Ubudahangarwa bw'umubiri wawe ni ubwirinzi butangaje. Ariko rimwe na rimwe ubu buryo bushobora gukora mu buryo butandukanye gato. Rimwe na rimwe bushobora gukora cyane bukangiza umubiri wacu, cyangwa rimwe na rimwe bugakenera ubufasha mu kurwanya abanzi nk'uturemangingo twa kanseri. Muri ibyo bihe, tuvuga ku buryo bwihariye bwo kuvura bufasha ubudahangarwa bw'umubiri wacu no kugenzura imikorere yabwo. Ubwo ni uburyo bwo gufotora.
Mu magambo make, photopheresis ni iki?
Photopheresis ni uburyo bwo kuvura bukoresha urumuri kugira ngo buhindure imikorere y’uturemangingo tw’amaraso twera, twitwa lymphocytes. Utu turemangingo, twitwa lymphocytes, ni two dusirikare tw’ingenzi tw’ubudahangarwa bw’umubiri wacu. Ni two twangiza ibintu nk’uturemangingo twa kanseri, bagiteri na virusi. Rero, niba hari ikibazo kuri izi lymphocytes, kuvura photopheresis ni ingirakamaro cyane.
Tekereza muri ubu buryo. Bafata amwe mu maraso yawe, bakayashyira mu mashini, hanyuma bagatandukanya uturemangingo tw'amaraso twera gusa twitwa lymphocytes. Hanyuma, bayavanga n'umuti wihariye bakayashyira ku rumuri rwa UV, ibyo bigatuma utwo turemangingo duhinduka. Amaherezo, utwo turemangingo twavuwe twongera gushyirwa mu mubiri wawe hamwe n'andi maraso yawe.
Binyuze muri ubu buryo, dushobora gukomeza ubudahangarwa bw'umubiri wacu, cyangwa tukabugenzura niba bukora mu buryo butifuzwa. Mu yandi magambo, ubu buryo bwo kuvura bufite ubushobozi bwo 'gufungura no kuzimya' ubudahangarwa bw'umubiri uko bikenewe.
Ni izihe ndwara ubu buvuzi bukoreshwa?
Photopheresis ni ubwoko bwa immunotherapy. Ni ukuvuga ko ari uburyo bwo kuvura indwara dukoresheje ubudahangarwa bwacu bwite. Hari uburyo bwinshi bukoreshwa muri ubwo buryo.
| Indwara | Ibisobanuro byoroshye |
|---|---|
| Lymphoma y'uturemangingo twa T two mu gace k'inyuma (CTCL) | Iyi ni kanseri y'amaraso idakunze kugaragara yibasira uruhu. Ubuvuzi bwa Photopheresis bwatangijwe bwa mbere nk'ubuvuzi bw'iyi ndwara. Iyo lymphocytes zavuwe zongeye gushyirwa mu mubiri, zifasha mu gusenya uturemangingo twa kanseri. |
| Indwara ya GVHD (GVHD) | Nyuma yo guterwa umwongo w'amagufwa, uturemangingo dushya twakiriwe dushobora gutangira kwibasira umubiri wawe nk'aho ari 'umwanzi.' Ubu buryo bwo kuvura bushobora guhagarika cyangwa kugenzura icyo gitero kidakenewe. |
| Kwanga guterwa ingingo z'umubiri | Nyuma yo guterwa urugingo rukomeye, nk'ibihaha, umwijima, cyangwa umutima, ubudahangarwa bw'umubiri bushobora kwanga urugingo rushya. Ubu buryo bwo kuvura bufasha kwirinda ibyo. |
Izindi ndwara
Uretse izi ndwara z'ingenzi, abaganga bashobora gusaba ubuvuzi bwa photopheresis ku zindi ndwara nyinshi.
- Indwara ya Crohn
- Eczema (indwara y'uruhu itera indwara ya atopic)
- Scleroderma
- Psoriasis, indwara y'uruhu
- Diyabete yo mu bwoko bwa 1
Twakwitegura dute mbere yo kuvurwa?
Muganga wawe azagusobanurira ibi. Akenshi, bazagusaba kwita kuri ibi bintu mbere yo kuvurwa.
- Nywa amazi menshi: Nywa nibura ibirahuri 8 by'amazi ku munsi mu minsi ibiri mbere yo kuvurwa. Ibi bizafasha amaraso yawe gutembera neza, bikorohereze gukurura amaraso mu gihe cyo kuvurwa.
- Irinde kafeyine na alcool: Ibintu nk'icyayi, ikawa na alcool bishobora gukurura amazi mu mubiri, bigatinda amaraso gutembera.
- Irinde ibiryo birimo ibinure: Iyo uriye ibiryo birimo ibinure byinshi, nk'ibiryo bikaranze n'ibiryo biryoshye, bishobora kugorana gato ku mashini itandukanya uturemangingo tw'amaraso twera n'amaraso gukora akazi kayo.
Ubu buryo bwo kuvura bukora bute?
Iyi gahunda yose ibera uryamye neza ku buriri. Ni igikorwa kidababaza.
