Tambayoyin da Ake Yawan Yi - Magani

Q.
Menene dashen jini da ƙashi (BMT)?

A.

Dashen jini da ƙashi wani nau'in magani ne na musamman ga mutanen da ke fama da wasu nau'ikan ciwon daji ko wasu matsalolin ƙashi. A cikin dashen jini da ƙashi, ƙwayoyin da aka saba samu a cikin ƙashi ana ɗauka, a shirya su sannan a mayar wa majiyyaci ko wani mutum. Manufar dashen jini da ƙashi shine a ba wa mutum ƙwayoyin ƙashi masu lafiya bayan an cire ƙashin ƙashi marasa lafiya.

An yi amfani da dashen jini da ƙashi cikin nasara tun daga shekarar 1968 don magance cututtuka kamar su cutar sankarar bargo, lymphoma, aplastic anemia, cututtukan da ke da alaƙa da garkuwar jiki da kuma wasu cututtukan daji na ciwon daji.
Q.
Menene kiyasin tsawon lokacin da BMT ke ɗauka a asibiti?

A.
Don dashen ƙashi, ana kiyasta zaman asibiti na tsawon makonni 4-6. Duk da haka, za a buƙaci ku zauna a cikin birni na akalla watanni 6 domin ana buƙatar a riƙa bin diddigin lafiyar ku akai-akai bayan an yi wa BMT tiyata.
Q.
Wa zai iya amfana daga dashen jini da ƙashi (BMT)?

A.
Waɗannan cututtuka su ne suka fi amfani ga dashen jini ko ƙashi:

- Cutar sankarar bargo

- Ciwon jini mai tsanani (aplastic anemia)

- Lymphomas

- Multiple Myeloma

- Cututtukan ƙarancin garkuwar jiki
Q.
Menene maganin CAR-T?

A.
Maganin ƙwayoyin halittar Chimeric antigen receptor T (CAR-T) sabuwar hanya ce ta magance nau'ikan cututtukan daji. Manufar ita ce a cire ƙwayoyin T na majiyyaci a kuma ƙirƙiro su ta hanyar halitta don bayyana mai karɓar antigen na chimeric (CAR) wanda ke gane wani takamaiman antigen da ke da alaƙa da ciwon daji (TAA). Sakamakon haka, lokacin da aka sake shigar da ƙwayoyin T masu bayyana CAR cikin jikin majiyyaci, za su kai hari kuma su kawar da ƙwayoyin ƙari masu bayyana TAA.
Q.
Wadanne marasa lafiya ne ke amfana daga CAR-T?

A.
Gwajin asibiti na CAR-T an yi shi ne ga marasa lafiya da ke fama da cutar sankarar jini ta B-cell (B-ALL), cutar sankarar jini ta B-cell da kuma cutar myeloma mai yawa waɗanda suka sake komawa ko kuma suka zama marasa lafiya da ke fama da cutar chemotherapy.
Q.
Har yaushe ya kamata mu zauna a asibiti don CAR-T?

A.

Gwajin asibiti na CAR-T yana ɗaukar kimanin makonni 6-8, wanda ya dogara da yanayin kowane majiyyaci.
Q.
Menene tsarin maganin CAR-T?

A.
Q.
Nawa CAR-T ka yi?

A.
Tun daga shekarar 2015, mun kammala gwaje-gwajen asibiti kusan 300 na CAR-T don sake kamuwa da cutar B-ALL, B-cell lymphoma da multiple myeloma tare da sakamako mai kyau. Mun taƙaita shari'o'i 51 na farko kuma mun buga su a cikin Mujallar Cutar Leukemia a shekarar 2017.
Q.
Menene ƙimar nasarar CAR-T ɗinku?

A.
Jimillar adadin yafewar ya wuce kashi 90%.
Q.
Menene fa'idar dashen ƙashi (BMT) bayan CAR-T?

A.
Duk da cewa cikakken maganin CAR-T yana da yawa, har yanzu akwai haɗarin sake dawowa. Bincike ya nuna cewa haɗa BMT bayan CAR-T don B-ALL na iya ƙara yawan warkewa.
Q.
Ta yaya zan sami alƙawari?

A.
Za ku iya samun alƙawari ta hanyar wakilan sashenmu na ƙasashen waje.
Q.
Wadanne takardu ya kamata in kawo?

A.
Yana da matukar muhimmanci a lokacin da kake tafiya kana da dukkan takardu masu dacewa da ke tare da kai, ciki har da kwafin dukkan rahotannin likita, rahotannin cututtuka, gami da nunin gilashi da tubalan paraffin waɗanda za a buƙaci don dubawa, sakamakon hoton CT, MRI, PET-CT scan, tsarin jini, tarihin garkuwar jiki, gwajin kwayoyin halitta, da sakamakon chromosome idan akwai.
Q.
Wa zai kula da alƙawura da jadawalin aiki na a asibiti?

A.
Ƙungiyarmu ta ƙasashen waje za ta yi muku alƙawari kuma ta tsara muku lokacin da kuke asibiti.
Q.
Menene tsarin da marasa lafiya ke bi don neman shawarar likita?

A.
Ma'aikatan Cibiyarmu ta Ƙasashen Duniya suna da nufin samar da hanyoyin samun dama da kulawa ta musamman ga marasa lafiyarmu na ƙasashen waje. Ma'aikatanmu za su kasance a shirye don taimaka wa duk marasa lafiya a kowane mataki na kulawarsu.
Q.
Zan iya samun rahoton shari'ata bayan magani?

A.
Eh, bayan an yi muku magani, za mu fassara muku rahoton shari'ar ku kuma mu ba ku rahoton shari'ar cikin Turanci da Sinanci domin ku iya dawo da ita ƙasarku.
Q.
Shin wani zai taimake ni in je filin jirgin sama idan na koma gida bayan magani?

A.
Eh, ma'aikatan Cibiyarmu ta Ƙasashen Duniya za su yi maka ajiyar motar kuma su taimaka maka ka sanya kayanka a cikin motar sannan su kai ka filin jirgin sama.