Bone marrow kuisirwa muIndia
Bone marrow stem cell transplants muIndia inoitwa nedzimwe nzvimbo dzinotungamira cancer. Kusvika iye zvino, kupfuura 10,000 yakabudirira bone marrow stem cell transplants yakaitwa muIndia. Varwere vanobva kumativi ose enyika vanoshanyira India kuti vawane mapfupa emapfupa stem cell transplant.
Chii chinonzi bone marrow stem cell transplant?
Sekureva kweNCI duramazwi regomarara regomarara inzira iyo murwere anogashira ane hutano-anogadzira masero eropa (stem masero) kutsiva avo ega masero akaparadzwa nechirwere, radiation kana kuwanda kwemishonga inorwisa cancer inopihwa. sechikamu chemaitiro. Iwo ane hutano stem maseru anogona kubva mumwongo wemurwere kana mupi. Kuiswa kwemwongo wepfupa kunogona kunge kuri autologous (uchishandisa masero emurwere ega akaunganidzwa kubva mumwongo uye akachengetwa asati arapwa), allogeneic (uchishandisa stem masero akapihwa nemunhu asiri mapatya akafanana), kana syngeneic (achishandisa stem maseru akapihwa mapatya akafanana). Inonziwo BMT.
Mukutaura kwakapfava kana mwongo wakuvadzwa kana kuparadzwa nechirwere, utachiona kana chemotherapy zvino inotsiviwa nemasero matsva anoenda kumapfupa emapfupa uko anoburitsa masero matsva eropa uye anokurudzira kukura kwemwongo mutsva.
Bone marrow ndechimwe chezvakakosha chikamu chemuviri uye chinogadzira zvinotevera zvikamu zveropa:
- masero matsvuku eropa, anotakura oxygen nezvinovaka muviri mumuviri wose
- masero machena eropa, anorwisa utachiona
- maplatelet, ayo anokonzera kuumbwa kwezvivharo
Kudyarwa kwemwongo kunotsiva masero ako akakuvadzwa nemasero ane hutano. Izvi zvinobatsira muviri wako kugadzira masero machena eropa akakwana, maplatelet kana masero matsvuku eropa kudzivirira kutapukirwa, kusagadzikana kwekubuda ropa, kana anemia.
Sei mapfupa emapfupa stem cell transplant akaitwa?
Bone marrow transplants, inozivikanwawo seBMT, inoitwa kana murwere asina hutano hwakakwana kuti ashande nemazvo. Zvimwe zvezvikonzero zvekuiswa kwemwongo zvinosanganisira:
- Aplastic kupererwa neropa: muchirwere ichi, mwongo unomira kugadzira masero matsva eropa.
- Kenza senge leukemia, lymphoma & multiple myeloma inokanganisa mapfupa emapfupa.
- Bone marrow inokuvadzwa nekuda kwechemotherapy.
- Congenital neutropenia, inova chirwere chekugara nhaka chinokonzera zvirwere zvinogara zvichiitika
- Sickle cell anemia, inova chirwere cheropa chinogarwa nhaka chinokonzera kusashanda zvakanaka kwemasero matsvuku eropa
- Thalassemia chirwere cheropa chinogarwa nhaka apo muviri unogadzira chimiro chisina kujairika chehemoglobin, chikamu chakakosha chemasero matsvuku eropa.
Kuiswa kwebhonzo stem cell kunoitwa sei?
Kusati kwaiswa mapfupa emapfupa, bvunzo dzinoverengeka dzinoitwa kuti uone kuti ndeupi rudzi rwema stem masero anodiwa. Pane mukana wekuti murwere anorapwa chemotherapy kana radiation therapy kuuraya ese maseru egomarara kana mwongo maseru asati awana stem masero matsva.
Munguva yekurapa, pane kusadzika kwakakura kune immune system yemuviri. Izvi zvinoita kuti muviri urwe chero rudzi rwezvirwere. Nokudaro, varwere vanochengetwa muchikamu chakakosha zvikuru chechipatara chakachengeterwa vanhu vanogamuchira mapfupa emapfupa.
Maitiro ekuisirwa mwongo akafanana neaya ekuisirwa ropa.
Kana murwere ari kuenda kune allogenic transplant, masero emapfupa emapfupa anokohwewa kubva kune anopa zuva kana maviri usati waita maitiro ako. Kana masero ega akashandiswa, anobva atorwa kubva ku stem cell bank.
Munguva yekukohwa mwongo, masero anounganidzwa kubva muhudyu dzose kuburikidza netsono. Iwe uri pasi peanesthesia yemaitiro aya, zvichireva kuti murwere achange akarara uye asina chero kurwadziwa.
