Good afternoon the doctor! We already addressed to you for consultation in occasion of bole...

[Alexander]

Good afternoon the doctor! We already addressed to you for consultation in occasion of illness or disease of our son.
Now we have passed or have taken place diagnostics in the Belarus regional center of transplantation of an osteal brain which has confirmed
Aplastic anemia (ugneteny all three centers of a hemopoiesis, are the most serious on thrombocytes).
We wish to consult to you here about what. Here, in Belarus doctors insist on transplantation of an osteal brain
As the most effective treatment - up to 70 percent or interests of success according to. The donor - the native sister, and it is possible or probable
That to us udastsja to collect necessary agents. However the Moscow doctors of the Center of transplantation with which
We communicated by phone speak that at such diagnosis in Moscow do not do or make transplantation. Why for us so
Also remains a riddle, pochemu-that about it or this by phone do not speak, therefore we in a full bewilderment, and time
Leaves. Please clear for us a situation how to treat such disease? We need to accept
The decision on treatment.
And more - whether there is no health hazard of the donor - in fact at operation the medullar liquid is selected and
Stimulating preparations are applied. And if on patients to us statistics show, it is similar that for
Donors do not observe so long time?

[Doronin V.A.]

Dear Alexander! Transplantation of an osteal brain is a method of a choice at an aplastic anemia at patients of young age with a serious aplastic anemia. 6 ti the years or summer survival rate at patients after transplantation makes by the average estimations of 70 % (for comparison, 6 ti years or summer survival rate after treatment antitimotsitarnym a globulin of 45 %). Certainly, conditions are necessary for carrying out of successful transplantation (the compatible donor, presence of medicines, experience of doctors and the personnel, etc.). How much or As far as I know in Belarus transplantatsionnyj the center one of the best on postsovetstskom space, at least, in the greatest number of transplantations itself is executed. Procedure of a fence of an osteal brain is not dangerous to the donor. On its or his hemopoiesis it does not render practically any influence. Decision-making on carrying out of transplantation should be carefully weighed. If doctors are assured, that have all necessary arsenal it is necessary will agree.
Naturally I express the opinion.

[Doronin V.A.]

The given case histories keep within a picture of an aplastic anemia. Many analyses are executed, however, data trepanobiopsii are not present. In my opinion to do or make a puncture of an osteal brain repeatedly it was not meaningful (under condition of high quality of the previous preparations), trepanobiopsija the most demonstrative method. Immunofenotipirovanie cells of an osteal brain, in the given situation, only additional, but nothing the defining or determining analysis.

[Alexander]

Results trepanobiopsii will be on Monday, immunofenotipirovanie did or made kakmy is understood for check of compatibility of the sister as donor. Many thanks for your answers.