Kodi inuyo kapena munthu wina amene mumamudziwa adauzidwa ndi dokotala kuti muli ndi khansa ya m'magazi monga khansa ya m'magazi? Mwina mudamvapo mawu oti "leukapheresis" polankhula za njira zochiritsira. Dzinali likhoza kukhala loopsa pang'ono. Koma kodi chithandizochi ndi chiyani kwenikweni? Chimagwira ntchito yanji? Kodi ndi chinthu choopa? Lero, tikambirana zonsezi m'njira yosavuta yomwe mungamvetse.
Kodi Leukapheresis ndi chiyani?
Mwachidule, leukapheresis ndi njira yapadera yomwe imachotsa maselo oyera m'magazi mwachisawawa. Ganizirani izi ngati chotsukira magazi. Izi ndi zomwe zimachitika panthawiyi:
1. Magazi ena amachotsedwa m'thupi lanu.
2. Magazi amatumizidwa ku makina apadera, komwe maselo oyera okha ndi omwe amalekanitsidwa.
3. Mbali zotsala za magazi, zomwe ndi maselo ofiira a magazi, ma platelet, ndi plasma, zimabwezeretsedwa m'thupi lanu.
Chofunika ndichakuti iyi si njira yochiritsira matenda monga khansa ya m'magazi. Madokotala nthawi zambiri amagwiritsa ntchito njira imeneyi pamodzi ndi njira zina zochiritsira (monga chemotherapy).
Ndi nthawi ziti pamene chithandizochi chimafunika?
Madokotala angalimbikitse chithandizo ichi pazifukwa zingapo. Tiyeni tiwone zomwe zili.
| Ngati chithandizo chikufunika | Kufotokozera kosavuta |
|---|---|
| Kwa mitundu ina ya khansa ya m'magazi | Mankhwalawa amagwiritsidwa ntchito ngati muli ndi vuto monga acute myeloid leukemia (AML), acute lymphocytic leukemia (ALL), kapena chronic lymphocytic leukemia (CLL), ndipo kuchuluka kwa maselo oyera m'magazi anu kuli kokwera kwambiri. Ngati pali maselo oyera ambiri m'magazi, mitsempha yamagazi imatha "kutsekeka," zomwe zimaika mtima wanu pachiwopsezo. |
| Kusonkhanitsa maselo kuti akagwiritsidwe ntchito pochiza matenda ena | Mankhwala amakono monga CAR T-cell therapy amafuna maselo oyera athanzi. Njira imeneyi imagwiritsa ntchito maselo anu kuti mupeze maselo amenewo. |
| Kusamutsa maselo oyambira | Njira imeneyi imagwiritsidwa ntchito kusonkhanitsa maselo athanzi kuchokera kwa inu musanapatsidwe maselo a tsinde/mafupa a khansa zina, monga lymphoma kapena multiple myeloma. |
| Monga wopereka maselo oyambira | Ngati ndinu wopereka maselo oyambira kwa wina, maselo amenewa amachokeranso m'thupi lanu mwanjira yomweyi. |
Kodi mumatani musanalandire chithandizo?
Asanayambe chithandizochi, dokotala adzayesa mayeso angapo kuti adziwe zomwe zikuchitika m'thupi lanu. Izi ndi zachilendo, choncho musadandaule.
- Kuyezetsa magazi: Yang'anani kuchuluka kwa maselo oyera m'magazi, maselo ofiira m'magazi, ndi ma platelet m'magazi anu.
- Mayeso a electrolyte: Yang'anani kuchuluka kwa mchere m'thupi.
- Kugwira ntchito kwa impso ndi chiwindi: Kumafufuza ngati ziwalo izi zikugwira ntchito bwino.
- Mayeso oyezera magazi kuundana: Izi zimayesa mphamvu ya magazi kuundana.
Popeza chithandizochi chimatenga maola awiri kapena atatu, mungafune kuvala zovala zabwino. Ndibwinonso kubweretsa buku loti muwerenge kapena china chake choti muwonere pafoni yanu kuti mukhale otanganidwa.
Kodi chimachitika ndi chiyani panthawi ya chithandizo?
