Bone marora iri pakati pemapfupa mazhinji uye inoumbwa neyakareruka nyama, tsinga dzeropa uye capillaries.
Basa rekutanga remongo wemapfupa kugadzira masero eropa ayo anobatsira kuchengetedza hutano hwakanaka hwevascular uye lymphatic system, ichigadzira masero anopfuura mazana maviri emabhiriyoni zuva rega rega. Bone bhora rinogadzira ese matsvuku uye machena masero eropa.
Kugara kugadzirwa uye kumutsiridzwa kwemasero aya kwakakosha mukubatsira muviri kurwisa chirwere uye hutachiona, uye zvakare kunoita kuti mweya wekufema ushande
Kune akatiwandei mamiriro ekurapa ayo anogona kudzivirira mwongo wemapfupa kuburitsa maseru zvinobudirira senge leukemias nekenza, tibhii uye sickle cell anemia. Kana ikasiiwa isina kurapwa, hosha dzinokanganisa mwongo wemapfupa dzinogona kuuraya. Paunenge uchinge waonekwa, nhanho yekutanga yekurapa chirwere chemongo wemapfupa ndiko kubviswa kweiyo yakakanganiswa mongo. Izvi zvinoongororwa kupa kuongororwa uye kuongorora kuti ndeipi nzira yekurapa inonyanya kukodzera. Kana masero ane gomarara akawanikwa, nzira ingangoitika yekuita inosanganisira chemotherapy kana radiotherapy, nechinangwa chekuparadza gomarara maseru uye kuvadzivirira kuti vasapararire mberi. Mukuita uku masero matsvuku uye machena eropa anokuvara zvakare. Nzira inoshanda kwazvo yekurapa yemongo wemapfupa ndeyekutsvaira mwongo wemapfupa, zvinosanganisira kutsiva mwongo wakakanganiswa uye maseru neatsva, ane hutano. Kuiswa kwemongo wemapfupa kunowanzo sanganisira masero emadzinde, ayo ari ekutanga maseru ekuvandudza ayo anogona kuburitsa masero matsvuku uye machena eropa.
Iwo masero emidziyo akajowa kubva kune anopa mwongo weropa, uyo anogona kuuya kubva kune wekunze mupi kana kubva kumwe kunhu mumuviri wemurwere. Masero emadzinde kubva kune wekunze mupi anofanirwa kunge ari mutambo wepedyo kune wemurwere, uye unowanzo kutorwa kubva munzvimbo yepelvis. Iwo anopa masisitimu masero anodudzirwa mupfupa remurwere kuburikidza nemutsinga uchishandisa kudonhedza, maitiro asingade anesthesia uye ari mashoma-anovhiringidza. Iyo yekupa yezvinhu inofamba ichienda kumabhonzo emapfupa mukati meawa akati wandei. Zvinotora nguva dzinosvika mavhiki maviri kusvika mana masero emadzinde akaiswa asati atanga kuburitsa masero matsvuku uye machena eropa, uye nenjodzi huru yekutapukirwa panguva ino murwere achazoda kugara ari ega.
Ndekupi kwandingawane masaga emapfupa kutenderera pasirese?
