{"id":9639,"date":"2023-08-31T09:55:00","date_gmt":"2023-08-31T07:55:00","guid":{"rendered":"https:\/\/www.new.pbkm.pl\/pregnancy-zone-2\/%pregnancy_zone_category%\/what-does-the-search-for-a-donor-look-like"},"modified":"2024-07-31T14:15:50","modified_gmt":"2024-07-31T12:15:50","slug":"what-does-the-search-for-a-donor-look-like","status":"publish","type":"pregnancy_zone","link":"https:\/\/www.pbkm.pl\/en\/pregnancy-zone-2\/good-to-know\/what-does-the-search-for-a-donor-look-like","title":{"rendered":"What does the search for a donor look like?"},"content":{"rendered":"\n<p class=\" eplus-wrapper\"><strong>Co 40 minut kto\u015b w&nbsp;Polsce dowiaduje si\u0119, choruje na nowotw\u00f3r krwi lub inn\u0105 chorob\u0119 uk\u0142adu krwiotw\u00f3rczego<sup>1<\/sup>. Wa\u017cnym elementem terapii tych chor\u00f3b jest przeszczepienie hematopoetycznych kom\u00f3rek macierzystych. Jak obecnie wygl\u0105da proces poszukiwania dawcy?<\/strong><\/p>\n\n\n\n<p class=\" eplus-wrapper\">W pierwszej kolejno\u015bci poszukiwany jest zgodny dawca rodzinny (zgodno\u015b\u0107 10\/10 antygen\u00f3w w&nbsp;uk\u0142adzie HLA). \u0179r\u00f3d\u0142em przeszczepu mo\u017ce by\u0107 szpik kostny lub krew obwodowa po mobilizacji farmakologicznej. Przeszczepienie odbywa si\u0119 \u015brednio w&nbsp;ci\u0105gu 2-3 miesi\u0119cy od znalezienia dawcy. Je\u017celi w&nbsp;rodzinie zbankowana jest krew p\u0119powinowa, to wymagana jest w&nbsp;jej przypadku du\u017co mniejsza zgodno\u015b\u0107 (4\/6 antygen\u00f3w w&nbsp;uk\u0142adzie HLA) a&nbsp;sama transplantacja mo\u017ce by\u0107 przeprowadzona ju\u017c w&nbsp;ci\u0105gu 3 tygodni. Jest to szczeg\u00f3lnie korzystne w&nbsp;przypadku schorze\u0144 w&nbsp;kt\u00f3rych czas odgrywa kluczow\u0105 rol\u0119.<\/p>\n\n\n\n<p class=\" eplus-wrapper\">Niestety 70% potrzebuj\u0105cych nie ma w&nbsp;pe\u0142ni zgodnego dawcy w&nbsp;rodzinie<sup>2<\/sup>.<\/p>\n\n\n\n<p class=\" eplus-wrapper\">Wtedy rozpoczynaj\u0105 si\u0119 poszukiwania zgodnego (10\/10 antygen\u00f3w HLA) lub cz\u0119\u015bciowo zgodnego (9\/10 antygen\u00f3w HLA) dawcy niespokrewnionego, czyli tzw. dawcy z&nbsp;rejestru. \u0179r\u00f3d\u0142em przeszczepu mo\u017ce by\u0107 szpik kostny lub krew obwodowa po mobilizacji farmakologicznej, a&nbsp;samo przeszczepienie odbywa si\u0119 \u015brednio w&nbsp;ci\u0105gu 2-3 miesi\u0119cy od znalezienia dawcy.<\/p>\n\n\n\n<p class=\" eplus-wrapper\">Niestety co 5. Polak nie znajduje zgodnego dawcy<sup>3<\/sup>.<\/p>\n\n\n\n<p class=\" eplus-wrapper\">Co wi\u0119cej, nie zawsze udaje si\u0119 skontaktowa\u0107 z&nbsp;dawcami lub dochodzi do ich dyskwalifikacji z&nbsp;powod\u00f3w medycznych i&nbsp;niemedycznych (np. w&nbsp;okresie III \u2013 XII 2019 r. by\u0142o to ok. 30% dawc\u00f3w, z&nbsp;kt\u00f3rymi kontaktowa\u0142a si\u0119 Fundacja DKMS)<sup>4<\/sup>.<\/p>\n\n\n\n<p class=\" eplus-wrapper\">Kolejnym krokiem s\u0105 poszukiwania dawcy haploidentycznego, czyli dawcy rodzinnego zgodnego w&nbsp;po\u0142owie. Tu \u017ar\u00f3d\u0142em kom\u00f3rek do przeszczepu mog\u0105 by\u0107 zar\u00f3wno szpik kostny jak i&nbsp;krew obwodowa.<\/p>\n\n\n\n<p class=\" eplus-wrapper\">Niestety s\u0105 to pacjenci wysokiego ryzyka. Przeszczepienia haploidentyczne wi\u0105\u017c\u0105 si\u0119 z:<\/p>\n\n\n<ul class=\"eplus-wrapper wp-block-list eplus-styles-uid-07ee13\">\n<li class=\" eplus-wrapper\">Wi\u0119kszym ryzykiem odrzucenia przeszczepu<sup>5,6<\/sup><\/li>\n\n\n\n<li class=\" eplus-wrapper\">Wi\u0119kszym ryzykiem wyst\u0105pienia choroby przeszczep przeciwko gospodarzowi (GvHD)<sup>6<\/sup><\/li>\n\n\n\n<li class=\" eplus-wrapper\">Wyd\u0142u\u017conym czasem odnowy hematologicznej<sup>5,6<\/sup><\/li>\n\n\n\n<li class=\" eplus-wrapper\">Wy\u017csz\u0105 \u015bmiertelno\u015bci\u0105 poprzeszczepow\u0105<sup>6<\/sup><\/li>\n<\/ul>\n\n\n<p class=\" eplus-wrapper\">w por\u00f3wnaniu z&nbsp;przeszczepieniami od dawcy niespokrewnionego.