Tuzi ukuntu bigoye kurwanya kanseri. Ni ibisanzwe kumva uremerewe iyo abaganga bavuze amagambo mashya kandi agoye nka "ubuvuzi bushingiye ku ngirabuzimafatizo." Ariko ntugahangayike. Uyu munsi tugiye kuvuga ku bumwe mu buryo bwihariye bwo kuvura. Tekereza ukoresheje uturemangingo tw'umubiri wawe, ukabitoza, hanyuma ukabyohereza gusenya uturemangingo twa kanseri. Ibyo nibyo ubu buryo bwitwa Tisagenlecleucel bukora. Reka tubiganireho mu buryo bworoshye kandi busobanutse.
Tisagenlecleucel (KYMRIAH) ni iki?
Mu magambo make, iki si ikinini ufata cyangwa umuti usanzwe utera mu mitsi. Tisagenlecleucel ni uburyo bwo kuvura imiterere y’uturemangingo . Bikubiyemo gufata ubwoko bw’uturemangingo mu budahangarwa bw’umubiri wawe, ukaduhindura muri laboratwari, hanyuma ukadutoza kumenya no kwibasira uturemangingo twa kanseri.
Mu by’ukuri, imibiri yacu ifite ubwoko bw’uturemangingo tw’intambara twitwa T-cells. Utu turemangingo ni two turwanya indwara. Muri ubu buryo bwo kuvura, abaganga bakura zimwe muri izi T-cells mu mubiri wawe. Hanyuma, muri laboratwari, bakoresha ikoranabuhanga rya genetiki kugira ngo bashyire "indorerwamo ebyiri zidasanzwe" kuri izi T-cells. Ni ukuvuga ko bahindura utwo turemangingo kugira ngo tubashe kumenya ibimenyetso byihariye ku buso bw’uturemangingo twa kanseri. Hanyuma, miliyoni z’utu turemangingo twa T-cells "dufite imbaraga nyinshi" zirakura hanyuma zigashyirwa mu mubiri wawe binyuze mu mutsi. Ubu utwo turemangingo twatojwe tujya mu turemangingo twa kanseri tukaturimbura.
Ubu buryo bwo kuvura bukoreshwa cyane cyane mu kuvura ubwoko butandukanye bwa kanseri, harimo kanseri y’uruhu ifata umugongo (ALL) , kanseri y’uruhu, na kanseri itari iya Hodgkin .
Ibintu ugomba kubwira muganga wawe mbere yo gutangira kuvurwa
Nubwo ubu ari uburyo bwo kuvura ukoresheje uturemangingo twawe bwite, ni ngombwa kugirana ikiganiro gifunguye n'itsinda ryita ku barwayi mbere yo gutangira. Bagomba kumenyeshwa ibi bikurikira:
- Ubwandu buriho ubu: Tubwire niba ufite ubwandu ubu, nk'umuriro, inkorora, ibicurane, cyangwa indwara zo mu nzira y'inkari.
- Indwara zo kubyimba: Bwira muganga wawe indwara iyo ari yo yose iterwa no kubyimba mu mubiri.
- Allergie: Menya neza ko utubwire niba ufite allergie, atari kuri uyu muti gusa, ahubwo no ku wundi muti, ibiryo, cyangwa irangi.
- Gutwita: Niba utwite, ugerageza gusama, cyangwa ufite amakenga ko utwite, bwira muganga wawe vuba. Ibi ni ingenzi cyane.
- Konsa: Niba wonsa umwana wawe, menyesha na muganga wawe.
Utanga ubu buvuzi ute?
Ubu buvuzi bukubiyemo intambwe nyinshi kandi bukorwa munsi y’igenzura rya hafi ry’itsinda ry’abaganga mu bitaro cyangwa ivuriro ryihariye.
1. Gukusanya uturemangingo: Hafi ibyumweru 3-4 mbere y'uko uvurwa, uturemangingo twa T dukurwa mu mubiri wawe. Ibi bikorwa binyuze mu buryo bwitwa leukapheresis . Bisa no gutanga amaraso. Amaraso akurwa mu mitsi, akanyuzwa mu mashini yihariye, igatandukanya uturemangingo tw'amaraso twera, harimo na uturemangingo twa T, hanyuma andi maraso agasubizwa mu mubiri wawe.
2. Amahugurwa y'uturemangingo: Utu turemangingo twakusanyijwe twoherezwa muri laboratwari tugatozwa kurwanya kanseri.
3. Gutera: Iyo uturemangingo tumaze gutozwa no gukura, twinjizwa mu mubiri wawe binyuze mu mitsi, nk'umuti wa saline. Iyi gahunda yose ibera mu bitaro.
Igikuru ni uko kubera ko uyu muti ukozwe mu turemangingo twawe bwite, ari uburyo bwo kuvura bwihariye kuri wewe . Bityo, uyu muti ntushobora gusangirwa n'undi muntu uwo ari we wese.
Ibintu ugomba kuzirikana mugihe urimo kuvurwa
Indwara yawe izakurikiranwa cyane n'abaganga bawe muri iki gihe cyo kuvurwa. Ugomba kandi kubimenya.