Kuchinjisa mwongo wemapfupa inzira yakaoma kunzwisisa inoda hunyanzvi hwevane ruzivo, uye nekudaro inogona kudhura. Vanhu vazhinji vanosarudza kutarisa kunze kwenyika kuti varapwe, kungave kuchengetedza mari kana kutsvaga kwehunyanzvi kurapwa. Bone Marrow Kudzvanywa kuGerman Bone Marrow Kudyara muIndia Bone Marrow Kuisa muTurkey Kuti uwane rumwe ruzivo, verenga yedu Bone Marrow Kuisa Mari Gwaro.,
| # | nyika | Average Cost | Kutanga Mutengo | Yakakwirira Mari |
|---|---|---|---|---|
| 1 | India | $30000 | $28000 | $32000 |
Pane zvinhu zvakawanda zvinogona kukanganisa mutengo
Wana Mahara Kubvunzana
A bone marrow transplant inoitwa kutsiva yakanganisa kana kuparadzwa yemongo. Bhonzo remapfupa rinogona kumira kushanda semhedzisiro yezvirwere zvakaita seaplastic anemia kana sickle cell anemia, kana kubva mukuparadzwa nekemotherapy kana kurapwa nemwaranzi kunoshandiswa kurapa cancer kana zvimwewo zvirwere. Bone mwongo ndiyo chipanje chinowanikwa mukati memapfupa mumuviri. Iyo inoumbwa nemasero masero. Izvi shina masero inogadzira mamwe masero eropa, akadai semasero machena ekurwisa hutachiona uye masero matsvuku nemaplatelet, ayo anobatsira ropa kuvhara uye kutenderedza oxygen mumuviri wese. Kune matatu matatu akasiyana mapfupa emongo akachinjika ayo ari autologous, allogenic, uye syngeneic. Autologous bone marrow transplant inokohwa varwere vane mwongo wemapfupa vasati vagamuchira chemotherapy kana radiation radiation, uye voichengeta mufiriji kusvika kurapwa kwapera.
Iyo mongo wemapfupa ane hutano anobva aiswazve kumurwere mushure mekunge vapedza nemushonga uye vava mukuregererwa. Allogenic transplants inosanganisira kutora mwongo wepfupa kubva kune anopa, iyo inowanzo kuve nhengo yemhuri, uye kuisazve izvi kumurwere. Shanduko dzeSyngeneic dzinosanganisira kutora mwongo wemapfupa kubva pamapatya akafanana emurwere kana kubva patambo yembilical uye kuiisa kumurwere.
Yakurudzirwa Leukemia Aplastic anemia Lymphoma Varwere vakave nekemotherapy iyo yakaparadza mwongo wemapfupa Sickle cell anemia Zvirwere zvemuviri zvakadai seMS Nguva inoda Avhareji yekugara kunze kwenyika mavhiki mana - masere. Kureba kwekugara muchipatara kunodiwa kunosiyana nemhando yega yega yekuisira inoitwa uye nemurwere wega wega. Huwandu hwenzendo dzekune dzimwe nyika dzinodiwa 4.Mongo wemapfupa unowanzo gohowa kubva ku sternum kana muhudyu uchishandisa tsono kuutora. Nguva inodikanwa Avhareji urefu hwekugara kunze kwenyika 8 - 1 mavhiki. Kureba kwekugara muchipatara kunodiwa kunosiyana nemhando yega yega yekuisira inoitwa uye nemurwere wega wega. Nhamba yenzendo dzekune dzimwe nyika dzinodiwa 4. Nguva inodikanwa Avhareji urefu hwekugara kunze kwenyika 8 - 1 mavhiki. Kureba kwekugara muchipatara kunodiwa kunosiyana nemhando yega yega yekuisira inoitwa uye nemurwere wega wega. Huwandu hwenzendo dzekune dzimwe nyika dzinodiwa 4.Mongo wemapfupa unowanzo gohwa kubva ku sternum kana muhudyu uchishandisa tsono kuubvisa.,
Usati wagamuchira bone marrow transplant, varwere vanozoongororwa zvakanyanya kuti vaone kuti ndiyo sarudzo yakanyanya kunaka kwavari. Muedzo wakateedzana uchaitwa kuona kuti murwere ane hutano hwakakwana kuti agamuchire uye vanowanzo fanirwa kusvika kukiriniki kana chipatara mazuva gumi asati aiswa, kuve netambo yepakati yakaiswa muchipfuva chavo, mukugadzirira kuisirwa. Kune mupi, ivo vanofanirwa zvakare kuita akateedzana bvunzo uye kuongororwa kuti vaone kuti iwo ndiwo mutsara chaiwo weanogamuchira.
Iye mupiro anowanzo kupihwa mishonga asati apa mupfupa senzira yekuwedzera kugadzirwa kwemongo. Iyo pfupa yemapfupa inozokohwewa kubva kumupi, kazhinji kubva muchiuno kana sternum uchishandisa tsono. Neimwe nzira, mwongo wepfupa unogona kuunganidzwa kubva kunhengo dzeropa maseru, ayo anosanganisira kutora ropa nekurisefa kuburikidza nemuchina unobvisa masero emadzinde, wobva wadzosera ropa rakasara kumupi.
