Imajin se sɔmbɔdi we rili lɛk yu, sɔntɛm na yu fambul ɔ yu padi, dɔn gɛt siriɔs blɔd kansa lɛk Lukimia. Nɔn pan wi nɔ lɛk fɔ yɛri bɔt dis kayn tin, nɔto so? Bɔt if dat apin, yu go gɛt di wangren op fɔ sev da pɔsin de in layf. Yɛs, yu kin gi dɛn di gift we de gi dɛn layf. Da gift we valyu pas ɔl na fɔ gi blɔd stem sɛl. Lɛ wi tɔk bɔt dis frɔm di biginin, rili simpul wan.
Wetin na blɔd stem sɛl doneshɔn?
Fɔ tɔk am simpul wan, fɔ gi blɔd stem sɛl na di we aw pɔsin kin tek dis spɛshal kayn sɛl frɔm pɔsin we gɛt wɛlbɔdi ɛn transplant am to pɔsin we sik. dis stεm sεl dεm na di "masta sεl dεm" na wi bכdi. Dis min se dɛn sɛl ya kin divɛlɔp to ɛni kayn sɛl na wi blɔd, lɛk rɛd blɔd sɛl, wayt blɔd sɛl, ɛn pletlɛt .
Ɛvri ia, bɔku bɔku pipul dɛn kin day bikɔs ɔf siriɔs sik dɛn lɛk lukimiya. pan dis kayn sik pipul dεm, di stεm sεl dεm na dεn bon mכro kin dכn כ nכ de wok fayn. Dɔn, dɛn kin gi di pɔsin di stem sɛl dɛn we dɛn tek frɔm pɔsin we gɛt wɛlbɔdi ɛn mek dɛn mek nyu blɔd sɛl dɛn we gɛt wɛlbɔdi na in bɔdi. Dɛn kɔl dis stem sɛl transplant.
Pɔsin kin gi dɛn sɛl ya as pat pan in yon tritmɛnt, ɛp in tayt fambul, ɔ ivin rɛjista as pɔsin we de gi fɔ sev di layf fɔ pɔsin we i nɔ ɛva mit, sɔmsay na di wɔl.
Wetin mek pɔsin go nid dɛn stem sɛl dɛn ya?
Stem sɛl transplant kin rili bɛnifit pipul dɛn we gɛt sɔm kayn blɔd kansa ɛn ɔda tin dɛn we gɛt fɔ du wit blɔd. We dɛn de du dis, dɔktɔ dɛn kin pul di stem sɛl dɛn we dɔn pwɛl na di pɔsin in bɔdi ɛn put stem sɛl dɛn we gɛt wɛlbɔdi. Dɔn di nyu sɛl dɛn kin gro ɛn bigin fɔ mek wɛlbɔdi blɔd sɛl dɛn.
Dis dɔŋ ya na sɔm pan di men mɛrɛsin dɛn we dɛn kin trit wit stem sɛl transplant.
| Kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Aplastik anemia we dɛn kin gɛt | Wan tin we de mek di bɔdi nɔ de mek nyu blɔd sɛl dɛn. |
| Lukimiya | Kansa we kin apin na di blɔd ɛn bon mɛrɔ. |
| Bɔku bɔku mayloma | Wan kansa we de afɛkt di plasma sɛl dɛn na di blɔd. |
| Maylodysplastik sindrom we gɛt di sik | di bon mכro nכ ebul fכ prodyuz hεlty bכdi sεl dεm. |
| Limfoma we nɔto Hɔdgkin | Kansa na di limfatik sistɛm. |
| Siklɔs sɛl anemia | Na sik we di rɛd blɔd sɛl dɛn shep kin chenj ɛn dɛn nɔ kin wok fayn. |
Aw yu de fain dis ‘match’?
Dis na di pat we impɔtant pas ɔl ɛn we at fɔ du. Yu nɔ go jɔs tek stem sɛl frɔm pɔsin ɛn gi am to ɔda pɔsin. I gɛt fɔ mek gud mach bitwin di tu pipul dɛn sɛl dɛn.
Dɔktɔ dɛn kin chɛk fɔ dis mach bay we dɛn kin chɛk fɔ sɔntin we dɛn kɔl Human Leukocyte Antigens (HLA) . Tink bɔt dis HLA as spɛshal ‘barkɔd’ pan ɛvri sɛl na wi bɔdi. wi imyun sistεm de luk dis barכd fכ no if "dis na mi כwn sεl" כ "dis na fכrin."
insay stεm sεl transplant, di HLA barkכd fכ di dכna εn di rεsipiεnt fכ sכm as i posbul. Na da tɛm de nɔmɔ di pɔsin we gɛt di sik in bɔdi go gri fɔ tek di nyu sɛl dɛn we i nɔ go gri fɔ tek dɛn.
