Ibyerekeye-kanseri / kuvura / ubwoko / stem-selile-transplant

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Guhindura ingirabuzimafatizo mu kuvura Kanseri

Gutera ingirabuzimafatizo bifasha kugarura ingirabuzimafatizo zikora amaraso mu bantu barimbuwe n’ubuvuzi bumwe na bumwe bwa kanseri.


Gutera ingirabuzimafatizo ni inzira igarura ingirabuzimafatizo zikora amaraso mu bantu zangije ibyabo bitewe na dosiye nyinshi cyane ya chimiotherapie cyangwa imiti ivura imirasire ikoreshwa mu kuvura kanseri zimwe.

Utugingo ngengabuzima dukora amaraso ni ngombwa kuko akura mu bwoko butandukanye bw'uturemangingo. Ubwoko nyamukuru bwingirangingo zamaraso ni:

  • Uturemangingo twera twamaraso, bigize sisitemu yumubiri wawe kandi bifasha umubiri wawe kurwanya kwandura
  • Utugingo ngengabuzima dutukura, dutwara ogisijeni mu mubiri wawe
  • Amashanyarazi, afasha gutembera kw'amaraso

Ukeneye ubwoko butatu bwamaraso kugirango ugire ubuzima bwiza.

Ubwoko bwimikorere ya selile

Mugihe cyo guhinduranya ingirangingo, wakiriye ingirabuzimafatizo zifite ubuzima bwiza ukoresheje urushinge mumitsi yawe. Iyo zimaze kwinjira mumaraso yawe, ingirabuzimafatizo zigenda zijya mu magufa, aho zifata umwanya wa selile zangijwe no kuvurwa. Utugingo ngengabuzima dukora amaraso akoreshwa mu guhindurwa arashobora guturuka mu magufa, mu maraso, cyangwa mu nda. Guhindurwa birashobora kuba:

  • Autologous, bivuze ko ingirabuzimafatizo zikomoka kuri wewe, umurwayi
  • Allogeneic, bivuze ko selile stem ikomoka kubandi. Umuterankunga arashobora kuba umuvandimwe wamaraso ariko arashobora no kuba umuntu udafitanye isano.
  • Syngeneic, bivuze ko ingirabuzimafatizo zikomoka kumpanga yawe imwe, niba ufite imwe

Kugira ngo ugabanye ingaruka zishobora kubaho no kunoza amahirwe yo guhindurwa kwa allogeneic, ingirangingo z'umuterankunga utanga amaraso zigomba guhuza n'izanyu muburyo bumwe. Kugira ngo umenye byinshi kubyerekeranye ningirangingo zikora amaraso zihuye, reba Amaraso Yimitsi Yimitsi.

Uburyo Guhindura Utugingo ngengabuzima dukora birwanya Kanseri

Gutera ingirabuzimafatizo ntisanzwe ikora kanseri mu buryo butaziguye. Ahubwo, baragufasha kugarura ubushobozi bwawe bwo gukora ingirabuzimafatizo nyuma yo kuvurwa hamwe na dosiye nyinshi cyane yo kuvura imirasire, chimiotherapie, cyangwa byombi.

Nyamara, muri myeloma nyinshi hamwe nubwoko bumwe na bumwe bwa leukemia, guhinduranya ingirabuzimafatizo zishobora kurwanya kanseri mu buryo butaziguye. Ibi bibaho kubera ingaruka yitwa graft-na-tumor ishobora kubaho nyuma yo guterwa allogeneic. Graft-na-tumor ibaho mugihe selile yamaraso yera iturutse kumuterankunga wawe (graft) yibasiye kanseri iyo ari yo yose iguma mumubiri wawe (ikibyimba) nyuma yo kuvurwa cyane. Ingaruka zitezimbere intsinzi yubuvuzi.

Ninde wakiriye ingirabuzimafatizo

Gutera ingirabuzimafatizo zikoreshwa cyane mu gufasha abantu barwaye leukemia na lymphoma. Bashobora kandi gukoreshwa kuri neuroblastoma na myeloma myinshi.

