Dashen Lafiyar Kashi

Wadatacce

• Me yasa zaka Iya Bukatar dashen Kashi na Kashi
• Menene Matsalolin da ke Haɗuwa da Mararjin rowarƙwara?
• Nau'o'in Sanya Kashi
• Autologous dasawa
• Abun Allogeneic
• Yadda Ake Shirya don dashen Kashi na Kashi
• Yadda ake Yin dashen Kashi na Kashi
• Leukapheresis
• Abinda Zakuyi tsammani Bayan dasawar Kashi

Menene Sanya Kashin Kashi?

Marwayar ƙwayar jijiya wani tsari ne na likita da aka yi don maye gurbin ɓarin ƙashi wanda ya lalace ko lalata shi ta hanyar cuta, kamuwa da cuta, ko cutar sankara. Wannan aikin ya hada da dasa kwayoyin sel na jini, wanda ke tafiya zuwa kashin kashi inda suke samar da sabbin kwayoyin jini da inganta ci gaban sabon bargo.

Kashin kashin jikin mutum shine tsoka, nama mai kiba a cikin kashin ka. Yana haifar da sassan jini masu zuwa:

• jajayen kwayoyin jini, wadanda suke daukar iskar oxygen da abinci a jiki
• farin jini, wanda ke yakar kamuwa da cuta
• platelets, waɗanda ke da alhakin samuwar kumburi

Kashi mai laushi kuma yana ƙunshe da ƙwayoyin halitta masu tasowa marasa jini wanda aka sani da ƙwayoyin jini, ko HSCs. Yawancin kwayoyin an riga an bambanta kuma suna iya yin kwafin kansu kawai. Koyaya, waɗannan ƙwayoyin sel ba su da ilimi, ma'ana suna da damar haɓaka ta hanyar rarraba kwayar halitta kuma ko dai su kasance ƙwayoyin sel ko rarrabewa da girma cikin nau'ikan ƙwayoyin jini da yawa. HSC da aka samo a cikin kashin ƙashi zai samar da sabbin ƙwayoyin jini a tsawon rayuwar ku.

Marwayar kasusuwa ta maye gurbin ƙwayoyin ka masu lalacewa da ƙwayoyin rai. Wannan yana taimakawa jikinka yin isasshen ƙwayoyin jini, platelets, ko kuma jajayen ƙwayoyin jini don guje wa kamuwa da cuta, rikicewar jini, ko ƙarancin jini.

Lafiyayyun kwayoyin halitta na iya zuwa daga mai bayarwa, ko kuma suna iya zuwa daga jikinku. A irin waɗannan halaye, ana iya girbe, ko girma, kafin a fara jiyyar cutar sankara ko kuma kulawar radiation. Waɗannan ƙwayoyin ƙwayoyin lafiyar za a adana su kuma amfani da su a dasawa.

Me yasa zaka Iya Bukatar dashen Kashi na Kashi

Ana yin dashen ƙashi a lokacin da ƙashin mutum ba shi da ƙoshin lafiya don yin aiki yadda ya kamata. Wannan na iya zama saboda cututtukan da ke ci gaba, cuta, ko kuma maganin cutar kansa. Wasu dalilan dasawar jijiya sun hada da:

• aplastic anemia, wanda cuta ce ta lokacin da bargo ya daina yin sabbin ƙwayoyin jini
• kansar da ke shafar bargo, kamar cutar sankarar bargo, lymphoma, da kuma myeloma mai yawa
• lalacewar kasusuwa saboda magani
• congenital neutropenia, wanda cuta ce ta gado wacce ke haifar da sake kamuwa da cututtuka
• cutar sikila, wanda cuta ce ta gado da ke haifar da jajayen ƙwayoyin jini
• thalassaemia, wanda cuta ce ta jini da aka gada inda jiki ke yin wani nau'in mahaukacin haemoglobin, wani ɓangare ne na ƙwayoyin jinin jini.

Menene Matsalolin da ke Haɗuwa da Mararjin rowarƙwara?

