Ndizachilendo kuti munthu amene akudwala khansa achite mantha pang'ono dokotala wake akanena kuti, "Tikuika maselo oyambira." Koma mawu oti "autologous" akatchulidwa, zikutanthauza kuti chithandizochi chikuchitika pogwiritsa ntchito maselo anu. Iyi ndi njira yabwino kwambiri yopatsira thupi lanu mphamvu yolimbana ndi khansa. Chabwino, tiyeni tikambirane za momwe izi zilili zovuta, zomwe zimagwira ntchito, komanso momwe njirayi imagwirira ntchito m'njira yosavuta komanso pang'onopang'ono.
Mwachidule, kodi kusintha kwa maselo oyambira a autologous n'chiyani?
Tangoganizirani izi. Kompyuta yanu yawonongeka kwambiri ndi kachilombo. Tsopano, kuti muchotse kachilomboka, muyenera 'kukonza' kompyuta yonse. Koma kodi mumachita chiyani musanachite zimenezo? Kodi mumasunga mafayilo anu ofunikira kwambiri pamalo enaake?
Kusamutsa maselo oyambira a Autologous ndi chimodzimodzi.
Chomwe chimachitika apa ndi chakuti musanalandire mankhwala amphamvu a chemotherapy kapena radiation therapy kuti muphe maselo a khansa, maselo ena athanzi a magazi anu amachotsedwa m'thupi lanu ndikusungidwa pambali mosamala. Maselo amenewa ndi "maselo amayi" m'mafupa athu omwe amapanga maselo ofiira atsopano, maselo oyera amagazi, ndi ma platelet.
Mankhwala amphamvu oletsa khansa akapha maselo a khansa, amawononganso maselo athu athanzi, makamaka mafupa. Kenako, maselo anu athanzi omwe anali otetezeka amabwezeretsedwanso m'thupi lanu. Maselo amenewa amabwerera ku mafupa ndikuyamba kupanga maselo athanzi amagazi omwe thupi limafunikira.
Izi sizingachiritse khansa yonse, koma zingayambitse khansayo kuchira kwa nthawi yayitali, zomwe zikutanthauza kuti palibe zizindikiro ndipo sizingadziwike pa mayeso.
Mankhwalawa nthawi zambiri amagwiritsidwa ntchito makamaka pa matenda a khansa otchedwa `Multiple Myeloma`. Amagwiritsidwanso ntchito pa matenda a khansa monga `Hodgkin lymphoma` ndi `Non-Hodgkin lymphoma` omwe sayankha mankhwala ena.
Kodi chimachitika ndi chiyani chithandizo chisanachitike?
Musanalandire chithandizo champhamvu chotere, madokotala amafufuza mosamala thanzi lanu lonse, chifukwa thupi lanu liyenera kukhala lolimba mokwanira kuti lipirire mankhwala amphamvu a chemotherapy.
Mayeso ena omwe angachitike:
- Mayeso a `ECG` (Electrocardiogram) omwe amayesa kugunda kwa mtima.
- `Echocardiogram`, yomwe imafufuza momwe mtima ukugwira ntchito.
- Kujambula kwa `CT` (Computed Tomography).
- Kuchuluka kwa magazi (CBC).
- Mayeso ena a magazi omwe amayesa momwe chiwindi ndi impso zimagwirira ntchito.
- Kuyeza maselo a khansa (biopsy) ndi njira yoyesera maselo a khansa.
Masiku ano, kuti mupewe kupitirira kulandira singano, madokotala amatha kuyika chubu chaching'ono chotchedwa `Central Venous Catheter (CVC)` mumtsempha waukulu pachifuwa chanu chapamwamba. Kenako, chilichonse kuyambira kutenga magazi mpaka kupereka mankhwala chingachitike mosavuta kudzera mu `CVC` iyi.
Masitepe atatu akuluakulu mu ndondomeko ya chithandizo
Njira yonseyi ingagawidwe m'magawo atatu akuluakulu.
1. Kukolola maselo oyambira
Apa ndi pomwe maselo athanzi omwe tatchulawa amachotsedwa m'thupi lanu. Izi zimatchedwanso `Apheresis`.
- Mitsempha ya m'manja mwanu onse awiri idzalumikizidwa ku makina olekanitsa maselo.
- Magazi pang'ono amalowa mu makina kuchokera ku dzanja limodzi.
- Makinawa amasefa maselo oyambira okha kuchokera m'magazi amenewo ndipo amalowetsa magazi otsalawo m'thupi kudzera m'dzanja lina.
Izi zitha kutenga maola atatu kapena anayi. Panthawi imeneyo, mungafunike kukhala chete, koma mutha kuwerenga buku kapena kuonera TV.
