Kuongororwa ropa isampuli yeropa rakatorwa kuitira kuti riongororwe murabhoritari. Ropa rine masero eropa, makemikari uye mapuroteni. Nokuongorora ropa rako, vanachiremba vanogona kuziva zvakawanda nezvehutano hwako. Vanachiremba vanogonawo kuziva zvakawanda nezvekuti lymphoma uye kurapwa zviri kukanganisa sei muviri.
Sei ichidiwa kuongororwa ropa?
Kuongororwa kweropa kunogona kuitwa sechikamu chekuongorora uye kuisa lymphoma. Vanobatsira boka rezvokurapa kutarisa kuti muviri uri kupindura sei kurapwa, pamwe nekupa mufananidzo wakakwana wehutano hwako hwose. Zvinogoneka kuti murwere achaongororwa ropa rakawanda panguva yese yekurapa uye nekutevera kutarisirwa. Kana uchinge wave mukutarisirwa kwekutevera kana iwe wakarinda uye wakamirira, iwe unenge uine mashoma kuongororwa ropa kakawanda.
Kuongororwa ropa kunogona kuitwa nekuda kwezvikonzero zvakasiyana zvinosanganisira:
- Tarisa hutano huzhinji
- Tarisa kushanda kweitsvo uye chiropa
- Batsira nekuongorora mamwe marudzi e lymphoma
- Tarisa marapirwo acho
- Tarisa kupora kubva kune imwe nzira yekurapa usati watanga inotevera
Chii chinoitika pamberi pebvunzo?
Kazhinji kazhinji hapana chingaitwa kugadzirira kuongororwa ropa. Kune kumwe kuongororwa ropa kunogona kudiwa kutsanya (enda usina kudya kana kunwa) usati waongororwa. Mimwe mishonga ingada kumira kana zvimwe zvekudya zvinofanira kudziviswa. Kana paine chaunoda kuita usati waongororwa izvi uchatsanangurirwa nachiremba wako kana mukoti. Kana usina chokwadi nezve chero zvinodiwa zvakakosha kuti utarise neboka rako rekurapa.
Chii chinoitika panguva yekuedzwa?
Kana usiri muchipatara chiremba wako kana mukoti achakuudza kwaunoda kuenda kunoongororwa ropa rako. Izvi zvinogona kunge zviri kuchipatara chekwaunogara, dhipatimendi rezvirwere, mukoti wenharaunda kana Chiremba wezvirwere zvese. Ropa richatorwa uchishandisa tsono diki. Izvi zvinoiswa mutsinga kazhinji muruwoko rwako. Zvinotora masekonzi mashoma kuti uwane sampuli, ipapo tsono diki inobviswa. Kana uine a central venous access kifaa vanamukoti vanogona kushandisa izvi kuwana sampuli yeropa.
Chii chinoitika mushure mebvunzo?
Kana uri murwere ari kunze, unogona kazhinji kuenda kumba mushure mekuongororwa kunze kwekunge uchida kugara kuchipatara kuti uwane nguva kana kurapwa. Mimwe mibairo yekuongororwa ropa inowanikwa mukati memaminitsi uye imwe inotora mavhiki mashoma kuti idzoke. Tarisa navanachiremba vako kuti uchawana sei mhinduro uye kuti zvichatora nguva yakareba sei. Kumirira mhinduro zvinogona kunetsa, taura nechikwata chako kana uchinzwa kushushikana nezvezvawabuda pabvunzo.
Zvandinowana zvinorevei?
Chikwata chako chekurapa anofanira kukutsanangurira mhinduro dzeropa rako. Unogona kuwana kopi yezvabuda pakuongororwa ropa rako asi unogona kuzviwana zvakaoma kududzira. Ipfungwa yakanaka kugara nachiremba wako kana mukoti wovakumbira kuti vakutsanangurire zvabuda.
Dzimwe nguva pamushumo unoona kuti ongororo yeropa rako inogona kunge "isina referensi" kana kuti yakasiyana kune "yakajairwa range". Usanetseka nekuti izvi zvinowanzoitika kune vakawanda. Migumisiro yeropa revanhu vazhinji iri mukati mereferensi.
