Ngaba wakha wanikela ngegazi? Xa sinikela ngegazi rhoqo, sinika igazi lethu lonke. Kodwa ubusazi na ukuba kukho indlela ekhethekileyo enokwahlula iindawo ezahlukeneyo zegazi lethu, njengeeseli ezibomvu zegazi, iiseli ezimhlophe zegazi, kunye neeplatelets, okanye isuse kuphela iindawo eziyingozi ezibangela isifo esithile egazini? Le ndlela imangalisayo yezonyango ibizwa ngokuba yi-apheresis. Abanye abantu bayibiza ngokuba yi-pheresis. Masithethe ngale nto namhlanje.
Ngamafutshane, yintoni i-apheresis?
Cinga ngokwahlula i-curd kubisi emva kokucinezela ikhokhonathi. I-Apheresis yinkqubo efanayo. Kule nkqubo, umatshini okhethekileyo, obizwa ngokuba yi-centrifuge, ujikelezisa igazi elithathwe emzimbeni wakho ngokukhawuleza kwaye wahlule izinto ezahlukeneyo (iinxalenye) ezikuwo. Oku kwahlula igazi, kuthatha kuphela inxalenye oyifunayo (umzekelo, iiplatelets ezisempilweni), kwaye kufake igazi eliseleyo emzimbeni wakho. Le ndlela isetyenziselwa iinjongo ezimbini eziphambili: 1.
Ukunikela ngegazi: Nikela kuphela inxalenye yegazi lakho efunekayo komnye umguli, njengeeseli ezibomvu zegazi, iiplatelets, okanye iplasma. 2.
Njengonyango: Susa iindawo zegazi ezingaqhelekanga okanye ezinobungozi (umzekelo,
iiseli zomhlaza ) ezibangela isifo emzimbeni wakho.
Ziziphi iintlobo eziphambili ze-apheresis?
Olu nyango lwenziwa ngeendlela ezahlukeneyo ngokuxhomekeke kwisidingo. Ukuze uqonde kakuhle, jonga itheyibhile engasezantsi.
| Uhlobo lwe-Apheresis | Yintoni eyenzayo le nto? (Iyenza ntoni le nto) |
|---|
| I-Leukapheresis | Ukususa ukukhula okungalawulekiyo kweeseli ezimhlophe zegazi eziyingozi egazini. Oku kunciphisa iimpawu. |
| Ukuqokelelwa kweeseli ze-stem zegazi ezingaphandle | Ukuqokelela ii-stem cells ezingavuthwanga egazini ezifunekayo xa kufakelwa ii-stem cell. |
| I-Photopheresis | Uhlobo lweseli emhlophe yegazi ebizwa ngokuba yi-lymphocytes, ezisuswa emzimbeni, zibonakaliswa kukukhanya kwe-UVA, zisebenze kakuhle, zize ziphinde zibuyiselwe emzimbeni. Oku kwandisa amandla okulwa nezinto ezifana neeseli zomhlaza kunye neentsholongwane. |
| I-Plasmapheresis (utshintshiselwano lwe-plasma) | Ukususa inxalenye yolwelo egazini, iplasma, uze ufake iplasma ephilileyo okanye olunye ulwelo endaweni yayo. Oku kusetyenziswa kwizifo ezininzi ezinzulu. |
| Ukuncipha kweeplatelet | Ukuba umzimba unee-platelet ezininzi kakhulu, ezinceda ukujiya kwegazi, ii-platelet ezigqithisileyo ziyasuswa. |
| Ukutshintshiselana kweeseli ezibomvu zegazi | Ukususa iiseli ezibomvu zegazi ezingaphili kakuhle nezingaqhelekanga (umz., kwi-sickle cell anemia) uze uzitshintshe ngeeseli ezibomvu zegazi eziphilileyo nezinikelweyo. |
Zeziphi izifo ezisetyenziselwa olu nyango?
I-Apheresis yindlela ebaluleke kakhulu kunyango nasekulawuleni izifo ezininzi. Umzekelo, iiseli eziphilileyo ezivela kumntu ofumana i-chemotherapy enamandla yomhlaza zinokususwa, zigcinwe ngokukhuselekileyo, kwaye zibuyiselwe emva konyango. Olu nyango lusetyenziswa kakhulu kwezi meko zilandelayo:
Umhlaza Wegazi
Ezinye iingxaki zegazi
Iingxaki ze-Neurologic
Ukongeza, i-apheresis ikwasetyenziselwa ukunyanga iimeko ezinje ngokulahlwa kwesitho kunye nesifo sokufakelwa kwamalungu omzimba.
Ndingayilungiselela njani le nto?
Oku kwenziwa ngezizathu ezahlukeneyo, ngoko ke ayingomntu wonke omele alungiselele ngendlela efanayo.
Ngoko ke eyona nto ilungileyo onokuyenza kukulandela imiyalelo kagqirha wakho ngokuchanekileyo. Uza kukuxelela ngokucacileyo ukuba unyango luza kuthatha ixesha elingakanani kunye nento ekufuneka uyenze ngaphambi kwalo. Umzekelo, ukuba ungumnikeli weeseli ze-stem, kuya kufuneka uthathe amayeza kwiintsuku ezimbalwa ngaphambi konyango. Oku kunceda iiseli ze-stem kwi-bone mongo wakho ukuba zingene egazini lakho ngokukhawuleza. Ngokubanzi,
licebo elihle ukusela ulwelo oluninzi, olufana namanzi, iintsuku ezimbalwa ngaphambi konyango. Kwenzeka ntoni ngexesha le-apheresis?
Nangona oku kunokuvakala ngathi yinto enkulu, eneneni kwenziwa ngendlela ecwangcisiweyo, ngendlela ekwenza uzive ukhululekile.
- Okokuqala, uza kuhlaliswa/ulale esitulweni okanye ebhedini ekhululekileyo.
- Emva koko, abasebenzi bezonyango baza kufaka iinaliti ezimbini emthanjeni kwiingalo zakho nganye. Inaliti nganye iya kuba ne -catheter , ityhubhu encinci nethambileyo, encamathiselwe kuyo.
- Kwelinye icala, inxalenye yegazi lakho iya kuloo matshini ukhethekileyo. Ngaphakathi kumatshini, iinxalenye zegazi kufuneka zahlulwe.
- Emva koko, inxalenye efunekayo iyahlulwa, kwaye igazi eliseleyo lifakwa emzimbeni wakho ngetyhubhu ekwelinye ingalo.
Ngelixa yonke le nkqubo isenzeka, ungafunda incwadi, umamele ingoma, okanye uphumle nje.
Akukho mfuneko yokoyika kuba abasebenzi bezonyango baya kuhlala bekunye nawe. Ziziphi iingozi ezinokubakho emva kolu nyango?
Njengakweminye inkqubo yezonyango, kukho iingozi ezingaqhelekanga kakhulu ezibandakanyekayo. Kodwa ezi zihlala zincinci. Kwakhona, ekubeni iqela lezonyango likujongile kulo lonke inkqubo, ukuba kuvela naziphi na iingxaki, banokuzilungisa ngoko nangoko.
| Umngcipheko/Ingxaki | Kalula nje... |
|---|
| Uxinzelelo lwegazi oluphantsi (iHypotension) | Uxinzelelo lwakho lwegazi lusenokwehla kancinci kuba igazi elithile lisuswa emzimbeni wakho kwaye ulwelo lunikwa ukuthintela amahlwili egazi. Usenokuziva unesiyezi. |
| Amanqanaba aphantsi e-calcium (i-Hypocalcemia) | Ii-anticoagulants zinokunciphisa amanqanaba e-calcium emzimbeni okwethutyana, nto leyo ebangela ukuba imilebe kunye nemilenze ingabi nanto. |
| Ukopha | Kusenokubakho ukopha okuncinci kwindawo yokufaka inaliti. |
| Usulelo | Kunqabile kakhulu ukuba kubekho ithuba losulelo kwindawo efakwe kuyo. |
| Umonakalo wemithambo-luvo | Kunqabile kakhulu ukuba kubekho ukungaziva okanye ubuthathaka ngenxa yoxinzelelo kumthambo-luvo ngexesha lokufakwa kwenaliti. |
Khumbula, amathuba okuba ezi zinto zenzeke mancinci kakhulu. Ukuba uziva ungakhululekanga, ungenazimvakalelo, okanye unesiyezi , yazisa abasebenzi bezonyango ngoko nangoko.
Ndifanele ndimtsalele umnxeba nini ugqirha?
Emva konyango, ungaqhubeka nemisebenzi yakho yemihla ngemihla. Ugqirha wakho uza kukuchazela ukuba zeziphi iimpawu ezincinci onokuzilindela emva konyango.
Ukuba iimpawu zakho zinzima kakhulu kunokuba zisitsho, okanye ukuba uneengxaki okanye iingxaki, fowunela ugqirha wakho ngoko nangoko. Umyalezo Wokuya Ekhaya
- I-Apheresis yinkqubo ekhethekileyo yezonyango esetyenziselwa ukwahlula iinxalenye ezahlukeneyo zegazi.
- Oku kuquka ukunikela ngenxalenye yegazi okanye ukususa nokunyanga iindawo ezigulayo.
- Olu lunyango olukhuselekileyo kakhulu olwenziwa phantsi kweliso likagqirha, ngoko ungoyiki.
- Landela imiyalelo kagqirha wakho ngononophelo ngaphambi nasemva konyango.
- Ukuba ufumana naluphi na uvakalelo olungathandekiyo ngexesha okanye emva konyango, yazisa abasebenzi bezonyango okanye ugqirha wakho ngoko nangoko.
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