Ese wigeze utanga amaraso? Iyo dusanzwe dutanga amaraso, dutanga amaraso yacu yose. Ariko se wari uzi ko hari uburyo bwihariye bushobora gutandukanya ibice bitandukanye by'amaraso yacu, nk'uturemangingo dutukura, uturemangingo tw'amaraso twera, na plaquettes, cyangwa gukuraho gusa ibice byangiza uburwayi runaka mu maraso? Ubwo buryo bwiza bw'ubuvuzi bwitwa apheresis. Hari n'abantu babwita pheresis. Reka tubiganireho uyu munsi.
Mu magambo make, apheresis ni iki?
Tekereza nko gutandukanya amata n'amata nyuma yo gukanda kokonati. Apheresis ni igikorwa nk'icyo. Muri ubu buryo, imashini yihariye, yitwa centrifuge, izunguza amaraso yakuwe mu mubiri wawe vuba cyane kandi igatandukanya ibice bitandukanye birimo. Ibi bitandukanya amaraso, bigafata igice ukeneye gusa (urugero, platelets nzima), hanyuma bigashyira andi maraso mu mubiri wawe. Ubu buryo bukoreshwa mu ntego ebyiri z'ingenzi: 1.
Ku gutanga amaraso: Tanga igice cy'amaraso yawe gusa gikenewe n'undi murwayi, nk'uturemangingo dutukura tw'amaraso, platelets, cyangwa plasma. 2.
Nk'ubuvuzi: Kuraho ibice by'amaraso bidasanzwe cyangwa byangiza (urugero,
uturemangingo twa kanseri ) bitera indwara mu mubiri wawe.
Ni ubuhe bwoko bw'ingenzi bwa apheresis?
Ubu buvuzi bukorwa mu buryo butandukanye bitewe n'ibikenewe. Kugira ngo ubyumve neza, reba imbonerahamwe iri hepfo.
| Ubwoko bwa Apheresis | Ibi bikora iki? (Icyo bikora) |
|---|
| Leukapheresis | Gukuraho ikura ritagenzurwa ry'uturemangingo tw'amaraso twangiza mu maraso. Ibi bigabanya ibimenyetso. |
| Gukusanya uturemangingo tw'amaraso two ku ruhande rw'umubiri | Gukusanya uturemangingo tw’umubiri tudakuze mu maraso akenewe kugira ngo habeho gutera uturemangingo tw’umubiri. |
| Fotoferesi | Ubwoko bw'uturemangingo tw'amaraso tw'umweru twitwa lymphocytes, dukurwa mu mubiri, tugahura n'urumuri rwa UVA, tukongera imikorere yarwo, hanyuma tugasubizwa mu mubiri. Ibi byongera ubushobozi bwo kurwanya ibintu nk'uturemangingo twa kanseri na virusi. |
| Plasmapheresis (ihindagurika rya plasma) | Gukuraho igice cy'amazi mu maraso, plasma, no kugisimbuza plasma nzima cyangwa ikindi kintu cy'amazi. Ibi bikoreshwa mu ndwara nyinshi zikomeye. |
| Kugabanuka kw'imitsi yo mu bwoko bwa platelet | Iyo umubiri ufite platelets nyinshi cyane, zifasha amaraso kubumba, platelets zirenze zirakurwaho. |
| Ihererekanya ry'uturemangingo dutukura mu maraso | Gukuraho uturemangingo tw’amaraso tudafite ubuzima bwiza kandi tudasanzwe (urugero, muri sickle cell anemia) no kubisimbuza uturemangingo tw’amaraso tudafite ubuzima, twatanzwe. |
Ni izihe ndwara ubu buryo bwo kuvura bukoreshwa?
Apheresis ni uburyo bw'ingenzi cyane mu kuvura no gucunga indwara nyinshi. Urugero, uturemangingo tw’umubiri tuzima tw’umuntu uhabwa imiti ikomeye ya kanseri dushobora gukurwaho, tukabikwa neza, hanyuma tukagarurwa nyuma yo kuvurwa. Ubu buryo bukoreshwa cyane cyane muri ibi bikurikira:
Kanseri z'amaraso
Izindi ndwara z'amaraso
Indwara z'ubwonko
Byongeye kandi, apheresis ikoreshwa mu kuvura indwara nko kwanga gutera ingingo no gutera ingingo mu mubiri ugereranije n’indwara yatewe n’umubiri.
Ni gute nakwitegura ibi?
Ibi bikorwa kubera impamvu zitandukanye, bityo si buri wese ugomba kwitegura kimwe.
