Yu dɔn ɛva tink se wan doneshɔn frɔm yu go sev ɔda pɔsin in layf kpatakpata? Yɛs, na tru. Di gift we valyu pas ɔl we yu kin gi pɔsin we gɛt siriɔs blɔd kansa lɛk lukimiya, ɔ ɔda siriɔs blɔd sik, na fɔ gi bon mɛro. Fɔ yɛri dis nem kin tan lɛk se yu de mek yu fred smɔl, bɔt i nɔ kin kɔmplikt ɔ i kin mek yu fil pen lɛk aw yu tink. Tide, wi go tɔk bɔt dis rili simpul wan, di we we yu go ɔndastand.
Wetin rili na bon mɛrɔ doneshɔn?
Fɔ tɔk am simpul wan, bon mɛrɔ doneshɔn na di we aw pɔsin kin tek wan pat pan pɔsin we gɛt wɛlbɔdi in bon mɛrɔ ɛn gi am to pɔsin we in bon mɛrɔ nɔ de wok fayn. insay di big bon dεm na wi bכdi (lεk di hip bon), wan sכft, sכft tisu de. Wi kin kɔl am bon mɛro . Dis na di faktri we de mek blɔd na wi bɔdi. Rɛd blɔd sɛl dɛn, wayt blɔd sɛl dɛn, ɛn pletlɛt dɛn ɔl kɔmɔt frɔm wan spɛshal kayn sɛl we de insay dis bon mɛro. Wi kin kɔl dɛn stem sɛl dɛn .
So, fכ gi bon mכro min fכ tek sכm sכm pan di bon mכro fluid we gεt dεn valyu stεm sεl dεm ya frכm di dona in hip bon yuz spεshal nidul. Dɛn kin du dis wok ɔnda jenɛral anestezi, so di pɔsin we gi am nɔ kin fil ɛni pen.
Wetin mek sɔm pipul dɛn nid fɔ transplant dɛn bon mɛro?
Sɔm pipul dɛn, bikɔs ɔf sik dɛn we dɛn bɔn wit ɔ we dɛn kin gɛt, nɔ kin ebul fɔ mek blɔd fayn fayn wan na dɛn bon mɛro. Ɔ, dɛn kin bigin fɔ mek sɛl dɛn we nɔmal, lɛk kansa sɛl dɛn.
I kin nid fɔ transplant bon mɛrɔ mɔ pan dɛn mɛrɛsin ya:
- Blɔd kansa: Kansa lɛk lukimiya ɛn limfoma.
- Di sik dɛn we kin mek di bon mɛrɔ nɔ wok fayn: Fɔ ɛgzampul, pan wan sik we dɛn kɔl aplastic anemia, di bon mɛrɔ kin stɔp fɔ mek ɛni blɔd sɛl.
- Sɔm sik dɛn we pɔsin kin gɛt frɔm in mama ɛn papa lɛk thalassemia: Insay dɛn kayn sik ya, sɔntɛnde na fɔ transplant bon mɛrɔ na di wangren sɔlv.
We di pɔsin in bon mɛro we gɛt sik dɔn pwɛl kpatakpata (tru kemotɛrapi ɔ redyushɔn) ɛn put bon mɛrɔ we pɔsin we gɛt wɛlbɔdi gɛt, da nyu bon mɛrɔ de go sidɔm na di pɔsin in bɔdi ɛn bigin fɔ mek wɛlbɔdi blɔd.
In ɔda wɔd, dis tan lɛk fɔ bil di faktri bak na pɔsin we sik in bɔdi. Dis gɛt di pawa fɔ mek i wɛl ɔltogɛda.
Aw yu go fɛn di pafɛkt pɔsin we yu go mach yu?
Dis na di pat we nɔ izi fɔ du pan di wok. Nɔto jɔs ɛnibɔdi kin gi bon mɛro to ɔda pɔsin. di kayn tisu dεm fכ di dכna εn di rεsεpεnt fכ mach εksakכt . Wi de kɔl disDɛn kɔl am HLA (Human Leukocyte Antigens) we de mach.
