Akwai manyan nau'ikan dasawa guda biyu, autologous da allogeneic stem cell transplants.
Dokta Nada Hamad, likitan hanta & likitan dashen kasusuwa
Asibitin St Vincent, Sydney
Menene kwayar tantanin halitta?
- Kwayoyin jinin jini (ciki har da lymphocytes - wanda shine sel waɗanda idan sun zama masu cutar kansa suna haifar da lymphoma).
- Jajayen kwayoyin jini (waɗannan suna da alhakin ɗaukar iskar oxygen a jiki)
- Platelets (Cell ɗin da ke taimakawa jini don gudan jini ko don hana clots)
Menene dashen kwayar halitta?
Tushen kwayar halitta hanya ce da za a iya amfani da ita don magance lymphoma. Ana iya amfani da su don kula da marasa lafiya waɗanda lymphoma ke cikin gafara amma akwai babban damar da lymphoma zai sake dawowa (ya dawo). Ana iya amfani da su don kula da marasa lafiya waɗanda lymphoma ya sake dawowa (dawo).
Tsarin dashen kwayar halitta hanya ce mai rikitarwa kuma mai cin zarafi wacce ke faruwa a matakai. An fara shirya marasa lafiyar da ake dashen ƙwayar sel tare da chemotherapy kadai ko a hade tare da aikin rediyo. Ana ba da maganin chemotherapy da aka yi amfani da shi wajen dashen sel a mafi girma fiye da yadda aka saba. Zaɓin maganin chemotherapy da aka bayar a wannan mataki ya dogara da nau'i da niyyar dasawa. Akwai wurare uku waɗanda za a iya tattara sel masu tushe don dasawa daga:
Kwayoyin kasusuwa: Ana tattara ƙwayoyin sel kai tsaye daga bargon kashi kuma ana kiran su a 'Tsarin kasusuwa' (BMT).
Kwayoyin sassa na gefe: Ana tattara ƙwayoyin sel daga jini na gefe kuma ana kiran wannan a 'Tsarin kwayar halitta na jini' (PBSCT). Wannan shine mafi yawan tushen tushen sel da ake amfani da su don dasawa.
Jinin igiya: Ana tattara sel masu tushe daga igiyar cibiya bayan haihuwar jariri. Ana kiran wannan a 'dashen jini na igiya', inda waɗannan ba su da yawa fiye da na gefe ko na kasusuwa.
Nau'o'in dashen sel mai tushe
Akwai manyan nau'ikan dasawa guda biyu, autologous da allogeneic stem cell transplants.
Autologous stem cell transplants: irin wannan dashen na amfani ne da sel masu tushe na majiyyaci, waɗanda ake tattarawa ana adana su. Sannan za a sami allurai masu yawa na chemotherapy kuma bayan wannan za a mayar muku da sassan jikin ku.
Allogeneic stem cell dashi: wannan nau'in dasawa yana amfani da ƙwayoyin da aka ba da gudummawa. Mai bayarwa na iya kasancewa dangi (dan dangi) ko mai bayarwa mara alaƙa. Likitocin ku za su gwada su nemo mai ba da gudummawa wanda ƙwayoyinsa suka yi daidai da majiyyaci. Wannan zai rage haɗarin jiki na ƙin ƙwanƙwaran ƙwayoyin masu bayarwa. Mai haƙuri zai sami babban allurai na chemotherapy da wani lokacin aikin rediyo. Bayan haka za a mayar wa majiyyaci ƙwayoyin da suka bayar da gudummawar.
Don ƙarin cikakkun bayanai kan kowane ɗayan waɗannan nau'ikan dasawa, duba dasawa ta atomatik or allogeneic dashi shafukan.
Alamu don dasawa tantanin halitta
Dokta Amit Khot, Likitan Haihuwar Hanta & Likitan dashen kasusuwa
Peter MacCallum Cibiyar Cancer & Royal Melbourne Hospital
Yawancin marasa lafiya da aka gano tare da lymphoma suna yi BA bukatar dashen kwayar halitta mai tushe. Dukansu juzu'i na autologous da allogeneic stem cell ana amfani dasu ne kawai a wasu yanayi. Babban alamun dashen kwayar halitta sun hada da:
- Idan mai haƙuri na lymphoma yana da refractory lymphoma (lymphoma wanda ba ya amsa magani) ko koma baya lymphoma (lymphoma da ke ci gaba da dawowa bayan jiyya).
- Alamun dasawa na autologous (kwayoyin nasu) suma sun bambanta da alamun dashen allogeneic (kwayoyin masu bayarwa).
- Marasa lafiya na Lymphoma galibi suna karɓar dashewa ta atomatik maimakon dashen allogeneic. Dasawa mai sarrafa kansa yana da ƙarancin haɗari da ƙarancin rikitarwa kuma gabaɗaya yana samun nasara wajen magance lymphoma.
Alamomi don dasawa ta atomatik (kwayoyin nasu) sun haɗa da:
- Idan lymphoma ya sake dawowa (ya dawo)
- Idan Lymphoma yana da ƙarfi (ba ya amsa magani)
- Wasu marasa lafiya da aka gano tare da lymphoma wanda aka san cewa suna da babban damar sake dawowa, ko kuma idan lymphoma ya kasance mataki na gaba, za a yi la'akari da shi don dasawa na autologous a matsayin wani ɓangare na shirin jiyya na farko.
Alamomi ga allogeneic (mai bayarwa) mai dashen kwayar halitta sun haɗa da:
- Idan Lymphoma ya sake dawowa bayan dashen kwayoyin halitta na autologous (nasu cell).
- Idan lymphoma yana raguwa
- A matsayin ɓangare na jiyya na biyu- ko na uku don sake dawowa da lymphoma/CLL
Tsarin dasawa
Dokta Amit Khot, Likitan Haihuwar Hanta & Likitan dashen kasusuwa
Peter MacCallum Cibiyar Cancer & Royal Melbourne Hospital
Akwai manyan matakai guda biyar da ke tattare da dasawa:
- Shiri
- Tarin ƙwayoyin kara
- motsa jiki
- Maimaita kwayar halitta
- Sana'a
Tsarin kowane nau'in dasawa na iya bambanta sosai. Don ƙarin bayani:
Dokta Amit Khot, Likitan Haihuwar Hanta & Likitan dashen kasusuwa
Peter MacCallum Cibiyar Cancer & Royal Melbourne Hospital