Kazhinji nguva, iyo pfupa yemongo inotorwa kubva kumurwere asati arapwa uye ndokuzodzokera kwariri, pane kushandisa mupi. Varwere vane mamiriro akaomarara vanogona kubatsirwa nekutsvaga rwechipiri pfungwa vasati vatanga chirongwa chekurapa. Pfungwa yechipiri inoreva kuti mumwe chiremba, kazhinji nyanzvi ine ruzivo rwakawanda, anoongorora nhoroondo yemurwere, zviratidzo, zviyero, zvabuda, uye rumwe ruzivo rwakakosha, kuitira kuti ape chirongwa chekuziva uye chekurapa.
Chemotherapy kana radiation radiation inowanzo shandiswa sechikamu chemaitiro ekurapa gomarara kana chirwere mu bone marrow uye kugadzira nzvimbo yekudyiwa kwemongo wefupa nekuparadza iyo yakanganisa mongo. Kana chikamu ichi chapera, mwongo wefupa unozodzorerwa kumurwere muropa, kuburikidza nepakati nepakati muchipfuva chavo.
Iwo matsva maseru maseru anozofamba kuburikidza neropa kusvika kumongo wemapfupa uye otanga kuburitsa maseru matsva uye ane hutano. Anesthesia General anesthetic Bone marora anokohwewa kubva kumurwere kana mupi uye anoshandiswa kutsiva asina hutano mapfupa.,
Varwere vanozoda kupedza mavhiki mashoma muchipatara mushure mekuita, kuti vapore. Kujairika kuwanda kweropa kunozotorwa mumazuva anoenderera mushure mekuisirwa uye kuwedzerwa ropa kungangodiwa.
Muchiitiko apo kuiswa kweallogeneic kwakaitwa, murwere anowanzo kupihwa mishonga yekutora seyambiro yekudzivirira graft-vs-host-chirwere, icho icho maseru matsva angangotanga kurwisa nyama yemurwere. Kudzoreredza kubva pakuiswa kunogona kutora mwedzi mushure mekunge murwere abva muchipatara uye ivo vanofanirwa kuenda kunovhenekwa nguva dzose.,
Zvinotevera ndizvo zvakanakisa zvipatara gumi zveBone Marrow Transplant munyika:
| # | chipatara | nyika | manzwiro | mutengo | |
|---|---|---|---|---|---|
| 1 | BLK-MAX Super Specialty Chipatara | India | New Delhi | --- | |
| 2 | Chiangmai Ram Chipatara | Tairendi | Chiang Mai | --- | |
| 3 | Medipol Mega University Chipatara | Teki | Istanbul | --- | |
| 4 | Muro General Chipatara | Speini | Mallorca | --- | |
| 5 | Polyclinique L'Excellence | Tunisiya | The Mahdi | --- | |
| 6 | Apex Mwoyo Kiriniki | Singapowo | Singapowo | --- | |
| 7 | Hadassah Chiremba Center | Izirayeri | Jerusarema | --- | |
| 8 | Apollo Hospital Ahmedabad | India | Ahmedabad | --- | |
| 9 | European Hutano Center | Porendi | Otwock | --- | |
| 10 | Cheil General Chipatara & Vakadzi Hutano mota ... | Chammhembe Koria | Seoul | --- |
Anotevera ndivo akanakisa varapi veBone Marrow Transplant pasi rese:
| # | Chiremba | ZVINOKOSHA | CHipatara | |
|---|---|---|---|---|
| 1 | Dr. Rakesh Chopra | Oncologist yezvokurapa | Artemis Hospital | |
| 2 | Prof. A. Bekir Ozturk | Oncologist yezvokurapa | Herar Intercontinental Ho ... | |
| 3 | Dr. Rahul Bhargava | Hemato Oncologist | Ongororo yeFortis Chirangaridzo ... | |
| 4 | dr. Dharma Choudhary | Kuvhiya Oncologist | BLK-MAX Super Hunyanzvi H ... | |
| 5 | Dr. Nandini. C. Hazarika | Chiremba Oncologist | Ongororo yeFortis Chirangaridzo ... | |
| 6 | Dr. Aniruddha Purushottam Dayama | Hemato Oncologist | Artemis Hospital | |
| 7 | Dr. Ashutosh Shukla | Chiremba | Artemis Hospital | |
| 8 | Dr. Sanjeev Kumar Sharma | Kuvhiya Oncologist | BLK-MAX Super Hunyanzvi H ... | |
| 9 | dr. Deenadayalan | Oncologist yezvokurapa | Chipatara cheMetro neMoyo ... |
Kupfupa kwemongo wemapfupa kunogona kudikanwa kana:
Kuti titange kuiswa, isu tinofanirwa kuwana masisitimu maseru kubva kune anopa. Nzira yekuunganidza maseru aya inonzi kukohwa. Pane nzira mbiri dzekukohwa kana kuunganidza masero emadzinde:
Kukohwa kwemongo wemapfupa: Masero emadzinde anounganidzwa akananga kubva muchiuno bone remupi.
