Kodi munayamba mwaperekapo magazi? Nthawi zambiri, tikamapereka magazi, timapereka magazi onse. Koma kodi mumadziwa kuti pali njira yapadera yachipatala yotchedwa Apheresis—nthawi zina yotchedwa pheresis—yomwe imatithandiza kulekanitsa zigawo zinazake za magazi anu, monga maselo ofiira, maselo oyera, kapena ma platelet, kapena kuchotsa zinthu zoopsa zomwe zimayambitsa matenda ena? Ku Nirogi Lanka, tikufuna kukuthandizani kumvetsetsa njira yapaderayi yachipatala mosavuta.
Kodi Apheresis ndi chiyani kwenikweni?
Taganizirani izi ngati kulekanitsa mkaka wokhuthala wa kokonati ndi madzi mutaukanikiza. Apheresis imagwiranso ntchito mofanana. Makina apadera oyeretsera magazi amakoka magazi anu ndikuzungulira mofulumira kwambiri kuti awalekanitse m'zigawo zake zosiyanasiyana.
Tikalekanitsidwa, timasonkhanitsa chinthu chofunikira chokha (monga ma platelet athanzi) ndikubwezeretsa magazi otsala m'thupi lanu. Njirayi imagwiritsidwa ntchito makamaka pazifukwa ziwiri:
1. Popereka Magazi: Kupereka zinthu zokhazo zomwe wodwala amafunikira, monga maselo ofiira a magazi, ma platelet, kapena plasma.
2. Monga Chithandizo: Kuchotsa zigawo zamagazi zosazolowereka kapena zovulaza (monga maselo a khansa ) zomwe zikuyambitsa matenda m'thupi lanu.
Kodi mitundu ikuluikulu ya Apheresis ndi iti?
Chithandizochi chakonzedwa kuti chigwirizane ndi zosowa zanu. Chonde onani tebulo ili m'munsimu kuti mumvetse mitundu yosiyanasiyana.
| Mtundu wa Apheresis | Zimene imachita |
|---|---|
| Leukapheresis | Kuchotsa maselo oyera amagazi ochulukirapo komanso owopsa m'magazi anu kuti muchepetse zizindikiro. |
| Kusonkhanitsa maselo oyambira magazi m'mbali | Kusonkhanitsa maselo oyambira osakhwima kuchokera m'magazi kuti aikidwenso maselo oyambira. |
| Photopheresis | Kuchotsa mtundu winawake wa maselo oyera a m'magazi otchedwa ma lymphocytes, kuwaika ku kuwala kwa UVA kuti awonjezere mphamvu zawo, ndikubwezeretsa m'thupi kuti amenyane ndi maselo a khansa kapena mavairasi. |
| Kusinthana kwa plasma (plasma) | Kuchotsa gawo lamadzimadzi m'magazi anu (plasma) ndikuyikamo plasma yathanzi kapena madzi ena olowa m'malo kuti muchiritse matenda osiyanasiyana akuluakulu. |
| Kuchepa kwa ma platelet | Kuchotsa ma platelet ochulukirapo pamene thupi lanu lili ndi kuchuluka koopsa kwambiri. |
| Kusinthana kwa maselo ofiira a magazi | Kuchotsa maselo ofiira a m'magazi osalimba kapena osazolowereka (monga, mu sickle cell anemia) ndikuyika m'malo mwake maselo ofiira a m'magazi athanzi operekedwa ndi wopereka. |
Kodi mankhwalawa amagwiritsidwa ntchito pa matenda ati?
Apheresis ndi chida chofunikira kwambiri pochiza ndi kuthana ndi matenda ambiri. Mwachitsanzo, kwa iwo omwe akulandira chithandizo chamankhwala champhamvu, titha kusonkhanitsa maselo anu athanzi pogwiritsa ntchito njira iyi kuti asungidwe bwino ndikubwezeredwa kwa inu mutalandira chithandizo.
Amagwiritsidwa ntchito makamaka pazifukwa zotsatirazi:
Khansa ya Magazi
- Khansa ya m'magazi yoopsa kwambiri
- Mitundu ina ya lymphoma
- Myeloma yambiri
- Waldenstrom macroglobulinemia
Matenda Ena a Magazi
- Kuchepa kwa magazi m'thupi (sickle cell anemia)
- Cryoglobulinemia
- Thrombotic thrombocytopenic purpura
Matenda a Mitsempha
- Matenda a Guillain-Barré
- Matenda a sclerosis ambiri
- Myasthenia gravis
Kuphatikiza apo, apheresis imagwiritsidwa ntchito pothana ndi kukana kusamutsidwa kwa ziwalo ndi matenda a Graft vs. host.
Kodi ndiyenera kukonzekera bwanji?
Popeza njira imeneyi imagwiritsidwa ntchito pazifukwa zosiyanasiyana, kukonzekera kumasiyana kwa wodwala aliyense. Chofunika kwambiri ndikutsatira malangizo a dokotala wanu molondola. Dokotala wanu adzakufotokozerani nthawi yomwe njirayo idzatenge komanso njira zomwe muyenera kuchita musanachite.
