Dashewar kashin kashi a Indiya
Bone marrow stem cell transplants in India are performed by some of the leading cancer centres. To date, more than 10,000 successful bone marrow stem cell transplants have been performed in India. Patients from across the world visit India for bone marrow stem cell transplant.
Menene dashen kasusuwa mai tushe?
As per NCI dictionary of cancer terms bone marrow transplant is a procedure in which a patient receives healthy blood-forming cells (stem cells) to replace their own stem cells that have been destroyed by disease, radiation or high doses of anticancer drugs that are given as part of the procedure. The healthy stem cells may come from the bone marrow of the patient or a donor. A bone marrow transplant may be autologous (using a patient’s own stem cells that were collected from the marrow and saved before treatment), allogeneic (using stem cells donated by someone who is not an identical twin), or syngeneic (using stem cells donated by an identical twin). Also called BMT.
A cikin sauki lokacin da kasusuwan kasusuwa ya lalace ko lalacewa ta hanyar cututtuka, kamuwa da cuta ko chemotherapy sai a maye gurbinsa da sababbin kwayoyin halitta wanda ke tafiya zuwa ga kasusuwan kasusuwa inda suke samar da sababbin kwayoyin jini kuma suna inganta ci gaban sabon bargo.
Bargon kashi yana daya daga cikin mafi mahimmancin bangaren jiki kuma yana haifar da sassan jini kamar haka:
- jajayen ƙwayoyin jini, waɗanda ke ɗauke da iskar oxygen da abubuwan gina jiki a cikin jiki
- fararen jini, wadanda ke yaki da kamuwa da cuta
- platelets, wanda ke da alhakin samuwar clots
Dashen kasusuwan kasusuwa yana maye gurbin sel masu lafiya da suka lalace. Wannan yana taimaka wa jikinka ya samar da isassun fararen ƙwayoyin jini, platelets ko jajayen ƙwayoyin jini don guje wa cututtuka, cututtukan jini, ko anemia.
Me yasa aka yi dashen kashin kasusuwa?
Bone marrow transplants, also knows as BMT, are performed when a patients marrow isn’t healthy enough to function properly. Some of the reasons of bone marrow transplant are :
- Ruwan jini: in this disorder, the bone marrow stops making new blood cells.
- Cancers like leukemia, lymphoma & multiple myeloma affect the bone marrow badly.
- Barrin kashi yana lalacewa saboda chemotherapy.
- Nau'in neutropenia, wanda cuta ce ta gado wanda ke haifar da cututtuka masu yawa
- Sickle cell anemia, wanda cuta ce da aka gada ta jini wanda ke haifar da kuskuren jajayen ƙwayoyin jini
- Thalassemia is an inherited blood disorder where the body makes an abnormal form of hemoglobin, an integral part of red blood cells.
How is a bone marrow stem cell transplant performed?
Prior to bone marrow transplant, several tests are performed to determine what type of stem cells are required. There is a possibility that the patient undergo chemotherapy or radiation therapy to kill all the cancer cells or marrow cells before they get the new stem cells.
During the course of treatment, there is a huge vulnerability to immune system of the body. This causes the body to fight any kind of infections. Hence, patients are kept in a very special section of the hospital that’s reserved for people receiving bone marrow transplants.
The procedure of a bone marrow transplant is similar to that of a that of a blood transfusion.
If the patient is going for an allogenic transplant, bone marrow cells will be harvested from the donor a day or two before your procedure. If own cells are used, then they are retrieved from the stem cell bank.
During a bone marrow harvest, cells are collected from both hipbones through a needle. You’re under anesthesia for this procedure, meaning the patient will be asleep and free of any pain.
Leukapheresis
Leukapheresis is a process in which a donor is given five shots to help the stem cells move from the bone marrow into the bloodstream. Blood is then drawn through an intravenous (IV) line, and a machine separates out the white blood cells that contain stem cells.
A needle called a central venous catheter, or port, will be installed on the upper right portion of the patient’s chest. This allows the fluid containing the new stem cells to flow directly into the patient’s heart. The stem cells then disperse throughout the patient’s body. They flow through the patient’s blood and into the bone marrow. They’ll become established there and begin to grow.
The port is left in place because the bone marrow transplant is done over several sessions for a few days. Multiple sessions give the new stem cells the best chance to integrate themselves into the patient’s body. That process is known as engraftment.
