Ke mālama nei i ke koko kaula o kāu pēpē no ka wā e hiki mai ana? (Cord Blood Banking) E kamaʻilio kākou e pili ana i kēia!

Inā he makuahine a makua kāne paha ʻoe e kali ana i kahi pēpē hou, ua lohe paha ʻoe i ka huaʻōlelo 'Cord Blood Banking'. I ka ʻōlelo maʻalahi, ʻo ia hoʻi, ʻo kekahi o ke koko makamae i koe mai ke kaula umbilical a me ka placenta, kahi i hoʻolei ʻia ma hope o ka hānau ʻana o ke pēpē, ua lawe ʻia a mālama pono ʻia i hiki ke hoʻohana ʻia ma ke ʻano he lāʻau lapaʻau no kekahi ʻano maʻi e kū mai ana i ka wā e hiki mai ana. He kumuhana wela kēia ma Sri Lanka i kēia manawa. No laila, he mea kūpono anei kēia? He aha nā pōmaikaʻi a me nā pōʻino o ka hana ʻana i kēia? Pehea e hana ʻia ai? E kamaʻilio kākou e pili ana i kēia mau mea a pau me ka maopopo a me ke aloha i kēia lā.

No ke aha he waiwai nui ke koko kaula?

E noʻonoʻo, ma hope o ka hānau ʻana, hoʻolei ʻia ke kaula umbilical a me ka placenta. Akā, i loko o ke koko i waiho ʻia i loko o kēia kaula umbilical i hoʻolei ʻia, aia kekahi ʻano cell kūikawā nona ka hiki kupaianaha ke lilo i kekahi ʻano cell i loko o ko mākou kino. Kāhea mākou i kēia mau cell kumu . Ua like ia me kahi canvas hakahaka. E like me kā mākou hiki ke kaha kiʻi i kekahi kiʻi ma kēlā canvas, hiki i kēia mau cell kumu ke ulu i nā ʻano cell like ʻole i loko o ko mākou kino, e like me nā cell koko a me nā cell pale.

Ua like kēia mau pūnaewele kumu me nā pūnaewele kumu i loaʻa i loko o ka iwi iwi. No laila, hiki ke hoʻohana ʻia e mālama i nā maʻi he 80 a ʻoi aku e hoʻoweliweli ana i ke ola. Wahi a nā loea, "Ua lilo nā hoʻoili ʻana mai ke koko kaula i mea nui e hoʻopakele i ke ola o nā keiki ʻōpio, ʻoiai ka poʻe me ka maʻi immunodeficiency i hui pū ʻia (SCID), kekahi mau maʻi ʻino, a me nā maʻi koko e like me ka leukemia."

I kekahi manawa, hoʻohana ʻia ke koko kaula i hāʻawi ʻia ma kēia ʻano e nā mea noiʻi e hoʻomohala a hoʻāʻo i nā lāʻau lapaʻau hou. ʻO ke ʻano kēia, ʻoiai inā ʻaʻole ia e pōmaikaʻi pololei i kahi lālā o ka ʻohana, hiki iā ia ke hāʻawi nui i ka holomua o ka ʻepekema lapaʻau.

He aha ka ʻokoʻa ma waena o nā panakō aupuni a me nā panakō pilikino?

ʻElua ala nui e mālama ai i ke koko kaula. ʻO kekahi, ʻo ia ke hāʻawi iā ia i kahi panakō mokuʻāina. ʻO kekahi, ʻo ia ke mālama iā ia i loko o kahi panakō pilikino. Nui nā ʻokoʻa ma waena o nā mea ʻelua. E nānā kākou i ke ʻano o lākou.

No laila, he mea kūpono maoli anei ke waiho ʻana i loko o kahi panakō pilikino?

ʻO kēia ka nīnau koʻikoʻi loa. Ke nānā ʻoe i nā helu helu, haʻahaʻa loa ka manawa kūpono o kahi keiki e hoʻohana i kā lākou mau cell kumu ponoʻī, ma kahi o 1 i loko o 5,000 . ʻO ia hoʻi, hoʻokahi wale nō i loko o 5,000 mau keiki e loaʻa i kēlā manawa kūpono.

Eia nō naʻe, ʻo ka manawa kūpono o kahi keiki e pono ai nā cell kumu i hāʻawi ʻia he 1 i loko o 2,500 . ʻO ia hoʻi, ʻelua ka nui o ko lākou pono ʻana i kā haʻi ma mua o ka hoʻohana ʻana i kā lākou iho.

