Bone marrow kuisirwa - kubuda

Iwe wakave nekupfupa kwemongo. Kupfupa kwemongo wemapfupa inzira yekutsiva yakanganisa kana kuparadza mwongo wemapfupa ane hutano mapfupa emongo masero.

Zvinotora mwedzi mitanhatu kana kudarika kuti huwandu hweropa rako uye immune system ipore zvizere. Munguva ino, njodzi yako yehutachiona, kubuda ropa, uye matambudziko eganda akakwirira.

Muviri wako uchiri usina simba. Zvinogona kutora kusvika gore kuti unzwe sezvawakaita usati waiswa. Iwe ungangoneta nyore nyore. Iwe unogona zvakare kuve nehurombo nzara.

Kana iwe ukatambira mwongo wepfupa kubva kune mumwe munhu, unogona kukudziridza zviratidzo zvegraft-versus-host disease (GVHD). Kumbira mupi wako wezvehutano kuti akuudze zviratidzo zveGVHD zvaunofanira kutarisa.

Chengetedza muromo wako zvakanaka. Kuomesa muromo kana maronda kubva kumishonga iwe yaunofanirwa kutora yekutsvaira mwongo wemapfupa kunogona kukonzera kuwedzera kwebhakitiriya mumuromo mako. Utachiona hunogona kukonzera hutachiona hwemuromo, hunogona kupararira kune dzimwe nhengo dzemuviri wako.

• Geza mazino ako uye mazino ka2 kana katatu pazuva kwemaminetsi maviri kusvika matatu nguva imwe neimwe. Shandisa bhurosi rezino rine bristles nyoro.
• Rega bhurosi rako remazino riome pakati pekukwesha.
• Shandisa mushonga wemazino ne fluoride.
• Floss zvinyoro kamwe pazuva.

Sukurudza muromo wako kanomwe pazuva nemunyu uye pasoda mhinduro. (Sanganisa hafu hafu yetiipuni, kana 2.5 magiramu, emunyu nehafu yetiipuni kana 2.5 magiramu, yesoda yekubikira muma8 ounces kana 240 milliliters emvura.

Chiremba wako anogona kuraira muromo kushambidza. Usashandise kushambidza mukanwa nedoro mazviri.

Shandisa zvigadzirwa zvako zvemuromo zvekuchengetedza miromo yako kuti irege kuoma uye kutsemuka. Udza chiremba wako kana iwe ukava nemaronda matsva emuromo kana kurwadziwa.

Dzivisa chikafu uye zvinwiwa zvine shuga yakawanda mazviri. Chew gums isina shuga kana kuyamwa pashuga-isina popsicles kana isina-isina shuga yakaoma macandi.

Chengetedza mazino ako ekugezesa, mabhureki, kana zvimwe zvigadzirwa zvemazino.

• Kana iwe ukapfeka meno ekugadzira, isa mukati chete kana uchinge uchidya. Ita izvi kwemavhiki matatu kusvika mana ekutanga mushure mekuiswa kwako. Usazvipfeke pane dzimwe nguva mukati memavhiki matatu kusvika mana ekutanga.
• Bhura mazino ako 2 kamwe pazuva. Vashambidza zvakanaka.
• Kuti uuraye utachiona, nyorovesa meno ako emeno mumushonga unorwisa mabhakitiriya paunenge usina kuapfeka.

Chenjerera kuti usabatwe nehutachiona kweanosvika gore rimwe kana kupfuura mushure mekudyara kwako.

Dzidzira kudya kwakachengeteka uye kunwa panguva yekurapa kenza.

• Usadye kana kunwa chero chinhu chingave chisina kubikwa kana kukanganiswa.
• Iva nechokwadi chekuti mvura yako yakachengeteka.
• Ziva mabikirwo uye kuchengetedza chikafu zvisina njodzi.
• Chenjera kana uchidya kunze. USADYA mbishi mbishi, nyama, hove, kana chero chinhu chausina chokwadi nacho chakachengeteka.

Shamba maoko ako nesipo nemvura kazhinji, kusanganisira:

• Mushure mekuve panze
• Mushure mekubata mvura yemumuviri, yakadai semamus kana ropa
• Mushure mekuchinja manapukeni
• Usati wabata chikafu
• Mushure mekushandisa runhare
• Mushure mekuita basa repamba
• Mushure mekuenda kuchimbuzi

Chengeta imba yako yakachena. Gara kure nemapoka. Kumbira vashanyi vane dzihwa kuti vapfeke mask, kana kuti vasashanye. Usaite basa repayadhi kana kubata maruva nemiti.

Ngwarira mhuka dzinovaraidza uye mhuka.

• Kana uine katsi, chengeta mukati.
• Ita kuti mumwe munhu achinje marara ako ekati zuva rega rega.
• Usatambe zvakaomarara nekitsi. Kukwenya uye kurumwa kunogona kutapukirwa.
• Gara kure nembwanana, kitsi, uye dzimwe mhuka diki kwazvo.

Kumbira chiremba wako kuti ndeapi majekiseni aungade uye nguva yekuawana.