Fɔ tɔk am simpul wan, HLA na wan sɛt ɔf prɔtin mak dɛn we de na di say we ɛvri sɛl na wi bɔdi we de ɛp wi fɔ no se "dis na pat pan mi bɔdi." if dεn mak dεm ya nכ mach εksakכt, di sikman in bכdi kin no di nyu bon mכro we dεn gi as "fכrin" εn rijek am.
- Bɛst mats: Dis HLA mats kin apin mɔ wit pɔsin in yon brɔda ɔ sista (lɛk 25%).
- Ɔdasay na di famili: Na lɛk 70% pan pipul dɛn nɔ kin ebul fɔ fɛn pɔsin we fit fɔ gi mɔni insay dɛn famili. If na so i bi, i nid fɔ fɛn pɔsin we go mach am tru di Intanɛshɔnal Dona Rɛjista.
Yu tink se etnik grup impɔtant we yu de gi bon mɛrɔ?
Yɛs. dis HLA mak dεm de strכng fכ lεk di rεs εn jin dεm. Dis min se di chans fɔ fɛn pɔsin we go gi yu mɔni fɔ wan pɔsin we kɔmɔt Eshia, bɔku pasmak pan di pipul dɛn na Eshia pas di pipul dɛn na Yurop. Na dat mek i rili impɔtant fɔ mek dɛn rɛjista pipul dɛn we de gi mɔni frɔm ɔl di trayb dɛn.
A kin bi pɔsin we de gi kɔntribyushɔn bak? Wetin a nid fɔ du fɔ du dat?
Fɔ bi pɔsin we de gi bon mɛrɔ na fayn tin fɔ du fɔ sev pɔsin in layf. Insay Sri Lanka, di fɔs tin we dɛn kin du na fɔ fɛn pɔsin we fit fɔ gi mɔni frɔm di pɔsin in famili. If no famili mɛmba nɔ de, dɔktɔ dɛn kin tray fɔ fɛn pɔsin tru intanashɔnal dona rɛjista.
If yu want fɔ bi pɔsin we de gi kɔntribyushɔn, program dɛn de fɔ rɛjista we de wok na di intanashɔnal kɔntri dɛn. Di prɔses jɔs de go lɛk dis:
1. Rɛjista: We yu rɛjista tru di rilevɛns institiushɔn, dɛn go tek sɛl sɛmpul frɔm insay yu mɔt (chɛk) yuz swab.
2. HLA tayp aydentifikeshɔn: Dɛn kin tɛst di sampul, no yu HLA tayp, ɛn put da infɔmeshɔn de na dɛn database.
3. Fɔ fɛn pɔsin we mach: If yu HLA tayp mach pɔsin ɛnisay na di wɔl, dɛn go kɔntakt yu.
4. Kɔnfɔmeshɔn: Dɔn, dɛn kin du mɔ blɔd tɛst fɔ kɔnfɔm se di mats na 100%.
5. Doneshɔn: If ɔltin fayn, dɛn go dayrɛkt yu to di doneshɔn prɔses wit yu kɔnsɛntmɛnt.
Wetin na di rizin dɛn we kin mek yu nɔ ebul fɔ gi yu bon mɛrɔ?
Nɔto ɔlman kin gi bon mɛrɔ. Sɔm wɛlbɔdi prɔblɛm dɛn kin mek yu nɔ fit fɔ bi pɔsin we de gi mɔni. Sɔm pan dɛn rizin ya de na di tebul we de dɔŋ ya.
| Pozishɔn | Tɔk bɔt |
|---|---|
| Ej | Bɔku tɛm, pipul dɛn we dɔn pas 60 ia nɔ kin ebul fɔ gi mɔni. |
| Kansa | If yu bin dɔn gɛt kansa bifo ɛn yu bin gɛt tritmɛnt (kimotɛrapi/rɛdyushɔn). |
| At sik | Siriɔs at prɔblɛm dɛn. |
| Di sik dɛn we pɔsin kin gɛt we i de fɛt insɛf | Fɔ ɛgzampul: Sik dɛn we kin afɛkt di wan ol bɔdi, lɛk rεumatoid at. |
| Infεkshכn dεm | Infεkshכn dεm lεk HIV/AIDS, epataytis B כ C. |
| Shuga | If yu de yuz insulin injɛkshɔn. |
Dis list nɔ de ɔlsay. If yu want fɔ bi pɔsin we de gi mɔni, i go fayn fɔ mek yu tɔk to yu dɔktɔ fɔ advays yu bɔt yu wɛlbɔdi biznɛs .
