Ungayifumana njani umxhasi womnatha weethambo okanye umxhasi weselfowuni ? Ukuguquka komnquba we-bone kunye negazi le-peripheral stem cell transplants kuyadingeka ngabantu abaninzi abanomhlaza kunye nezinye iimeko zegazi. Kwezinye iimeko, iiseli ezinokuthi ziqokelelwe kwigazi okanye umongo wegazi kwaye ziphinde zitshintshwe kwakhona. Oku kwaziwa ngokuba yi-autologous transplant.
Kodwa kaninzi oku akunakwenzeka kwaye izigulana kufuneka zikhangele umniki-mali wokufakelwa kwazo. Oku kwaziwa ngokuba yi-allogeneic transplant.
Ubani Ongaba Ngomnkantsha WeM Bone okanye Umxhasi WeeStem?
Umnatha wethambo okanye iiseli eziqingqiweyo zokutshintshwa kufuneka zivela kumnikezeli oneseli ezifanayo kunye ne-HLA protein ezinjengommkeli. Oku kufana nehlobo lakho legazi, lifa. Ukuba awuhambelani, ummkeli unokuhlakulela isifo sokuxhamla-isisombululo emva kokutshintshwa. Funda kabanzi malunga neentlobo ze-HLA kunye nokubaluleka kwazo ekutheni:
- Yintoni i-HLA?
- Kutheni i-HLA ifanelana nayo?
Fumana umnikezeli ngaphakathi kwintsapho yakho
Inhlanganisela ye-HLA yesigulane ilifa. Amathuba omdlalo aphezulu kakhulu kwintsapho. I-twin efanayo iya kuba neyomzimba efanayo kunye nesigulane kunye nomdlalo opheleleyo. Ngelishwa, akubona zonke izigulana ezifuna ukufakelwa kwamawele. Abantakwabo - abazalwana kunye noodade ababelana ngesifo esifanayo (abazali) begazi - banethuba eliphezulu lokwenza umdlalo weHLA.
Amathuba okufumana umdlalo phakathi kwabo bonke abantakwabo banyuke kunye nenani labantwana bakowenu. Amathuba akhula ukusuka kuma-25% kunye nomntakwabo omnye ku-92% kunye nabantwana baka-10. Abazali bangaba ngumdlalo wabantwana babo, kunye nabantwana kubazali. Abazala babo bangaba ngumdlalo nangona amathuba aphantsi.
Ukufumana abaxhasi abangabambisani
Abantu abangahambelani nesigulane nabo banokulinganisa i-HLA. Amathuba omdlalo aphakamileyo kunye nabantu ngabanye kwintlanga efanayo. Iimimandla apho imitshato ehlala ivalwe ngaphakathi kuyo inokuthi ibe nomlinganiselo ophezulu wabantu abafana. Ukufumana umxhasi ongahambelaniyo, kubakho imfuneko ukukhangela umdlalo kwiibhalisi zabaniki bomnatha weethambo.
Umrha wokuBhaliswa ngabaniki
Ubhaliso ngabaniki bomncedi bovimba bokugcina ulwazi lwe-HLA yamavolontiya anqwenela ukunikela ngomnkantsha ngomntu ngamnye wokufakelwa. Ezi nkcukacha ziyakwazi ukukhangela iimpawu zomxube we-HLA wesigulane. Nangona amathuba okufumana umdlalo omnye kwiwaka eziliqela, amashumi ezinkulungwane zezigulane afumane abaxhasi abangabandakanyekanga abavela kubhaliso ababanini abanikeli.
Amazwe amaninzi kunye nemibutho eyimimiselo igcina ukubhaliswa kwabanikeli abaninzi bemali. Ezi ziyakwazi ukunxibelelana ngokuqhuba uphando lwe-HLA. Nazi ezinye izixhumanisi, kodwa unokuba unqwenela ukuphonononga ngakumbi ukuba ufumene naziphi na iinkcukacha zobhaliso ezintsha ezinokuphuhliswa kwihlabathi jikelele:
- I-USA: Inkqubo yomNcedisi weMarrow kazwelonke (i-NMDP)
- IKhanada: IiNkonzo zeGafa zaseCanada - OneMatch kunye neHema-Quebec
- I-UK: Registry yeMbroro yaseMntla yaseBrithani kunye noMbhalisi we-Welsh Bone Marrow Registry
- E-Australia: I-Registry Donor Registry yase-Australia
- Uluhlu olubanzi lweeRejista zabanikezeli bamaMarrow lonke elijikeleze ihlabathi linikezelwa apha kuHeal Emru
Umthombo:
Ukuguquka kweeStem-Stming Cell Transplants. I-National Cancer Institute, ngo-Agasti 12, 2013.