ʻO kekahi pilikia, ʻo ia ka hiki i kahi kaikaina ke hoʻohana i kēia koko. He 25% wale nō ka manawa e loaʻa ai i kahi kaikaina kahi hoa kūpono 100%. Aia kekahi 25% ka manawa ʻaʻole ia he hoa kūpono iki. No laila, ʻaʻole i hōʻoia ʻia e hiki i kahi kaikaina ke hoʻohana i kēia.

ʻOi aku ka liʻiliʻi o ka manawa kūpono o kahi kanaka makua, ʻo ia hoʻi he makua, e hoʻohana i kēia koko, no ka mea, ʻaʻole lawa ka nui o ke koko i lawe ʻia mai ke kaula umbilical no ke kino o ke kanaka makua.

Pehea ʻoe e hōʻiliʻili ai i kēia koko o ke kaula umbilical?

Inā ʻoe e noʻonoʻo ana e hāʻawi koko a mālama pilikino paha, he mea kēia e pono e hoʻolālā mua ʻia. Pono ʻoe e hoʻomaopopo i kāu kauka a me ka haukapila ma mua o kou hānau ʻana a e mākaukau i nā mea e pono ai no ka hōʻiliʻili ʻana.

He nui nā panakō moku'āina e koi ana i nā mākua e hoʻopaʻa inoa ma waena o 28 a me 34 mau pule o ka hāpai ʻana . Nānā pū lākou i ka mōʻaukala olakino o nā makuahine hāʻawi.

I ka wā hānau keiki, hiki ke hōʻiliʻili ʻia kēia koko ma mua a ma hope paha o ka hānau ʻana o ka placenta. Ma hope o ka ʻoki ʻana a me ka hoʻopaʻa ʻana i ke kaula umbilical o ka pēpē, hoʻohana ke kauka a kahu maʻi paha i kahi nila liʻiliʻi e huki i kekahi o ke koko i koe mai kahi aa umbilical. ʻAʻohe ʻeha o kēia kaʻina hana a ʻaʻole ia e hōʻeha i ka pēpē a i ka makuahine paha.

A laila, lawe kahi lawelawe ʻelele kūikawā i kēia hāpana koko i kahi waihona koko. Ma laila, hoʻokaʻawale ʻia nā hunaola kumu mai ke koena o ke koko a mālama ʻia i loko o ka naikokene wai ma lalo o nā kūlana cryogenic.

Pehea e koho ai i kahi waihona koko kaula kūpono?

Inā hoʻoholo ʻoe e kiʻi i kēia lawelawe mai kahi panakō pilikino, he mea nui loa ia e noiʻi pono iā ia.

Hoʻomaopopo nā loea i ka hana ʻana i nā ʻōlelo nui a hoʻonui ʻia e like me "ka ho'ōla piha ʻana i nā maʻi e like me ka cerebral palsy ." Ma mua o ke koho ʻana i kahi panakō, e hōʻoia e noiʻi i kēia mau ʻoiaʻiʻo:

• Ke kūpaʻa kālā o ka ʻoihana: E ʻike i ka lōʻihi o ka ʻoihana a me ke ʻano o kā lākou mau moʻolelo kālā.
• Ka helu o nā laʻana a lākou e hana ai: ʻO kahi ʻoihana e lawelawe ana i kahi helu nui o nā laʻana he ʻoi aku ka ʻike a me ke ʻano hana.
• Inā pau ka ʻoihana o ka ʻoihana: E ʻike inā he kulekele maopopo e pili ana i ka mea e hana ʻia ana i kāu mau laʻana.
• ʻIke e pili ana i nā uku: He aha nā uku mua a me nā uku mālama makahiki? E nīnau inā paʻa kēlā mau uku a i ʻole hiki ke hoʻonui ʻia i ka hala ʻana o ka manawa.
• Hōʻoia: E nānā inā loaʻa i ka ʻoihana nā kūlana i ʻike ʻia ma ka honua holoʻokoʻa. He hōʻailona maikaʻi ia inā ua ʻae ʻia e nā hui e like me `FACT` (Foundation for the Accreditation of Cellular Therapy) a me `AABB` (American Association of Blood Banks). Pono e hoʻopaʻa inoa ʻia nā waihona koko āpau me kahi keʻena hoʻoponopono e like me ka FDA (Food and Drug Administration).
• Papa Kūkākūkā Lapaʻau:E ʻike i nā kauka e aʻo ana i kēlā ʻoihana a me ko lākou mau hōʻoia.