Uma ungumama noma ubaba olindele umntwana omusha, kungenzeka ukuthi uke wezwa igama elithi 'Cord Blood Banking'. Kalula nje, lokhu kusho ukuthi elinye igazi eliyigugu elisele entanjeni yesisu kanye ne-placenta, elilahlwa ngemva kokuzalwa komntwana, lithathwa futhi ligcinwe endaweni ephephile kakhulu ukuze lisetshenziswe njengokwelapha noma yisiphi isimo sezokwelapha esingase sivele esikhathini esizayo. Lesi yisihloko esishisayo eSri Lanka njengamanje. Ngakho-ke ingabe lokhu kuyakufanelekela ngempela? Yiziphi izinzuzo nezingozi zokwenza lokhu? Kwenziwa kanjani? Ake sixoxe ngakho konke lokhu ngokucacile nangokuthula namuhla.
Kungani igazi lentambo liyigugu kangaka?
Cabanga nje, ngokuvamile ngemva kokubeletha, intambo yesisu kanye ne-placenta kuyalahlwa. Kodwa egazini elisele kule ntambo yesisu elahliwe, kukhona uhlobo olukhethekile lweseli olunekhono elimangalisayo lokuba yinoma yiluphi uhlobo lweseli emzimbeni wethu. Sibiza lawa maseli okuqala ngokuthi . Kufana nendwangu engenalutho. Njengoba nje singadweba noma yisiphi isithombe kuleyo ndwangu, lawa maseli okuqala angakhula abe izinhlobo ezahlukene zamaseli emzimbeni wethu, njengamaseli egazi namaseli omzimba.
Lawa maseli e-stem afana namaseli e-stem atholakala emnkantsheni wamathambo. Ngakho-ke, angasetshenziswa ukwelapha izifo ezingaphezu kuka-80 ezisongela ukuphila. Ngokusho kochwepheshe, "Ukufakelwa kwezitshalo kusuka egazini lentambo kuye kwaba okubaluleke kakhulu ekusindiseni izimpilo zezingane ezincane, ikakhulukazi labo abanesifo esibi sokuntuleka kwamasosha omzimba (i-SCID), ezinye izifo ezinomdlavuza, kanye nezinkinga zegazi ezifana ne-leukemia."
Ngezinye izikhathi, igazi lentambo elinikelwa ngale ndlela lisetshenziswa abacwaningi ukuthuthukisa nokuhlola izindlela ezintsha zokwelapha . Lokhu kusho ukuthi noma lingazuzisi ilungu lomndeni ngokuqondile, lingaba negalelo elikhulu ekuthuthukisweni kwesayensi yezokwelapha.
Uyini umehluko phakathi kwamabhange kahulumeni nawangasese?
Kunezindlela ezimbili eziyinhloko zokugcina igazi lentambo. Enye iwukunikela ngalo ebhange likahulumeni. Enye iwukuligcina ebhange elizimele. Kunemehluko omkhulu phakathi kwalokhu okubili. Ake sibone ukuthi kuyini.
| Isici | Amabhange Egazi Omphakathi | Amabhange Egazi Azimele |
|---|---|---|
| Izindleko | Kumahhala ngokuphelele. Lona umnikelo. | Kubiza kakhulu . Kufanele ukhokhe imali yokuqala kanye nemali yokulungisa yonyaka. |
| Ubunikazi | Isampula yegazi iba impahla yomphakathi. Inikezwa noma yisiphi isiguli esifanelekile esidinga usizo. | Umndeni wakho unobunikazi obuphelele besampula yegazi. |
| Ukutholakala | Akukho siqinisekiso sokuthi isampula yegazi olinikelayo lizotholakala kuwe noma emndenini wakho uma ulidinga. Kungenzeka ukuthi linikezwe esinye isiguli, lasetshenziselwa ucwaningo, noma lalahlwa uma inani lalo linganele. | Uma othile emndenini wakho eyidinga, ungasebenzisa leso sibonelo. |
Ngakho-ke, ingabe kufanelekile ngempela ukufaka imali ebhange elizimele?
Lona ngumbuzo obaluleke kakhulu. Uma ubheka izibalo, amathuba okuba ingane isebenzise amaseli ayo e-stem aphansi kakhulu, cishe elilodwa kwayi-5,000 . Lokho kusho ukuthi ingane eyodwa kuphela kwayi-5,000 ezoba nalelo thuba.
Kodwa-ke, ithuba lokuthi ingane idinga amaseli okuqala anikelwe liyi-1 kwangu-2,500 . Lokho kusho ukuthi cishe banamathuba aphindwe kabili okudinga awenye ingane kunokusebenzisa awabo.
Enye inkinga ukuthi ngabe umfowenu angalisebenzisa yini leli gazi. Kunethuba elingama-25% kuphela lokuthi umfowenu angaba nomlingani ophelele ongu-100%. Kunethuba elingama-25% lokuthi ngeke lifane nhlobo. Ngakho-ke akuqinisekisiwe ukuthi umfowenu angalisebenzisa leli gazi.