Consideredaukewar ƙwayar kasusuwa ana ɗaukarsa babbar hanyar likita ce kuma yana ƙara haɗarin fuskantar ku:

• wani digo na hawan jini
• ciwon kai
• tashin zuciya
• zafi
• karancin numfashi
• jin sanyi
• zazzabi

Wadannan cututtukan da ke sama yawanci ba su da dadewa, amma daskarewar jijiya zai iya haifar da rikitarwa. Damar ku na bunkasa waɗannan rikitarwa ya dogara da dalilai da yawa, gami da:

• shekarunka
• lafiyar ku baki daya
• cutar da ake kula da ku
• nau'in dasawa da kuka samu

Rikici na iya zama mai sauƙi ko mai tsanani, kuma suna iya haɗawa da:

• cututtukan da ake ɗauka-da-kwayar cuta (GVHD), wanda shine yanayin da ƙwayoyin gudummawa ke afkawa jikinka
• gazawar dasa, wanda ke faruwa a lokacin da kwayoyin dasawa ba sa fara samar da sabbin kwayoyin kamar yadda aka tsara
• zub da jini a cikin huhu, kwakwalwa, da sauran sassan jiki
• cataracts, wanda ke tattare da gajimare a cikin tabarau na ido
• lalacewar gabobi masu mahimmanci
• farkon haila
• anemia, wanda ke faruwa lokacin da jiki bai samar da isasshen jan jini ba
• cututtuka
• tashin zuciya, gudawa, ko amai
• mucositis, wanda shine yanayin da ke haifar da kumburi da ciwo a cikin bakin, maƙogwaro, da ciki

Yi magana da likitanka game da duk wata damuwa da kake da ita. Zasu iya taimaka muku yin la'akari da haɗari da rikitarwa akan fa'idar fa'idar wannan hanyar.

Nau'o'in Sanya Kashi

Akwai manyan nau'ikan nau'ikan dashe kashi biyu. Nau'in da aka yi amfani da shi zai dogara da dalilin da kuke buƙatar dasawa.

Autologous dasawa

Logoarin kai tsaye ya haɗa da amfani da ƙwayoyin jikin mutum. Yawanci sun haɗa da girbe ƙwayoyinku kafin fara cutar lahani ga ƙwayoyin kamar chemotherapy ko radiation. Bayan an gama jiyya, ana dawo da kwayoyin halittar jikinka.

Irin wannan dashen ba koyaushe ake samu ba. Ana iya amfani dashi kawai idan kuna da lafiyayyen ƙashi.Koyaya, yana rage haɗarin wasu rikitarwa masu haɗari, gami da GVHD.

Abun Allogeneic

Magungunan maye gurbin Allogeneic sun haɗa da amfani da ƙwayoyin daga mai bayarwa. Dole mai ba da gudummawar ya kasance kusanci ne na kwayar halitta. Sau da yawa, dangi mai jituwa shine mafi kyawun zaɓi, amma ana iya samun matakan jinsi daga rajistar mai bayarwa.

Yin dashen Allogeneic ya zama dole idan kana da yanayin da ya lalata maka kwayoyin halittar kasusuwa. Koyaya, suna da haɗarin wasu matsalolin, kamar GVHD. Hakanan watakila kuna buƙatar sanya magungunan don hana tsarin rigakafin ku don jikinku baya afkawa sabbin ƙwayoyin. Wannan na iya barin saukin kamuwa da cuta.

Nasarar da aka samu na dashen allogeneic ya dogara da yadda kwayar masu bada tallafi tayi daidai da naka.

Yadda Ake Shirya don dashen Kashi na Kashi

Kafin dasawarka, zaka sha gwaje-gwaje da yawa don gano wane nau'in kwayoyin halittar kashin kashin da kake bukata.

Hakanan zaka iya shan radiation ko chemotherapy don kashe duk ƙwayoyin kansar ko ƙwayoyin bargo kafin ka sami sabbin ƙwayoyin jini.

Tswayoyin kasusuwa suna ɗaukar mako guda. Sabili da haka, dole ne ku shirya tun kafin zaman dashen ku na farko. Waɗannan na iya haɗawa da:

• gidaje kusa da asibiti don ƙaunatattunku
• inshorar inshora, biyan kudi, da sauran matsalolin kudi
• kula da yara ko dabbobin gida
• shan hutun likita daga aiki
• shirya kaya da sauran abubuwan bukata
• shirya tafiya zuwa asibiti

Yayin jiyya, garkuwar jikinka zata kasance mai rauni, wanda zai shafi ikon ta na yaki da cututtuka. Sabili da haka, zaku zauna a cikin wani sashe na musamman na asibitin da aka tanada don mutanen da ke karɓar sassan ƙashi. Wannan yana rage haɗarin kamuwa da kai ga duk abin da zai haifar da kamuwa da cuta.

