Iyo umuganga wawe akubwira cyangwa umuntu uzi arwaye kanseri y'amaraso nka kanseri y'amaraso, bavuga kuri buri buryo bwo kuvura, si byo se? Ushobora kuba warumvise ijambo 'leukapheresis'. Nubwo iri zina rishobora kumvikana nk'aho riteye ubwoba kandi rigoye, ntabwo riteye ubwoba cyane. Uyu munsi, reka tuganire ku cyo Leukapheresis ari cyo, impamvu ikorwa, n'uko ikora mu buryo bworoshye cyane.
Mu magambo make, leukapheresis ni iki?
Tekereza nk'iyo dukora amata y'ibitoki, dukandagira ibitoki hanyuma tugatandukanya amata n'ibinure. Leukapheresis ni nk'ibyo. Ibi bikubiyemo gukura amaraso mu mubiri wawe, tukayohereza binyuze mu mashini yihariye, itandukanya uturemangingo tw'amaraso twera . Hanyuma andi maraso, ari yo selile zitukura, plasma, na plaquettes, asubizwa mu mubiri wawe.
Icy'ingenzi ni uko leukapheresis atari umuti wa kanseri y'amaraso cyangwa izindi ndwara z'amaraso. Ikoreshwa hamwe n'ubundi buryo bwo kuvura (nk'imiti ivura indwara za kanseri) kugira ngo ifashe mu kugenzura ibimenyetso no gushyigikira ubundi buryo bwo kuvura.
Kuki ubu buvuzi ari ngombwa?
Hari impamvu nyinshi zituma abaganga basaba ubu buryo bwo kuvura. Reka turebe impamvu nyamukuru.
- Iyo umubare w'uturemangingo tw'amaraso tw'umweru mu maraso uri hejuru cyane: Mu bwoko bumwe na bumwe bwa leukemia (urugero, `(Acute Myeloid Leukemia - AML)`, `(Acute Lymphocytic Leukemia - ALL)`, `(Chronic Lymphocytic Leukemia - CLL)`) uturemangingo tw'amaraso tw'umweru tudasanzwe twiyongera mu buryo butunguranye. Utu turemangingo dushobora kwinjira mu mitsi y'amaraso no kubuza amaraso gutembera. Ibi byongera ibyago byo kwangirika ku ngingo nk'umutima n'ubwonko. Bityo ubu buryo bwo kuvura bukoreshwa mu gukuraho vuba utwo turemangingo tw'inyongera no gutanga ubutabazi ku murwayi.
- Gukusanya uturemangingo tw’umubiri: Ku bwoko bumwe na bumwe bwa kanseri (urugero, lymphoma, multiple myeloma), imiti ivura indwara nyinshi yangiza umusokoro w’amagufwa. Rero, mbere yo kuvurwa, uturemangingo tw’umubiri tuzima turakusanywa mu maraso tukabikwa, hanyuma nyuma yo kuvurwa, tugasubizwa mu mubiri. Hanyuma, uturemangingo tw’amaraso dushya tuzima dushobora gukorwa. Utwo turemangingo tw’umubiri dukururwa binyuze mu buryo bwa leukapheresis.
- Guha undi muntu uturemangingo tw’inyuma: Niba uri umutanga ukwiriye wo gutera umwongo w’amagufwa undi murwayi, ubu buryo bukoreshwa no kubona uturemangingo tw’inyuma tuvuye kuri wewe.
- Kugira ngo ubone uturemangingo two kuvurwa byihariye:Uburyo bushya bwo kuvura kanseri, nka CAR T-cell therapy, bukubiyemo gufata uturemangingo tw’umubiri tw’umurwayi, "tukabahugura" muri laboratwari kugira ngo turwanye kanseri, hanyuma tukabongera kuyisubiza mu mubiri. Utwo turemangingo dukurwa mu mubiri binyuze mu buryo bwitwa leukapheresis.
Ni iki kibaho mbere yo kuvurwa?
Mbere yo gutangira ubu buvuzi, muganga wawe azakora ibizamini byinshi.
- Ibizamini by'amaraso: Bisuzuma umubare w'uturemangingo tw'amaraso twera, ndetse n'urugero rw'uturemangingo dutukura n'uturemangingo twa plaquettes.
- Ibipimo bya electrolyte: Reba urugero rw'umunyu mu mubiri, nka kalisiyumu na potasiyumu.
- Ibipimo by'imikorere y'impyiko n'umwijima.
- Ibipimo byo gupima amaraso.
Kubera ko ubu buvuzi buzatwara amasaha menshi, nyamuneka wambare imyenda ijyanye neza . Ni byiza kandi kuzana igitabo cyo gusoma cyangwa ikindi kintu cyo kureba kuri telefoni yawe mu gihe cy'ubuvuzi.
Ni iki kibaho mu gihe cyo kuvurwa?
Uzashyirwa ku buriri bwiza, kandi umuforomo cyangwa umuganga azashyiramo utubuto tubiri (imirongo ya IV) mu maboko yawe, nk'umunyu, mu mitsi yawe. Imwe izakura amaraso yawe buhoro buhoro mu mubiri wawe mu mashini, indi izasubiza amaraso yawe mu mubiri wawe. Hari igihe, umuyoboro umwe munini (umurongo wo hagati) uzashyirwa mu mutsi munini uri mu ijosi ryawe cyangwa munsi y'ukuboko kwawe. Ibi bifite uburyo bwo gufata amaraso no kuyasubiza.
