Wi no se Siklɔs Sik nɔto izi tin fɔ dil wit. Yu kin imajin aw e tranga fɔ liv wit de pen ɛn kɔmplikeshɔn wae dis sik kin kam wit. So, di wangren we fɔ mɛn dis sik kpatakpata na fɔ mek dɛn transplant bon mɛrɔ. Bɔt dis nɔto sɔntin we pɔsin kin du wan tɛm. If yu de tink bɔt dis kayn transplant fɔ yusɛf ɔ yu pikin, lɛ wi tɔk bɔt am smɔl mɔ, rili simpul.
Wetin rili de apin wit dis?
Fɔ tɔk am simpul wan, fɔ transplant bon mɛrɔ min fɔ pul di stem sɛl dɛn we de mek yu bɔdi rɛd blɔd sɛl dɛn, we dɛn kɔl ɛmatopoiɛtik stem sɛl dɛn, ɛn put stem sɛl dɛn we gɛt wɛlbɔdi. Tink bɔt am lɛk fɔ pul di wokman dɛn we nɔ fayn na yu bɔdi in faktri we de mek blɔd ɛn put wɛlbɔdi wokman dɛn we de wok fayn. Afta dis, yu bɔdi kin stɔp fɔ mek sɛl dɛn we tan lɛk sik we kin mek pɔsin gɛt di sik.
Insay dis we aw dɛn kin du dis, dɔktɔ dɛn kin put wɛlbɔdi stem sɛl dɛn frɔm pɔsin we gɛt wɛlbɔdi tru wan IV tiub, bɔku tɛm lɛk salin sɔlvushɔn we dɛn kin gi insay wan vein na yu an. We dɛn dɔn rich na yu bɔdi, dɛn sɛl ya kin go dairekt to yu bon mɛro, usay dɛn kin setul ɛn bigin fɔ mek blɔd sɛl dɛn we gɛt wɛlbɔdi.
Pan ɔl we dis kin tan lɛk se i simpul, fɔ transplant bon mɛrɔ na lɔng, kɔmpleks tin we dɛn nid fɔ tek tɛm ɛn pe atɛnshɔn to am gud gud wan. I nid fɔ pripia fɔ lɔng tɛm ɛn fɔ fala am.
Aw dis big prɔses kin apin
Afta yu dɔn fɛn pɔsin we go gi yu di mɔni we yu go gi yu, yu go gɛt fɔ de na di ɔspitul fɔ sɔm wiks. Afta dat, di dɔktɔ dɛn go de wach yu fɔ sɔm mɔnt. Lɛ wi si aw dis kin wok stɛp bay stɛp.
| Step / Di tɛm we i fɔ tek | Diskripshɔn fɔ wetin de apin |
|---|---|
| Step 1: Prε-implantεshכn prεparashכn (1-2 wik) . | Dɛn go admit yu na ɔspitul tu wiks bifo dɛn transplant yu. Na ya yu go gɛt kemotɛrapi.Dɛn kin gi tritmɛnt. Dɛn pawaful mɛrɛsin ya kin pwɛl di bon mɛro sɛl dɛn na yu bɔdi we de mek dɛn blɔd sɛl dɛn de we nɔ fayn. Dɛn kin mek yu imyun sistɛm wik bak. Dɛn kin du dis fɔ mek i nɔ atak ɛn rijek di nyu sɛl dɛn we dɛn dɔn transplant. Sɔntɛnde, dɛn kin gi am redyushɔn tɛrapi bak. |
| Step 2: Du di transplant (wan de) . | Dɔn, dɔktɔ dɛn kin put di wɛlbɔdi sɛl dɛn frɔm di pɔsin we gi yu insay yu bɔdi tru wan IV. Dɛn sɛl ya go tek di ol bon mɛrɔ in ples ɛn bigin fɔ mek wɛlbɔdi blɔd. |
| Step 3: Pכst-transplant rεkכvεshכn (1 mכnt to 6-12 mכnt) . | Yu go nid fɔ de na ɔspitul fɔ lɛk wan mɔnt afta dɛn dɔn transplant yu. Insay dis tɛm, di mɛdikal tim go du tɛst ɔltɛm fɔ mek shɔ se di nyu sɛl dɛn de wok fayn. We dɛn dɔn kɔnfyus se di transplant bin wok fayn ɛn di nyu sɛl dɛn dɔn tek hold, yu go ebul fɔ kɔmɔt na di ɔspitul. Bɔt i kin tek 6 to 12 mɔnt ɔ pas dat fɔ mek yu blɔd sɛl ɛn di imyun sistɛm wɛl ɔlsay. Insay dis tɛm, yu dɔktɔ go de wach yu wɛlbɔdi gud gud wan. |
Aw fɔ fɛn pɔsin we fit fɔ gi mɔni?
Pipul dɛn we fit fɔ gɛt bon mɛrɔ transplant kin bi di wan dɛn we dɔn gɛt siriɔs prɔblɛm ɔ we de fil pen pasmak bikɔs ɔf siklɔs sik. Yu dɔktɔ go mek shɔ fɔs se yu gɛt wɛlbɔdi fɔ mek dɛn du di ɔpreshɔn. Yu go nid bak fɔ tɔk to sayɛnsman ɔr soshal woka fɔ mek shɔ se yu maynd rɛdi fɔ dis lɔng prɔses.
