Yu dɔn ɛva tink se smɔl pat pan yu bɔdi go sev pɔsin in wan ol layf? I tan lɛk supahiro tin, nɔto so? Na dat na bon marrow donation. Sɔntɛm yu dɔn yɛri bɔt am, ɔ sɔntɛm yu dɔn si am na fim. Bɔt bɔku pipul dɛn kin fred am smɔl, dɛn nɔ kin klia smɔl bɔt am. So tide wi go tok abaut am rili simpul, fo we we yu go andastan.
Fɔ tɔk am simpul wan, wetin na bon mɛrɔ doneshɔn?
Bon mכro donation na di prכsεs fכ tek wan pat pan di bon mכro, dat na di stεm sεl dεm, frכm pכsin we gεt hεlth εn gi am to pכsin we gεt blכd dizכrd. dis dεn kכl am bak ``bon mכro havεst''.
Tink bɔt am dis we, insay di big bon dɛn na wi bɔdi, lɛk di hip bon ɛn di sternum, wan sɔft tisu de we tan lɛk spɔnj. Na dat wi de kɔl bon mɛrɔ. Dis na wi bɔdi in ‘faktri we de mek blɔd.’ Di rɛd blɔd sɛl dɛn we yu nid fɔ liv, di wayt blɔd sɛl dɛn we de protɛkt yu frɔm sik, di pletlɛt dɛn we de ɛp fɔ mek blɔd klot we yu de blɔd, ɔl dɛn tin ya na wan wɔndaful kayn sɛl we de insay dis bon mɛro de mek am. Wi kin kɔl dɛn stem sɛl dɛn .
Naw, we sɔm pipul dɛn gɛt blɔd kansa lɛk lukimiya ɔ aplastik anemia, dɛn ‘blɔd-mɛkin faktri’ kin stɔp fɔ wok fayn. Da tɛm de, we dɛn gi dɛn stem sɛl ya we dɛn pul na pɔsin we gɛt wɛlbɔdi in bon mɛro to da pɔsin de, dɛn sɛl dɛn de kin go ɛn sidɔm na di pɔsin in bon mɛrɔ ɛn bigin fɔ mek nyu blɔd we gɛt wɛlbɔdi. I tan lɛk se yu pul mashin we dɔn brok ɛn put nyu mashin fɔ mek yu bigin di faktri bak.
Di tin we impɔtant pas ɔl na dat di pɔsin we de gi di bon mɛrɔ nɔ de fil ɛni pen we i de du dis, bikɔs dɛn kin du am ɔnda jenɛral anestezi.
Wetin mek sɔm pipul dɛn nid fɔ transplant dɛn bon mɛro?
As wi bin dɔn tɔk, dis nid kin apin we pɔsin in bon mɛro nɔ de wok fayn ɔ we i de mek sɛl dɛn we gɛt sik. Ɛvri ia, bɔku bɔku pipul dɛn kin gɛt sik dɛn we dɛn kin mɛn if dɛn transplant dɛn bon mɛro. di bon mכro transplant dεn kin du mεntal fכ dεn kכndishכn dεm ya:
- Kansa dεm we de divεlכp na di bכdi (e.g. lukimiya, lymphoma (non-Hodgkin lymphoma))
- sik dεm we di bon mכro nכ de wok fayn (e.g. aplastic anemia) .
- Sɔm sik dɛn we pɔsin kin gɛt frɔm blɔd (e.g. thalassemia) .
- Di imyun sistɛm we wik
Fɔ pɔsin we sik lɛk dis, fɔ gɛt nyu bon mɛrɔ we gɛt wɛlbɔdi, tan lɛk se i gɛt sɛkɔn layf.
Di big prɔblɛm: Fɔ fɛn di rayt pɔsin!
Di big prɔblɛm we de ya na fɔ fɛn di rayt fit fɔ di pɔsin we sik.Fɔ fɛn pɔsin we go gi yu bon mɛrɔ. Aw a go chɛk dis mats?