Umuntu omdala, okusho umzali, unethuba elincane kakhulu lokusebenzisa leli gazi, ngoba inani legazi elithathwe entanyeni ngokuvamile alanele umzimba womuntu omdala.
Ngenxa yalezi zizathu, i-American Academy of Pediatrics (i-American Academy ofNgisho nezinhlangano ezinkulu zezokwelapha emhlabeni, njenge-World Health Organization (WHO ), zitusa kakhulu ukuthi kufaneleke kakhulu ukunikela ngaleli gazi eliyigugu ebhange likahulumeni kunokulibeka ngasese.
Uliqoqa kanjani leli gazi le-umbilical cord?
Kungakhathaliseki ukuthi ucabanga ukunikela ngegazi noma ukuligcina ngasese, lokhu kuyinto okudingeka ihlelwe kusenesikhathi. Kufanele wazise udokotela wakho kanye nesibhedlela kusenesikhathi ngaphambi kokulethwa kwakho futhi ube nekhithi yokuqoqa edingekayo.
Amabhange amaningi kahulumeni adinga abazali ukuba babhalise phakathi kwamasonto angama-28 kuya kwangu-34 okukhulelwa . Aphinde ahlole umlando wempilo womama abanikelayo.
Ngesikhathi sokubeletha, leli gazi lingaqoqwa ngaphambi noma ngemva kokubeletha i-placenta. Ngemva kokuba intambo yengane isikiwe futhi iboshwe, udokotela noma umhlengikazi usebenzisa inaliti encane ukukhipha igazi elisele emthanjeni we-umbilical. Le nqubo ayibuhlungu futhi ayibangeli monakalo enganeni noma kunina.
Ngemuva kwalokho, insizakalo ekhethekile yokuthumela izimpahla ithatha leli sampula legazi liye ebhange legazi. Lapho, amaseli okuqala ahlukaniswa negazi lonke futhi agcinwe ku-nitrogen ewuketshezi ngaphansi kwezimo ezibangelwa yi-cryogenic.
Ungayikhetha kanjani ibhange legazi lentambo elifanele?
Uma unquma ukuthola le nsizakalo ebhange elizimele, kubaluleke kakhulu ukuyicwaninga ngokucophelela.
Ochwepheshe baxwayisa ngokwenza izimangalo ezinkulu, eziqisayo njengokuthi "ukwelapha ngokuphelele izifo ezifana ne-cerebral palsy ." Ngaphambi kokukhetha ibhange, qiniseka ukuthi uyacwaninga ngala maqiniso:
- Ukuzinza kwezezimali kwenkampani: Bona ukuthi inkampani isinesikhathi esingakanani isebhizinisini nokuthi amarekhodi ayo ezezimali anjani.
- Inani lamasampula abawacubungulayo: Isikhungo esiphatha inani elikhulu lamasampula ngokuvamile sinolwazi olungcono kanye nendlela yokwenza izinto.
- Uma inkampani iphela: Thola ukuthi ikhona yini inqubomgomo ecacile yokuthi kwenzekani kumasampula akho.
- Ulwazi mayelana nezimali: Ziyini izimali zokuqala kanye nezimali zokulungisa zonyaka? Buza ukuthi lezo zimali zizinzile noma zingakhuphuka ngokuhamba kwesikhathi.
- Ukugunyazwa: Hlola ukuthi isikhungo sinezindinganiso eziqashelwa emhlabeni wonke. Kuwuphawu oluhle uma sigunyazwe yizinhlangano ezifana ne-'FACT' (Foundation for the Accreditation of Cellular Therapy) kanye ne-'AABB' (American Association of Blood Banks). Wonke amabhange egazi kumele abhaliswe ne-ejensi elawulayo efana ne-FDA (Food and Drug Administration).
- Ibhodi Elilulekayo Lezokwelapha:Thola ukuthi obani odokotela abeluleka leso sikhungo nokuthi yiziphi iziqu zabo.
Into ebaluleke kakhulu ukuthi, ungenzi izinqumo ngalokhu wedwa. Xoxa ngalokhu kabanzi nodokotela wakho wezifo zabesifazane (VOG) bese ucela iseluleko sakhe.
Umlayezo Wokuya Nawe Ekhaya
- Amaseli e-stem atholakala egazini le-cord ayinsiza ewusizo kakhulu engelapha izifo eziningi ezimbi.
- Ngokunikela lokhu ebhange likahulumeni, ungasiza ekusindiseni izimpilo zabantu abaningi abaswele, ngaphandle kwezindleko.
- Ukufaka imali ebhange elizimele kuyabiza kakhulu, futhi amathuba okuthi ingane yakho noma ilungu lomndeni wakho lizodinga ukuyisebenzisa mancane kakhulu.
- Uma ukhetha ibhange elizimele, cwaninga ngokucophelela ukwethembeka kwalo, ulwazi lwalo, kanye nokugunyazwa kwalo kwamanye amazwe.
- Ngaphambi kokwenza noma yisiphi isinqumo mayelana nalokhu, kubalulekile ukukhuluma nodokotela wakho ngokucophelela futhi ucele iseluleko sakhe sochwepheshe.
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