Ukufakelwa komnkantsha wethambo - ukukhipha

Ube nokufakelwa umnkantsha wethambo. Ukufakelwa komnkantsha wethambo kuyinqubo yokushintsha umongo wethambo owonakele noma owonakalisiwe ngamaseli we-bone marrow stem.

Kuzothatha izinyanga eziyisithupha noma ngaphezulu ukubalwa kwegazi lakho namasosha omzimba ukuthi alulame ngokuphelele. Ngalesi sikhathi, ingozi yakho yokutheleleka, ukuphuma kwegazi, nezinkinga zesikhumba iphakeme.

Umzimba wakho usabuthakathaka. Kungathatha kuze kube unyaka ukuzizwa unjalo ngaphambi kokufakelwa kabusha. Cishe uzokhathala kalula. Ungaba nesifiso esibi.

Uma uthola umnkantsha wethambo komunye umuntu, ungahle ube nezimpawu zesifo se-graft-versus-host (GVHD). Buza umhlinzeki wakho wezempilo ukuthi akutshele ukuthi yiziphi izimpawu ze-GVHD okufanele uzibuke.

Nakekela kahle umlomo wakho. Umlomo owomile noma izilonda emithini okudingeka uyithathe lapho ufakelwa umnkantsha wethambo kungaholela ekwandeni kwamagciwane emlonyeni wakho. Amagciwane angadala ukutheleleka emlonyeni, okungasakazeka kwezinye izingxenye zomzimba wakho.

• Gcoba amazinyo nezinsini izikhathi ezimbili kuya kwezintathu ngosuku imizuzu emi-2 kuya kwemi-3 isikhathi ngasinye. Sebenzisa isixubho ngamabhulashi athambile.
• Vumela ibhulashi lakho lamazinyo lome phakathi kokuxubha.
• Sebenzisa umuthi wokuxubha one-fluoride.
• Floss ngobumnene kanye ngosuku.

Hlanza umlomo wakho izikhathi ezine ngosuku ngesisombululo sikasawoti nesokubhaka. .

Udokotela wakho angakuyala ukuthi ugeze umlomo. UNGAYisebenzisi imishanguzo yomlomo enotshwala kuyo.

Sebenzisa imikhiqizo yakho yokunakekelwa kwezindebe ejwayelekile ukugcina izindebe zakho zingomi futhi zingaqhekeki. Tshela udokotela wakho uma uba nezilonda ezintsha zomlomo noma ubuhlungu.

Gwema ukudla neziphuzo ezinoshukela omningi kuzo. Hlahla izinsini ezingenashukela noma umunce ama-popsicles angenashukela noma amaswidi aqinile angenashukela.

Nakekela amazinyo akho okufakelwa, izinsimbi zokubopha, noma eminye imikhiqizo yamazinyo.

• Uma ugqoka amazinyo okufakelwa, afake kuphela uma udla. Yenza lokhu emavikini amathathu kuya kwamane okuqala ngemuva kokufakelwa kabusha. UNGAZIGQOKI ngezinye izikhathi emavikini amathathu kuya kwamane okuqala.
• Shayela amazinyo akho okufakelwa izikhathi ezimbili ngosuku. Hlanza kahle.
• Ukubulala amagciwane, cwilisa amazinyo akho okufakelwa kusixazululo se-antibacterial lapho ungagqokile.

Qaphela ukuthi ungatholi izifo kuze kube unyaka owodwa noma ngaphezulu ngemuva kokufakelwa kwakho.

Zijwayeze ukudla nokuphuza okuphephile ngesikhathi sokwelashwa komdlavuza.

• UNGADLI noma uphuze noma yini engadakwa noma ekonakele.
• Qiniseka ukuthi amanzi akho aphephile.
• Yazi ukupheka nokugcina ukudla ngokuphephile.
• Qaphela lapho udla ngaphandle. UNGAYIDI imifino eluhlaza, inyama, inhlanzi, noma yini enye ongaqiniseki ukuthi iphephile yini.

Geza izandla zakho ngensipho namanzi kaningi, kufaka phakathi:

• Ngemuva kokuba ngaphandle
• Ngemuva kokuthinta uketshezi lomzimba, njengamafinyila noma igazi
• Ngemuva kokushintsha inabukeni
• Ngaphambi kokuphatha ukudla
• Ngemuva kokusebenzisa ucingo
• Ngemuva kokwenza umsebenzi wasendlini
• Ngemuva kokuyogeza

Gcina indlu yakho ihlanzekile. Hlala kude nezixuku. Cela izivakashi ezinomkhuhlane ukuthi zigqoke imaski, noma zingavakasheli. UNGENZI umsebenzi wegceke noma uphathe izimbali nezitshalo.

Qaphela izilwane ezifuywayo nezilwane.

• Uma unekati, ligcine ngaphakathi.
• Yiba nomunye umuntu oguqula ibhokisi lodoti wekati lakho nsuku zonke.
• UNGADLALI amakati ngamakati. Ukuklwebheka nokulunywa kungatheleleka.
• Hlala kude nemidlwane, amakati, nezinye izilwane ezisencane kakhulu.

Buza udokotela wakho ukuthi yimiphi imigomo ongayidinga nokuthi ungayithola nini.