Zvimwe zvinhu zvaunogona kuita kuti ugare uine hutano zvinosanganisira:

• Kana iwe uine yepakati venous mutsetse kana PICC (peripherally yakaiswa yepakati catheter) mutsara, ziva maitiro ekuitarisira.
• Kana mupi wako akakuudza yako platelet kuverenga yakaderera, dzidza maitiro ekudzivirira kubuda kweropa panguva yekurapa kenza.
• Ramba uchishanda nekufamba. Zvishoma nezvishoma wedzera kure kwaunosvika zvichienderana nesimba rauinaro.
• Idya mapuroteni akakwana uye macalorie kuitira kuti uremu hwako huwedzere.
• Kumbira mupiki wako nezve zvinwiwa zvekudya zvinowedzera izvo zvinogona kukubatsira iwe kuwana macalorie akakwana uye zvinovaka muviri.
• Chenjera kana uri muzuva. Pfeka ngowani ine muromo wakakura. Shandisa sunscreen ine SPF 50 kana yakakwira pane chero ganda rakafumurwa.
• USASVIRA.

Iwe unozoda padyo yekutevera-kutarisirwa kubva kune wako wekuisira chiremba uye mukoti kweinenge mwedzi mitatu. Ive neshuwa yekuchengeta ako ese magungano.

Fonera chiremba wako kana uine chimwe chezviratidzo izvi:

• Manyoka asingaendi kana ane ropa.
• Kushungurudzika kwakanyanya, kurutsa, kana kurasikirwa nechido.
• Haugone kudya kana kunwa.
• Kunyanya kushaya simba.
• Kutsvuka, kuzvimba, kana kudhiraina kubva chero kupi nzvimbo kwaune IV mutsara wakaiswa.
• Marwadzo mudumbu rako.
• Fivha, kutonhora, kana ziya. Izvi zvinogona kunge zviri zviratidzo zvehutachiona.
• Rutsva rweganda kana blister.
• Jaundice (ganda rako kana chena chikamu chemeso ako chinotaridzika kuva yero).
• Musoro wakaipisisa kana musoro usingaregi.
• Kukosora kuri kuwedzera.
• Kunetseka kufema kana iwe uchizorora kana kana iwe uchiita mashoma mabasa.
• Kusvira paunoita weti.

Kuisazve - mwongo wemapfupa - kubuda; Stem cell transplant - kubuda; Hematopoietic stem masero ekuisa - kubuda; Kuderedza kusimba; Kwete-myeloablative kuisirwa - kubuda; Mini kupinza - kubuda; Allogenic bone marrow kuisirwa - kubuda; Autologous bone marrow kuisirwa - kubuda; Umbilical tambo yekuisa ropa - kubuda

Heslop HE. Mhedziso uye kusarudzwa kweanopa yehematopoietic stem sero kuisirwa. Muna: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Basic Misimboti uye Maitiro. 7th ed. Philadelphia, PA: Elsevier; 2018: chits. 103.

Ndiri A, Pavletic SZ. Hematopoietic stem sero kuisirwa. Mune: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 28.

National Yakakwana Cancer Network webhusaiti. NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) Hematopoietic cell transplantation (HCT): Pre-Transplant Vanogamuchira Kuongorora uye Management yeGraft-Versus-Host Disease. Shanduro 2.2020. www.nccn.org/professionals/physician_gls/pdf/hct.pdf. Yakagadziridzwa Kurume 23, 2020. Yakasvika muna Kubvumbi 23, 2020.

• Acute lymphoblastic leukemia (ZVESE)
• Acute myeloid leukemia - mukuru
• Aplastic kupererwa neropa
• Bone marrow kuisazve
• Chirwere lymphocytic leukemia (CLL)
• Chisingaperi myelogenous leukemia (CML)
• Graft-versus-host chirwere
• Hodgkin lymphoma
• Akawanda myeloma
• Kwete-Hodgkin lymphoma

• Kubuda ropa panguva yekurapa kenza
• Central venous catheter - kupfeka shanduko
• Central venous catheter - kubhururuka
• Dhairrhea - chii chekubvunza chiremba wako - mwana
• Dhairrhea - chii chekubvunza chako chekuchengetedza hutano - mukuru
• Kunwa mvura zvakachengeteka panguva yekurapa kenza
• Muromo wakaoma panguva yekurapa kenza
• Kudya mamwe macalorie kana uchirwara - vakuru
• Kudya mamwe macalorie kana uchirwara - vana
• Oral mucositis - kuzvitarisira
• Peripherally akaisirwa yepakati catheter - kufuridza
• Kudya zvakachengeteka panguva yekurapa gomarara

• Acute Lymphocytic Leukemia
• Yakanaka Myeloid Leukemia
• Bone Marrow Zvirwere
• Bone Marrow Kudyara
• Wechidiki Leukemia
• Chisingaperi Lymphocytic Leukemia
• Chisingaperi Myeloid Leukemia
• Leukemia
• Lymphoma
• Akawanda Myeloma
• Myelodysplastic Syndromes