M'mafupa uli pakatikati pa mafupa ambiri ndipo umapangidwa ndi minofu yofewa, mitsempha yamagazi ndi ma capillaries.
Ntchito yayikulu ya mafupa ndikupanga maselo amwazi omwe amathandizira kukhalabe ndi mitsempha yathanzi komanso yotulutsa magazi, yopanga ma cell opitilira 200 biliyoni tsiku lililonse. Mafupa a mafupa amapanga maselo ofiira ndi oyera.
Kupanga ndikusintha kwamaselowa nthawi zonse ndikofunikira pothandiza thupi kulimbana ndi matenda ndi matenda, komanso kumapangitsa kuti dongosolo la kupuma liziyenda.
Pali zovuta zingapo zamankhwala zomwe zingalepheretse mafuta opatsirana m'mafupa monga ma leukemias ndi khansa, chifuwa chachikulu ndi kuchepa kwa magazi. Ngati matendawa sakusamalidwa, omwe amakhudza mafupa amatha kupha. Mukazindikira, gawo loyamba lothandizira matenda am'mafupa ndikutulutsa kwa mafupa okhudzidwa. Izi zimasanthulidwa kuti zipatsidwe matenda ndikuwunika njira yothandizira yoyenera. Ngati maselo a khansa apezeka, njira yofunika kwambiri idzaphatikizira chemotherapy kapena radiotherapy, ndi cholinga chowononga ma cell a khansa ndi kuwaletsa kuti asafalikire kwina. Pochita izi maselo angapo ofiira ndi oyera adzawonongeka. Njira yothandiza kwambiri yothanirana ndi mafupa ndikumuika m'mafupa, ndikuphatikizanso m'malo mwa ma cell owonongeka ndi ma cell atsopano. Kuika mafuta m'mafupa nthawi zambiri kumaphatikizapo maselo am'munsi, omwe ndi maselo oyambilira omwe amatha kupanga maselo ofiira ndi oyera.
Maselo amtunduwu amabayidwa kuchokera m'mafupa aopereka, omwe amatha kubwera kuchokera kwa wopereka wakunja kapena kuchokera kwina kulikonse mthupi la wodwalayo. Maselo opangira kuchokera kwa wopereka wakunja ayenera kukhala ofanana kwambiri ndi a wodwalayo, ndipo nthawi zambiri amatengedwa m'chiuno. Maselo operekera magazi amatanthauziridwa m'mfupa la wodwalayo kudzera mumitsempha pogwiritsa ntchito kulowetsedwa, njira yomwe sikutanthauza kuti ndi ochititsa dzanzi ndipo ndiyosavuta. Zoperekazo zimapita m'mafupa mkati mwa maola angapo. Zimatenga pafupifupi masabata awiri kapena anayi kuti maselo osanjikiza ayambe kupanga maselo ofiira ndi oyera, ndipo ali ndi chiopsezo chachikulu chotenga kachilomboka panthawiyi wodwalayo adzafunika kukhala yekha.
Kodi ndingapeze kuti kufalikira kwa mafupa padziko lonse lapansi?
Kuthira mafuta m'mafupa ndi njira yovuta yofunika ukatswiri wa akatswiri, chifukwa chake imatha kukhala yokwera mtengo. Anthu ambiri amasankha kupita kunja kukalandira chithandizo, mwina kuti asunge ndalama kapena kuti apeze chisamaliro chapadera. Kukhazikitsa Bone Marrow ku Germany Kuika Bone Marrow ku India Kujambula Bone Marrow ku Turkey Kuti mumve zambiri, werengani Buku Lathu Lopangira Ma Bone Marrow.,
| # | Country | Zowonjezera mtengo | Kuyamba Mtengo | Mtengo Wapamwamba |
|---|---|---|---|---|
| 1 | India | $30000 | $28000 | $32000 |
Pali zinthu zambiri zomwe zingakhudze mtengo
Pezani Kufunsira Kwaulere
A kuyika mafupa amachitidwa kuti asinthe mafuta owonongeka kapena owonongeka. Mafupa amatha kusiya kugwira ntchito chifukwa cha matenda monga aplastic anemia kapena sickle cell anemia, kapena kuwonongedwa ndi chemotherapy kapena mankhwala a radiation omwe amachiza khansa kapena matenda ena. Mafupa a mafupa ndi minofu ya siponji yomwe ili mkati mwa mafupa m'thupi. Amapangidwa ndi maselo amadzimadzi. Izi maselo otsika amapanga maselo ena amwazi, monga maselo oyera olimbana ndi matenda komanso maselo ofiira ndi ma platelet, omwe amathandiza magazi kuundana komanso kufalitsa mpweya m'thupi lonse. Pali mitundu itatu yosiyanasiyana yopanga mafuta m'mafupa omwe ali autologous, allogenic, ndi syngeneic. Autologous mafupa osanjikiza amatenga odwala mafupa asanalandire chemotherapy kapena radiation radiation, ndikuisunga mufiriji mpaka mankhwalawo atamalizidwa.
