Kodi mudaperekapo magazi? Tikamapereka magazi nthawi zambiri, timapereka magazi athu onse. Koma kodi mumadziwa kuti pali njira yapadera yomwe ingalekanitse magawo osiyanasiyana a magazi athu, monga maselo ofiira a magazi, maselo oyera a magazi, ndi ma platelet, kapena kuchotsa magawo owopsa okha omwe amayambitsa matenda enaake m'magazi? Njira yabwino kwambiri yachipatala imatchedwa apheresis. Anthu ena amatchanso pheresis. Tiyeni tikambirane za izi lero.
Mwachidule, kodi apheresis ndi chiyani?
Taganizirani izi ngati kulekanitsa mkaka ndi mkaka mutakanikiza kokonati. Apheresis ndi njira yofanana. Mu njira iyi, makina apadera, otchedwa centrifuge, amazungulira magazi omwe atengedwa m'thupi lanu mwachangu kwambiri ndikulekanitsa zigawo zosiyanasiyana (zigawo) zomwe zili mmenemo. Izi zimalekanitsa magazi, zimatenga gawo lomwe mukufuna (monga ma platelet athanzi), ndikulowetsa magazi otsalawo m'thupi lanu. Njirayi imagwiritsidwa ntchito pazifukwa ziwiri zazikulu: 1.
Popereka magazi: Perekani gawo la magazi anu lokha lomwe wodwala wina amafunikira, monga maselo ofiira a magazi, ma platelet, kapena plasma. 2.
Monga chithandizo: Chotsani ziwalo zamagazi zosazolowereka kapena zovulaza (monga
maselo a khansa ) zomwe zimayambitsa matenda m'thupi lanu.
Kodi mitundu ikuluikulu ya apheresis ndi iti?
Chithandizochi chimachitika m'njira zosiyanasiyana kutengera kufunikira kwake. Kuti mumvetse bwino, onani tebulo ili m'munsimu.
| Mtundu wa Apheresis | Kodi izi zimagwira ntchito bwanji? (Kodi izi zimagwira ntchito bwanji) |
|---|
| Leukapheresis | Kuchotsa kukula kosalamulirika kwa maselo oyera amagazi owopsa m'magazi. Izi zimathandiza kuchepetsa zizindikiro. |
| Kusonkhanitsa maselo oyambira magazi m'mbali | Kusonkhanitsa maselo oyambira osakhwima kuchokera m'magazi ofunikira poika maselo oyambira. |
| Photopheresis | Mtundu wa maselo oyera a m'magazi otchedwa ma lymphocyte, omwe amachotsedwa m'thupi, amakumana ndi kuwala kwa UVA, amalimbikitsidwa kugwira ntchito, kenako amabwezeretsedwa m'thupi. Izi zimawonjezera mphamvu yolimbana ndi zinthu monga maselo a khansa ndi mavairasi. |
| Kusinthana kwa plasma (plasma) | Kuchotsa gawo lamadzimadzi la magazi, plasma, ndikuyikamo plasma yathanzi kapena madzi ena. Izi zimagwiritsidwa ntchito pa matenda angapo akuluakulu. |
| Kuchepa kwa ma platelet | Ngati thupi lili ndi ma platelet ambiri, omwe amathandiza magazi kuundana, ma platelet ochulukirapo amachotsedwa. |
| Kusinthana kwa maselo ofiira a magazi | Kuchotsa maselo ofiira a m'magazi osalimba komanso osakhazikika (monga, mu sickle cell anemia) ndikuyika m'malo mwake maselo ofiira a m'magazi athanzi, operekedwa. |
Kodi mankhwalawa amagwiritsidwa ntchito pa matenda otani?
Apheresis ndi njira yofunika kwambiri pochiza ndi kusamalira matenda ambiri. Mwachitsanzo, maselo athanzi ochokera kwa munthu amene akulandira chithandizo chamankhwala champhamvu cha khansa amatha kuchotsedwa, kusungidwa bwino, ndikubwezedwanso atalandira chithandizo. Chithandizochi chimagwiritsidwa ntchito makamaka pazifukwa zotsatirazi:
Khansa ya Magazi
Matenda ena a magazi
Matenda a Mitsempha
Kuphatikiza apo, apheresis imagwiritsidwanso ntchito pochiza matenda monga kukana kuikidwa kwa ziwalo ndi matenda opatsirana motsutsana ndi omwe akulandira.
Kodi ndiyenera kukonzekera bwanji izi?
Izi zimachitika pazifukwa zosiyanasiyana, kotero si aliyense amene ayenera kukonzekera mofanana.
