Nkhani ya Wodwala: Kugonjetsa Khansa ya Myeloid Yoopsa ndi Kubadwanso Pambuyo pa Kusamutsidwa kwa Maselo Oyambira

Ulendo Wolimbana ndi Chiyembekezo
Mu Seputembala 2020, a A (dzina lodziwika bwino) adafunafuna chithandizo chamankhwala chifukwa cha kulimba kwa chifuwa, kupuma movutikira, komanso kusadya bwino. Matenda awo adakula mofulumira, ndipo mayeso adzidzidzi adawonetsa kutuluka kwa magazi m'mapapo. CT scan yotsatira idawonetsa chotupa chachikulu mu anterior mediastinum, ndipo biopsy ya m'mafupa idapereka matenda odabwitsa: Acute Myeloid Leukemia (AML) M5 yokhala ndi chotupa cha extra-medullary.

Matendawa anali opweteka kwambiri. Ngakhale kuti sanakhulupirire, a A anayamba kufufuza za matendawa ndikupempha uphungu kwa anzawo, akumva kutopa komanso kutaya mtima. Nkhondo yawo inakula kwambiri m'miyezi ingapo yotsatira pamene ankakumana ndi vuto lalikulu chifukwa cha kutsekeka kwa magazi m'mitsempha yakuya atayikidwa catheter. Koma chifukwa cha kupirira kosalekeza, pang'onopang'ono anayamba kuzolowera ululu ndi zovuta.

Kusintha kwa Chithandizo
Pamene matenda ake akuipiraipira, kubwereranso kwake kunatsimikizika atalandira chithandizo chachiwiri cha chemotherapy. Madokotala analimbikitsa kuti aikidwenso maselo oyambira. Pambuyo pokambirana zambiri, a A anabwera ku Beijing Lu Daopei Hematology Hospital, komwe anakumana ndi Dr. Sun Yuqian ndi gulu lake la akatswiri. Anapanga dongosolo lolondola la chithandizo ndipo nthawi zonse ankayang'anira momwe akuyendera, kusintha njira yothandizira ngati pakufunika. Atachitidwa opaleshoni yolumikizirana ndi retina komanso kulandira chithandizo cha matenda a m'mapapo kwa mwezi umodzi, a A anali okonzeka kuikidwiratu maselo oyambira.

Pa Seputembala 1, 2021, a A adalowa mchipatala kuti akachite opaleshoni yoika munthu wina. Poyamba, adamva zotsatirapo zoyipa, kuphatikizapo kuchepa kwa chilakolako cha chakudya komanso kutopa. Komabe, zinthu zidasintha kwambiri atayamba kudabwa. Mwamwayi, chifukwa cha yankho lachangu la gulu la Dr. Sun, adapulumutsidwa atatha maola awiri akuchira kwambiri. Pofika pa Seputembala 15, opaleshoni yoika munthu winayo idachitika bwino, zomwe zidapangitsa kuti aberekenso.

Chiyambi Chatsopano ndi Kuchira Kopitilira
Patatha masiku asanu ndi atatu, maselo oyera a m'magazi a a A anayamba kukwera, chizindikiro chodziwikiratu cha kuchira kwawo. Ngakhale kuti panali mavuto, monga kusasangalala ndi kusinthasintha kwa malingaliro, chisamaliro chodzipereka kuchokera kwa ogwira ntchito zachipatala chinaonetsetsa kuti nkhani iliyonse yathetsedwa mwachangu. Banja la a A—mwana wawo wamwamuna, yemwe anapereka maselo ake oyamba, ndi makolo ake—linapereka chithandizo cholimba panthawi yovutayi.

Pa Okutobala 3, a A adachoka kuchipatala atapatsidwa opaleshoni yopambana. Ngakhale kuti iyi inali nthawi yofunika kwambiri, ankadziwa kuti njira yomwe ikubwera ikufunikabe kupitirizabe. Akuganizira zomwe adakumana nazo, akulimbikitsa ena omwe akukumana ndi mavuto ofanana: "Mu chipinda chopatsirana opaleshoni, n'zosavuta kukhala ndi nkhawa, kukhumudwa, komanso mantha. Koma musachite mantha. Pezani njira zoyendetsera malingaliro anu, chifukwa kukhala ndi malingaliro abwino ndikofunikira kuti muchiritse."

Uthenga wa Chiyembekezo

Patatha zaka zitatu kuchokera pamene anapatsidwa chithandizo cha opaleshoni, a A ali ndi thanzi labwino komanso akuchita bwino. Akufotokoza nkhani yake ngati chizindikiro cha chiyembekezo kwa odwala ena: "Pali kuwala, pali chiyembekezo, ndipo pali chiyembekezo, pali mwayi wopanda malire. Ngati mukupirira ululu ndi mavuto, kumbukirani kusunga chiyembekezo. Ziyambi zatsopano zikukuyembekezerani."