Aw di we aw dɛn de gi mɔni kin apin?
We dɛn dɔn tek yu as pɔsin we de gi mɔni, dɛn go chɛk yu kɔmplit wɛlbɔdi stetɔs bifo yu gi mɔni. Dɛn go du bɔku tɛst dɛn lɛk blɔd tɛst, ECG, ɛn chɛst ɛkstrem rayt.
Dis na wetin kin apin di de we dɛn de gi:
1. Anestezi: Dɛn kin kɛr yu go na ɔpreshɔn rum ɛn put yu ɔnda jenɛral anestesia, so yu nɔ kin fil natin.
2. Bone marrow aspiration: We yu de ledɔm na yu bɛlɛ, dɔktɔ dɛn kin put spɛshal olo nidul tru di skin biɛn yu hipbone ɛn pul di bon marrow fluid insay sirinj. Yu kin nid fɔ put di nidul bɔku tɛm fɔ gɛt di mɔni we yu nid.
3. Kwantiti: כltεm dεn kin pul lεk 500 - 1000 ml fכ wata. pan ɔl we dis kin tan lɛk se na big tin, i nɔ rich 10% pan di ɔl bon mɛro na yu bɔdi.
4. Tɛm: .Di wan ol tin we dɛn kin du kin tek lɛk wan awa so.
Wetin kin apin afta yu dɔn gɛt tit? Aw lɔng i kin tek fɔ mek i wɛl?
Afta dɛn dɔn du di ɔpreshɔn, dɛn go kɛr yu go na wan rum usay dɛn de mɛn pipul dɛn we dɔn wɛl. We yu dɔn gɛt kɔnshɛns bak, yu kin go na os insay sɔm awa. Bɔt, yu nɔ go ebul fɔ drayv da de de.
Afta di doneshɔn, yu kin ɛkspɛkt dɛn tin ya:
- Bak ɛn hip pen: Sɔm pen ɛn brus kin de na di say we dɛn injekt fɔ sɔm dez. Dɛn kin trit dis wit mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn pen (lɛk Paracetamol).
- Taya: Yu kin fil taya smɔl fɔ sɔm dez.
- Fɔ wɛl: Bɔrku pipul kin bigin fɔ du dɛn nɔrmal tin bak insay tu to tri dez. Yu bɔdi go bil bak di bon mɛro we dɛn bin pul insay sɔm wiks. Sɔntɛnde, dɔktɔ dɛn kin tɛl yu fɔ tek tin dɛn we gɛt ayɛn fɔ sɔm tɛm.
Di big bɛnifit fɔ dis na dat yu doneshɔn de gi ɔda pɔsin sɛkɔn chans fɔ liv. Dat na filin we nɔ gɛt wan valyu.
Mɛsej we dɛn kin kɛr go na os
- Bɔn mɛrɔ doneshɔn na fayn sakrifays we kin sev pɔsin we gɛt siriɔs sik lɛk lukimia in layf.
- Di pɔsin we gi di mɔni nɔ de fil ɛni pen bikɔs dɛn kin du dis prɔses atɔl we i nɔ no.
- Nɔto jɔs ɛnibɔdi kin gi mɔni; wan gud HLA tisu tayp mach bitwin di dכna εn di rεsipiεnt implεnt.
- Bɔku tɛm, di pɔsin we gi di mɔni kin kam bak to nɔmal layf insay sɔm dez. di bכdi de mek di bon mכro we i gεt bak insay fכ wik.
- If yu want fɔ bi pɔsin we de gi mɔni, tɔk to yu dɔktɔ bɔt am ɛn gɛt mɔ infɔmeshɔn ɛn gayd.
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