawb, qe ntshav liab, thiab cov platelet.
- Kev kuaj electrolyte: Xyuas cov ntsev hauv lub cev.
- Kev ua haujlwm ntawm lub raum thiab daim siab: Xyuas seb cov kabmob no puas ua haujlwm zoo.
- Kev kuaj ntshav txhaws: Cov no kuaj xyuas lub peev xwm ntawm cov ntshav kom txhaws.
Vim tias kev kho mob no yuav siv sijhawm li ob mus rau peb teev, koj yuav xav 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 kom koj tsis txhob nkees.
Muaj dab tsi tshwm sim thaum lub sijhawm kho mob?
Kev kho mob no ua thaum koj pw saum txaj pw xis nyob. Cov neeg ua haujlwm kho mob yuav muab ob txoj kab IV (cannulas) tso rau hauv koj txhais tes. Ib txoj yuav rho cov ntshav tawm ntawm koj lub cev, thiab lwm txoj yuav muab cov ntshav uas tau ntxuav lawm rov qab rau hauv koj lub cev. Qee zaum, ib lub raj loj (txoj kab nruab nrab) nrog ob txoj kab yuav raug muab tso ze ntawm koj lub caj dab lossis hauv qab koj txhais tes.
Thaum lub sijhawm kho mob, koj yuav hnov me ntsis tingling hauv koj txhais tes, taw, thiab nyob ib puag ncig koj lub qhov ncauj . Tsis txhob txhawj txog qhov no. Qhov no yog vim tias koj cov calcium hauv cov ntshav qis me ntsis. Qhia rau tus kws kho mob lossis tus nais maum sai li sai tau thaum koj hnov qhov no. Lawv yuav muab qee cov calcium rau koj los ntawm koj cov saline thiab qhov no yuav kho qhov teeb meem sai sai.
Cia peb kawm txog cov kev kho mob tom qab thiab cov kev mob tshwm sim.
Txawm tias tom qab kev kho mob tas lawm los, cov kws kho mob yuav saib xyuas koj ib pliag kom pom tias muaj dab tsi tshwm sim. Qee zaum, koj yuav tsum tau hloov ntshav los hloov cov qe ntshav liab lossis cov ntshav platelets uas ploj lawm.
Ib yam li kev kho mob twg los xij, tej zaum yuav muaj tej yam tsis zoo me me xwb. Txawm li cas los xij, tej yam tsis zoo loj heev yeej tsis tshua muaj. Tsis muaj dab tsi yuav txhawj txog vim tus kws kho mob yuav saib xyuas tag nrho cov txheej txheem kom zoo.
Cov kev mob tshwm sim feem ntau muaj xws li:
- Hypocalcemia: Qhov no yog qib calcium qis hauv cov ntshav. Qhov no yooj yim kho nrog IV calcium.
- Kab mob ntshav tsis txaus: Kev txo qis ntawm cov qe ntshav liab. Qhov no kuj tuaj yeem kho tau los ntawm kev hloov ntshav yog tias tsim nyog.
- Thrombocytopenia: Kev txo qis ntawm cov platelets, uas pab kom cov ntshav khov. Qhov no qee zaum ua rau kev los ntshav siv sijhawm ntev kom tsis txhob los, txawm tias yog raug mob me me los xij.
Thaum hnub kho mob, zoo tshaj plaws yog rov qab mus tsev thiab so ib pliag. Koj tuaj yeem rov ua koj cov dej num ib txwm rau hnub tom qab.
Kuv yuav tsum hu rau kws kho mob thaum twg?
Vim koj tab tom kho qhov kev kho mob no, koj tus kws kho mob yuav saib xyuas koj txoj kev noj qab haus huv tas li, thiab koj kuj yuav saib xyuas thiab. Txawm li cas los xij, yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no, qhia rau koj tus kws kho mob tam sim ntawd.
- Kub taub hau: Yog tias koj lub cev kub siab tshaj 38 degrees Celsius (100.4 Fahrenheit), qhov no yuav yog ib qho cim ntawm kev kis kab mob.
- Kev hloov pauv ntawm qhov chaw ntawm txoj kab IV: Yog tias koj muaj txoj kab nruab nrab, qhov chaw ntawd liab, o, mob, lossis muaj kua dej tawm ntawm nws.
- Cov tsos mob hnyav zuj zus: Yog tias koj cov tsos mob qub zoo li hnyav zuj zus lossis cov tsos mob tshiab tshwm sim.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Leukapheresis yog ib txoj kev kho mob uas tshem tawm cov qe ntshav dawb uas tsis zoo li qub lossis ntau dhau ntawm cov ntshav.
- Txawm hais tias qhov no tsis yog kev kho mob tag nrho rau cov kab mob xws li leukemia, nws yog ib qho txheej txheem tseem ceeb heev los tswj cov tsos mob sai sai thiab txhawb nqa lwm yam kev kho mob.
- Cov txheej txheem no kuj sau cov hlwb noob thiab siv lawv rau kev kho mob xws li kev hloov pob txha.
- Kev kho mob yuav siv sijhawm ob peb teev thiab feem ntau muaj kev nyab xeeb. Cov kev mob tshwm sim, xws li cov calcium qis, tuaj yeem tshwm sim, tab sis lawv raug tswj hwm thaum lub sijhawm ntawd.
- Yog koj pom koj kub taub hau, mob ntawm qhov chaw ntawm txoj kab IV, lossis cov tsos mob hnyav zuj zus tom qab kho mob, qhia rau koj tus kws kho mob tam sim ntawd.
💬 Comments (0)
Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus