Bhuna marora kupera ndeye nzira itsva yezvehutano, nekuda kwokuti zvinokwanisika kuporeswa mumararamiro aimboonekwa seasingaregi, anouraya. Nhasi, kuiswa kwechipo ichi kunoponesa, kana, kuwedzera, kunowedzera zviuru zvehupenyu gore roga roga. Nokudaro, mapfupa emapfupa anotengesa anoratidzirwa kuine lymphoma nedzimwe zvirwere zvinouraya zveropa, nokuda kwemaitiro akaoma ekushaya ropa, nekuda kwezvirwere zvepachivande zvezvikamu zvakasiyana-siyana zvine kuderera kukuru mumasimba emusimba emumuviri, mumararamiro emagetsi, nezvimwewo. Tichadzidza nekunyatsotarisa kuti kutora kwemafuta kwemafupa kuri kuenderera mberi, chii chatinofanira kutarisira kubva pane iyi nzira kumurwere uye mupi.
Ko mapfupa emapfupa anoputika akaita sei?
Nzira yekutanga yepafupa yemapfupa ekugadziriswa nemugumisiro wakanaka yakaitwa muna 1968 muU.SA. Kubvira panguva iyo, nzira dzekupindurirwa dzakagadziridzwa, izvo zvakaita kuti zvikwanise kuwedzera huwandu hwevarwere avo vanoita basa rakadaro, kuitira kuderedza dambudziko rezvinhu zvisingadiwi.
Mushonga wepafu inhengo ye "liquid" iyo inoita hematopoietic mabasa, uye ine nhamba yakawanda yemasero emadzi inogona kuvandudzwa. Iko kuburikidza nekuiswa kwemasvikiro ane utano hwemunhu mumuviri wemurwere kuti zvinokwanisika kudzorera marora eropa risingashande. Nzira yekufambisa inenge yakafanana neyokudzivirira mukati uye inotora nguva inenge awa. Yakareba uye yakaoma yakawanda ndiyo nguva yekugadzirira uye danho rekugadziriswa kweganda re engrafting chimiro chakaiswa.
Chokutanga pane zvose, zvakakosha kuwana mupi neropa rakakosha kupfuura mamwe ose, kuti uongorore kuti kuongororwa kupi kunoitwa ropa. Sezvo mutemo, hama dzepedyo dzechiremba (hama, hanzvadzi) kana vanhu vasiri vanhu vakagadzikana vane zvinhu zvakakosha zvakanyanyogadziriswa mubhuku rekunyorwa kwemafupa emapfupa emapfupa vanoita sevanopa. Dzimwe nguva mupiro ndiye murwere pachake panguva yekuregererwa kwechirwere.
Usati wapera nzira, murwere anongedza miedzo yakawanda kuti aongorore chirwere chake chemuviri, chinofanira kufanana nezvimwe zvikamu zvinobvumira kuti basa racho riitwe. Uyezve, murwere wemapfupa emasokera masero anoparadzwa nenzira yechemotherapy uye radiotherapy .
Mazuva mashomanana mushure meizvi, catheter inokosha inopindirwa mukati mevheti huru yemutsipa, kuburikidza iyo iyo nyanzvi ichagoverwa mumuviri, pamwe nemishonga. Iko nzira yekufambisa inoitwa kwete muimba yekushandisa, asi munharaunda yakawanda. Masero emakumbo akapinda muropa remurwere anopinda mufupa, paanotanga kugara uye kugovana.
Zvino inouya nguva yakaoma zvikuru - kuchinja uye kutarisira, izvo zvinogona kutora masvondo maviri kusvika ku4. Nguva yose iyi murwere anoda kushandisa zvinodhaka zvinoderedza ngozi yekurambwa kwemafupa emapfupa, pamwe nemishonga inorwisa mabhakitiriya kudzivirira zvirwere zvinotapukira. Mukuwedzera, kuwedzerwa ropa kunoitwa, uye kune murwere
Ko mafuta emapfupa anotengesa sei kune mupi?
Mushonga wemapfupa wemugovera unobviswa pasi peanesthesia yakawanda . Nyaya yacho, yakavhenganiswa neropa, inotorwa nemapctures mumapfupa emasvikiro nemadzimai. Nhamba yekusanganiswa kwakadaro inogona kubva kubva muna 950 kusvika muna 2000 ml. Mushure mekugadzirisa shanduro yemapfupa emapfupa, marwadzo anoramba ari munharaunda kwenguva yakati, kufanana nemanzwiro mushure mekukanganisa kana kuwira. Iyo kurwadziwa inobviswa nyore nyore nekutora anesthetics, uye ivhu remupfupa wemapfupa rinokonzerwa kunowanikwa mumararamiro anorarama mukati memwedzi.