Leukapheresis hi eng nge ni? He enkawlna chungchang hi a awlsam zawngin i zir ang u.

I doctor-in nangmah emaw, i hriat tu emaw hnenah thisen cancer leukemia ang chi a neih thu a hrilh hian enkawlna kawng tinreng an sawi thin a ni lawm ni? ‘Leukapheresis’ tih thumal hi i hre tawh mai thei. He hming hi a hlauhawm deuhin a buaithlak deuhin a lang thei a, mahse a takah chuan chutiang chuan a hlauhawm lo. Vawiin hian Leukapheresis hi eng nge a nih, engvangin nge a tih tih leh a hnathawh dan te chu awlsam takin kan sawi dawn nia.

A awlsam zawngin, leukapheresis chu eng nge ni?

Coconut milk kan siam hian coconut kan hrual a, bawnghnute leh a hnah chu kan thliar hrang ang tih hi han ngaihtuah teh. Leukapheresis hi chutiang thil chu a ni. Hei hian i taksa aṭanga thisen engemaw zat lak a, machine bik hmanga thawn chhuah a huam a, chu chuan thisen varte chu a thliar hrang a ni . Tichuan thisen dang, thisen sen, plasma leh platelet te chu i taksaah dah leh a ni.

Engvangin nge he enkawlna hi a tul?

Doctor-te’n hetiang enkawlna hi an rawt chhan hrang hrang a awm. A chhan berte han thlir ila.

• Thisen a thisen var a tam em em hian: Leukemia chi thenkhatah (entir nan, `(Acute Myeloid Leukemia - AML)`, `(Acute Lymphocytic Leukemia - ALL)`, `(Chronic Lymphocytic Leukemia - CLL)`) ah chuan thisen var pangngai lo chu thunun theih lohvin a pung thin. Heng cell te hian thisen kalna kawngah an awm a, thisen kal dan a tikhawlo thei a ni. Hei hian thinlung leh thluak ang chi taksa peng hrang hrang a tihchhiat theihna a tipung a ni. Chuvangin he enkawlna hi chu extra cells te chu rang taka paih chhuah nan leh damlo tan hahdamna pe turin hman a ni.
• Stem cells khawlkhawm: Cancer chi thenkhat (entir nan, lymphoma, multiple myeloma) tan chuan chemotherapy dose sang tak hian ruhro a tichhe thin. Chuvangin, enkawl hma hian thisen a\angin stem cell hrisel tak tak an la khawm a, an dahkhawm a, an enkawl zawh chuan taksaah an pe let leh \hin. Tichuan, thisen hrisel thar siam theih a ni. Heng stem cells te hi leukapheresis method hmanga lakkhawm a ni .
• Midang hnena stem cell pek tur: Damlo dang tan ruhro transplant atana donor tling i nih chuan he method hi i hnen atanga stem cells lakna atan pawh hman a ni.
• Treatment bik atana cell hmuh theih nan:Cancer enkawlna thar, CAR T-cell therapy ang chi te chu damlo ngeiin a taksa hriselna (immune cells) te lak a, cancer dona atana lab-a "training" a, taksaa luhtir leh a ni. Heng cell te hi leukapheresis an tih hmangin taksa atanga lakchhuah an ni.

Enkawl hma hian eng nge thleng thin?

He enkawlna hi i tan hmain i doctor chuan test eng emaw zat a ti ang.

• Thisen test: Thisen var (white blood cell) zat an enfiah a, chubakah thisen sen leh platelet level te an enfiah bawk.
• Electrolyte test: Taksa chhunga chi (salt) awm zat, calcium leh potassium te enfiah thin ang che.
• Kidney leh liver function test neih a ni.
• Thisen coagulation test neih a ni.

He enkawlna hian darkar engemaw zat a daih dawn avangin, khawngaihin thawmhnaw nuam tak ha rawh . Enkawl lai hian lehkhabu chhiar tur emaw, phone-a en tur thil emaw keng tel a tha bawk.

Enkawl lai hian eng nge thleng?

Khum nuam takah dah i ni ang a, nurse emaw doctor emaw chuan i kut ah cannula (IV line) pahnih, saline ang maiin i thisen zam chhungah a dah ang. Pakhat chuan i taksa atanga i thisen chu zawi zawiin machine chhungah a paih lut ang a, pakhat zawk chuan thisen thianghlim chu i taksaah a rawn let leh ang. A châng chuan, tube lian tak pakhat (central line) chu i kawr emaw, i kut hnuai emawa vein lian takah dah a ni ang. Hei hian thisen lak dan leh pek let dan kawng pahnih a nei a.

Hetiang zawng zawng hi darkar hnih emaw darkar thum emaw vel a ni thei tlangpui .

Enkawl lai hian i kut, ke leh hmui vel ah tingling sensation i nei thei. Lungngai suh. Hei hi i thisena calcium level a hniam deuh vang a ni. Chutianga i hriat chuan chutah chuan nurse hnenah hrilh la, an pek che saline solution-ah chuan calcium engemaw zat an dah belh ang. Tichuan sensation chu a bo mai ang.

Enkawlna hnuah eng nge beisei tur?

I enkawl zawh chuan medical staff ten rei vak lo an lo vil reng ang che. I thisen sang leh pulse an check ang. Thisen sample dang an la thei bawk. Chu test result a zirin, i thisen sen emaw, i platelet emaw a hniam chuan, i doctor chuan thisen pek a rawt thei a ni .

Hei hian side effect a nei em? Ka lungngai tur em ni?

Damdawi hmanga enkawlna dang ang bawkin, a nghawng tha lo pawh a awm thei. Mahse, side effect na tak tak chu a tlem hle . A pawimawh ber chu doctor emaw nurse emaw chuan enkawlna chhung zawngin a lo en reng ang che. Chuvangin harsatna a awm chuan an rawn inrawlh nghal mai ang.

A side effect lian ber berte chu eng nge ni tih i lo en ang u.

In haw hnuah leh doctor biak a ngaih hunah

Enkawl zawhah ni khat vel chawlh hahdam a tha ber. Hetiang enkawlna hi i dawng a nih chuan cancer emaw, thisen kaihhnawih natna emaw i dawng tawh mai thei. Chuvangin, a hnuaia symptoms te hi i neih chuan doctor hnenah hriattir nghal rawh .

• Khawsik (38 Celsius aia sang emaw 100.4 Fahrenheit aia sang) i neih chuan hei hi infection chhinchhiahna a ni thei.
• Central line i dah chuan a hmun chu a sen a, a hring a, a na a, a nih loh leh pus ang chi tui a chhuak a ni .
• I symptoms chu a hma aia nasain a na zual sauh sauh a ni.I duh chuan.

Hetiang thil hi ngaihthah suh. I report hma chuan eng issue pawh control a awlsam zawk.