Wan pan di big prɔblɛm dɛn we de apin na dis prɔses na fɔ fɛn pɔsin we go gi yu bon we go fit yu bon mɛrɔ.
- Brɔda ɛn sista dɛn: We yu tɛst yu blɔd, yu go no if yu brɔda, sista, ɔ yu mama ɔ papa in bon mɛrɔ na mach. Bitwin 20% ɛn 30% pan di pikin dɛn we nid fɔ transplant gɛt brɔda ɔ sista we gɛt bon mɛrɔ we mach.
- Nashɔnal Rɛjista: Nashɔnal rɛjista de fɔ pipul dɛn we dɔn volontia fɔ gi bon mɛrɔ. Yu kin tray bak fɔ fɛn pɔsin we go mach yu tru dɛn.
- Umbilical Cord Blood: If yu gɛt kɔd blɔd we dɛn dɔn kip afta dɛn bɔn yu pikin, dɛn kin yuz di stem sɛl dɛn we de insay am bak fɔ dis.
Wetin na di bad tin dɛn we kin apin we dis kin apin?
Lɛk ɛni big ɔpreshɔn, fɔ transplant bon mɛrɔ kin gɛt sɔm prɔblɛm dɛn ɛn sɔm prɔblɛm dɛn. I impɔtant fɔ no bɔt dɛn tin ya bifo tɛm.
| Denja | Diskripshɔn ɛn wetin fɔ no |
|---|---|
| Rijekshɔn | Dɛn kɔl dis Graft-versus-Host Disease (GVHD) . Dis min se di nyu wɛlbɔdi sɛl dɛn we dɛn dɔn transplant kin bigin fɔ atak yu yon ɔgan dɛn. Dis sik kin afɛkt lɛk wan pan ɛvri tɛn pipul dɛm. Mɛrɛsin de fɔ kɔntrol am, bɔt sɔntɛnde if di mɛrɛsin nɔ wok, i kin mek di ɔgan dɛn pwɛl ɛn ivin day. |
| Infεkshכn dεm | Bikɔs di kemotɛrapi we dɛn kin gi bifo di transplant kin mek di imyun sistɛm wik, i kin izi fɔ gɛt infɛkshɔn frɔm baktri ɛn vayrɔs. Yu dɔktɔ go gi yu mɛrɛsin fɔ mek dis nɔ apin. |
| Prɔblɛm dɛn we gɛt fɔ du wit it | Kimotɛrapi kin mek yu gɛt sayd ɛfɛkt lɛk fɔ lɛ yu nɔ want fɔ it, fɔ vɔmit, ɛn fɔ gɛt dayarɛa, we kin mek yu gɛt prɔblɛm wit yu it. |
| Liva we dɔn pwɛl | Di blɔd vesel dɛn na di liva kin pwɛl. Dɛn kɔl dis sik we dɛn kɔl Veno-occlusive Disease . Na lɛk wan pan ɛvri twɛnti pipul dɛn kin gɛt dis bad bad prɔblɛm. |
| Di we aw pɔsin nɔ ebul fɔ bɔn pikin | Bɔku tɛm, di mɛrɛsin dɛn we dɛn kin gi bifo di transplant kin mek i nɔ ebul fɔ bɔn pikin. Dis na sɛnsitiv tin, so tɔk bɔt dis wit yu dɔktɔ bifo tɛm ɛn no bɔt di tin dɛn we yu go ebul fɔ du. |
Wetin fɔ du if di transplant nɔ bin wok fayn?
Wit ol dis, wi get fo op fo di bes. Na lɛk nayn pan tɛn pipul dɛn , di transplant kin wok fayn, wɛlbɔdi blɔd sɛl dɛn kin bigin fɔ mek, ɛn siklɔs sik kin wɛl kpatakpata. Dat na di bɛst nyus.
Bɔt i nɔ kin apin so ɔltɛm, if di transplant nɔ wok, dɔktɔ dɛn kin gɛt fɔ ripit di tin we dɛn du. Ɔ dɛn kin gɛt fɔ injɛkt yu yon ol stem sɛl dɛn bak na yu bɔdi. If dat apin, siklɛt sik go kam bak.
Mɛsej we dɛn kin kɛr go na os
- Di wangren we fɔ mɛn siklɛt sik kpatakpata na fɔ transplant bon mɛro.
- Dis na kɔmpleks prɔses we gɛt fɔ du wit kemotɛrapi, fɔ de na ɔspitul fɔ lɔng tɛm, ɛn fɔ lɔng tɛm fɔ wɛl.
- Di big chalenj na dis prɔses na fɔ fɛn pɔsin we de gi mɔni we na di rayt mach fɔ yu.
- Siriɔs prɔblɛm dɛn de we kin apin we dɛn du dis, lɛk GVHD, infɛkshɔn, ɛn we pɔsin nɔ ebul fɔ bɔn pikin. Bɔt bɔku pan di transplant dɛn kin wok fayn.
- I impɔtant fɔ tɔk bɔt ɔl di gud ɛn bad tin dɛn dip wan ɛn opin wan wit yu dɔktɔ bifo yu disayd if dis na di rayt tritmɛnt fɔ yu ɔ yu pikin.
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