Mafupa athanzi amawasamutsira kwa wodwalayo akamaliza kulandira chithandizo ndikukhala okhululukidwa. Kusintha kwa Allogenic kumaphatikizapo kutenga mafuta m'mafupa kuchokera kwa woperekayo, yemwe nthawi zambiri amakhala wachibale, ndikuyika izi kwa wodwalayo. Kuika ma syngeneic kumaphatikizapo kutenga mafupa kuchokera kumapasa ofanana a wodwalayo kapena kuchokera ku umbilical chingwe ndikuziyika kwa wodwalayo.
Aperekedwa kwa Khansa ya m'magazi Kuperewera kwa magazi m'thupi Lymphoma Odwala omwe amalandira chemotherapy yomwe yawononga mafupa a Sickle cell anemia Matenda omwe amadzitchinjiriza monga MS Time zofunika Kutalika kwakanthawi kokhala kunja kwa masabata 4 - 8. Kutalika komwe azikhala kuchipatala kumafunikira kumasiyanasiyana ndi mtundu uliwonse wa kumuika kochitidwa komanso ndi wodwala aliyense. Chiwerengero cha maulendo opita kudziko lina chimafunikira 1. Nthawi zambiri mafupa amatengedwa kuchokera ku sternum kapena mchiuno pogwiritsa ntchito singano kuti atengeko. Zofunika nthawi Kutalika kwakanthawi kokhala kunja kwa masabata 4 - 8. Kutalika komwe azikhala kuchipatala kumafunikira kumasiyanasiyana ndi mtundu uliwonse wa kumuika kochitidwa komanso ndi wodwala aliyense. Chiwerengero cha maulendo opita kudziko lina chikufunika 1. Nthawi zofunika Kutalika kwakanthawi kokhala kunja kwa masabata 4 - 8. Kutalika komwe azikhala kuchipatala kumafunikira kumasiyanasiyana ndi mtundu uliwonse wa kumuika kochitidwa komanso ndi wodwala aliyense. Chiwerengero cha maulendo opita kumayiko ena 1. Amangokolola mafupa kuchokera ku sternum kapena mchiuno pogwiritsa ntchito singano kuti atengeko.,
Asanalandire kuyika mafupa, odwala adzawunikiridwa mozama kuti awonetsetse kuti ndiyo njira yabwino kwambiri kwa iwo. Adzayesedwa kangapo kuti awonetsetse kuti wodwalayo ali ndi thanzi lokwanira kuti amulandire ndipo amafunikira kuti akafike kuchipatala kapena kuchipatala masiku 10 asanafike, kuti akhale ndi mzere wapakati pachifuwa chawo, pokonzekera kumuika. Kwa woperekayo, ayeneranso kukayezetsa ndi kuwunika kangapo kuti awonetsetse kuti ndiomwe akumulandila.
Woperekayo amapatsidwa mankhwala asanapereke mafupa ngati njira yowonjezera mafupa. Kenako mafupa amatengedwa kuchokera kwa woperekayo, nthawi zambiri kuchokera mchiuno kapena sternum pogwiritsa ntchito singano. Kapenanso, mafupa amatha kutengedwa kuchokera ku maselo am'magazi, omwe amaphatikizapo kutulutsa magazi ndikusefa kudzera pamakina omwe amatulutsa maselo am'magazi, ndikubweza magazi otsalawo kwa woperekayo.
