Chitetezo cha mthupi lanu ndi chitetezo chodabwitsa kwambiri. Koma nthawi zina dongosololi limatha kugwira ntchito mosiyana pang'ono. Nthawi zina limatha kugwira ntchito mopitirira muyeso ndikuvulaza thupi lathu, kapena nthawi zina limafunika thandizo polimbana ndi adani monga maselo a khansa. Pazochitika zotere, tikulankhula za chithandizo chapadera chomwe chimathandiza chitetezo chathu cha mthupi ndikulamulira ntchito zake. Ndicho chithunzithunzi.
Mwachidule, kodi photopheresis ndi chiyani?
Photopheresis ndi mankhwala omwe amagwiritsa ntchito kuwala kusintha ntchito ya maselo oyera a m'magazi anu, otchedwa lymphocytes. Maselo amenewa, otchedwa lymphocytes, ndi asilikali akuluakulu a chitetezo chathu chamthupi. Ndiwo omwe amawononga zinthu monga maselo a khansa, mabakiteriya, ndi mavairasi. Chifukwa chake, ngati pali vuto ndi ma lymphocytes awa, chithandizo cha photopheresis n'chothandiza kwambiri.
Taganizirani izi motere. Amatenga magazi anu ena, n’kuwaika mu makina, n’kupatula maselo oyera okha otchedwa ma lymphocytes. Kenako, amawasakaniza ndi mankhwala apadera n’kuwaika ku kuwala kwa UV, komwe kumasintha momwe maselowo amagwirira ntchito. Pomaliza, maselo ochiritsidwawa amabwezeretsedwanso m’thupi lanu pamodzi ndi magazi anu ena onse.
Kudzera mu njira iyi, tingathe kulimbitsa chitetezo chathu cha mthupi, kapena kuchilamulira ngati chikuchita zinthu mosafunikira. Mwa kuyankhula kwina, chithandizochi chili ndi mphamvu 'yoyatsa ndi kuzimitsa' chitetezo cha mthupi ngati pakufunika kutero.
Kodi mankhwalawa amagwiritsidwa ntchito pa matenda otani?
Photopheresis ndi mtundu wa chithandizo cha chitetezo chamthupi. Ndiko kuti, ndi njira yochizira matenda pogwiritsa ntchito chitetezo chamthupi chathu. Pali ntchito zingapo zazikulu zomwe zimagwiritsidwa ntchito.
| Matenda | Kufotokozera kosavuta |
|---|---|
| Matenda a T-cell lymphoma (CTCL) | Uwu ndi mtundu wosowa kwambiri wa khansa ya m'magazi yomwe imakhudza khungu. Chithandizo cha Photopheresis chinayambitsidwa koyamba ngati chithandizo cha matendawa. Pamene ma lymphocyte omwe amachiritsidwa abwezeretsedwanso m'thupi, amathandiza kuwononga maselo a khansa. |
| Matenda Okhudzana ndi Kupatsirana (GVHD) | Pambuyo pa chinthu monga kusamutsidwa kwa mafupa, maselo oyambira omwe alandiridwa kumene amatha kuyamba kuukira thupi lanu ngati kuti ndi 'mdani.' Mankhwalawa amatha kuyimitsa kapena kulamulira kuukira kosafunikirako. |
| Kukana kuikidwa kwa chiwalo | Pambuyo poika chiwalo chachikulu, monga mapapo, chiwindi, kapena mtima, chitetezo cha mthupi chingakane chiwalo chatsopanocho. Chithandizochi chimathandiza kupewa zimenezo. |
Matenda ena
Kuwonjezera pa matenda akuluakulu awa, madokotala angalimbikitse photopheresis pa matenda ena angapo.
- Matenda a Crohn
- Eczema (Atopic dermatitis)
- Scleroderma
- Psoriasis, matenda a pakhungu
- Matenda a shuga amtundu woyamba
Kodi tiyenera kukonzekera bwanji tisanalandire chithandizo?
Dokotala wanu adzakufotokozerani izi. Nthawi zambiri, adzakufunsani kuti musamale zinthuzi musanalandire chithandizo.
- Imwani madzi ambiri: Imwani magalasi osachepera 8 a madzi patsiku kwa masiku awiri musanayambe kulandira chithandizo. Izi zithandiza kuti magazi anu aziyenda bwino, zomwe zimapangitsa kuti zikhale zosavuta kutulutsa magazi panthawi ya chithandizo.
- Pewani caffeine ndi mowa: Zinthu monga tiyi, khofi, ndi mowa zimatha kuwononga madzi m'thupi, zomwe zimapangitsa kuti magazi aziyenda pang'onopang'ono.
- Pewani zakudya zamafuta: Mukadya zakudya zokhala ndi mafuta ambiri, monga zakudya zokazinga ndi maswiti, zimakhala zovuta pang'ono kuti makina omwe amalekanitsa maselo oyera amagazi ndi magazi agwire ntchito yake.
Kodi chithandizochi chimagwira ntchito bwanji?
Zonsezi zimachitika mutagona bwino pabedi. Ndi njira yopanda ululu.
