Nthawi zina, matenda aakulu monga khansa sangachiritsidwe ndi mankhwala wamba. Kenako madokotala amalankhula za mankhwala apamwamba kwambiri. Nthawi zina, limodzi mwa mayina omwe mudzamve ndi 'kuika maselo oyambira' kapena 'kuika mafupa'. Ngakhale kuti mawu awa angamveke owopsa pang'ono, kwenikweni ndi mankhwala ofunika kwambiri omwe angathandize kupulumutsa miyoyo yambiri. Tiyeni tikambirane za izi mosavuta komanso momveka bwino.
Kodi maselo oyambira awa ndi chiyani?
Kuti timvetse izi, choyamba tiyeni tiwone zomwe maselo oyambira ali. Tangoganizani kuti pali fakitale yopanga magazi m'thupi lathu. Ogwira ntchito akuluakulu mufakitale imeneyo ndi maselo oyambira awa. Awa amapezeka makamaka mu fupa lathu. Maselo awa ndi omwe amapanga maselo ofiira onse, maselo oyera amagazi, ndi ma platelet omwe thupi lathu limafunikira.
Kotero, kuyika maselo oyambira, mwachidule, ndiko kuchotsa mafupa omwe ali ndi matenda, owonongeka, kapena khansa ndikulowetsa maselo oyambira athanzi. Izi zimatchedwanso kuyika maselo oyambira a mafupa .
Pali mitundu iwiri ikuluikulu ya kusamutsa uku:
Njira yochizira iyi ingagawidwe m'magawo awiri akuluakulu. Zimatengera omwe maselo atsopano athanzi atengedwa.
| Mtundu wa chithandizo (Mtundu) | Mwachidule... |
|---|---|
| Kusamutsa kwa Autologous | Izi zimaphatikizapo kugwiritsa ntchito maselo anu athanzi . Madokotala asanakupatseni chithandizo cha khansa monga chemotherapy, amasonkhanitsa maselo athanzi kuchokera m'thupi lanu ndikusunga mosamala. Pambuyo pa chithandizo, maselo amenewo amabwezeretsedwanso m'thupi lanu. |
| Kusamutsa Allogeneic | Izi zikugwiritsa ntchito za wina (za wopereka)Pezani maselo oyambira athanzi. Wopereka uyu akhoza kukhala wachibale (mchimwene, mlongo) kapena wina aliyense amene ali ndi minofu yofanana. |
Kodi chithandizochi chimachitidwa bwanji? Kodi chimapweteka?
Anthu ambiri amaganiza kuti iyi ndi opaleshoni yaikulu. Koma sichoncho. Mmene maselo oyambira awa amalowetsedwa m'thupi ndi kosavuta.
Zimakhala ngati kulowetsedwa m'madzi amchere kapena kuikidwa magazi. Maselo amaperekedwa kudzera mu chubu (catheter yapakati ya mitsempha) yomwe imayikidwa mumtsempha waukulu pachifuwa kapena pakhosi panu.
Izi zitha kutenga maola angapo. Panthawiyi, madokotala ndi anamwino adzakusamalirani bwino, kukuyang'anirani nthawi zonse ngati muli ndi malungo kapena kuzizira.
Palibe ululu womwe umakhalapo panthawi ya chithandizo. Komabe, mutha kumva nseru, kusanza, komanso kusasangalala panthawi yochira mutatha kulandira chithandizo. Koma musadandaule, dokotala adzakupatsani mankhwala ofunikira kuti athetse mavutowa.
Kodi chithandizochi chili ndi mphamvu yotani?
Funso limeneli ndi lomwe anthu ambiri ali nalo. Koma n'zovuta kupereka yankho limodzi. Kupambana kwa chithandizo kumadalira zinthu zingapo.
- Matenda anu: Mankhwalawa ndi othandiza kwambiri pa matenda ena.
- Kaya matendawa ali pachiyambi kapena pamlingo wapamwamba.
- Chithandizo chomwe mudalandira kale.
- Zaka zanu ndi thanzi lanu lonse.
- Mphamvu ya thupi lanu yochira.
Zonsezi zimasiyana malinga ndi munthu. Chifukwa chake, dokotala wanu yekha ndiye angakuuzeni bwino momwe chithandizo chanu chayendera bwino kutengera momwe zinthu zilili.
Kodi ubwino wake ndi mavuto ake ndi ati?
Kodi ubwino wake ndi wotani?
Ubwino waukulu wa chithandizochi ndi wakuti chimatha kuchiritsa kapena kulamulira kwathunthu khansa ndi matenda ena akuluakulu okhudzana ndi magazi omwe sanachiritsidwe ndi mankhwala ena. Ndi chiyembekezo chatsopano cha moyo.
Zoopsa ndi zovuta
Monga momwe zimakhalira ndi chithandizo china chilichonse chapamwamba, pali zoopsa ndi zovuta zina. Chiwopsezo chachikulu ndichakuti matendawa abwereranso (kubwereranso) pambuyo pa chithandizo. Komabe, chiopsezo chimenecho chimachepa pakapita nthawi.
Pali mwayi waukulu wa mavuto, makamaka poika maselo a 'allogeneic' komwe maselo amachokera kwa wopereka wina.
