Nang pawhin nunna i chhanhim thei! Bone Marrow Donation chungchang i zir chiang ang u.

I thawhlawm pakhat hian mi dang nunna a chhanhim vek thei tih i ngaihtuah ngai em? Ni e, a dik a ni. Thisen cancer na tak, leukemia, emaw, thisen natna khirh tak dang vei tan chuan thilpek hlu ber i pek theih chu ruhro (bone marrow donation) hi a ni. He hming hriat hi a hlauhawm deuhin a lang thei a, mahse i ngaihtuah angin a buaithlak lo va, a hrehawm lo bawk. Vawiin hian he thu hi awlsam takin, i hriatthiam theih angin kan sawi dawn a ni.

Bone marrow donation hi eng nge ni tak tak?

A awlsam zawngin, bone marrow donation chu mi hrisel tak ruhro atanga a then lak a, damlo ruhro a chhiat tawh hnena pek a ni. Kan taksa chhunga ruh lian tak tak (hip ruh ang chi) chhungah hian tissue nêm, spongy ang mai a awm a. Bone marrow kan ti a . Hei hi kan taksaa thisen siamna factory a ni. Thisen sen, thisen var leh platelet te hi he ruhro chhunga cell chi khat bik atanga siam vek a ni. Stem cell kan ti a .

Chuvangin, bone marrow pek tih awmzia chu heng stem cell hlu tak tak awmna bone marrow fluid tlemte hi donor hip bone atanga special needle hmanga lak tihna a ni. He procedure hi general anesthesia hmanga tih a nih avangin donor hian natna a nei lo.

Engvangin nge mi thenkhat chuan ruhro (bone marrow transplant) an mamawh?

Mi thenkhat chuan, pianpui emaw, natna kai emaw avang hian an ruhroah thisen an siam tha thei lo. A nih loh leh, cancer cell ang chi cell pangngai lo tak tak an siam tan ta a ni.

Bone marrow transplant hi a hnuaia damdawi lam dinhmunah hian a tul ber mai thei:

• Thisen cancer: Cancer chi hrang hrang leukemia leh lymphoma te.
• Bone marrow failure diseases: Entirnan, aplastic anemia an tih natnaah chuan bone marrow hian thisen cell engmah a siam chhuak tawh lo.
• Thalassemia ang chi thlahtu natna thenkhat: Chutiang natnaah chuan ruhro (bone marrow transplantation) hi a chang chuan a chinfelna awmchhun a ni.

Damlo ruhro natna chu a chhe vek (chemotherapy emaw radiation hmangin) a, mi hrisel atanga ruhro hmanga thlak a nih chuan, chu ruhro thar chu damlo taksaah a awm a, thisen hrisel a siam tan ta a ni.

Engtin nge match ṭha ber chu i hmuh theih?

Hei hi a kalphung harsa ber a ni. Tu pawhin mi dang hnenah bone marrow an pe thei lo. Donor leh recipient tissue chi hrang hrang chu a inmil tur a ni . Hei hi kan ti aHLA (Human Leukocyte Antigens) matching tih a ni.

A awlsam zawngin, HLA hi kan taksa cell tin chunglama protein marker set a ni a, chu chuan "hei hi ka taksa peng a ni" tih kan hriat theih nan min pui a ni. Heng marker te hi a inmil tawk lo a nih chuan damlo taksa chuan ruhro pek thar chu "ram dang" a nih thu a hre thei a, a hnawl thei bawk.

• Best match: He HLA match hi a tlangpuiin mahni unaupa emaw, unaunu emaw (25% vel) nen a thleng tam ber.
• Chhungkaw pawnah: Mi 70% vel chuan an chhungkua chhungah hian a matching donor an hmu thei lo. Chutiang hunah chuan International Donor Registries kaltlangin match zawn a ngai a ni.

Bone marrow pek hian hnam hi a pawimawh em?

Awle. Heng HLA marker te hi hnam leh genes nen a inzawm tlat a ni. Hei hian Asian mi pakhat tana matching donor hmuh theihna chance chu European mite aiin Asian mite zingah a sang zawk tihna a ni. Chuvang chuan hnam hrang hranga donors registered neih a pawimawh hle.

