Kodi Leukapheresis ndi chiyani? Tiyeni tiphunzire za chithandizochi mwachidule.

Dokotala wanu akakuuzani inu kapena munthu amene mumamudziwa ali ndi khansa ya m'magazi monga khansa ya m'magazi, amalankhula za njira iliyonse yochiritsira, sichoncho? Mwina munamvapo mawu oti 'leukapheresis'. Ngakhale dzinali lingamveke loopsa komanso lovuta, silili loopsa kwenikweni. Lero, tiyeni tikambirane za Leukapheresis, chifukwa chake imachitika, komanso momwe imagwirira ntchito mosavuta.

Mwachidule, kodi leukapheresis ndi chiyani?

Taganizirani izi monga momwe timachitira tikapanga mkaka wa kokonati, timafinya kokonati ndikulekanitsa mkaka ndi zamkati. Leukapheresis ndi chinthu chonga chimenecho. Izi zimaphatikizapo kutenga magazi ena m'thupi lanu, kuwatumiza kudzera mu makina apadera, omwe amalekanitsa maselo oyera amagazi . Kenako magazi otsalawo, omwe ndi maselo ofiira amagazi, plasma, ndi ma platelet, amabwezeretsedwanso m'thupi lanu.

N’chifukwa chiyani chithandizochi chili chofunikira?

Pali zifukwa zingapo zomwe madokotala amalangizira chithandizochi. Tiyeni tiwone zifukwa zazikulu.

• Pamene chiwerengero cha maselo oyera m'magazi chili chokwera kwambiri: Mu mitundu ina ya khansa ya m'magazi (mwachitsanzo, `(Acute Myeloid Leukemia - AML)`, `(Acute Lymphocytic Leukemia - ALL)`, `(Chronic Lymphocytic Leukemia - CLL)`) maselo oyera osazolowereka amawonjezeka mosalamulirika. Maselo amenewa amatha kukhala m'mitsempha yamagazi ndikuletsa kuyenda kwa magazi. Izi zimawonjezera chiopsezo cha kuwonongeka kwa ziwalo monga mtima ndi ubongo. Chifukwa chake chithandizochi chimagwiritsidwa ntchito kuchotsa mwachangu maselo owonjezerawo ndikupereka mpumulo kwa wodwalayo.
• Kusonkhanitsa maselo oyambira: Pa mitundu ina ya khansa (monga lymphoma, multiple myeloma), mankhwala amphamvu a chemotherapy amawononga mafupa. Choncho, asanayambe kulandira chithandizo, maselo oyambira athanzi amasonkhanitsidwa kuchokera m'magazi ndikusungidwa, ndipo pambuyo pa chithandizo, amabwezeretsedwa m'thupi. Kenako, maselo atsopano athanzi amagazi amatha kupangidwa. Maselo oyambira awa amasonkhanitsidwa kudzera mu njira ya leukapheresis.
• Kupereka maselo oyambira kwa wina: Ngati ndinu wopereka woyenera kuti wodwala wina aikidwe mafuta a m'mafupa, njira iyi imagwiritsidwanso ntchito kupeza maselo oyambira kuchokera kwa inu.
• Kuti mupeze maselo oti agwiritsidwe ntchito pa chithandizo chapadera:Mankhwala atsopano a khansa, monga chithandizo cha maselo a CAR T, amaphatikizapo kutenga maselo a chitetezo cha mthupi a wodwalayo, "kuwaphunzitsa" mu labu kuti amenyane ndi khansa, kenako nkuwabwezeretsa m'thupi. Maselo amenewa amachotsedwa m'thupi kudzera mu njira yotchedwa leukapheresis.

Kodi chimachitika ndi chiyani musanalandire chithandizo?

Musanayambe chithandizochi, dokotala wanu adzayesa mayeso angapo.