Nthawi zambiri, mafupa amatengedwa kuchokera kwa wodwala asanalandire chithandizo kenako amawabwezeretsa, m'malo mogwiritsa ntchito wopereka. Odwala omwe ali ndi zovuta zovuta amatha kupindula mwa kufunanso lingaliro lina asanayambe njira yothandizira. Lingaliro lachiwiri limatanthauza kuti dokotala wina, nthawi zambiri katswiri wodziwa zambiri, adzawunikanso mbiri yazachipatala ya wodwalayo, zisonyezo, sikani, zotsatira zamayeso, ndi zina zambiri zofunika, kuti apereke njira yodziwira ndi chithandizo.
Chemotherapy kapena radiation radiation imagwiritsidwa ntchito ngati gawo la njira yochizira khansa kapena matenda mu fupa la fupa ndikutsegulira m'mafupa mwa kuwononga mafuta a m'mafupa. Gawo ili likamalizidwa, mafupa amawikanso kwa wodwalayo m'magazi, kudzera pamzere wapakati pachifuwa chawo.
Maselo atsopanowo amayenda kudzera m'magazi mpaka m'mafupa ndikuyamba kupanga maselo atsopano komanso athanzi. Anesthesia Mankhwala oletsa mafupa a mafupa amatengedwa kuchokera kwa wodwala kapena woperekayo ndipo amagwiritsidwa ntchito m'malo mwa mafupa opanda thanzi.,
Odwala amafunika kukhala kuchipatala milungu ingapo atachira, kuti achire. Kuwerengetsa magazi pafupipafupi kudzatengedwa m'masiku opita pambuyo pomuika ndikuthira magazi.
Pomwe kuikidwa kwa allogeneic kwachitika, wodwalayo nthawi zambiri amapatsidwa mankhwala kuti ateteze kuti asatengeke ndi matenda, omwe maselo atsopanowo angayambe kuwononga minofu ya wodwalayo. Kuchira pakumuika kungatenge miyezi ingapo wodwalayo atachoka kuchipatala ndipo ayenera kupita kukayezetsa pafupipafupi.,
Zotsatirazi ndi zipatala zabwino kwambiri za 10 za Bone Marrow Transplant padziko lapansi:
| # | Hospital | Country | maganizo | Price | |
|---|---|---|---|---|---|
| 1 | Chipatala cha BLK-MAX Super Specialty | India | New Delhi | --- | |
| 2 | Chipatala cha Chiangmai Ram | Thailand | Chiang Mai | --- | |
| 3 | Chipatala cha Medipol Mega University | nkhukundembo | Istanbul | --- | |
| 4 | Apollo Hospital Mumbai | India | Mumbai | --- | |
| 5 | Chipatala cha Bombay ndi Medical Research Cen ... | India | Mumbai | --- | |
| 6 | Chipatala cha Dobro | Ukraine | Kiev | --- | |
| 7 | Cheil General Hospital & Women Healthcar ... | Korea South | Seoul | --- | |
| 8 | Hanyang University Medical Center | Korea South | Seoul | --- | |
| 9 | Chipatala cha Mtima wa Apex | Singapore | Singapore | --- | |
| 10 | Chipatala cha P. D Hinduja | India | Mumbai | --- |
Otsatirawa ndi madotolo abwino kwambiri a Kukulitsa Bone Marrow padziko lapansi:
| # | DOTOLO | WAPADERA | KUCHipatala | |
|---|---|---|---|---|
| 1 | Dr. Rakesh Chopra | Oncologist Wachipatala | Chipatala cha Artemis | |
| 2 | Pulofesa A. Bekir Ozturk | Oncologist Wachipatala | Hisar Intercontinental H... | |
| 3 | Dr. Rahul Bhargava | Wofufuza za Haemato | Kafukufuku wa Fortis Memorial ... | |
| 4 | dr. Dharma Choudhary | Opaleshoni a Oncologist | BLK-MAX Super Specialty H... | |
| 5 | Dr. Nandini. C. Watayika | Oncologist wa Ana | Kafukufuku wa Fortis Memorial ... | |
| 6 | Dr.Aniruddha Purushottam Dayama | Wofufuza za Haemato | Chipatala cha Artemis | |
| 7 | Dr. Ashutosh Shukla | Dokotala | Chipatala cha Artemis | |
| 8 | Dr. Sanjeev Kumar Sharma | Opaleshoni a Oncologist | BLK-MAX Super Specialty H... | |
| 9 | dr. Deenadaylan | Oncologist Wachipatala | Chipatala cha Metro ndi Mtima ... |
Kuika mafupa kumafunikira ngati:
Kuti tithe kumuika, tiyenera kupeza ma stem cell kuchokera kwa wopereka. Ntchito yosonkhanitsa maselowa amatchedwa kukolola. Pali njira ziwiri zofunika kukolola kapena kusonkhanitsa maselo amtengo:
• Kukolola mafuta m'mafupa: Maselo am'madzi amatengedwa mwachindunji kuchokera ku fupa la mchiuno la woperekayo.