Contributor pawh ka ni thei ang em? Chutiang ti tur chuan eng nge ka tih ngai?

Bone marrow donor nih hi nunna chhanhim nan thil ropui tak a ni. Sri Lanka-ah chuan a tlangpuiin damlo chhungte atanga donor tling tak zawn chhuah hi a ni. Chhungkaw member an awm loh chuan doctor-te chuan international donor register kaltlangin mi zawn an tum thin.

Contributor nih i duh chuan international level-a kalpui thin registration program a awm a. A kalphung chu a tlangpuiin hetiang hian a kal thin:

1. Registration: Institution kaihhnawih kaltlangin i in register hnuah swab hmangin i hmui chhung (cheek) atangin cell sample an la ang.

2. HLA type identification: Sample chu an test a, i HLA type an hmuchhuak a, chu information chu an database-ah an dah lut thin.

3. Match zawng: I HLA type chu khawvel hmun dangah damlo nen a inmil a nih chuan an rawn biak ang che.

4. Confirmation: Tichuan, thisen test tam zawk neiin match chu 100% a ni tih finfiah a ni.

5. Thawhlawm: Engkim a tha a nih chuan i remtihnain thawhlawm pek dan tur a kawhhmuh ang che.

Bone marrow donate theih loh chhan awm thei te chu engte nge ni?

Mi zawng zawng hian ruhro an pe thei lo. Hriselna lama dinhmun thenkhat chuan donor ni thei lo turin a siam che a ni. Chung chhan thenkhat chu a hnuaia table-ah hian tarlan a ni.

He list hi a kimchang lo hle. Donor nih i duh chuan doctor nen thurawn la turin i hriselna dinhmun sawipui a tha ber.

Engtin nge thawhlawm thawh dan hi a lo awm thin?

Donor atana pawm i nih hnuah i thilpek i pek hmain i hriselna dinhmun kimchang enfiah a ni ang. Test eng emaw zat tih a ni ang a, chu chu thisen test, ECG, leh chest X-ray te a ni.

Hei hi thilpek ni-a thil thleng chu a ni:

1. Anesthesia: Operating room-ah hruaiin general anesthesia hnuaiah an dah che a, chuvang chuan engmah i hre lo.

2. Bone marrow aspiration: I pum chunga i mut lai hian doctor ten i hipbone hnung lama vun kaltlangin special hollow needle an dah a, bone marrow fluid chu syringe-ah an la chhuak thin. I mamawh zat hmuh theih nan needle hi vawi tam tak i dah a ngai mai thei.

3. Quantity: A tlangpuiin 500 - 1000 ml vel tui lakchhuah a ni. Hei hi a tam lutuk angin a lang thei a, mahse i taksaa ruhro zawng zawng atanga 10% aia tlem a ni.

4. Hun: Hun: 1.1.A kalphung zawng zawng hi darkar khat vel a ni.

Ha lakchhuah hnuah eng nge thleng? Eng chen nge tihdam a ngaih?

Surgery zawhah recovery room-ah hruai i ni ang. Vawikhat i hriatna i neih leh chuan darkar tlemte hnuah i haw thei tawh ang. Mahse, chumi ni chuan i khalh thei dawn lo.

Thawhlawm thawh zawh hian a hnuaia mite hi i beisei thei ang:

• Back and hip pain: Injection na hmunah hian ni engemaw zat chhung chu natna leh hliam engemaw zat a awm thei. Hei hi over-the-counter painkiller (Paracetamol ang chi) hmanga enkawl theih a ni.
• Chauhna: Ni engemaw zat chu i hah deuh mai thei.
• Dam lehna: Mi tam zawk chuan ni hnih atanga ni thum chhungin an hnathawh dan pangngai an thawk leh thei. I taksa chuan kar tlemte chhungin ruhro (bone marrow) lakchhuah tawh zat chu a siam thar leh ang. A chang chuan doctor-te chuan iron supplement hi rei lo te ei turin an rawt mai thei.

Chumi hlawkna lian ber chu i thilpek hian mi dang nunna chanvo pahnihna a pe a ni. Chu chu hriatna hlu tak a ni.