Mwachitsanzo, ngati ndinu wopereka maselo oyambira, mungafunike kumwa mankhwala masiku angapo musanayambe njira yothandizira kutulutsa maselo oyambira kuchokera ku mafupa anu kupita m'magazi anu.
Kawirikawiri, ndibwino kwambiri kuti mukhale ndi madzi okwanira m'thupi mwa kumwa madzi ambiri masiku otsogolera chithandizo chanu.
Kodi chimachitika ndi chiyani panthawi ya Apheresis?
Ngakhale zingamveke zovuta, njirayi ndi yokonzedwa bwino ndipo imachitika m'njira yomwe imakupangitsani kukhala omasuka momwe mungathere.
- Choyamba, mudzakhala pansi kapena kupemphedwa kuti mugone pampando wabwino kapena pabedi.
- Kenako, ogwira ntchito zachipatala athu adzaika singano ziwiri zazing'ono m'mitsempha ya m'manja mwanu onse awiri. Singano iliyonse imalumikizidwa ndi catheter , yomwe ndi chubu chopyapyala komanso chosinthasintha.
- Magazi adzatengedwa pang'onopang'ono kuchokera m'dzanja limodzi ndikulowetsedwa mu makina apadera, omwe amalekanitsa mosamala zigawo zosiyanasiyana za magazi anu.
- Zigawo zofunika zikasonkhanitsidwa, magazi otsalawo amabwerera m'thupi lanu bwinobwino kudzera mu chubu chomwe chili m'dzanja lanu lina.
Pa nthawiyi, muli ndi ufulu wowerenga buku, kumvetsera nyimbo, kapena kungopuma. Palibe chifukwa chodera nkhawa, chifukwa ogwira ntchito zachipatala athu adzakhala pafupi nanu panthawi yonse ya opaleshoniyi.
Kodi zoopsa zomwe zingachitike chifukwa cha chithandizochi ndi ziti?
Monga momwe zimakhalira ndi njira iliyonse yochizira matenda, pali zoopsa zazing'ono, ngakhale sizichitika kawirikawiri. Zambiri mwa izi ndi zochepa. Kuphatikiza apo, chifukwa gulu lathu lachipatala limakuyang'anirani mosamala nthawi yonse ya maphunzirowa, amatha kuthana ndi mavuto aliwonse nthawi yomweyo ngati abuka.
| Chiwopsezo/Zovuta | Mwachidule... |
|---|---|
| Kuthamanga kwa magazi pang'onopang'ono (Kuthamanga kwa magazi pang'ono) | Popeza magazi ena ali kunja kwa thupi lanu ndipo mankhwala oletsa magazi kutuluka magazi amagwiritsidwa ntchito, kuthamanga kwa magazi anu kungachepe pang'ono, zomwe zingakupangitseni kumva chizungulire pang'ono. |
| Hypocalcemia (Kuchepa kwa calcium m'thupi) | Mankhwala omwe amagwiritsidwa ntchito poletsa magazi kuundana amatha kuchepetsa calcium m'thupi lanu kwakanthawi, zomwe zingayambitse kumva kuwawa m'milomo yanu kapena m'miyendo yanu. |
| Kutuluka magazi | Mungamve kutuluka magazi pang'ono pamalo pomwe singano inalowetsedwa. |
| Matenda | Ngakhale kuti sizimachitika kawirikawiri, pali chiopsezo chochepa cha matenda pamalo oikira singano. |
| Kuwonongeka kwa mitsempha | Kawirikawiri, kupanikizika kwa mitsempha mukayika singano kungayambitse dzanzi kapena kufooka kwakanthawi. |
Kumbukirani, mavuto amenewa ndi osowa kwambiri. Ngati mukumva kusasangalala, dzanzi, kapena chizungulire, chonde dziwitsani ogwira ntchito zachipatala nthawi yomweyo.
Ndiyenera kulankhula ndi dokotala wanga liti?
Mukamaliza kulandira chithandizo, nthawi zambiri mumatha kubwerera ku zochita zanu za tsiku ndi tsiku. Dokotala wanu adzakufotokozerani zizindikiro zazing'ono zomwe mungayembekezere mukatsatira njira imeneyi. Ngati zizindikiro zanu zikuwoneka zowopsa kuposa zomwe zafotokozedwa, kapena ngati muli ndi nkhawa kapena kukayikira kulikonse, chonde funsani dokotala wanu nthawi yomweyo.
Uthenga Wopita Nawo Kunyumba
- Apheresis ndi njira yapadera yachipatala yomwe imagwiritsidwa ntchito kulekanitsa zigawo zinazake kuchokera ku magazi anu.
- Amagwiritsidwa ntchito popereka magawo a magazi kapena ngati mankhwala ochizira kuchotsa zinthu zovulaza.
- Iyi ndi njira yotetezeka kwambiri komanso yoyang'aniridwa ndi dokotala, kotero palibe chifukwa chodera nkhawa mosayenera.
- Chonde tsatirani malangizo a dokotala wanu mosamala musanayambe komanso mutalandira chithandizo.
- Ngati mukumva kusasangalala kulikonse panthawi ya chithandizo kapena mutatha, dziwitsani gulu lanu lachipatala kapena dokotala nthawi yomweyo.