• Kukolola kwa maselo am'magazi: Maselo am'magazi amatengedwa kuchokera kumagazi (a mitsempha) a woperekayo.
Gulu lokuzira limaphatikizapo akatswiri awa:
• Madokotala
• Oyang'anira Amwino Asanabadwe
• Anamwino Odwala
• Anamwino a BMT Clinic
• Anamwino Ogwira Ntchito ndi Othandizira Amankhwala
• Odwala zakudya
• Achipatala Achipatala
• Akatswiri aukadaulo wamagazi
• Akatswiri Azakuthupi / Kuntchito
Zotsatirazi ndizo:
• Kuyankhulana koyamba
• Kuwunika Momwe Matenda Alili
• Kuwunika Ntchito Zamagulu
• Kufunsana
• Ndondomeko ya Wosamalira
• Njira Yothandizira ndi Kusonkhanitsa Tsinde
• Vomerezani kuti mukusintha
Zotsatirazi ndizo:
• Kuyankhulana koyamba
• Fufuzani Wopereka
• Kuwunika Momwe Matenda Alili
• Kuwunika Ntchito Zamagulu
• Kufunsana
• Ndondomeko ya Wosamalira
• Catheter IV Iikidwa
• Mayeso Omaliza
• Vomerezani kuti mukubzala
Wodwala ayenera kusamalira:
Kutulutsa kumapezeka kwa odwala ngati akwaniritsa:
• Zizindikiro zokhazikika komanso osatenthetsa malungo kwa maola 24
• Matenda ndi kumezanitsa motsutsana ndi matenda opatsirana (GVHD) ayenera kusowa, kukhazikika, kapena kuwongolera
• Osasowa kuthiridwa magazi tsiku lililonse (makamaka kuthiridwa magazi)
• Amatha kulekerera mankhwala akumwa, chakudya, ndi madzi
• Wogwira ntchito mokwanira kuti agwire ntchito kunja kwa chipatala
• nseru, kusanza, kutsekula m'mimba
• Matenda: Mukamabereka kapena mukamabzala, mumakhala pachiwopsezo chotenga matenda osiyanasiyana. Mukangomaliza kumuika muli pachiwopsezo chotenga matenda a bakiteriya ndi fungal, komanso kuyambitsanso mavairasi ena omwe amakhala mthupi lanu (mwachitsanzo, nthomba kapena kachilombo ka herpes simplex). M'miyezi ingapo yoyambirira mutangomaliza kumuika mupitilizabe kutenga matenda, makamaka matenda opatsirana.