Leukapheresis
Leukapheresis inzira iyo mupi anopihwa pfuti kashanu kubatsira stem cell kufamba kubva mumwongo kuenda muropa. Ropa rinozotorwa nemutsinga (IV) mutsara, uye muchina unoparadzanisa masero machena eropa ane stem cells.
Tsono inonzi central venous catheter, kana kuti port, ichaiswa nechekumusoro kurudyi kwechipfuva chemurwere. Izvi zvinoita kuti mvura ine stem masero matsva iyerere yakananga mumwoyo wemurwere. Ma stem cells anobva apararira nemuviri wese wemurwere. Dzinoyerera nemuropa remurwere dzichipinda mumwongo. Vachasimbiswa ipapo votanga kukura.
Chiteshi chinosiiwa panzvimbo nekuti kuisirwa pfupa kunoitwa pamusoro pezvikamu zvakawanda kwemazuva mashoma. Zvikamu zvakawanda zvinopa maseru matsva mukana wekuti azvisanganise mumuviri wemurwere. Iyo nzira inozivikanwa se engraftment.
Kuburikidza nechiteshi ichi, iwe unozogamuchirawo kuwedzerwa ropa, zvinwiwa, uye pamwe zvinovaka muviri. Ungangoda mishonga yekurwisa utachiona uye kubatsira mwongo mutsva kukura. Izvi zvinoenderana nekuti unobata sei marapiro acho.
Munguva iyi, murwere anotariswa zvakanyanya kune chero matambudziko.
Mhando dzebhonzo stem cell transplant
Kune marudzi maviri makuru eBone Marrow Transplant. Rudzi rwekuchinjisa runodiwa zvinoenderana nechikonzero icho BMT inodiwa.
Autologous Transplants
Autologous transplant shandisa iwo wega mwongo kutsiva akakuvadzwa stem maseru. Izvi zvinoitwa nekukohwa maseru ako usati watanga mushonga unokuvadza kwavari, senge chemotherapy kana radiation. Nekudaro, rudzi urwu rwekuchinjisa runogona kuitwa chete kana uine hutano hwemapfupa emapfupa.
Allogenic transplants
Allogenic transplant inoitwa kana mwongo wemurwere wakuvadzwa zvachose uye haugone kushanda zvakanaka. Izvi zvinosanganisira kushandiswa kwemasero kubva kune anopa. Donor anofanira kunge ari pedyo genetic match. HLA typing test inoitwa kune vanopa uye murwere uye yobva yafananidzwa. Zvakadaro, varwere ava vane njodzi huru yekusangana nematambudziko akadai seGVHD. Murwere anoiswawo pamishonga yekudzvanya immune system kuti muviri usarwise maseru matsva. Kubudirira kwe allogenic transplant kunoenderana nekuti masero evanopa anowirirana sei nemasero omurwere.
Matambudziko ane chekuita nemapfupa emapfupa stem cell transplant
Bone marrow transplant kana BMT, inzira huru yekurapa uye kwakawanda kwakaringana uye kutarisirwa kunodiwa pamwe chete nezvivakwa zvinodiwa muchipatara kuita maitiro. Mumwe anogona kusangana nekutevera mushure meBMT -
- kudonha kweropa
- musoro
- Nausea
- marwadzo
- kukurumidza kufema
- chills
- fivha
Kunze kweizvi uyu anogona zvakare kuunza mamwe matambudziko asi kazhinji zvinoenderana nezera, hutano hwese, chirwere chakarapwa uye rudzi rwekuchinjisa munhu akagamuchira.
Matambudziko anogona kuve akapfava kana akakomba zvakanyanya, uye ivo
inogona kusanganisira:
- graft-versus-host disease (GVHD), inova mamiriro ekuti madonor cells anorwisa muviri wako
- kukundikana kwegraft, kunoitika kana maseru akasimwa asingatange kugadzira masero matsva sezvakarongwa
- kubuda ropa mumapapu, uropi, nedzimwe nhengo dzemuviri
- cataracts, iyo inoratidzirwa nekuputira mukati me lens yeziso
- kukanganisa kunhengo dzakakosha
- kunonoka kumwedzi
- anemia, inoitika kana muviri ukasagadzira masero matsvuku eropa akakwana
- zvirwere
- kuda kurutsa, manyoka, kana kurutsa
- mucositis, inova mamiriro anokonzera kuzvimba uye kuvava mumuromo, pahuro, nemudumbu.