Gutera ingirabuzimafatizo ku bundi bwoko bwa kanseri biri kwigwa mu mavuriro, akaba ari ubushakashatsi bwakozwe n'abantu. Kugirango ubone ubushakashatsi bushobora kuba amahitamo yawe, reba Shakisha Ikigeragezo.

Guhindura ingirabuzimafatizo zishobora gutera ingaruka kuruhande

Umubare munini wokuvura kanseri ufite mbere yo guterwa ingirangingo fatizo irashobora gutera ibibazo nko kuva amaraso ndetse no kwandura indwara. Vugana na muganga wawe cyangwa umuforomo kubyerekeye izindi ngaruka ushobora kuba ufite nuburyo zikomeye. Kubindi bisobanuro kubyerekeye ingaruka mbi nuburyo bwo kuzicunga, reba igice ku ngaruka mbi.

Niba ufite transplant ya allogeneic, urashobora kugira ikibazo gikomeye cyitwa graft-na-host host. Indwara ya Graft-na-host irashobora kubaho mugihe uturemangingo twamaraso yera duhereye kumuterankunga wawe (graft) amenye selile mumubiri wawe (uwakiriye) nkabanyamahanga hanyuma akabatera. Iki kibazo gishobora kwangiza uruhu rwawe, umwijima, amara, nizindi ngingo nyinshi. Irashobora kubaho ibyumweru bike nyuma yo guterwa cyangwa nyuma yaho. Indwara ya Graft-na-host irashobora kuvurwa hamwe na steroid cyangwa indi miti igabanya ubudahangarwa bw'umubiri wawe.

Iyo umuterankunga wawe utanga ingirabuzimafatizo zikora amaraso zihuye nuwawe, ntibishoboka ko urwara graft-na host-host. Muganga wawe arashobora kandi kugerageza kubikumira aguha imiti igabanya ubudahangarwa bw'umubiri wawe.

Nangahe Ingirabuzimafatizo Zimura Igiciro

Gutera ingirabuzimafatizo ni inzira zigoye zihenze cyane. Gahunda nyinshi zubwishingizi zikubiyemo bimwe mubiciro byo guterwa ubwoko bwa kanseri. Vugana na gahunda yubuzima bwawe kuri serivisi izishyura. Kuganira n'ibiro byubucuruzi aho ujya kwivuza birashobora kugufasha kumva ibiciro byose birimo.

Kugira ngo umenye ibyerekeye amatsinda ashobora gutanga ubufasha bwamafaranga, jya kuri data base yikigo cyigihugu cya kanseri, amashyirahamwe atanga serivisi zifasha kandi ushakishe "ubufasha bwamafaranga." Cyangwa uhamagare ku buntu 1-800-4-KANSERI (1-800-422-6237) kugirango umenye amakuru yerekeye amatsinda ashobora gufasha.

Icyo Wokwitega Mugihe wakiriye ingirabuzimafatizo

Aho Ujya Kwimura Akagari

Mugihe ukeneye transplant ya allogeneic stem selile, uzakenera kujya mubitaro bifite ikigo cyihariye cyo guhinduranya. Gahunda yigihugu ya Marrow Donor Program® ikora urutonde rwibigo byatewe muri Reta zunzubumwe zamerikaExit Disclaimer ishobora kugufasha kubona ikigo cyimurwa.

Keretse niba utuye hafi yikigo cyatewe, ushobora gukenera kuva murugo kugirango wivure. Urashobora gukenera kuguma mubitaro mugihe cyo kwimurwa kwawe, urashobora kubigira nk'indwara yo hanze, cyangwa ushobora kuba uri mubitaro igice cyigihe gusa. Mugihe utari mubitaro, uzakenera kuguma muri hoteri cyangwa inzu hafi. Ibigo byinshi byatewe birashobora gufasha mugushakisha amazu hafi.

