Nang leh i chhungte hian i fa te tak te he khawvela lo kal tur hi nghakhlel takin in nghak reng a ni lawm ni? Chuti a nih chuan, he hun chhung hian naute himna leh hriselna chungchangah engzat nge i ngaihtuah leh i zirchian? Awle, vawiinah hian naute pian hnua thutlukna pawimawh tak i siam theih tur chungchang kan sawi dawn a ni. Chu chu naute umbilical cord-a thisen la awmte khawlkhawm leh dahkhawm a ni a, chu chu `(Cord Blood Banking)` an ti a ni. He thu hi i hre tawh mai thei, a nih loh leh hei hi thil thar a ni mai thei. Amaherawhchu, lungngai suh, engkim chiang tak leh awlsam takin kan sawi dawn a ni.
A hmasain, cord blood chu eng nge ni?
A awlsam zawngin naute a pian hnuah umbilical cord chu an tan a, an la chhuak thin. Chutih lai chuan umbilical cord chhung leh nausen chhunga thisen awm chu ``cord blood'' an ti a, hei hi naute taksa atanga lak chhuah a ni lo va, chuvangin naute emaw nangmah emaw a tichhe lovang.
He thisen hi kan taksaa thisen pangngai ang chiah a ni. Tin, thisen sen, thisen var, platelet, leh plasma ang chi zawng zawng a nei bawk. Mahse he ``(cord blood)`` hian thil danglam tak leh hlu tak a keng tel a ni. Tin, chu chu Stem Cells a ni.
Chuti a nih chuan heng stem cell te hi engte nge ni?
Magic angin ngaihtuah rawh. Stem cell hi kan taksaa "basic cell" chi khat a ni. Chumi awmzia chu heng cell te hi kan taksa mamawh thisen cell chi hrang hrang (entir nan, thisen var, thisen sen) ah an lo thang lian thei tihna a ni. Leilung hnah khat atanga bêl chi hrang hrang siam ang mai a ni.
Mi hrisel taksain heng stem cells te hi a tam tawkin a siam chhuak thin. Mahse, natna khirh tak tak nei thenkhatah chuan taksain stem cell hrisel a siam thei lo. Chutiang hunah chuan, umbilical cord thisen aṭanga hmuh chhuah heng stem cell hlu tak takte hian chu mi nunna chhanhimna pawh a pui thei a ni.
A pawimawh ber chu naute pian hnua umbilical cord thisen lakkhawm a nih loh chuan nausen (placenta) rualin a bo vek dawn a ni. Chu chu thil hlu tak tak a bo tihna a ni.
He thisen (Cord Blood Banking) khawlkhawm leh dahkhawm hian eng hlawkna nge a neih?
Natna khirh tak nei te chu umbilical cord thisen atanga stem cells te chu an taksaah cell thar, hrisel tak siam turin a pui thei a ni. Researcher te chuan he method hmanga enkawl theih natna 80 vel an hmuchhuak tawh a ni.
Hengte hi stem cell transplant hmanga enkawl natna lian ber ber thenkhat chu an ni:
| Damdawi lam dinhmun | A sawifiahna awlsam tak |
|---|---|
| Cancer chi hrang hrang (e.g. Leukemia, Lymphoma) 1.1. | Chungte chu thisen cancer emaw lymphatic system emaw a ni. Stem cell transplant hian natna nei cell a tichhia a, thisen cell thar, hrisel siam chhuahna a tichak bawk. |
| Bone marrow natna te | Bone marrow hian thisen cell hrisel a siam thei lo a nih chuan heng stem cells te hi transplant hian chu process chu a siam tha leh thei a ni. |
| Thisen tlakchhamna chi hrang hrang (e.g., sickle cell natna) . | Hengte hi genetic diseases a ni a, thisen sen (red blood cells) a nghawng a ni. Stem cell hrisel tak takte hian taksain thisen sen pangngai, hrisel tak tak a siam chhuak thei a ni. |
| Immune system chak lohna a awm | Mi thenkhat chu pianpui taksa chak lohna nei an ni thei. Heng cell te hi transplant hian chu system chu a tichak thei a ni. |
Hei bakah hian zirchiangtute chuan heng stem cells te hi natna dang engemaw zat, Parkinson natna leh zunthlum te enkawlna atan hman theih a nih leh nih loh an zirchiang chhunzawm zel a ni.
Cord blood banking atana hmanraw hman turte chu engte nge ni?
I naute cord thisen dahkhawm i duh chuan tih dan tlangpui pahnih a awm. Hengte hi public bank leh private/family bank te an ni. Heng hmanraw pahnih hi danglamna lian tak tak a awm a.
| Nihphung | Mipui Bank hrang hrangte | Mimal Bank hrang hrangte |
|---|---|---|
| Man | A tlangpuiin free vek a ni. (I damdawi in hian he service hi a pe a nih chuan) | A man a to hle a ni . Thisen lakna atan hian initial fee a awm a, a dahkhawlna atan kum tin fee a awm bawk. |
| A neitu nihna | Chu thisen chu i pe a ni. A dikna i nei lo. | Thisen chu neitu famkim i nei a ni. |
| Hman dan tur | Damlo tling apiang tan (khawvel hmun dangah) emaw, damdawi lam zirchianna atan emaw hman theih a ni. | I chhungte chauhvin an hmang thei . |
| Tu tan nge inhmeh ber? | Midang nunna chhanhimna kawng ropui takah thawhpui duh tan, a man chawi lovin. | Naupang dang emaw chhungkaw zinga tu emaw chuan damdawi lam natna (e.g., genetic disease) a neih tawh a, chu chu stem cell transplant a ngai a nih chuan a hlawk ber. |
Public Bank chungchang tlem tal...
Hei hi thisen pek ang a ni. I naute cord blood chu man chawi lovin i pe thin. Chumi hnuah chuan bank chuan a dahkhawm a, khawvel hmun dangah damlo pakhat hnenah a pe a, chu cell te nen chuan an nunna chhanhim nan a inmil a ni. Anonymous tak a ni vek. Chumi awmzia chu i naute thisen hi tu hnen atanga lak nge, tu hnen atanga i lak nge tih hi tumahin an hre lo tihna a ni. Doctor tam tak chuan he method hi an rawt a, a chhan chu risk awm lovin midang tanpui theih a nih vang a ni.
Private bank chungchang tlem tal...
Heta thil thleng chu i naute cord blood chu i chhungte chauh hman tur atana dahkhawm turin pawisa i pe a ni. Mahse a man a to hle mai. Thisen lak hmasak nan pawisa tam tak i pek a ngai a, chumi hnuah kum tin dahkhawmna atan pawisa tam tak i pek a ngai a ni.
Mi tam tak chuan, "Nakin lawkah ka naute a damloh chuan ka hmang thei ang," tiin an ngaihtuah thin. Mahse a nihna takah chuan, thil tam takah chuan naupang chuan mahni stem cells (a bik takin genetic disease a nih chuan) a hmang thei lo mai thei. Chuvangin, chhungkaw member dangin natna bik an neih loh chuan he tih dan hi a tangkai vak lo fo thin. Vawi tam tak chu hetianga thisen dahkhawm hi hman ngai lovin a boral mai thin.
Hemi chungchangah hian engtikah nge thutlukna siam tur?
Hei hi minute hnuhnung ber thlenga dah mai tur a ni lo. Hemi chungchangah hian naupai kar 34 i tlin hmain thutlukna siam a tha ber .
Chutiang a nih chhan hrang hrang a awm a:
- Damdawi in thenkhatah chuan cord blood collection kit an nei ngai lo. I rawn hruai lawk a ngai a ni.
- Consent form kaihhnawih fill up tur leh i health history chungchanga zawhna chhanna tur hun i mamawh ang.
- Private bank i thlan chuan naute pian hmain initial payment i pek a ngai dawn a ni.
Chuvangin, i naupai lai thla thum hnihna ang bawkin, i doctor nen sawiho a, a tul ang ang zawng chhuah chu a finthlak hle ang.
Thisen lakkhawm dan hi engtin nge a thawh?
Hei hi kalphung awlsam tak leh him tak a ni. I naute a pian hnuah leh umbilical cord chu clamp leh cut a nih hnuah doctor emaw trained staff emaw chuan needle hmangin umbilical cord atanga thisen la awm zawng zawng chu bag bik ah an la khawm thin.
Hei hian nangmah emaw, i naute emaw tan natna, chhiatna leh lungawi lohna a thlen lo vang. Hei hi a chhan chu naute taksa atanga thisen lak chhuah a ni lo va, umbilical cord cut atanga lak chhuah a nih vang a ni. A kalphung zawng zawng hi minute tlemte chauh a ni. Chumi hnuah chuan damdawi in chuan thisen sample chu ``cord blood`` bank dik takah a thawn a ni. Chutah chuan thisen chu test a, thliar hrangin freezer (``cryogenically frozen``)-ah dah a ni.
He thisen hi tuin emaw a pe thei ang em?
Ni lo, mi zawng zawngin thisen an pe thei lo. Qualification thenkhat i tlin a ngai a ni. Nang leh i chhungte hriselna chanchin zawhna chhanna i chhan a ngai dawn a ni. Chu chhannate a\ang chuan i naute thisen chu pek theih a nih leh nih loh chu tihfel a ni ang.
Thil ngaihtuah tlangpui thenkhat chu hetiang hi a ni:
- Nu kum 18 chunglam.
- Beiseina chu naute pakhat chauh neih a ni (twins ni lovin).
- Naute hian tuna genetic disease hriatchhuah a nei lo.
- Thla 12 kalta chhung khan unsterilized equipment hmanga tattoo leh body piercing nei lo.
- Nu hian natna chi hrang hrang Hepatitis B, C, leh (HIV) te a la kai lo.
- Nu hian cancer vangin chemotherapy a la la lo.
Heng thilte chungchangah hian zawhna tlem tal zawh i ni ang. Heng zawhnate hi thisen sample lak mek chu a him leh that loh enfiah nan a ni.
I nau neih dan (vaginal delivery emaw C-section emaw) hian he thisen hi i lakkhawm theih loh phah lo. Engti kawng pawhin tih theih a ni.
A tawpah chuan hei hi mimal thutlukna a ni vek. Private bank-a thisen man to taka dah chu i chhungte tan a dik niin i ngai mai thei. A nih loh leh, vantlang bank-a man chawi lova thisen pek leh mi hriat loh nunna chhanhimna kawnga thawhhlawk chu a hlu hle niin i ngai mai thei. Hemi chungchang hi i chhungte, a bik takin i doctor nen sawiho la, nang leh i chhungte tana tha ber tur thutlukna siam rawh.
Take-Home Thuchah a ni
- Naute umbilical cord-a thisen la awmte hian natna khirh tak tak, cancer ang chi tidam thei, stem cell hlu tak tak a pai tam hle.
- Public bank-a thisen pek hi a tlangpuiin a thlawna pek vek a ni a, damlo hriat loh nunna chhanhimna kawngah a pui thei bawk.
- Private bank-a thisen dahkhawm hi a man a to hle a, naupang dang emaw, chhungte hnai tak emaw chuan stem cell mamawhna damdawi a neih tawh chuan a tangkai ber a ni.
- Thisen lak dan hi nu leh naute tan a na lo va, a pawi lo bawk. A him vek a ni.
- Hei hi mimal thutlukna pawimawh tak a nih avangin i doctor nen a chipchiar zawng zawng sawipui la, thutlukna tha ber siam ngei ang che.
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