Ta wannan tashar jiragen ruwa, za ku kuma sami ƙarin jini, ruwa, da yuwuwar abubuwan gina jiki. Kuna iya buƙatar magunguna don yaƙar cututtuka da taimakawa sabon bargo girma. Wannan ya dogara da yadda kuke sarrafa jiyya.
A wannan lokacin, ana sa ido sosai ga majiyyaci don duk wata matsala.
Nau'in dashen kasusuwan kasusuwa mai tushe
Akwai manyan nau'ikan dashen kasusuwa na kasusuwa. Nau'in dasawa da ake buƙata ya dogara da dalilin da ake buƙatar BMT.
Juyawa ta atomatik
Autologous transplant use the own bone marrow to replace damaged stem cells. This is done by harvesting your cells before beginning a damaging therapy for them, like chemotherapy or radiation. However, this type of transplant can only be done if you have healthy bone marrow.
Allogenic transplants
Allogenic transplant is done when patient’s bone marrow is completely damaged and unable to function properly. This involves use of cells from the donor. Donor must be close genetic match. HLA typing test is conducted on the donors and patient and then it is matched. However, these patients have very high risk of complications, such as GVHD. Patient is also put on medications to suppress the immune system so that body doesn’t attack the new cells. The success of an allogenic transplant depends on how closely donor cells match the patient’s cells.
Matsalolin da ke tattare da dashen kashin kasusuwa
Bone marrow transplant or BMT, is a major medical procedure and lot of precision and care is required along with requisite infrastructure in the hospital to carry out the procedure. One may experience following after BMT –
- digon hawan jini
- ciwon kai
- tashin zuciya
- zafi
- rashin ƙarfi na numfashi
- bala'i
- zazzaɓi
Baya ga wannan kuma yana iya haifar da wasu matsaloli amma gabaɗaya ya dogara da shekaru, gabaɗayan lafiyar jiki, cutar da aka yi maganinta da kuma nau'in dashen da aka samu.
Matsalolin na iya zama mai sauƙi ko mai tsanani, kuma suna
iya haɗawa:
- graft-versus-host disease (GVHD), wanda shine yanayin da sel masu ba da gudummawa ke kai hari ga jikin ku
- gazawar graft, wanda ke faruwa lokacin da dashen sel ba su fara samar da sabbin ƙwayoyin halitta kamar yadda aka tsara ba
- zubar jini a cikin huhu, kwakwalwa, da sauran sassan jiki
- cataracts, wanda ke nuna gizagizai a cikin ruwan tabarau na ido
- lalacewa ga muhimman gabobi
- farkon menopause
- anemia, wanda ke faruwa a lokacin da jiki baya samar da isassun jajayen kwayoyin halitta
- cututtuka
- tashin zuciya, gudawa, ko amai
- mucositis, wanda shine yanayin da ke haifar da kumburi da ciwo a cikin baki, makogwaro, da ciki.
Mafi kyawun asibitoci don dashen ƙwayar ƙwayar ƙashi a cikin Indiya
- Asibitin BLK, New Delhi
- Asibitin Artemis, Gurugram, Delhi NCR
- Oncology na Amurka, Hyderabad
- Mazumder Shaw Narayana, Bangalore
- Narayana Babban Asibiti, Howrah
- Asibitin Fortis, Gurgaon
- Cibiyar Cancer ta Apollo, Hyderabad
- Cibiyar Cancer ta Apollo, Chennai
- Medanta magani, Gurgaon
- Asibitin Dharamshila, Delhi
Kudin ɓarkewar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta a Indiya
An allogenic, fully matched bone marrow stem cell transplant in India cost approximately $ 25,000 USD a India.
Allogenic rabin wasa zai kudin tsakanin $29,000 da $35,000 USD
Aulogous stem cell dashen zai yi tsada tsakanin $ 16,000 and $20,000 USD
Bone marrow stem cell transplant in India are commonly performed now. Patients from many countries like USA, UK, Europe, Africa, Bangladesh, Afghanistan, UAE etc now a days come to India for bone marrow stem cell transplant.
