Ngezinye izikhathi, isifo esibi njengomdlavuza asikwazi ukwelashwa ngemithi ejwayelekile. Bese odokotela bekhuluma ngemithi yokwelapha esezingeni eliphezulu. Ngezikhathi ezinjalo, elinye lamagama ozolizwa 'ukufakelwa kwe-stem cell' noma 'ukufakelwa kwe-bone marrow'. Nakuba la magama engase azwakale esabisa kancane, empeleni lokhu kuyindlela yokwelapha ewusizo kakhulu engasiza ekusindiseni izimpilo eziningi. Ake sixoxe ngalokhu kalula nangokucacile.
Ayini la ma-stem cell?
Ukuze siqonde lokhu, ake siqale sibheke ukuthi ayini ama-stem cell. Ake sithi kukhona imboni yokwenza igazi emzimbeni wethu. Izisebenzi eziyinhloko kuleyo mboni yilawa ma-stem cell. Lawa atholakala kakhulu emnkantsheni wethu wamathambo. Lawa maseli yiwo enza wonke amaseli abomvu egazi, amaseli amhlophe egazi, nama-platelet adingwa yimizimba yethu.
Ngakho-ke, ukufakelwa kwe-stem cell, kalula nje, ukususwa komnkantsha wethambo onesifo, owonakele, noma onomdlavuza kanye nokufakwa esikhundleni samaseli okuqala aphilile. Lokhu kubizwa nangokuthi ukufakelwa komnkantsha wethambo .
Kunezinhlobo ezimbili eziyinhloko zalokhu kufakelwa:
Le ndlela yokwelapha ingahlukaniswa izingxenye ezimbili eziyinhloko. Kuya ngokuthi amaseli amasha aphilile athathwe kubani.
| Uhlobo lokwelashwa (Uhlobo) | Kalula nje... |
|---|---|
| Ukufakelwa Kwezitshalo Nge-Autologous | Lokhu kuhilela ukusebenzisa amaseli akho e-stem aphilile . Ngaphambi kokuba odokotela bakunike ukwelashwa komdlavuza njenge-chemotherapy, baqoqa amaseli e-stem aphilile emzimbeni wakho bese bewagcina ngokuphephile. Ngemva kokwelashwa, lawo maseli abuyiselwa emzimbeni wakho. |
| Ukufakelwa kwe-Allogeneic | Lokhu kusetshenziswa okomunye umuntu (okwabanikeli)Thola amaseli okuqala aphilile. Lo mnikeli angaba yilungu lomndeni (umfowethu, udadewabo) noma omunye umuntu ofanelana nezicubu zomzimba. |
Kwenziwa kanjani lokhu kwelashwa? Ingabe kuyabuhlungu?
Abantu abaningi bacabanga ukuthi lokhu kuwukuhlinzwa okukhulu. Kodwa empeleni akunjalo. Indlela la maseli okuqala afakwa ngayo emzimbeni ilula kakhulu.
Kuzwakala sengathi kufakwe usawoti noma ukumpontshelwa igazi. Amaseli anikezwa ngepayipi (i-catheter ephakathi kwemithambo yegazi) efakwa emthanjeni omkhulu esifubeni noma entanyeni yakho.
Le nqubo ingathatha amahora amaningana. Phakathi nalesi sikhathi, odokotela nabahlengikazi bazokunakekela kahle, bakuhlole njalo ukuthi awunawo yini umkhuhlane noma amakhaza.
Akukho buhlungu ngesikhathi sokwelashwa. Kodwa-ke, ungase ube nesicanucanu, ukuhlanza, kanye nokungakhululeki ngesikhathi sokululama ngemva kokwelashwa. Kodwa ungakhathazeki, udokotela uzokunikeza imithi edingekayo yokulawula le miphumela emibi.
Kusebenza kangakanani lokhu kwelashwa?
Lona umbuzo abantu abaningi abanawo. Kodwa kunzima ukunikeza impendulo eyodwa. Impumelelo yokwelashwa incike ezintweni eziningana.
- Isimo sakho sezokwelapha: Lokhu kwelashwa kusebenza kahle kakhulu kwezinye izifo.
- Kungakhathaliseki ukuthi lesi sifo sisesigabeni sokuqala noma sisesigabeni esithuthukile.
- Ukwelashwa oke wakuthola ngaphambilini.
- Ubudala bakho kanye nempilo yakho iyonke.
- Amandla omzimba wakho okuphulukisa.
Konke lokhu kuyahlukahluka kumuntu nomuntu. Ngakho-ke, udokotela wakho okwelaphayo kuphela ongachaza kangcono impumelelo yokwelashwa kwakho ngokusekelwe esimweni sakho esithile.
Yiziphi izinzuzo kanye nezinkinga ezingaba khona?
Yiziphi izinzuzo?
Inzuzo enkulu yalokhu kwelashwa ukuthi kungalapha noma kulawule ngokuphelele ezinye izifo zomdlavuza nezifo ezihlobene negazi ezingazange zelashwe ngezinye izindlela zokwelapha. Ngempela kuyithemba elisha lokuphila.
Izingozi nezinkinga
Njenganoma yikuphi ukwelashwa okuthuthukisiwe, kunezingozi nezinkinga. Ingozi enkulu ukuthi lesi sifo sizobuya (siphinde sibuye) ngemva kokwelashwa. Kodwa-ke, leyo ngozi iyancipha ngokuhamba kwesikhathi.
Kunamathuba aphezulu ezinkinga, ikakhulukazi ekufakweni kwe-'allogeneic' lapho amaseli etholakala komunye umnikeli.
