Dɔktɔ dɔn tɛl yu ɔ pɔsin we yu sabi se yu gɛt blɔd kansa lɛk lukimiya? Yu kin dɔn yɛri di wɔd "leukapheresis" we yu de tɔk bɔt di tritmɛnt opshɔn dɛm. Dis nem kin mek pɔsin fred smɔl. Bɔt wetin rili na dis tritmɛnt? Wetin i de du? Na sɔntin we wi fɔ fred? Tide, wi go tɔk bɔt ɔl dis insay wan rili simpul we we yu go ɔndastand.
Wetin na Lukapheresis?
Fɔ tɔk am simpul wan, lukafɛrɛsis na spɛshal we aw dɛn kin pik di wayt blɔd sɛl dɛn na yu blɔd. Tink bɔt am lɛk sɔntin we de klin blɔd. Na dis na wetin kin apin we dis de apin:
1. Dɛn kin pul sɔm blɔd na yu bɔdi.
2. Dɛn kin sɛn di blɔd to wan spɛshal mashin, usay na di wayt blɔd sɛl dɛn nɔmɔ dɛn kin separet.
3. Di ɔda pat dɛn na di blɔd, we na di rɛd blɔd sɛl dɛn, di pletlɛt dɛn, ɛn di plasma, kin go bak na yu yon bɔdi.
Di impɔtant tin na dat dis nɔto mɛrɛsin fɔ sik dɛn lɛk blɔd kansa. Dɔktɔ dɛn kin yuz dis tritmɛnt wit ɔda tritmɛnt dɛn (fɔ ɛgzampul, kemotɛrapi).
Uskayn kes dɛn dis tritmɛnt nid fɔ de?
Dɔktɔ dɛn kin tɛl yu fɔ du dis tritmɛnt fɔ bɔku rizin dɛn. Lɛ wi tek wan luk pan wetin dɛn bi.
| We dɛn nid fɔ gɛt tritmɛnt | Simpul ɛksplen |
|---|---|
| Fɔ sɔm kayn lukimiya | Dɛn kin yuz dis tritmɛnt if yu gɛt wan sik lɛk akyu maylɔyd lukimiya (AML), akyu limfosaytik lukimiya (ALL), ɔ kronik limfosaytik lukimiya (CLL), ɛn yu wayt blɔd sɛl dɛn tu bɔku. We di wayt blɔd sɛl dɛn bɔku, di blɔd vesel dɛn kin "klɔg," we kin put yu at pan denja. |
| Fɔ gɛda sɛl dɛn fɔ ɔda tritmɛnt dɛn | Mɔdan tritmɛnt dɛn lɛk CAR T-sɛl tɛrapi nid fɔ gɛt wɛlbɔdi wayt blɔd sɛl. Dis we ya de yuz yu yon sɛl dɛn fɔ gɛt dɛn sɛl dɛn de. |
| Fɔ transplant stem sɛl dɛn | dis we ya dεn kin yuz fכ kכlekt hεlty stεm sεl dεm frכm yusεf bifo yu du stεm sεl/bon mכro transplant fכ sכm kεnsar dεm, lεk limfoma כ mכltipl maylכma. |
| As pɔsin we de gi stem sɛl | If yu na stem sel dona to ɔda pɔsin, dɛn kin gɛt dɛn sɛl ya bak frɔm yu bɔdi dis sem we. |
Wetin yu kin du bifo yu gɛt tritmɛnt?
Bifo yu bigin dis tritmɛnt, di dɔktɔ go du sɔm tɛst fɔ no di rayt tin we de apin to yu bɔdi. Dɛn tin ya na nɔmal tin, so nɔ wɔri.
- Blɔd tɛst: Chɛk yu wayt blɔd sɛl, rɛd blɔd sɛl, ɛn pletlɛt lɛvɛl.
- Ilektrolayt tɛst: Chɛk di bɔdi in sɔl lɛvɛl.
- di kidni εn liva de wok: I de chεk if dεn כgan dεm ya de wok fayn fayn wan.
- Test fɔ mek di blɔd klɔt: Dɛn tin ya de chɛk aw di blɔd ebul fɔ klɔt.
Bikɔs dis tritmɛnt go tek lɛk tu to tri awa so, yu kin want fɔ wɛr fayn klos. I fayn bak fɔ kam wit buk fɔ rid ɔ sɔntin fɔ wach na yu fon fɔ mek yu nɔ gɛt wok.
Wetin kin apin we dɛn de trit am?