KYAUTA LIKITOCI DOMIN WARWARE KWALLON KASHI A INDIA
Dokta Dharma Choudhary - Cibiyar Buguwa Kashi ta Kashi, New Delhi za a iya cewa shi ne babban likitan Indiya don dashen kasusuwan kasusuwan kasusuwa tare da samun nasarar dasa fiye da 2000 zuwa ga darajarsa. An san shi don nasarar aikinsa a matsayin babban likitan tiyata na BMT, ƙwararrun Dokta Choudhary a cikin Thalassemia Bone Marrow Transplant, Thalassemia Stem Cell Transplant. Dr. Dharma Choudhary shine majagaba a Indiya don aikinsa a Allogenic Bone Marrow Transplant don Thalassemia Major da Aplastic Anemia a lokacin da yake a asibitin Sir Ganga Ram na Delhi. Dr. Dharma Choudhary ya sanya shi cikin jerin manyan 10 Hematologists da Ƙwararrun Ciwon Kashi na wannan ƙarni a Indiya. An san shi don babban nasarar nasararsa a cikin Marrow Marrow Transplant, Dr. Dharma Choudhary memba ne na rayuwa na Ƙungiyar Indiya na Hematology & Transfusion Medicine. Ya kuma shahara a tsakanin marasa lafiya na duniya daga sassa daban-daban na duniya galibi daga Afghanistan, Iraq, Oman, Uzbekistan, Sudan, Kenya, Nigeria, da Tanzania.
Dokta Sanjeev Kumar Sharma kwararren likita ne kuma yana da shekaru 19 kenan. Yana cikin New Delhi. Dr. Sanjeev Kumar Sharma yana aiki a BLK Super Specialty Hospital a New Delhi. BLK Super Specialty Hospital yana cikin 5, Radha Soami Satsang Rajendra Place, Pusa Road, New Delhi. Sanjeev Kumar Sharma memba ne mai daraja a cikin memba mai rajista na Indiyawan Hematology da Rarraba Jinin (ISHTM), memba mai rijista na hiungiyar Likitocin Delhi (DMA) Rijista memba ta emungiyar Indiya ta Hematology da Rarraba Jinin (ISHTM), memba mai rajista na Delhi Medical Association ( DMA) da Memba na Indianungiyar Indiya don Binciken Atherosclerosis (ISAR).
Ya bi MBBS a shekara ta 1999 daga Jami'ar Of Delhi, Delhi. Ya kammala MD a shekara ta 2006 daga Jami'ar Delhi, Delhi. Ya kuma yi DM ɗinsa a cikin shekara ta 2012 daga Duk Cibiyar Nazarin Kimiyyar Kiwon Lafiyar Indiya, New Delhi.
.Dr Sanjeev an bashi kyautar Kyautar Dan Kasa ta Indiya.
Dokta Revathi Raj likitan ne kuma likitan yara ne a Asibitin Apollo, Teynampet, Chennai kuma yana da kwarewar shekaru 24 a cikin wadannan fannoni. Dokta Revathi Raj yana aiki a Asibitin Kwararru na Kwararru na Apollo da ke Teynampet, Chennai da Asibitocin Yara na Apollo a Haske dubu, Chennai. Ta kammala MBBS daga Jami'ar Madras, Chenai, Indiya a 1991, Diploma a Kiwon Lafiyar Yara (DCH) daga Tamil Nadu Dr. MGR Medical University (TNMGRMU) a 1993 da FRC.PATH. (UK) daga Royal College of Pathologist a 2008 Ita memba ce a Medicalungiyar Likitocin Indiya (IMA). Wasu daga cikin aiyukan da likitan ya bayar sune: Maganin Eosinophilia, Maganin Ciwo, Chelation Therapy, Biochemistry da Rarraba Jini da dai sauransu Dr Revathi ana yaba shi da daya daga cikin manyan jerin shirye-shiryen da aka dasa a kashin kashin ka a kasar. Ta sami nasarar maganin hemophilia & sickle cell. Tana da ƙwararrun masani game da rikicewar jini a cikin yara.
