Ukuba ucinga ukunikela ngomongo wethambo kumntu othandekayo okanye njengomntu ongenamdla kunye nokujamelana nomhlaza okanye omnye umqathango osweleyo lwee cell stem, lo ngumbuzo obalulekileyo ofuna ukuwucela. Njengoko nayiphi na inkqubo yonyango, ukunikezela kwezi ntshaba unobungozi, nangona ngokubanzi kuthathwa njengenkqubo ekhuselekileyo.
Ukuba endaweni yokunikezela ngethambo lomnxeba uceba ukunikela ngeeseli zegazi zangasese (umnikelo owenziwe nge-blood drawn), khangela ukuba le mngcipheko wokunikezela ngeeseli ezinqabileyo zokutshintshwa .
Izindlela zokuqokelela
Ukuqonda iingozi ezinokuthi zinike umongo wethambo, kunceda ukuthetha ngokufutshane malunga nenkqubo yokuqokelela umongo we-bone. Kuthatyathwa umongo we-bone (oogqirha bawubiza ngokuthi "uvuna") ngokusebenzisa inaliti efakwe kwi-hip yakho. (Umnatha wakho wethambo ungaphakathi kwamathambo amakhulu emzimbeni wakho njengengqama yakho.)
Oku kufuthi kwenziwa phantsi kwe-anesthetic jikelele kwigumbi lokusebenzisa usebenzisa ubuchule obungenasiphelo. Ngethuba le nkqubo, malunga no-2 ilitha yomnkantso wethambo uhoxiswa. Oku kungabonakala ngathi kuninzi, kodwa limele ngaphantsi kwe-10% yomongo wakho. Kungakunceda ukwazi ukuba umzimba wakho wenza amangqeleli egazi angamawaka amabini angama-20 kwi-bone yakho yomnkantsuku imihla ngemihla.
Inani leeseli kwindawo yomnatha wethambo ngokuqhelekileyo libuyela kumanqanaba aqhelekileyo kwiiveki ezi-4 ukuya kuma-6, nangona umzimba wakho ungasebenza ngokufanelekileyo ngoku okwangoku.
Ingozi
Izingozi ezinxulumene nokunikela ngomnkongo wethambo zixhomekeke kumngcipheko wenkqubo yokupasa. Naliphi na ixesha xa utyunjwa, kukho iingozi ze-anesthesia jikelele kunye nomngcipheko wokuphuma kwegazi kunye nosulelo.
Kukho umngcipheko wokuba inqubo ingabangela ukulimala kwiimbilini kunye nemithambo yegazi kufuphi nomhlaba wokurhoxiswa komnkantsha kunye nokulimala kwithambo.
Imiphumo emihle / Imingcipheko
Emva kokunikela ngomongo wethambo unokuba buhlungu kwisithili se-hip yakho ngeveki okanye ncinane. Phakathi kwabo babenikela ngethambo lomnxeba njengenxalenye yoNcedo lweMarrha kaZwelonke, uninzi lwabantu lwafumana ubuhlungu kunye nentlungu yeentsuku ezimbalwa kunye nokukhathala. Imiphumo emibi ye-anesthesia inokubandakanya umqala wesifo kunye nesicefe.
Inkqubo inokuthi yenziwe njengesiphene, okanye ungayichitha iintsuku ezimbalwa esibhedlele. Amanye amaziko ezonyango ancoma ukuthatha iintsuku ezingama-7 ukuya kwe-10 emsebenzini emva kolu hlobo, kodwa abanye abantu baziva bebuhlungu ukubuyela emsebenzini ngokukhawuleza. Ixesha lesiganeko (oko kukuthi, ixesha elilandelayo apho abantu abangama-50% babenabo kunye ne-50% babengenayo) ukuba babuyele "ngokuqhelekileyo" kwimihla engama-20.
Iimiphumo eziMandla eziPhambili / Izingozi
NgokweNkqubo yoMnikeli weSizwe weMarrow, ama-2.4% abantu abanikela ngethambo lomnxeba bafumana ubunzima obubi. Abanikeli abancinci bamathambo kakhulu bambandezeleka nayiphi na inkathazo yexesha elide kwiminikelo yabo.
Ehlabathini lonke, abaphandi bajonga abantu abangaphezu kwama-27 000 abaye banikela umongo wethambo kumazwe angama-35.
Kula bantu, kwakukho ukufa kunye neziganeko ezili-12 ezinzulu (ezinxulumene neentliziyo) ezazivelelwe ukuba zihlobene nomnikelo womnatha wethambo.
Ngaba Unokuhlangabezana Nommkeli?
Ukuba unika ummkeli ongaziwayo, unokuzibuza ukuba uya kuba nethuba lokudibana nomntu onokugcina ubomi bakhe. Uninzi lwee-arhente zinemigaqo eqinile ngokumalunga nomnxeba-umxhasi, kodwa unokuba unqwenela ukujonga ibali elikhuthaza abantu abagulana kunye nabaxhasi.
Izinzuzo
Xa uqwalasela nayiphi na imbambano, kubalulekile ukuba uqikelele ingozi malunga nezibonelelo. Umngcipheko wesibonelelo somnyo wethambo uncinci, kodwa inzuzo kulabo abanokufumana umnikelo wakho unokungabalulekanga.
Okokuthi, ukunikela ngomnatha wethambo akuwona wonke umntu, kwaye kubalulekile ukuba uzukise kuyo nayiphi na into oyikhethayo. Nguwe kuphela ongenza isigqibo esilungile kuwe.
Imithombo:
I-American Society ye-Clinical Oncology. Cancer.Net. Ukunika iMarrow Bone. 02/2015.
Yiba yiProgram yoNika abaNika iMarrow National Match. Ukunika iMarrow Bone.
UBosi, A., noBartolozzi. Ukhuseleko lomnatha wethambo luba ngumnikelo weseli: ukuhlaziywa. Inkqubo yokuTywala . 2010. 42 (6): 2192-4.
I-Clinical Bone Marrow ne-Blood Stem Transplantation. Umbhali: Kerry Atkinson kunye noogxa. Ipapashwe nguCambridge University Press, 2003.
Halter, J., Kodera, Y., Ispizua, A. et al. Iziganeko ezinzima kubaxhasi emva kwe-allogeneic hematopoietic stem cell donation. Haematologica . 2009. 94 (1): 94-101.
Miller, J., Perry, E., Price, T. et al. Iiprofayili zokubuyisela kunye nezokhuseleko zomnkantsha kunye nabaxhasi be-PBSC: amava kwiNkqubo yoNika iMarrow yeNational. I-Biology ye-Bone Marrow Transplantation . 2008. 14 (9 I-Suppl): 29-36.