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Red blood cells (RBC), white blood cells (WBC) and platelets are formed in the bone marrow inside the bones. Red blood cells help with hemoglobin and respiration, while white blood cells or leukocytes are responsible for immunity.
But various blood-borne diseases can interfere with the normal functioning of the bone marrow. The red blood cells, white blood cells, and platelets that should be formed in the bone marrow fail to form. In this case, the blood that is necessary for the body’s functions cannot be formed. In this case, a bone marrow transplant can also be performed. People with such problems can be restored to health through a bone marrow transplant.
A bone marrow transplant is a procedure that destroys the body’s unhealthy bone marrow and replaces it with healthy bone marrow. Bone marrow transplants are often used for cancer and other blood disorders.
Diseases such as aplastic anemia, thalassemia, sickle cell anemia, leukemia, and multiple myeloma require a bone marrow transplant.
Patients with blood cancer who have not been cured by chemotherapy or whose cancer has progressed and the number of cancer cells in the body has not decreased after treatment should undergo a bone marrow transplant. In addition, for patients with the hereditary disease of thalassemia, a bone marrow transplant is not an option even if the bone marrow fails due to hereditary causes. Bone marrow transplant is the only complete treatment for blood diseases and blood cancer.
How is a bone marrow transplant performed? ?
Bone marrow transplant is a special service provided by a team of hematologists. In Nepal, this service is only available in public hospitals.
Bone marrow transplants can be performed in different ways. The first can be done using cells from other parts of the body. This is called an autologous transfusion. If this is not possible, stem cells are taken from a family member. For example, from a sibling and given to the patient.
The other umbilical cord is the belly button. Once a child is born, the umbilical cord on the belly button can be preserved. If preserved, HLA can be mixed with it. It can also be used by people who do not know or understand stem cells.
In Nepal Not easy to obtain Bone marrow transplant Serve
Since bone marrow transplant services are available only in one hospital, patients cannot easily access the service. Large government hospitals, medical colleges and transplant centers in the country do not offer this service. But if such hospitals offered this service, it would be easier to treat patients with blood disorders and cancer.
There are few experts in blood disorders and bone marrow transplants in Nepal. Due to limited resources, hospitals are unable to provide highly specialized services such as bone marrow transplants.
how much does it cost?
Bone marrow transplant is a relatively expensive treatment. Since it requires a long hospital stay and the medicines are expensive, the service fee is a bit high. So far, the government has provided only one lakh rupees for cancer treatment. Four or five lakh rupees have been spent on cancer treatment for blood cancer patients. In this case, the cost of bone marrow transplant would be much higher.
The cost of bone marrow transplant in Nepal is around Rs 10-20 lakh. In India, it costs Rs 40-50 lakh. Therefore, there is a need to expand this service in Nepal as soon as possible.
What to do in Nepal?Rene?
To expand bone marrow transplantation services in Nepal, hospitals must first have adequate resources. Hospitals should have blood transfusion and blood bank facilities, as this service requires a large amount of blood.
Since there are few experts in bone marrow transplantation in Nepal, it is necessary to conduct research and teaching in this field. The scope of services can be expanded by organizing as many experts in this field as possible in Nepal.
picture, video : Shankar Giri/Online News
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