Iwi ka lolo transplant - he kokua lima

Transplantation o ka iwi ka lolo, ma ka rula, o ka kŘpa a hou 'inikua hana - akā, ka mea hiki ke hoʻohana' ana i ka hana na mai mua noʻonoʻo maʻi. Mai ka mua holomua iwi lolo transplant i ka makahiki 1968, ua hana i ua noi no ka iapaau ana o ka leukemia (koko Ka maʻi 'aʻai), anaemia aplastic, lymphoma, mau myeloma, mea e hoʻonele kāna hana, a me kekahi mauʻano o ka maʻi' aʻai (umauma Ka maʻi 'aʻai ole ovarian Ka maʻi' aʻai).

Hoʻomanawanui iki mai transplanted ai-kapaia hematopoietic anei i aeee i loaʻa i loko o ola kanaka iwi lolo - 'ilepili hematopoietic'aʻaʻa ke aupuni', ma ka huli, i loko o ka iwi o ka iwi. Ua ua ikeia e ka hapanui o ka iwi lolo ua hookomoia ma ka sternum, pelvis a me ka spine. Transplantation o hematopoietic anei i aeee mea ku pono i ka mea e mau keena "ua mua ia e" a pau aeee ke koko a me ka'ōnaehana paleʻea'ōnaehana i loko o ke kanaka kino. Ina o ka transplant hoʻomanawanui i ka uuku nui o hematopoietic kumu keena, ka mea e nō e hiki i ka piha hoihoi i ke kaʻina hana o ka hematopoiesis a me ka'ōnaehana paleʻea kahua.

Iwi ka lolo transplantation - he kaʻina hana i hiki ke hoʻohana i ka hana maʻi 'aʻai like kiʻekiʻe loa nā māhele o ka oi aku chemotherapeutic konohiki, a, ma kekahi hihia, radioactive pāhawewe. Ua ua ike ia keia lapaau mea mau, a ua nānā pepehi i ka iwi ka lolo o ke ahonui, a no ia mea, ma ka rula, He mea hiki ole, mai kona hiki e paka nui ulaula koko aeee i ke kino nalowale. Eia naʻe, inā ma hope o ka lapaau i loko o ka hoʻomanawanui ka kino e komo i kekahi olakino iwi ka lolo, ia mea nō hiki e puku i ka iwi ka lolo, a hoihoi aku i ka hiki ana o ka hoomanawanui ka kino i ke koko ho okumu. Ma pili ana me keia, iwi lolo transplantation ma kiʻekiʻe-ae Inc e hoola maʻi 'aʻai ka wā haʻahaʻa nā māhele ua lapuwale, ka mea i ke kumu no ka iwi lolo transplant.

Ma ka manawa, loaʻa nō nāʻano o ka iwi lolo transplants: autologous a me ka allogeneic. I ka allogeneic transplantation hoʻohana iwi nä lolo o kekahi kanaka, oiai autologous - kona iho. ʻano nui, autologous transplantation mea ole, maoli, "transplant" i loko o ka ano oiaio o keia olelo, a me ka helu o nā kumu hiki ke kapaia "kākoʻo iwi lolo transplantation."

Ke kū'ē'ē 'ana i mua o ka wehe' ana o ka iwi lolo, mea e loaa ia na hematopoietic keena. E hoomakaukau ana no ka iwi lolo transplant hoʻomaka me ka iwi lolo, mai ka pou o ka pa, a, ma mua o ka hoʻomaka 'ana o ka mālama nui lapaʻau, ua wehe' ia mai ka femoral iwi o ka pou, o ka mea ka mea, i ia, e paʻahau, a waiho waho a ana. A laila, ma hope o ka pau ana o chemotherapy a radiotherapy hui me, a hana me ka iwi lolo ua hoʻolauna hoʻi i loko o ke kino no laila,-kapaia "drip iaoia". Kēia mea i 'ano like me ke koko transfusion. Transplanted iwi lolo i ke koko circulates ma ke kino, a laila, waiho i loko o ka cavities o na iwi, kahi e hoʻomaka kona ulu mahope, a, ma ka lōʻihi makahiki, i ke kaʻina hana o ka hematopoiesis ua hoihoi hou ia.

Inā ka hoʻomanawanui ua laki, na mea a pau i hele pono, a hopu iho la i ka lolo, ke ahonui, pakahi, hou. Akā,ʻaʻole nā mea a pau no laila rosy! Ke hoomanawanui Ua hooweliweli e nā kumumea. Mua, he mea mau i ka likelihood o rejection o ka pakuiia auanei lakou kino. Me keia oe e lawelawe, uhi ka'ōnaehana paleʻea'ōnaehana me ka ikaika ai '. Ka lua o ka kamepiula ololi o ka mea ia no 2-3 mahina postoperative ka hoʻomanawanui maoli haʻalele me ka'ōnaehana paleʻea kahua. Ua hiki e lethal a hiki loa i ka iki maʻiʻaʻai, i mea no ke aha la, e like me ka mea, e olelo aku nei, i mea e pale aku, me ka hoʻomanawanui ua waiho ia ma ka hana paa i kūikawā palekana 'ana, ma kahi e ua kaʻawale ia mai ke waho ao nei no ka mea a pau ke ola postoperative wā. Eia naʻe, hiki hope o kala mai o ka haukapila Pono e e pili loa ua hoʻonānā no ke ahonui o ka ola, aʻo ia, ma ka huli, e ike i kou kauka mau no checkups. Ka mea maʻamau'ōnaehana paleʻea reconstitution kēia transplantation i pili ana i ka makahiki, akā, me ka mea hōʻemi o ke ahonui o ka moku'āina o ke ola kino paha e ke kiʻekiʻe hemahema no rehospitalization.