Byose ku bijyanye no gutera uturemangingo tw’ingirabuzimafatizo / Gutera umwotsi w’amagufwa mu magambo yoroshye

Iyo umuganga wawe akubwiye ko ukeneye "gusimbuza uturemangingo" cyangwa "gusimbuza umworo w'amagufwa," ushobora kumva ufite ubwoba gato, si byo se? Ibyo ni ibisanzwe. Kumva aya magambo bishobora gusa n'ikintu kinini, kigoye, kandi kibabaza. Ariko ntugahangayike. Uyu munsi, tugiye kuganira kuri ibi mu buryo bworoshye cyane , nko kuvugana n'inshuti, kugira ngo ushobore gusubiza ibibazo byose ufite mu mutwe wawe.

Reka tubanze turebe, izi selile z’ingirabuzimafatizo ni izihe?

Mu magambo make, uturemangingo tw’amaraso ni "uturemangingo tw’ingenzi" mu mibiri yacu. Ni uruganda rushobora gukora uturemangingo hafi ya twose mu mibiri yacu. By’umwihariko, uturemangingo tw’amaraso mu musokoro wacu ni uturemangingo tw’ingenzi dukora amaraso yacu. Uturemangingo tw’amaraso dutukura, uturemangingo tw’amaraso umweru, na plaquettes mu maraso yawe byose bikozwe muri utwo turemangingo tw’amaraso.

Rero, mu gihe uru ruganda rukora neza, nta kibazo kiri mu maraso yacu. Ariko bitewe n'indwara zimwe na zimwe, urugero, kanseri nka leukemia, cyangwa izindi ndwara zifitanye isano n'amaraso, uru ruganda rushobora kubura aho rukorera. Ibyo bivuze ko rutangira gukora uturemangingo turwaye mu buryo butari bwo. Hari igihe imiti myinshi ya chimiotherapie ivura kanseri ishobora no kwangiza utwo turemangingo tuzima.

Hari ubwoko bubiri bw'ingenzi bw'iyi terapeti:

Hari uburyo bubiri bw'ingenzi bwo gutera uturemangingo tw'ingirabuzimafatizo, bitewe n'aho uturemangingo twaturutse.

1. Gutera imiti mu buryo bwikora: Ibi bikubiyemo gukoresha uturemangingo twawe bwite dufite ubuzima bwiza. Tekereza ko ugiye guhabwa imiti ivura kanseri ku rugero rwo hejuru. Mbere yuko ubuvuzi butangira, muganga wawe azakusanya uturemangingo twawe dufite ubuzima bwiza mu mubiri wawe maze akatubika mu buryo butekanye muri firigo. Hanyuma, nyuma yuko imiti ivura kanseri yishe uturemangingo twa kanseri, azasubiza uturemangingo twawe bwite dufite ubuzima bwiza mu mubiri wawe. Ni nko kubika dosiye z'ingenzi mbere yo gushushanya mudasobwa yawe, hanyuma ukayigarura nyuma yo kuyitunganya.

2. Gutera Allogeneic: Muri ibi, kubera ko hari ikibazo ku turemangingo twawe bwite (urugero: leukemia), uturemangingo tw’umubiri twakuwe ku wundi muntu muzima (uwatanze) turaterwa muri wowe. Uyu mutanga ashobora kuba uwo mu muryango (muvandimwe/mushiki wawe), cyangwa undi muntu wese ufite ubwoko bw’uturemangingo bujyanye n’uturemangingo. Ikintu cy’ingenzi hano ni uguhuza ingirangingo.Kimwe no guhuza ibyiciro by'amaraso mu gutanga amaraso, hano ubwoko bw'ingingo buhura mu buryo burushijeho kuba ubw'urusobe.

Uku gutera akabariro bikorwa gute koko? Ese birababaza?

Iki ni ikibazo abantu benshi batinya. Mu by'ukuri, gutera uturemangingo fatizo si ukubagwa gukomeye. Tekereza nk'aho uhawe umuti wa saline. Ibi ni kimwe.

Utu turemangingo duto uduha binyuze mu muyoboro wihariye witwa catheter yo mu mitsi yo hagati , ushyirwa mu muyoboro w’amaraso uri mu gituza cyangwa mu ijosi ryawe. Utu turemangingo dushyirwa mu gikapu hanyuma tukajya mu mubiri wawe, nk'uko wabigenza iyo utewe amaraso. Iki gikorwa gishobora gufata amasaha menshi. Muri icyo gihe, itsinda ry’abaganga rizagukurikiranira hafi.

Ntuzumva ububabare ubwo uzahabwa uturemangingo. Ariko, ushobora kugira ingaruka mbi (kuruka, isesemi, no kumererwa nabi) bitewe n'ubuvuzi bwa chimiotherapie bwatanzwe mbere. Ariko muganga wawe azaguha imiti ikenewe kugira ngo ugenzure ibi byose.