1. Kutulutsa magazi: Namwino kapena dokotala adzatulutsa magazi kuchokera m'mitsempha yomwe ili m'dzanja lanu kapena kudzera mu chubu chapadera (catheter) chomwe chili pachifuwa panu. Ngati pakufunika, kirimu wochepetsa ululu ungagwiritsidwe ntchito pamalopo kuti mupewe kupweteka.
2. Kulekanitsa maselo:Magazi omwe mumatenga amapita mwachindunji mumakina apadera. Makinawa amalekanitsa maselo oyera okha otchedwa ma lymphocyte ndi maselo ofiira a magazi ndi ma platelet m'magazi anu.
3. Kuonjezera mankhwala: Mankhwala oteteza azitsamba otchedwa `8-methoxypsoralen (8-MOP)` amawonjezeredwa ku maselo oyera amagazi olekanitsidwa. Mankhwalawa amagwira ntchito pokhapokha ngati apezeka pa kuwala.
4. Chithandizo cha kuwala: Tsopano, maselo oyera amagazi omwe ali ndi mankhwalawa amawonetsedwa ku kuwala kwa ultraviolet A (kuwala kwa UVA) mkati mwa makina. Kenako, mankhwalawa amayamba kugwira ntchito ndikusintha ntchito ya maselo oyera amagazi.
5. Kubwezeretsanso: Pomaliza, maselo oyera a magazi omwe athandizidwa motere amabwezeretsedwanso m'thupi lanu, pamodzi ndi zigawo zina zamagazi zomwe zidalekanitsidwa kale.
Ntchito yonseyi ingatenge pafupifupi maola 3-4.
Kodi ndi zotsatirapo ziti ndi zinthu ziti zomwe tiyenera kudziwa?
Photopheresis imaonedwa kuti ndi mankhwala otetezeka kwambiri , ndipo anthu ambiri sakumana ndi zotsatirapo zilizonse.
Komabe, nthawi zina zinthu zazing'ono zimatha kuchitika.
- Kuthamanga kwa magazi anu kungachepe pang'ono panthawi ya chithandizo. Ngati izi zitachitika, mungapatsidwe madzi m'mitsempha kuti mubwezeretse kuthamanga kwa magazi anu.
- Mungamve nseru, chizungulire, kapena kuzizira, monga momwe mumachitira popereka magazi. Ngati mukumva choncho, uzani namwino nthawi yomweyo.
- Mungathe kufiira, chizungulire, kapena kutentha thupi maola 6-8 mutatha kulandira chithandizo. Ngati kutentha thupi kwanu kuli kokwera kuposa madigiri 37.8 Celsius (100 degrees Fahrenheit), uzani dokotala wanu. Iye angakulangizeni kumwa mankhwala monga paracetamol.
Zinthu zomwe tiyenera kusamala nazo kwambiri titalandira chithandizo
Izi ndizofunikira kwambiri. Chithandizo cha Photopheresis chimapangitsa khungu ndi maso anu kukhala omasuka kwambiri ku dzuwa.
Pewani kukhudzidwa ndi kuwala kwa dzuwa mwachindunji komanso mwachindunji kwa maola 24 mutalandira chithandizo. Kuwala kwa dzuwa mwachindunji ndi kuwala kochokera pawindo kapena pa nsalu.
- Ngati mutuluka panja, valani zovala zophimba thupi lanu lonse. Gwiritsani ntchito mafuta oteteza ku dzuwa okhala ndi SPF ya 30 kapena kuposerapo.
- Valani magalasi a dzuwa omwe amateteza ku kuwala kwa UVA, m'nyumba ndi panja, kwa maola 24. Magalasi a dzuwa "ozungulira" omwe amaphimba maso onse ndi abwino kwambiri.
Zimatenga nthawi yayitali bwanji kuti muwone zotsatira?
Izi zimasiyana malinga ndi vuto lanu komanso kuchuluka kwa chithandizo. Anthu ena amaona kusintha kwakukulu kwa zizindikiro zawo mkati mwa miyezi 3-4. Pa matenda ena (monga scleroderma), zingatenge miyezi 6-12 kuti zizindikirozo zisinthe. Chifukwa chake, kuleza mtima ndikofunikira ndi chithandizochi. Funsani dokotala wanu za nthawi yomwe mungayembekezere kuwona zotsatira kutengera vuto lanu.
Uthenga Wopita Nawo Kunyumba
- Photopheresis ndi njira yotetezeka yochizira matenda pogwiritsa ntchito kuwala pochiza maselo oyera a magazi anu ndikuwongolera momwe chitetezo cha mthupi chimagwirira ntchito.
- Izi zimagwiritsidwa ntchito makamaka pa zinthu monga khansa ya CTCL, matenda a GVHD, komanso kupewa kukanidwa pambuyo poika ziwalo zina.
- Chithandizochi sichipweteka, koma chitetezo cha padzuwa ndi chofunikira kwa maola 24 mutalandira chithandizo.
- Zingatenge nthawi kuti muwone zotsatira zake, choncho ndikofunikira kukhala oleza mtima ndikupempha chithandizo.
- Lankhulani momasuka ndi dokotala wanu za mavuto aliwonse, mantha, kapena kukayikira kulikonse komwe muli nako pankhaniyi.
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