Imajin se ɛvri sɛl na wi bɔdi gɛt ‘aydentiti kad’. Dis na wetin wi kin kɔl HLA (Human Leukocyte Antigens) . Dis na spɛshal kayn prɔtin we de insay wi blɔd. naw, fכ mek dεn transplant bon mכro insay pכsin, di aydentiti kad, כ `HLA` tכyp dεm, fכ di dכna εn di rεsεpshכn fכ fכm as i posbul. Fɔ tɔk am simpul wan, dɛn tan lɛk lɔk ɛn ki. na if dis mach pafεkt nכmכ di bכdi go aksept di nyu sεl dεm we dεn transplant we i nכ go rijek dεm as ‘fכrin εnimi'.
pan avrej, lεk 30% pan di pipul dεm kin ebul fכ fכn mכch bon mכro dכna frכm pכsin na dεn yon famili (bכda כ sista). Bɔt di ɔda 70% gɛt fɔ gɛt dis gift fɔ layf frɔm pɔsin we nɔ de na di famili, pɔsin we dɛn nɔ ivin no. na dat mek dεn de mεnten di bon mכro dכna rεjistεri כlsay na di wכl.
Yu tink se di kɔlɔ ɔ trayb de afɛkt di we aw pɔsin de mach?
Yɛs. Dis na pɔynt we rili impɔtant. Jɛnɛral wan, di prɔbabiliti fɔ mek HLA mach kin bɔku pan pipul dɛn we gɛt di sem etnik ɔ rays bakgrɔn. di jin dεm we de kכntro wi imyuniti de sho sכm difrεns dipכnt pan wi etnik.
Dis min se if pɔsin na Sri Lanka nid fɔ transplant bon mɛrɔ, i gɛt di bɛst chans fɔ fɛn pɔsin we fit fɔ gi am na Sri Lanka. Dis na di rizin we mek i rili impɔtant fɔ mek pipul dɛn we kɔmɔt na ɔl di etnik grup ɛn kɔmyuniti dɛn rɛjista as bon mɛrɔ dona. Dɔn, if pɔsin nid wan, i go ebul fɔ fɛn pɔsin we fit fɔ gi mɔni kwik kwik wan.
Aw a go rɛjista fɔ bi bon mɛrɔ dona?
If yu want fɔ rɛjista as bon mɛrɔ dona na Sri Lanka, sɔm men ples dɛn de usay yu kin gɛt infɔmeshɔn. Di Nashɔnal Kansa Instityut, Maharagama de ple wan impɔtant pat pan dis. Yu kin no mɔ bɔt dis bak tru di Nashɔnal Blɔd Transfyushɔn Savis.
Di we aw dɛn kin rɛjista kin go lɛk dis:
1. Fɔ gi infɔmeshɔn: Fɔs, wi go gɛt di bɛsis infɔmeshɔn ɛn di ditel dɛn bɔt yu wɛlbɔdi kɔndishɔn.
2. Tek sampul: Neks, dem tek sampul fo fain out yu `HLA` tayp. Dis na tin we rili simpul. yu kin nid fכ tek fכ sεl dεm frכm wan `chεk swab` frכm insay yu mכt. Ɔ yu go nid fɔ tek smɔl blɔd.
3. Inrɔlmɛnt: Dɛn kin analayz yu HLA tayp ɛn dɛn kin put da infɔmeshɔn de na di dona rɛjista.
Afta dat, natin nɔ de we yu go ebul fɔ du. Dɛn go jɔs kɔntakt yu if yu HLA tayp mach wit pɔsin ɛnisay na di wɔl. Dat min se jɔs bikɔs yu dɔn rɛjista nɔ min se yu go bi bon mɛrɔ dona. Sɔntɛm yu nɔ go ɛva gɛt kɔl. Bɔt if yu du dat, dat min se yu gɛt chans fɔ sev pɔsin in layf.
Wetin na di rizin dɛn we mek yu nɔ fit fɔ gi yu bon mɛrɔ?
Pan ɔl we dɛn kin wɛlkɔm ɛnibɔdi fɔ jɔyn dis fayn wok, dɛn kin tink bɔt sɔm wɛlbɔdi kwalifayeshɔn dɛn fɔ mek shɔ se di pɔsin we gi di mɔni ɛn di pɔsin we gɛt di mɔni sef. Dɛn kin tek dɛn kɔndishɔn ya we de kam biɛn ya as tin dɛn we nɔ fit fɔ gi bon mɛrɔ.
