Ngati mukuganiza zopereka fupa lamunthu kwa wokondedwa kapena ngati wachifundo kwa munthu amene sali wokhudzana ndi khansa kapena vuto lina lomwe mukusowa maselo anu, iyi ndi funso lofunika kufunsa. Mofanana ndi njira iliyonse yachipatala, kupereka maselowa kumakhala ndi zoopsa, komabe kawirikawiri zimatengedwa kuti ndi njira yotetezeka kwambiri.
Ngati mmalo mopereka mafupa mumakonza zopereka maselo amagazi amagazi (zopereka zomwe zimagwiritsidwa ntchito kudzera m'magazi m'malo mwa njira ya mafupa a chifuwa), onetsetsani kuti izi zingakhale zoopsa za maselo opatsirana opatsirana .
Njira Zotsalira
Kuti mumvetse mavuto omwe mungapereke popereka mafupa, ndizothandiza kukambirana mwachidule za njira ya kusonkhanitsa mafuta. Msuzi wa mafupa watengedwa (madokotala amatcha "kukololedwa") kupyolera mu singano yomwe imayikidwa mu mchiuno mwako. (Mafupa anu ali mkati mwa mafupa akuluakulu m'thupi lanu monga mchiuno wanu.)
Izi zimachitika kawirikawiri m'magulu opumira pogwiritsa ntchito njira yopanda ntchito. Panthawiyi, pafupifupi 2 malita a fupa amachotsedwa. Izi zingawoneke ngati ndalama zambiri, koma zimayimira mafuta osachepera 10%. Zingathandize kudziwa kuti thupi lanu limapanga maselo oposa 20 biliyoni m'magazi anu tsiku ndi tsiku.
Chiwerengero cha maselo mu mafupa anu kawirikawiri chimabwereranso kuzinthu zachizolowezi mkati mwa masabata 4 mpaka 6, ngakhale thupi lanu lingathe kugwira bwino bwino pakalipano.
Zowopsa
Mavuto okhudzana ndi kupereka mafupa amakhudzana kwambiri ndi chiopsezo cha opaleshoni. Nthawi iliyonse pamene mukuchitidwa opaleshoni, pali ngozi za anesthesia komanso chiopsezo cha magazi ndi matenda.
Palinso chiopsezo kuti njirayi ikhoza kuvulaza mitsempha ndi mitsempha ya mitsempha pafupi ndi malo a kuchotsa mongo ndi kuwonongeka kwa fupa.
Zowonongeka / Zoopsya
Pambuyo popereka fupa lamagazi mukhoza kukhala wowawa mu chiuno chanu kwa sabata kapena pang'ono. Pakati pa omwe adapereka mafupa monga gawo la National Donor Programme, anthu ambiri adamva kupweteka kumbuyo ndi kumapeto kwa masiku angapo, komanso kutopa. Zotsatira za anesthesia zingaphatikizenso kuphweteka ndi mseru.
Ndondomekoyi ikhoza kuchitika ngati wodwalayo, kapena mutha masiku angapo kuchipatala. Malo ena azachipatala amalimbikitsa kuti atenge masiku 7 mpaka 10 kuchokera kuntchito potsatira njirayi, koma anthu ena amamva kuti abwerera kuntchito mwamsanga. Nthawi yeniyeni (yomwe ndi nthawi yomwe 50% ya anthu anali nayo ndi 50% sanali) kubwereranso ku "yachibadwa" inali masiku 20.
Zotsatira Zowopsya / Zowopsa
Malinga ndi Ndondomeko ya Othandizira Amtundu wa Ndalama, anthu 2.4 peresenti omwe amapereka chithandizo chachikulu cha mafupa a mafupa. Ochepa operekera mafupa ochepa amatha kuvutika ndi mavuto omwe amakhala nawo kwa nthawi yaitali.
Padziko lonse lapansi, ofufuza adawona anthu oposa 27,000 omwe adapereka mafupa m'mayiko 35.
Mwa anthu awa, panali imfa imodzi ndi zochitika 12 zoopsa (makamaka zokhudzana ndi mtima) zimene zinkawoneka kuti zikugwirizana ndi zopereka za mafuta.
Kodi Mungakumane ndi Wowalandira?
Ngati mupereka kwa wolandira wosadziwika, mwina mukudabwa ngati mudzakhala ndi mwayi wokumana ndi munthu amene mwasunga moyo wake. Mabungwe ambiri ali ndi malamulo okhwima okhudza kukhudzana ndi odwala, koma mungafune kuwona nkhani zosangalatsa za odwala komanso osonkhana.
Ubwino
Poganizira nkhani iliyonse, ndikofunika kuyeza kuopsa kwa phindu. Kuopsa kwa zopereka za mmala ndizochepa, koma ubwino kwa iwo omwe angalandire zopereka zanu zingakhale zamtengo wapatali.
Izi zinati, kupereka mongofu sikuli kwa aliyense, ndipo ndikofunika kuti mudzilemekeze nokha kusankha kulikonse komwe mumapanga. Ndiwe nokha amene mungapange chisankho choyenera kwa inu.
Zotsatira:
American Society of Clinical Oncology. Cancer.Net. Kupereka Bone Marrow. 02/2015.
Khalani Mgwirizano wa National Bone Marrow Wopereka Thandizo. Kupereka Bone Marrow.
Bosi, A., ndi B. Bartolozzi. Chitetezo cha mafupa chimayambitsa kuperekedwa kwa maselo: ndemanga. Transplant Proceedings . 2010. 42 (6): 2192-4.
Clinical Bone Marrow ndi Kuika Magazi Omwe Amagazi A Magazi. Wolemba: Kerry Atkinson ndi anzake. Lofalitsidwa ndi Cambridge University Press, 2003.
Halter, J., Kodera, Y., Ispizua, A. et al. Zochitika zoopsa kwa opereka chithandizo pambuyo pa zopereka zapakati za maselo a hematopoietic. Haematologica . 2009. 94 (1): 94-101.
Miller, J., Perry, E., Price, T. et al. Mapulogalamu obwereza ndi otetezeka a mmala ndi operekera PBSC: zomwe zinachitikira Pulogalamu ya Ndalama Yothandizira Ndalama ya National Marrow. Biology ya Bone Marrow Kukula . 2008. 14 (Suppl 9): 29-36.