Kada ku yi jinkirin kawo jerin tambayoyin da za ku tambayi likitan ku. Kuna iya rubuta amsoshin ko kawo aboki don ya saurara kuma yayi rubutu. Yana da mahimmanci ku sami kwanciyar hankali da tabbaci kafin aiwatarwa kuma duk tambayoyinku an amsa su sosai.

Wasu asibitocin suna da mashawarta don tattaunawa da marasa lafiya. Tsarin dasawa na iya zama harajin motsin rai. Yin magana da gwani na iya taimaka muku ta wannan hanyar.

Yadda ake Yin dashen Kashi na Kashi

Lokacin da likitan ku yayi tunanin kun shirya, zaku sami dasawa. Yin aikin yana kama da ƙarin jini.

Idan kuna yin dashen allogeneic, za a girbe ƙwayoyin kasusuwa daga mai ba da gudummawar ku kwana ɗaya ko biyu kafin aikinku. Idan ana amfani da ƙwayoyinku, za a dawo da su daga bankin ƙwayoyin.

Ana tattara ƙwayoyin halitta ta hanyoyi biyu.

Yayin girbin ɓarke, ana tara ƙwayoyin halitta daga ƙashin ƙugu biyu ta allura. Kun kasance a cikin maganin rigakafi don wannan aikin, ma'ana za ku yi barci kuma ba tare da wani ciwo ba.

Leukapheresis

A lokacin leukapheresis, ana ba mai gudummawa harbi biyar don taimakawa ƙwayoyin ƙwayoyin suna motsawa daga ɓarke ​​na ƙashi zuwa cikin jini. Ana ɗaukar jini ta cikin layin (IV), kuma inji yana raba farin ƙwayoyin jinin da ke ɗauke da ƙwayoyin sel.

Za a sanya allurar da ake kira catheter mai saurin jijiya, ko tashar jirgin ruwa, a saman ɓangaren dama na ƙirjinka. Wannan yana bawa ruwan dake dauke da sabbin kwayoyin kara kuzari kai tsaye zuwa zuciyar ka. Kwayoyin gwari zasu bazu ko'ina cikin jikinku. Suna gudana ta cikin jininka kuma zuwa cikin kashin kashi. Za su kafu a can kuma su fara girma.

An bar tashar jiragen ruwa a wurin saboda an yi dashen kasusuwan kashi a kan zaman da yawa na 'yan kwanaki. Maimaita zama da yawa suna ba sabbin ƙwayoyin sel mafi kyawun damar haɗuwa da jikinsu. Ana san wannan tsari da aikin ƙira.

Ta wannan tashar jiragen ruwa, zaku kuma sami karin jini, da ruwa, da kuma yiwuwar abinci mai gina jiki. Kuna iya buƙatar magunguna don yaƙi da kamuwa da cuta da kuma taimaka wa sabon bargo ya girma. Wannan ya dogara da yadda kuka kula da jiyya.

A wannan lokacin, za a sa ido a hankali don kowane rikitarwa.

Abinda Zakuyi tsammani Bayan dasawar Kashi

Nasarar dashewar kashin kashi ya dogara ne da yadda mai bada gudummawa da wanda aka karba yayi daidai da yanayin kwayar halitta. Wani lokaci, yana da wahala sosai a sami wasa mai kyau tsakanin masu ba da tallafi marasa alaƙa.

Za a sanya ido a kan abin da kuka koya a koyaushe. Gabaɗaya an gama tsakanin kwanaki 10 da 28 bayan dasawar farko. Alamar farko ta kayan aiki shine tashin farin jini. Wannan yana nuna cewa dasawa yana fara kirkirar sabbin kwayoyin jini.

Lokacin dawowa na al'ada don dashen ƙashi mai kusan watanni uku. Koyaya, yana iya ɗaukar shekara guda kafin ku warke sarai. Saukewa ya dogara da dalilai da yawa, gami da:

• halin da ake ciki
• jiyyar cutar sankara
• haskakawa
• wasan kyauta
• inda ake dasawa

Akwai yiwuwar cewa wasu alamun cutar da kuka samu bayan dashen za su kasance tare da ku har tsawon rayuwarku.