Zvipatara zvakanakisa zvemapfupa emongo stem ekuisa muIndia
- BLK Chipatara, New Delhi
- Artemis Chipatara, Gurugram, Delhi NCR
- American Oncology, Hyderabad
- Mazumder Shaw Narayana, Bangalore
- Narayana Multispecialty Chipatara, Howrah
- Chipatara cheFortis, Gurgaon
- Apollo Cancer Institute, Hyderabad
- Apollo kenza Institute, Chennai
- Medanta mishonga, Gurgaon
- Dharamshila Chipatara, Delhi
Mutengo wemapfupa emafuta ekutsvaira maseru kuIndia
Iyo allogenic, yakanyatsoenderana nebone marrow stem cell transplant muIndia inodhura ingangoita $ 25,000 USD muIndia.
Allogenic hafu mechi yaizodhura pakati $29,000 uye $35,000 USD
Aulogous stem cell transplant inodhura pakati $ 16,000 uye $20,000 USD
Bone marrow stem cell transplant muIndia inowanzoitwa ikozvino. Varwere vanobva kunyika dzakawanda dzakadai seU.SA, UK, Europe, Africa, Bangladesh, Afghanistan, UAE etc ikozvino mazuva anouya kuIndia kuzodyarwa masero.
VAKANAKA CHIREMBA WEBONE MARROW STEM CELL TRANSPLANT MUINDIA
Dr. Dharma Choudhary - BLK Bone Marrow Transplant Center, New Delhi ndiye chiremba anotungamira wekuIndia pakuisirwa masero emapfupa ane anopfuura 2000 akabudirira kuisirwa kuchikwereti chake. Anozivikanwa nebasa rake rakabudirira sechiremba wepamusoro weBMT, unyanzvi hwaDr. Choudhary muThalassemia Bone Marrow Transplant, Thalassemia Stem Cell Transplant. Dr. Dharma Choudhary ndiye piyona muIndia nokuda kwebasa rake muAllogenic Bone Marrow Transplant yeThalassemia Major uye Aplastic Anemia panguva yake paSir Ganga Ram Hospital Delhi. Dr. Dharma Choudhary akazviita kune runyorwa rwepamusoro 10 Hematologists uye Bone Marrow Transplant Nyanzvi yechizvarwa ichi muIndia. Anozivikanwa nokuda kweKubudirira kwepamusoro muBone Marrow Transplant, Dr. Dharma Choudhary inhengo yehupenyu hwose yeIndia Society of Hematology & Transfusion Medicine. Anozivikanwawo pakati pevarwere vepasi rese kubva kumativi akasiyana epasi kunyanya kubva kuAfghanistan, Iraq, Oman, Uzbekistan, Sudan, Kenya, Nigeria, neTanzania.
Dr. Sanjeev Kumar Sharma ari kuita Hematologist ane ruzivo rwemakore gumi nemapfumbamwe. Iye ari muNew Delhi. Dr. Sanjeev Kumar Sharma maitiro pa BLK Super Specialty Hospital muNew Delhi. Iyo BLK Super Specialty Hospital iri pa5, Radha Soami Satsang Rajendra Place, Pusa Road, New Delhi. Sanjeev Kumar Sharma inhengo inoremekedzwa yeRegistered nhengo yeIndia Society yeHematology uye Ropa Transfusion (ISHTM), Akanyoreswa nhengo yeDelhi Medical Association (DMA) Akanyoreswa nhengo Indian Society yeHematology uye Ropa Transfusion (ISHTM), Akanyoreswa nhengo yeDelhi Medical Association ( DMA) uye Nhengo yeIndia Society yeAherosclerosis Research (ISAR).
Akatevera MBBS yake mugore ra1999 kubva kuYunivhesiti yeDelhi, Delhi. Akapedza MD yake mugore ra2006 kubva kuYunivhesiti yeDelhi, Delhi. Akaitawo DM yake mugore ra2012 kubva kuAll India Institute Of Medical Sayenzi, New Delhi.
Dr Sanjeev vakapihwa mubairo neakanakisisa Citizen weIndia Award.
