Mwongo nokuisazve - kubatsira

Transplantation pamusoro mumwongo pfungwa, ari yerudzi rutsva wezvokurapa muitiro - asi inogona kushandiswa zvinobudirira kurapa zvirwere kare hachirapiki. Sezvo rokutanga vakabudirira mwongo nokuisazve muna 1968, nzira iyi raiswa nokuda Mabatirwo neleukemia (kenza ropa), aplastic kupererwa neropa, rwekenza yelymphoma, vakawanda myeloma, zvakakomba kutapata zvirwere, uye kunyange dzimwe mhando nekenza (kenza yemazamu kana ovarian kenza).

Varwere wakasimwa vanonzi hunde masero hematopoietic inowanikwa utano hwevanhu mwongo - dzakananga hematopoietic rinenge riri, uyewo, mune mapfupa marangwanda. Zvinozivikanwa kuti vakawanda mumwongo iri huri sternum, chiuno nomuzongoza. Transplantation pamusoro hematopoietic hunde masero imhaka kuti masero aya "iri pakurukurwa" ropa masero ose uye zvirwere zviri mumuviri womunhu. Kunyange kana nokuisazve achishivirira shoma hematopoietic hunde masero, ivo vachava vachiri kukwanisa zvakazara nokudzosa chirongwa hematopoiesis uye zvirwere.

Mwongo transplantation - muitiro iyo inogona kushandiswa kurapa kenza sezvo mukuru chaizvo mishonga kunyanya chemotherapeutic vamiririri uye, mune zvimwe zviitiko, radioactive nemwaranzi. Zvinozivikanwa kuti kurapwa uyu nguva uye kwazvo anoparadza mumwongo murwere, uye saka, pfungwa, hazvibviri, sezvo muviri anorasikirwa kukwanisa wayo kubudisa chinokosha masero matsvuku eropa. Zvisinei, kana pashure marapirwo mumuviri murwere kupinda utano mumwongo ingangodaro kutsiva mwongo uye kudzorera mano muviri murwere kuti ropa inotungamirwa. Maererano neizvi, mwongo transplantation vakuru-kubvumira kurapa kurapa kenza kana yakaderera mishonga hazvibatsiri, chii chikonzero mumwongo nokuisazve.

Panguva iyoyo, pane mhando mbiri mwongo kuisirwa: autologous uye allogeneic. Kana allogeneic transplantation uchishandisa mwongo nomumwe munhu, apo autologous - yake. Zvikurukuru, autologous transplantation haachipo, chaizvoizvo, "nokuisazve" iri yechokwadi mupfungwa shoko iri, uye vari dzinoverengeka anogona kunzi "kutsigira mwongo transplantation."

Dambudziko pamberi kubviswa mumwongo ndiko kuwana rine hematopoietic masero. Kugadzirira Nokuda mwongo nokuisazve rinotanga mwongo kubva anyatsoronga pamusoro fenzi, izvo, risati ratanga zvakasimba kurapwa, hwabviswa kubva femoral bvupa nomupi ani vangava, muchando uye zvakachengetwa kusvikira kushandiswa. Zvadaro, pashure pokupedza mishonga kana radiotherapy pamwe, kana akaita pasina mumwongo kutaurwa kunyika muviri vanonzi "donhwe nzira". Izvi zvakafanana ropa. Wakasimwa mwongo kusvikira muropa circulates nomuviri, uye ipapo iiswe in mapfupa, apo anotanga kukura kwayo hwakazotevera, kwenguva refu, chirongwa hematopoiesis anodzorerwa.

Kana murwere rombo rakanaka, zvose zvakanaka uye akabatwa uropi, murwere ukuwo, apore. Asi kwete vose kunaka kudaro! Murwere yava zviviri. Chekutanga, pane nguva dzose mukana wokuti kuramba batanidza muviri. With ichi unogona kugadzirisa, kudzivisa zvirwere zvinodhaka simba. Chechipiri ngozi ndechokuti nokuti 2-3 mwedzi postoperative murwere chaizvoizvo kusiya pasina tiine simba rokuzvidzivirira. It kunogona kuparadza kunyange zvishoma utachiona, riri sei, sezvo vachiti, kuitira kudzivisa, murwere anoiswa rinokosha muwadhi kuti chinokosha kuchengetedzwa matanho, apo riri kure kunze nyika yose kunaya postoperative nguva. Zvisinei, kunyange pashure kusunungurwa kubva muchipatara zvinofanira kunyatsoongororwa zvazvaiita kuti utano murwere, uye iyewo, vanofanira kuona chiremba wako nguva dzose uchiongororwa. The yaiwanzopiwa zvirwere reconstitution anotevera transplantation zvinotora rinenge gore, asi pamwe Kushatiswa murwere ezvinhu utano angava mukuru kudiwa rehospitalization.