| Rizin fɔ mek dɛn nɔ kwalifay am | Wan simpul ɛksplen |
|---|---|
| Ej | Bɔku tɛm, dɛn nɔ kin alaw pipul dɛn we dɔn pas 60 ia fɔ gi mɔni. |
| HIV/AIDS | Pɔsin we gɛt HIV nɔ go ebul fɔ gi mɔni. |
| Siriɔs at at sik dɛn | Sivεr kכndyushכn dεm lεk rεumatoid atraytis . |
| Di sik dɛn we pɔsin kin gɛt we i de fɛt insɛf | כtoimyun sik dεm na sik dεm we di bכdi in כwn imyun sistεm de atak di bכdi. |
| Sik dɛn we kin mek pɔsin blɔd klɔt | Sik dɛn we gɛt fɔ du wit blɔd lɛk ɛmofilia . |
| Kansa | If yu dɔn gɛt tritmɛnt (kimotɛrapi, redyushɔn) fɔ kansa bifo. |
| Shuga | Di wan dɛn we gɛt dayabitis we de tek insulin injɛkshɔn nɔ kin ebul fɔ gi. |
| At sik | Siriɔs at kɔndishɔn dɛn. |
| Epataytis B ɔ C | If dis vayral infεkshכn de na di bכdi. |
| Kidni sik | Kidni sik we nɔ de mɛn. |
Dis list nɔ de ɔlsay. If yu want fɔ gi mɔni, bɔt yu gɛt wɛlbɔdi prɔblɛm, i go fayn fɔ mek yu tɔk bɔt am wit yu dɔktɔ . Dɛn go ebul fɔ luk yu mɛdikal istri ɛn no if yu na gud kandidet.
Aw di bon mɛrɔ doneshɔn prɔses de wok?
Imajin, yu dɔn rɛjista, ɛn wan de yu gɛt kɔl fɔ se yu fit fɔ pɔsin we sik. Wetin kin apin afta yu dɔn gri fɔ tek am? Mek wi tek wan step-by-step luk pan am.
1. Bifo dɛn du di ɔpreshɔn
Fɔs, dɛn go chɛk yu ɔl yu wɛlbɔdi. Dis na fɔ mek shɔ se yu fit fɔ dis kɔmplit wan. Fɔ dis, dɛn go du sɔm tɛst dɛn.
- Blɔd tɛst: Kɔmplit blɔd kɔnt (CBC), kidni ɛn liva funkshɔn tɛst (CMP), ɛn blɔd tɛm tɛst (PTT).
- Tεst fכ infεkshכn: Chεk fכ difrεn infεkshכn sik dεm lεk HIV, epataytis, εn saytomegalovayrus (CMV).
- Ɔda tɛst dɛn: Dɛn kin du ECG ɛn ɛkstrem na di chɛst fɔ chɛk aw di at de wok.
Afta ɔl dis, di dɔktɔ we de gi yu anestezi go chɛk yu ɛn rɛdi yu fɔ mek dɛn du yu ɔpreshɔn.
2. We dɛn de du ɔpreshɔn
Dis kin apin na say usay dɛn de du ɔpreshɔn.
- Fɔs, dɛn go gi yu jenɛral anestezi. So yu nɔ go fil ɛni pen , yu go slip kpatakpata.
- Dɛn kin tɔn yu pan yu bɛlɛ ɛn mek yu ledɔm.
- Dɔn, di dɔktɔ kin put wan spɛshal olo nidul tru di skin we de na di bak pat pan yu hip bon ɛn pul di wata we de na yu bon mɛro.
- Wetin mek yu fɔ pik di hip bon? Bikɔs i gɛt di bon mɛrɔ ɛn stem sɛl dɛn we pas ɔl ɛn we gɛt wɛlbɔdi pas ɔl na wi bɔdi.
- Yu kin nid fɔ put di nidul bɔku tɛm fɔ gɛt di mɔnt we yu nid.
- tipikli, bitwin 1 εn 2 pint (bכt 0.5 - 1 lita) fכ likwid bon mכro dεn kin gεt. Pan ɔl we dis kin tan lɛk bɔku tin, na so i bilεs dan 10% pan yu tכtal bon mכro. Yu bɔdi kin bil dis amɔnt bak insay sɔm wiks.
- Di wan ol tin we dɛn kin du kin tek lɛk wan awa so .
3. Afta dɛn dɔn du di ɔpreshɔn
- Dɛn go kɛr yu go na di rum usay dɛn de mɛn pipul dɛn. Yu go gɛt fɔ de de fɔ lɛk wan awa so.
- Di nɔs dɛn go wet fɔ mek yu gɛt kɔnshɛns bak ɛn dɛn go de chɛk tin dɛn lɛk yu puls ɛn blɔd prɛshɔn ɔltɛm.