Dr. Revathi Raj ndiHematologist uye Chiremba wevana mu Chipatara cheApollo, Teynampet, Chennai uye ane chiitiko chemakore makumi maviri nemana muminda iyi. Dr. Revathi Raj vanoita paApollo Specialty Cancer Hospital muTeynampet, Chennai uye Apollo Vana Zvipatara mu Zviuru Zviedza, Chennai. Akapedza MBBS kubva kuMadras University, Chenai, India muna24, diploma muChild Health (DCH) kubva kuTamil Nadu Dr. MGR Medical University (TNMGRMU) mu1991 uye FRC.PATH. (UK) kubva kuRoyal College yePathologist muna1993. Ndiye nhengo yeIndia Medical Association (IMA). Mamwe emabasa anopiwa nachiremba aya ndeaya: Eosinophilia Treatment, Neck Pain Treatment, Chelation Therapy, Biochemistry uye Blood Transfusion nezvimwewo Dr Revathi vanozivikanwa seimwe yeakakura kwazvo akateedzana mumongo wemapfupa munyika. Akabudirira kurapa hemophilia & sickle cell chirwere. Iye ane hunyanzvi anofarira kusagadzikana kweropa muvana.
Dr. Sharat Damodar - Narayana Bone Marrow Transplant Center, Bangalore Dr. Sharat Damodar akapedza MBBS yake kubva kuSt. Johns Medical College, Bangalore uye akazopedza MD yake kubva kuDNB college. Parizvino ari kushanda seMutevedzeri weMutungamiriri weMazumdar Shaw Medical Center, Narayana Health City. Iye iOncologist inopembererwa uyo akaita zvinopfuura 1000 Bone Marrow & Stem Cell Transplants uye akakundawo Mubayiro weSachigaro weChiremba Akanakisisa muna 2015. Dr. Sharat munda wehunyanzvi ibhonzo & stem cell transplant, cord blood transplantation & lymphoma. Maitiro akakosha anoitwa naDr. Sharat Damodar iBone marrow & stem cell transplant, tambo yekuisirwa ropa, leukemia / lymphoma. Dr. Sharat akaita zvinopfuura 1000 zvakabudirira bone marrow stem cell transplants mubasa rake kusvika zuva.
Dr. Ramaswamy NV at Aster Medcity, Kochi ari Hematologist ane makore anopfuura 18 ane ruzivo, Dr. Ramaswamy inyanzvi mukugadzirisa zvirwere zvinouraya uye zvisingarevi zvirwere zveropa, muvarwere vezera rose. Nzvimbo dzake dzinonyanya kufarira ndeye hemato oncology uye stem cell transplant. Dr. Ramaswamy inyanzvi mukuisirwa masero emapfupa, kenza yeprostate, kenza yemapapu, kenza yemudumbu, kenza yemuura, & nehosha dzine chekuita neropa. Anonyanya kufarira immunosuppressive drugs, targeted therapy, hodgkins lymphoma, myeloma, lymphoma, strocytoma, osteosarcoma, stereotactic radiosurgery, kenza yeropa, leukemia, sickle-cell anemia, germ cell tumor (GCT), thalassemia, non hodgkin lymphoma, uye zvose. mafomu, mhando nematanho egomarara.
Dr. Pawan Kumar Singh - Atemisi, Gurugram, Delhi (NCR) ari kuva neruzivo rwekuita zvinopfuura mazana matatu ezvipfuyo zvemapfupa (kusanganisira Autologous/Allogenic/Haplo/MUD) kune zvose zvinokuvadza uye zvisingakuvadzi ropa zvirwere zvinosanganisira thalassemia uye aplastic anemia. Yakaitwa yakabudirira Haplo BMT yeSCID mumwana ane mwedzi misere. Zvakabudirira MFD BMT yeHLH mumwana ane makore maviri.
Mumwe nemumwe akamisikidza BMT unit kuJaypee Hospital uye akaita maSOPs kune ega ega ega matanho akakosha ekubudirira kumhanyisa iyo BMT yuniti. Yakagadzira BMT UNIT kuchipatara cheJaypee nzvimbo yekudyara yeMUD uye yakawana chigadzirwa chePBSC kubva kunational (Datri) uye registry yepasi rose (DKMS).
Yakaitwa makumi mashanu eBMT mumwedzi yekupedzisira 50 pachipatara cheJaypee (MSD / MFD-18; Haplo-20; Auto-6 uye MUD-2).
Dr Joydeep Chakrabartty – Kolkata akapedza MBBS yake kubva kuyunivhesiti ine mukurumbira muCalcutta ndokuzoenda kuUnited Kingdom kunedzidzo yake yekupedza kudzidza. Akaenderera mberi nekuwana MRCP (UK) uye FRC PATH (UK), uye FRCP (Glasgow) zvitupa panguva yebasa rake. Wekupedzisira ari kupihwa basa rake mukutungamira nekumisikidza masevhisi muMedicine. Iye ane hanya kwakanyanya munzvimbo dzeBone Marrow Transplantation (BMT), kunyanya-inowirirana -mupendero magumo ekumisikidza emamiriro ese kunyanya Acute Leukemias. Akashanda mumasangano ane mukurumbira muUK kusanganisira St Bartholomews Hospital uye mune rakakurumbira Bone Marrow Transplant Fsociation kuImperial College, Hammersmith Hospital, London.
