Kana iwe uri kufunga kugovera fupa remafu kumunhu waunoda kana somutsa kune mumwe munhu asingabatanidzi uye nekurwisana nekenza kana imwe mamiriro ekuda kwemasero ematsipa ako, uyu mubvunzo unokosha unofanira kubvunza. Sezvakaitwa nehupi hwehutano, kugovera masero aya ane zvimwe njodzi, asi kazhinji inofungidzirwa kuti yakachengeteka zvikuru.
Kana pane kupa chipo chemapfupa iwe unoronga kupa mhirizhonga yeropa remadziro emasero (chipo chakaitwa kuburikidza neropa rinosveta panzvimbo yepfupa remapfupa inopisa), chengeta izvi zvinogona kuisa njodzi dzekupa masero emadziro ekugadziriswa .
Nzira Dzokuunganidza
Kuti unzwisise zvinogona kuisa njodzi dzekupa maronho emapfupa, zvinobatsira kutaura kwenguva pfupi pamusoro pemafupa ekuunganidza misangano. Bhoora marora inotorwa (vanachiremba vanoritumidza kuti "kukohwa") kuburikidza nesingano inoiswa muhudyu. (Mafupa ako mapfupa ari mukati memapfupa makuru mumuviri wako akadai sehudyu yako.)
Izvi zvinowanzoitwa pasi pesimba rinonyanya kushandiswa muimba yekushandisa uchishandisa nzira isina kuchena. Panguva yekufamba, anenge 2 malita emasora emarara anenge abviswa. Izvi zvingaita seyakawanda, asi inomiririra pasi pe10% yemapfupa ako. Zvinogona kubatsira kuziva kuti muviri wako unoita masero emabhiriyoni makumi maviri emaropa mumapfupa ako ezuva rimwe nerimwe.
Nhamba yemasero mumapfupa emapfupa ako kazhinji anodzokera kumashure anowanikwa mukati memasvondo mana kusvika ku6, kunyange zvazvo muviri wako unogona kushanda zvakakwana panguva ino.
Zvinogona kuisa njodzi
Ngozi dzinobatsira pakupa bone marrow dzinowanzobatanidzwa nehutano hwekuvhiya. Chero nguva chero ipi zvayo yauri kuvhiyiwa, kune ngozi dzehuwandu hweaneshesia uyewo njodzi yekubuda ropa uye utachiona.
Panewo mungozi iyo nzira inogona kukonzera kukuvadzwa nemitsipa nemidziyo yeropa pedo nenzvimbo yemafuta kubvisa uye kukanganisa pfupa.
Zvinyoro Dzakashata Migumisiro / Njodzi
Mushure mokupa fupa remafupa munogona kunge muchirwa munharaunda yehudyu yenyu kwevhiki kana zvishoma. Pakati pevaya vakapa mapfupa emapfupa sechikamu cheNational Marrow Grantor Program, vazhinji vevanhu vakaona kurwadziwa kwekare uye kwechiputi kwemazuva mashoma, uye kuneta. Zvimwe zvinokonzerwa neanesthesia zvinogonawo kusanganisira chirwere chepfungwa uye kusuruvara.
Nzira yacho inogona kuitwa semunhu ari kunze, kana iwe ungapedza mazuva mashomanana muchipatara. Zvimwe zvezvipatara zvinokurudzira kutora mazuva manomwe kusvika kwemazuva kubva pabasa mushure mekuita, asi vamwe vanhu vanonzwa vachida kudzokera kubasa nekukurumidza. Nguva yenguva yepakati (iyo, nguva inotevera iyo 50% yevanhu vaiva uye 50% vakanga vasina) kudzokera zvachose kune "zvakajairika" yaiva mazuva makumi maviri.
Matambudziko Akakomba / Njodzi
Maererano nehurongwa hweNyika yeMarrow Grant, vanhu vanosvika 2,4% vanopa fupa remafupa vane chinetso chakakomba. Nhamba shoma shoma yevashandi vematoro vanotambura nhamo dzese dzenguva refu kubva muzvipo zvavo.
Munyika yose, vatsvakurudzi vakatarisa vanhu vanopfuura 27 000 vakange vapa mongofu munyika 35.
Pakati pevanhu ava, pakanga pane rufu rumwe uye 12 zviitiko zvakakomba (kunyanya kusanganisira mwoyo) izvo zvaifungidzirwa kuti zvakabatana nemapiro emapfupa emapfupa.
Unogona Kuonana Nomubatsiri Here?
Kana iwe uchipa mumiririri asingazivikanwe, ungangodaro unofunga kana iwe uchange uine mukana wokusangana nemunhu woupenyu hwake wawakachengetedza. Mapurisa mazhinji ane mitemo yakasimba yakasimba pamusoro pevarwere-vanopa mvumo yekubatana, asi unogona kuda kuongorora nyaya dzinofadza dzevarwere uye vanopa musangano.
Batsirwa
Paunenge uchitarisa nyaya ipi zvayo, zvinokosha kuongorora njodzi dzinobatsira. Ngozi dzepafupa yemapepa zviduku, asi zvikwereti kune avo vanogona kugamuchira zvipo zvenyu zvingakosha.
Izvozvo zvakati, kupa mhino yemapfupa hakusi yevanhu vose, uye zvakakosha kuti iwe uzvirumbidze pane chero chisarudzo chaunoita. Iwe chete iwe unogona kuita chisarudzo chakanaka kwauri.
Sources:
American Society of Clinical Oncology. Cancer.Net. Kupa Bone Marrow. 02/2015.
Iva mubatanidzwa weNational Bone Marrow Purogiramu Inopa. Kupa Bone Marrow.
Bosi, A., uye B. Bartolozzi. Kuchengetedzwa kwemafupa kunokonzera kushandiswa kwemasero: kuongorora. Transplant Proceedings . 2010. 42 (6): 2192-4.
Clinical Bone Marrow uye Ropa reStem Cell Transplantation. Munyori: Kerry Atkinson nevamwe vashandi. Yakabudiswa naCambridge University Press, 2003.
Halter, J., Kodera, Y., Ispizua, A. et al. Zviitiko zvakakomba kune vanopa mushure mekugadzirisa helogopoic hematopoietic stem mashekeri ekupa. Haematologica . 2009. 94 (1): 94-101.
Miller, J., Perry, E., Price, T. et al. Kudzorera uye kuchengetedzwa kwenhoroondo yemarora nevatsigiri vePBSC: ruzivo rweNational Marrow Grantor Program. Biology yeT Bone Marrow Transplantation . 2008. 14 (9 Kubatsira): 29-36.