Bifata igihe kingana iki kugirango utere ingirabuzimafatizo

Guhindura ingirabuzimafatizo irashobora gufata amezi make kugirango irangire. Inzira itangirana no kuvura dosiye nyinshi za chimiotherapie, kuvura imirasire, cyangwa guhuza byombi. Ubu buvuzi bumara icyumweru cyangwa bibiri. Numara kurangiza, uzagira iminsi mike yo kuruhuka.

Ubutaha, uzakira ingirabuzimafatizo zikora amaraso. Ingirabuzimafatizo zizaguha binyuze muri catheter ya IV. Iyi nzira ni nko kwakira amaraso. Bifata amasaha 1 kugeza kuri 5 kugirango wakire ingirabuzimafatizo zose.

Nyuma yo kwakira ingirabuzimafatizo, utangira icyiciro cyo gukira. Muri iki gihe, utegereza selile yamaraso wakiriye kugirango utangire gukora selile nshya.

Ndetse na nyuma yuko umubare wamaraso wawe ugarutse mubisanzwe, bisaba igihe kinini kugirango sisitemu yumubiri wawe ikire neza - amezi menshi yo guterwa autologique na 1 kugeza 2 kumyaka ya allogeneic cyangwa syngeneic.

Uburyo Guhindura Utugingo ngengabuzima bishobora kukugiraho ingaruka

Gutera ingirabuzimafatizo bigira ingaruka kubantu muburyo butandukanye. Ukuntu ubyumva biterwa na:

  • Ubwoko bwo guhindurwa ufite
  • Ingano yo kwivuza wari ufite mbere yo guhindurwa
  • Nigute wasubiza imiti myinshi
  • Ubwoko bwa kanseri
  • Ukuntu kanseri yawe yateye imbere
  • Ukuntu wari muzima mbere yo guhindurwa

Kubera ko abantu bitabira kwimura ingirabuzimafatizo muburyo butandukanye, umuganga wawe cyangwa abaforomo ntibashobora kumenya neza uburyo inzira izagutera kumva.

Nigute Wabwira Niba Gutera Akagari ka Stem Cell Yakoze

Abaganga bazakurikirana iterambere rya selile nshya mu gusuzuma umubare wamaraso yawe kenshi. Mugihe ingirabuzimafatizo nshya zimaze guterwa zitanga selile zamaraso, umubare wamaraso wawe uzamuka.

Ibyokurya bidasanzwe

Ubuvuzi bukabije ufite mbere yo guterwa ingirangingo ngengabuzima birashobora gutera ingaruka zituma bigora kurya, nk'ibisebe byo mu kanwa no kugira isesemi. Bwira umuganga wawe cyangwa umuforomo niba ufite ikibazo cyo kurya mugihe uri kwivuza. Urashobora kandi gusanga ari byiza kuvugana numuvuzi wimirire. Kubindi bisobanuro bijyanye no guhangana nibibazo byo kurya reba agatabo Kurya Ibimenyetso cyangwa igice cyingaruka.

Gukora mugihe cyo Gutera Akagari kawe

Niba ushobora gukora cyangwa udashobora gukora mugihe cyo guterwa ingirabuzimafatizo bishobora guterwa n'ubwoko bw'akazi ufite. Inzira yo guterwa ingirabuzimafatizo, hamwe nubuvuzi bukabije, guhindurwa, no gukira, birashobora gufata ibyumweru cyangwa ukwezi. Uzaba uri mubitaro no hanze yiki gihe. N'igihe utari mu bitaro, rimwe na rimwe uzakenera kuguma hafi yacyo, aho kuguma mu rugo rwawe. Noneho, niba akazi kawe gatwemereye, urashobora gushaka guteganya gukora kure-igice-gihe.

Abakoresha benshi basabwa n amategeko guhindura gahunda zakazi kugirango uhuze ibyo ukeneye mugihe cyo kuvura kanseri. Vugana n'umukoresha wawe uburyo bwo guhindura akazi kawe mugihe cyo kuvura. Urashobora kwiga byinshi kuri aya mategeko muganira numukozi ushinzwe imibereho myiza.