Dr. Joydeep Chakrabartty vakashanda kwemakore akawanda muMedicine uye munzvimbo dzine mukurumbira Critical care units vasati vatora Hematology. Akasangana uye akakwanisa kwete chete matambudziko ese ehematological uye mamiriro asi mushonga wake wekare wekare uye kuratidzwa ICU kunomupa mukana mukutonga varwere vanorwara zvakanyanya kureva varwere vari kuchinjwa Bone Marrow Transplant, Acute Leukemia's nezvimwewo. Anokwanisa zvakare muchikamu chekuongorora murabhoritari. zvirwere zvehematological. Paakadzoka, Dr. Chakrabartty akabatsira mukuumbwa uye kushanda kwakabudirira kwemadhipatimendi mazhinji eBone Marrow Transplant munyika yose. Dr. Joydeep Chakrabartty vakanyora zvinyorwa zvakawanda zvekutungamira magazini uye akanyorawo zvitsauko mumabhuku ezvinyorwa.
Dr Radheshyam Naik at Bangalore ndiye piyona mumunda weMedical Oncology ane makore anodarika makumi maviri nemashanu ezviitiko zvine simba zvekudzidza mumunda wake. Akagamuchira dzidzo yepamusoro kubva kumatunhu anotungamira epasirese anosanganisira MD Anderson Cancer Institute, USA, International School for Cancer Care, Oxford, UK, University of New South Wales, Australia, kungodoma mashoma.
Seanotarisirwa semukurumbira oncologist uye kuve neruzivo rwekushanyira zvipatara zvine mukurumbira zvegomarara pasirese, Dr. Radheshyam anga aine basa rakanakisa redzidzo mukugadzirisa ese marudzi ekenza uye haematological kusagadzikana, aine akati wandei akaongororwa-eruzhinji mabhuku mumapepanhau anotungamira. Iye piyona mukuitisa akasiyana madhiragi miedzo yakaitiswa pamusoro makumi mashanu emakemikari madhiragi munyika nemunyika miedzo
Ane hanya zvakanyanya neBone Marrow Transplant chirongwa uye zvakare akadzidziswa zvepamusoro paHadassah University, Israel; Detroit medical centre, The New York hospital USA, Cornell Medical centre uye paHarper Hospital, Michigan, USA.
Dr. Radheshyam anga ari mutsigiri mukuru mukusimudzira munda weHematology neBone Marrow Transplantation muKarnataka. Akaita yekutanga intra-arterial chemotherapy kuburikidza nechiteshi muKarnataka uye zvakare anozivikanwa nekuita yekutanga Bone Marrow Transplant muKarnataka.
Dr. Shrinath Kshirsagar ndiye hematologist / hemato-oncologist uye mapfupa ekutsvaira chiremba anowanikwa mu Mumbai. Ane makore anopfuura 8 echiitiko mundima iyi. Akapedza kudzidziswa kwake kwepamusoro-soro kubva kune yakakurumbira Tata Medical Center. Akanga ari chikamu chechikwata chakaita zvinopfuura 200 bone marrow transplants kwemakore maviri. Ane zvinyorwa zvakawanda zvenyika nepasi rose. Aive musimboti wekuferefeta mune imwe yeongororo yekiriniki mumunda weleukemia.Matanho akakosha akaitwa naDr. Srinath iBone marrow & stem cell transplant, cord blood transplantation, leukemia / lymphoma. Kufambira mberi kukuru kwakaitwa mukunzwisisa biology yeLeukemia mumakumi mashoma emakore apfuura. Izvi zvakashandura kucherechedzwa kwezvinangwa zvekurapa, nzira itsva dzekurapa uye kurapa kwakanangwa izvo zvakazovandudza zvakanyanya mhedzisiro yekiriniki yevarwere vane Leukemia. Dr. Shrinath Shirsagar ndiye Chiremba ane ruzivo rwekurapa kweLeukemia neLymphoma muMumbai.. Nemakore masere echiitiko Iye anonyanya kufarira immunosuppressive madhiragi, kurapwa kwakanangwa, hodgkins lymphoma, myeloma, lymphoma, strocytoma, osteosarcoma, stereotactic radiosurgery, kenza yeropa, leukemia, sickle-cell anemia, germ cell tumor (GCT), thalassemia, isiri hodgkin lymphoma, uye ese mafomu, mhando uye nhanho dzegomarara.
