We yu dɔktɔ tɛl yu ɔ pɔsin we yu sabi gɛt blɔd kansa lɛk lukimiya, dɛn kin tɔk bɔt ɛni tritmɛnt we dɛn kin du, nɔto so? Yu kin dɔn yɛri di wɔd ‘leukapheresis’. Pan ɔl we dis nem kin tan lɛk se i de mek pɔsin fred smɔl ɛn i kɔmplikt, i nɔ rili de mek pɔsin fred so. Tide, lɛ wi tɔk bɔt wetin na Luukapheresis, wetin mek dɛn kin du am, ɛn aw i kin wok pan wan rili simpul we.
Fɔ tɔk am simpul wan, wetin na lukafɛrɛsis?
Tink bɔt am lɛk we wi de mek kokonat milk, wi de swɛt di kokonat ɛn separet di milk ɛn di pulp. Lukapheresis na sɔntin lɛk dat. Dis min se yu fɔ tek sɔm blɔd na yu bɔdi, sɛn am tru wan spɛshal mashin, we de sheb di wayt blɔd sɛl dɛn . Dɔn dɛn kin put di ɔda blɔd, we na di rɛd blɔd sɛl dɛn, plasma, ɛn pletlɛt dɛn bak insay yu bɔdi.
Di impɔtant tin na dat, lukafɛrɛsis nɔto mɛrɛsin fɔ blɔd kansa ɔ ɔda blɔd sik. Dɛn kin yuse am wit ɔda tritmɛnt dɛm (lɛk kemotɛrapi) fɔ ɛp fɔ kɔntrol di sik dɛm ɛn sɔpɔt ɔda tritmɛnt dɛm.
Wetin mek dis tritmɛnt nid fɔ de?
Bɔku rizin dɛn de we mek dɔktɔ dɛn kin tɛl yu fɔ du dis tritmɛnt. Lɛ wi luk di men rizin dɛn.
- We di nɔmba fɔ di wayt blɔd sɛl dɛn na di blɔd rili bɔku: Insay sɔm kayn lukimiya (fɔ ɛgzampul, `(Acute Myeloid Leukemia - AML)`, `(Acute Lymphocytic Leukemia - ALL)`, `(Chronic Lymphocytic Leukemia - CLL)`) abnɔmal wayt blɔd sɛl dɛn kin bɔku we dɛn nɔ kin kɔntrol. Dɛn sɛl ya kin lod na di blɔd vesel dɛn ɛn mek di blɔd nɔ flɔ. dis kin mek di risk fכ damej pan כgan dεm lεk di at εn bren. So dɛn kin yuz dis tritmɛnt fɔ pul dɛn ɛkstra sɛl dɛn de kwik kwik wan ɛn gi di pɔsin we sik.
- Kכlekt stεm sεl dεm: fכ sכm kayn kεnsar (fכ egzampl, limfoma, mכltipl maylכma), hεy dכz kεmothεrapi de pwεl di bon mכro. So, bifo di tritmɛnt, dɛn kin gɛda wɛlbɔdi stem sɛl dɛn frɔm di blɔd ɛn kip dɛn, ɛn afta di tritmɛnt, dɛn kin gi dɛn bak to di bɔdi. Dɔn, dɛn kin mek nyu blɔd sɛl dɛn we gɛt wɛlbɔdi. dεn stεm sεl dεm ya de kכlekt tru di lukafεresis mεtכd.
- Fɔ gi stem sɛl to ɔda pɔsin: If yu na pɔsin we fit fɔ gi yu bon mɛrɔ transplant fɔ ɔda pɔsin, dɛn kin yuz dis we bak fɔ gɛt stem sɛl frɔm yu.
- Fɔ gɛt sɛl dɛn fɔ spɛshal tritmɛnt dɛn:Nyu kansa tritmεnt, lεk CAR T-sεl tεrapi, involv fכ tek di sikman in כwn imyun sεl dεm, "tren" dεm na lab fכ fεt kεnsar, εn afta dat dεn introdכks dεm bak insay di bכdi. dεn sεl dεm ya de kכmכt na di bכdi tru wan prכsεs we dεn kכl lukafεresis.
Wetin kin apin bifo dɛn trit am?
Bifo yu bigin dis tritmɛnt, yu dɔktɔ go du sɔm tɛst dɛn.
- Blɔd tɛst: Dɛn kin chɛk di wayt blɔd sɛl dɛn, ɛn bak di rɛd blɔd sɛl ɛn di pletlɛt dɛn.
- Ilektrolayt tɛst: Chɛk di lɛvɛl we di sɔl dɛn de na di bɔdi, lɛk di kalsiɔm ɛn potashɔm.
- Test fɔ di kidni ɛn liva fɔ wok.
- Blɔd kɔagulɛshɔn tɛst dɛn.
Bikɔs dis tritmɛnt go tek sɔm awa, duya wɛr fayn klos . I fayn bak fɔ kam wit buk fɔ rid ɔ sɔntin fɔ wach na yu fon we yu de du di tritmɛnt.
Wetin kin apin we dɛn de trit am?
Dɛn go put yu pan fayn bed, ɛn nɔs ɔ dɔktɔ go put tu kanula (IV layn dɛn) insay yu an, lɛk salin, insay yu veins. Wan go pul yu blɔd kɔmɔt na yu bɔdi smɔl smɔl ɛn go insay di mashin, ɛn di ɔda wan go mek di blɔd we dɛn dɔn klin go bak na yu bɔdi. Sɔntɛnde, dɛn go put wan big tiub (sɛntral layn) insay wan big vein na yu nɛk ɔ ɔnda yu an. Dis gɛt ɔl tu di we dɛn fɔ tek blɔd ɛn gi am bak.
