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  Bone Marrow Transplant
 
Bone Marrow Transplantation in India
Health Tourism Bone Marrow Transplantation in India - ImageMajor hospitals in India have oncology units comprising surgical oncology, medical and radiation therapy as well as the crucial Bone Marrow Transplantation (BMT). The BMT unit with high pressure hipa filters has helped achieve a very high success rate in the various types of transplantation.

Cord Blood Transplant and Mismatched Allogeneic Stem Cell Transplant havebeen performed successfully, a feat that is remarkable and significant, considering the fact that the treatment costs 1/8th or 1/10th of what it does in the west. Special surgeons are available for individual organs.

Plastic surgeons of repute provide treatment for head and neck cancer, breast cancer and other malignancies. Facilities offered include tele-therapy which includes simulation work stations to ensure high precision and safety during treatment at the 18 MV linear accelerator or telecobalt machines, brachy therapy and 3-D planning systems. In orthopedics, the Ilizarov technique is practiced for the treatment of limb deformities, limb shortening and disfiguration.
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Advantages from Medical tourism service providers:
Sophistication in health care & diagnostic process has become too costly; hence every body cannot afford it. Insurance companies are force to charge very high premium.

15% to 20% American & European population is unable to insure themselves & their families.

Uninsured people are forced to skip their periodic health check-ups. So when they fall ill & if the treatment is delayed, it becomes very chronic, critical & dangerous too.

Do not panic nor cancel your holiday tour, we in Mumbai provide all medical related treatment & We can schedule shopping, excursions, historical site tours, visit to near by beaches, and hill station, all this around your medical appointment schedule, and enjoy health + vacation experience ......contact us.


Bone Marrow transplant FAQ's
  1. What is bone marrow?

  2. What are stem cells?

  3. What are the sources of stem cells?

  4. What are the steps for bone marrow stem cells transplant?

  5. What precautions are to be taken during blood stem cells transplantation?

  6. What is the procedure of bone marrow stem cell or blood stem cell transplantation?

  7. Why donor stem cell or bone marrow transplants are used?

  8. What are the risks?
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Qus: What is bone marrow?
Ans: It is slippery & spongy tissue found inside our large bones, these tissues develops red blood cells, white blood cells and platelets.
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Qus: What are stem cells?
Ans: Bone Marrow produces Stem cells like a factory production, and these cells develop into three different type of blood cells.
  » Red blood cells which carry oxygen to all cells in the body.
  » White blood cells, which are essential for fighting infections.
  » Platelets which helps the blood to clot and prevents bleeding. Stem cells are blood cells at the earliest stage of development in the bone marrow. When the cells are fully matured, they are released into the blood stream.
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Qus: What are the sources of stem cells?
Ans: There are three sources of stem cell donations.
  » The patient's own stem cells are harvested and preserved in blood bank before transfusion.
  » If a relative agrees to donate.
  » Unrelated donor agrees to donate or arranged from any blood banks around the world.
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Qus: What are the steps for bone marrow stem cells transplant?
Ans: A) Collection or Harvesting
  » First option: The patient's own Bone marrow stem cells are collected taken and frozen in the blood bank (this process is called autologous transplant). At the time of transplant these frozen cell are brought from the blood bank and allowed to settle at its normal condition before its infusion to the patient.
  » Second option: It is collected from related or unrelated donor and it should match the specification of patient's bone marrow stem cells perfectly. (This process is called allogeneic transplant). The transplant is done immediately after the collection. The transplant is done through the IV catheter in the same way as blood transfusion is done.
  B) Infusion or Transplant
  » The harvested or collected bone marrow stem cell is transplanted or infused through IV catheter in the same way as blood transfusion is done.
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Qus: What precautions are to be taken during blood stem cells transplantation?
Ans: The harvested blood stem cells and the patient's blood stem cells have to be matched perfectly biologically, therefore the transplant surgeon suggest the patients blood stem cells as the best choice depending on the patient's health condition.
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Qus: What is the procedure of bone marrow stem cell or blood stem cell transplantation?
Ans:
The patient (donor) is given general anesthesia and through the process of injection the needle is injected into the hip bone (pelvis) and the marrow is sucked with the syringe. This process is repeated 4 to 5 times on each hip bone for sufficient marrow.

The entire harvesting procedure takes approximately 2 hours. The patient is given blood transfusion if required to replace the blood loss during the process of blood marrow collection. After completion of transplantation process, the patient and the donor are taken to recovery room for 24 hours and monitored (As done in any type of operations), and discharged. There is some swelling and pain from such harvesting, but medication normalizes this situation within 4 to 5 days. And total recovery takes place approximately two weeks.
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Qus: Why donor stem cell or bone marrow transplants are used?
Ans:
In the treatment of some types of leukemia, lymphoma and myeloma, allogeneic bone marrow or stem cell transplants (from a donor) are used to improve the chances of curing the disease.

A transplant may be carried out early on in treatment when the disease is in remission, or if it comes back after being treated. There are different types of leukemia and lymphoma and a transplant is not a suitable treatment for everyone. Whether there is a suitable donor or not is one of the important factors for doctors to consider. Other factors that your doctor will take into account when considering whether to recommend a transplant are your age and general health.

There are guidelines for sensible upper age limits, though there are no lower age limits. Guidelines recommend that for transplants from a donor (allogeneic) the upper age limit is usually 45-50. The age limits can be slightly flexible, depending on your general health and the risk of recurrence of the disease. The procedure is very demanding, both physically and emotionally. You may need to stay in hospital for 4-6 weeks or longer and for most of that time you will usually be in a room of your own to avoid infection. You will often feel very unwell during this time.
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Qus: What are the risks?
Ans:
A stem cell or bone marrow transplant is a complicated and specialized treatment. It has many side effects and possible complications. The main risk comes during the period that your marrow is recovering, when you are at risk of possibly life-threatening infections and bleeding. With allogenic transplants there is also the risk of graft-verses-host disease, in which the donor's marrow or stem cells react against your own tissue.

Very occasionally, the donated marrow or stem cells do not start to produce new blood cells (this is called graft failure). If this happens it may be necessary for you to have either more bone marrow or stem cells donated by the same donor. Your age and state of health are key factors to take into account. A transplant takes a long time and may make you very ill. If you are at the upper age limit and your general health is not good, you are more likely to have complications. You need to weigh up the benefits and risks of this treatment very carefully.

Great benefit is sometimes possible as the treatment may give a greater chance of curing the cancer than any other type of treatment. However, this has to be weighed against the possible side effects and the fact that some people die during the procedure. You will want to discuss this in detail with your doctor and your family. Most hospitals that carry out blood stem cell or bone marrow transplants have a transplant counsellor you can talk to about any fears or worries that you have.
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