Kuvame kakhulu manje ukuthi abantu banikele ngamaseli e-blood stem cell (PBSCs) wokufakelwa kabusha, nakuba kwezinye izimo abantu basabanikela ngomnkantsha wamathambo. Uma ucabangela ukunikela ngomnkantsha we-bone esikhundleni se-PBSCs hlola izingozi ezikhona zokunikela ngomongo.
I-Peripheral Blood Stem Collection Collection
Ukuze uqonde izingozi ezingase zibe khona zokunikela amangqamuzana angama-stem, angasiza ekubukezeni kuqala inqubo yokuthi amangqamuzana amancane aqoqwa kanjani ukufakelwa.
Kusukela ezinsukwini ezingu-4 noma ezinhlanu ngaphambi kwenqubo uzonikezwa imijovo ukwandisa inani lamaseli okugaya egazini lakho. Inqubo ngokwayo iqhutshwa nge-IV efakwe engalweni yakho noma umugqa ophakathi ube yisitsha esikhulu segazi. Igazi lakho liqoqwe, lihlungiwe ukususa amaseli we-stem, idluliselwe emzimbeni wakho.
Izingozi ezingenzeka
Kunezingozi ezimbalwa ezihlukene okufanele zicatshangelwe kumnikelo wegazi we-stem cell cell.
Okokuqala kuhlobene nemithi oyitholayo phakathi nezinsuku ngaphambi kwenqubo. Imithi ebizwa ngokuthi i-granulocyte colony stimulating factor (Neupogen) ivame ukunikezwa nsuku zonke izinsuku ezingu-4 noma ezinhlanu ngomjovo, ukuze ukwandise inani lamaseli asegciwane akhona egazini lakho. Imiphumela emibi yalo muthi ivame ukufaka ubuhlungu be-bone, kanye nobungozi bokuphendula. Ngesinye isikhathi kwakucatshangwa ukuthi i-granulocyte isisusa isici singakhuphula ingozi ye-leukemia kulabo abayitholile, kodwa lokho akubonakali ukuthi kunjalo, futhi ngesifundo esisodwa esikhulu isifo se-leukemia kubantu abathola i-granulocyte into evuselelayo Ukulungiselela ukunikela ngamaseli amancane kwakuphansi kakhulu kunezinga labantu.
Ingozi yesibili engaba khona ihlobene negazi elizitholayo. Ngezinye izikhathi ukuze ubeke i-IV, umugqa ophakathi kufanele ubeke emvuthweni omkhulu emzimbeni wakho. Lokhu kubeka ingozi yokukhipha igazi kanye nengozi engavamile yokushaya elinye lamaphaphu akho. Njengoba igazi lakho (amancane amangqamuzana e-stem) libuyiselwa emzimbeni wakho, ngeke ube nezimpawu eziningi abantu abazibandakanya nokunikela ngegazi.
Ngenkathi igazi lakho lihlungwa (inqubo ebizwa ngokuthi i-apheresis) ungase uzizwe uhamba kancane. Ungase ube nezinhlanzi, izigqoko ezandleni zakho, nomzwelo wezinyopho ezungeze izindebe zakho. Lokhu kuyesikhashana futhi akuphiki isikhathi eside kunamahora ambalwa ngemva kwenqubo yokuqoqa.
Izingozi Ezinobungozi kanye Nemiphumela Emibi
Imiphumela emibi kakhulu ye-bothersome yeminikelo yesisindo ye-stem iyenzeka njalo ezinsukwini ngaphambi komnikelo futhi ihlobene nemiphumela emibi ye-injection ye-granulocyte factor stimulating factor. Lezi zihlanganisa ubuhlungu bethambo kanye nama-aches omzimba.
Kungase kube ukungathandeki ngokufaka i-IV, kanye nama-chills kanye nama-cramps ashiwo ngenhla.
Izingozi ezimbi kanye nemiphumela emibi
Izenzakalo ezimbi ezimbi kakhulu azivami nge-stem cell donation. Ekubuyekezeni kweminikelo yoHlelo Lwababani Bamarrow National, abangaphansi kuka-1% wabanikeli babhekene nesenzakalo esibi kakhulu.
Emhlabeni wonke, isifundo esisodwa sibheke abantu abangaphezu kuka-23 000 ababenikele ngamaseli egazi wegazi. Phakathi kwalaba bantu, kwakukhona ukufa okungu-4 kanye nezenzakalo ezimbi ezingathí sina (ikakhulukazi ezihlobene nenhliziyo), kodwa lolu cwaningo luhlanganisa izinhlelo emhlabeni jikelele ngezidingo ezingaphansi kakhulu kwabanikelayo labo abaseMelika.
Abanikeli kanye neziguli
Uma ucabangela ukunikela ngamaseli amancane omuntu ongaphandle komndeni wakho, ungase uzibuze ukuthi uzoba nethuba lokukhuluma nomamukeli wamaseli akho. Kukhona izinqubo eziyimfihlo eziyimfihlo mayelana nalokhu, kodwa kungashukumisa ukufunda izindaba zabanikeli kanye neziguli ezitholile ithuba lokuhlangana.
Ukwenza Isinqumo Sakho
Ngokubanzi, ukunikela ngegazi lesisindo kubonakala sengathi inqubo ephephile kakhulu, enekhono lokusindisa impilo emgomweni wayo. Uma ucabangela ukunikela, thatha isikhathi sokulinganisela izingozi nezinzuzo, futhi unqume ukuthi yini engcono kuwe.
Imithombo:
I-American Society of Clinical Oncology. I-Cancer.Net. Ukunikeza i-Bone Marrow.
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.
Uhlelo lwe-National Bone Marrow Donor. Ukunikeza i-Bone Marrow.