Ni izihe ngaruka n'ingorane zishobora guterwa?

Kimwe n'ubundi buryo bwose bwo kuvura, hari ingaruka zimwe na zimwe. Ingaruka nini ni uko indwara ishobora kugaruka nyuma yo guterwa inshinge. Ariko, izo ngaruka zigabanuka uko igihe kigenda gihita.

Indi ngorane yihariye ishobora kubaho, cyane cyane iyo habayeho guteranya allogene (uturemangingo twakuwe ku wundi muntu), yitwaYitwa Indwara ya Graft-versus-Host (GvHD). Mu magambo make, iki ni cyo gihe uturemangingo tw’ubudahangarwa bw’umubiri twakozwe mu turemangingo tw’umuterankunga wamaze gushyira mu mubiri wawe tumenya ko uturemangingo tw’umubiri wawe ari "utw’abanyamahanga" maze tugatangira kutwibasira. Ni nk’abashinzwe kurinda bashya batera umuryango wawe. Hari uburyo bwo kubigenzura.

Byongeye kandi, hari ibyago byo kwandura indwara zitandukanye (bagiteri, virusi, ibihumyo) uko ubudahangarwa bw'umubiri bugenda bugabanuka.

Bifata igihe kingana iki kugira ngo umuntu akire?

Ibi bizatandukana bitewe n'ubwoko bw'inyongera watewe.

• Umuntu wakorewe inshinge zo mu mubiri (uturemangingo twawe bwite) ashobora gukira mu mezi abiri.
• Bishobora gufata amezi menshi kugeza ku mwaka kugira ngo umuntu watewe inshinge (donors cells) kugira ngo akire neza.

Iki gihe cyo gukira ni cyo gihe uturemangingo dushya twinjiyemo tujya mu musokoro w'amagufwa, tugatura aho (engraftment), tugatangira gukora uturemangingo dushya tw'amaraso dufite ubuzima bwiza. Iminsi 100 ya mbere nyuma yo guterwa allogeneic ni ingenzi cyane. Abaganga bashobora kukugira inama yo kuguma hafi y'ibitaro muri iki gihe.

Ibintu ushobora gukora ubwawe mu gihe cyo gukira

Uru rugendo ni rurerure, bityo rero ni ngombwa cyane ko wiyitaho neza muri iki gihe.

• Fata uruhu rwawe nk'urw'uruhinja: Uruhu rwawe rushobora kuba rworoshye cyane nyuma yo kuvurwa. Koresha amasabune yoroheje na shampoo. Komeza uruhu rwawe rugire ubushuhe kandi wirinde iyo ugiye hanze ku zuba.
• Kurya indyo yuzuye: Ibi ni ingenzi cyane. Kurya inyama, amafi, imboga, imbuto n'ibinyampeke bitetse neza. Irinde kurya salade mbisi, imbuto zitakarabye, amagi mabisi, n'amata adatetse kuko bishobora gutera indwara nyinshi.
• Irinde kwandura indwara: Karaba intoki zawe kenshi. Irinde ahantu hahurira abantu benshi n'ahantu abantu barwaye. Baza muganga wawe inkingo ugomba guhabwa.
• Wite ku menyo yawe: Jya kwa muganga w'amenyo buri mezi 6. Komeza kugira isuku mu kanwa.
• Kuruhuka bihagije: Hari iminsi uzumva unaniwe cyane. Hari n'iminsi uzumva umeze neza. Ntugahangayikishwe no kugira umunsi unaniza, ni ikimenyetso gusa cy'uko umubiri wawe ukeneye kuruhuka.
• Tekereza ku buzima bwawe bwo mu mutwe: Ni ibisanzwe kumva ufite ibibazo mu marangamutima muri iki gihe. Niba wumva wihebye, vugana na muganga wawe, umuryango wawe, kandi usabe ubufasha ku mujyanama nibiba ngombwa.

Niba ufite ibi bimenyetso, hamagara muganga wawe ako kanya.

Niba ugaragaje kimwe muri ibi bimenyetso bikurikira mu gihe cyo gukira, menyesha itsinda ry’abaganga ako kanya.

Ku muntu urwaye kanseri cyangwa indwara y'amaraso, gutera uturemangingo tw'umubiri bishobora guhindura ubuzima bwe. Ariko si urugendo rworoshye. Bisaba imbaraga nyinshi z'umubiri n'izo mu mutwe. Niba urimo gutekereza kuri ubu buryo bwo kuvura, ganira na muganga wawe ku buryo bweruye kandi usobanukirwe ibyiza n'ibibi. Bazaguha inama nziza bitewe n'imimerere yawe.