Dis ɔl dis kin tek tu ɔ tri awa .
We yu de du di tritmɛnt, yu kin fil lɛk se yu de swɛt rawnd yu an, yu fut, ɛn yu lip. Nɔ wɔri. Dis na bikɔs di kalsiɔm we de na yu blɔd kin smɔl smɔl. If yu fil dis kayn we, tɛl di nɔs we de de, ɛn dɛn go ad sɔm kalsiɔm to di salin sɔlvushɔn we dɛn gi yu. Dɔn di sɛns go go.
Wetin fɔ ɛkspɛkt afta dɛn dɔn trit yu?
Afta yu tritmɛnt, di mɛdikal wokman dɛm go wach yu fɔ sɔm tɛm. Dɛn go chɛk yu blɔd prɛshɔn ɛn yu puls. Dɛn kin tek ɔda blɔd sɛmpul bak. Dipen pan di rizɔlt fɔ dɛn tɛst dɛn de, if yu rɛd blɔd sɛl ɔ pletlɛt lɛvɛl nɔ bɔku, yu dɔktɔ kin tɛl yu fɔ transfyushɔn .
Ɛni bad tin de we kin apin to dis? A fɔ wɔri?
Jɔs lɛk ɛni ɔda tritmɛnt, sɔm bad tin dɛn de we kin apin to am. Bɔt, siriɔs sayd ɛfɛkt dɛn nɔ kin bɔku . Di tin we impɔtant pas ɔl na dat dɔktɔ ɔ nɔs go de wach yu ɔl di tɛm we yu de du di tritmɛnt. So if prɔblɛm de, dɛn go put an pan am wantɛm wantɛm.
Lɛ wi si wetin na di men sayd ɛfɛkt dɛm we kin apin.
| Sayd Ifɛkt we i kin gɛt | Wetin dis min? | Wetin dɔktɔ dɛn kin du? |
|---|---|---|
| Hypocalcemia we nɔ gɛt bɛtɛ kalsiɔm | Di lɛvɛl we di kalsiɔm we de na di blɔd nɔ bɔku. Dis kin mek yu gɛt tingling rawnd di lip ɛn na di an ɛn fut. | Dis kin rili kɔmɔn. We yu tɛl di nɔs, dɛn go ad kalsiɔm to di salin we dɛn gi yu. |
| Anemia we nɔ gɛt bɛtɛ blɔd | Dɛn kin pul smɔl rɛd blɔd sɛl dɛn we dɛn de du dis, we kin mek di rɛd blɔd sɛl dɛn nɔ bɔku. | Di dɔktɔ kin chɛk yu blɔd rɛkɔd ɛn if nid de, i kin gi yu blɔd. |
| Trombosaytopenia we de mek pɔsin nɔ ebul fɔ waka | Di pletlɛt dɛn we de go dɔŋ, we de ɛp fɔ mek blɔd klɔt. Dis kin mek i izi fɔ mek pɔsin blɔd kɔmɔt. | Di mɛdikal tim de wach dis bak. If nid de, dɛn kin gi pɔsin pletlɛt transfyushɔn. |
Afta yu dɔn go na os ɛn we yu nid fɔ tɔk to di dɔktɔ
I bɛtɛ fɔ rɛst fɔ wan de ɔ so afta di tritmɛnt. If yu de gɛt dis tritmɛnt, yu go dɔn ɔlrɛdi gɛt tritmɛnt fɔ kansa ɔ sik we gɛt fɔ du wit blɔd. So if yu gɛt ɛni wan pan dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm .
- If yu gɛt fiva (we pas 38 Sɛlshiɔs ɔ 100.4 Fɛnayt), dis kin bi sayn fɔ se yu gɛt di sik.
- If yu put wan sɛntral layn insay, di sayt kin rɛd, swel, i kin pen, ɔ wata we tan lɛk pus de kɔmɔt .
- Yu sik dɛn de wɔs pas aw i kin bi.If yu fil lɛk am.
Nɔ ignore tin dɛn lɛk dis. Di kwik we yu ripɔt am, na di mɔ i go izi fɔ kɔntrol ɛni prɔblɛm.
Mɛsej we dɛn kin kɛr go na os
- Lukapheresis na wan tritmɛnt we dɛn kin pul sɔm blɔd na di bɔdi, dɛn kin yuz spɛshal mashin fɔ separet di wayt blɔd sɛl dɛn, ɛn di blɔd we lɛf de go bak na di bɔdi.
- dis kin bi fכ ridyus di wayt blכd sεl dεm we nכ de kכmכt kwik kwik wan pan sik dεm lεk lukimiya εn fכ kכlekt stεm sεl dεm fכ bon mכro transplant.
- Pan ɔl we dis nɔto mɛrɛsin fɔ di sik, na rili impɔtant sɔpɔt tritmɛnt fɔ kɔntrol di sayn dɛm ɛn mek ɔda tritmɛnt dɛn wok fayn.
- Fɔ mek yu nɔ fil fayn we yu de trit yu na kɔmɔn tin. Di dɔktɔ dɛn we de de kin trit dɛn tin ya kwik kwik wan. Siriɔs sayd ɛfɛkt dɛn nɔ kin bɔku.
- If yu gɛt ɛni kwɛstyɔn, wɔri, ɔr dawt bɔt dis tritmɛnt, nɔ ɛva fred fɔ tɔk to yu dɔktɔ opin wan bɔt am.
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