- Ukutheleleka: Amasosha omzimba wakho abuthakathaka kakhulu ngemva kokwelashwa, ngakho-ke ungangenwa kalula yizifo ezibangelwa amagciwane, amagciwane, noma isikhunta.
- Isifo Sokuxhunyelelwa Kwegciwane (GvHD):Lesi isimo esiyinkimbinkimbi kancane. Kalula nje, amangqamuzana amasha avela kumnikeli asebenza ngokumelene nomzimba wakho. Kunjengokungathi amangqamuzana amasha acabanga ukuthi, "Lona akusiwo umzimba wami," bese ehlasela izitho zakho njengesikhumba sakho nesibindi. Kodwa kunezindlela zokwelapha zokulawula lesi simo.
Ngaphambi kokuba wenze lokhu kwelashwa, udokotela wakho uzokuchazela kahle zonke lezi zingozi.
Kuzothatha isikhathi esingakanani ukubuyela esimweni esijwayelekile?
Lokhu kuncike nasohlotsheni lokufakelwa izicubu owake walufaka.
- Uma uke wafakelwa i-autologous (amangqamuzana akho) , ukululama kuvame ukuqala cishe ezinyangeni ezimbili.
- Uma ufakwe i-allogeneic (donor cell) , kungathatha izinyanga eziningana kuya onyakeni noma ngaphezulu ukuze ululame ngokugcwele. Phakathi nalesi sikhathi, ikakhulukazi ezinsukwini zokuqala eziyi-100, kungadingeka ukuthi uze esibhedlela njalo noma uhlale eduze kwesibhedlela.
Yini engingayenza ukuze lesi sikhathi sokuphulukiswa sibe lula?
Lokhu akusimangaliso sobusuku obubodwa. Lolu uhambo olude. Ngakho-ke nansi ezinye izinto ezizokusiza endleleni.
- Nakekela isikhumba sakho kakhulu: Isikhumba sakho singase sibe bucayi kakhulu ngemva kokwelashwa. Sebenzisa insipho ethambile kanye nama-shampoo lapho ugeza. Faka i-moisturizer esikhumbeni sakho futhi usivikele elangeni.
- Yidla ukudla okunomsoco: Yidla inyama engenamafutha amaningi, izithelo nemifino ehlukahlukene, okusanhlamvu okuphelele, kanye nokudla kobisi okunamafutha amancane. Gwema inyama engaphekiwe kahle, inhlanzi, izithelo ezingagezwanga, imifino, kanye nokudla kobisi okungaphekwanga kahle ngokuphelele.
- Zivikele ezifweni: Geza izandla zakho njalo. Hlala kude nabantu abagulayo. Buza udokotela wakho ukuthi yimiphi imijovo okudingeka uyithole.
- Nakekela amazinyo akho: Vakashela udokotela wamazinyo njalo ezinyangeni eziyisi-6. Hlanza amazinyo akho kahle.
- Thatha kancane futhi uzinzile: Ngezinye izinsuku uzozizwa ukhathele ngempela. Ngezinye izinsuku uzozizwa ujabule. Usuku lapho uzizwa ukhathele khona akusho ukuthi ukwelashwa kwakho kuyehluleka. Kusho ukuthi umzimba wakho udinga ikhefu.
- Cabanga ngempilo yakho yengqondo: Imizwa yakho ingase ishintshe phakathi nalesi sikhathi. Lokho kujwayelekile. Ukukhuluma nomeluleki noma ukujoyina iqembu lokusekelana nabantu abanjengawe kungaba usizo kakhulu.
Kunini lapho udinga ukukhuluma nodokotela?
Uma kuvela noma yiziphi izimpawu ezilandelayo ngesikhathi sokululama kwakho, yazisa udokotela wakho ngokushesha .
- Uma ubanda futhi uthuthumela
- Ukukhwehlela, ukuthimula, noma impumulo egobhozayo
- ImfivaUma kuphakeme kune-100.4 Fahrenheit (38 Celsius)
- Uma uchama njalo noma uzwa ubuhlungu
- Uma uzizwa unesizungu /unesizungu
- Ukuqhuma kwesikhumba
- Ubunzima bokuphefumula
Into efana nale ingaba yinto engathi sína noma ingabi yinto engathi sína. Kodwa udokotela wakho ungumuntu ongcono kakhulu onganquma. Ngakho-ke, kuphephile ukuyibika, noma ngabe kuyinto encane.
Umlayezo Wokuya Nawe Ekhaya
- Ukufakelwa kwamaseli e-stem kuyindlela yokwelapha esezingeni eliphezulu nephumelelayo yomdlavuza nezifo ezihlobene negazi.
- Kunezinhlobo ezimbili eziyinhloko zalokhu: indlela ye-autologous, esebenzisa amaseli akho, kanye nendlela ye-allogeneic, esebenzisa amaseli avela kumuntu onikelayo.
- Nakuba ukwelashwa ngokwako kungenabuhlungu, kungase kube nemiphumela emibi ngesikhathi sokululama. Kunemithi yalokhu.
- Kungathatha izinyanga noma ngisho nonyaka ukululama ngokuphelele. Ukuvikelwa ezifweni kanye nokudla okunempilo kubaluleke kakhulu ngalesi sikhathi.
- Zizwe ukhululekile ukukhuluma ngokukhululekile nodokotela wakho mayelana nalokhu kwelashwa, izingozi nezinzuzo zako, kanye nanoma yimiphi imibuzo ongase ube nayo.
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