Dr. Sharat Damodar - Cibiyar Dasa Lafiyar Kashi ta Narayana, Bangalore Dokta Sharat Damodar ya kammala karatunsa na MBBS a St. Johns Medical College, Bangalore sannan ya kammala MD a kwalejin DNB. A halin yanzu yana aiki a matsayin Mataimakin Shugaban Cibiyar Kiwon Lafiya ta Mazumdar Shaw, Narayana Health City. Shi masanin ilimin likitanci ne mai farin ciki wanda ya yi fiye da 1000 Bone Marrow & Stem Cell Transplants sannan kuma ya lashe lambar yabo ta shugabar don mafi kyawun likita a 2015. Dr. Sharat filin gwaninta shine kasusuwan kasusuwa & dashen kwayoyin halitta, dashen jini na igiya & lymphoma. Mahimman hanyoyin da Dokta Sharat Damodar ya yi sune kasusuwan kasusuwa & dashen kwayar halitta, dashen jini na igiya, cutar sankarar bargo / lymphoma. Dokta Sharat ya yi nasarar dashen kasusuwan kasusuwa fiye da 1000 a cikin aikinsa har zuwa yau.
Dr. Ramaswamy NV at Aster Medcity, Kochi Masanin ilimin Hematologist ne wanda ke da fiye da shekaru 18 na kwarewa, Dokta Ramaswamy ƙwararren masani ne a cikin kula da cututtuka marasa lahani da marasa lafiya na jini, a cikin marasa lafiya na kowane zamani. Wuraren da yake da sha'awa na musamman shine ilimin ciwon daji na hemato da kuma dashen kwayar halitta. Dr. Ramaswamy kwararre ne kan dashen kasusuwan kasusuwa, ciwon prostate, kansar huhu, kansar ciki, ciwon hanji, da matsalolin da suka shafi jini. Yana da sha'awar musamman ga magungunan rigakafi, maganin da aka yi niyya, hodgkins lymphoma, myeloma, lymphoma, strocytoma, osteosarcoma, stereotactic radiosurgery, ciwon jini, cutar sankarar bargo, sickle-cell anemia, germ cell tumor (GCT), thalassaemia, non hodgkin lymphoma, da kuma duk. siffofin, nau'i da matakan ciwon daji.
Dr. Pawan Kumar Singh - Artemis, Gurugram, Delhi (NCR) yana da gogewa na yin fiye da 300 dashen kasusuwa na kasusuwa (ciki har da Autologous/Allogenic/Haplo/MUD) don duka marasa lafiya da marasa lafiya na jini ciki har da thalassaemia da aplastic anemia. Anyi nasara Haplo BMT don SCID a cikin yaro mai watanni 8. Anyi nasarar MFD BMT don HLH a cikin yaro ɗan shekara 2.
Kowane ɗayan ya kafa ƙungiyar BMT a Asibitin Jaypee kuma ya sanya SOPs ga kowane ɗayan matakai masu mahimmanci don nasarar nasarar ƙungiyar BMT. Anyi BMT UNIT a asibitin Jaypee cibiyar dasawa ta MUD kuma ta sami samfurin PBSC daga ƙasa (Datri) da rajistar ƙasa (DKMS).
An yi BMT 50 a cikin watanni 18 na ƙarshe a asibitin Jaypee (MSD / MFD-20; Haplo-6; Auto-2 da MUD-4).
Dr Joydeep Chakrabartty - Kolkata ya kammala MBBS daga mashahurin jami'a a Calcutta sannan ya tafi Ingila don karatun digirinsa na biyu. Ya ci gaba da samun MRCP (UK) da FRC PATH (UK), da takardun shaida na FRCP (Glasgow) yayin aikinsa. An ba da na ƙarshen saboda rawar da yake takawa wajen jagoranci da kafa ayyuka a Magunguna. Yana da sha'awa ta musamman a yankunan Tsarin Kashi na Kashi (BMT), musamman ma wanda ya dace da dashen ƙarshen ƙarshen yanayi musamman Acute Leukemias. Ya yi aiki a cikin cibiyoyi sanannu a cikin Burtaniya ciki har da Asibitin St Bartholomews da kuma cikin sanannen Bungiyar Kashi na Kashi a Kwalejin Imperial, Hammersmith Hospital, London.
