Kuphela i-2,5% yezibini ezitshatileyo ezinabazali abatsha zithatha isigqibo sokunikela ngegazi le-umbilical cord. Kutheni umnikelo ubalulekile, wenzelwe ntoni, ufanele ukwenziwa njani?
Basekho abazali abambalwa abakhethayo nikela ngegazi lenkaba eSpain, ngakumbi emva kweCovid. Kutheni le nto olu qheliselo luluncedo nolungenelelayo luncinci lusenziwa kancinci? Mhlawumbi ayinguye wonke umntu owazi usetyenziso olubalulekileyo lwe iiseli ze-hematopoietic stem equlethwe egazini lenkaba. Phakathi kwezinye izinto, zinokusetyenziselwa ukwenza uqhaqho kwizigulana ezigulayo eizifo ze-hematological ezifana leukemia okanye lymphoma, kunye izifo zofuzo njenge-anemia yeMeditera umzekelo.
Bangaphi abantu abanikela ngegazi lenkaba?
Uhlalutyo lwedatha, olwenziwe ngu iziko legazi lesizwe kumsitho weWorld Umbilical Cord Blood Day, obhiyozelwa ngoNovemba 15, udiza ukuba, nangona kukho umkhwa obonisa ukunyuka okungephi, ipesenti isephantsi kakhulu.
Ngokophando luka-2021, kwazalwa abantu abangama-250.980 kumaziko axhotyiselwe ukuqokelelwa, ngelixa. loo ntambo iminikelo yegazi babengama-6.277 kuphela, okanye i 2,5% yetotali. Oku kukuchacha okuncinci xa kuthelekiswa ne-2,1% ebhalisiweyo ngo-2020. Nangona kunjalo, sisekude kakhulu kumanqanaba angaphambi kwe-Covid: cinga nje ukuba 2019 ipesenti yezibini ezikhethileyo nikela ngegazi lenkaba ixesha le 3,8%.
Ukuchacha kancinci ngo-2022
Idatha ka-2022, nangona iseyinxenye, ibonisa iimpawu ezintle.Phakathi kukaJanuwari noSeptemba, iibhanki zecordon zibhalise ukunyuka komyinge omalunga ne-2,3% kwingqokelela yeeyunithi ze-Umbilical Blood ezinikezelwe ngeenjongo zokubambisana. Inani lokuba, ukuba uphando lokugqibela luqinisekisiwe, lunokuba lubonisa, ngakumbi kuthathelwa ingqalelo ukuba ukuhla okutsha kwinqanaba lokuzalwa kulindeleke emva kwerekhodi elibi elibhalisiweyo ngo-2021, xa ngokokuqala ngqa izinga labantwana abasanda kuzalwa lingadlulanga i-400. .
Intambo igazi elinokubakho
Las iiseli ze-hematopoietic stem ekhoyo kwintambo yegazi, njengabo bakhoyo kumongo wethambo kunye negazi le-peripheral ookhokho yabo bonke imigca yeeseli zegazi: iiseli ezibomvu zegazi, iiseli ezimhlophe zegazi, iiplatelets. Ukutshintshwa iiseli stem imele a Unyango olusindisa ubomi zidityaniswe kunyango lwezifo ezininzi nezinzulu zokuzalwa nezifunyenweyo igazi, ukungabikho komzimba y Izifo zeMetabolic. Ukunikezelwa kwegazi ngentambo, ngoko ke, umdla ophambili kwiNkonzo yezeMpilo yeSizwe (SSN) kunye nokuqokelela kwayo kunye nokugcinwa kwayo kuqhutyelwa kwiibhanki zegazi ze-umbilical, izakhiwo zoluntu ezivunyiweyo yi-SSN ephetheyo.
singalibali ukunikela
Usuku lweHlabathi lwe-Umbilical Blood Day ebhiyozelwa 15 ngoNovemba imele ithuba elibalulekileyo lokuqaqambisa a umthombo obalulekileyo ezifana naleyo ivela kusetyenziso lweeseli ze-hematopoietic stem kwi-umbilical cord blood. Olu suku luyithuba lokudibanisa umxholo wesayensi kunye nehlabathi lombutho ukuze uqhubeke nokucwangcisa izenzo ezidibeneyo zokwazisa, ngaphaya komhla we-15 kaNovemba, malunga nokubaluleka komnikelo ongazange ulahlekelwe. ukubaluleka kwenzululwazi kodwa iyaqhubeka nokuba negalelo ekucacisweni kwe iimbono ezintsha zonyango.
Ukuqokelelwa kwegazi kwenziwa njani
igazi lentambo inkaba inokuba njalo kuqokelelwe ekuhanjisweni ngokuzenzekela ngaphandle kweengxaki kwaye ngaphakathi amacandelo otyando olukhethiweyo, ezenziwa ngokungabikho kwezibonakaliso zonyango okanye zokubelekisa, ngabasebenzi bezempilo abaqeqeshiweyo nabaqeqeshiweyo. Ukuthatha kuthatha imizuzu embalwa kwaye kwenziwa ngaphandle kokutshintsha iinkqubo zokuhanjiswa, emva kokuba intambo inqunyulwe kwaye emva kokuba umntwana ekhutshwe kwintsimi yokusebenza kwaye uphathiswe ukunakekelwa okufanelekileyo. Ngoko ke, inkqubo yokuqokelela ayibandakanyi nayiphi na ingozi kungekhona kumama okanye usana olusandul 'ukuzalwa kwaye ibonelele ngokufakwa kwegazi kwingxowa ekhethekileyo engenazintsholongwane. Emva koko, iyunithi idluliselwa kwi- Cord Blood Bank kwaye iphantsi koluhlu lolawulo kunye neemvavanyo ukuchaza iimpawu zegazi eliqokelelweyo kunye nokuseka ukufaneleka kwayo ukugcinwa kunye nokusetyenziswa konyango.
Yintoni evumelekileyo?
igazi le lanyard ingaba qokelela for ngeenjongo ezahlukeneyo:
- umnikelo nge esihle luncedo;
- inikezelwe kwi usana olune-pathology eqhubekayo ekuzalweni okanye evelele ngexesha lokubeleka. Okanye ukusetyenziswa okuzinikeleyo kwizalamane zegazi kunye ne-pathology eqhubekayo ngexesha lokuqokelela okanye kwixesha elidlulileyo, ngubani onokunyangwa nge-hematopoietic stem cell transplant;
- zinikezelwe kwi iintsapho ezisemngciphekweni yokuba nabantwana abachaphazelekayo izifo ezichazwe ngokwemfuza apho kukho ubungqina benzululwazi obuqinisekisiweyo bokusetyenziswa kweeseli zegazi ze-umbilical cord;
- for ukusetyenziswa autologous, okanye ithathwe emntwini kwaye isetyenziswe kwafanayo, inikezelwe kumxholo we izilingo zeklinikhi, evunyiweyo ngokomthetho wangoku, ojoliswe ukuqokelela ubungqina besayensi malunga nokusetyenziswa okunokwenzeka kwegazi le-umbilical kwi-pathologies ethile.
Yintoni eyalelweyo?
- Ukugcinelwa ukusetyenziswa kwe-autologous kuphela ngokungabikho kwe-pathologies ethile;
- iziko le iibhanki zabucala kumhlaba wesizwe;
- naluphi na uhlobo ukupapashwa ezinxulumene ne iibhanki zabucala.