• Veno-Occlusive Disease (VOD): Izi ndizovuta zomwe zimakhudza chiwindi. Amayambitsidwa chifukwa cha kuchuluka kwa mankhwala a chemotherapy omwe amatha kugwiritsidwa ntchito pakuika. VOD ikachitika, zimakhala zovuta kwambiri kuti chiwindi ndipo mapapo ndi impso zizigwira ntchito bwino. Zizindikiro za VOD zitha kuphatikizira jaundice (khungu lachikaso ndi maso), mimba yotupa komanso yofewa (makamaka komwe chiwindi chanu chimapezeka), ndi kunenepa. Chithandizo cha VOD chingaphatikizepo mankhwala osiyanasiyana, kuthiridwa magazi, kuwunika bwino chiwindi ndi impso, komanso kuyesa magazi.
• Zovuta Zam'mapapo ndi Mtima: Chibayo chimakhala chofala pambuyo pobzala. Pafupifupi 30-40% ya odwala omwe amaikidwa ma allogeneic ndipo pafupifupi 25% ya odwala omwe amaikidwa autologous amatha kudwala chibayo nthawi ina. Chibayo chimakhala cholimba, mwinanso kuwopseza moyo nthawi zina. Sikuti chibayo chonse chimayambitsidwa ndi matenda.
• Kuthira magazi: Kuthira magazi pambuyo pouika ndikofala, makamaka ngati magawo anu amakhala otsika kwambiri. Kuikidwa magazi m'matangadza amaperekedwa kuti ateteze magazi ambiri. Kuwerengera kwanu kwa ma platelet ndi zizindikilo zakutuluka magazi kumayang'aniridwa nthawi zambiri ndi gulu lanu lazachipatala mukamayika. Magazi mumkodzo (otchedwa hematuria) amadziwikanso pambuyo pa mitundu ina yoika, ndipo nthawi zambiri imabwera chifukwa cha kachilombo komwe kamayambitsa chikhodzodzo
• Matenda olimbana ndi matendawa: Matenda olimbana ndi matendawa (GVHD) ndi vuto lomwe limachitika m'maselo atsopanowa mukalumikizana ndi thupi lanu. Zitha kuyambira pazovuta zochepa kapena zitha kupita patsogolo pangozi.
Zambiri mwazodzitchinjiriza ndi zoletsa izi ndizofunikira popewa matenda ndikutaya magazi. Mafupa anu amafunika nthawi kuti akhwime asanawonekere kuti achira. Mpaka nthawiyo, pali zinthu zomwe muyenera kuyang'anira ndikuthandizira kupewa. Malamulowa amacheperachepera pakapita nthawi, chifukwa mafupa anu komanso chitetezo chamthupi chimayamba kugwira ntchito bwino.
• Maski: Chigoba sikofunika mukakhala kunyumba kapena kukayenda koma mukufunika mukamayendera malo owonongeka.
• Anthu: Pewani kucheza kwambiri ndi aliyense amene akudwala. Pewani malo odzaza ndi anthu, makamaka nthawi yachisanu ndi chimfine. Khalani kutali ndi aliyense amene ali ndi matenda opatsirana komanso / kapena aubwana.
• Ziweto ndi Zinyama: Ziweto zanyumba zimatha kutsalira mnyumbamo, kupatula mbalame ndi zokwawa. Pewani kukhudzana konse ndi mbalame kapena zokwawa ndi ndowe; amanyamula matenda ambiri. Pewani kulumikizana ndi zinyalala za nyama.
• Zomera ndi Maluwa: Izi zimatha kukhalabe mnyumba. Pewani kulima, kutchetcha kapinga ndi zinthu zina zomwe zimadzutsa nthaka kapena nthaka. Pewani kusamalira maluwa odulidwa mwatsopano m'mitsuko; madzi amatha kunyamula mabakiteriya ambiri.
• Ulendo: Adziwitseni dokotala musanapite kukayenda. Nthawi zambiri, muyenera kupewa kusambira munyanja, m'madziwe am'magulu onse komanso kukhala m'malo osambira chifukwa chotheka kupezeka ndi mabakiteriya ochulukirapo.
• Zochita zathupi: Ndikofunikira kuti pulogalamu yazomwe zanenedwa mchipatala ndi omwe amakuthandizani. Pali kuthekera kokukula matenda m'mapapu anu mutatha kumuika, ndipo kukhalabe achangu kumathandiza kuti mapapu anu akhale olimba.