- Matenda: Chitetezo cha mthupi lanu chimakhala chofooka kwambiri mutalandira chithandizo, kotero mutha kudwala mosavuta matenda a bakiteriya, mavairasi, kapena bowa.
- Matenda a Graft vs. Host (GvHD):Izi ndi zovuta pang'ono. Mwachidule, maselo atsopano ochokera kwa woperekayo akuchita motsutsana ndi thupi lanu. Zili ngati maselo atsopanowo akuganiza kuti, "Ili si thupi langa," ndipo akuukira ziwalo zanu monga khungu lanu ndi chiwindi. Koma pali mankhwala oletsa vutoli.
Musanayambe kulandira chithandizochi, dokotala wanu adzakufotokozerani bwino zoopsa zonsezi.
Kodi zitenga nthawi yayitali bwanji kuti munthu abwerere mwakale?
Izi zimadaliranso mtundu wa opaleshoni yomwe mudachita.
- Ngati mwaikidwanso maselo anu (anu) , nthawi zambiri kuchira kumayamba pakatha miyezi iwiri.
- Ngati mwapatsidwa chithandizo cha allogeneic (donor cell) , zingatenge miyezi ingapo mpaka chaka chimodzi kapena kuposerapo kuti muchire bwino. Panthawiyi, makamaka masiku 100 oyambirira, mungafunike kubwera kuchipatala pafupipafupi kapena kukhala pafupi ndi chipatala.
Kodi ndingachite chiyani kuti nthawi yochira iyi ikhale yosavuta?
Ichi si chozizwitsa cha usiku umodzi. Ulendowu ndi wautali. Ndiye nazi zinthu zina zomwe zingakuthandizeni pa ulendo wanu.
- Samalani kwambiri khungu lanu: Khungu lanu likhoza kukhala lofewa kwambiri mukatha kulandira chithandizo. Gwiritsani ntchito sopo wofewa ndi shampu mukamasamba. Pakani mafuta odzola pakhungu lanu ndikuliteteza ku dzuwa.
- Idyani zakudya zopatsa thanzi: Idyani nyama zopanda mafuta ambiri, zipatso ndi ndiwo zamasamba zosiyanasiyana, tirigu wonse, ndi zakudya za mkaka zopanda mafuta ambiri. Pewani nyama yosaphikidwa bwino, nsomba, zipatso zosasambitsidwa, ndiwo zamasamba, ndi zakudya za mkaka zosaphikidwa bwino.
- Dzitetezeni ku matenda: Sambani m'manja nthawi zambiri. Pewani anthu odwala. Funsani dokotala wanu katemera amene muyenera kulandira.
- Samalirani mano anu: Pitani kwa dokotala wa mano miyezi 6 iliyonse. Tsukani mano anu bwino.
- Chitani pang'onopang'ono komanso mosasinthasintha: Masiku ena mudzamva kutopa kwambiri. Masiku ena mudzamva bwino. Tsiku limene mudzamva kutopa sizitanthauza kuti chithandizo chanu chalephera. Zimangotanthauza kuti thupi lanu likufunika kupuma.
- Ganizirani za thanzi lanu la maganizo: Maganizo anu amatha kusintha pakapita nthawi. Zimenezo n’zachibadwa. Kulankhula ndi mlangizi kapena kulowa nawo gulu lothandizira anthu ngati inu kungakuthandizeni kwambiri.
Kodi muyenera kulankhula ndi dokotala nthawi yanji?
Ngati zizindikiro zotsatirazi zikuonekera panthawi yomwe mukuchira, dziwitsani dokotala wanu nthawi yomweyo .
- Ngati mukuzizira komanso mukunjenjemera
- Kutsokomola, kutsekula m'mimba, kapena mphuno yotuluka madzi
- MalungoNgati kutentha kuli kokwera kuposa 100.4 Fahrenheit (38 Celsius)
- Ngati mukukodza pafupipafupi kapena ndi ululu
- Ngati mukumva chizungulire / vertigo
- Kutupa pakhungu
- Kuvuta kupuma
Chinthu chonga ichi chingakhale chachikulu kapena ayi. Koma dokotala wanu ndiye munthu woyenera kusankha. Choncho, ndibwino kunena zimenezo, ngakhale zitakhala zazing'ono.
Uthenga Wopita Nawo Kunyumba
- Kuika maselo oyambira ndi njira yotsogola komanso yopambana yochizira khansa ndi matenda okhudzana ndi magazi.
- Pali mitundu iwiri ikuluikulu ya izi: njira ya autologous, yomwe imagwiritsa ntchito maselo anu, ndi njira ya allogeneic, yomwe imagwiritsa ntchito maselo ochokera kwa wopereka.
- Ngakhale kuti chithandizocho sichipweteka, pakhoza kukhala zotsatirapo zina panthawi yochira. Pali mankhwala a izi.
- Zingatenge miyezi kapena chaka chimodzi kuti munthu achire bwino. Chitetezo ku matenda ndi kudya zakudya zabwino ndizofunikira kwambiri panthawiyi.
- Khalani omasuka kukambirana ndi dokotala wanu momasuka za chithandizochi, zoopsa zake ndi ubwino wake, komanso mafunso aliwonse omwe mungakhale nawo.
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