Chithandizochi chimachitika mukagona pabedi labwino. Ogwira ntchito zachipatala adzaika mizere iwiri ya IV (cannulas) m'manja mwanu. Imodzi idzatulutsa magazi m'thupi lanu, ndipo inayo idzabwezeretsa magazi oyeretsedwa m'thupi lanu. Nthawi zina, chubu chachikulu (mzere wapakati) chokhala ndi mizere yonse iwiri chingaikidwe pafupi ndi khosi lanu kapena pansi pa mkono wanu.
Pa nthawi ya chithandizo, mungamve kupweteka pang'ono m'manja mwanu, m'mapazi, komanso m'kamwa mwanu . Musadandaule ndi izi. Izi zili choncho chifukwa calcium m'magazi mwanu ndi yochepa pang'ono. Uzani dokotala kapena namwino mukangomva izi. Adzakupatsani calcium kudzera mu saline yanu ndipo izi zidzakonza vutoli mwachangu.
Tiyeni tiphunzirenso za chithandizo cha mankhwala ndi zotsatira zake.
Ngakhale chithandizo chitatha, madokotala adzakuyang'anirani kwa kanthawi kuti aone zomwe zikuchitika. Nthawi zina, mungafunike kupatsidwa magazi kuti mulowe m'malo mwa maselo ofiira a magazi kapena ma platelet omwe atayika.
Monga momwe zimakhalira ndi chithandizo chilichonse, zotsatirapo zazing'ono zimatha kuchitika. Komabe, zotsatirapo zoyipa kwambiri sizimachitika kawirikawiri. Palibe chodetsa nkhawa chifukwa dokotala adzayang'anira bwino ntchito yonseyi.
Zotsatira zoyipa zomwe zimachitika nthawi zambiri zimaphatikizapo:
- Hypocalcemia: Iyi ndi calcium yochepa m'magazi. Izi zimachiritsidwa mosavuta ndi calcium m'magazi.
- Kuchepa kwa magazi m'thupi: Kuchepa kwa kuchuluka kwa maselo ofiira m'magazi. Izi zitha kuchiritsidwanso ndi kuikidwa magazi ngati pakufunika kutero.
- Thrombocytopenia: Kuchepa kwa ma platelet, komwe kumathandiza kuti magazi aziundana. Izi nthawi zina zingayambitse kuti magazi asiye kutuluka, ngakhale chifukwa cha kuvulala pang'ono.
Pa tsiku la chithandizo, ndi bwino kupita kunyumba kukapuma kwakanthawi. Mutha kuyambiranso zochita zanu zachizolowezi tsiku lotsatira.
Kodi ndiyenera kuyimbira dokotala liti?
Popeza mukuchita chithandizochi, dokotala wanu aziyang'anira thanzi lanu nthawi zonse, monganso inunso. Komabe, ngati mukukumana ndi zizindikiro zotsatirazi, dziwitsani dokotala wanu nthawi yomweyo.
- Malungo: Ngati kutentha kwa thupi lanu kuli kokwera kuposa madigiri 38 Celsius (100.4 Fahrenheit), izi zitha kukhala chizindikiro cha matenda.
- Kusintha kwa malo olumikizirana mafupa: Ngati muli ndi mzere wapakati, malowo ndi ofiira, otupa, opweteka, kapena ali ndi madzimadzi omwe akutuluka.
- Kuwonjezeka kwa zizindikiro: Ngati zizindikiro zanu zakale zikuoneka kuti zikuipiraipira kapena zizindikiro zatsopano zikuonekera.
Uthenga Wopita Nawo Kunyumba
- Leukapheresis ndi njira yochotsera maselo oyera m'magazi omwe si achilendo kapena ochulukirapo.
- Ngakhale kuti iyi si njira yochiritsira matenda monga khansa ya m'magazi, ndi njira yofunika kwambiri yowongolera zizindikiro mwachangu ndikuthandizira njira zina zochiritsira.
- Njira imeneyi imasonkhanitsanso maselo oyambira ndikuwagwiritsa ntchito pochiza monga kusamutsa mafupa.
- Mankhwalawa amatenga maola angapo ndipo nthawi zambiri amakhala otetezeka. Zotsatirapo zake, monga kuchepa kwa calcium m'thupi, zimatha kuchitika, koma nthawi yomweyo zimatha kuthetsedwa.
- Ngati muwona malungo, kupweteka pamalo pomwe pali mzere wa IV, kapena zizindikiro zikuipiraipira mutalandira chithandizo, dziwitsani dokotala wanu nthawi yomweyo.
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