Dɛn kin du dis tritmɛnt we yu de ledɔm pan fayn bed. Di mɛdikal staf go put tu IV layn (kanula) na yu an. Wan go pul blɔd na yu bɔdi, ɛn di ɔda wan go put di blɔd we dɛn dɔn klin bak insay yu bɔdi. Sɔntɛnde, dɛn kin put big tiub (sɛntral layn) wit ɔl tu di layn dɛn nia yu nɛk ɔ ɔnda yu an.
We dɛn de du di tritmɛnt, yu kin fil smɔl smɔl na yu an, yu fut, ɛn rawnd yu mɔt . Nɔ wɔri bɔt dis. Dis na bikɔs di kalsiɔm we de na yu blɔd kin smɔl smɔl. Tɛl di dɔktɔ ɔ nɔs jɔs lɛk aw yu fil dis. Dɛn go gi yu sɔm kalsiɔm tru yu salin ɛn dis go kɔrɛkt di tin kwik kwik wan.
Lɛ wi lan bak bɔt di afta-tritmɛnt ɛn di sayd ɛfɛkt dɛm.
Ivin afta di tritmɛnt dɔn, di dɔktɔ dɛn go de wach yu fɔ sɔm tɛm fɔ si wetin de apin. Sɔntɛnde, yu kin nid fɔ transfyuz yu blɔd fɔ tek di ples fɔ di rɛd blɔd sɛl ɔ pletlɛt dɛn we dɔn lɔs.
Jɔs lɛk ɛni tritmɛnt, smɔl smɔl sayd ɛfɛkt dɛn kin apin. Bɔt, siriɔs sayd ɛfɛkt dɛn nɔ kin apin so ɔltɛm. Natin nɔ de fɔ wɔri bɔt bikɔs di dɔktɔ go de wach di wan ol prɔses gud gud wan.
Di kɔmɔn sayd ɛfɛkt dɛn na:
- Hypocalcemia: Dis na we di kalsiɔm we de na di blɔd nɔ bɔku. Dis kin izi fɔ trit wit IV kalsiɔm.
- Anemia: Na di rεd bכdi sεl dεm we de dכn. Dɛn kin trit dis bak wit blɔd transfyushɔn if nid de.
- Trombocytopenia: Na di pletlet dεm we de dכn, we de εp fכ blכd kכlכt. Sɔntɛnde dis kin mek di blɔd tek sɔm tɛm fɔ stɔp, ivin frɔm smɔl injuri.
Di de we dɛn go gi di tritmɛnt, i go fayn fɔ mek yu go na os ɛn rɛst fɔ sɔm tɛm. Yu kin bigin fɔ du yu nɔmal tin dɛn bak di nɛks de.
Ustɛm a fɔ kɔl di dɔktɔ?
Bikɔs yu de du dis tritmɛnt, yu dɔktɔ go de wach yu wɛlbɔdi ɔltɛm, ɛn yusɛf go de wach yu. Bɔt if yu gɛt ɛni wan pan dɛn sayn ya, tɛl yu dɔktɔ wantɛm wantɛm.
- Fiva: If yu bɔdi wam pas 38 digri sɛlshiɔs (100.4 Fahrenheit), dis kin bi sayn fɔ se yu gɛt di sik.
- di chenj dεm na di IV layn sayt: If yu gεt sεntri layn, di sayt de rεd, swεla, i de pen, כ i gεt wata we de kכmכt pan am.
- Di sayn dɛm wae de wɔs: If i tan lɛk se yu ol sayn dɛm de wɔs ɔr nyu sayn dɛm de kam.
Mɛsej we dɛn kin kɛr go na os
- Lukapheresis na wan we we de pul di wayt blɔd sɛl dɛn we nɔ nɔmal ɔ we pasmak na di blɔd.
- Pan ɔl we dis nɔto kɔmplit mɛrɛsin fɔ sik dɛn lɛk lukimiya, na rili impɔtant tin fɔ kɔntrol di sik dɛn kwik kwik wan ɛn sɔpɔt ɔda tritmɛnt dɛn.
- dis prכsεs de kכlekt stεm sεl dεm bak εn de yuz dεm fכ tritmεnt lεk bon mכro transplant.
- Di tritmɛnt kin tek sɔm awa ɛn bɔku tɛm i nɔ kin sef. Sɔm sayd ɛfɛkt, lɛk we yu nɔ gɛt bɔku kalsiɔm, kin apin, bɔt dɛn kin manej dɛn da tɛm de.
- If yu notis se yu gɛt fiva, yu de fil pen na di say we di IV layn de, ɔ yu de wɔs afta yu dɔn trit yu, tɛl yu dɔktɔ wantɛm wantɛm.
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