Dokta Joydeep Chakrabartty ya yi aiki na shekaru da yawa a cikin Magunguna da kuma a cikin sassan kulawa mai mahimmanci kafin ya ɗauki Hematology. Ya ci karo da kuma gudanar da ba kawai duk gaggawar hematological da yanayi ba amma a baya-bayan magani gama gari da kuma bayyanar ICU ba shi da iyaka wajen kula da marasa lafiya da sosai majiyyata watau marasa lafiya juzu'i juzu'i na kasusuwa dashen kasusuwa, cutar sankarar bargo da dai sauransu. Ya kuma kware sosai a bangaren binciken dakin gwaje-gwaje. na hematological cututtuka. Bayan dawowarsa, Dr. Chakrabartty ya taimaka wajen kafawa da kuma samun nasarar tafiyar da sassa da dama na Kashi na Marrow a fadin kasar. Dokta Joydeep Chakrabartty ya rubuta labarai da yawa don manyan mujallu kuma ya rubuta babi a cikin littattafan rubutu.
Dr Radheshyam Naik at Bangalore shine farkon sahun gaba a fannin ilimin likitanci tare da sama da shekaru 25 na ƙwarewar ilimin ilimi a fannin sa. Ya sami horo na gaba daga manyan cibiyoyin duniya da suka hada da MD Anderson Cancer Institute, Amurka, Makarantar International for Cancer Care, Oxford, UK, Jami'ar New South Wales, Ostiraliya, da za a ambata wasu kadan.
Kasancewarsa mashahurin masanin ilmin kanjamau kuma yana da gogewa game da ziyartar mashahuran asibitocin daji a duniya, Dr. Radheshyam ya sami kyakkyawar ƙwarewar ilimin ilimi wajen kula da kowane irin cutar kansa da cututtukan haematological, tare da wallafe-wallafe da yawa da aka yi nazari game da su a cikin manyan mujallu. Shi ne mai gaba-gaba wajen gudanar da gwaje-gwajen Magunguna daban-daban da aka gudanar a kan kwayoyi huɗu na chemotherapy a cikin gwajin ƙasa da na duniya.
Yana da sha'awa ta musamman game da shirin Tsarin Kashi na Kashi kuma ya samu horo na gaba a Jami'ar Hadassah, Isra'ila; Detroit cibiyar kiwon lafiya, Asibitin New York Amurka, Cibiyar Kiwon Lafiya ta Cornell da kuma Asibitin Harper, Michigan, Amurka.
Dokta Radheshyam ya kasance babban mai ba da gudummawa wajen bunkasa fannin Hematology da Kashi na Kashi a Karnataka. Ya yi aikin farko na maganin ciki ta hanyar tashar jirgin ruwa a Karnataka kuma an yaba masa don yin dashen Kashi na Kashi na farko a Karnataka.
Dr. Shrinath Kshirsagar likitan jini ne / masanin jiji-oncologist da likitan daskarewar kashin da ke ciki Mumbai. Yana da gogewa sama da shekaru 8 a wannan fanni. Ya kammala horon sa na musamman daga babbar Cibiyar Kiwon Lafiya ta Tata. Ya kasance wani ɓangare na tawagar da suka yi fiye da 200 dashen kasusuwa a cikin shekaru biyu. Yana da wallafe-wallafen ƙasa da ƙasa da yawa. Ya kasance mai binciken ka'ida a daya daga cikin gwajin asibiti a fagen cutar sankarar bargo.Mahimman hanyoyin da Dr. Srinath ya yi sune kasusuwan kasusuwa & dashen kwayar halitta, dashen jini na igiya, cutar sankarar bargo / lymphoma. An sami ci gaba mai mahimmanci wajen fahimtar ilimin halittar cutar sankarar bargo a cikin ƴan shekarun da suka gabata. Wannan ya fassara zuwa ga fahimtar maƙasudin sabon labari don jiyya, sabbin zaɓuɓɓukan warkewa da kuma maganin da aka yi niyya wanda hakan ya inganta ingantaccen sakamakon asibiti na marasa lafiya da cutar sankarar bargo. Dr. Shrinath Shirsagar ita ce ƙwararren likita don irin wannan ci gaban cutar sankarar bargo da kuma maganin Lymphoma a Mumbai.. Tare da kwarewar shekaru 8 Yana da sha'awa musamman game da magungunan rigakafi, maganin farfaɗowa, lymphoma hodgkins, myeloma, lymphoma, strocytoma, osteosarcoma, cututtukan rediyo na stereotactic, kansar jini, cutar sankarar bargo, cutar sikila-anemia, ƙwayar ƙwayar ƙwayar cuta (GCT), thalassaemia, ba hompkin lymphoma, da kowane nau'i, nau'in da matakan ciwon daji.
