Iwi ka lolo transplantation i loko o kaʻIseraʻela,

Pehea o ka transplantation o ka iwi lolo i loko o kaʻIseraʻela?

Pehea e hana i kekahi iwi lolo transplant i loko o kaʻIseraʻela? Ma huina, i ke kaʻina hana ua hana i ka eha naʻano likeʻole. Allogeneic iwi lolo transplantation hiki e hana hoʻohana mau pou mea e pili pū ana kona mau pou, he unrelated, a me ka hoʻohana 'ana i ka piko koko. Eia wale no ka hope iaoiaeii ua kākaʻikahi hoʻohana 'ia no ka mea, i ke kumu keena ma ka paila ke koko - lawa no i kanaka makua. Ua Ua loa olelo hoakaka i na keiki. A me ka loa pohihihi, akā, no hoʻohana ano o ka iwi lolo transplants i loko o kaʻIseraʻela - hoʻohana mau pou mea ia 'ana mai o ka loa e like me Isaaka. Ua hana oia hāʻawi wale nō i loko o hihia ina he kupono kona mau pou mea hiki 'ole ke loaʻa, a me ka mea'ē aʻe i ka hoʻomanawanui he hiki ole wale ia nei i ko ai ka pakiko, akā, i ka hoʻoponopono-e olaʻi.

ʻO wai ka mea hiki ke hana i kekahi iwi lolo transplant i loko o kaʻIseraʻela?

ʻIseraʻela 'inikua kulanui e loa a pau e hoomanawanui i ka poe noi transplantation. Ma hope iho o ia - lawe mai i ka hoʻokolokolo pono ninaninau o ka hoʻomanawanui a hiki i ka manawa kūpono o ka hooko ana mai i ke kaʻina hana. Ma hope o ia he "anamanaʻo" collegium e e i hope papa. Inā ia mea ma lalo o 73 heluʻai, ka mea, ua papa ia e hoʻomaka i ke kaʻina hana (rula ma ka Hui International o Public Health). Nō kāu, e like me nā mea maʻi - keia maʻi 'aʻai hoʻomanawanuiʻana ma hope kahua o ka hoʻonaʻauao kekahi. E kala mai, akā, ma kā lākou mau hihia, o ka neʻeʻana i inevitable ... wale nō i loko o loa pohihihi keia hihia, ae resuscitation ukali ma ka ho'ēmiʻana o ka hoʻomanawanui ka kino (e e nui ka uku, ka mea, ua i operative lapaau, aʻoki lāʻau lapaʻau 'uao, e wehe i ka loli wahi o ka iwi lolo).

Ua pono, ina oe e nana i ka makahiki o ka hoʻomanawanui iki mai, ua lawe mai i kaʻIseraʻela kauka ana i ka hana a me nā kamaliʻi, a me nā kūpuna (75 makahiki). More literally transplantation lolo i loko o ia ano i kekahi ma hope kona mau makahiki i kekahi mau makahiki aku nei - oia hoi wale i papaia. Ua hoʻomaopopoʻia e ke kiʻekiʻe pahiki o rejection o kona mau pou mea - oi ma mua o 85 pakeneka. Akā,ʻo kēia transplantationʻano hana i loko o ka mea ana i hana ole i ka iwi a ka lolo, akā, wale kona hematopoietic kumu keena, ho'ēmi i kā kēia lākiō i 15 pakeneka. ¶ -ʻIseraʻela kauka nō hou paka a me ka huikala ana, a me ka ana, mai ka pou iniiaiie i nā puke no laila,-kapaia "T" - keena. Lakou, ma ka huli, i ka papa kuhikuhiE culprits o rejection o ka transplanted mea.

Hea ka mea, hele mai hematopoietic anei i keena no ka iwi lolo transplantation i loko o kaʻIseraʻela?

Where mau loa hematopoietic anei i keena no ka transplantation hana? Aia nō 4 ka papa kuhikuhiE aoao, e hoakoakoa ia lakou i:

• mai ka piko koko, i ua hoopiiia i loko o nā pēpē i me ka makua;
• ka pou iwi lolo a me ka ia DNA hoʻomanaʻo (wale i pili-mau pou hiki ke hoʻohana 'ia ma keia hihia);
• mai kekahi unrelated mau pou (me ka overlapping DNA-code), a me ka pololei, mai ka hoʻomanawanui (ina pono no ka iwi lolo transplantation i ole, ua loaʻa i loko o kekahi waihona ipu a me hoahanau).

