Ese wowe cyangwa undi muntu uzi wigeze abwirwa na muganga ko urwaye kanseri y'amaraso nka kanseri y'amaraso? Ushobora kuba warumvise ijambo "leukapheresis" iyo uvuga uburyo bwo kuvura. Iri zina rishobora gutera ubwoba. Ariko se ubu buryo ni ubuhe? Bukora iki? Ese ni ikintu cyo gutinya? Uyu munsi, turaganira kuri ibi byose mu buryo bworoshye cyane ushobora gusobanukirwa.
Leukapheresis ni iki?
Muri make, leukapheresis ni uburyo bwihariye bwo gukuraho uturemangingo tw’amaraso tw’umweru mu maraso yawe. Tekereza nk’icyuma gisukura amaraso. Dore uko bigenda muri iki gikorwa:
1. Hari amaraso akurwa mu mubiri wawe.
2. Amaraso yoherezwa mu mashini yihariye, aho uturemangingo tw'amaraso twera gusa ari two dutandukanyijwe.
3. Ibice bisigaye by'amaraso, ni ukuvuga uturemangingo dutukura, plaquettes, na plasma, bisubizwa mu mubiri wawe.
Icy'ingenzi ni uko ubu buryo butari umuti w'indwara nka kanseri y'amaraso. Abaganga bakunze gukoresha ubu buryo hamwe n'ubundi buryo bwo kuvura (urugero, imiti ivura kanseri).
Ni mu bihe ibihe ubwo buvuzi bukenewe?
Abaganga bashobora gutanga inama kuri ubu buryo bw'ubuvuzi kubera impamvu zitandukanye. Reka turebe ibyo ari byo.
| Igihe hakenewe ubuvuzi | Ibisobanuro byoroshye |
|---|---|
| Ku bwoko bumwe na bumwe bwa kanseri y'amaraso | Ubu buryo bwo kuvura bukoreshwa iyo ufite indwara nka AML, ALL, cyangwa chronic lymphocytic leukemia (CLL), kandi umubare w’uturemangingo tw’amaraso yawe ukaba uri hejuru cyane. Iyo hari uturemangingo tw’amaraso twinshi cyane, imiyoboro y’amaraso ishobora "kuziba," bigatuma umutima wawe ujya mu kaga. |
| Gukusanya uturemangingo kugira ngo tuvurwe mu bundi buryo | Uburyo bwo kuvura bugezweho nka CAR T-cell therapy busaba uturemangingo tw’amaraso tw’umweru dufite ubuzima bwiza. Ubu buryo bukoresha uturemangingo twawe bwite kugira ngo ubone utwo turemangingo. |
| Gutera uturemangingo tw'inyuma | Ubu buryo bukoreshwa mu gukusanya uturemangingo tw’umubiri tuzima uhereye kuri wewe mbere yo guterwa uturemangingo tw’umubiri/umusemburo w’amagufwa kuri kanseri zimwe na zimwe, nka lymphoma cyangwa multiple myeloma. |
| Nk'umutanga uturemangingo fatizo | Niba utanga uturemangingo tw’umubiri ku wundi muntu, utwo turemangingo na two tuva mu mubiri wawe muri ubwo buryo. |
Ukora iki mbere yo kuvurwa?
Mbere yo gutangira ubu buvuzi, muganga azakora ibizamini bike kugira ngo amenye neza ibirimo kuba ku mubiri wawe. Ibi ni ibisanzwe, bityo ntugahangayike.
- Ibizamini by'amaraso: Suzuma urugero rw'uturemangingo tw'amaraso twera, uturemangingo dutukura, n'urugero rwa platelets.
- Ibipimo bya electrolyte: Reba urugero rw'umunyu mu mubiri.
- Imikorere y'impyiko n'umwijima: Igenzura niba izi ngingo zikora neza.
- Ibipimo byo kuvura amaraso: Ibi bigenzura ubushobozi bw'amaraso bwo kuvura.
Kubera ko ubu buryo bwo kuvura butwara amasaha abiri cyangwa atatu, ushobora kwambara imyenda ijyanye neza. Ni byiza kandi kuzana igitabo cyo gusoma cyangwa ikindi kintu cyo kureba kuri telefoni yawe kugira ngo ukomeze kugira ibyo ukora.
Ni iki kibaho mu gihe cyo kuvurwa?
