Cadaver-Yakapa Allograft Tissue Yakarongedzwa uye Yakagadzirirwa kuchengetedzwa
Mishonga yezvipo inoshandiswa pamitemo yakasiyana-siyana yemapfupa. Kakawanda, izvi zvinobva kune cadaver yemunhu wakafa uyo akanga abvuma kuva nezvikamu zvakananga zvemuviri wake waipiwa nokuda kwechiremba. Izvi zvinokonzera mhuka zvinonzi allograft tishu.
Mushure mokuwana nekuita sterilizing the allograft tissues, vanotumirwa kuzvipatara zvekugadziriswa.
Munhu wose, vose vanachiremba nevarwere, vane hanya kuti idzi allograft tishu dzakachengeteka.
Njodzi Dzinobva Kubva Cadaver Tissue Inowedzera Kupera
Tinoziva kuti mukana wokuti uwane hutachiona hwechikonzero chekupararira kwechirwere kubva kune an allograft inowanikwa ichiderera zvikuru. Maererano neCenters for Disease Control, pakave nemakore makumi matanhatu nematanhatu ekutengesa kwehutachiona semagumisiro e-allograft kupera makore gumi-siyana kubva pakati pe1990 kusvika pakati pe2000. Nemhaka yokuti anenge mamiriyoni mashanu emagetsi anonzi allograft anoitwa gore roga roga, pane mungozi ye 1 mu 120 000 mukana wehutachiona hunokonzerwa nehutachiona hwehutachiona.
Ngozi yehutachiona hweHIV zvichibva kune allograft tissue transplant yakafungidzirwa kuva imwe mumamiriyoni. Izvi hazvirevi kuti hazvigoni kuitika, asi njodzi yezvimwe zvinetso zvakakomba kubva pakuvhiya zvinonyanya kuwanda kudarika ngozi yekutapurirwa kwezvirwere.
Ndiani Anoda Nekupa Tisue?
Nzira dzakawanda dzekuvhiya dzemapfupa dzinoda kuti imwe nhengo yomuviri yakakanganiswa iongororwe nekushandiswa uchishandisa mishonga ine utano. Kana iwe usina hutachiwana huripo, kana kuti iwe usingadi kuvhiyiwa unofanirwa kuwana mishonga inodikanwa, imwe sarudzo ndeyokushandisa zvipo zvemuviri zvakapiwa kubva kune mupi wecadaver.
Zvigadzirwa zvinopiwa zvinosanganisira tendon, ligaments, bone, uye cartilage.
Kutsvakurudza nzira dzingaitwa kuburikidza nemishonga yezvipo dzinosanganisira:
- ACL reconstruction
- cartilage transplants
- meniscus transplant
- spinal fusion
- kuputsika kugadzirisa
Allograft transplantation nokuda kwokuvhiyiwa kwemapfupa yakave yakakurumbira, uye inenge mamiriyoni 1.5 mamiriyoni eallograft inoitwa gore negore muUnited States.
Izvo Zvigunwe Zvitsva Zvakawanikwa uye Kuedzwa kweKuchengetedzwa
Kutapurika kwehutachiona kunogona kuva chikonzero chechirwere chaakapiwa mumuviri wake, kana kusvibiswa kwezvisikwa panguva yekugadziriswa. Kuedza kunoitwa kuti vimbise kuti mupiro haana chirwere chinogona kutapurika uye kuti mishonga yakapiwa inogadziriswa nenzira inoderedza mukana wekusvibiswa.
Apo mupiki mishonga inounganirwa kuti inogona kuwedzerwa, kuongorora kukuru kunowanikwa kunovimbisa kuchengetedzwa kwematukisi aya. Kana munhu anokwanisa kupiwa achionekwa, kuongororwa kwomunhu anopa mvumo kunoitwa kuti aone chikonzero chekufa, zvinogona kuitika zvakanyanya kutyisa zvinogona kuita kuti michina yavanopa ive isina kuchengeteka (somuenzaniso, kushandiswa kwezvinodhaka, nezvimwewo) . Ropa rekuongorora rinoitwa kuti riongorore hutachiona. Kunyanya, vateresi vanoongororwa nezveHIV , hepatitis B & C , inotenderera inonzi spongiform encephalopathies (somuenzaniso, "chirwere chemombe chakashata"), uye syphilis , pakati pezvirwere.
Allograft mishonga yakagadzirirwa kuva yakakodzera yekugadzirisa inoshandiswa munzvimbo dzakachena munzvimbo. Vanogamuchira sterility test panguva iyo mavara acho anowanikwa, panguva yekushandurwa kwayo, uye asati asunungurwa kubva kunzvimbo yekugadzirisa. Iyo yekugadzirisa chigadzirwa cheallograft mhando yekugadzirira inosanganisira kupera kwemaviri.
Nzira yekuti Allograft Tissue yakagadzirwa sei neOrpeded Procedures
Apo mhuka yacho inoshandiswa kumagadzirirwo emapfupa, zvikamu zvemuviri zvehutachi ((kusanganisira masero eropa) zvinobviswa kuti zvidzivirire mukana wekunyangarika kwemaviri. Munguva iyi yekugadziriswa, kupera kwemvura kunowanzoitikawo.
Sterilization haifaniri kunge yakaoma seyokuderedza mishonga, asi yakakwana kudzivirira kubhakitiriya kana kusvibiswa kwetachiona.
Zvisumbu zvakagadzirirwa zvino zvinotumirwa kuzvipatara zvekugadziriswa. Kune nzira dzakasiyana dzekuchengetedza mishonga, asi dzakawanda dzakanyanyisa pa -80 degrees centigrade. Maviri acho ane zuva rekupera kwezvinoenderana nerudzi rwemhando uye rudzi rwekuchengetedza.
Mibvunzo Yokubvunza Chiremba Wako About an Allograft
Chiremba wako anofanira kuziva chaipo iyo mavara acho aibva ; iyi kukurudzira yakaitwa neAmerican Academy of Orthopedic Surgeons.
Kumbira chiremba wako kuti ibhii rebhangi rinopa hurairi, uye sei bhangi iro redu rakasarudzwa. Haasi mabhii ose evanhu akaumbwa akaenzana, uye vamwe vane maitiro akawandisa ekuongorora mazano pavanosarudza kuti ndiani vanopa mari vakakodzera kugoverwa kwavo. Kana chiremba wako asingatauri kuti nzvimbo yako yakabatanidzwa inobva kupi, iye haazozivi kuti zvakasimba sei zvinoshandiswa pakusarudza kubatanidzwa kwave kuripo.
Pakave nemishumo mumashoko emabhangi emagetsi anoshandura mishonga kana kusagadzikana kuwana mazinga. Chiremba wako anofanirwa kuvhara mabhandi emagetsi kuti ave nechokwadi chekuti mabraji aripo anopiwa ndeahupamhi hwepamusoro uye nekuchengeteka kwakakwana . Dzimwe mabhandi emasukirwo ane mawebhusayithi evarwere kuti vadzidze zvakawanda nezvemaitiro avo ekuwana nekugadzirisa mishonga. Chiremba wako anogona kukupa iwe ruzivo pamusoro pekubva kwako kunopinda.
Sources:
"Allograft-Yakabatanidzwa neBacterial Infections - United States, 2002" Nzvimbo dzeDaase Control. March 15, 2002/51 (10); 207-210.
Goko, D "Tissue Donor Selection uye Kudzivirira" Orthop Clin: June 2005; Vol 435, peji 17-21