Inkqubo yomzimba wakho yokuzikhusela iyamangalisa. Kodwa ngamanye amaxesha le nkqubo inokusebenza ngendlela eyahlukileyo kancinci. Ngamanye amaxesha inokuba yingozi kakhulu emzimbeni wethu, okanye ngamanye amaxesha ifuna uncedo lokulwa neentshaba ezifana neeseli zomhlaza. Kwiimeko ezinjalo, sithetha ngonyango olukhethekileyo olunceda inkqubo yethu yokuzikhusela kwaye ilawule ukusebenza kwayo. Oko kukuthi i-photopheresis.
Ngamafutshane, yintoni i-photopheresis?
I-Photopheresis lunyango olusebenzisa ukukhanya ukutshintsha umsebenzi weeseli zakho ezimhlophe zegazi, ezibizwa ngokuba zii-lymphocytes. Ezi seli, ezibizwa ngokuba zii-lymphocytes, zingamajoni aphambili enkqubo yethu yokuzikhusela. Ngabo batshabalalisa izinto ezifana neeseli zomhlaza, iibhaktheriya kunye neentsholongwane. Ngoko ke, ukuba kukho ingxaki ngezi lymphocytes, unyango lwe-photopheresis luluncedo kakhulu.
Cinga ngale ndlela. Bathatha inxalenye yegazi lakho, balifake kumatshini, baze bahlukanise iiseli ezimhlophe zegazi kuphela ezibizwa ngokuba zii-lymphocytes. Emva koko, balixuba neyeza elikhethekileyo baze balibeke ekukhanyeni kwe-UV, nto leyo etshintsha indlela ezisebenza ngayo ezo seli. Ekugqibeleni, ezi seli zinyangiweyo zibuyiselwa emzimbeni wakho kunye negazi lakho lonke.
Ngale ndlela, singayomeleza inkqubo yethu yokuzikhusela komzimba, okanye siyilawule ukuba isebenza ngendlela engafunekiyo. Ngamanye amazwi, olu nyango lunamandla 'okuvula nokucima' inkqubo yokuzikhusela komzimba njengoko kufuneka.
Zeziphi iimeko olu nyango lusetyenziselwa zona?
I-Photopheresis luhlobo lwe-immunotherapy. Oko kukuthi, yindlela yokunyanga izifo ngokusebenzisa inkqubo yethu yokuzikhusela komzimba. Kukho iindlela ezahlukeneyo ezisetyenziswa ngayo.
| Imeko yezonyango | Ingcaciso elula |
|---|---|
| I-Cutaneous T-cell lymphoma (CTCL) | Olu luhlobo olungaqhelekanga lomhlaza wegazi oluchaphazela ulusu. Unyango lwe-photopheresis lwaqala ukwaziswa njengonyango lwesi sifo. Xa ii-lymphocytes ezinyangiweyo zibuyiselwa emzimbeni, zinceda ekutshabalaliseni iiseli zomhlaza. |
| Isifo se-Graft vs. Host (GVHD) | Emva kwento efana nokufakelwa umongo wethambo, ii-stem cells ezisandula ukufunyanwa zingaqala ukuhlasela umzimba wakho ngokungathi 'lutshaba.' Olu nyango lunokuthintela okanye lulawule olo hlaselo lungafunekiyo. |
| Ukungavunyelwa kokufakelwa amalungu omzimba | Emva kokufakelwa amalungu omzimba amaninzi, njengomphunga, isibindi, okanye intliziyo, inkqubo yomzimba yokuzikhusela isenokungawamkeli amalungu amatsha. Olu nyango lunceda ekuthinteleni oko. |
Ezinye iimeko zonyango
Ukongeza kwezi meko ziphambili, oogqirha banokucebisa i-photopheresis kwezinye iimeko zonyango ezininzi.
- Isifo sikaCrohn
- I-Eczema (i-Atopic dermatitis)
- I-Scleroderma
- I-Psoriasis, isifo solusu
- Uhlobo loku-1 lweswekile
Sifanele sizilungiselele njani ngaphambi konyango?
Ugqirha wakho uza kukuchazela oku. Ngokwesiqhelo, baya kukucela ukuba uzinyamekele ezi zinto ngaphambi kokuba ufumane unyango.
- Sela amanzi amaninzi: Sela ubuncinane iiglasi ezisi-8 zamanzi ngosuku kangangeentsuku ezimbini ngaphambi konyango. Oku kuya kunceda igazi lakho lihambe kakuhle, kwenze kube lula ukutsala igazi ngexesha lonyango.
- Ziphephe i-caffeine notywala: Izinto ezifana neti, ikofu, kunye notywala zinokuwucoca umzimba, nto leyo enciphisa ukuhamba kwegazi.
- Kuphephe ukutya okunamafutha amaninzi: Xa usitya ukutya okunamafutha amaninzi, njengokutya okuqhotsiweyo kunye neelekese, kunokuba nzima kancinci kumatshini owahlula iiseli ezimhlophe zegazi egazini ukuba wenze umsebenzi wawo.
Lusebenza njani olu nyango?
Lonke olu cwangciso lwenzeka ngelixa ulele kamnandi ebhedini. Yinkqubo engenabuhlungu.
