Inā ʻoe e kali ana i kahi pēpē, ehia mau mea e holo nei i loko o kou poʻo? Me nā mea e like me nā lole pēpē, nā mea pāʻani, a pehea e hoʻonani ai i ka lumi, ʻo kekahi nīnau koʻikoʻi e hiki mai ana i kou manaʻo, "Pono anei au e mālama i ke koko kaula o ka pēpē no ka wā e hiki mai ana?" I ka wā ma mua, i ka wā i hānau ʻia ai ka pēpē, ua wehe ʻia ke kaula umbilical a me ka placenta a hoʻolei ʻia. Akā i kēia manawa, me ka holomua o ka ʻenehana, hiki ke mālama ʻia kēia koko makamae i loko o ke kaula umbilical no ke olakino o ka pēpē i ka wā e hiki mai ana. No laila, pono anei kākou e makaʻala i kēia?
He aha ka Cord Blood Banking?
I ka ʻōlelo maʻalahi, ʻo ia ke koko i lawe ʻia mai ke kaula umbilical a me ka placenta ma hope o ka hānau ʻana o ke pēpē, a mālama ʻia ma ke ʻano kūikawā no ka hoʻohana ʻana i ka wā e hiki mai ana. ʻAʻole like kēia koko me ke koko maʻamau. He ʻano pūnaewele kūikawā kona.
Kāhea mākou i kēia mau pūnaewele kumu . ʻO kēia nā pūnaewele kumu e hiki ke ulu i kekahi ʻano pūnaewele i loko o ko mākou kino. E noʻonoʻo iā lākou me he ʻāpana pepa hakahaka lā. E like me kā mākou hiki ke kaha kiʻi i kekahi mea ma kēia ʻāpana pepa, hiki i kēia mau pūnaewele kumu ke ulu i kekahi ʻano pūnaewele, e like me nā pūnaewele koko, nā pūnaewele puʻuwai, nā pūnaewele aʻalolo, a pēlā aku.
He aha nā pōmaikaʻi o kēia?
Aia i loko o ke koko kaula ka nui o kēia mau mea i kapa ʻia he mau pūnaewele kumu . ʻO ka ʻoiaʻiʻo, he ʻumi manawa ka nui o nā pūnaewele kumu i loko o ke koko kaula ma mua o ka iwi iwi.
Hiki ke hoʻohana ʻia kēia mau pūnaewele e mālama i nā maʻi koʻikoʻi he nui.
- Nā ʻano maʻi ʻaʻai: ʻOi loa aku nā maʻi ʻaʻai koko e like me ka leukemia.
- Nā maʻi koko : Nā kūlana e like me ka anemia.
- Nā nāwaliwali o ka ʻōnaehana pale: Kekahi mau kūlana olakino e hōʻemi ana i ka hiki o ke kino ke hakakā i nā maʻi.
ʻO ka mea nui loa, i ka wā e hoʻoili ʻia ai nā pūnaewele kumu i lawe ʻia mai ke koko o ke kaula umbilical i loko o kekahi kanaka ʻē aʻe, ʻo ka pilikia o ka hōʻole ʻia e kēlā kino he hapalua ia o nā pūnaewele i lawe ʻia mai ka iwi iwi o ka pākeke. A he haʻahaʻa loa ka manawa kūpono o kēia mau pūnaewele e loaʻa ai nā pathogens infectious.
Pehea ʻoe e hōʻiliʻili ai i kēia koko?
He hana maʻalahi loa kēia a ʻeha ʻole hoʻi no ka makuahine a me ka pēpē . Ma hope o ka hānau ʻana o ka pēpē, ke kaukaHoʻopaʻa ʻia ke kaula umbilical ma ʻelua wahi a ʻoki ʻia ma waena e hoʻokaʻawale i ke pēpē mai ka makuahine. A laila, hoʻokomo ʻia kahi nila liʻiliʻi i loko o ka ʻāpana o ke kaula umbilical i pili i ka makuahine, a hōʻiliʻili ʻia ma kahi o 40 mililita o ke koko. Hoʻopaʻa ʻia kēia koko i hōʻiliʻili ʻia i loko o kahi ʻeke kūikawā a hoʻouna ʻia i kahi keʻena hoʻokolohua a i ʻole kahi waihona koko kaula no ka hoʻāʻo ʻana a me ka mālama ʻana. He mau minuke wale nō ke kaʻina hana holoʻokoʻa.