<\/p>\n\n\n\n<p class=\" eplus-wrapper\">Podsumowuj\u0105c, nie ka\u017cdy potrzebuj\u0105cy ma w&nbsp;pe\u0142ni zgodnego dawc\u0119 rodzinnego lub niespokrewnionego. Krew p\u0119powinowa zbankowana w&nbsp;banku rodzinnym realnie zwi\u0119ksza szans\u0119 na leczenie.<\/p>\n\n\n\n<p class=\" eplus-wrapper\"><sub>Pi\u015bmiennictwo:<br><\/sub><sub>1.<a href=\"https:\/\/www.dkms.pl\/biuro-prasowe\/gdzie-lezy-polska-na-swiatowej-mapie-nowotworow-krwi\">https:\/\/www.dkms.pl\/biuro-prasowe\/gdzie-lezy-polska-na-swiatowej-mapie-nowotworow-krwi<br><\/a><\/sub><sub>2. Zhu X. i&nbsp;wsp. Umbilical cord blood transplantation: Still growing and improving. Stem Cells Transl Med.&nbsp;2021 Nov; 10(Suppl 2): S62\u2013S74.<br><\/sub><sub>3.<a href=\"https:\/\/www.dkms.pl\/o-pobraniu\/szukanie-dawcy\/czy-moge-zostac-dawca-szpiku-dla-konkretnej-osoby\">https:\/\/www.dkms.pl\/o-pobraniu\/szukanie-dawcy\/czy-moge-zostac-dawca-szpiku-dla-konkretnej-osoby<br><\/a><\/sub><sub>4.<a href=\"https:\/\/www.dkms.pl\/biuro-prasowe\/dlaczego-dawcy-wycofuja-sie-z-procedury-oddania-szpiku\">https:\/\/www.dkms.pl\/biuro-prasowe\/dlaczego-dawcy-wycofuja-sie-z-procedury-oddania-szpiku<br><\/a><\/sub><sub>5. Champlin R. Is unrelated donor or haploidentical hematopoietic transplantation preferred for patients with acute myeloid leukemia in remission? Haematologica. 2020 Feb; 105(2): 252\u2013254.<br><\/sub><sub>6. Fabricius W.A. i&nbsp;Ramanathan M. Review on Haploidentical Hematopoietic Cell Transplantation in Patients with Hematologic Malignancies. Adv Hematol. 2016; 2016: 5726132.<\/sub><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Co 40 minut kto\u015b w&nbsp;Polsce dowiaduje si\u0119, choruje na nowotw\u00f3r krwi lub inn\u0105 chorob\u0119 uk\u0142adu krwiotw\u00f3rczego1. Wa\u017cnym elementem terapii tych chor\u00f3b jest przeszczepienie hematopoetycznych kom\u00f3rek macierzystych. Jak obecnie wygl\u0105da proces poszukiwania dawcy? W pierwszej kolejno\u015bci poszukiwany jest zgodny dawca rodzinny (zgodno\u015b\u0107 10\/10 antygen\u00f3w w&nbsp;uk\u0142adzie HLA). \u0179r\u00f3d\u0142em przeszczepu mo\u017ce by\u0107 szpik kostny lub krew obwodowa po [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":8334,"template":"","pregnancy_zone_category":[75],"class_list":["post-9639","pregnancy_zone","type-pregnancy_zone","status-publish","has-post-thumbnail","hentry","pregnancy_zone_category-good-to-know"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>What does the search for a donor look like? - PBKM<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.pbkm.pl\/en\/pregnancy-zone-2\/good-to-know\/what-does-the-search-for-a-donor-look-like\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What does the search for a donor look like? - PBKM\" \/>\n<meta property=\"og:description\" content=\"Co 40 minut kto\u015b w&nbsp;Polsce dowiaduje si\u0119, choruje na nowotw\u00f3r krwi lub inn\u0105 chorob\u0119 uk\u0142adu krwiotw\u00f3rczego1. Wa\u017cnym elementem terapii tych chor\u00f3b jest przeszczepienie hematopoetycznych kom\u00f3rek macierzystych. Jak obecnie wygl\u0105da proces poszukiwania dawcy? 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