FAQ's
FAQ’S ABOUT BONE MARROW DONATION
WHO CAN BE AN UNRELATED MARROW DONOR?
Potential unrelated volunteer donors must be between 18 years old and 60 years old, and meet the medical guidelines.
WHAT IS HLA?
HLA (Human Leukocyte Antigens) are markers on the surface of white blood cells. HLA forms the basis for recognizing and rejecting foreign tissues. Matching marrow recipients and their donors for their HLA type has been shown to greatly increase the likelihood of a successful transplant.
DOES RACE OR ETHNICITY AFFECT MATCHING?
Racial and ethnic heritage are very important factors. Because tissue types are inherited, patients are most likely to match someone of their own race or ethnicity. Today, there simply aren't enough registered donors of diverse racial and ethnic heritage.
WHAT HAPPENS WHEN A PERSON AGREES TO BE A POTENTIAL MARROW DONOR?
First, HLA typing will be performed on buccal swabs containing cheek cells. This information is then input into a nationally recognized registry database and becomes part of their confidential computerized file. If a patient needs a marrow transplant from an unrelated donor, the Registry conducts a computerized search to identify donors with the same HLA type as the patient. The registry will then contact the potential donor to find out if they are interested. Arrangements are then made to obtain additional blood samples.
IF IT'S A MATCH, WHAT HAPPENS NEXT?
If buccal swab tests determine that the unrelated donor is compatible, he/she is asked to make a final commitment. Prior to the donor making his decision, the donor is provided an extensive explanation of the marrow donation procedure and a complete physical examination is performed to ensure that the prospective donor is medically eligible to donate. Only after the donor has made a final decision to donate and has passed the physical exam are arrangements made for the actual collection.
HOW LONG DOES IT TAKE FOR A MARROW DONOR TO RESUME NORMAL ACTIVITIES?
Most donors return to their normal activities, including work, within a day or two.
WHO COVERS THE COSTS?
There is no cost to the donor. Medical examinations and hospital expenses are paid by the recipient.
DONATING PBSC OR MARROW
There are two methods of donation: peripheral blood stem cells (PBSC) and bone marrow. The patient's doctor chooses the donation method that is best for the patient.
- What is PBSC donation?
Peripheral blood stem cell (PBSC) donation is a way to collect blood-forming cells for transplantation and is a nonsurgical procedure. The same blood-forming cells (sometimes called blood stem cells) that can be donated from the bone marrow are also found in the circulating (peripheral) blood. Before donation, a donor takes injections of a drug called filgrastim to move more blood-forming cells out of the marrow and into the bloodstream. Then the donor's blood is removed through a needle in one arm and passed through a machine that separates out the blood-forming cells. The remaining blood is returned to the donor through the other arm. This process is similar to donating plasma. Your blood-forming cells are back to their normal levels.
- What is Marrow donation
This is a surgical outpatient procedure that takes place at a hospital. You will receive anesthesia and feel no pain during the donation. Doctors use a needle to withdraw liquid marrow from the back of your pelvic bone. The marrow replaces itself completely within 4 to 6 weeks.
WILL DONATING MARROW MAKE ME WEAK?
The amount of marrow donated will not weaken your own body or immune system. The average amount of marrow and blood donated is about one quart, less if the patient is a baby or child. This is only a fraction of your total marrow. Most donors are back to their usual routine in a few days, and your marrow naturally replaces itself within four to six weeks.
WHAT IS THE RISK TO THE TRANSPLANT RECIPIENT?
While transplantation is a life-saving therapy, not all recipients survive. Sometimes a patient's body cannot withstand the pre-transplant chemotherapy and radiation. Sometimes health complications occur after the transplant.
But for many recipients, a transplant is successful and their best or only option. Your gift gives them hope and a second chance at life.
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