Ese ufite ububabare bw'ingingo bumaze igihe kirekire cyangwa imvune ya siporo ikomeje kukubangamira? Ushobora kuba warumvise n'ibikomere bitakira ku maguru rimwe na rimwe bituruka ku ndwara nka diyabete. Uyu munsi rero tugiye kuvuga ku buryo bushya bwo kuvura izi ndwara dukoresheje ibice by'umubiri wacu.
Mu magambo make, iki gikoresho cy'umusemburo w'amagufwa (BMAC) ni iki?
Reka dukomeze koroshya ibi. BMAC ni ijambo rihinnye rivuga Bone Marrow Aspirate Concentrate . Mu rurimi rwa Sinhala, iyi ni "inyunganizi y'umusemburo w'amagufwa" .
Urabizi, igice cyoroshye kandi gifite umusemburo mu magufwa yacu ni cyo twita umwongo w'amagufwa . Ubwoko bwose bw'uturemangingo tw'amaraso umubiri wacu ukeneye bukorerwa muri uyu mwongo w'amagufwa. Ubwoko bwihariye bw'uturemangingo bufasha cyane muri uyu murimo. Izo ni uturemangingo fatizo . Nanone, hari poroteyine nyinshi zitwa ibintu bikura muri uyu mwongo w'amagufwa zifasha uturemangingo gukura.
Rero, mu kuvura BMAC, umuganga afata urugero ruto rw'umusemburo wawe akoresheje urushinge ruto. Hanyuma, uru rugero rushyirwa mu mashini yihariye, itandukanya kandi igakora ibice by'agaciro kayo gusa, ari byo uturemangingo tw'inyuma n'ibintu bikura twavuze. Mu by'ukuri, ibi bitanga igisubizo gikungahaye ku turemangingo n'ibintu bikura inshuro esheshatu kuruta urugero rusanzwe rw'umusemburo w'amagufwa.
Ubu buryo bwo kuvura bukora bute mu mubiri wacu?
Tekereza ko ufite igice cy'umubiri wawe cyakomeretse cyangwa cyashaje. Ni nk'inyubako ikeneye gusanwa. BMAC ni nko guhuza "abakozi beza" n' "ibikoresho byiza" bikenewe kugira ngo wubake iyo nyubako.
- Uruhare rw'uturemangingo tw'inyuma: Ikintu cyihariye kuri BMAC ni uko ikubiyemo uturemangingo tw'inyuma twa mesenchymal (MSCs) . Utu turemangingo dufite ubushobozi butangaje. Ni ukuvuga ko dushobora guhinduka ingingo iyo ari yo yose, nk'imitsi, cartilage (igice cyoroshye cy'ingingo zacu), cyangwa igufwa, uko bikenewe. Rero iyo utwo turemangingo dushyizwe mu gace kangiritse, turema uturemangingo dushya dukenewe aho ngaho tugatangira gusana ako gace.
- Kugabanya ubushyuhe: Ubusanzwe, iyo dufite igikomere ahantu runaka mu mubiri wacu, agace karabyimba kagahinduka umutuku. Tubyita ubushyuhe. Nubwo ibi ari bimwe mu bikorwa byo gukira, iyo bikomeje igihe kirekire, bitera kwangirika. Bishobora gutuma ibisebe byirema muri ako gace. Ibisebe ntibikora neza kandi ntibikora neza nk'ibisebe byiza byari bihari mbere. Ibintu bikura muri BMAC bigenzura ubu bushyuhe butari ngombwa, bigabanya ikorwa ry'ibisebe, kandi bigafasha ingirabuzima fatizo gukura.
Muri make, ubuvuzi bwa BMAC ni uburyo busanzwe bwo gusana ingingo zangiritse ukoresheje imbaraga z'umubiri wawe zo gukiza, nta kintu na kimwe uvanye hanze.
Ni izihe ndwara zishobora kuvurwa n'urukingo rwa BMAC?
Nubwo ubu buryo bukiri bushya, abaganga barimo kubupima neza mu ndwara zitandukanye. Dore zimwe muri zo.
| Indwara/indwara | Ingero |
|---|---|
| Imvune za siporo | Kuvunika, gucika kw'imitsi, gucika kw'imitsi igice cy'umutsi. |
| Ibikomere bidakira bidakira | Ibikomere bidakira ku birenge by'abarwayi ba diyabete. |
| Indwara z'amagufwa n'ingingo | Osteoarthritis, indwara yo kwangirika kwa disiki. |
| Kubaga mu kanwa | Kugira ngo wihutishe gukira mu gihe ukora inshinge n'inyongera z'amagufwa y'amenyo. |
Iyi gahunda yo kuvura igenda ite?
Igikorwa cyose gishobora kugabanywamo ibice bitatu. Igikorwa cyose gisanzwe kimara amasaha abiri.