• Kuyendetsa: Simudzatha kuyendetsa galimoto kwa miyezi itatu mutangopanga kumuika. Nthawi imeneyi imatha kukhala yayifupi kwa odwala omwe amalandira maselo awo. Mphamvu zakuthupi zimachepa ndipo zimatha kubweretsa kuchepa kwa nthawi yofunikira yoyendetsa bwino.
• Kubwerera Kuntchito kapena Kusukulu: Kubwerera kwanu kuntchito kapena kusukulu kumadalira mtundu wa kumuika komwe mumalandira komanso momwe kuchira kwanu kumayendera. Kwa masiku 100 oyamba mutakhazikika simubwerera kuntchito kapena kusukulu.
• Kubwezeretsanso matupi anu: Popeza chitetezo chanu chimakhudzidwa kwambiri ndi kumuika, mwina sangakumbukirenso momwe adalandirira katemera wa ana. Chifukwa chake, mudzapatsidwanso mphamvu ndi "kuwombera pang'ono" kwanu kamodzi kapena zaka ziwiri mutamuika.
• Zakudya: Kutaya kukoma ndi njala kumachitika pafupipafupi pambuyo pobzala. Ngati mukuvutika kudya chakudya chokwanira mu ma calories ndi mapuloteni, lankhulani ndi wazakudya wathu.
Palibe vuto kudya zipatso zosaphika ndi ndiwo zamasamba mutatuluka kuchipatala. Zakudya izi ziyenera kutsukidwa bwino pansi pamadzi ndi mikwingwirima kapena malo oyipa ayenera kuchotsedwa. Zipatso ndi ndiwo zamasamba zomwe sizingatsukidwe bwino siziyenera kudyedwa zosaphika.
Tsabola ndi zitsamba zina zouma zitha kuthiriridwa pazakudya zomwe zaphikidwa kapena kutenthedwa mpaka kutentha kwa microwave. Simuyenera kuwonjezera tsabola pazakudya zomwe zawotchera kale kapena zitha kudyedwa zosaphika.
Palibe vuto kudya chakudya chotentha, chatsopano komanso chophika bwino. Zipatso, ndiwo zamasamba, ndi saladi zosaphika kapena zosakaniza ziyenera kupewedwa. Pewani mipiringidzo ya saladi, ma smorgasbords, ndi potlucks. Funsani kuti chakudya chikhale chokonzedwa mwatsopano, ndi kuyitanitsa chakudya popanda zokometsera kapena zonunkhira (letesi, phwetekere, mayonesi). Nyama ndi nsomba ziyenera kuphikidwa bwino. Musadye nsomba zaiwisi zosakaniza kuphatikizapo oyster, sushi, sashimi, nsomba zam'nyanja zochepa ngati nkhono, ziphuphu, ndi nkhono.
Mwinanso mutha kutaya minofu mukamalandila kuchipatala. Kudya mapuloteni okwanira ndikofunikira kuti ubwezeretse thupi lowonda ndikupewa kusungidwa kwamadzimadzi. Yesetsani kudya zakudya zambiri: ng'ombe, nkhuku, nsomba, tchizi, mazira, mkaka, batala wa nyemba, ndi nyemba. Ngati mulibe chilakolako cha zakudya izi mutatha kuziika, funsani Dietitian Wanu Wolemba Zakudya za mapuloteni apamwamba
Njira Zosakira ndi Chipatala
Sankhani Zosankha zanu
Sungani pulogalamu yanu
Mukukonzekera moyo watsopano komanso wathanzi
Mozocare ndi njira yopezera zipatala ndi zipatala zothandiza odwala kupeza chithandizo chamankhwala chabwino pamitengo yotsika mtengo. Malingaliro a Mozocare amapereka Health News, Kukonzekera kwatsopano kwamankhwala, Udindo wa Chipatala, Zaukadaulo wa Makampani azaumoyo ndi kugawana kwa Chidziwitso.
Zomwe zili patsamba lino zidawunikiridwa ndikuvomerezedwa ndi Mozocare gulu. Tsambali lidasinthidwa pa 03 May, 2021.