Ngaba wakha wanikela ngegazi? Ngokwesiqhelo, xa sinikela ngegazi, sibonelela ngesampulu yegazi lonke. Kodwa ubusazi na ukuba kukho inkqubo ekhethekileyo yezonyango ebizwa ngokuba yi-Apheresis—ngamanye amaxesha ebizwa ngokuba yi-pheresis—esivumela ukuba sahlule izinto ezithile zegazi lakho, ezifana neeseli ezibomvu, iiseli ezimhlophe, okanye iiplatelets, okanye sisuse izinto eziyingozi ezibangela izifo ezithile? Apha eNirogi Lanka, sifuna ukukunceda uqonde le ndlela imangalisayo yezonyango ngokulula.
Yintoni kanye kanye i-Apheresis?
Cinga ngayo njengokwahlula ubisi lwekhokhonathi olujiyileyo kwinguqulelo yamanzi emva kokuyicinezela. I-Apheresis isebenza ngendlela efanayo. Umatshini okhethekileyo we-centrifuge utsala igazi lakho uze ulijikelezise ngesantya esiphezulu ukuze ulahlule libe ziinxalenye zalo ezahlukeneyo.
Xa sahlukene, siqokelela kuphela into efunekayo (umzekelo, iiplatelets eziphilileyo) size sibuyisele lonke igazi emzimbeni wakho. Le ndlela isetyenziswa kakhulu ngeenjongo ezimbini:
1. Ukunikela ngeGazi: Ukunikela kuphela ngezinto ezithile ezifunekayo kwisigulana, ezinje ngeeseli ezibomvu zegazi, iiplatelets, okanye iplasma.
2. NjengoNyango: Ukususa izinto ezingaqhelekanga okanye eziyingozi egazini (ezifana neeseli zomhlaza ) ezibangela ukugula emzimbeni wakho.
Ziziphi iintlobo eziphambili ze-Apheresis?
Olu nyango lwenzelwe wena ngokweemfuno zakho ezithile. Nceda ujonge kwitheyibhile engezantsi ukuze uqonde iintlobo ezahlukeneyo.
| Uhlobo lwe-Apheresis | Oko ikwenzayo |
|---|---|
| I-Leukapheresis | Ukususa iiseli zegazi ezimhlophe eziyingozi egazini lakho ukuze kuncitshiswe iimpawu. |
| Ukuqokelelwa kweeseli ze-stem zegazi ezijikeleze ummandla | Ukuqokelela ii-stem cells ezingavuthwanga egazini ukuze zifakwe kwi-stem cell. |
| I-Photopheresis | Ukususa uhlobo oluthile lweeseli ezimhlophe zegazi ezibizwa ngokuba zii-lymphocytes, ukuzibeka kukukhanya kwe-UVA ukuze kuphuculwe umsebenzi wazo, nokuzibuyisela emzimbeni ukuze zilwe neeseli zomhlaza okanye iintsholongwane. |
| I-Plasmapheresis (utshintshiselwano lwe-plasma) | Ukususa inxalenye yolwelo egazini lakho (iplasma) uze uyifake iplasma esempilweni okanye ulwelo olutshintshayo ukuze unyange izifo ezahlukeneyo ezinzulu. |
| Ukuncipha kweeplatelet | Ukususa iiplatelets ezingaphezulu xa umzimba wakho unenani eliphezulu eliyingozi. |
| Ukutshintshiselana kweeseli ezibomvu zegazi | Ukususa iiseli ezibomvu zegazi ezingaphilanga kakuhle okanye ezingaqhelekanga (umz., kwi-sickle cell anemia) uze uzitshintshele iiseli ezibomvu zegazi eziphilileyo. |
Zeziphi iimeko olu nyango lusetyenziselwa zona?
I-Apheresis sisixhobo esibalulekileyo ekunyangeni nasekulawuleni iimeko ezininzi zempilo. Umzekelo, kwabo bafumana unyango olunzulu lwe-chemotherapy, singavuna iiseli zakho eziphilileyo ngale ndlela ukuze zigcinwe ngokukhuselekileyo size sizibuyisele kuwe emva konyango lwakho.
Isetyenziswa kakhulu kwezi meko zilandelayo:
Umhlaza Wegazi
- I-leukemia ye-acute myeloid
- Iindidi ezithile ze -lymphoma
- I-myeloma eninzi
- I-Waldenstrom macroglobulinemia
Ezinye Iingxaki Zegazi
- I-anemia yeseli yesickle
- I-Cryoglobulinemia
- I-Thrombotic thrombocytopenic purpura
Iingxaki ze-Neurologic
- Isifo sikaGuillain-Barré
- Isifo sokugubhuka
- I-Myasthenia gravis
Ukongeza, i-apheresis isetyenziselwa ukulawula ukwaliwa kokufakelwa kwamalungu omzimba kunye nesifo se-Graft vs. host.
Ndingazilungiselela njani?
Ngenxa yokuba le nkqubo isetyenziselwa izizathu ezahlukeneyo, amalungiselelo ayahluka kuye wonke umntu onesifo. Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho ngokuchanekileyo. Ugqirha wakho uza kuchaza ukuba le nkqubo iza kuthatha ixesha elingakanani kunye namanyathelo athile ekufuneka uwathathe kwangaphambili.