Ezinye izinto ongazenza ukuze uhlale uphilile zifaka:

• Uma unolayini we-venous central noma i-PICC (umugqa we-catheter ophakathi nendawo), yazi ukuthi ungawunakekela kanjani.
• Uma umhlinzeki wakho ekutshela ukuthi inani lakho leplatelet liphansi, funda ukuthi ungakuvimbela kanjani ukopha ngesikhathi sokwelapha umdlavuza.
• Hlala usebenza ngokuhamba ngezinyawo. Khulisa kancane ukuthi uhamba ibanga elingakanani kuye ngamandla onawo.
• Yidla amaprotheni namakhalori anele ukugcina isisindo sakho sikhuphukile.
• Buza umhlinzeki wakho mayelana nezithako zokudla ezingamanzi ezingakusiza uthole ama-calories nezakhi ezanele.
• Qaphela lapho uselangeni. Gqoka isigqoko ngomphetho obanzi. Sebenzisa i-sunscreen nge-SPF 50 noma ngaphezulu kunoma yisiphi isikhumba esidaluliwe.
• UNGABHALI.

Uzodinga ukunakekelwa okusondele kakhulu kudokotela wakho wokufakelwa kanye nomhlengikazi okungenani izinyanga ezintathu. Qiniseka ukuthi ugcina wonke ama-aphoyintimenti akho.

Shayela udokotela wakho uma unalezi zimpawu:

• Uhudo olungapheli noma olunegazi.
• Ukucanuzela kwenhliziyo, ukuhlanza, noma ukulahlekelwa isifiso sokudla.
• Awukwazi ukudla noma ukuphuza.
• Ubuthakathaka obukhulu.
• Ububomvu, ukuvuvukala, noma ukukhipha kunoma iyiphi indawo lapho kufakwe khona umugqa we-IV.
• Ubuhlungu esiswini sakho.
• Imfiva, ukubanda, noma ukujuluka. Lokhu kungaba yizimpawu zokutheleleka.
• Ukuqhuma okusha kwesikhumba noma amabhamuza.
• I-jaundice (isikhumba sakho noma ingxenye emhlophe yamehlo akho ibukeka iphuzi).
• Ikhanda elibuhlungu kakhulu noma ikhanda elingapheli.
• Ukukhwehlela okuya ngokuya kuba kubi.
• Kunenkinga yokuphefumula lapho uphumule noma lapho wenza imisebenzi elula.
• Ukushisa lapho uchama.

Ukufakelwa kabusha - umnkantsha - ukukhishwa; Ukufakelwa kwe-stem cell - ukukhishwa; Ukufakelwa kwe-stem cell ye-hematopoietic - ukukhipha; Amandla anciphile; Ukufakelwa kwe-non-myeloablative - ukukhishwa; Ukufakelwa okuncane - ukukhishwa; Ukufakelwa komnkantsha we-Allogenic - ukukhipha; Ukufakelwa komnkantsha we-Autologous - ukukhipha; Ukufakelwa kwegazi kwe-umbilical cord - ukukhipha

IHeslop HE. Ukubuka konke nokukhethwa komnikeli we-hematopoietic stem cell transplantation. Ku: Hoffman R, Benz EJ, Silberstein LE, et al, ama-eds. I-Hematology: Izimiso Eziyisisekelo Nokuzijwayeza. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 103.

Ngingu-A A, Pavletic SZ. Ukufakelwa kabusha kwe-stem cell ye-hematopoietic. Ku: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, abahleli. I-Abeloff’s Clinical Oncology. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2020: isahluko 28.

Iwebhusayithi ye-National Comprehensive Cancer Network. Imihlahlandlela Yokuzivocavoca Yomtholampilo ye-NCCN ku-Oncology (Imihlahlandlela ye-NCCN) Ukufakwa kweseli kwe-Hematopoietic (HCT): Ukuhlolwa Kokutholwa Kwangaphambi Kokufakelwa Nokulawulwa Kwesifo Se-Graft-Versus-Host Disease. Inguqulo 2.2020. www.nccn.org/professionals/physician_gls/pdf/hct.pdf. Kubuyekezwe ngoMashi 23, 2020. Kufinyelelwe ngo-Ephreli 23, 2020.

• I-leukemia ye-lymphoblastic enamandla (BONKE)
• I-acute myeloid leukemia - umuntu omdala
• I-aplastic anemia
• Ukufakelwa komnkantsha wethambo
• I-lymphocytic leukemia engapheli (CLL)
• I-leukemia engapheli yomzimba (CML)
• Isifo se-Graft-versus-host
• IHodgkin lymphoma
• I-myeloma eminingi
• I-non-Hodgkin lymphoma

• Ukopha ngesikhathi sokwelashwa komdlavuza
• I-catheter ye-venous emaphakathi - ushintsho lokugqoka
• Ipayipi le-venous emaphakathi - ukugeleza
• Uhudo - yini ongayibuza udokotela - ingane yakho
• Uhudo - yini ongayibuza umhlinzeki wakho wezokunakekelwa kwempilo - umuntu omdala
• Ukuphuza amanzi ngokuphepha ngesikhathi sokwelashwa komdlavuza
• Umlomo owomile ngesikhathi sokwelashwa komdlavuza
• Ukudla ama-calories amaningi lapho ugula - abantu abadala
• Ukudla ama-calories amaningi lapho ugula - izingane
• I-Oral mucositis - ukuzinakekela
• I-catheter emaphakathi efakwe ngaphesheya - ukufutha
• Ukudla okuphephile ngesikhathi sokwelashwa komdlavuza

• I-Acute Lymphocytic Leukemia
• I-Acute Myeloid Leukemia
• Izifo Zomnkantsha Wamathambo
• Ukufakelwa Kwamathambo Emathanjeni
• I-Leukemia Yezingane
• I-lymphocytic leukemia Engapheli
• I-Myeloid Leukemia Engapheli
• Umdlavuza wegazi
• I-Lymphoma
• I-Myeloma eminingi
• Ama-Syndromes kaMyelodysplastic