Ho kenyelletsa 'mele oa masapo - ho tsoa

U bile le phetoho ea moko oa masapo. Ho kenyelletsa 'moko oa masapo ke mokhoa oa ho nka sebaka sa masapo a senyehileng kapa a senyehileng ka lisele tsa' mele tsa masapo tse phetseng hantle.

Ho tla nka likhoeli tse 6 kapa ho feta hore lipalo tsa mali a hau le masole a mmele a fole ka botlalo. Nakong ena, kotsi ea hau ea tšoaetso, ho tsoa mali le letlalo e phahame.

'Mele oa hau o ntse o fokola. Ho ka nka nako e ka etsang selemo ho ikutloa joalo ka ha o ile oa etsa pele o ka fetisoa. Mohlomong u tla khathala habonolo. U kanna oa ba le takatso e fosahetseng ea lijo.

Haeba u amohetse moko oa masapo ho motho e mong, u ka ba le matšoao a lefu la ho hlomathisa khahlanong le lefu lena (GVHD). Botsa mofani oa tlhokomelo ea bophelo hore au joetse hore na ke matšoao afe a GVHD ao u lokelang ho a shebella.

Hlokomela molomo oa hao hantle. Molomo o omileng kapa liso tsa meriana eo u hlokang ho e nka bakeng sa ho fetisetsa mokoallo oa masapo ho ka lebisa ho keketseho ea baktheria molomong oa hau. Libaktheria li ka baka tšoaetso ea molomo, e ka fetelang likarolong tse ling tsa 'mele oa hau.

• Hlatsoa meno le marenene makhetlo a mabeli ho isa ho a mararo ka letsatsi metsotso e 2 ho isa ho e 3 nako le nako. Sebelisa borashe ba meno bo nang le bristles e bonolo.
• Lumella moea oa borashe ba meno pakeng tsa borashe.
• Sebelisa sesepa sa meno ka fluoride.
• Floss ka bonolo hang ka letsatsi.

Hlatsoa molomo oa hau makhetlo a 4 ka letsatsi ka tharollo ea letsoai le soda. (Kopanya halofo ea halofo ea teaspoon, kapa ligrama tse 2,5, tsa letsoai le halofo ea halofo ea teaspoon kapa ligrama tse 2,5, ea soda e bakang li-ounise tse 8 kapa limilimithara tse 240 tsa metsi.)

Ngaka ea hau e ka u laela hore u hlatsoe molomo. O SE KE oa sebelisa lipompo tsa molomo tse nang le joala.

Sebelisa lihlahisoa tsa hau tsa tlhokomelo ea molomo ho boloka molomo oa hau o sa omelle le ho petsoha. Bolella ngaka ea hau haeba u ba le liso tse ncha tsa molomo kapa bohloko.

Qoba lijo le lino tse nang le tsoekere e ngata. Hlafuna marenene a se nang tsoekere kapa u monya li-popsicles tse se nang tsoekere kapa lipompong tse thata tse se nang tsoekere.

Hlokomela meno a maiketsetso, lithupa kapa lihlahisoa tse ling tsa meno.

• Haeba u roetse meno a maiketsetso, li kenye feela ha u ja. Etsa sena bakeng sa libeke tse 3 ho isa ho tse 4 tsa pele kamora ho kenya. U SE KE ua li apara ka linako tse ling nakong ea libeke tse 3 ho isa ho tse 4 tsa pele.
• Hlatsoa meno a maiketsetso makhetlo a 2 ka letsatsi. Li hlatsoe hantle.
• Ho bolaea likokoana-hloko, inela meno a maiketsetso ka har'a tharollo ea likokoana-hloko ha u sa a apara.

Hlokomela hore o se ke oa fumana tšoaetso ho fihlela selemo se le seng kapa ho feta kamora ho kenella.

Itloaetse ho ja le ho noa ka mokhoa o bolokehileng nakong ea kalafo ea mofets'e.

• O SE KE WA ja kapa wa nwa ntho efe kapa efe e ka phehang kapa ya senyeha.
• Etsa bonnete ba hore metsi a hau a bolokehile.
• Tseba ho pheha le ho boloka lijo ka polokeho.
• E-ba hlokolosi ha u ja lireschorenteng. U SE KE ua ja meroho e tala, nama, tlhapi kapa ntho efe kapa efe eo u sa kholisehang hore e sireletsehile.

Hlapa matsoho ka sesepa khafetsa, ho kenyelletsa:

• Kamora ho ba kantle
• Kamora ho ama maro a 'mele, joalo ka mameno kapa mali
• Kamora ho chencha leleiri
• Pele o tšoara lijo
• Kamora ho sebelisa mohala
• Ka mor'a ho etsa mosebetsi oa ntlo
• Kamora ho ea ka kamoreng ea ho hlapela

Boloka ntlo ea hao e hloekile. Eba hole le matšoele. Kopa baeti ba nang le sefuba ho apara mask, kapa ho se etele. O SE KE oa etsa mosebetsi oa jarete kapa oa tšoara lipalesa le limela.

Hlokomela liphoofolo tse ruuoang lapeng le liphoofolo.

• Haeba u na le kat, e boloke kahare.
• E-re motho e mong a fetole mabokose a likatse tsa hau letsatsi le leng le le leng.
• U SE KE UA bapala kaba le likatse. Mengoapo le ho longoa li ka tšoaetsoa.
• Lula hole le malinyane, malinyane le liphoofolo tse ling tse nyane haholo.

Botsa ngaka ea hau hore na u ka fumana liente life le hore na u li fumane neng.