Dɔktɔ dɛn kin luk fɔ pɔsin we go gi mɔni insay dis ɔda we:
1. Klos famili mɛmba dɛm: Dɛn kin tek pipul dɛm lɛk brɔda ɛn sista ɛn mama ɛn papa fɔs, bikɔs dɛn kin gɛt HLA mats mɔ.
2. Di wan dɛn we nɔ gɛt ɛnitin fɔ du wit di mɔni: If famili mach nɔ de, dɛn kin chɛk di nashɔnal ɔ intanashɔnal dona rɛjista fɔ fɛn di wan we mach. Bɔku bɔku pipul dɛn we de gi mɔni ɔlsay na di wɔl de rɛjista dis we.
3. Patli mach (Haploidentical) dona dεm:sכmtεm, dεn kin gεt sεl dεm frכm wan famili mεmba we na εksakכt haf di HLA mach we di pɔsin we de gεt am in HLA mach.
Yu go ebul fɔ bi pɔsin we de gi mɔni? Dis na di we aw dɛn de du am.
Yɛs, if yu gɛt wɛlbɔdi, yusɛf gɛt big chans fɔ ɛp fɔ du dis fayn wok. Di prɔses fɔ rɛjista as pɔsin we de gi mɔni nɔ kɔmplikt lɛk aw yu go tink. I kin tek jɔs sɔm stɛp dɛn.
- Rɛjista: Di fɔs tin we yu nid fɔ du na fɔ fil aplikeshɔn tru wan ɛjɛnsy we de rɛjista di wan dɛn we de gi mɔni. Dis go mek yu gi di ditel bɔt yu wɛlbɔdi istri ɛn kɔntakt infɔmeshɔn.
- HLA test: Nεks, dεn go tεst yu fכ no yu HLA tכp. Dis na tin we rili simpul. Dɛn go swab di insay pat na yu chɛst wit smɔl kɔtɔn swab ɛn tek wan sɛmpul pan sɛl dɛn frɔm de. Yu kin ebul fɔ gɛt kit bak fɔ kɛr go na os fɔ dis.
- Wet fɔ mek yu mach: Afta dɛn dɔn put yu HLA infɔmeshɔn na di rɛjista, yu fɔ wet fɔ mek pɔsin we sik mach yu. Dis kin tek sɔm mɔnt, ɔ ivin sɔm ia.
- If dɛn fɛn pɔsin we mach: If yu fɛn pɔsin we gɛt gud mach, da institiushɔn de go kɔntakt yu. Dɔn yu go nid fɔ du sɔm ɔda blɔd tɛst fɔ kɔnfɔm di mats.
- Kɔnsul ɛn Kɔnsɛnt: If ɔltin go fayn, dɛn go ɛksplen to yu ɔl di prɔses, di risk ɛn bɛnifit dɛn we i gɛt. Dɔn, dɛn go gɛt yu kɔnsɛntmɛnt we dɛn no bɔt.
- Faynal Mɛdikal Ɛgzamin: Bifo yu gi mɔni, dɛn go du wan kɔmplit mɛdikal ɛgzamin fɔ mek shɔ se yu gɛt wɛlbɔdi ɔlsay.
Ɛvri step fɔ dis prɔses, dɛn mek am fɔ mek shɔ se di pɔsin we gi di mɔni ɛn di pɔsin we gɛt di mɔni, sef pas ɔl.
Udat nɔ go ebul fɔ gi stem sɛl?
Sɔm ej ɛn wɛlbɔdi prɔblɛm dɛn kin mek ɔlman nɔ ebul fɔ gi stem sɛl. Dɛn lɔ ya de fɔ protɛkt di pɔsin we gi di mɔni ɛn di pɔsin we de gi di mɔni. Na sɔm pan di men rizin dɛn we mek yu nɔ go ebul fɔ gi mɔni.
| Kɔz / mɛdikal kɔndishɔn | Tɔk bɔt |
|---|---|
| Ej | Insay bɔku kɔntri dɛn, na di wan dɛn nɔmɔ we ol bitwin 18-40 ia kin rɛjista as pɔsin we de gi mɔni. |
| HIV/AIDS | Pipul dɛn we gɛt dis sik nɔ kin ebul fɔ gi mɔni. |
| Sivɛri at at sik | Sivεr kכndyushכn lεk rεumatoid arthritis. |
| Di sik dɛn we pɔsin kin gɛt we i de fɛt insɛf | Fɔ di wan dɛn we gɛt ɔtoimyun sik dɛn we de afɛkt di wan ol bɔdi. |
| Kansa | If yu dɔn gɛt kansa tritmɛnt bifo (kimotɛrapi, redyushɔn) ɔ yu dɔn gɛt kansa insay di pas 5 ia. |
| Shuga | Fɔ di wan dɛn we gɛt dayabitis we de tek insulin injɛkshɔn. |
| At sik | If yu gɛt histri bɔt at sik, baypas ɔpreshɔn, angioplasty, ɛn ɔda tin dɛn. |
| Epataytis B ɔ C | Fɔ di wan dɛm wae gɛt dis sik wae de kam pan pɔrsin. |
Dis list na jɔs sɔm pan di rizin dɛn. If yu want fɔ gi mɔni bɔt yu de wɔri bɔt wɛlbɔdi prɔblɛm, i go fayn fɔ mek yu tɔk to yu dɔktɔ.