Rero ikintu cyiza cyo gukora ni ugukurikiza amabwiriza ya muganga wawe neza. Azakubwira neza igihe ubuvuzi buzamara n'icyo ugomba gukora mbere yabwo. Urugero, niba uri umutanga uturemangingo tw'inyuma, uzakenera gufata umuti iminsi mike mbere y'uko ubuvuzi butangira. Ibi bifasha uturemangingo tw'inyuma mu maraso yawe kwinjira mu maraso yawe vuba. Muri rusange,
ni byiza kunywa ibinyobwa byinshi, nk'amazi, iminsi mike mbere y'uko ubuvuzi butangira. Ni iki kibaho mu gihe cyo kubura umwuka (apheresis)?
Nubwo ibi bishobora kumvikana nk'ikintu gikomeye, mu by'ukuri bikorwa mu buryo buri ku murongo, mu buryo butuma wumva wisanzuye.
- Ubwa mbere, uzasabwa kwicara/guhagarara mu ntebe cyangwa ku buriri bwiza.
- Hanyuma, abaganga bazashyira inshinge ebyiri mu mutsi uri mu maboko yawe. Buri rushinge ruzaba rufite katheteri , umuyoboro muto kandi woroshye, ufatanye na rwo.
- Ku ruhande rumwe, amwe mu maraso yawe ajya muri iyo mashini idasanzwe. Imbere muri iyo mashini, ibice by'amaraso bigomba gutandukanywa.
- Hanyuma, igice gikenewe kiratandukana, maze amaraso asigaye agasubizwa mu mubiri wawe binyuze mu muyoboro uri mu kuboko ukundi.
Mu gihe iki gikorwa cyose kirimo kuba, ushobora gusoma igitabo, kumva indirimbo, cyangwa kuruhuka gusa.
Nta mpamvu yo kugira ubwoba kuko abakozi b'abaganga bazahora bari kumwe nawe. Ni izihe ngaruka zishobora kubaho nyuma y'ubu buvuzi?
Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka nke cyane zishobora kubaho. Ariko akenshi izi ni ntoya. Nanone, kubera ko itsinda ry’abaganga rikugenzura mu gihe cyose cy’ubu buvuzi, niba hari ikibazo kivutse, bashobora kugikemura ako kanya.
| Ingaruka/Ingorane | Mu magambo make ... |
|---|
| Umuvuduko w'amaraso uri hasi (Hypotension) | Umuvuduko w'amaraso yawe ushobora kugabanuka gato bitewe nuko amaraso amwe akurwa mu mubiri wawe hanyuma amazi agatangwa kugira ngo wirinde kubyimba kw'amaraso. Ushobora kumva uzumva. |
| Igipimo cya kalisiyumu kiri hasi (Hypocalcemia) | Imiti igabanya amaraso ishobora kugabanya by'agateganyo urugero rwa kalisiyumu mu mubiri, bigatera ibisebe ku minwa no ku maguru. |
| Kuva amaraso | Hashobora kuva amaraso make aturutse aho umuntu yinjiriye. |
| Kwandura | Ni gake cyane, hari amahirwe yo kwandura aho umuntu yashyizemo. |
| Kwangirika kw'imitsi | Ni gake cyane, ibinure cyangwa intege nke bishobora kubaho bitewe n'igitutu ku mitsi mu gihe cyo gushyira urushinge. |
Wibuke ko amahirwe yo kuba ibi bintu bibaho ari make cyane. Niba wumva umerewe nabi, ufite ibinya cyangwa uzumva , menyesha abaganga ako kanya.
Ni ryari ngomba guhamagara muganga?
Nyuma yo kuvurwa, ubusanzwe ushobora gukomeza imirimo yawe ya buri munsi. Muganga wawe azagusobanurira ibimenyetso bito ushobora kwitega nyuma yo kuvurwa.
Niba ibimenyetso byawe bikomeye kurusha uko abivuga, cyangwa niba ufite impungenge cyangwa impungenge, hamagara muganga wawe ako kanya. Ubutumwa bwo kujyana mu rugo
- Apheresis ni uburyo bwihariye bwo kwa muganga bukoreshwa mu gutandukanya ibice bitandukanye by'amaraso.
- Ibi bikubiyemo gutanga igice cy'amaraso cyangwa gukuramo no kuvura ibice birwaye.
- Ubu ni uburyo bwiza bwo kuvura bukorerwa munsi y’ubuyobozi bwa muganga, bityo ntugire ubwoba.
- Kurikiza amabwiriza ya muganga wawe witonze mbere na nyuma yo kuvurwa.
- Niba ugize ikibazo icyo ari cyo cyose mu gihe cyo kuvurwa cyangwa nyuma yaho, menyesha abakozi b'abaganga cyangwa muganga wawe ako kanya.
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