Mafupa kumuika - kuwathandiza

Kupatsidwa zina za mafupa, mfundo ndi mankhwala ndondomeko watsopano - koma zikhoza kugwiritsidwa ntchito pofuna kuchiza matenda musanayambe zochitikazi osachiritsika. Yoyamba bwino mafupa kumuika mu 1968, njirayi wakhala ntchito zochizira khansa (khansa magazi), aplastic magazi m'thupi, lymphoma, myeloma angapo, matenda aakulu chitetezo chokwanira, ndipo ngakhale mitundu ina ya khansa (khansa kapena khansa yamchiberekero).

Odwala kuziika otchedwa maselo hematopoietic tsinde opezeka wathanzi mafupa mafuta - yeniyeni hematopoietic minofu ili, nayenso, mu mafupa a mafupa a. Amadziwika kuti ambiri a m'mafupa uli mu sternum, mafupa a chiuno ndi msana. Kupatsidwa zina maselo tsinde hematopoietic ndi chifukwa chakuti maselo amenewa "lisanayambe padzakhala" maselo magazi ndi chitetezo m'thupi la munthu. Ngakhale kumuika woleza pang'ono maselo tsinde hematopoietic, iwo adzakhala adakali amatha kwathunthu kubwezeretsa ndondomeko hematopoiesis ndi chitetezo.

Mafupa kupatsidwa zina - ndondomeko amene angagwiritsidwe ntchito pofuna kuchiza khansa monga kwambiri Mlingo wothandizila makamaka chemotherapeutic ndipo, nthawi zina, cheza nyukiliya. Amadziwika kuti njira imeneyi nthawi zonse ndi bwino kuwononga mafupa a wodwalayo, choncho, mfundo, n'zosatheka, popeza thupi limataya umatha kubala yofunika maselo ofiira. Komabe, ngati pambuyo mankhwala m'thupi wodwala kulowa wathanzi mafupa, n'zotheka ndithu m'malo mafupa ndi kubwezeretsa mphamvu ya thupi wodwalayo kuti mapangidwe magazi. Mogwirizana ndi ili, mafupa kupatsidwa zina ndi mankhwala apamwamba kulola kuchiza khansa pamene mlingo wochepa ndi achabechabe, kodi chifukwa cha mafupa kumuika.

Pa nthawi, pali mitundu iwiri ya mafupa kupatsa: autologous ndi allogeneic. Pamene allogeneic kupatsidwa zina pogwiritsa ntchito mafupa a munthu wina, pamene autologous - wake. Kwenikweni, autologous kupatsidwa zina si, kwenikweni, "kumuika" m'lingaliro chenicheni cha mawu amenewa, ndipo chiwerengero cha magwero angatchedwe "akuthandiza mafupa kupatsidwa zina."

Vuto pamaso kuchotsa m'mafupa, ndi kuti muli maselo hematopoietic. Kukonzekera mafupa kumuika akuyamba ndi mafupa kuchokera mwiniwake wa mpanda, kumene isanayambe chithandizo tima, atachotsedwa fupa femoral wa mwiniwake, aliyense akhale, ali zii ndi kusungidwa mpaka ntchito. Ndiye, nditamaliza mankhwala amphamvu kapena radiotherapy pamodzi, kapena popanda m'mafupa umayamba kumbuyo mu thupi otchedwa "kukapanda kuleka njira". Izi zikufanana ndi magazi. Kuziika mafupa kwa m'magazi amazungulira m'thupi, kenako waikamo mu cavities mafupa, kumene iwo amayamba kukula wotsatira ndipo yaitali, ndondomeko hematopoiesis wabwezeretsedwa.

Ngati wodwalayo mwayi, zonse zinayenda bwino ndipo anagwira ubongo, mtima, motero, akuchira. Koma si onse kotero duwa! Wodwala angathandizidwe ndi zinthu ziwiri. Choyamba, pali nthawi zonse ziyenda kusalandira kumezanitsa thupi. Ndi ndingathe kupirira, kupondereza chitetezo cha m'thupi ndi mankhwala amphamvu. The chachiwiri chiopsezo chinthu n'chakuti kwa miyezi 2-3 postoperative wodwala kwenikweni opanda chitetezo ndi chitetezo. Iwo kungasokoneze ngakhale nthenda pang'ono, nchifukwa chake, monga iwo amati, pofuna kupewa, mtima aikidwa m'dera wapadera miyeso wapadera chitetezo, kumene olekanitsidwa dziko panja lonse kuchira postoperative nthawi. Komabe, ngakhale atatulutsidwa m'chipatala ayenera kwambiri kuunikira thanzi wodwalayo, ndipo nayenso, ayenera kukaonana ndi dokotala nthawi zonse kuti tizipima. The yachibadwa m'thupi reconstitution zotsatirazi kupatsidwa zina zimawatengera pafupifupi chaka, koma ndi kuwonongeka kwa ukupeza wodwala akhoza kukhala ndi chosowa kwambiri rehospitalization.