Wheua transplantation wheua i roto ia Iharaira

Kia pehea te Ko te transplantation o wheua wheua i roto ia Iharaira?

Me pēhea te ki te mahi i te transplant hinu wheua wheua i roto ia Iharaira? I roto i te katoa, whakamana te hātepe kei te i roto i ngā huarahi rerekē e whā. Allogeneic wheua transplantation wheua kia whakamana te whakamahi i kaituku pā ana rauemi kaituku, he auauhia, me te whakamahi o ranei toto uho. Tenei te uaua whakamahia anake te tikanga whakamutunga no te pūtau kakau i roto i te aho toto - nui mo te pakeke. Kei te tino nuitia whakaritea te reira ki ngā tamariki. Na te tikanga tino onge, engari whakamahia tonu o huaranga wheua wheua i roto ia Iharaira - te whakamahi i ngā rauemi kaituku tangohia tika i te manawanui rawa taua. whakaritea ana tēnei tikanga te anake i roto i te wā, ki te kore e taea te kitea he rauemi kaituku pai, ranei atu te manawanui e taea e kore anake ki te whakarite i te whaiaro, engari ano hoki whakaora-whaiaro.

Ko wai ka taea e te mahi i te transplant hinu wheua wheua i roto ia Iharaira?

He tino pūtahi Iseraela hauora tūroro katoa e tono transplantation. I muri i taua - kawea atu te hi'opo'a maitai o te manawanui ki te taea o te whakahaere i te tukanga. I muri i taua he "rangahau" collegium ka meinga kia kōeke whakamutunga. Ki te he te reira i raro i 73 ngā, kua rāhuitia te reira ki te whakahaere i te tukanga (tikanga o te International Association o Hauora Public). Tikanga, taua tūroro - tenei tūroro mate pukupuku i ngā wāhanga i muri mai rawa. Aroha mai, engari i roto i to ratou take, ko te putanga mooni ... anake i roto i te wā tino onge, whakaora whakaaetia aru e whakaiti o te tinana o te manawanui (ki te kia atu tangohia, kua meinga reira maimoatanga operative me wawaotanga hāparapara ki te tango i te wāhi pānga o te hinu wheua wheua).

Well, ki te titiro koe ki te tau o tūroro, kua pai te kawea nga tākuta Iseraela i roto i te mahi me te tamariki, me te kaumātua (75 tau). More mooni transplantation roro i roto i te taua tau i muri mai i te tau i ma'iri a'e nei - kua riria mai noa. faataa tenei e te tūponotanga tiketike o te pato'iraa o te rauemi kaituku - neke atu i te 85 ōrau. Ko te tikanga transplantation hou i roto i nei e kore ai ia whakatutuki ki te wheua wheua, engari ona pūtau kakau hematopoietic anake, te whakaiti i tenei ōwehenga ki te 15 ōrau. Ano - tonu atu te whakaputa mau taote o Iseraela, me te purenga, me tango i te rauemi tuatahi kaituku pera-ka karanga "T" - pūtau. Ratou, i roto i te tahuri, ko nga pūhia matua o te pato'iraa o te rauemi whakatokia.

Hea mai ratou i pūtau kakau hematopoietic mō te transplantation wheua wheua i roto ia Iharaira?

Hea te mahi i enei pūtau kakau tino hematopoietic mō te transplantation? E 4 ngā huarahi matua ki te tiki i a ratou:

• i te toto uho, i ako nei i roto i whanau hou ki whakaaetanga a ngā mātua;
• te hinu wheua kaituku wheua ki te waihanga DNA taua (anake whanaunga-kaituku taea te whakamahi i roto i tenei take);
• i te kaituku auauhia (ki te inaki DNA-waehere), a tika i te manawanui (ki te kore i kitea e tika ana mo te transplantation wheua wheua i roto i tetahi turanga whanaunga ranei).

Na te whakawhetai ki nga āhuatanga tipu o ngā pūtau kakau, e whakamana te nuinga o ngā tukanga inaianei ara e kore te whakamahi i te hinu wheua wheua, me te toto piringa ki. Na reira, kei te tango i teie nei te tukanga i te rauemi kaituku ko atu rite te tango he banal toto. I mua, i mahi i te hātepe taua te anake i raro i rehunga whānui. Hoki te tango o pāhorehore whakamahia G-SCF, e rere tika ki te tapahanga. Ko te tino mamae me te i roto i te nuinga o te wā i tenei tukanga - i reira ko tetahi mōrearea o te kino ki te rauemi kaituku, ka tango i te pūwero. E te ara, ki te korero tika koutou, e taea e kore e huaina te transplant o ngā pūtau hematopoietic te transplant wheua wheua. Ko te ingoa o tenei tikanga - allogeneic transplantation kakau pūtau, engari i roto i te mahi kei te tonu maha whakamahia e te ingoa tawhito. e kore te mea tika katoa tenei, ko te mauri o te ngā tukanga whakamutunga i te taua - te reira i te wheua wheua, me te whakahokia tona taumahinga.

ngā tukanga faaineineraa mua ki te wheua transplantation wheua i roto ia Iharaira

I roto i a Iharaira, tonu i mua ki te wheua wheua transplantation, hanga te manawanui he maha o ngā tukanga faaineineraa, te whakaaro whānui o nei - ko te whakapai ake o te hauora, te āta tinana mo mate mau, me te te aromatawai o te ahunga whakamua o te mate o te manawanui. Ki te he ia myeloma mate, ka te riro te reira atu tauira wheua wheua ki te tirohia hoki metastasis reira. E hanga e ratou i reira 4 anake atamira mate pukupuku. Ki te he ratou, engari e kore e te tinana i te wā ki te horapa, ka riro hahau i roto i ngā ki radiation. A, no te huru o te manawanui whakapiki i - hua kakau transplantation pūtau.

Rehabilitation me faaho'iraa mai o te tinana i muri i te transplant wheua hinu wheua i roto ia Iharaira

Eaha te tupu i muri i te pokanga? heke tika nga pūtau kakau ki te wāhi kua pā, e tango pakiaka, me te timata ki te whakaora ake. Makanga o te rauemi whakatokia i te kau ki reira, ko te 10 anake ōrau o te wā. Ko Ko te aha te rauemi transplant i te manawanui taua i mahi anake i roto i te wā i reira e kore e taea te whakamahi noa atu tikanga.

I muri i te tikanga ka tīmata te wā whakanohonoho. I roto i te wiki 4-6 Ko te manawanui i raro i te te tirotiro tamau o tākuta-gomeologov. I tenei wa, te tinana o te manawanui ngāwari huaketo mate, Heoi, kua whakanohoia te reira i roto i te "ruma antibacterial". Ahakoa ka pā ana ki te manawanui, tākuta me haere i roto i disinfection, horoi ringa me te hopi antibacterial, me te pera i runga i. I roto i tenei wā homai te manawanui ko te tokomaha nui o taero patu huaketo me paturopi e ārai rauemi mate kino whakatokia. Varavara, engari i hanga ano hoki te fakafoki mai therapy taumahinga noa o te wahi gastrointestinal. Ki te te kore kitea te makanga o te rauemi, tukua te manawanui te. kawea Re-whakamātautau i roto i te 2 marama, a roto i 6. Ka rite ki te tikanga, i roto i tenei wā i hanga i te ora tonu i o te hinu wheua wheua pakaru me te hë o tona taumahinga. I roto i ētahi wā, te therapy immunokorektornaya whakaritea (ka whakamana hahau fifi i te aroaro o transplantation tukanga).