A me ka mahalo i ka ulu kumumea o ke kumu keena, e ano hana loa ke kaʻina hana a hiki i ka hoʻohana 'ana i ka iwi ka lolo, a me kaʻike ākea koko me. No laila, i ke kaʻina hana ua e lawe i ka pou nā mea hou me ka lawe i ka banal koko. Mua, e like me ka hana ua hana ma lalo o mau anesthesia wale. No ka lawe ana o ia ohe G-SCF, a holo pololei a hiki i ka iwi kuamoo. Kēia ke kaʻina hana no hoi loa eha, a ma ka hapanui manawa - loaʻa i ke kamepiula no ka pōʻino i ka pou mea wā i ka weheʻana o ka 'ohe. Ma ke ala, ina e olelo pono, hiki ole ke kapaia ka transplant o hematopoietic keena he iwi ka lolo transplant. Ka inoa o kēia kaʻina hana - allogeneic kumu aeea transplantation, akā, ma ka hoʻomaʻamaʻa ua no pinepine hoʻohana 'ia ma ka inoa kahiko. Kēia mea,ʻaʻole loa pololei, akā, i ka i loko o ka hope kaʻina hana i ka ia - ia ka iwi a ka lolo, a hoihoi kona functionality.

E hoomakaukau ai kaʻina hana ma mua o ka iwi lolo transplantation i loko o kaʻIseraʻela,

I loko o kaʻIseraʻela, koke mamua i ka iwi ka lolo transplantation, ke hoʻomanawanui i ka helu ana i hoomakaukau ai ke kaʻina hana, ka luna manao o ka a - o ka hana ana o ke ola kino ninaninau ana o ke kino ma ke kumuhana o ka maʻi maʻi, e like me ka helu o ka hoʻomanawanui ka maʻi Holomua. Ināʻo ia ka maʻi myeloma, a laila ka mea, ua lawe hou ia iwi lolo hāpana e nānā no ka metastasis maloko. Ka mea i hanaʻia ma laila wale nō 4 Ka maʻi 'aʻai ke kahua. Inā ka mea, e, akā, i ke kino a 'aʻole i manawa i ka hoolaha, alaila, loaa no chemotherapy ma ka hui pu ana, me ka pāhawewe. A hiki i ka hoʻomanawanui i ka ke ano? Ienoai aa - hua mai la i ke kelepona hele anei i transplantation.

Hoʻopulapula a me ka hoihoi hou ia ana o ke kino ma hope o ka iwi lolo transplant i loko o kaʻIseraʻela,

E ahaʻia ana ma hope oʻoki kino? Ke anei i keena E neʻe 'ana i ka loli ana o kahi, a lawe aʻa, a hoʻomaka i ka ho'ōla ia. Rejection o ka mea transplanted ma ka manawa, he mea wale 10 pakeneka o ka hihia. Ia mea ke kumu o ka transplant mea, mai ka ia ahonui hoʻokō wale i ka hihia ma kahi'ē aʻe kāu kiʻina hana wale hiki ole ke hoʻohana.

Ma hope o ke kaʻina hana hoʻomaka hoʻopulapula au. Iloko o ka 4-6 hebedoma i ka hoʻomanawanui mea ma lalo o ka ikaika nā limahana o ke kauka-gomeologov. I keia manawa, i ke ahonui o ka kino hoopuni iho mailoko o nā mea palahēhē, nae, ka mea, ua waiho ia ma ka "antibacterial keena". E like ana me ka hoomanawanui i ka wa, e hele kauka ma ka lima holoi disinfection, me ka antibacterial ke Kopa, a no laila, ma luna o. Ma ka ia wā, ua haawiia mai i ke hoʻomanawanui i ka nui nui o antivirals a me antibiotics, a pale aku i ka lilo ana o ka transplanted mea nā mea palahēhē. Kākaʻikahi ka, akā, no hoi i ka hoihoi hou ana Inc maʻamau functionality o ka gastrointestinal'āpana. Inā ka rejection o ka mea ua i malama, i ka hoʻomanawanui ua hookuu. Re-keia hookolokolo ana ua lawe mai i ka 2 mahina, a ma 6. E like me ka rula, iloko oia kau i ka piha hou ana o ka poino iwi lolo a me ka resumption o kona functionality. Ma kekahi mau hihia, o ka ia immunokorektornaya Inc (wā uaua chemotherapy i hana mua transplantation ina hana).