Ma hea i mālama ʻia ai kēia mau mea? He aha nā koho i loaʻa iā mākou?
ʻEkolu mau koho nui āu no kēia. He mea nui loa ka loaʻa ʻana o kahi ʻike maikaʻi o kēia mau mea.
| ʻAno panakō | Wehewehena | Kumukūʻai a me ka kuleana |
|---|---|---|
| Nā Panakō Kaula Lehulehu | Ke hāʻawi nei ʻoe i kēia koko no ka pono o ka lehulehu. Ua like kēia me ka hāʻawi ʻana i ke koko. | ʻAʻohe uku. Akā, ʻaʻole ʻoe nona nā kuleana i kēia koko. Hiki ke hoʻohana ʻia e kekahi ma nā wahi āpau o ka honua i kūpono. Hiki nō hoʻi ke hoʻohana ʻia no ka noiʻi. |
| Nā Panakō Kaula Pilikino | Ua kapa ʻia kēia mau mea ʻo "Biological Insurance." Maanei, mālama ʻia ke koko no ka hoʻohana wale ʻana e kāu pēpē a i ʻole nā lālā o ka ʻohana. | He nui ke kālā e uku ai no ka hōʻiliʻili ʻana a me ka hana ʻana, a pono ʻoe e uku i ka uku makahiki e mālama ai. No kou ʻohana wale nō ka kuleana nona. |
| Nā Panakō Hāʻawi Pololei | He hui pū ʻana kēia o nā panakō aupuni a me nā panakō pilikino. ʻAe ia i nā hāʻawi lehulehu a me nā hāʻawi i hoʻokaʻawale ʻia i nā ʻohana (ʻaʻole maʻamau ma Sri Lanka). | ʻO ka maʻamau, ʻaʻohe uku i uku ʻia. |
No laila, pono maoli anei mākou e hana i kēia?
ʻO kēia ka nīnau koʻikoʻi loa. He paʻakikī ke hāʻawi pololei i ka pane "ʻae" a i ʻole "ʻaʻole" i kēia. Akā, e hoʻolohe kākou i ka mea a nā hui lapaʻau nui o ka honua (e like me ka American Academy of Pediatrics - AAP) e ʻōlelo nei.
No ke aha ʻoe e noʻonoʻo hou ai e pili ana i ka mālama ʻana i ke koko i loko o kahi panakō pilikino?
ʻOiai ke kapa nei nā panakō pilikino i kēia he "ʻinikua olaola," wahi a ka American Medical Association e makaʻala i ka hoʻolilo kālā ʻana ma luna no ka mea ʻole. Aia kekahi mau kumu no kēia:
- Kumukūʻai kiʻekiʻe: ʻO ka hōʻiliʻili ʻana i ke koko a me ka mālama ʻana iā ia no nā makahiki he nui ke kumukūʻai.
- Haʻahaʻa ka manawa kūpono e hoʻohana ai: Haʻahaʻa loa ka manawa kūpono e hoʻohana ai kāu pēpē i ko lākou koko kaula ponoʻī. Manaʻo kekahi mau noiʻi he haʻahaʻa paha ka manawa kūpono e like me 1 i loko o 400.
- ʻAʻole hiki ke ho'ōla ʻia nā maʻi hoʻoilina: He mea kēia a ka poʻe he nui i ʻike ʻole ai. E noʻonoʻo ua loaʻa i kāu pēpē kahi maʻi hoʻoilina e like me Thalassemia a i ʻole anemia cell sickle. ʻO ke kīnā hoʻoilina e hoʻoulu ai i kēia maʻi aia nō hoʻi i loko o nā cell kumu i loko o kona koko umbilical. No laila, ʻaʻole hiki iā ia ke hoʻohana i kona koko ponoʻī e ho'ōla i kāna maʻi hoʻoilina. ʻO kēia ʻano hoʻoili ʻana o kāna mau cell ponoʻī ua kapa ʻia ʻo "Autologous Transplant".
Ke paipai nei nā hui pediatric alakaʻi o ka honua he ʻoi aku ka pono no ke kaiāulu ke hāʻawi i ke koko i kahi panakō aupuni ma mua o ka mālama ʻana iā ia i loko o kahi panakō pilikino ma ke ʻano he "ʻinikua" wale nō.
No laila, i ka manawa hea ʻoe e noʻonoʻo ai i kahi panakō pilikino?
