Wali owaddeyo omusaayi? Bwe tutera okugaba omusaayi, tuwaayo omusaayi gwaffe gwonna. Naye obadde okimanyi nti waliwo enkola ey’enjawulo esobola okwawula ebitundu by’omusaayi gwaffe eby’enjawulo, gamba ng’obutoffaali obumyufu, obutoffaali obweru, n’obutoffaali obuyitibwa platelets, oba okuggyamu ebitundu eby’obulabe byokka ebireeta obulwadde obumu mu musaayi? Enkola eyo ey’obusawo ey’ekitalo eyitibwa apheresis. Abantu abamu kino nabo bakiyita pheresis. Ka twogere ku kino simply leero.
Mu ngeri ennyangu, apheresis kye ki?
Kilowoozeeko ng’okwawula ebikuta ku mata ng’omaze okusika muwogo. Apheresis nayo nkola efaananako bwetyo. Mu nkola eno, ekyuma eky’enjawulo ekiyitibwa centrifuge, kiwuuta omusaayi oguggyiddwa mu mubiri gwo ku sipiidi nnyo ne kyawula ebitundu (ebitundu) eby’enjawulo ebigulimu. Kino kyawula omusaayi, kitwala ekitundu kyokka kye weetaaga (okugeza, platelets ennungi), n’ekuba omusaayi ogusigaddewo ne gudda mu mubiri gwo. Enkola eno ekozesebwa ku bintu bibiri ebikulu: 1.
Okuwaayo omusaayi: Waayo ekitundu ky’omusaayi gwo kyokka ekyetaagisa omulwadde omulala, gamba ng’obutoffaali obumyufu, obutoffaali obuyitibwa platelets oba plasma. 2.
Ng’obujjanjabi: Ggyawo ebitundu by’omusaayi ebitali bya bulijjo oba eby’obulabe (okugeza,
obutoffaali bwa kookolo ) ebireeta obulwadde mu mubiri gwo.
Bika ki ebikulu eby’obulwadde bwa apheresis?
Obujjanjabi buno bukolebwa mu ngeri ez’enjawulo okusinziira ku bwetaavu. Okukitegeera obulungi, laba ekipande ekiri wansi.
| Ekika kya Apheresis | Kino kikola ki? (Kye kikola) |
|---|
| Obulwadde bwa Leukapheresis | Okuggya okukula kw’obutoffaali obweru obw’obulabe mu musaayi mu ngeri etafugibwa. Kino kimalawo obubonero. |
| Okukunganya obutoffaali obusibuka mu musaayi ogw’okumpi | Okukung’aanya obutoffaali obusibuka mu musaayi obutakuze okuva mu musaayi ogwetaagisa okusimbuliza obutoffaali obusibuka. |
| Okukozesa ekitangaala (photopheresis). | Ekika ky’obutoffaali obweru obuyitibwa lymphocytes, obuggyibwa mu mubiri, bukwatibwa ekitangaala kya UVA, ne bunywezebwa mu nkola, oluvannyuma ne buddamu okuyingizibwa mu mubiri. Kino kyongera obusobozi okulwanyisa ebintu ng’obutoffaali bwa kookolo ne akawuka. |
| Plasmapheresis (okuwanyisiganya plasma) . | Okuggyawo ekitundu ky’omusaayi eky’amazzi, pulasima, n’okikyusa n’ossaamu omusaayi omulamu oba amazzi amalala. Kino kikozesebwa ku ndwadde ez’amaanyi eziwerako. |
| Okukendeera kw’obutoffaali obukola omusaayi (platelets). | Singa omubiri guba n’obutoffaali obuyitibwa platelets bungi, obuyamba omusaayi okuzimba, platelets ezisukkiridde ziggyibwamu. |
| Okuwanyisiganya obutoffaali obumyufu | Okuggyawo obutoffaali obumyufu obutali bulamu, obutali bwa bulijjo (e.g., mu sickle cell anemia) n’okubukyusa n’obutoffaali obumyufu obulungi, obwaweebwayo. |
Enzijanjaba eno ekozesebwa ku ndwadde ki?
Apheresis nkola nkulu nnyo mu kujjanjaba n’okuddukanya endwadde nnyingi. Ng’ekyokulabirako, obutoffaali obusibuka mu bulamu obulungi okuva mu muntu aweebwa eddagala ery’amaanyi erijjanjaba kookolo busobola okuggyibwamu, ne buterekebwa bulungi, ne buddizibwa oluvannyuma lw’okujjanjabwa. Obujjanjabi buno businga kukozesebwa ku mbeera zino wammanga:
Kookolo w’omusaayi
Ebizibu ebirala eby’omusaayi
Obuzibu mu by’obusimu
Okugatta ku ekyo, apheresis era ekozesebwa okujjanjaba embeera nga okugaana okusimbuliza ebitundu by’omubiri n’obulwadde bwa graft vs. host.
Kino nsaanidde kwetegekera ntya?
Kino kikolebwa olw’ensonga ez’enjawulo, n’olwekyo si buli muntu nti alina okwetegeka mu ngeri y’emu.
