Kuika mafuta m'mafupa - kutulutsa

Mwasinthidwa mafupa. Kukula kwa mafupa ndi njira yosinthira m'mafupa owonongeka kapena owonongeka ndi mafupa abwino am'mafupa.

Zitenga miyezi 6 kapena kupitilira kuti kuchuluka kwamagazi anu ndi chitetezo chamthupi chitheretu. Munthawi imeneyi, chiopsezo chanu chotenga matenda, kutaya magazi, komanso mavuto akhungu ndichachikulu.

Thupi lanu likadali lofooka. Zitha kutenga chaka kuti mumve ngati momwe mumamvera musanakhazikike. Mutha kutopa mosavuta. Muthanso kukhala ndi njala yochepa.

Ngati mudalandira mafupa kuchokera kwa munthu wina, mutha kukhala ndi zizindikilo za matenda olandilidwa kapena otsutsana nawo (GVHD). Funsani omwe akukuthandizani kuti akuuzeni zizindikilo za GVHD zomwe muyenera kuyang'anira.

Samalani pakamwa panu. Pakamwa pouma kapena zilonda zamankhwala zomwe muyenera kumwa pokoka mafuta m'mafupa zimatha kubweretsa bakiteriya pakamwa panu. Mabakiteriya amatha kuyambitsa matenda am'kamwa, omwe amatha kufalikira mbali zina za thupi lanu.

• Sambani mano ndi m'kamwa kawiri mpaka katatu patsiku kwa mphindi ziwiri kapena zitatu nthawi iliyonse. Gwiritsani mswachi wokhala ndi zomangira zofewa.
• Lolani mpweya wanu wamsu wouma pakati pa kutsuka.
• Gwiritsani mankhwala otsukira mano okhala ndi fluoride.
• Floss pang'ono kamodzi patsiku.

Muzimutsuka pakamwa kanayi pa tsiku ndi mchere komanso soda. (Sakanizani theka la supuni ya tiyi, kapena magalamu awiri, a mchere ndi theka la supuni ya tiyi kapena magalamu 2.5, wa soda mu ma ouniti 8 kapena 240 milliliters amadzi.)

Dokotala wanu akhoza kukupatsani kutsuka pakamwa. Musagwiritse ntchito kutsuka mkamwa ndi mowa.

Gwiritsani ntchito mankhwala anu osamalitsa milomo kuti milomo yanu isawume kapena kung'amba. Uzani dokotala wanu ngati mutuluka zilonda zatsopano mkamwa kapena kupweteka.

Pewani zakudya ndi zakumwa zomwe zili ndi shuga wambiri. Kutafuna chingamu chopanda shuga kapena kuyamwa popsicles wopanda shuga kapena maswiti olimba wopanda shuga.

Samalani mano anu opangira mano, zopindika, kapena zinthu zina zamano.

• Ngati mumavala mano ovekera, ikani kokha mukamadya. Chitani izi masabata atatu kapena 4 mutangomaliza kumuika. OSAVALA nthawi zina mkati mwa milungu itatu kapena inayi yoyambirira.
• Sambani mano anu kawiri patsiku. Muzimutsuka bwino.
• Kuti muphe majeremusi, zilowerereni mano anu okuthandizani musamagwiritse ntchito.

Samalani kuti musatenge matenda kwa chaka chimodzi kapena kuposerapo mutakhazikitsa.

Yesetsani kudya mosamala komanso kumwa mukamamwa khansa.

• Musadye kapena kumwa chilichonse chomwe chingakhale chophika kapena chowonongeka.
• Onetsetsani kuti madzi anu ndi otetezeka.
• Dziwani kuphika ndi kusunga zakudya mosamala.
• Samalani mukamadya kunja. Musadye ndiwo zamasamba, nyama, nsomba, kapena china chilichonse chomwe simukudziwa kuti ndichabwino.

Sambani m'manja ndi sopo nthawi zambiri, kuphatikiza:

• Pambuyo pokhala panja
• Mukakhudza madzi amthupi, monga ntchofu kapena magazi
• Mukasintha thewera
• Musanagwire chakudya
• Mukatha kugwiritsa ntchito foni
• Mukatha kugwira ntchito zapakhomo
• Atapita kubafa

Sungani nyumba yanu moyera. Khalani kutali ndi makamu. Funsani alendo omwe ali ndi chimfine kuti avale chigoba, kapena kuti asadzayendere. OGWIRA ntchito pabwalo kapena kusamalira maluwa ndi mbewu.

Samalani ndi ziweto ndi ziweto.

• Ngati muli ndi mphaka, sungani mkati.
• Muziuza wina kuti asinthe zinyalala za paka wanu tsiku lililonse.
• MUSAMAYAMBE nkhanza ndi amphaka. Kukanda ndi kulumidwa kumatha kutenga kachilomboka.
• Khalani kutali ndi agalu, ana amphaka, ndi nyama zina zazing'ono kwambiri.

Funsani dokotala wanu za katemera amene mungafune komanso nthawi yake.