Ubu buryo bwose bushobora gufata amasaha abiri cyangwa atatu .
Mu gihe cyo kuvurwa, ushobora kumva urimo gushyuha mu ntoki zawe, ibirenge byawe no ku minwa yawe. Ntugahangayike. Ibi biterwa nuko urugero rwa kalisiyumu mu maraso yawe ruri hasi gato. Niba wumva umeze utyo, bwira umuforomo uri aho, maze bakongera kalisiyumu mu muti wa saline baguhaye. Hanyuma ubwo buryo buzashira.
Ni iki wakwitega nyuma yo kuvurwa?
Nyuma yo kuvurwa, abakozi bo kwa muganga bazagukurikirana igihe gito. Bazasuzuma umuvuduko w'amaraso yawe n'imitsi yawe. Bashobora kandi gufata ikindi gipimo cy'amaraso. Bitewe n'ibisubizo by'ibyo bipimo, niba urugero rw'uturemangingo dutukura tw'amaraso cyangwa plaquettes mu maraso yawe ruri hasi, muganga wawe ashobora kukugira inama yo guterwa amaraso .
Ese hari ingaruka mbi zibitera? Ese nkwiye guhangayika?
Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka mbi zishobora kubaho. Ariko, ingaruka mbi zikomeye ntizikunze kubaho . Ikintu cy'ingenzi ni uko muganga cyangwa umuforomo azajya agukurikirana mu gihe cyose cy'ubuvuzi. Rero niba hari ikibazo, bazahita bagufasha.
Reka turebe ingaruka mbi nyamukuru.
| Ingaruka mbi | Ibi bivuze iki? | Abaganga bakora iki? |
|---|---|---|
| Hypocalcemia | Umunyu wa kalisiyumu muke mu maraso. Ibi bishobora gutera gushyuha hirya no hino ku minwa, ku maboko no ku birenge. | Ibi ni ibisanzwe cyane. Iyo ubibwiye umuforomo, azongeramo kalisiyumu mu munyu uhabwa. |
| Anemia | Uturemangingo duto dutukura dushobora gukurwaho muri iki gikorwa, ibyo bikaba byatera kugabanuka k'umubare w'uturemangingo dutukura tw'amaraso. | Muganga ashobora gusuzuma inyandiko z'amaraso yawe, kandi nibiba ngombwa, akagutera amaraso. |
| Thrombocytopenia | Kugabanuka kw'ibipimo bya platelets, bifasha amaraso kubumba. Ibi bituma amaraso ashobora kuva cyane. | Itsinda ry'abaganga ririmo gukurikirana ibi nabyo. Iyo bibaye ngombwa, hashobora guterwa platelets. |
Nyuma yo gutaha no mu gihe ukeneye kuvugana na muganga
Ni byiza kuruhuka umunsi umwe cyangwa irenga nyuma yo kuvurwa. Niba urimo guhabwa ubu buvuzi, ushobora kuba usanzwe uhabwa ubuvuzi bwa kanseri cyangwa indwara ifitanye isano n'amaraso. Kubwibyo, niba ubonye kimwe muri ibi bimenyetso bikurikira, menyesha muganga wawe ako kanya .
- Niba ufite umuriro (uri hejuru ya selisiyusi 38 cyangwa se 100.4 Fahrenheit), ibi bishobora kuba ikimenyetso cy'ubwandu.
- Iyo ushyizemo umurongo wo hagati, aho hantu hahinduka umutuku, hakabyimba, hakababara, cyangwa hakavamo amazi ameze nk'ibibyimba .
- Ibimenyetso byawe birimo kwiyongera kurusha uko bisanzwe.Niba wumva ubyifuza.
Ntukirengagize ibintu nk'ibi. Uko ubivuga vuba, niko byoroha kugenzura ikibazo icyo ari cyo cyose.
Ubutumwa bwo kujyana mu rugo
- Leukapheresis ni uburyo bwo kuvura aho amaraso amwe akurwa mu mubiri, uturemangingo tw’amaraso twera tugatandukanywa hakoreshejwe imashini yihariye, hanyuma andi maraso agasubizwa mu mubiri.
- Ibi ahanini bikorwa kugira ngo bigabanye vuba umubare w’uturemangingo tw’amaraso twera mu ndwara nka kanseri y’amaraso no gukusanya uturemangingo tw’umubiri kugira ngo dutere umwotsi w’amagufwa.
- Nubwo ubu atari umuti w'indwara, ni uburyo bw'ingenzi cyane bwo kuvura kugira ngo hagenzurwe ibimenyetso no gutuma ubundi buryo bwo kuvura burushaho kugira akamaro.
- Kubabara mu gihe cyo kuvurwa ni ibisanzwe. Abakozi baho bavura vuba. Ingaruka mbi zikomeye ni gake cyane.
- Niba ufite ikibazo, impungenge, cyangwa gushidikanya kuri ubu buryo bwo kuvura, ntugatinye kubivuganaho na muganga wawe mu buryo bweruye .











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Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.