Nangmah emaw i hriat mi emaw doctor-in thisen cancer leukemia ang chi i vei thu a hrilh tawh em? Enkawlna kawng hrang hrang sawi dawnin "leukapheresis" tih thumal hi i hre tawh mai thei. He hming hi a hlauhawm deuh thei. Mahse, he enkawlna hi eng tak nge ni? Eng nge a tih? Hlauh tur thil a ni em? Vawiin hian heng zawng zawng hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.
Leukapheresis hi eng nge ni?
A awlsam zawngin, leukapheresis hi i thisen atanga thisen var (white blood cells) thlan chhuah hmanga paih chhuah dan bik a ni. Thisen tithianghlimtu ang maiin han ngaihtuah teh. Hetiang kalphung chhunga thil thlengte chu hetiang hi a ni:
1. I taksa atangin thisen engemaw zat lakchhuah a ni.
2. Thisen chu machine bik ah thawn a ni a, chutah chuan thisen var chauh a inthen a.
3. Thisen peng dang, thisen zam (red blood cells), platelet leh plasma te chu nangmah ngeiin i taksaah a kir leh thin.
A pawimawh ber chu hei hi thisen cancer ang chi natna damdawi a ni lo. Doctor-te chuan he damdawi hi enkawlna dang (entir nan, chemotherapy) nen an hmang dun tlangpui.
Eng dinhmunah nge he enkawlna hi a tul?
Doctor-te chuan chhan hrang hrang avangin he enkawlna hi an rawt thei a ni. Eng nge an nih i han thlir teh ang.
| Enkawl a tul hunah | Hrilhfiahna awlsam tak |
|---|---|
| Leukemia chi thenkhat tan chuan | He enkawlna hi acute myeloid leukemia (AML), acute lymphocytic leukemia (ALL), emaw chronic lymphocytic leukemia (CLL) ang chi natna i neih a, i thisen var cell count a sang lutuk a nih chuan hman thin a ni. Thisen var a tam lutuk chuan thisen kalna kawngte chu "a clogged" thei a, i thinlung chu hlauhawmah a dah thei a ni. |
| Enkawlna dang atana cell khawlkhawm tur | Tunlai damdawi CAR T-cell therapy ang chi hian thisen var hrisel tak tak a mamawh a ni. Hetiang method hian i cell te hmangin chu cell te chu i hmu thei a ni. |
| Stem cells transplant tur chuan | Hetiang method hi cancer thenkhat, lymphoma emaw multiple myeloma emaw te tan stem cell/bone marrow transplant i neih hmain nangmah atanga stem cell hrisel tak tak lakkhawm nan hman thin a ni. |
| Stem cell petu angin | Midang hnena stem cell donor i nih chuan heng cell te pawh hi chutiang bawka i taksa atanga lak chhuah a ni. |
Enkawl hmain eng nge i tih thin?
He enkawlna hi i tan hmain doctor chuan i taksaa thil thleng dik tak hriat theih nan test tlemte a nei ang. Hengte hi thil pangngai a nih avangin lungngai suh.
- Thisen test: I thisen var, thisen sen leh platelet level te enfiah thin ang che.
- Electrolyte test: Taksa chi (salt) awm zat enfiah thin.
- Kidney leh liver function: Heng taksa peng hrang hrangte hian hna an thawk tha em tih a enfiah thin.
- Blood clotting tests: Hengte hian thisen a titawp theih dan a enfiah thin.
He enkawlna hian darkar hnih atanga darkar thum vel a daih dawn avangin thawmhnaw nuam tak i ha duh mai thei. Tin, i buai reng theih nan lehkhabu chhiar tur emaw, i phone-a en tur thil emaw keng tel a tha bawk.
Enkawl lai hian eng nge thleng?
He enkawlna hi khum nuam takah i mut laiin tih thin a ni. Medical staff te chuan i kut ah IV line (cannula) pahnih an dah ang. Pakhat chuan i taksa atangin thisen a la chhuak ang a, pakhat zawk chuan thisen thianghlim chu i taksaah a dah leh ang. A châng chuan, line pahnih nei tube lian tak (central line) chu i kawr bulah emaw, i kut hnuaiah emaw dah theih a ni.
Enkawlna i neih chhung hian i kut, ke, leh i hmui chhehvelah te tingling tlem i nei thei . Hemi chungchangah hian lungngai suh. Hei hi i thisen calcium level a hniam deuh vang a ni. Hei hi i hriat veleh doctor emaw nurse emaw hnenah hrilh nghal rawh. I saline hmangin calcium engemaw zat an pe ang che a, hei hian rang takin thil awmdan chu a siam tha ang.
Enkawl hnua a nghawng dan leh a side effects te pawh i zir dawn bawk ang.
Enkawlna a zawh hnuah pawh doctor-te chuan eng nge thleng tih hriat tumin hun engemaw chen an lo en reng ang che. A châng chuan, thisen sen emaw, platelet emaw hloh tawhte chu thlak tûrin thisen i dah a ngai mai thei.
Enkawlna dang ang bawkin, side effect tenau te pawh a awm thei. Mahse, side effect na tak tak a awm hi a tlem hle. Doctor hian a kalphung zawng zawng uluk takin a enfiah dawn avangin ngaihtuahawm a awm lo.
Side effects tlangpui chu:
- Hypocalcemia: Hei hi thisen a calcium awm tlem a ni. Hei hi IV calcium hmanga enkawl awlsam a ni.
- Anemia: Thisen sen (red blood cell count) a tlahniam. Hei hi a tul chuan thisen pekna hmanga enkawl theih a ni bawk.
- Thrombocytopenia: Platelets tlahniam, thisen zam a pui thin. Hei hian a chang chuan thisen chhuahna chu a reh thei a, hliam tenau a\ang pawhin a titawp thei bawk.
Enkawlna ni-ah chuan in lama haw a, rei lo te chawlh hahdam a tha ber. A tuk zingah i thil tih pangngai chu i thawk leh thei ang.
Engtikah nge doctor ka biak ang?
Hetiang enkawlna hi i neih avangin i doctor chuan i hriselna a enfiah reng ang a, nang pawhin i hriselna a enfiah reng ang. Mahse, a hnuaia symptoms te hi i neih chuan doctor hnenah hriattir nghal tur a ni.
- Khawsik: I taksa lumna chu 38 degree Celsius (100.4 Fahrenheit) aia sang a nih chuan hei hi natna hrik kai tihna a ni thei.
- IV line hmuna inthlak danglamna: Central line i neih chuan a hmun chu a sen a, a hring a, a na emaw, tui a chhuak emaw a ni.
- Symptoms na zual zel: I symptoms hlui te chu a na zual deuh niin a lang emaw, symptoms thar a lo lang emaw a nih chuan.
Take-Home Thuchah a ni
- Leukapheresis hi thisen atanga thisen var, a pangngai lo emaw, a tam lutuk emaw paih chhuahna a ni.
- Hei hi leukemia ang natna damdawi tling tak ni lo mah se, a natna lan chhuah dan rang taka control tur leh enkawlna dang thlawp tur chuan thil pawimawh tak a ni.
- Hetiang hian stem cells te pawh a khawlkhawm a, bone marrow transplant ang chi enkawlna atan a hmang bawk.
- Enkawlna hi darkar tlemte a ni a, a tlangpuiin a him. Side effect, calcium level hniam ang chi te hi a awm thei a, mahse chutih lai chuan enkawl a ni.
- I hriat chuan khawsik, IV line awmna hmuna natna, emaw, enkawl hnua i natna lan chhuahna a zual emaw i hmuh chuan doctor hnenah hriattir nghal rawh.
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