Lintho tse ling tseo u ka li etsang ho lula u phetse hantle li kenyelletsa:

• Haeba u na le mohala o nang le maqhubu a bohareng kapa PICC (catheter e kentsoeng ka hare kahare) tseba ho e hlokomela.
• Haeba mofani oa hau au bolella hore palo ea platelet ea hau e tlase, ithute ho thibela ho tsoa mali nakong ea kalafo ea mofets'e.
• Lula u le mafolofolo ka ho tsamaea. Butle-butle eketsa hore na o ea hole ho latela hore na o na le matla a makae.
• Ja liprotheine le lik'halori tse lekaneng ho boloka boima ba 'mele ba hao bo phahame.
• Botsa mofani oa hau ka litlatsetso tsa lijo tse metsi tse ka u thusang ho fumana likhalori le limatlafatsi tse lekaneng.
• Hlokomela ha o le letsatsing. Roala katiba e nang le molomo o pharaletseng. Sebelisa setlolo se sireletsang letlalo letsatsing ka SPF 50 kapa ho feta letlalong lefe kapa lefe.
• U SE KE UA tsuba.

U tla hloka tlhokomelo e haufi ho tsoa ho ngaka le mooki oa hau ea ho kenyelletsa bonyane likhoeli tse 3. Etsa bonnete ba hore u boloka likopano tsohle tsa hau.

Bitsa ngaka ea hau haeba u e-na le matšoao ana:

• Letšollo le sa foleng kapa le nang le mali.
• Ho nyekeloa ke pelo, ho hlatsa kapa ho lahleheloa ke takatso ea lijo.
• Ha u khone ho ja kapa ho noa.
• Bofokoli bo feteletseng.
• Bofubelu, ho ruruha, kapa ho tsoa sebakeng sefe kapa sefe moo u kentseng mola oa IV.
• Bohloko bo ka mpeng ea hau.
• Feberu, ho bata, kapa ho fufuleloa. Tsena e kanna ea ba matšoao a ts'oaetso.
• Ho phatloha ho hocha ha letlalo kapa machachetsi.
• Jaundice (letlalo la hao kapa karolo e tšoeu ea mahlo a hau e shebahala e le mosehla).
• Hlooho e bohloko haholo kapa hlooho e sa foleng.
• Khohlela e ntseng e mpefala.
• Ho hema ka thata ha u phomotse kapa ha u etsa mesebetsi e bonolo.
• Ho chesa ha u ntša metsi.

Ho fetisetsa - moko oa masapo - ho tsoa; Ho kenya seleng ea stem - ho tsoa; Ho kenyelletsa hematopoietic stem cell - ho tsoa; Matla a fokotsehileng; Ho kenyelletsa se-myeloablative - ho tsoa; Ho kenyelletsa mini - ho tsoa; Ho kenyelletsa 'mele oa masapo a allogenic - ho tsoa; Ho kenyelletsa 'mele oa masapo a Autologous - ho tsoa; Ho kenyelletsa mali ka mokokotlo oa umbilical - ho tsoa

Heslop HE. Kakaretso le khetho ea mofani oa phetisetso ea hematopoietic stem cell. Ka: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Melao-motheo le Tloaelo ea Motheo. La 7th. Philadelphia, PA: Elsevier; 2018: khaolo ea 103.

Ke A, ​​Pavletic SZ. Phetisetso ea hematopoietic stem cell. Ka: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, bahlophisi. Abeloff's Clinical Oncology. La 6th. Philadelphia, PA: Elsevier; 2020: khaolo ea 28.

Webosaete ea National Comprehensive Cancer Network. Litaelo tsa NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) Hematopoietic cell transplantation (HCT): Tlhatlhobo ea baamoheli ba pele ba fetisetsa le ho tsamaisa mafu a Graft-Versus-Host. Mofuta oa 2.2020. www.nccn.org/professionals/physician_gls/pdf/hct.pdf. E ntlafalitsoe ka la 23 Hlakubele 2020. E fihlile ka la 23 Mmesa, 2020.

• Lefuemia e matla ea lymphoblastic (ALL)
• Lefu la mali le bohloko la myeloid - motho e moholo
• Phokolo ea mali ea aplastic
• Ho kenyelletsa masapo a masapo
• Lefuemia e sa foleng ea lymphocytic (CLL)
• Lefuemia e sa foleng ea myelogenous (CML)
• Graft-khahlanong le-host disease
• Hodgkin lymphoma
• Myeloma e mengata
• E seng Hodgkin lymphoma

• Ho tsoa mali nakong ea kalafo ea mofets'e
• Catheter e bohareng ea venous - phetoho ea ho apara
• Catheter ea maqhubu a bohareng - ho ruruha
• Letšollo - seo u lokelang ho se botsa ngaka ea hau - ngoana
• Letšollo - seo u lokelang ho se botsa mofani oa tlhokomelo ea bophelo ba hau - motho e moholo
• Ho noa metsi ka polokeho nakong ea kalafo ea mofets'e
• Molomo o omileng nakong ea kalafo ea mofets'e
• Ho ja likhalori tse eketsehileng ha u kula - batho ba baholo
• Ho ja likhalori tse eketsehileng ha u kula - bana
• Molomo oa mucositis - ho itlhokomela
• Pathese e kentsoeng kahare e kenang ka hare - ho phalla
• Ho ja ka mokhoa o bolokehileng nakong ea kalafo ea mofets'e

• Lefuemia e matla ea Lymphocytic
• Lefuemia le bohloko la Myeloid
• Maloetse a Bone Marrow
• Ho fetisoa ha Bone Marrow
• Leukemia ea bongoaneng
• Lefuemia e sa Foleng ea Lymphocytic
• Lefuemia e sa Foleng ea Myeloid
• Lefuemia
• Lymphoma
• Multiple Myeloma
• Li-Syndromes tsa Myelodysplastic