Wetin kin apin bifo ɛn insay di de we dɛn de gi mɔni?
Gi mi am sɔm dez bifo.
We dɛn dɔn kɔnfyus se yu na gud dona, dɛn go gi yu injɛkshɔn ɛvride we go bigin 4-5 dez bifo di doneshɔn. Dis injɛkshɔn gɛt Filgrastim.Dis na wan drɔg we dɛn kɔl. Wetin i de du na fɔ mek yu bon mɛro wok ɛn pul bɔku bɔku stem sɛl dɛn na yu blɔd. Dɔn i izi fɔ mek wi gɛda dɛn sɛl dɛn de frɔm yu blɔd.
Dɛn injɛkshɔn ya kin mek sɔm smɔl smɔl sayd ɛfɛkt dɛn:
- Pen na di bon dɛn
- Ed de at
- Wan smɔl fiva.
- Vɔmit
- I nɔ kin izi fɔ mek yu slip
Nɔ wɔri, dɛn sayd ɛfɛkt ya go dɔn jɔs afta di injɛkshɔn dɔn. Yu kin tek wan kɔmɔn pen kil lɛk paracetamol bak fɔ kɔntrol di pen, lɛk aw yu dɔktɔ tɛl yu.
Na di tɛm we dɛn de gi mɔni
Dis prכsεs dεn kכl am bak "harvesting." I tan lɛk se yu de gɛda di pletlɛt dɛn frɔm blɔd.
- Dɛn go put yu na fayn chia ɔ bed.
- Dɛn go put tu kanula dɛn na di vein dɛn na yu tu an dɛn.
- Na wan say, dɛn kin tek sɔm pan yu blɔd ɛn sɛn am tru wan spɛshal mashin. Dis mashin de filta ɛn separet di stem sɛl dɛn nɔmɔ frɔm di blɔd.
- afta di stεm sεl dεm dεn separet, di bכdi we lɛf de go bak na yu bכdi tru di kanula we de na yu כda an.
dis ol prכsεs de tek lεk 4-6 awa insay di de. i kin tek lεk 3-4 dez fכ kכlekt di כmכnt כf stεm sεl dεm we di sikman nid. Insay dis tɛm, yu kin fri fɔ rid buk ɛn yuz yu fon.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis kin gɛt?
Di men ɛn wangren bɛnifit we yu gi yu stem sɛl na dat yu de sev ɔda pɔsin in layf. Da pɔsin de kin bi yu yon brɔda ɛn sista, ɔ pɔsin we yu nɔ ɛva mit. Ilɛk aw i bi, yu de gi da pɔsin de sɛkɔn chans fɔ wɛl frɔm wan siriɔs sik. Dat na filin we rili valyu.
As fɔ di risk dɛn, dɛn rili smɔl. Di we aw dɛn kin gi mɔni kin rili sef. Dis nɔ de mek yu gɛt mɔ sik ɔ kansa we gɛt fɔ du wit blɔd tumara bambay. Yu bɔdi kin mek di stem sɛl dɛn we yu dɔn gi bak kwik kwik wan.
Mɛsej we dɛn kin kɛr go na os
- Fɔ gi blɔd stem sɛl na rili sef ɛn fayn tin we kin sev pɔsin we gɛt siriɔs sik lɛk blɔd kansa in layf.
- Di fɔs tin we yu fɔ du fɔ rɛjista as pɔsin we de gi mɔni (HLA tɛst) rili simpul. כl wetin i nid na sכm sכm sכm sεl dεm we dεn tek frכm di chεk.
- Di we aw dɛn kin gi kin tan lɛk we pɔsin kin gi di pletlɛt, ɛn di prɔblɛm we kin apin to di pɔsin we gi di pɔsin kin rili smɔl.
- Yu bɔdi go mek di stem sɛl dɛn we yu dɔn gi bak kwik kwik wan.
- If yu gɛt wɛlbɔdi, tink bɔt fɔ bi pɔsin we de gi mɔni. Yu kin gi pɔsin di gift we valyu pas ɔl, we na layf. If yu want fɔ no mɔ bɔt dis, tɔk to yu dɔktɔ.
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