- Dɛn go put bandej usay dɛn put di nidul. Dɛn go chɛk bak fɔ ɛni blɔd we nɔ kɔmɔn.
- We yu dɔn ebul fɔ drink wata, dɛn go pul di salin tiub (IV tiub).
- Di nɔs dɛm go ɛnkɔrej yu fɔ du tin dɛm lɛk fɔ tek dip briz ɛn kɔf fɔ ɛp fɔ pul di ifɛkt dɛm wae yu nɔr de slip fayn.
Yu kin fil lɛk se yu taya smɔl ɛn yu kin fil lɛk yu nɔs. Bɔt dat go bɛtɛ smɔl smɔl. Bɔku tɛm, yu kin go na os di sem ivintɛm ɔ di nɛks de. Bɔt yu nɔ go ebul fɔ drayv yusɛf, yu nid pɔsin fɔ drayv yu.
Sayd ɛfɛkt ɛn di tɛm fɔ wɛl
Jɔs lɛk ɛni ɔpreshɔn, smɔl smɔl prɔblɛm dɛn de we kin apin. Sɔm tin dɛn kin apin we pɔsin de anestez, infɛkshɔn, ɛn damej pan wan nɛv ɔ mɔsul usay dɛn put di nidul. Bɔt dɛn tin ya nɔ kin apin so ɔltɛm .
Insay di tɛm we yu de wɛl, yu kin gɛt:
- Pen na yu bak ɛn yu hip eria: Yu kin fil pen ɛn stif fɔ sɔm dez, lɛk se yu dɔn wund. Yu dɔktɔ go tɛl yu fɔ tek wan simpul pen kil (e.g. paracetamol) fɔ dis.
- Brus: Di say we dɛn put di nidul kin blu.
- Taya: Sɔm pipul dɛn kin fil taya ɛn i nɔ kin izi fɔ dɛn fɔ waka fɔ sɔm dez.
- Ayɔn we nɔ de: Dɛn kin aks yu fɔ tek ayɔn sɔpɔtmɛnt fɔ sɔm dez fɔ ɛp fɔ mek yu rɛd blɔd sɛl dɛn kam bak.
Bɔku pipul dɛn kin go bak to dɛn nɔmal tin dɛn afta dɛn dɔn rɛst fɔ sɔm dez . I kin tek lɛk tu to tri wiks fɔ mek i wɛl ɔl.
De tin wae impɔtant pas ɔl na de mental satisfayshɔn wae yu kin gɛt frɔm dis prɔses. Di filin se ɔda pɔsin, sɔntɛm na smɔl pikin, de alayv bak bikɔs ɔf yu, rili valyu. Dat na di big big advantej we de ya.
If yu gɛt sayn dɛn we de sho se yu gɛt di sik, lɛk fiva, rɛd, swɛlin, ɔ bad bad pen na di say we dɛn injekt yu, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm .
Fɔ dɔn, di pɔsin we gi di mɔni ɛn di pɔsin we gɛt di mɔni go ɛva mit? Yɛs. Bɔt na if dɛn ɔl tu want nɔmɔ. Dɛn kɔdinɛtin bɔdi dɛn ya kin ɛp bak fɔ ɔganayz dɛn kayn mitin dɛn de.
Mɛsej we dɛn kin kɛr go na os
- Bɔn mɛrɔ doneshɔn na fayn tin we kin sev pɔsin in layf we de sɔfa wit sik dɛn we nɔ de mɛn lɛk blɔd kansa.
- Dɛn kin du di ɔpreshɔn ɔnda kɔmplit anestezi, so di pɔsin we gi am nɔ kin fil ɛni pen . Na ɔpreshɔn we rili sef.
- Di big chalenj na fɔ fɛn HLA mach fɔ di pɔsin. So, i impɔtant fɔ rɛjista bɔku pipul dɛn we de gi mɔni.
- Yu bɔdi go mek di bon mɛrɔ we yu gɛt bak insay sɔm wiks , ɛn i nɔ go mek yu gɛt ɛni bad tin fɔ lɔng tɛm.
- If yu want fɔ bi pɔsin we de gi blɔd, yu kin gɛt mɔ infɔmeshɔn frɔm institiushɔn dɛn lɛk Maharagama Apeksha Ospital ɔ di Nashɔnal Blɔd Doneshɔn Savis.
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