Choncho chinthu chabwino kuchita ndikutsatira malangizo a dokotala wanu ndendende. Iye adzakuuzani momveka bwino nthawi yomwe chithandizocho chidzatenga komanso zomwe muyenera kuchita musanachilandire. Mwachitsanzo, ngati ndinu wopereka maselo oyambira, muyenera kumwa mankhwala masiku angapo chithandizo chisanachitike. Izi zimathandiza maselo oyambira m'mafupa anu kuti alowe m'magazi mwachangu. Kawirikawiri,
ndi bwino kumwa madzi ambiri, monga madzi, kwa masiku angapo chithandizo chisanachitike. Kodi chimachitika ndi chiyani panthawi ya apheresis?
Ngakhale izi zingamveke ngati nkhani yaikulu, kwenikweni zimachitika mwadongosolo, m'njira yomwe imakupangitsani kumva bwino.
- Choyamba, mudzakakamizidwa kukhala/kugona pampando wabwino kapena pabedi.
- Kenako, ogwira ntchito zachipatala adzaika singano ziwiri mu mtsempha m'manja mwanu. Singano iliyonse idzakhala ndi katheta , chubu chopyapyala komanso chosinthasintha, chomangiriridwa.
- Kumbali ina, magazi anu ena amapita mu makina apadera amenewo. Mkati mwa makinawo, zigawo za magazi ziyenera kulekanitsidwa.
- Kenako, gawo lofunikira limalekanitsidwa, ndipo magazi otsalawo amabwereranso m'thupi lanu kudzera mu chubu cha mkono wina.
Pamene zonsezi zikuchitika, mutha kuwerenga buku, kumvetsera nyimbo, kapena kungopuma.
Palibe chifukwa choopa chifukwa ogwira ntchito zachipatala adzakhala nanu nthawi zonse. Kodi ndi zoopsa ziti zomwe zingachitike mutalandira chithandizochi?
Monga momwe zimakhalira ndi njira iliyonse yachipatala, pali zoopsa zina zomwe sizimachitika kawirikawiri. Koma nthawi zambiri izi zimakhala zazing'ono. Komanso, popeza gulu lachipatala limakuyang'anirani nthawi yonse ya ndondomekoyi, ngati pabuka mavuto, akhoza kuwathetsa nthawi yomweyo.
| Chiwopsezo/Zovuta | Mwachidule... |
|---|
| Kuthamanga kwa magazi pang'ono (Hypotension) | Kuthamanga kwa magazi anu kungachepe pang'ono chifukwa magazi ena amachotsedwa m'thupi lanu ndipo madzi amaperekedwa kuti magazi asaundane. Mungamve chizungulire. |
| Kuchepa kwa calcium m'thupi (Hypocalcemia) | Mankhwala oletsa magazi kuundana amatha kuchepetsa kashiamu m'thupi kwakanthawi, zomwe zimapangitsa kuti milomo ndi miyendo zisamachite dzanzi. |
| Kutuluka magazi | Pakhoza kukhala kutuluka magazi pang'ono kuchokera pamalo obayira. |
| Matenda | Kawirikawiri, pamakhala mwayi woti kachilombo kalowe m'malo obayira. |
| Kuwonongeka kwa mitsempha | Kawirikawiri, dzanzi kapena kufooka kungachitike chifukwa cha kukakamizidwa kwa mitsempha poika singano. |
Kumbukirani, mwayi woti zinthuzi zichitike ndi wochepa kwambiri. Ngati mukumva kusasangalala, dzanzi, kapena chizungulire , dziwitsani ogwira ntchito zachipatala nthawi yomweyo.
Kodi ndiyenera kuyimbira dokotala liti?
Mukatha kulandira chithandizo, nthawi zambiri mumatha kuyambiranso ntchito zanu za tsiku ndi tsiku. Dokotala wanu adzakufotokozerani zizindikiro zazing'ono zomwe mungayembekezere mukatha kulandira chithandizo.
Ngati zizindikiro zanu zili zazikulu kuposa momwe iye akunenera, kapena ngati muli ndi nkhawa kapena nkhawa, imbani dokotala wanu nthawi yomweyo. Uthenga Wopita Nawo Kunyumba
- Apheresis ndi njira yapadera yachipatala yomwe imagwiritsidwa ntchito kulekanitsa zigawo zosiyanasiyana za magazi.
- Izi zikuphatikizapo kupereka gawo la magazi kapena kuchotsa ndi kuchiza ziwalo zodwala.
- Uwu ndi mankhwala otetezeka kwambiri omwe amachitidwa motsogozedwa ndi dokotala, choncho musachite mantha.
- Tsatirani malangizo a dokotala wanu mosamala musanayambe komanso mutalandira chithandizo.
- Ngati mukumva kusasangalala kulikonse panthawi ya chithandizo kapena mutatha, dziwitsani ogwira ntchito zachipatala kapena dokotala wanu nthawi yomweyo.
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