Nekudaro zvakatenderedza 1 mu20 vanhu vane hutano vane mhedzisiro kunze kwereferensi kana yakajairika renji. Zvinhu zvakawanda zvinogona kukonzera izvi, semuenzaniso zera, bonde kana dzinza.
Vanachiremba vachatarisa migumisiro yeropa rako uye vosarudza kana pane chimwe chinhu chokuitira hanya pamusoro pacho sezvavanoziva mamiriro ako ega ega.
Pane njodzi here?
Kuongororwa ropa kunowanzova nzira isina ngozi. Unogona kunzwa kakuruma kana tsono yapinzwa. Iwe unogona kunge uine ronda diki uye kuwana kurwadza kudiki panzvimbo yacho mushure mekuongororwa kweropa kwapera. Izvi kazhinji zvakapfava uye zvinova nani nekukurumidza. Pane kangozi kadiki kekuita utachiona. Taura nechikwata chako chekurapa kana ukaona chero zviratidzo zvinokunetsa sekurwadziwa kana kuzvimba. Vamwe vanhu vanogona kunzwa kupera simba kana kureruka pakunoongororwa ropa. Zvakakosha kuudza munhu anotora ropa rako kana izvi zvikaitika kana kuti izvi zvakamboitika kwauri.
Kuongororwa kweropa kune varwere ve lymphoma
Kune dzakawanda dzakasiyana-siyana dzekuongorora ropa dzinoshandiswa kune vanhu vane lymphoma. Pazasi pane zvimwe zvakajairika.
- Ropa Rakazara: iyi ndeimwe yezvinowanzoongororwa ropa. Muedzo uyu unoudza vanachiremba nezvenhamba, mhando, maumbirwo nemasaizi emasero ari muropa. Masero akasiyana anotariswa pabvunzo iyi ndeaya;
- Red Blood Cells (RBCs) masero aya anotakura oxygen kutenderedza muviri wako
- Masero Machena Eropa (WBCs) kurwisa utachiona. Kune marudzi akasiyana eWBCs (lymphocytes, neutrophils nemamwe). Sero rimwe nerimwe rine basa chairo mukurwisa utachiona.
- Platelets kubatsira ropa rako kugwamba, kudzivirira maronda uye kubuda ropa
- Chiropa basa bvunzo (LFTs) anoshandiswa kuona kuti chiropa chako chiri kushanda zvakanaka sei.
- Kuongorora kushanda kweitsvo senge urea, electrolytes uye creatinine (U&Es, EUC) bvunzo dzinoshandiswa kuongorora itsvo (renal) kushanda.
- Lactate dehydrogenase (LDH) bvunzo iyi inogona kubatsira kuona kukuvara kwesero mumuviri, uye kutarisa mafambiro ayo
- C-Reactive Protein (CRP) inoshandiswa kuona kuvepo kwekuzvimba, kuona kuoma kwayo, uye kutarisa mhinduro yekurapwa
- Erythrocyte sedimentation chiyero (ESR) inogona kuona uye kutarisa zviratidzo zvekuzvimba mumuviri
- Plasma Viscosity (PV) inoratidza kukora kweropa rako. Uyu muyedzo wakakosha kuva nawo kana wabatwa chirwere Waldenstrom's macroglobulinemia
- Serum protein electrophoresis (SPEP) Muyedzo wakakosha unoyera maprotein asina kujairika muropa rako kana waonekwa uine Waldenstrom's macroglobulinemia
- International normalized ratio (INR) uye PT iyi miedzo inoyera kuti zvinotora nguva yakareba sei kuti ropa rako ritange kuumba magwamba. Iwe unogona kunge wakaita izvi usati waitwa kuvhiyiwa, lumbar punctures kana bone marrow biopsies.
- Kuongorora kuratidzwa kune mavhairasi iyo inogona kunge yakabatana ne lymphoma, izvi zvinogona kuitwa sechikamu chekuongororwa kwako. Mamwe mavhairasi aunogona kuongororwa anosanganisira;
- Human immunodeficiency virus (HIV)
- Hepatitis B uye C
- Cytomegalovirus (CMV)
- Epstein Barr virus (EBV)
- Boka reropa uye crossmatch kana kuwedzerwa ropa kuchidiwa
Chikwata chekurapa chinogona kupa kumwe kuongororwa ropa zvichienderana nemamiriro emunhu.