1. Ukutsalwa kwegazi: Umongikazi okanye ugqirha uza kutsalwa igazi kumthambo osengalweni yakho okanye ngetyhubhu ekhethekileyo (i-catheter) efakwe esifubeni sakho. Ukuba kuyimfuneko, ikhrimu yokudambisa iintlungu ingafakwa kuloo ndawo ukuthintela iintlungu.
2. Ukwahlulwa kweeseli:Igazi olithathayo liya ngqo kumatshini okhethekileyo. Lo matshini wahlula kuphela iiseli ezimhlophe zegazi ezibizwa ngokuba zii-lymphocytes kwiiseli ezibomvu zegazi kunye neeplatelets egazini lakho.
3. Ukongeza amayeza: Iyeza lezityalo elikhuselekileyo elibizwa ngokuba yi-`8-methoxypsoralen (8-MOP)` longezwa kwiiseli zegazi ezimhlophe ezahluliweyo. Eli yeza lisebenza kuphela xa livezwa ekukhanyeni.
4. Unyango lokukhanya: Ngoku, iiseli zegazi ezimhlophe ezikule mithi zichatshazelwa kukukhanya kwe-ultraviolet A (ukukhanya kwe-UVA) ngaphakathi komatshini. Emva koko, iyeza liqala ukusebenza kwaye litshintshe umsebenzi weeseli zegazi ezimhlophe.
5. Ukuphinda kufakwe igazi: Okokugqibela, iiseli zegazi ezimhlophe ezinyangiweyo ngolu hlobo zibuyiselwa emzimbeni wakho, kunye nezinye izinto zegazi ezazahlulwe ngaphambili.
Le nkqubo yonke ingathabatha malunga neeyure ezi-3-4.
Zithini iziphumo ebezingalindelekanga kunye nezinto esifanele siziqaphele?
I-Photopheresis ithathwa njengonyango olukhuselekileyo kakhulu , kwaye uninzi lwabantu alufumani miphumo emibi.
Nangona kunjalo, ngamanye amaxesha izinto ezincinci zinokwenzeka.
- Uxinzelelo lwakho lwegazi lusenokwehla kancinci ngexesha lonyango. Ukuba oku kuyenzeka, unganikwa ulwelo olufakwa kwimithambo ukuze ubuyisele esiqhelweni.
- Usenokuziva unesicaphucaphu, unesizungu, okanye ubanda, njengaxa unikela ngegazi. Ukuba uziva ngolu hlobo, xelela umongikazi ngoko nangoko.
- Usenokuba bomvu, isiyezi, okanye umkhuhlane emva kweeyure ezi-6-8 emva konyango. Ukuba umkhuhlane wakho ungaphezulu kwama-37.8 degrees Celsius (100 degrees Fahrenheit), xelela ugqirha wakho. Usenokucebisa ukuba uthathe iyeza elifana neparacetamol.
Izinto ekufuneka sizilumkele ngakumbi emva konyango
Oku kubaluleke kakhulu. Unyango lwe-photopheresis lwenza ulusu lwakho namehlo akho abe buthathaka kakhulu ekukhanyeni kwelanga.
Kuphephe ukuvezwa elangeni ngqo nelingathanga ngqo kangangeeyure ezingama-24 emva konyango. Ukukhanya kwelanga okungathanga ngqo kukukhanya okuvela efestileni okanye kwikhethini.
- Ukuba uphuma phandle, nxiba impahla egquma umzimba wakho wonke. Sebenzisa isithambisi selanga esine-SPF engama-30 nangaphezulu.
- Nxiba iiglasi zelanga ezikhusela kwimitha ye-UVA, ngaphakathi nangaphandle, iiyure ezingama-24. Iiglasi zelanga ezigquma omabini amehlo zezona zilungileyo.
Kuthatha ixesha elingakanani ukubona iziphumo?
Oku kuya kwahluka ngokuxhomekeke kwimeko yakho kunye nenani lonyango. Abanye abantu babona ukuphucuka okukhulu kwiimpawu zabo kwiinyanga ezi-3-4. Kwezinye iimeko (ezifana ne-scleroderma), kungathatha iinyanga ezi-6-12 ukuba iimpawu ziphucuke. Ke ngoko, umonde ubalulekile ngolu nyango. Buza ugqirha wakho malunga nexesha onokulindela ukubona iziphumo ngokusekelwe kwimeko yakho.
Umyalezo Wokuya Ekhaya
- I-Photopheresis lunyango olukhuselekileyo olusebenzisa ukukhanya ukunyanga iiseli zakho ezimhlophe zegazi kunye nokulawula umsebenzi wenkqubo yomzimba yokuzikhusela.
- Oku kusetyenziswa kakhulu kwizinto ezifana nomhlaza we-CTCL, iimeko ze-GVHD, kunye nokuthintela ukwaliwa emva kokufakelwa amalungu omzimba.
- Unyango alunantlungu, kodwa ukukhuselwa elangeni kuyimfuneko kwiiyure ezingama-24 emva konyango.
- Kungathatha ixesha ukubona iziphumo, ngoko ke kubalulekile ukuba nomonde nokufuna unyango.
- Thetha ngokukhululekileyo nogqirha wakho malunga nazo naziphi na iingxaki, uloyiko, okanye amathandabuzo onawo ngale nkalo.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho