Ngati mukuyembekezera mwana, ndi zinthu zingati zomwe zikukudutsani m'mutu mwanu? Pamodzi ndi zinthu monga zovala za ana, zoseweretsa, ndi momwe mungakongoletsere chipindacho, funso lina lofunika lomwe limabwera m'maganizo mwanu ndi lakuti, "Kodi ndisunge magazi a chingwe cha mwana kuti adzagwiritse ntchito mtsogolo?" Kale, pamene mwana anabadwa, chingwe cha umbilical ndi placenta zinkachotsedwa ndikutayidwa. Koma tsopano, ndi kupita patsogolo kwa ukadaulo, magazi amtengo wapatali awa mu chingwe cha umbilical akhoza kusungidwa kuti athandize thanzi la mwana mtsogolo. Ndiye, kodi tiyenera kudziwa izi?
Kodi Cord Blood Banking ndi chiyani?
Mwachidule, awa ndi magazi omwe amatengedwa kuchokera ku chingwe cha umbilical ndi placenta mwana akabadwa, ndikusungidwa mwanjira yapadera kuti adzagwiritse ntchito mtsogolo. Magazi awa sali ngati magazi wamba. Ali ndi mtundu wapadera wa maselo.
Timatcha maselo oyambira awa. Awa ndi maselo oyambira omwe amatha kukula kukhala mtundu uliwonse wa selo m'thupi lathu. Awa ndi pepala lopanda kanthu. Monga momwe tingajambule chilichonse papepalali, maselo oyambira awa amatha kukula kukhala mtundu uliwonse wa selo, monga maselo amagazi, maselo amtima, maselo amitsempha, ndi zina zotero.
Kodi ubwino wa izi ndi wotani?
Magazi a m'chingwe ali ndi maselo ambiri otchedwa stem cells . Ndipotu, m'magazi a m'chingwe muli maselo oyambira ochulukirapo kakhumi kuposa m'mafupa.
Maselo amenewa angagwiritsidwe ntchito pochiza matenda ambiri oopsa.
- Mitundu ya khansa: Makamaka khansa ya m'magazi monga khansa ya m'magazi.
- Matenda a magazi : Matenda ofanana ndi a magazi m'thupi.
- Kufooka kwa chitetezo chamthupi: Matenda ena omwe amachepetsa mphamvu ya thupi yolimbana ndi matenda.
Chofunika kwambiri n’chakuti, maselo oyambira omwe atengedwa kuchokera m’magazi a umbilical cord akaikidwa m’thupi la munthu wina, chiopsezo choti thupilo lisakane ndi theka la maselo omwe atengedwa kuchokera m’mafupa a munthu wamkulu. Ndipo mwayi woti maselo amenewa akhale ndi tizilombo toyambitsa matenda ndi wochepa kwambiri.
Kodi mumasonkhanitsa bwanji magazi awa?
Iyi ndi njira yosavuta komanso yopanda ululu kwa mayi ndi mwana . Mwana akabadwa, dokotala amamufunsa.Chingwe cha umbilical chimamangiriridwa m'malo awiri ndikudulidwa pakati kuti mwana asiyane ndi mayi. Kenako, singano yaying'ono imalowetsedwa mu gawo la chingwe cha umbilical chomwe chimalumikizidwa ndi mayi, ndipo magazi okwana mamililita 40 amatengedwa. Magazi osonkhanitsidwawa amapakidwa m'thumba lapadera ndikutumizidwa ku labotale kapena kubanki yamagazi kuti akayesedwe ndikusungidwa. Ntchito yonseyi imatenga mphindi zochepa.
Kodi izi zimasungidwa kuti? Kodi tili ndi njira ziti?
Pali njira zitatu zazikulu zomwe mungasankhe. Ndikofunikira kwambiri kumvetsetsa bwino izi.
| Mtundu wa banki | Kufotokozera | Mtengo ndi umwini |
|---|---|---|
| Mabanki a Cord a Boma | Mukupereka magazi awa kuti anthu onse apindule. Izi zili ngati kupereka magazi. | Palibe cholipiritsa. Koma mulibe ufulu wokhala ndi magazi awa. Angagwiritsidwe ntchito ndi aliyense padziko lonse lapansi amene ali woyenera. Angagwiritsidwenso ntchito pa kafukufuku. |
| Mabanki Achinsinsi a Cord | Izi zimadziwika kuti "Inshuwalansi ya Zamoyo." Pano, magazi amasungidwa kuti agwiritsidwe ntchito ndi khanda lanu kapena achibale anu okha. | Zimawononga ndalama zambiri kusonkhanitsa ndi kukonza, ndipo muyenera kulipira ndalama pachaka kuti musunge. Mwini wake ndi wa banja lanu lonse. |
| Mabanki Opereka Molunjika | Izi ndi kuphatikiza kwa mabanki aboma ndi achinsinsi. Amalandira zopereka za boma komanso zopereka zomwe zimaperekedwa kwa mabanja (zomwe sizipezeka kawirikawiri ku Sri Lanka). | Kawirikawiri palibe ndalama zolipirira. |
Ndiye kodi tiyeneradi kuchita izi?
Funso lofunika kwambiri ndi ili. N'zovuta kuyankha "inde" kapena "ayi" momveka bwino pa izi. Koma tiyeni timvetsere zomwe mabungwe akuluakulu azachipatala padziko lonse lapansi (monga American Academy of Pediatrics - AAP) akunena.
N’chifukwa chiyani muyenera kuganizira kawiri za kusunga magazi m’banki yachinsinsi?