1. Gufata amaraso: Umuforomo cyangwa umuganga azakura amaraso mu mutsi uri mu kuboko kwawe cyangwa anyuze mu muyoboro wabugenewe (catheter) washyizwe mu gituza cyawe. Iyo bibaye ngombwa, amavuta yo gusiga amarangi ashobora gusigwa aho hantu kugira ngo hirindwe ububabare.
2. Gutandukanya uturemangingo:Amaraso ufata ajya mu mashini yihariye. Iyi mashini itandukanya uturemangingo tw'amaraso twera gusa twitwa lymphocytes n'uturemangingo dutukura n'udupira tw'amaraso mu maraso yawe.
3. Kongeramo imiti: Umuti w’ibimera wizewe witwa `8-methoxypsoralen (8-MOP)` wongerwa ku turemangingo tw’amaraso tw’umweru twatandukanye. Uyu muti ukora gusa iyo ushyizwe ku mucyo.
4. Ubuvuzi bw'urumuri: Noneho, uturemangingo tw'amaraso twera turi kuri uyu muti duhura n'urumuri rwa ultraviolet A (urumuri rwa UVA) ruri muri mashini. Hanyuma, umuti utangira gukora ugahindura imikorere y'uturemangingo tw'amaraso twera.
5. Gusubiramo amaraso: Amaherezo, uturemangingo tw’amaraso umweru twavuwe muri ubwo buryo twongera gushyirwa mu mubiri wawe, hamwe n’ibindi bice by’amaraso byari byaratandukanye mbere.
Iyi gahunda yose ishobora gufata amasaha agera kuri 3-4.
Ni izihe ngaruka mbi n'ibintu twagombye kumenya?
Photopheresis ifatwa nk'uburyo bwiza bwo kuvura , kandi abantu benshi nta ngaruka mbi bagira.
Ariko, rimwe na rimwe ibintu bito bishobora kubaho.
- Umuvuduko w'amaraso yawe ushobora kugabanuka gato mu gihe cyo kuvurwa. Ibi nibibaho, ushobora guhabwa amazi yo mu mitsi kugira ngo wongere umere nk'uko bisanzwe.
- Ushobora kumva ufite isesemi, isereri, cyangwa ibicurane, nk'uko bimeze mu gihe utanga amaraso. Niba ubyumva utyo, bwira umuforomo ako kanya.
- Ushobora kugira umutuku, isereri, cyangwa umuriro nyuma y'amasaha 6-8 nyuma yo kuvurwa. Niba umuriro wawe uri hejuru ya dogere selisiyusi 37.8 (dogere selisiyusi 100), bwira muganga wawe. Ashobora kukugira inama yo gufata umuti nka parasetamol.
Ibintu tugomba kwitondera cyane nyuma yo kuvurwa
Ibi ni ingenzi cyane. Ubuvuzi bwa Photopheresis butuma uruhu rwawe n'amaso yawe byorohera cyane izuba.
Irinde ko wahura n'izuba ryinshi cyangwa ritaziguye mu masaha 24 nyuma yo kuvurwa. Izuba ritaziguye ni urumuri ruturuka mu idirishya cyangwa ku mwenda.
- Niba ugiye hanze, ambara imyenda itwikiriye umubiri wawe wose. Koresha amavuta yo kwisiga afite SPF ya 30 cyangwa irenga.
- Ambara indorerwamo z'izuba zirinda imirasire ya UVA, haba mu nzu no hanze, mu gihe cy'amasaha 24. Indorerwamo z'izuba "zipfutse amaso yombi" ni zo nziza.
Bifata igihe kingana iki kugira ngo ubone ibisubizo?
Ibi bizatandukana bitewe n'uko urwaye ndetse n'umubare w'ubuvuzi. Hari abantu babona ko ibimenyetso byabo byarushijeho kuba byiza mu mezi 3-4. Ku ndwara zimwe na zimwe (nk'indwara ya scleroderma), bishobora gufata amezi 6-12 kugira ngo ibimenyetso birusheho kuba byiza. Kubwibyo, kwihangana ni ingenzi kuri ubu buryo bwo kuvura. Baza muganga wawe igihe ushobora kwitega kubona umusaruro ukurikije uko urwaye.
Ubutumwa bwo kujyana mu rugo
- Photopheresis ni uburyo bwiza bwo kuvura hakoreshejwe urumuri kugira ngo buvure uturemangingo tw’amaraso twera kandi bugenzure imikorere y’ubudahangarwa bw’umubiri.
- Ibi bikoreshwa cyane cyane ku bintu nka kanseri ya CTCL, indwara za GVHD, no gukumira kwangwa nyuma yo guterwa ingingo.
- Ubuvuzi ntibubabaza, ariko kurinda izuba ni ngombwa mu masaha 24 nyuma yo kuvurwa.
- Bishobora gufata igihe kugira ngo ubone umusaruro, bityo rero ni ngombwa kwihangana no gushaka ubuvuzi.
- Vugana na muganga wawe nta guhishanya ku bibazo byose ufite, ubwoba cyangwa gushidikanya kuri ibi.
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