Kusukela Ekuhlulekeni Kokuqala Kokufakelwa Kwezitho Zokufakelwa Kuya Ekululameni Okugcwele: Uhambo Lwesiguli Ngephrothokholi Yokufakelwa Ethuthukisiwe KaLu Daopei
Ekuqaleni kuka-2024, umkaMnu. A (igama lakhe alidalulwanga) watholakala ene-B-lymphoblastic leukemia eyingozi kakhulu, okwadala isithunzi kulokho okwakuyimpilo enempilo nenempilo. Ekuqaleni, wenziwa i-chemotherapy enamandla futhi wangeniswa ukuze afakelwe umongo wethambo noyise njengomnikeli. Kodwa-ke, amathemba akhe ashabalala ngokushesha lapho ukufakelwa kwehluleke ukugxilisa—inkinga engavamile kodwa esongela ukuphila eyaziwa ngokuthi “ukwehluleka kwe-graft okuyinhloko.”
Kulesi simo esibucayi, lapho kunezinketho ezimbalwa zokwelapha, uMnu. A wanikezwa ukukhetha okunzima: ukuzama ukufakelwa okwesibili. Ngenkathi ithimba lezokwelapha laseLu Daopei libhekene nenselele, labelana ngemiphumela ekhuthazayo evela kunqubo entsha yokufakelwa kabusha ababeyisungulile, beqhosha ngesilinganiso sempumelelo esimangalisayo. Egcwele ithemba elivuselelwe, umndeni wabhekana nesinye isithiyo: ukuthola umnikeli ofanelana naye. Ngemva kokuba izihlobo ezingu-14 zihlolwe ngaphandle komlingani, ithimba lezokwelapha laqala ukusesha abanikeli abangahlobene naye. UFortune wamomotheka, kwathi phakathi nesonto, kwatholakala umnikeli ofanelana naye ngokuphelele, ongahlobene naye, wavuma ukuthi nikela.
Ngomhlaka-3 Septhemba 2024, ukufakelwa kwesibili kwaqala. Ezinsukwini eziyisishiyagalolunye ngemuva kokufakelwa, inani lamaseli akhe amhlophe egazi laqala ukukhuphuka, kwathi ngosuku lwe-19, wayesezinzile ngokwanele ukuba ashiye ukuhlala yedwa, amazinga akhe egazi eqala ukwehla ngokushesha ngemva kwalokho. Kusukela lapho ukhishwe esibhedlela ngemiphumela eqhubekayo ekuhlolweni komnkantsha kanye ne-chimerism.
Ecabanga ngohambo lwabo, uMnu. A uzwakalise ukubonga okujulile ngokusekelwa kanye nolwazi lwethimba likaLu Daopei, umusa wabanikeli be-marrow, kanye nabasebenzi bezokwelapha abanikeze ithemba ngezikhathi ezinzima kakhulu. Lokhu okuhlangenwe nakho kuqinise ukwazisa kwabo ngokuphila futhi kwagcizelela amandla okuphikelela, ubuchwepheshe, kanye nozwela lapho bebhekene nezinkinga ezibonakala zingenakunqotshwa.