Ho kenyelletsa mongo oa masapo: ha ho bontšoa, hore na ho etsoa joang le ho ba kotsi

Litaba

• Ha phetoho e bontšoa
• Ho kenyelletsa ho etsoa joang
• U ka tseba joang hore ho kenyelletsa ho lumellana
• Likotsi tse ka bang teng tsa ho kenella

Ho kenyelletsa 'moko oa masapo ke mofuta oa kalafo o ka sebelisoang maemong a mafu a tebileng a amang moko oa masapo, o etsang hore o sitoe ho phetha mosebetsi oa ona oa ho hlahisa lisele tsa mali le sesole sa' mele, lisele tse khubelu tsa mali, liplatelete, li-lymphocyte le li-leukocyte .

Ho na le mefuta e meholo e 'meli ea phetisetso ea moko oa masapo:

• Phetoho ea 'mele oa masapo a "Autologous" kapa "transplant" e sebelisoa haholo ho batho ba hlokang radiotherapy kapa chemotherapy. E na le ho tlosa lisele tse phetseng hantle 'meleng pele o qala kalafo ebe o li enta hape' meleng, kamora kalafo, ho lumella ho theoa ha moko o phetseng hantle.
• Ho kenyelletsa 'mele oa allogeneic lisele tse lokelang ho hlongoa li nkuoa ho mofani ea phetseng hantle, ea tlamehang ho etsa liteko tse khethehileng tsa mali ho netefatsa ho lumellana ha lisele, tse tla fetisetsoa ho mokuli ea tšoanelehang.

Ntle le mefuta ena ea ho jalella, ho na le mokhoa o mocha o etsang hore ho khonehe ho boloka lisele tsa stem ho tloha mokokotlong oa lesea, tse ka sebelisoang ho alafa mofetše le mathata a mang a bophelo bo hlahang bophelo bohle.

Ha phetoho e bontšoa

Hangata ho fetisoa ha moko oa masapo ho alafshoa:

• Kankere ea moko oa masapo, joalo ka kankere ea mali, lymphoma kapa multiple myeloma;
• Mefuta e meng ea phokolo ea mali, joalo ka khaello ea mali ea mali, lefu la sekele kapa thalassemia;
• Likotsi tsa mokokotlo ka lebaka la kalafo e mabifi, joalo ka chemotherapy;
• Neutropenia tsoalo.

Moko oa masapo o entsoe ka lisele tsa hematopoietic stem, kapa CTH, tse ikarabellang bakeng sa tlhahiso ea lisele tsa mali le sesole sa 'mele. Ka hona, ho kenyelletsa 'moko oa masapo ho etsoa ka sepheo sa ho tlosa' moko oa masapo o senyehileng ka o phetseng hantle ka li-HSC tse phetseng hantle le tse sebetsang.

Ho kenyelletsa ho etsoa joang

Ho kenyelletsa 'moko oa masapo ke mokhoa o nkang lihora tse ka bang 2 mme o etsoa ka ho buuoa ka anesthesia e akaretsang kapa ea sekhahla. Ha ho etsoa opereishene, moko oa masapo o tlosoa masapong a letheka kapa lesapo la sternum la mofani ea phetseng hantle le ea lumellanang.

Joale, lisele tse tlositsoeng lia hoamisoa ebe li bolokoa ho fihlela moamoheli a qeta kalafo ea chemotherapy le radiotherapy e ikemiselitseng ho senya lisele tse mpe. Qetellong, lisele tsa moko oa 'mele tse phetseng hantle li kenngoa maling a mokuli hore li tle li ngatafale, li hlahise mokoallo o phetseng hantle' me li hlahise lisele tsa mali.

U ka tseba joang hore ho kenyelletsa ho lumellana

Tšebelisano ea 'moko oa masapo e lokela ho hlahlojoa ho qoba kotsi ea ho khesoa le mathata a tebileng, joalo ka ho tsoa mali kahare kapa tšoaetso. Bakeng sa sena, mofani oa moko oa masapo o ka etsa pokello ea mali setsing se ikhethileng, joalo ka INCA, hore a tle a hlahlojoe. Haeba mofani a sa lumellane, a ka lula lethathamong la lintlha tse lokelang ho bitsoa ho mokuli e mong ea lumellanang. Fumana hore na ke mang ea ka fanang ka moko oa masapo.

Ka tloaelo, ts'ebetso ea tlhahlobo ea 'moko oa masapo e qalisoa ho banab'eno ba mokuli, kaha ba na le monyetla oa ho ba le mokoallo o ts'oanang, ebe ba fetisetsoa lenaneng la lintlha tsa naha, haeba banab'eso ba sa lumellane.

Likotsi tse ka bang teng tsa ho kenella

Likotsi kapa mathata a mantlha a phetisetso ea moko oa masapo a kenyelletsa:

• Khaello ea mali;
• Liphororo;
• Ho tsoa mali ka matšoafong, mala kapa bokong;
• Likotsi tsa liphio, sebete, matšoafo kapa pelo;
• Mafu a tebileng;
• Ho hana;
• Graft khahlanong le lefu la moamoheli;
• Itšoara joang ho thethebatso;
• Ho khutlela morao ha lefu lena.

Mathata a ho fetisoa ha moko oa masapo a etsahala khafetsa ha mofani a sa lumellane ka botlalo, empa a ka boela a amana le karabelo ea mmele oa mokuli, ke ka hona ho leng bohlokoa ho etsa liteko tsa laboratori ho mofani le moamoheli ho netefatsa tshebeletsano.le monyetla oa ho arabela. Hape tseba hore na ke eng le hore na biopsy ea moko oa masapo e etsoa joang.