Kua koha toto koe i mua? I te nuinga o te wā ka koha toto tātou, ka koha katoatia ō tātou toto. Engari i mōhio koe he tikanga motuhake hei wehewehe i ngā wāhanga rerekē o ō tātou toto, pērā i ngā toto whero, ngā toto mā, me ngā pereti toto, hei tango rānei i ngā wāhanga kino anake e puta ai tētahi mate mai i te toto? Ko te apheresis te ingoa o taua tikanga hauora whakamiharo. Ka karangahia hoki tēnei e ētahi he pheresis. Me kōrero noa tātou mō tēnei i tēnei rā.
He aha te apheresis?
Whakaarohia he rite ki te wehewehe i ngā pata mai i te miraka i muri i te pēhi i te kokonati. He rite tonu te tukanga apheresis. I roto i tēnei tukanga, ka hurihia e tētahi mīhini motuhake, e kiia nei ko te centrifuge, te toto i tangohia mai i tō tinana me te tere rawa, ā, ka wehea ngā wāhanga rerekē o roto. Ka wehea te toto, ka tangohia te wāhanga e hiahiatia ana e koe (hei tauira, ngā pereti toto hauora), ā, ka werohia te toenga o te toto ki roto i tō tinana. E rua ngā kaupapa matua e whakamahia ana tēnei tikanga: 1.
Mō te koha toto: Kohaina te wāhanga anake o tō toto e hiahiatia ana e tētahi atu tūroro, pērā i ngā toto whero, ngā pereti toto, te plasma rānei. 2.
Hei maimoatanga: Tangohia ngā wāhanga toto rerekē, kino rānei (hei tauira,
ngā pūtau matepukupuku ) e mate ana i roto i tō tinana.
He aha ngā momo matua o te apheresis?
He rerekē ngā huarahi e mahia ai tēnei maimoatanga, i runga i te hiahia. Kia mārama ai koe ki tēnei, tirohia te ripanga i raro nei.
| Momo Apheresis | He aha te mahi a tēnei? (He aha tāna mahi) |
|---|
| Te Leukapheresis | Te tango i te tipu kore whakahaere o ngā pūtau toto ma kino mai i te toto. Ka whakamamae tēnei i ngā tohu. |
| Kohikohi pūtau take toto ā-taha | Te kohi i ngā pūtau take kāore anō kia pakari mai i te toto e hiahiatia ana mō te whakawhitinga pūtau take. |
| Whakaahua-whakaahua | Ka tangohia mai i te tinana tētahi momo toto mā, e kiia nei ko ngā lymphocytes, ka whakaaturia ki te hihi UVA, ka whakanuia te mahi, kātahi ka whakahokia mai ki roto i te tinana. Ka whakanui ake tēnei i te kaha ki te whawhai ki ngā mea pēnei i ngā pūtau matepukupuku me ngā huaketo. |
| Plasmapheresis (whakawhiti plasma) | Te tango i te wāhanga wai o te toto, te plasma, ka whakakapi ki te plasma hauora, ki tētahi atu wai rānei. E whakamahia ana tēnei mō ētahi mate kino. |
| Te whakahekenga o te pereti toto | Mena he nui rawa ngā pereti toto i roto i te tinana, e āwhina ana i te toto kia totoka, ka tangohia ngā pereti toto taikaha. |
| Te whakawhitiwhiti toto whero | Te tango i ngā toto whero kino, rerekē hoki (hei tauira, i roto i te mate toto toto hāripiri) me te whakakapi i aua toto ki ngā toto whero hauora, kua kohaina. |
He aha ngā mate e whakamahia ana tēnei rongoā?
He tikanga tino nui te apheresis mō te rongoā me te whakahaere i ngā mate maha. Hei tauira, ka taea te tango i ngā pūtau take hauora mai i te tangata e pangia ana e te chemotherapy kaha mō te mate pukupuku, te penapena haumaru, me te whakahoki mai i muri i te rongoā. Ko te nuinga o tēnei rongoā e whakamahia ana mō ngā āhuatanga e whai ake nei:
Ngā Matepukupuku Toto
Ētahi atu mate toto
Ngā Mate Pūnaha
Hei tāpiritanga, ka whakamahia hoki te apheresis hei rongoā i ngā āhuatanga pēnei i te whakakorenga o te whakawhitinga okana me te mate graft vs. host.
Me pēhea taku whakarite mō tēnei?
He rerekē ngā take e mahia ai tēnei, nō reira, kāore e tika ana kia rite te whakarite a te katoa.
