Sauran likitan ku bayar da shawarar likitancin cututtuka (wanda aka sani da jini ko zane-zane) zai iya firgita ku. Mai yiwuwa ka yi mamaki, "Shin likitoci sun yi haka kuma? Na tsammanin an yi la'akari da shi." Za ku zama daidai. Yau a yau akwai lokuta masu dacewa don amfani da maganin phlebotomy a matsayin magani, bari mu sake nazarin su kuma abin da wannan yayi kama da rayuwa ta ainihi.
Matsayi na Kwarewa
A cikin shekarun da suka wuce, samfurin cin zarafi ya ɓace saboda yawancin yanayin kiwon lafiya yayin da aka maye gurbinsu tare da wasu maganin da aka fi mayar da hankali. Duk da haka, phlebotomy yana da muhimmiyar rawa wajen kula da yanayi uku: nau'in polycythemia vera (PV), haɓakar hemochromatosis ( bugun ƙarfe), da porphyria cutenea tarda (PCT).
Maganin polycythemia yana da yanayin inda maye gurbin kwayoyin halitta ya sa kasusuwan kasusuwan suyi da jini mai yawa ( erythrocytosis ko polycythemia), plalets (thrombocytosis), da kuma jini na jini (leukocytosis). Wannan karuwa a cikin jini, musamman jinin jini, ya rage jini wanda ya rage jini. Zubar da jinin ta hanyar maganin cututtuka na iya inganta halayyar cututtuka kuma rage haɗarin tarin ƙuƙwalwa.
Halitta hemochromatosis abu ne wanda ya haifar da karfin baƙin ƙarfe daga abincin da ya haifar da ƙarfe.
Ƙananan ƙarfe yana haifar da lalacewa ga hanta, zuciya, da pancreas. Rubar da jinin jini yana ƙarfafa ƙwayar kasusuwa don yin sabon kwayoyin jinin jini ta amfani da iron da aka adana cikin jiki.
PCT wata cuta ce ta haifar da rashi a cikin wani enzyme (sinadaran) da ake buƙatar sa shi (ɓangare a cikin jinin jini dauke da baƙin ƙarfe).
Wannan yana haifar da ginawa na porphyrins da yawa wanda zai haifar da mummunan fata yayin da aka nuna shi haske. Saboda matsalar rashin ƙarfin baƙin ƙarfe, kawar da kwayoyin jan jini dauke da baƙin ƙarfe ta hanyar phlebotomy shine maganin zabi.
Bugawa daga Kwarewa
Mahimmanci abu ne mai sauƙi. Ana iya yin aiki a ofishin likita, asibiti, ko kuma cibiyar bayar da jini. Yana da kama da kyautar jini .
An sanya allurar a cikin babban jirgi mai jini, yawanci a cikin rukunin kafa kafa, don cire jini. Za a iya tattara jini a cikin jaka ko a cikin sintiri. Yawancin lokaci, a cikin manya, an cire pint na jini (450 - 500 ml) a lokaci guda. Hakan na phlebotomy zai bambanta dangane da yanayin lafiyar ku da kuma dakin gwaje-gwaje.
Ga PV, an yi phlebotomy sau ɗaya ko sau biyu a kowane mako har sai hematocrit (jiin ƙaddarar jini) yana kusa da al'ada. Sa'an nan kuma an yi phlebotomy kowane watanni don kiyaye hematocrit kusa da al'ada. A cikin haɓakar ƙarancin jini, phlebotomies na iya zama mako-mako har sai ferritin (ma'aunin shaguna) yana al'ada. Don hana matakan ƙarfe daga sake ginawa, za a yi phlebotomy kowane watanni biyu zuwa hudu. A cikin PCT, ana yin phlebotomy kowane mako biyu don uku zuwa hudu watanni kuma ya ƙare.
Kuna iya shawo kan phlebotomy warkewa a cibiyar sadarwar ku na gida. Cibiyar za ta buƙaci tsarin likita don kammala farfadowa. Bugu da ƙari, a 1999, Cibiyar Abinci da Drugta (FDA) ta amince da cewa jini da aka bayar da mutanen da ke da haɓakar haɓakar haɓakar jini zai iya amfani dashi don karuwar jini idan dai sun sadu da wasu ma'aunin jini (nauyi, shekaru, rashin tafiya zuwa yankuna masu haɗari , da dai sauransu).
Hanyoyin Hanyoyin Cikin Gida
Babban mawuyacin sakamako na phlebotomy suna da alaka da canji a cikin jini. Kuna iya shawo kan rashin ƙarfi ko rage karfin jini a baya amma wasu sun yarda da shi ba tare da batutuwa ba.
Wannan shi ne dalilin da ya sa bayan jinin da aka ba da abokin aikin ya tambaye ka ka zauna a hankali kafin ka tsaya. Ya kamata ku sha ruwa mai yawa bayan haka. Idan bayyanar cututtuka ta ci gaba ko kuma ba za a iya tasiri ba, bayan an cire jini, za a iya ba da ruwan saline ta hanyar IV don maye gurbin cirewar.
Mahimmanci ga wasu Yanayi
Har ila yau, kamfanoni yana amfani dashi a wasu wasu yanayi. Mutane da ke karɓar sarkar jini na jini masu yawa don yanayin kiwon lafiya kamar ciwon daji, anemia na sickle cell, da kuma thalassemia suna da hadari don bunkasa ƙarfin baƙin ƙarfe (aka samu fiye da gadon kamar yadda aka tattauna a sama). Lokacin da wadannan mutane suka kammala farfadowa (ba da bukatar chemotherapy, warke da karɓar launuka na launin fata), phlebotomy yana da kayan aiki mai mahimmanci don cire ƙananan ƙarfe. A cikin waɗannan misalai, phlebotomy ba zai zama rayuwa ba amma sai an cire adadin baƙin ƙarfe.
Hakanan za'a iya amfani da samfurin mutum a cikin mutanen da ke ɗauke da ciwon sikila wanda ke buƙatar yaduwar jinin rayuwa ta tsawon lokaci don hana ƙwanƙwasa. A wannan yanayin, ana amfani da phlebotomy tare da yaduwar jini ta jini kuma an kira shi musanya musayar musanya. Ana amfani da siginar jini ta jini don maye gurbin jini da aka cire maimakon bayani saline kamar yadda aka tattauna a sama. Wannan zai iya zama kayan aiki mai mahimmanci wajen rage ƙarfin ƙarfe a cikin waɗannan mutane.