Zonse zokhudza Kusamutsa Maselo a Tsinde / Kusamutsa Mafupa a Bone m'mawu osavuta

Dokotala wanu akakuuzani kuti mukufunika "kuika maselo oyambira" kapena "kuika mafupa," mungamve mantha pang'ono, eti? Zimenezo n'zachibadwa. Kumva mawu awa kungawoneke ngati chinthu chachikulu, chovuta, komanso chopweteka. Koma musadandaule. Lero, tikambirana izi m'njira yosavuta , monga kulankhula ndi mnzanu, kuti muthe kuyankha mafunso onse omwe muli nawo m'maganizo mwanu.

Choyamba, tiyeni tiwone, kodi maselo oyambira awa ndi chiyani?

Mwachidule, maselo oyambira ndi "maselo akuluakulu" m'thupi lathu. Ndi mafakitale omwe amatha kupanga pafupifupi maselo ena onse m'thupi lathu. Makamaka, maselo oyambira m'mafupa athu ndi mafakitale akuluakulu omwe amapanga magazi athu. Maselo ofiira amagazi, maselo oyera amagazi, ndi ma platelet m'magazi anu onse amapangidwa kuchokera ku maselo oyambira awa.

Kotero, bola ngati fakitale iyi ikugwira ntchito bwino, palibe vuto lililonse ndi magazi athu. Koma chifukwa cha matenda ena, mwachitsanzo, matenda a khansa monga khansa ya m'magazi, kapena matenda ena okhudzana ndi magazi, fakitale iyi ikhoza kusokonekera. Izi zikutanthauza kuti imayamba kupanga maselo odwala mwanjira yolakwika. Nthawi zina, mankhwala amphamvu a khansa amathanso kuwononga maselo athanzi awa.

Pali mitundu iwiri ikuluikulu ya kusamutsa uku:

Pali njira ziwiri zazikulu zosinthira maselo oyambira, kutengera komwe maselowo adachokera.

1. Kuika Magazi Okha: Izi zikuphatikizapo kugwiritsa ntchito maselo anu athanzi. Tangoganizirani kuti mwatsala pang'ono kulandira mankhwala amphamvu a khansa. Musanayambe kulandira chithandizo, dokotala wanu adzatenga maselo athanzi m'thupi lanu ndikuwasunga bwino mufiriji. Kenako, mankhwala a chemotherapy akapha maselo a khansa, adzabwezeretsa maselo anu athanzi m'thupi lanu. Zili ngati kusunga mafayilo ofunikira musanapange mawonekedwe a kompyuta yanu, kenako nkuwabwezeretsa mutapanga mawonekedwe.

2. Kusamutsa Allogeneic: Mu izi, chifukwa pali vuto ndi maselo anu oyambira (monga khansa ya m'magazi), maselo oyambira ochokera kwa munthu wina wathanzi (wopereka) amaikidwa mwa inu. Wopereka uyu akhoza kukhala wachibale (m'bale/mlongo), kapena wina aliyense amene ali ndi mtundu wogwirizana ndi minofu. Chofunika kwambiri apa ndi kufananiza minofu.Monga momwe kufananiza magulu a magazi popereka magazi, apa mitundu ya minofu imafanana m'njira yovuta kwambiri.

Kodi kuyika kumeneku kumachitika bwanji? Kodi kumapweteka?

Funso limene anthu ambiri amaliopa ndi ili. Ndipotu, kusamutsa maselo oyambira si opaleshoni yaikulu. Taganizirani ngati mukupatsidwa madzi amchere. Ichi ndi chinthu chomwecho.

Maselo oyambira awa amaperekedwa kwa inu kudzera mu chubu chapadera chotchedwa central venous catheter , chomwe chimayikidwa mu mtsempha waukulu wamagazi pachifuwa kapena pakhosi panu. Maselo awa amaikidwa m'thumba ndikulowetsedwa m'thupi lanu, monga momwe mungachitire ndi kuikidwa magazi. Izi zitha kutenga maola angapo. Panthawiyi, gulu lachipatala lidzakuyang'anirani mosamala.

Simudzamva ululu uliwonse mukapatsidwa maselo. Komabe, mutha kukhala ndi zotsatirapo zoyipa (kusanza, nseru, ndi kusasangalala) chifukwa cha chithandizo cha chemotherapy chomwe mudapatsidwa kale. Koma dokotala wanu adzakupatsani mankhwala ofunikira kuti muchepetse zonsezi.

Kodi zoopsa ndi zovuta zomwe zingachitike ndi ziti?

Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, pali zoopsa zina. Chiwopsezo chachikulu ndi kuthekera kwa matendawa kubwerera pambuyo pomuika. Komabe, chiopsezo chimenecho chimachepa pakapita nthawi.

Vuto lina lenileni lomwe lingachitike, makamaka pankhani yoika maselo a allogeneic (maselo otengedwa kuchokera kwa wina), limatchedwaAmatchedwa Matenda a Graft-versus-Host (GvHD). Mwachidule, apa ndi pamene maselo oteteza thupi omwe amapangidwa kuchokera ku maselo oyambira a wopereka omwe mwangowayika m'thupi lanu amazindikira minofu ya thupi lanu ngati "yachilendo" ndikuyamba kuwaukira. Zili ngati alonda atsopano akuukira banja lanu. Pali mankhwala oletsa izi.

Kuphatikiza apo, pali chiopsezo cha matenda osiyanasiyana (mabakiteriya, mavairasi, bowa) pamene chitetezo cha mthupi chikufooka.

Zimatenga nthawi yayitali bwanji kuti munthu achire?

Izi zimasiyana malinga ndi mtundu wa opaleshoni yomwe mwachita.

• Munthu amene anaikidwapo autologous (maselo anu) nthawi zambiri amatha kuchira pakatha miyezi iwiri.
• Zingatenge miyezi ingapo mpaka chaka kuti munthu amene adapatsidwa chithandizo cha allogeneic transplant (maselo opereka) achire mokwanira.

Nthawi yochira iyi ndi nthawi imene maselo oyamba kumene amalowa m'thupi amapita ku mafupa, n’kukhazikika pamenepo (kulowetsedwa), ndikuyamba kupanga maselo atsopano a magazi abwino. Masiku 100 oyambirira mutatenga allogeneic overdose ndi ofunikira kwambiri. Madokotala angakulangizeni kuti mukhale pafupi ndi chipatala panthawiyi.

Zinthu zomwe mungachite nokha mukachira

Ulendowu ndi wautali, choncho ndikofunikira kwambiri kuti muzisamalira bwino nthawi ino.

• Chitani khungu lanu ngati la mwana: Khungu lanu likhoza kukhala lofewa kwambiri mukatha kulandira chithandizo. Gwiritsani ntchito sopo ndi shampu zofewa. Sungani khungu lanu lonyowa ndipo dzitetezeni mukapita padzuwa.
• Idyani zakudya zopatsa thanzi: Izi ndizofunikira kwambiri. Idyani nyama yophikidwa bwino, nsomba, ndiwo zamasamba, zipatso, ndi tirigu. Pewani kudya saladi zosaphika, zipatso zosasambitsidwa, mazira osaphika, ndi mkaka wosaphikidwa mu uvuni panthawiyi chifukwa nthawi zambiri zimayambitsa matenda.
• Dzitetezeni ku matenda: Sambani m'manja nthawi zambiri. Pewani malo odzaza anthu komanso malo omwe anthu amadwala. Funsani dokotala wanu kuti ndi katemera uti amene muyenera kulandira.
• Samalirani mano anu: Pitani kwa dokotala wa mano miyezi 6 iliyonse. Sungani ukhondo wabwino wa pakamwa.
• Pumulani mokwanira: Masiku ena mudzamva kutopa kwambiri. Masiku ena mudzamva bwino. Musadandaule za kukhala ndi tsiku lotopetsa, ndi chizindikiro chabe chakuti thupi lanu likufunika kupuma.
• Ganizirani za thanzi lanu la maganizo: Ndi zachilendo kumva kukwera ndi kutsika kwa maganizo panthawiyi. Ngati mukuvutika maganizo, lankhulani ndi dokotala wanu, banja lanu, ndipo funsani thandizo kwa mlangizi ngati pakufunika kutero.

Ngati muli ndi zizindikiro izi, imbani dokotala wanu nthawi yomweyo.

Ngati mukumva zizindikiro zotsatirazi panthawi yomwe mukuchira, dziwitsani gulu lanu lachipatala nthawi yomweyo.

Kwa munthu amene akuvutika ndi khansa kapena matenda a magazi, kuika maselo oyambira kungakhale chinthu chosintha moyo wake. Koma si ulendo wophweka. Umafunika mphamvu zambiri zakuthupi ndi zamaganizo. Ngati mukuganiza zolandira chithandizochi, lankhulani momasuka ndi dokotala wanu za ichi ndipo mumvetse zabwino ndi zoyipa zake. Adzakupatsani upangiri wabwino kwambiri kutengera momwe mulili.