Nō reira, ko te mea pai ko te whai i ngā tohutohu a tō tākuta. Māna koe e whakamārama mai ki te roa o te maimoatanga me ngā mea me mahi e koe i mua atu. Hei tauira, ki te mea he kaituku pūtau take koe, me tango e koe he rongoā i ētahi rā i mua i te maimoatanga. Mā tēnei ka āwhina i ngā pūtau take i roto i tō hinu wheua kia tere ake te uru ki roto i tō toto. I te nuinga o te wā,
he mea pai kia inu nui i ngā wai, pērā i te wai, mō ētahi rā i mua i te maimoatanga. He aha te mea ka tupu i te wā o te apheresis?
Ahakoa te ahua nui o tēnei, he tino pūnaha te mahi, kia marino ai tō ngākau.
- Tuatahi, ka meinga koe kia noho/kia takoto ki runga i tētahi tūru, i tētahi moenga rānei e pai ana.
- Kātahi ka werohia e te hunga hauora ētahi ngira e rua ki roto i tētahi uaua o ia ringa. Ka tāpirihia he catheter ki ia ngira, he ngongo angiangi, ngāwari hoki.
- I tētahi taha, ka uru ētahi o ō toto ki taua mīhini motuhake. I roto i te mīhini, me wehe ngā wāhanga o te toto.
- Kātahi ka wehea te wāhanga e hiahiatia ana, ā, ka werohia te toto e toe ana ki roto i tō tinana mā te ngongo i te ringa kē.
I a koe e mahi ana i tēnei tukanga katoa, ka taea e koe te pānui pukapuka, te whakarongo waiata, te noho noa rānei.
Kāore he take e mataku ai koe nā te mea kei te taha tonu koe e ngā kaimahi hauora. He aha ngā mōrearea ka puta i muri i tēnei maimoatanga?
Pērā i ngā tikanga hauora katoa, he tino onge ētahi tūponotanga. Engari he iti noa iho ēnei. Waihoki, nā te mea kei te aroturukihia koe e te tīma hauora puta noa i te tikanga, mēnā ka puta he raruraru, ka taea e rātou te whakatika tonu.
| Mōrearea/Uauatanga | Hei whakarāpopototanga... |
|---|
| Te toto toto iti (hypotension) | Tērā pea ka heke iho tō toto toto nā te mea ka tangohia ētahi toto i tō tinana, ā, ka hoatu he wai hei ārai i te toto e pupuhi ana. Tērā pea ka pōuri koe. |
| Ngā taumata konupūmā iti (Hypocalcemia) | Ka taea e ngā rongoā ārai toto te whakaheke i ngā taumata konupūmā i roto i te tinana mō te wā poto, ka pā te māuiui huri noa i ngā ngutu me ngā peka. |
| Te toto | Tērā pea ka puta he toto iti mai i te wāhi i werohia ai. |
| Mate pāwera | He tino onge te tūponotanga ka pangia te wāhi i werohia ai. |
| Te pakaru o te io | He tino onge pea te pāngia e te ngoikore, te ngoikore rānei nā te pēhanga o te io i te wā e werohia ana te ngira. |
Kia maumahara, he iti noa te tūponotanga o ēnei mea. Mēnā ka pāngia koe e te mamae, te ngoikore, te pōuri rānei , me whakamōhio tonu atu ki te hunga hauora.
Āhea ahau me waea atu ki te tākuta?
I muri i te maimoatanga, ka taea e koe te tīmata anō i ō mahi o ia rā. Mā tō tākuta koe e whakamārama he aha ngā tohu iti ka pā mai i muri i te maimoatanga.
Mena he nui ake ō tohu i tāna i kī ai, he āwangawanga, he āwangawanga rānei āu, waea atu ki tō tākuta tonu. Karere Tangohia ki te Kāinga
- He tikanga hauora motuhake te apheresis e whakamahia ana hei wehewehe i ngā wāhanga rerekē o te toto.
- Ko te tikanga o tēnei ko te tuku i tētahi wāhanga o te toto, te tango rānei me te rongoā i ngā wāhanga mate.
- He maimoatanga tino haumaru tēnei, ā, ka mahia i raro i te tirotiro a te tākuta, nō reira kaua e wehi.
- Me ata whai i ngā tohutohu a tō tākuta i mua atu, ā, i muri mai hoki i te maimoatanga.
- Mena ka pāngia koe e tētahi mamae i te wā e rongoatia ana, i muri rānei i te maimoatanga, me whakamōhio tonu atu ki te hunga hauora, ki tō tākuta rānei.
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