Omusawo wo bw’akugamba oba omuntu gw’omanyi nti alina kookolo w’omusaayi nga leukemia, boogera ku buli nkola y’obujjanjabi, nedda? Oyinza okuba nga wali owulidde ekigambo ‘leukapheresis’. Wadde erinnya lino liyinza okuwulikika ng’eritiisa katono era nga lizibu, mu butuufu teritiisa bwe lityo. Leero, ka twogere ku Leukapheresis kye ki, lwaki ekolebwa, n’engeri gy’ekola mu ngeri ennyangu ennyo.
Mu ngeri ennyangu, obulwadde bwa leukapheresis kye ki?
Kirowoozeeko nga bwe tukola amata ga muwogo, tusika muwogo ne twawula amata n’ekikuta. Obulwadde bwa Leukapheresis kintu ng’ekyo. Kino kizingiramu okuggya omusaayi mu mubiri gwo, n’ogusindika ng’oyita mu kyuma eky’enjawulo, ekyawula obutoffaali obweru . Olwo omusaayi ogusigaddewo, nga gwe butoffaali obumyufu, plasma, ne platelets, ne buddamu okuteekebwa mu mubiri gwo.
Ekikulu kiri nti obulwadde bwa leukapheresis si ddagala eriwonya kookolo w’omusaayi oba endwadde endala ez’omusaayi. Kikozesebwa wamu n’obujjanjabi obulala (nga chemotherapy) okuyamba okufuga obubonero n’okuwagira obujjanjabi obulala.
Lwaki obujjanjabi buno bwetaagisa?
Waliwo ensonga eziwerako lwaki abasawo bagamba nti obujjanjabi buno. Ka tulabe ensonga enkulu.
- Omuwendo gw’obutoffaali obweru mu musaayi bwe guba mungi nnyo: Mu bika by’omusaayi ebimu (okugeza, `(Acute Myeloid Leukemia - AML)`, `(Acute Lymphocytic Leukemia - ALL)`, `(Chronic Lymphocytic Leukemia - CLL)`) obutoffaali obweru obutali bwa bulijjo bweyongera mu ngeri etafugibwa. Obutoffaali buno busobola okusula mu misuwa ne bulemesa omusaayi okutambula. Kino kyongera obulabe bw’okwonooneka kw’ebitundu by’omubiri ng’omutima n’obwongo. Kale obujjanjabi buno bukozesebwa okuggyawo amangu obutoffaali obwo obw’enjawulo n’okuwa omulwadde obuweerero.
- Kuŋŋaanya obutoffaali obusibuka: Ku bika bya kookolo ebimu (okugeza, lymphoma, multiple myeloma), eddagala lya dose ennene lyonoona obusigo bw’amagumba. Kale, nga tebannaba kujjanjaba, obutoffaali obusibuka obulungi bukuŋŋaanyizibwa okuva mu musaayi ne buterekebwa, era oluvannyuma lw’obujjanjabi, buddizibwa mu mubiri. Oluvannyuma, obutoffaali bw’omusaayi obupya obulamu busobola okukolebwa. Obutoffaali buno obusibuka bukuŋŋaanyizibwa nga buyita mu nkola ya leukapheresis.
- Okuwaayo obutoffaali obusibuka eri omuntu omulala: Bw’oba oli mugabi asaanira okusimbuliza omulwadde omulala obusigo bw’amagumba, enkola eno era ekozesebwa okukufunira obutoffaali obusibuka.
- Okusobola okufuna obutoffaali obw’obujjanjabi obw’enjawulo:Obujjanjabi obupya obwa kookolo, gamba nga CAR T-cell therapy, buzingiramu okutwala obutoffaali bw'omulwadde yennyini obuziyiza endwadde, "okubutendeka" mu laabu okulwanyisa kookolo, n'oluvannyuma okuddamu okubuzza mu mubiri. Obutoffaali buno buggyibwa mu mubiri nga buyita mu nkola eyitibwa leukapheresis.
Kiki ekibaawo nga tebannaba kujjanjabwa?
Nga tonnatandika bujjanjabi buno, omusawo ajja kukukebera ebiwerako.
- Okukebera omusaayi: Bakebera obutoffaali obweru, wamu n’obutoffaali obumyufu n’obutoffaali obukola omusaayi.
- Okukebera amasannyalaze: Kebera eminnyo mu mubiri, gamba nga kalisiyamu ne potassium.
- Okukebera enkola y’ekibumba n’ekibumba.
- Okukebera omusaayi okuzimba.
Olw’okuba obujjanjabi buno bujja kutwala essaawa eziwera, nsaba mwambale engoye ezinyuma . Era kiba kirungi n’oleeta ekitabo ky’osoma oba ekintu ky’olaba ku ssimu yo ng’ogenda okujjanjabibwa.
Kiki ekibaawo mu kiseera ky’obujjanjabi?
Ojja kuteekebwa ku kitanda ekirungi, era nnansi oba omusawo ajja kuyingiza emisuwa gyo emipiira ebiri (layini za IV), ng’omunnyo, mu misuwa gyo. Ekimu kijja kukulukuta mpola omusaayi gwo okuva mu mubiri gwo mu kyuma, ate ekirala kijja kuzzaawo omusaayi ogwayonjo okudda mu mubiri gwo. Oluusi, ttanka emu ennene (layini eya wakati) ejja kuyingizibwa mu musuwa omunene mu bulago oba wansi w’omukono gwo. Kino kirina engeri zombi ez’okutwala omusaayi n’okuguddiza.