Ubu buvuzi bukorwa uryamye ku buriri bwiza. Abaganga bazagushyira imirongo ibiri ya IV (cannulas) mu maboko yawe. Umwe uzakura amaraso mu mubiri wawe, undi usubize amaraso yasukuwe mu mubiri wawe. Hari igihe umuyoboro munini (umurongo wo hagati) ufite imirongo yombi ushobora gushyirwa hafi y'ijosi ryawe cyangwa munsi y'ukuboko kwawe.
Mu gihe cyo kuvurwa, ushobora kumva urimo gushyuha mu biganza byawe, mu birenge no mu kanwa . Ntugahangayike. Ibi biterwa nuko urugero rwa kalisiyumu mu maraso yawe ruri hasi gato. Bibwire muganga cyangwa umuforomo ukimara kubyumva. Bazaguha kalisiyumu binyuze mu munyu wawe kandi ibi bizakemura ikibazo vuba.
Reka kandi twige ku bijyanye n'ingaruka za nyuma yo kuvurwa n'ingaruka mbi.
Nubwo ubuvuzi burangiye, abaganga bazagukurikirana igihe runaka kugira ngo barebe ibiri kuba. Hari igihe ushobora gukenera guterwa amaraso kugira ngo usimbuze uturemangingo dutukura cyangwa uduce duto tw’amaraso twatakaye.
Nkuko bigenda ku buvuzi ubwo aribwo bwose, ingaruka mbi nto zishobora kubaho. Ariko ingaruka mbi zikomeye ni nke cyane. Nta kintu na kimwe gikwiye guhangayikishwa nacyo kuko muganga azakurikirana neza inzira yose.
Ingaruka mbi zikunze kugaragara zirimo:
- Hypocalcemia: Iki ni urugero ruto rwa kalisiyumu mu maraso. Ibi byoroshye kuvurwa na kalisiyumu ya IV.
- Anemia: Kugabanuka k'umubare w'uturemangingo dutukura mu maraso. Ibi bishobora kuvurwa no guterwa amaraso mu gihe bibaye ngombwa.
- Thrombocytopenia: Kugabanuka kwa platelets, bifasha kubumba amaraso. Ibi rimwe na rimwe bishobora gutuma kuva amaraso bifata igihe kugira ngo bihagarare, ndetse no mu gihe cy'igikomere gito.
Ku munsi wo kuvurwa, ni byiza kujya mu rugo ukaruhuka gato. Ushobora gukomeza imirimo yawe isanzwe umunsi ukurikiyeho.
Ni ryari ngomba guhamagara muganga?
Kubera ko uri kuvurwa ubu buryo, muganga wawe azakomeza gukurikirana ubuzima bwawe, kimwe nawe. Ariko, niba ubonye kimwe muri ibi bimenyetso bikurikira, bimenyeshe muganga wawe ako kanya.
- Umuriro: Niba ubushyuhe bw'umubiri wawe buri hejuru ya dogere selisiyusi 38 (100.4 Fahrenheit), ibi bishobora kuba ikimenyetso cy'ubwandu.
- Impinduka mu gice cy’umurongo wa IV: Niba ufite umurongo wo hagati, aho igice cy’umurongo kiba gitukura, cyabyimbye, kirababaza, cyangwa gifite amazi asohokamo.
- Ibimenyetso birushaho kwiyongera: Iyo ibimenyetso byawe bya kera bisa n'aho birushaho kwiyongera cyangwa ibimenyetso bishya bikagaragara.
Ubutumwa bwo kujyana mu rugo
- Leukapheresis ni uburyo bwo gukuraho uturemangingo tw’amaraso tudasanzwe cyangwa turenze urugero mu maraso.
- Nubwo ubu atari umuti wuzuye w’indwara nka kanseri y’amaraso, ni ingenzi cyane mu kugenzura vuba ibimenyetso no gushyigikira ubundi buryo bwo kuvura.
- Ubu buryo kandi bukusanya uturemangingo tw’umubiri hanyuma bukadukoresha mu kuvura nko gutera umwongo w’amagufwa.
- Ubuvuzi bumara amasaha make kandi muri rusange nta kibazo bufite. Ingaruka mbi, nko kuba calcium nkeya, zishobora kubaho, ariko icyo gihe zirakemuka.
- Niba ubonye umuriro, ububabare aho umurongo wa IV uri, cyangwa ibimenyetso birushaho kwiyongera nyuma yo kuvurwa, bimenyeshe muganga wawe ako kanya.
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