Umzekelo, ukuba ungumnikeli weeseli ze-stem, unokufuna ukuthatha amayeza kwiintsuku ezimbalwa ngaphambi kwenkqubo yokunceda ukukhulula iiseli ze-stem kwi-bone marrow yakho ziye egazini lakho.
Ngokuqhelekileyo, kuyacetyiswa kakhulu ukuba uhlale unamanzi aneleyo ngokusela amanzi amaninzi kwiintsuku ezikhokelela kunyango lwakho.
Kwenzeka ntoni ngexesha lenkqubo ye-Apheresis?
Nangona kusenokuvakala kuthusa, le nkqubo icwangcisiwe kwaye yenziwa ngendlela ekugcina ukhululekile kangangoko.
- Okokuqala, uza kuhlala phantsi okanye ucelwe ukuba ulale phantsi kwisitulo okanye ebhedini ekhululekileyo.
- Okulandelayo, abasebenzi bethu bezonyango baza kufaka iinaliti ezimbini ezincinci kwimithambo esezingalweni zakho zombini. Inaliti nganye iqhagamshelwe kwi- catheter , eyityhubhu encinci neguquguqukayo.
- Igazi liza kutsalwa kancinci kwingalo enye lize lithunyelwe kumatshini okhethekileyo, owahlula ngononophelo iinxalenye ezahlukeneyo zegazi lakho.
- Nje ukuba izinto ezifunekayo ziqokelelwe, igazi eliseleyo libuyiselwa ngokukhuselekileyo emzimbeni wakho ngetyhubhu ekwelinye ingalo yakho.
Ngeli xesha le nkqubo, ukhululekile ukufunda incwadi, ukumamela umculo, okanye ukuphumla nje. Akukho sizathu sokuba nexhala, njengoko abasebenzi bethu bezonyango beya kuba ecaleni kwakho kulo lonke inkqubo.
Ziziphi iingozi ezinokubakho ngenxa yolu nyango?
Njengakweminye inkqubo yezonyango, kukho iingozi ezincinci, nangona zinqabile. Uninzi lwazo zincinci. Ngaphezu koko, ngenxa yokuba iqela lethu lezonyango likujongisisa ngokusondeleyo kulo lonke ixesha leseshoni, banokulungisa naziphi na iingxaki ngoko nangoko ukuba zivela.
| Umngcipheko/Ingxaki | Ngamagama alula... |
|---|---|
| Uxinzelelo lwegazi oluphantsi (uxinzelelo lwegazi oluphantsi) | Ngenxa yokuba igazi elithile lingaphandle komzimba wakho kwaye kusetyenziswa amayeza okunciphisa ukugabha kwegazi, uxinzelelo lwakho lwegazi lunokwehla kancinci, nto leyo enokukwenza uzive unesizungu. |
| I-Hypocalcemia (Amanqanaba aphantsi e-calcium) | Into esetyenziselwa ukuthintela ukujiya kwegazi inokunciphisa amanqanaba e-calcium okwethutyana, nto leyo enokubangela ukurhawuzelela emilebeni okanye emalungeni akho. |
| Ukopha | Usenokufumana ukopha okuncinci kwindawo apho inaliti ifakwe khona. |
| Usulelo | Nangona kunqabile kakhulu, kukho umngcipheko omncinci wokosuleleka kwindawo yokufaka inaliti. |
| Umonakalo wemithambo-luvo | Kunqabile kakhulu, uxinzelelo kumthambo-luvo ngexesha lokufakwa kwenaliti lunokubangela ukuba umntu angabi nangqondo okanye abe buthathaka okwethutyana. |
Khumbula, ezi ngxaki azinakwenzeka. Ukuba uziva ungakhululekanga, ungaziva mnandi, okanye unesiyezi, nceda wazise abasebenzi bezonyango ngoko nangoko.
Ndingaqhagamshelana nini nogqirha wam?
Emva konyango, ungabuyela kwimisebenzi yakho yemihla ngemihla. Ugqirha wakho uza kukuchazela ukuba zeziphi iimpawu ezincinci onokuzilindela emva kwenkqubo. Ukuba iimpawu zakho zibonakala zinzima kakhulu kunezo zichaziweyo, okanye ukuba uneengxaki okanye amathandabuzo, nceda unxibelelane nogqirha wakho ngoko nangoko.
Umyalezo Wokuya Ekhaya
- I-Apheresis yinkqubo ekhethekileyo yezonyango esetyenziselwa ukwahlula izinto ezithile egazini lakho.
- Isetyenziselwa ukunikela ngegazi okanye njengonyango lokususa izinto eziyingozi.
- Le yinkqubo ekhuselekileyo kakhulu, elawulwa ngugqirha, ngoko ke akukho mfuneko yokukhathazeka ngokungeyomfuneko.
- Nceda ulandele imiyalelo kagqirha wakho ngononophelo ngaphambi nasemva konyango.
- Ukuba ufumana naluphi na uvakalelo olungathandekiyo ngexesha okanye emva konyango, yazisa iqela lakho lezonyango okanye ugqirha wakho ngoko nangoko.