Ngakhale mabanki achinsinsi amatcha izi kuti "inshuwalansi yachilengedwe," bungwe la American Medical Association limati muyenera kusamala kuti musawononge ndalama pa izi pachabe. Pali zifukwa zingapo zomwe zimapangitsa izi:
- Mtengo wokwera: Kusonkhanitsa magazi ndikuwasunga kwa zaka zambiri kumawononga ndalama zambiri.
- Mwayi wochepa wogwiritsa ntchito: Mwayi woti mwana wanu agwiritse ntchito magazi ake a m'mitsempha ndi wochepa kwambiri . Kafukufuku wina akusonyeza kuti mwayi wogwiritsa ntchito magaziwo ukhoza kukhala wochepa ngati munthu mmodzi pa anthu 400 aliwonse.
- Matenda a majini sangachiritsidwe: Ichi ndi chinthu chomwe anthu ambiri sadziwa. Tangoganizani kuti mwana wanu ali ndi matenda a majini monga Thalassemia kapena sickle cell anemia . Vuto la majini lomwe limayambitsa matendawa limapezekanso m'maselo oyambira m'magazi ake a umbilical cord. Chifukwa chake, sangathe kugwiritsa ntchito magazi ake kuti achiritse matenda ake a majini. Mtundu uwu wa kusamutsa maselo ake umatchedwa ``Autologous Transplant```.
Mabungwe otsogola padziko lonse lapansi osamalira ana amalimbikitsa kuti ndibwino kwambiri kuti anthu azipereka magazi ku banki ya boma m'malo mosunga m'banki yachinsinsi ngati "inshuwalansi" chabe.
Ndiye ndi liti pamene muyenera kuganizira za banki yachinsinsi?
Ngakhale kuti nthawi zambiri sizimalimbikitsidwa, mungaganizire kusunga magazi m'banki yachinsinsi nthawi zina zapadera. Izi zikutanthauza kuti, ngati mwana wina m'banja mwanu (mchimwene kapena mlongo wa mwanayo) ali kale ndi matenda omwe angachiritsidwe ndi kuikidwa kwa maselo oyambira.
Matenda ena otere ndi awa:
- Khansa ya m'magazi
- Kusowa kwa chitetezo chamthupi, mwachitsanzo SCID (Severe Combined Immune Deficiency)
- Lymphoma (Lymphoma - Hodgkin's ndi non-Hodgkin's)
- Kuchepa kwa magazi m'thupi
- Kuchepa kwa magazi m'thupi (sickle cell anemia)
- Thalassemia
- Matenda osowa monga matenda a Krabbe.
Koma apa pali mfundo yofunika kumvetsetsa. Pali mwayi wa 25% wokha kuti m'bale ndi mlongo akhale ofanana bwino. Chifukwa chake, ngakhale m'bale angafunike maselo ochokera kwa wopereka wosagwirizana.
Kodi mapasa ali bwanji?
- Mapasa Ofanana/Monozygotic: Mapasa awa ndi ofanana 100% m'majini. Chifukwa chake, ngati mmodzi wa iwo adwala matenda a majini kapena khansa ya m'magazi, magazi a m'chifuwa cha winayo sangagwiritsidwe ntchito. Chifukwa magazi amenewo alinso ndi jini lomwelo lolakwika.
- Mapasa a abale/odwala matenda amisala: Awa ndi abale wamba. Chifukwa chake, magazi a munthu angagwiritsidwe ntchito ndi winayo, koma muyenera kuwona ngati pali ofanana.
Kodi n’chiyani chidzachitikire awa mtsogolo?
Ofufuza akuyembekeza kuti mtsogolomu, maselo oyambira adzagwiritsidwa ntchito pochiza matenda ena ambiri, kuphatikizapo matenda a shuga, matenda a Alzheimer's, matenda a mtima, ndi kuvulala kwa msana. Koma izi zikadali mu gawo lofufuza . Sizikudziwikanso ngati mankhwalawa adzafunika maselo otengedwa kuchokera ku magazi a umbilical cord kapena ngati maselo ochokera kuzinthu zina angakhale abwinoko.
Choncho, musanapange chisankho ichi, inu ndi mnzanu muyenera kuganizira zonsezi pamodzi. Chinthu chabwino kwambiri choti muchite ndikukambirana momasuka za izi ndi dokotala wanu. Iye adzaganizira mbiri ya matenda a banja lanu ndikukupatsani upangiri woyenera.
Uthenga Wopita Nawo Kunyumba
- Cord Blood Banking ndi chisankho chaumwini.
- Kusunga magazi m'banki yachinsinsi n'kokwera mtengo kwambiri, ndipo mwayi woti mwana wanu agwiritse ntchito magaziwo ndi wochepa kwambiri.
- Magazi a mwana omwe ali mu umbilical cord sangathe kuchiza matenda a majini.
- Ndi bwino kuganizira za banki yachinsinsi pokhapokha ngati mwana wina m'banjamo ali ndi matenda omwe angachiritsidwe ndi kuikidwa maselo oyambira.
- Pokhapokha ngati pali chifukwa chenicheni, madokotala ndi mabungwe apadziko lonse amalimbikitsa anthu kupereka magazi amtengo wapatali amenewo ku banki ya boma ndikuthandizira kupulumutsa moyo wa munthu wina amene akusowa thandizo.
- Musanapange chisankho chilichonse, onetsetsani kuti mwalankhula ndi dokotala wanu za izi.
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