Wheua wheua transplant - he ringa āwhina

Transplantation o wheua wheua, i te parau tumu, ko te hātepe āhua hou hauora - engari ka taea te whakamahi i te reira pai ki te hamani mate mua whakaaro mahu. Mai i te transplant tuatahi wheua wheua angitu i roto i 1968, kua tenei tikanga kua tono hoki te maimoatanga o te kanisā (toto pukupuku), anemia aplastic, lymphoma, myeloma maha, disorders wātea i te mate nui, me te ara etahi momo o mate pukupuku (mate pukupuku uma pukupuku ovarian ranei).

Tūroro whakatokia pera-ka karanga pūtau kakau hematopoietic kitea i roto i te hauora hinu wheua wheua tangata - motuhake kiko hematopoietic kei, i tahuri, i nga wheua o te kōhiwi. Kei te mohiotia te reira e roto te nuinga o te hinu wheua wheua i roto i te whaturei, papatoiake me te tuarā. Transplantation o ngā pūtau kakau hematopoietic he tika ki te meka e enei pūtau "mua e" pūtau toto katoa me te pūnaha ārai mate i roto i te tinana tangata. Ahakoa, ki te manawanui te transplant he nui iti o ngā pūtau kakau hematopoietic, ka tonu e taea ki te whakahoki tino te tukanga o te hematopoiesis me te pūnaha ārai mate ratou.

Wheua transplantation wheua - he tukanga e taea te whakamahi ki te hamani mate pukupuku rite pota tiketike rawa āpiha rawa chemotherapeutic me, i roto i ētahi wā, radiation iraruke. Kei te mohiotia te reira e tenei maimoatanga ko tonu me tino whakangaromia e te hinu wheua wheua o te manawanui, a reira, i roto i te parau tumu, e kore e taea, mai te tinana ngaro tona kaha ki te whakaputa i faufaa pūtau toto whero. Heoi, ki te i muri i te maimoatanga i roto i te tinana o te manawanui ki te tomo i te hinu wheua wheua hauora, he reira rawa e taea ki te whakakapi i te hinu wheua wheua, me te whakahoki i te kaha o te tinana o te manawanui ki te hanganga toto. I roto i te hononga ki tenei, ki te wheua wheua transplantation i therapy nui-tukua whakaora mate pukupuku ka e huakore pota iti, he aha te mea te take mo te transplant wheua wheua.

I te kau, i reira e rua ngā momo o huaranga wheua wheua: autologous me allogeneic. A, no te allogeneic transplantation te whakamahi i wheua wheua o tetahi tangata, i te autologous - tona ake. Hono mo'oní, ko e kore, tino transplantation autologous, "transplant" i roto i te tikanga pono o tenei kupu, a ka i roto i te maha o puna e taea e huaina "tautoko wheua wheua transplantation."

Ko te wero i mua i te tango o te hinu wheua wheua, he ki te tiki i kei reira ngā pūtau hematopoietic. Teuteu mo te transplant wheua hinu wheua haamata ki wheua wheua i te kaituku o te taiepa, i te aroaro o te tīmatanga o te maimoatanga kaha, e nekehia atu nei, i te wheua femoral o te kaituku, te tangata kia ratou, kua whakatotoka me penapena tae noa ki te whakamahi. Na, i muri i te otinga o te hahau iraruke ngā ki, whakamana i waho te hinu wheua wheua ranei ranei whakaurua te hoki ki te tinana pera-ka karanga "tikanga maturuturu". Ko te rite ki te huhu toto tenei. Whakatokia wheua wheua ki te bloodstream honotanga roto i te tinana, a ka takoto i roto i nga kōwhao o nga wheua, te wahi haamata te reira i tona tupu i muri me, i roto i te wā roa, whakahokia te tukanga o te hematopoiesis te.

Ki te ko waimarie te manawanui, haere katoa pai, ka mau te roro, te manawanui, aua, ora. Otiia e kore e katoa e pera rosy! whakawehi te manawanui e āhuatanga e rua. Tuatahi, i reira he tonu te tūponotanga ka o pato'iraa o te tinana uhi. Ki tenei e taea e koe te hapai i, pehi i te pūnaha ārai mate ki taero kaha. Ko te take mōrearea tuarua ko te meka e hoki postoperative 2-3 marama i te manawanui mau mahue kahore te pūnaha ārai mate. Ka taea e te reira whakamate noa te mate iti, i te mea he aha, kia rite ki te mea ratou, i roto i te tikanga ki te karo, whakanohoia te manawanui kei roto i te paroita motuhake ki mehua tiaki motuhake, kei hea te taratahi ai i te ao i waho mo te whakaora wā postoperative katoa. Heoi, ara i muri i te tukunga i te hōhipera Me ki kia āta aroturukitia hoki hauora o te manawanui, a ia, i roto i tahuri, kia kite auau koutou tākuta mō hi'opo'araa. e te faati'a faahou e whai ake nei transplantation noa ārai e pā ana ki te tau, engari ki te ino o te kāwanatanga o te manawanui o te hauora kia he hiahia nui mō te rehospitalization.