Ropa rehunde masero ekucheka: Masero emadzinde anounganidzwa akananga kubva muropa (tsinga) remupi.
Iyo timu yekuchinjisa inosanganisira anotevera mahunyanzvi:
• Vanachiremba
• Vanotungamira-Kuisazve Mukoti Varongi
• Vanamukoti Vanorwara
• Vanamukoti veBMT Clinic
• Vanamukoti Varapi uye Vanachiremba Vanobatsira
• Kudya
• Vanachiremba veKiriniki
• Ropa reBhangi reRopa
• Varapi vePanyama / veKubasa
Tsotevera ndeye matanho:
• Pakutanga Kubvunza
• Chirwere Chimiro Kuongorora
• Kuongorora Kushanda Kwemuviri
• Kubvunza
• Chirongwa Chekuchengeta
• Stem cell Kufambisa uye Unganidzo Maitiro
• Bvuma kuiswa
Tsotevera ndeye matanho:
• Pakutanga Kubvunza
• Tsvaga Anopa
• Chirwere Chimiro Kuongorora
• Kuongorora Kushanda Kwemuviri
• Kubvunza
• Chirongwa Chekuchengeta
• IV Catheter Yakaiswa
• Kwayedza Yekupedzisira
• Bvuma kuisirwa
Murwere anofanira kutarisira:
Kuburitswa kunowanikwa kune varwere kana vachizadzisa:
• Zviratidzo zvakadzikama zvakakosha uye pasina fivha kwemaawa makumi maviri nemana
• Zvirwere uye kubatanidza maringe nehosha yekugamuchira (GVHD) zvinofanirwa kunge zvisipo, kugadzikana, kana kudzorwa
• Hazvidi kuwedzerwa zuva nezuva (kunyanya kuwedzerwa maplatelet)
• Inokwanisa kutsungirira mishonga yemumuromo, chikafu, uye zvinwiwa
• Anoshanda zvakakwana kuti agone kushanda kunze kwechipatara
• kusvotwa, kurutsa, manyoka ari pasi pesimba
Zvirwere: Munguva uye shure kwekuiswa kwako, uchave panjodzi yekuvandudza mhando dzakasiyana dzeutachiona. Pakarepo mushure mekuiswa kwako unenge uri panjodzi yekutapukirwa nehutachiona uye fungal, pamwe nekumutsiridzwa kwevamwe hutachiona hunogara mumuviri wako (semuenzaniso, huku hwehuku kana herpes simplex hutachiona). Pakati pemwedzi yakati wandei mushure mekuisa kwako unoramba uchingobatwa nezvirwere, kunyanya hutachiona hwehutachiona.
• Veno-Occlusive Disease (VOD): Ichi chinetso chinowanzo bata chiropa. Iyo inokonzerwa neakakwira madosi ekemotherapy ayo anogona kushandiswa panguva yekudyara. Kana VOD ikaitika, inova yakaoma kwazvo kuchiropa uyezve mapapu neitsvo kuti zviite zvakajairika. Zviratidzo nezviratidzo zveVOD zvinogona kusanganisira jaundice (yero ganda uye maziso), dumbu rakazvimba uye nyoro (kunyanya panowanikwa chiropa chako), uye kuwedzera uremu. Kurapa kweVOD kunogona kusanganisira mishonga yakasiyana siyana, kuwedzerwa ropa, kunyatsoongorora chiropa chako neitsvo, uye kuongororwa kweropa.