1. Gukoresha umworo w'amagufwa
Ubwa mbere, umuganga azakenera gufata icyitegererezo cy'umusemburo wawe. Ubusanzwe ibi bifatwa mu mugongo wawe wo hasi, hafi y'igufwa ryawe ryo mu kibuno . Ntugahangayike, ahantu hazaba hatameze neza mbere yuko ibi bikorwa.. Bityo ntukumva ububabare ubwo aribwo bwose. Nyuma yo gucika intege, hashyirwamo urushinge ruto hanyuma hakabonekamo amazi make y'umusemburo w'amagufwa hakoreshejwe syringe.
2. Gutunganya ibikomoka ku musokoro w'amagufwa
Hanyuma, icyitegererezo cy'umusemburo w'amagufwa gishyirwa mu cyuma cyihariye gikoresha ikoranabuhanga ryo gupima no kuzunguruka vuba. Ibi bitandukanya ibice bitandukanye by'umusemburo w'amagufwa mo ibice. Hanyuma muganga atandukanya igice kirimo uturemangingo tw'agaciro cyane n'ibintu bikura maze akagitegura nk'urukingo. Ibi bikorwa uhari. Ibi bifata iminota 30.
3. Urushinge rwa BMAC
Noneho ni intambwe ya nyuma. Iyi BMAC yateguwe iterwa mu gice cy'umubiri wawe gikeneye kuvurwa. Kugira ngo umuganga agutere urushinge ahantu heza, ashobora gukoresha uburyo bwo gupima nka ultrasound cyangwa fluoroscopy . Aho urushinge ruterwa haba hadakomeye mbere yo guterwa urushinge, bityo ntuzumva ububabare bwinshi.
Ibi byose bimaze kurangira, ushobora gutaha. Ushobora kumva ubabara gato kandi ukomeretse aho watewe inshinge iminsi mike. Ushobora koroherwa no kuyisiga urubura no gufata imiti isanzwe igabanya ububabare nk'uko muganga agusaba.
Ni izihe nyungu n'ingaruka mbi zo kuvurwa na BMAC?
Nk’uko bigenda ku buvuzi ubwo aribwo bwose, ubu buvuzi bufite ibyiza n’ingaruka nto.
| Ibyiza | Ingaruka |
|---|---|
| Bigabanya ibimenyetso nko kubyimba, ububabare, no gukomera mu ngingo. | Ububabare bw'igihe gito no kubyimba aho bateye inshinge (ibi ni ibisanzwe cyane). |
| Yihutisha gukira kw'ibikomere bidakira. | Kuva amaraso menshi cyangwa kwandura indwara aho bateye inshinge (bidakunze kubaho cyane). |
| Bifasha gukira vuba imvune. | Kwangirika kw'imitsi cyangwa imitsi yo mu bwoko bwa 'nexels' biri hafi aho (bidakunze kubaho cyane). |
| Kubera ko uturemangingo twawe bwite dukoreshwa, ibyago byo kugira allergie ni bike cyane. | Hari amahirwe make ko ubu buvuzi butazagira icyo bugeraho. |
Ni irihe tandukaniro riri hagati ya BMAC na PRP?
Ushobora kuba warumvise n'ubuvuzi bwitwa PRP (Plasma ikungahaye kuri Plasma) . Nubwo ubwo buryo bwombi ari uburyo bwo kuvura bukoresha ibice by'umubiri wacu, hari itandukaniro rinini hagati yabwo.
- PRP: Ibi bikorwa ufata amaraso yawe bwite. Ni ukuvuga ko urukingo rukorwa ufata amaraso mu mitsi hanyuma ukagira uduce duto tw’amaraso tuyirimo. Ibi kandi birimo ibintu bikura.
- BMAC: Aha niho umwongo w'amagufwa yawe ujyanwa. Ikintu cy'ingenzi kuri ibi ni uko urimo uturemangingo dushobora kubaka ingingo nshya. PRP ntabwo ifite utwo turemangingo tuzima.
Bityo rero, BMAC ifite imbaraga kurusha PRP mu bijyanye n'ubushobozi bwo kuvugurura ingirangingo. Hari igihe abaganga bashobora gukoresha uburyo bwombi hamwe kugira ngo bagere ku musaruro mwiza.
Ubutumwa bwo kujyana mu rugo
- BMAC ni uburyo bwo kuvura bukoresha uturemangingo tw’umubiri (stem cells) n’ibintu bikura mu mubiri wawe kugira ngo bisana ingirabuzima fatizo zangiritse.
- Ibi bishobora kuba ingirakamaro cyane cyane ku ndwara nka rubagimpande, ibikomere bidakira, ndetse n'imvune za siporo.
- Ubu ni uburyo bushya bwo kuvura bukiri gukorwa, bityo ntibishoboka kuvuga ko abantu bose bazabona ibisubizo bimwe.
- Vugana na muganga wawe kugira ngo umenye niba ubu buryo bw'ubuvuzi bukubereye n'umusaruro ushobora kwitega.
- Ubu si ukubaga. Ni uburyo bworoshye bushobora gukorwa mu masaha make hanyuma ugataha.
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