Kusiyanasiyana kwa Mini Transplant ndi Growth vs Malignancy Effect
Mavitamini osakanikirana ndi maselo osakanikirana nawo, kapena "kutembenuka kwazing'ono," ndi mtundu watsopano wokhudzana ndi maselo osakanikirana omwe sagwiritsidwa ntchito kuti asawonongeke (kupukuta) mchere mpaka kufika pamatenda ochepa.
Momwe Amagwirira Ntchito
M'madera amtundu wambirimbiri, odwala amapatsidwa mankhwala okwera kwambiri a chemotherapy, kapena popanda ma radiation, kuti athetse, kapena "ablate," mafuta amtundu.
Kenaka amapatsidwa kulowetsedwa kwa maselo othandizira opatsirana pogwiritsa ntchito maselo a magazi ndi chitetezo chokwanira.
Kafukufuku wasonyeza kuti mankhwala ochepa kwambiri a mankhwala a chemotherapy ndi ma radiation operekedwa m'zinthu zowononga maselo sizingakhale zokhazo zomwe zimawathandiza kuti apambane ndi khansa. Maselo osagwiritsa ntchito mitsemphamilative osakanikirana amagwiritsira ntchito mankhwala ang'onoang'ono a chemotherapy kuti apindule ndi zotsatira zabwino.
Graft vs. Malignancy
Cholinga cha kupititsa patsogolo kotereku kumatchedwa "kuphatikiza-malignancy" (GVM), "kuphatikiza-chotupa," kapena "kuphatikiza ndi khansa ya m'magazi". Momwe maselo amagazi amathandizira mwa wolandira, chitetezo cha "chitetezo" chatsopano chimadziwa kuti maselo alionse otsala a khansa ndi owonongeka ndipo amawawononga.
Kusiyanasiyana Kuchokera ku Mitsempha Yambiri ya Semoablative Cell Stemplant
Maonekedwe osagwiritsa ntchito mitsempha yosiyana-siyana amasiyana kwambiri ndi zomwe zimachitika musanafike. Poyerekeza ndi kusintha kwa myeloablative, mawotchi aang'ono amagwiritsa ntchito kwambiri poizoni ndi mankhwala osakanikirana a chemotherapy ndi ma radiation, motsogozedwa ndi kulowetsedwa kwa maselo amodzi opatsa.
Njirayi imapindula ndi mzere wotsutsana ndi mankhwala oopsa koma osakhala poizoni kwa wolandira.
Mofanana ndi miyambo yambiri yamatenda, timadontho tambiri timakhala ndi chiopsezo cha kumtengowo ndikumenyana ndi matenda , kumene maselo opatsirana amawona maselo anu akunja ndi kuwukira.
Ntchito
Kuika kotereku kungakhale njira yabwino kwa odwala omwe ali okalamba kapena omwe ali ndi matenda ena omwe angawalepheretse kuletsa mankhwala oopsa a mankhwala omwe amachititsa nthawi zonse.
Kusamba kwa maselo osagwiritsidwa ntchito ndi mitsemphaablative kungathandizenso odwala amene ali ndi chiopsezo chachikulu cha khansa yowopsa kwambiri, monga matenda oopsa a khansa ya m'magazi , kapena amene ayamba kubwerera m'mbuyo pambuyo pake.
Ochita kafukufuku akuyang'ananso kupambana kwa kusakanikirana kwa maselo osagwiritsidwa ntchito ndi mitsemphaablative maselo omwe ali ndi khansa yolimba, monga bere ndi impso, komanso matenda ena monga multiple sclerosis.
Popeza zimatengera kanthawi kuti maselo operekedwa athandizidwe, izi sizimagwiritsidwa ntchito ngati khansara ili m'kati mwake.
Mphamvu
Kuphatikizira kosagwiritsidwa ntchito kwa mitsempha kwagwiritsidwa ntchito pochiza mitundu yosiyanasiyana ya khansa ya magazi, kuphatikizapo Hodgkin ndi osakhala Hodgkin lymphoma, myeloma , ndi khansa ya m'magazi. Mawerengedwe a mayankho ali ndi maphunziro osiyanasiyana.
Iyi ndi njira yatsopano, ndipo yoyamba ikuchitidwa zaka zosachepera 20 zapitazo, kotero, pali kafukufuku wa nthawi yayitali womwe ulipo phindu lopindulitsa. Komabe, zotsatira zoyamba zowonjezera zimapereka chiyembekezo kwa odwala omwe sakanatha kulandira sitiroko ya tsinde , makamaka omwe ali pakati pa zaka 50 ndi 75.
Zotsatira:
Neiss, D., Duffy, K. "Mfundo zazikulu za kuzizira" ku Ezzone, S. (2004) Kupatsa Mavitamini a Madzi Amadzimadzi: Buku Lophunzitsa Achinyamata. Society of Nursing Society. Pittsburg, PA (pp.13-21).
Duke Medicine. Magazi Achikulire ndi Kupalasa kwa Marrow. Buku Lophatikiza Odwala Wachilombo Chosabalalitsa. Chiwongola dzanja
Kasamon, Y., Bolanos-Meade, J., Prince, G. et al. Zotsatira za Magazi Osayembekezereka a HLA-Osakondweretsa kapena Marrow Kukula Momwe Mipira Yapamwamba Kutsekemera Pambuyo pa Cyclophosphamide mu Okalamba Achikulire. Journal of Clinical Oncology . August 10, 2015. (Yofalitsa pa Intaneti asanayambe kusindikiza).