U-2,5% kuphela wemibhangqwana enabazali abasha enquma ukunikela ngegazi lenkaba. Kungani umnikelo ubalulekile, ngowani, kufanele wenziwe kanjani?
Basembalwa abazali abakhethayo nikela ngegazi lenkaba eSpain, ikakhulukazi ngemuva kweCovid. Kungani lo mkhuba owusizo futhi ongangeneleli kancane usesenziwe umncane kangaka? Mhlawumbe akuwona wonke umuntu owazi ukusetshenziswa okubalulekile kwe i-hematopoietic stem cell equkethwe egazini lenkaba. Phakathi kwezinye izinto, zingasetshenziswa ukwenza ukufakelwa ezigulini eziphethwe eizifo ze-hematological njenge-leukemia noma i-lymphoma, kanye izifo zofuzo njenge-anemia yaseMedithera ngokwesibonelo.
Bangaki abantu abanikela ngegazi lenkaba?
Ukuhlaziywa kwedatha, okwenziwe ngu isikhungo segazi sikazwelonke ngesikhathi seWorld Umbilical Cord Blood Day, egujwa ngoNovemba 15, iveza ukuthi, naphezu kokuthambekela kwamagama asho ukwenyuka kancane, iphesenti lisephansi kakhulu.
Ngokwenhlolovo yango-2021, bangu-250.980 abantu abazalwa ezikhungweni ezihlonyiselwe ukuqoqwa. leyo ntambo iminikelo yegazi babeyizi-6.277 XNUMX kuphela, noma 2,5% kwengqikithi. Lokhu ukululama kancane uma kuqhathaniswa no-2,1% obhaliswe ngo-2020. Nokho, sisekude kakhulu namazinga angaphambi kwe-Covid: cabanga nje ukuthi 2019 iphesenti labashadile ababekhethe nikela ngegazi lenkaba inkathi ye I-3,8%.
Ukululama kancane ngo-2022
Idatha yango-2022, nakuba isayingxenye, ibonisa izimpawu ezinhle. Phakathi kukaJanuwari noSepthemba, amabhange e-cordon abhalise ukukhuphuka okumaphakathi okungaba ngu-2,3% ekuqoqweni kwamayunithi e-Umbilical Blood anikelelwe izinjongo zobumbano. Isibalo sokuthi, uma izinhlolovo zokugcina ziqinisekiswa, singaba yinkomba, ikakhulukazi kucatshangelwa ukuthi ukwehla okusha kwezinga lokuzalwa kulindeleke ngemuva kwerekhodi elibi elibhaliswe ngo-2021, lapho ngokokuqala ngqa izinga lezingane ezisanda kuzalwa lingazange lidlule i-400. .
Amandla egazi lentambo
I-Las i-hematopoietic stem cell ezikhona egazini lentambo, njengalezo ezikhona emnkantsheni nasegazini le-peripheral, zikhona okhokho kwakho konke imigqa yamangqamuzana egazi: amangqamuzana egazi abomvu, amangqamuzana amhlophe egazi, amaplatelet. Ukufakelwa kabusha ama-stem cells amele a ukwelapha okusindisa impilo edidiyelwe ekwelapheni izifo eziningi nezibi kakhulu zokuzalwa nezitholakele egazini, ama-immunodeficiencies y izifo ze-metabolic. Ngakho-ke, ukunikela ngegazi ngentambo kuyinzuzo eyinhloko ku-National Health Service (SSN) futhi ukuqoqwa nokugcinwa kwayo kwenziwa ezindaweni zokugcina igazi ze-umbilical cord, izakhiwo zomphakathi ezigunyazwe yi-SSN ephethe.
singakhohlwa ukunikela
Usuku Lomhlaba Wonke Lwegazi Lwe-Umbilical okugujwa ngalo 15 ngoNovemba limele ithuba elibalulekile lokugqamisa a insiza ebalulekile njengaleyo etholakala ekusetshenzisweni kwe-hematopoietic stem cell egazini lenkaba. Lolu suku luyithuba lokuxhumanisa umongo wesayensi kanye nezwe lenhlangano ukuze uqhubeke nokuhlela izenzo ezihlanganyelwe ukuqwashisa abantu, ngale kosuku lukaNovemba 15, ngokubaluleka komnikelo ongakalahlekelwa. ukubaluleka kwesayensi kodwa ukuthi iyaqhubeka nokufaka isandla encazelweni ye imibono emisha yokwelapha.
Ukuqoqwa kwegazi kwenziwa kanjani
igazi lentambo inkaba kungaba kuphela kuqoqiwe ekulethweni ngokuzenzakalelayo ngaphandle kwezinkinga futhi ku izingxenye ezikhethiwe zokuhlinzwa, ezenziwa ngaphandle kwezinkomba zezokwelapha noma zokubelethisa, ngabasebenzi bezempilo abaqeqeshiwe nabaqeqeshiwe. Ukuthatha kuthatha imizuzu embalwa futhi kwenziwa ngaphandle kokushintsha izinqubo zokulethwa, ngemva kokuba intambo isisikiwe futhi ngemva kokuba ingane isikhishiwe endaweni yokuhlinza futhi yaphathiswa ukunakekelwa okufanele. Ngakho-ke, inqubo yokuqoqa akubandakanyi noma iyiphi ingozi hhayi kumama noma usana olusanda kuzalwa futhi inikeza idiphozithi yegazi esikhwameni esikhethekile esiyinyumba. Kamuva, iyunithi idluliselwa ku- I-Cord Blood Bank futhi ingaphansi kochungechunge lwezilawuli nokuhlolwa ukuze kuchazwe izici zegazi eliqoqiwe futhi kutholwe ukufaneleka kwalo ukugcinwa nokusetshenziswa kokwelapha.
Yini evunyelwe?
igazi le lanyard kungaba ukubutha ukuze izinhloso ezehlukene:
- umnikelo nge esihle kuyazuzisa;
- enikezelwe ku osanda kuzalwa nge-pathology eqhubekayo ekuzalweni noma evelele esikhathini sokubeletha. Kuphakathi kokusetshenziswa okuzinikezele ezihlotsheni zegazi ezine-pathology eqhubekayo ngesikhathi sokuqoqwa noma esikhathini esedlule, esingalashwa nge-hematopoietic stem cell transplant;
- ezinikezelwe ku imindeni esengozini yokuba nezingane ezithintekayo izifo ezinqunywe ngofuzo okukhona ubufakazi besayensi obufakazelwe bokusetshenziswa kwamangqamuzana egazi enkaba;
- ukuze ukusetshenziswa kwe-autologous, noma kuthathwe kumuntu futhi kusetshenziswe okufanayo, kunikezelwe kumongo we ukuhlolwa kwemitholampilo, evunyelwe ngokuvumelana nomthetho wamanje, okuhloswe ukuqoqa ubufakazi besayensi bokusetshenziswa okungenzeka kwegazi lenkaba esimweni se-pathologies ethile.
Yini enqatshelwe?
- Ukugcinelwa ukusetshenziswa okukhethekile kwe-autologous ngokungabikho kwe-pathologies ethile;
- isikhungo se amabhange azimele endaweni kazwelonke;
- noma yiluphi uhlobo lwe ukukhangisa ezihlobene ne amabhange azimele.