- Gusinzira no gutwara imodoka: Ushobora kumva usinziriye kandi uzumva umeze nk'ufite isereri . Rero , ntugakore ikintu cyose gisaba kuba maso mu mutwe, nko gutwara imodoka cyangwa gukoresha imashini ziremereye, kugeza igihe umenye neza uko uyu muti ukugiraho ingaruka.
- Ingaruka zo kwandura: Ubu buryo bwo kuvura bushobora kugabanya by'agateganyo ubushobozi bw'umubiri wawe bwo kurwanya indwara. Gerageza kwirinda abantu barwaye. Niba ugaragaje ibimenyetso nk'umuriro, kubabara umubiri, cyangwa kubabara mu muhogo , hamagara muganga wawe ako kanya aho kwiyishyurira.
- Gutanga amaraso cyangwa ingingo: Irinde gutanga amaraso, ingingo, ingirabuzima fatizo, cyangwa amagi (oocytes) mu gihe ufata ubu buvuzi no mu gihe runaka nyuma yaho.
- Gutwita (Ni ingenzi cyane): Ntugatwite ku mpamvu iyo ari yo yose mu gihe ufata uyu muti. Nanone, niba uteganya kubyara cyangwa ukeka ko utwite, ugomba kubimenyesha muganga wawe vuba. Uyu muti ushobora kwangiza cyane umwana uri mu nda.
- Indi miti: Bwira muganga wawe indi miti yose ufata (harimo na vitamine n'imiti y'ibimera). Inkingo nzima ntabwo ziraboneka cyane cyane muri iki gihe.
- Ibyihutirwa:Ibi bitangwa mu bitaro, bityo ntuzafata imiti myinshi. Ariko, niba habaye ikibazo cyihutirwa, menyesha itsinda ry’abaganga ako kanya. Nibiba ngombwa, bazakujyana mu Kigo cyita ku Buvuzi bw’Ingoboka (ETU) . Niba ukeka ko hari uburozi, ushobora guhamagara Ikigo cy’Igihugu gishinzwe Amakuru ku Burozi mu Bitaro by’Igihugu bya Colombo .
Ingaruka mbi zishobora guterwa n'uyu muti
Kimwe n'indi miti yose, iyi ishobora kugira ingaruka mbi. Zimwe muri zo zigomba kumenyeshwa ako kanya, izindi zikaba zidakomeye cyane. Reba imbonerahamwe iri hepfo.
| Gushyira mu byiciro ingaruka mbi | |
|---|---|
| Ibintu ugomba kubwira muganga wawe cyangwa itsinda ry'abaganga ako kanya | |
| Allergie | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa cyangwa ku rurimi. |
| Ingorane zo guhumeka | Kugorwa no guhumeka. |
| Impinduka mu mutwe | Urujijo, kugorwa no kuvuga cyangwa kumva. |
| Ibimenyetso by'umubare muke w'uturemangingo tw'amaraso | Ibimenyetso by'ubwandu: umuriro, ubukonje, kubabara mu muhogo. Ibimenyetso byo kuva amaraso: gukomereka, utudomo dutukura ku ruhu, umwanda w'umukara, amaraso mu nkari. Uturemangingo dutukura tw’amaraso turi hasi: umunaniro ukabije, gucika intege, ububobere. |
| Ibindi bimenyetso bikomeye | Impiswi, kubura uburinganire, kubabara imitsi cyangwa ingingo, isesemi, kuruka, gucika intege, ibimenyetso by'umuvuduko w'amaraso uri hasi (kuzungera, gucika intege). |
| Niba bikomeje cyangwa bikubangamiye, bwira muganga wawe. | |
| Ingaruka zisanzwe | Kurya impatwe, kubura ubushake bwo kurya, kuribwa umutwe, kubabara mu gifu, kubyimba amaguru n'ibirenge. |
Uru rutonde ntirukubiyemo ingaruka zose zishobora kubaho. Niba uhuye n'ikintu kidasanzwe, vugana na muganga wawe ku bijyanye nacyo.
Ubutumwa bwo kujyana mu rugo
- Tisagenlecleucel ni uburyo bwo kuvura kanseri hifashishijwe ikoranabuhanga rya gene, bukoresha uturemangingo tw’umubiri wawe mu kuvura kanseri.
- Ubu ni uburyo bwihariye bwo kuvura butangwa mu bitaro, bukoreshwa mu kuvura kanseri y'amaraso ikabije na kanseri y'amaraso.
- Ni ngombwa ko ubwira muganga wawe amakuru yose y’ubuzima bwawe (ubwandu, ubwivumbure, gutwita) mbere yo gutangira kuvurwa.
- Mu gihe cyo kuvurwa, menya neza ibimenyetso by'ubwandu (umuriro, inkorora). Niba ibimenyetso nk'ibyo bigaragaye, shaka ubufasha bwa muganga vuba.
- Kubera ko ushobora kumva usinziriye, irinde gutwara imodoka no gukora imirimo isaba kwitonda kugeza igihe uzaba wakize neza.
- Irinde gusama burundu mu gihe cyo kuvurwa. Ibi ni ingenzi cyane.
- Ntutinye kuvugana n'itsinda ry'abaganga bawe ku mpungenge cyangwa gushidikanya ushobora kuba ufite. Barahari kugira ngo bagufashe.
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