• Kuyezetsa magazi: Kumayesa kuchuluka kwa maselo oyera m'magazi, komanso kuchuluka kwa maselo ofiira m'magazi ndi ma platelet.
• Mayeso a electrolyte: Yang'anani kuchuluka kwa mchere m'thupi, monga calcium ndi potaziyamu.
• Mayeso a ntchito ya impso ndi chiwindi.
• Mayeso a magazi oundana.

Popeza chithandizochi chimatenga maola angapo, chonde valani zovala zabwino . Ndibwinonso kubweretsa buku loti muwerenge kapena china chake choti muwonere pafoni yanu panthawi ya chithandizo.

Kodi chimachitika ndi chiyani panthawi ya chithandizo?

Mudzaikidwa pabedi labwino, ndipo namwino kapena dokotala adzaika ma cannula awiri (mizere ya IV) m'manja mwanu, ngati saline, m'mitsempha yanu. Limodzi lidzatulutsa magazi anu pang'onopang'ono m'thupi lanu kupita ku makina, ndipo linalo lidzabwezera magazi oyeretsedwa m'thupi lanu. Nthawi zina, chubu chimodzi chachikulu (mzere wapakati) chidzaikidwa mumtsempha waukulu m'khosi mwanu kapena pansi pa mkono wanu. Izi zili ndi njira zonse ziwiri zotengera magazi ndi kuwabwezera.

Ntchito yonseyi nthawi zambiri imatenga maola awiri kapena atatu .

Pa nthawi ya chithandizo, mungamve kupweteka m'manja, mapazi, ndi milomo yanu. Musadandaule. Izi zili choncho chifukwa calcium m'magazi mwanu ndi yochepa pang'ono. Ngati mukumva chonchi, uzani namwino pamenepo, ndipo adzawonjezera calcium mu saline solution yomwe amakupatsani. Kenako kumvako kudzatha.

Kodi mungayembekezere chiyani mutalandira chithandizo?

Mukamaliza kulandira chithandizo, ogwira ntchito zachipatala adzakuyang'anirani kwa kanthawi. Adzayang'ana kuthamanga kwa magazi ndi kugunda kwa mtima wanu. Akhozanso kutenga chitsanzo china cha magazi. Kutengera zotsatira za mayeso amenewo, ngati kuchuluka kwa maselo ofiira a magazi kapena ma platelet anu kuli kochepa, dokotala wanu angakulangizeni kuti muyike magazi .

Kodi pali zotsatirapo zilizonse pa izi? Kodi ndiyenera kuda nkhawa?

Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, palinso zotsatirapo zina zomwe zingachitike. Komabe, zotsatirapo zoyipa kwambiri sizimachitika kawirikawiri . Chofunika kwambiri ndichakuti dokotala kapena namwino azikuyang'anirani nthawi yonse ya chithandizo. Choncho ngati pali vuto, adzalowererapo nthawi yomweyo.

Tiyeni tiwone zotsatirapo zazikulu zomwe zingachitike.

Mukapita kunyumba komanso nthawi yomwe mukufuna kulankhula ndi dokotala

Ndi bwino kupuma kwa tsiku limodzi kapena kuposerapo mutalandira chithandizo. Ngati mukulandira chithandizochi, mwina mukulandira kale chithandizo cha khansa kapena matenda okhudzana ndi magazi. Chifukwa chake, ngati mukukumana ndi zizindikiro zotsatirazi, dziwitsani dokotala wanu nthawi yomweyo .

• Ngati muli ndi malungo (oposa madigiri Celsius 38 kapena 100.4 Fahrenheit), izi zitha kukhala chizindikiro cha matenda.
• Ngati muli ndi mzere wapakati, malowo amakhala ofiira, otupa, opweteka, kapena madzi otuwa ngati mafinya akutuluka .
• Zizindikiro zanu zikuipiraipira kuposa masiku onse.Ngati mukumva ngati mukufuna.

Musanyalanyaze zinthu ngati izi. Mukangonena mwachangu, zimakhala zosavuta kulamulira mavuto aliwonse.