ʻOiai ʻaʻole i ʻōlelo nui ʻia, hiki iā ʻoe ke noʻonoʻo e mālama i ke koko i loko o kahi panakō pilikino i kekahi mau hihia kūikawā. ʻO ia hoʻi, inā loaʻa i kekahi keiki ʻē aʻe i loko o kou ʻohana (ke kaikunāne a kaikuahine paha o ka pēpē) kahi maʻi e hiki ke ho'ōla ʻia me kahi hoʻoili cell kumu.
ʻO kekahi o ia mau maʻi:
- Leukemia
- Nā hemahema o ka pale ʻana, e.g. SCID (Severe Combined Immune Deficiency)
- ʻO Lymphoma (Lymphoma - Hodgkin's a me nā non-Hodgkin's)
- ʻAʻai anemia aplastic
- ʻAʻai anemia cell sickle
- Thalassemia
- Nā maʻi laha ʻole e like me ka maʻi ʻo Krabbe.
Akā eia kekahi mea e hoʻomaopopo ai. He 25% wale nō ka manawa kūpono e kūpono ai ke kaikunāne a me ke kaikuahine i ka hoʻoilina. No laila, ʻoiai he kaikaina a he kaikaina paha e pono ai nā pūnaewele mai kahi mea hāʻawi pili ʻole.
Pehea nā māhoe?
- Nā Māhoe Like/Monozygotic: He like like kēia mau māhoe i ke ʻano genetic. No laila, inā loaʻa i kekahi o lākou kahi maʻi genetic a i ʻole leukemia, ʻaʻole hiki ke hoʻohana ʻia ke koko kaula o kekahi. No ka mea, aia pū kekahi i loko o kēlā koko ka gene kīnā like.
- Nā māhoe Fraternal/Dizygotic: Ua like kēia me nā hoahānau maʻamau. No laila, hiki ke hoʻohana ʻia ke koko o kekahi e kekahi, akā pono ʻoe e nānā inā he kūlike.
He aha ka mea e hiki mai ana i kēia mau mea i ka wā e hiki mai ana?
Manaʻolana nā kānaka noiʻi i ka wā e hiki mai ana, e hoʻohana ʻia nā pūnaewele kumu e mālama i nā maʻi ʻē aʻe he nui, me ka maʻi diabetes, ka maʻi Alzheimer, ka maʻi puʻuwai, a me ka ʻeha o ke kaula kuamoʻo. Akā, aia nō kēia mau mea i ke kahua noiʻi . ʻAʻole maopopo hoʻi inā pono kēia mau lāʻau lapaʻau i nā pūnaewele i lawe ʻia mai ke koko o ke kaula umbilical a inā paha e ʻoi aku ka maikaʻi o nā pūnaewele mai nā kumu ʻē aʻe.
No laila, ma mua o ka hoʻoholo ʻana i kēia hoʻoholo, pono ʻoe a me kāu hoa e noʻonoʻo pū i kēia mau ʻano āpau. ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke kamaʻilio ākea e pili ana i kēia me kāu kauka. E noʻonoʻo ʻo ia i ka mōʻaukala olakino o kou ʻohana a hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo kūpono loa.
Leka Lawe-Home
- He hoʻoholo pilikino loa ka Cord Blood Banking.
- He pipiʻi loa ka mālama ʻana i ke koko i loko o kahi panakō pilikino , a he haʻahaʻa loa ka hiki i kāu keiki ponoʻī ke hoʻohana.
- ʻAʻole hiki i ke koko o ke kaula umbilical ponoʻī o kahi keiki ke ho'ōla i kahi maʻi genetic.
- He mea maikaʻi ke noʻonoʻo i kahi panakō pilikino inā loaʻa i kekahi keiki ʻē aʻe i loko o ka ʻohana kahi maʻi e hiki ke ho'ōla ʻia me kahi hoʻoili cell kumu.
- Inā ʻaʻohe kumu kikoʻī, paipai nā kauka a me nā hui honua i nā kānaka e hāʻawi i kēlā koko makamae i kahi panakō aupuni a kōkua i ka hoʻopakele ʻana i ke ola o kekahi mea ʻē aʻe e nele ana.
- Ma mua o ka hoʻoholo ʻana i kekahi mau hoʻoholo, e kamaʻilio me kāu kauka e pili ana i kēia.
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