Kale ekisinga obulungi kwe kugoberera ddala ebiragiro by’omusawo wo. Ajja kukubuulira bulungi ebbanga obujjanjabi bwe bunaatwala ne by’olina okukola nga tonnabujjanjaba. Okugeza bw’oba ng’ogaba obutoffaali obusibuka mu mubiri, ojja kwetaaga okumira eddagala ng’ebula ennaku ntono okujjanjabibwa. Kino kiyamba obutoffaali obusibuka mu magumba go okuyingira amangu mu musaayi gwo. Okutwalira awamu,
kirungi okunywa amazzi amangi, gamba ng’amazzi, okumala ennaku ntono nga tonnaba kujjanjaba. Kiki ekibaawo mu kiseera ky’obulwadde bwa apheresis?
Wadde kino kiyinza okuwulikika ng’ekintu ekinene, mu butuufu kikolebwa mu nkola entegeke nnyo, mu ngeri ekuleetera okuwulira ng’oli bulungi.
- Okusooka, ojja kukolebwa okutuula/okugalamira mu ntebe oba ekitanda ekirungi.
- Oluvannyuma, abakozi b’ebyobujjanjabi bajja kuyingiza empiso bbiri mu musuwa mu buli mukono gwo. Buli mpiso ejja kubaamu ekituli , ekituli ekigonvu era ekigonvu, ekigiyungiddwako.
- Ku ludda olumu, omusaayi gwo ogumu gugenda mu kyuma ekyo eky’enjawulo. Munda mu kyuma kino, ebitundu by’omusaayi birina okwawulwamu.
- Oluvannyuma, ekitundu ekyetaagisa kyawulwamu, omusaayi ogusigadde ne guddamu okufuyira mu mubiri gwo nga guyita mu ttanka eri mu mukono omulala.
Enkola eno yonna ng’egenda mu maaso, osobola okusoma ekitabo, okuwuliriza oluyimba oba okuwummulamu.
Tekyetaagisa kutya kubanga abasawo bajja kubeera naawe bulijjo. Obulabe ki obuyinza okubaawo oluvannyuma lw’obujjanjabi buno?
Nga bwe kiri ku nkola yonna ey’obujjanjabi, waliwo akabi akatono ennyo akazingirwamu. Naye bino ebiseera ebisinga biba bitono. Ate era olw’okuba ttiimu y’abasawo ekulondoola mu kiseera kyonna ky’ogenda okukola, singa wabaawo obuzibu bwonna, basobola okubikolako amangu ago.
| Obulabe/Obuzibu | Mu ngeri ennyangu... |
|---|
| Puleesa eya wansi (Hypotension) . | Puleesa eyinza okukka katono kubanga omusaayi ogumu guggyibwa mu mubiri gwo ne guweebwa amazzi okuziyiza omusaayi okuziyira. Oyinza okuwulira ng’oziyira. |
| Omuwendo gwa calcium omutono (Hypocalcemia) . | Eddagala eriziyiza okuzimba omusaayi liyinza okukendeeza ku kalisiyamu mu mubiri okumala akaseera, ekivaako okuzirika okwetooloola emimwa n’enkomerero. |
| Okuvaamu omusaayi | Wayinza okubaawo okuvaamu omusaayi omutono okuva mu kifo we bayingidde. |
| Ekirwadde | Tekitera nnyo, wabaawo omukisa gw’okukwatibwa obulwadde mu kifo we bayingiza. |
| Okwonooneka kw’obusimu | Tekitera nnyo, okuziyira oba okunafuwa kuyinza okubaawo olw’okunyigirizibwa ku busimu nga bayingiza empiso. |
Jjukira nti emikisa gy’ebintu bino okubaawo mitono nnyo. Bw’oba owulira obuzibu bwonna, okuziyira, oba okuziyira , tegeeza abakozi b’ebyobujjanjabi mu bwangu.
Ddi lwe nnina okuyita omusawo?
Oluvannyuma lw’okujjanjabwa, ebiseera ebisinga osobola okuddamu okukola emirimu gyo egya bulijjo. Omusawo ajja kukunnyonnyola obubonero obutonotono bw’oyinza okusuubira ng’omaze okujjanjabibwa.
Singa obubonero bwo buba bwa maanyi okusinga bw’agamba, oba bw’oba olina ekikweraliikiriza oba ekikweraliikiriza, kuba essimu y’omusawo amangu ago. Obubaka Obutwala Awaka
- Apheresis nkola ya njawulo ey’obujjanjabi ekozesebwa okwawula ebitundu by’omusaayi eby’enjawulo.
- Kino kizingiramu okugaba ekitundu ku musaayi oba okuggyamu n’okujjanjaba ebitundu ebirwadde.
- Buno bujjanjabi bwa bulabe nnyo obukolebwa ng’obulabirizi bw’abasawo, n’olwekyo totya.
- Goberera n’obwegendereza ebiragiro by’omusawo wo nga tonnafuna bujjanjabi n’oluvannyuma lw’okujjanjabibwa.
- Bw’ofuna obuzibu bwonna ng’ofunye obujjanjabi oba ng’omaze okujjanjabibwa, tegeeza abakozi b’ebyobujjanjabi oba omusawo wo mu bwangu.
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