2. Kukonza thupi
Apa ndiye pavuta kwambiri. Apa ndiye pamene mudzalandira mankhwala amphamvu a chemotherapy komanso mwina chithandizo cha radiation kuti muphe maselo a khansa. Izi zingatenge masiku angapo. Gulu lanu lachipatala lidzakhala nanu kuti lithetse mavuto aliwonse omwe angachitike panthawiyi.
| Zotsatirapo zomwe zingakhalepo chifukwa cha chithandizo cha conditioner | |
|---|---|
| Zotsatirapo za kanthawi kochepa | Zotsatirapo za nthawi yayitali |
| Kuchepa kwa magazi (kuchepa kwa magazi), nseru ndi kusanza, kutsegula m'mimba, kutopa kwambiri, kusowa chilakolako cha chakudya, zilonda pakamwa, kutayika tsitsi. | Matenda a mafupa, maso otupa m'maso, kusamba msanga, kusabereka, chiopsezo chotenga khansa yachiwiri. |
3. Kusamutsa/Kulowetsa Maselo
Izi zikufanana ndi kupereka madzi amchere kapena phukusi la magazi. Maselo anu oyambira, omwe asonkhanitsidwa ndikusungidwa bwino, amabwezeretsedwa m'thupi lanu kudzera mu IV kapena CVC. Panthawiyi, gulu lachipatala lidzakhala likuyang'anirani nthawi zonse kuti muwone ngati muli ndi zizindikiro monga malungo ndi kuzizira.
Kodi chimachitika ndi chiyani munthu akalandira chithandizo? Tiyeni tiphunzire za nthawi yochira
Pambuyo pa chithandizo, thupi lanu lidzayamba kuchira pang'onopang'ono.
- Kulowetsa maselo m'magazi: Maselo oyambira kumene omwe alowetsedwa m'magazi amayenda m'magazi, n’kukhazikika m'mafupa, n’kuyamba kupanga maselo atsopano athanzi m'magazi. Njira imeneyi imatchedwa `Kulowetsa maselo m'magazi`.
- Kuopsa kwa Matenda: Mukayika chiwalocho m'thupi, chiopsezo chanu chotenga matenda chimakhala chachikulu kwambiri mpaka kuchuluka kwa maselo oyera m'magazi anu kubwereranso mwakale. Chifukwa chake, ndikofunikira kwambiri kudziteteza ku matenda panthawiyi.
- Nthawi yochira: Zingatenge miyezi itatu mpaka 12 kuti chitetezo chanu cha mthupi chibwerere bwino. Choncho musafulumire. Nazi zinthu zina zomwe zingakuthandizeni:
- Pumulani mokwanira: Masiku ena mungamve kutopa kwambiri. Pumulani panthawiyo.
- Idyani zakudya zopatsa thanzi: Kudya zakudya zokhala ndi mapuloteni ambiri kumathandiza kumanganso thupi.
- Maseŵero Olimbitsa Thupi: Mukangomva kuti muli ndi mphamvu, yambani kuchita masewera olimbitsa thupi osavuta monga kuyenda. Koma onetsetsani kuti mwalankhula ndi dokotala wanu musanayambe chilichonse chatsopano.
- Sinthani katemera wanu: Mukalandira chithandizochi, chitetezo chomwe mudalandira kuchokera ku katemera wa ana chidzatayika. Chifukwa chake, dokotala wanu adzakuuzani nthawi yoti mulandire katemera kachiwiri komanso katemera woti mulandire.
Kodi kusiyana pakati pa Autologous ndi Allogenic transplants ndi kotani?
Kusiyana kwakukulu pakati pa ziwirizi ndi komwe maselo amachokera. Kuti mumvetse bwino izi, onani tebulo ili m'munsimu.
| Mtundu wa Kubzala | Kodi maselo oyambira amachokera kwa ndani? |
|---|---|
| Autologous | Kuchokera kwa inu nokha. Maselo anu amatengedwa musanalandire chithandizo cha khansa. |
| Allogenic | Kuchokera kwa wopereka wathanzi. Nthawi zambiri, minofuyi imapezeka kuchokera kwa wachibale kapena munthu wina wogwirizana nayo. |
Nthawi yoti mukaonane ndi dokotala nthawi yomweyo
Ngakhale mutapita kukayezetsa dokotala nthawi zonse mukalandira chithandizo, ndikofunikira kudziwitsa gulu lanu lachipatala nthawi yomweyo ngati muwona zizindikiro zilizonse za mavuto. Samalani zizindikiro zotsatirazi:
- Malungo
- Kumva kuzizira komanso kunjenjemera
- Kuvuta kupuma (Dyspnea)
- Kutsokomola, kutsekula m'mimba, kapena mphuno yotuluka madzi
- Kupweteka pokodza pafupipafupi kapena pokodza (Dysuria)
- Kutupa pakhungu
- Chizungulire
Uthenga Wopita Nawo Kunyumba
- Kuika maselo oyamba a autologous kumaphatikizapo kusonkhanitsa maselo anu athanzi musanalandire chithandizo cha khansa kenako nkuwabwezeretsa m'thupi lanu mutalandira chithandizo.
- Iyi ndi njira yopangira zinthu zambiri: kusonkhanitsa maselo, kukonza maselo ambiri, ndi kubwezeretsanso maselo.
- Chiwopsezo chachikulu mukalandira chithandizo ndi kukula kwa matenda akuluakulu, choncho ndikofunikira kwambiri kudziteteza ku matenda.
- Zingatenge miyezi ingapo kuti thupi lichiritse bwino, choncho khalani okoma mtima kwa inu nokha ndipo samalirani kupuma kwanu ndi zakudya zanu.
- Wodwala aliyense ndi wosiyana, choncho nthawi zonse lankhulani momasuka ndi dokotala wanu ngati chithandizochi chili choyenera kwa inu, kupambana kwake, ndi zoopsa zake.
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