Uma ucabangela ukunikela ngomnkantsha we- bone lomuntu othandekayo noma njengomusa kumuntu ongathintana naye futhi ekubhekaneni nomdlavuza noma esinye isimo esidinga ama-cell stem, lo mbuzo obalulekile okufanele uwubuze. Njenganoma iyiphi inqubo yezokwelapha, ukunikela la maseli kunezingozi ezithile, nakuba ngokuvamile kubhekwa njengenqubo ephephile kakhulu.
Uma kunokuba unikeze umongo we-bone uhlela ukunikela ngamaseli wegazi wegazi (umnikelo owenziwe nge-blood drawn) kunalokho, hlola lezi zingozi ezingase zibe khona zokunikela amangqamuzana e-stem okufakelwa kabusha .
Izindlela Zokuqoqa
Ukuze uqonde izingozi ezingase zibe khona zokunikeza umongo we-bone, kuyasiza ukukhuluma ngokufushane ngenqubo yokuqoqa umongo we-bone. Umnkantsha we-bone uthathwa (odokotela bakubiza ngokuthi "kuvunyiwe") ngokusebenzisa inaliti efakwe esikhwameni sakho. (Umnkantsha wakho usephakathi kwamathambo amakhulu emzimbeni wakho njenge-hip yakho.)
Lokhu kuvame ukuqhutshwa ngaphansi kwe-anesthetic jikelele ekamelweni lokusebenzisa usebenzisa inqubo oyinyumba. Phakathi nenqubo, cishe 2 amalitha emnkantso wekhensi uhoxisiwe. Lokhu kungase kubonakale sengathi kuyinani elikhulu, kodwa limelela ngaphansi kwezingu-10% ematheni wakho. Kungasiza ukwazi ukuthi umzimba wakho wenza amangqamuzana egazi angaphezu kwezigidi eziyizinkulungwane ezingu-20 emnothweni wakho nsuku zonke.
Inombolo yamaseli emnkantsheni wakho ngokuvamile uvame ukubuyela emazingeni ajwayelekile phakathi kwamasonto amane kuya ku-6, nakuba umzimba wakho ungasebenza kahle ngesikhathi esifanayo.
Izingozi ezingenzeka
Izingozi ezihlobene nokunikela ngomnyo we-bone zihlobene kakhulu nengozi yenqubo yokuhlinzwa. Noma kunini lapho uhlinzwa khona, kunezingozi ze-anesthesia jikelele kanye nobungozi bokuphuma kwegazi nokutheleleka.
Kukhona futhi ingozi yokuthi le nqubo ingabangela ukulimala emisipha kanye nemithwalo yegazi eduze nesayithi lomkhonto ukuhoxiswa nokulimala ithambo.
Imiphumela emibi emibi / engozini
Ngemuva kokunikela ngomnwe we-bone ungase ube nesifo esifundeni seqhwa lakho ngesonto noma kancane kancane. Phakathi kwalabo abanikela ngomnkantsha wesinxeba njengengxenye yoHlelo Lwabanikezeli Bamarorha kaZwelonke, iningi labantu lathola ubuhlungu emuva kwezinsuku ezimbalwa, kanye nokukhathala. Imiphumela emibi ye-anesthesia ingase ifaka ne-throat futhi i-nausea.
Le nqubo ingenziwa njengesiphalamende, noma ungase uchithe izinsuku ezimbalwa esibhedlela. Ezinye izikhungo zezokwelapha zincoma ukuthatha izinsuku ezingu-7 kuya kwezingu-10 emsebenzini ngaphandle kwenqubo, kodwa abanye abantu bazizwa bebuyela emuva ekubuyiseleni emsebenzini ngokushesha. Isikhathi sesikhathi esiphakathi (okungukuthi, isikhathi esilandelayo lapho abantu abangu-50% babenakho futhi abangu-50% bebengakwenzi) ukuze babuyele emuva "kokujwayelekile" kwakuyizinsuku ezingu-20.
Imiphumela emibi kakhulu / Izingozi
Ngokusho kohlelo lokunikezwa kweMarrow National, abantu abangamaphesenti angama-2.4 abantu abanikeza umnto we-bone umthamo omkhulu. Abanikeli bamathambo abambalwa kakhulu abahluphekile noma yiziphi izinkinga zesikhathi eside ezivela emnikelweni wabo.
Emhlabeni wonke, abacwaningi babheka abantu abangaphezu kuka-27 000 ababenikele ngomnkantsha wamathambo emazweni angu-35.
Kulaba bantu, kwaba nokufa okulodwa kanye nezenzakalo ezibi kakhulu (ikakhulukazi ezihlobene nenhliziyo) ezazizwa zihlobene nomnikelo womnkantsha wamathambo.
Ungakwazi Ukuhlangana Nomamukeli?
Uma unikela ngomamukeli ongaziwa, ungase uzibuze ukuthi uzoba nethuba lokuhlangana nomuntu onokuphila okungenzeka uyilondolozile. Ama-ejenti amaningi anemithetho eqondile ngokuphathelene noxhumano-abaxhasi, kodwa ungase ufise ukuhlola izindaba ezithandekayo zeziguli nomhlangano wabanikeli.
Izinzuzo
Uma ucabangela noma iyiphi inkinga, kubalulekile ukukala izingozi ezibhekene nezinzuzo. Izingozi zomnikelo wempuphu wamathambo zincane, kodwa izinzuzo kulabo abangase bathole umnikelo wakho zingabalulekile.
Lokho kusho ukuthi ukunikela ngomnkantsha wamathambo akuwona wonke umuntu, futhi kubalulekile ukuthi uzihloniphe noma yikuphi okukhethayo okwenzayo. Nguwe kuphela onokwenza isinqumo esifanele kuwe.
Imithombo:
I-American Society of Clinical Oncology. I-Cancer.Net. Ukunikeza i-Bone Marrow. 02/2015.
Yiba uHlelo Lokunikezela Ngabanikazi Bamathambo kazwelonke. Ukunikeza i-Bone Marrow.
UBosi, A., noBartolozzi. Ukuphepha komnwe wezintambo kugxila umnikelo weseli: ukubuyekezwa. Ukuguqulwa Kwezintambo . 2010. 42 (6): 2192-4.
I-Clinical Bone Marrow ne-Blood Stem Transplantation. Umbhali: Kerry Atkinson nozakwabo. Ishicilelwe nguCambridge University Press, 2003.
Halter, J., Kodera, Y., Ispizua, A. et al. Izenzakalo ezimbi kubanikeli emva kwe-allogeneic hematopoietic stem cell donation. Haematologica . 2009. 94 (1): 94-101.
UMiller, J., Perry, E., Price, T. et al. Amaphrofayli okubuyisela kanye nokuphepha omnkantsha kanye nabanikeli be-PBSC: isipiliyoni soHlelo Lwabanikazi Bamarrow National. I-biology ye-Bone Marrow Transplantation . 2008. 14 (I-Suppl): 29-36.