Enkola eno yonna etera okutwala essaawa bbiri oba ssatu .
Mu kiseera ky’obujjanjabi, oyinza okuwulira ng’olina okuwunya okwetooloola emikono gyo, ebigere n’emimwa. Tofaayo. Kino kiri bwe kityo kubanga calcium mu musaayi gwo abeera wansi katono. Bw’oba owulira bw’otyo, buulira nnansi ali eyo, era bajja kwongerako kalisiyamu mu ddagala ly’omunnyo lye bakuwa. Olwo okuwulira kujja kugenda.
Kiki ky’osuubira oluvannyuma lw’okujjanjabibwa?
Oluvannyuma lw’okujjanjabwa, abakozi b’ebyobujjanjabi bajja kukulondoola okumala akaseera. Bajja kukebera puleesa yo n’okukuba omukka. Bayinza n’okutwala omusaayi omulala. Okusinziira ku bivudde mu kukeberebwa okwo, singa obutoffaali obumyufu oba obusimu bwo buba butono, omusawo ayinza okukuwa amagezi okuteekebwamu omusaayi .
Waliwo ebizibu byonna ebiva mu kino? Nsaanidde okweraliikirira?
Nga bwe kiri ku bujjanjabi bwonna, waliwo ebizibu ebiyinza okuvaamu. Kyokka, ebizibu eby’amaanyi ebivaamu tebitera kubaawo . Ekisinga obukulu nti omusawo oba nnansi ajja kuba akutunuulira mu bujjanjabi bwonna. Kale bwe wabaawo ekizibu, bajja kuyingirawo mu bwangu.
Ka tulabe ebizibu ebikulu ebiyinza okuvaamu.
| Side Effect | Kino kitegeeza ki? | Abasawo bakola ki? |
|---|---|---|
| Obulwadde bwa kalisiyo obutono | Calcium omutono mu musaayi. Kino kiyinza okuvaako okuwunya okwetooloola emimwa, emikono n’ebigere. | Kino kya bulijjo nnyo. Bw’otegeeza nnansi, bajja kwongera ekirungo kya ‘calcium’ mu munnyo gw’oweebwa. |
| Okukendeera kw’omusaayi | Obutoffaali obumyufu obutonotono buyinza okuggyibwawo mu nkola eno, ekiyinza okuvaako omuwendo gw’obutoffaali obumyufu okukendeera. | Omusawo asobola okukebera ebiwandiiko byo eby’omusaayi era bwe kiba kyetaagisa, n’akuba omusaayi. |
| Okukendeera kw’obutoffaali obukola omusaayi (thrombocytopenia). | Okukendeera kw’obusimu obuyitibwa platelets, obuyamba omusaayi okuzimba. Kino kifuula omusaayi okuvaamu omusaayi. | Kino nakyo ttiimu y’abasawo erondoola. Bwe kiba kyetaagisa, okuteekebwamu obutoffaali obuyitibwa platelets. |
Oluvannyuma lw’okudda eka ne bwe weetaaga okwogera n’omusawo
Kirungi n’owummula okumala olunaku lumu oba bwe gityo ng’omaze okujjanjabibwa. Bw’oba ofuna obujjanjabi buno, oyinza okuba nga wafuna dda obujjanjabi bwa kookolo oba obulwadde obuva ku musaayi. N’olwekyo, bw’ofuna obubonero bwonna ku buno wammanga, tegeeza omusawo wo mu bwangu .
- Bw’oba olina omusujja (ogusukka mu 38 Celsius oba 100.4 Fahrenheit), kino kiyinza okuba akabonero akalaga nti olina yinfekisoni.
- Bw’oba olina layini ey’omu makkati gy’oyingiddemu, ekifo kifuuka kimyufu, kizimba, kiruma oba amazzi agalinga amasira gafuluma .
- Obubonero bwo bweyongera okusajjuka okusinga bulijjo.Bw’oba owulira ng’oyagala.
Tobuusa maaso bintu nga bino. Gy’okoma okugiloopa amangu, gye kikoma okwanguyirwa okufuga ensonga zonna.
Obubaka Obutwala Awaka
- Leukapheresis nkola ya bujjanjabi ng’omusaayi ogumu guggyibwa mu mubiri, obutoffaali obweru ne bwawulwamu nga bakozesa ekyuma eky’enjawulo, omusaayi ogusigadde ne guzzibwa mu mubiri.
- Kino kisinga kukolebwa okukendeeza amangu obutoffaali obweru obungi mu ngeri etaali ya bulijjo mu ndwadde nga leukemia n’okukung’aanya obutoffaali obusibuka mu musaayi okusimbuliza obusigo bw’amagumba.
- Wadde nga lino si ddagala lya bulwadde buno, bujjanjabi bukulu nnyo obuwagira okufuga obubonero n’okufuula obujjanjabi obulala okukola obulungi.
- Okuzirika ng’ojjanjabwa kitera okubaawo. Abasawo abaliyo bajjanjaba mangu bino. Ebizibu eby’amaanyi ebivaamu tebitera kubaawo.
- Bw’oba olina ekibuuzo kyonna, ekikweraliikiriza oba ky’obuusabuusa ku bujjanjabi buno, totya kwogera mu lwatu n’omusawo wo ku bujjanjabi buno.











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