Matambudziko Emapapu neMoyo: Pneumonias zvakajairika zvichitevera kuisirwa. Vanoda kusvika makumi matatu kusvika makumi mana muzana evarwere vanoiswa allogeneic kuisirwa uye vangangoita 30% yevarwere vanoiswa autologous transplant ichaita pneumonia pane imwe nguva panguva yavo yekudyara. Iyo pneumonia inogona kunge yakanyanya, kunyange kutyisidzira hupenyu mune dzimwe nguva. Haasi ese mabayo anokonzerwa nezvirwere.
• Kubuda ropa: Kubuda ropa mushure mekudyara kwakajairika, kunyanya kana maplatelet ako akadzika kwazvo. Kuwedzerwa kweplatelet kunopihwa kuyedza kudzivirira kubuda ropa kwakanyanya. Yako platelet kuverenga uye zviratidzo zvekubuda ropa zvinozoongororwa kazhinji nechikwata chako chekurapa panguva yako yekudyara. Ropa mumurini (inonzi hematuria) inowanzoitika mushure memamwe marudzi ekuisa, uye kazhinji inokonzerwa nehutachiona chaihwo hunobata dundira rako.
Graft Versus Host Disease: Graft versus host disease (GVHD) kusangana kunoitika kana masero matsva (kubatanidza) achipesana nemuviri wako (muridzi). Inogona kutangira pane yakaoma kwazvo kana inogona kufambira mberi kuenda kune inotyisidzira hupenyu.
Zvizhinji zveidzi chengetedzo nezvirambidzo zvinodikanwa kudzivirira hutachiona nekubuda ropa. Pfupa rako rinoda nguva yekukura risati rafungidzirwa zvizere. Kusvikira nguva iyoyo, pane zvinhu zvaunofanira kutarisa uye kubatsira kudzivirira. Izvi zvinodzora zvinodzikira nekufamba kwenguva, sezvo pfupa rako repfupa uye immune system ichinyatso kushanda.
• Masiki: Chifukidziro hachidiwe kana uri kumba kana kuti uchifamba kuti ufambe asi chinodiwa kana uchishanyira munzvimbo dzakasviba.
• Vanhu: Dzivisa kushamwaridzana nechero ani anorwara. Dzivisa nzvimbo dzakazara, kunyanya panguva yekutonhora uye furuu mwaka. Gara kure nemunhu chero upi zvake anotarisana nehutachiona uye / kana chirwere chehucheche.
• Zvipfuwo uye Mhuka: Zvipfuyo zvemumba zvinogona kugara mumusha, kunze kweshiri nezvinokambaira. Dzivisa kusangana kwese neshiri kana zvinokambaira nemadonhwe avo; vanotakura hutachiona hwakawanda. Dzivisa kubata mhuka tsvina.
• Zvirimwa nemaruva: Izvi zvinogona kugara mumba. Dzivisa gadheni, kucheka uswa uye zvimwe zviitiko zvinomutsa ivhu kana ivhu. Dzivisa kubata maruva matsva-akachekwa mumavhasi; mvura inogona kutakura huwandu hwakawanda hwehutachiona.
• Kufamba: Zivisa chiremba wako usati waenda. Muzhinji, iwe unofanirwa kudzivirira kushambira mumadhamu, madziva eruzhinji uye kugara mumatota anopisa nekuda kwekugona kwekuratidzira kune akawandisa mabhakitiriya.
• Chiitiko chePanyama: Zvakakosha kuchengetedza chirongwa chezviitiko zvakatsanangurwa muchipatara nachiremba wako wepanyama. Iko kune mukana wekuvandudza hutachiona mumapapu ako mushure mekuisirwa, uye kuramba uchishanda kunobatsira kuchengetedza mapapu ako akasimba.