Zinthu zina zomwe mungachite kuti mukhale ndi thanzi labwino ndizo:

• Ngati muli ndi mzere wa venous kapena PICC (mzere wokhazikika patheth), dziwani momwe mungasamalire.
• Ngati wothandizira wanu akukuuzani kuti kuchuluka kwa magazi anu ndi kochepa, phunzirani momwe mungapewere magazi mukamalandira khansa.
• Khalani achangu poyenda. Pepani pang'onopang'ono kuti mupite pati kutengera mphamvu zomwe muli nazo.
• Idyani mapuloteni okwanira ndi zopatsa mphamvu kuti mukhale wonenepa.
• Funsani omwe amakupatsani zakudya zamadzimadzi zomwe zingakuthandizeni kupeza ma calories ndi michere yokwanira.
• Samalani mukakhala padzuwa. Valani chipewa chokwanira. Gwiritsani ntchito zoteteza ku dzuwa ndi SPF 50 kapena kupitilira pamenepo pakhungu lililonse lomwe limaonekera.
• Osasuta.

Mufunika chisamaliro chotsatira kuchokera kwa adotolo anu ndi namwino kwa miyezi itatu. Onetsetsani kuti mwasunga nthawi yanu yonse.

Itanani dokotala wanu ngati muli ndi izi:

• Kutsekula m'mimba komwe sikutha kapena magazi.
• Kunyansidwa kwambiri, kusanza, kapena kusowa kwa njala.
• Simungathe kudya kapena kumwa.
• Kufooka kwakukulu.
• Kufiira, kutupa, kapena kukhetsa kulikonse komwe muli ndi mzere wa IV.
• Ululu m'mimba mwanu.
• Malungo, kuzizira, kapena thukuta. Izi zikhoza kukhala zizindikiro za matenda.
• Kutupa kwatsopano kapena zotupa.
• Jaundice (khungu lanu kapena gawo loyera la maso anu limawoneka lachikaso).
• Mutu woipa kwambiri kapena mutu womwe sutha.
• Chifuwa chomwe chikuipiraipira.
• Kuvuta kupuma mukamapuma kapena mukamagwira ntchito zosavuta.
• Kuwotcha mukakodza.

Kuika - m'mafupa - kutulutsa; Kupanga khungu la tsinde - kutulutsa; Kuika hematopoietic stem cell - kutulutsa; Kuchepetsa mphamvu; Kukhazikitsa kosagwiritsa ntchito myeloablative - kutulutsa; Kuika Mini - kumaliseche; Allogenic mafupa osakaniza - kutulutsa; Autologous mafupa kumuika - kumaliseche; Kuika magazi kwa umbilical chingwe - kutulutsa

Heslop IYE. Chidule ndi kusankha kwa omwe amapereka magazi a hematopoietic stem cell. Mu: Hoffman R, Benz EJ, Silberstein LE, et al, olemba. Hematology: Mfundo Zoyambira ndi Zochita. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: mutu 103.

Ndine A, Pavletic SZ. Kuika hematopoietic stem cell. Mu: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, olemba. Chipatala cha Abeloff's Oncology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2020: mutu 28.

Tsamba la National Comprehensive Cancer Network. Maupangiri a NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) Hematopoietic cell transplantation (HCT). Mtundu wa 2.2020. www.nccn.org/professionals/physician_gls/pdf/hct.pdf. Idasinthidwa pa Marichi 23, 2020. Idapezeka pa Epulo 23, 2020.

• Khansa ya m'magazi (ALL)
• Pachimake myeloid khansa ya m'magazi - wamkulu
• Kuchepa kwa magazi m'thupi
• Kuika mafuta m'mafupa
• Matenda a m'magazi a lymphocytic (CLL)
• Matenda a myelogenous khansa ya m'magazi (CML)
• Matenda olimbana nawo
• Hodgkin lymphoma
• Myeloma yambiri
• Non-Hodgkin lymphoma

• Kutuluka magazi panthawi yamankhwala a khansa
• Catheter wapakati wapakati - kusintha kosintha
• Catheter wapakati - kuthamanga
• Kutsekula m'mimba - zomwe mungafunse dokotala - mwana
• Kutsekula m'mimba - zomwe mungafunse wothandizira zaumoyo wanu - wamkulu
• Kumwa madzi mosamala mukamalandira khansa
• Pakamwa pouma mukamalandira khansa
• Kudya ma calories owonjezera mukamadwala - akuluakulu
• Kudya ma calories owonjezera mukamadwala - ana
• Oral mucositis - kudzisamalira
• Peripherally anaikapo chapakati catheter - flushing
• Kudya mosamala panthawi ya chithandizo cha khansa

• Khansa ya m'magazi yoopsa ya Lymphocytic
• Khansa ya m'magazi ya Myeloid
• Matenda a Bone Marrow
• Kuika Bone Marrow
• Khansa Khansa
• Matenda a m'magazi a Lymphocytic
• Matenda a Myeloid Leukemia
• Khansa ya m'magazi
• Lymphoma
• Angapo Myeloma
• Zolemba za Myelodysplastic