Kutyaira: Hauzokwanisi kutyaira kwemwedzi mitatu uchitevera kuiswa kwako. Iyi nguva inogona kupfupika kuvarwere vanogashira yavo yega masero maseru. Simba repanyama rinowanzo deredzwa uye rinogona kutungamira mukudzikira kwenguva yekufunga inodiwa kuti utyaire kwakachengeteka.
Kudzokera Kubasa kana Chikoro: Kudzokera kwako kubasa kana kuchikoro kunoenderana nerudzi rwekuisa iwe unogashira uye kuti kupora kwako kunoenderera sei. Kwemazuva zana ekutanga mushure mekuiswa kwako hauzodzokere kubasa kana kuchikoro.
• Kubatanidzwazve: Sezvo immune system yako yakanyanya kukanganiswa nekuisirwa, inogona kusakwanisa kuyeuka kuburitswa kwayakaitwa kubayiwa majekiseni ehudiki. Naizvozvo, iwe unozogadzirwazve nemaviri eako "emwana mucheche kupfura" rimwe chete kana maviri makore mushure mekuiswazve.
Kudya: Kurasika kwekuravira uye kudya kunoitika kazhinji zvichitevera kuisirwa. Kana iwe uchinetseka kudya chikafu chakaringana mumacalorie nemapuroteni, taura neyedu dietitian.
Zvakanaka kudya michero miriwo nemiriwo mushure mekunge waburitswa muchipatara. Zvikafu izvi zvinofanirwa kucheneswa zvakakwana pasi pemvura inoyerera uye maronda kana mavara akashata anofanira kubviswa. Zvibereko nemiriwo zvisingakwanise kucheneswa zvakanaka hazvifanirwe kudyiwa zvisina mbishi.
Mhiripiri nemimwe miriwo yakaomeswa inogona kuwedzerwa kune chikafu chiri kuzobikwa kana kupisa kune tembiricha inopfuta mu microwave. Iwe haufanire kuwedzera mhiripiri kuzvikafu zvakatodziirwa kana kuti zvichadyiwa zvisina mbishi.
Izvo zvakanaka kudya chikafu chinopisa, chichangobva kugadzirwa uye chakabikwa zvizere. Michero isina kubikwa kana inomesa-yakabikwa, miriwo, uye masaradhi zvinofanirwa kudzivirirwa. Dzivisa saradhi mbariro, smorgasbords, uye potlucks. Kumbira kuti chikafu chigadzikiswe chitsva, uye odhe chikafu chisina matopu kana zvinwiwa (letisi, madomasi, mayonesi). Nyama nehove zvinofanirwa kunyatso kubikwa. Usadye zvegungwa mbishi zvinosanganisira maoyster, sushi, sashimi, zvisikwa zvisina kugadzirwa zvine hunyanzvi segungwa senge mamossels, clams, uye hozhwa.
Unogona kunge wakarasikirwa neimwe mhasuru panguva yako yekuchipatara. Kudya mapuroteni akakwana kwakakosha kudzoreredza huremu hwemuviri uye kudzivirira kuchengetedzwa kwemvura. Edza kudya zvimwe zvekudya izvi: nyama yemombe, huku, hove, chizi, mazai, zvigadzirwa zvemukaka, nzungu ruomba, uye bhinzi. Kana iwe usina havi yezvikafu izvi zvichitevera kuisirwa, bvunza wako Akanyoreswa Dietitian kune mamwe eprotein ekumwa mapapiro
Maitiro Ekutsvaga uye Chipatara
Sarudza zvaunogona
Bhuka chirongwa chako
Wagadzirira hupenyu hutsva uye hune hutano
Mozocare inzira yekurapa yekuwana zvipatara nemakiriniki kubatsira varwere kuwana kurapwa kwakanyanya nemitengo inodhura. Mozocare Insights inopa Hutano Nhau, Dzazvino kurapwa hunyanzvi, Chipatara chinzvimbo, Hutano Hwerengedzo Ruzivo uye Kugovana kweRuzivo.
Mashoko ari papeji ino akaongororwa uye akatenderwa na Mozocare timu. Iri peji rakagadziridzwa pa 03 May, 2021.